Patient had some sort of graft placed when #30 extracted 7 months ago at previous DDS.  It appears graft did not take too well and there was no buccal bone left.  They also did primary closure so not much attached tissue either.  Tall lingual wall of bone.  Ended with slightly shorter implant than I desired.

Bone actually looks worse here than initial PA from 2 months prior

Osteotomy right at PDL of MB root

Implant flush to buccal bone can see about 3mm of lingual wall above implant