A 55-year-old man agrees to have the tooth #1 extraction immediately post SRP.  Pre-extraction panoramic X-ray shows severe bone loss at #2 (Fig.1).  Possible extraction of #2 is mentioned considering pending implant at #14.  Extraction of #1 turns out to be difficult, requiring sectioning.  The tooth #2 blocks the access.  The patient readily accepts #2 extraction. 

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Xin Wei, DDS, PhD, MS 1st edition 10/23/2019, last revision 10/23/2019