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Key Concepts:
1 – Always review critical anatomy first, tracing the sinus floor, the tooth positions, and existing implants on radiographs before starting surgery.
2 - Engaging the sinus floor 1–2 mm anchors the implant in cortical bone can be advantageous for long-term stability, but going deeper risks perforating the Schneiderian membrane.
3 - Keep at least 3 mm between implants and 1.5 mm between an implant and a tooth to preserve vascularity and prevent bone breakdown.
4 - Plan with the restorative dentist, so extractions, alveoloplasty, and implant positions all serve the final restoration.
5 - Place implants parallel, and let insertion torque (45 Ncm here) decide whether healing abutments can go on the same day.
Key Instruments/Materials:
- Periapical radiographs mapped the sinus floor, the adjacent implant, and the bone at site #13 during planning.
- Elevators removed #11 and #12 while directing force away from the implant at #10.
- Osteotomy burs prepared the implant sites and, left in place, served as paralleling guides.
- Healing abutments were placed immediately because both implants achieved 45 Ncm of torque.
- 3-0 chromic gut sutures closed the flap over the sites.
* Instrument Partner Of This Project – (Looking for a partner with instruments, I'll be talking about and showing the instruments I used in each case)
* Dental Implant Partner - (I place 3 different brands of implants and I'm waiting for my favorite one to partner with me on this project so I can finally reveal it...)
* Bone Grafting Partner - (This could be you! You know who you are lol let me know)
Top 13 Viewers on this Episode on TikTok LIVE 122 Q&A:
1st – Brittany, @codysmom0412
2nd – @kapil3112
3rd – @emmac623
4th – mak, @_makeba
5th – Mads🍒✨, @madisunn96
6th – JuliaJayBird1023, [handle not visible]
7th – @_doctorbell
8th – bovineluvr, @bovineluv
9th – christy07, @christypnw03
10th – Matt C, @matt_c28
11th – Ablahi, @loiytdg456
12th – @user1781291995
13th – brayden💚❤️⚾⚾, @brayden8340
Top Questions:
- With a 3.0 GPA, an 80 CBSE score, and a 60% class rank, should I apply to Oral Surgery residency?
- Have you had implants with crestal bone loss, and did you explant them?
- I want to start placing implants, but it scares me. Where do I start?
- What do you do with a hot mandibular tooth with a big infection when the patient still feels it after an IANB and infiltrations, with no sedation?
- Is $500K too much for dental school?
Now available on:
- Dr. Gallagher’s Podcast & YouTube Channel
My watch in this episode = Citizen Ecozilla Diver (overnight on-call watch in residency)
9.2026
#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #oralsurgeon #doctorgallagher #doctorgallagherspodcast
