2 Dental Implants For 4 Incisors, Posterior Implant Angulation | Oral Surgery Techniques #5 with Dr. Gallagher

<p>Key Concepts:</p><p>1 – Plan the front teeth as a unit: 3 non-restorable lower front teeth were removed and implants were placed at sites #23 and #26 for a 4-unit bridge, which matches better than a single implant crown in the front.</p><p><br></p><p>2 – Trace critical anatomy first: a CBCT shows bone height and width in the front, and in the back the inferior alveolar nerve and the mental foramen have to be mapped before an implant goes in.</p><p><br></p><p>3 – Make up for narrow bone with length: thin implants in the lower front can be longer, and I like to place the implant 1–2 mm below the crest of bone.</p><p><br></p><p>4 – Position the #30 implant for the crown: parallel to the tooth it&#39;s matched to, centered under the palatal cusps of the opposing maxillary first molar, and 6–8 mm distal to #29 for a 12–14 mm crown.</p><p><br></p><p>5 – Respect torque: I like over 35 Ncm before an abutment goes on, and I stay between 45 and 65 Ncm, because too much torque causes pressure necrosis and heat transfer (a rise of more than 10°C within 1 minute degrades collagen in the bone)</p><p><br></p><p>Key Instruments/Materials:</p><p>• CBCT: measured bone height and width before choosing thin, longer implants.</p><p>• Panoramic radiograph: showed the inferior alveolar nerve, the mental foramen and the implants; a 2D image doesn’t show bucco-lingual angulation.</p><p>• Abutment: placed on the #30 implant the same day with stability over 45 Ncm.</p><p>• 3-0 chromic gut suture: closed the #30 implant site.</p><p>• 4-0 Vicryl suture: closed the grafted front site to hold the bone graft in longer; removed at about 2 weeks.</p><p><br></p><p>* Instrument Partner Of This Project – (Looking for a partner with instruments, I&#39;ll be talking about and showing the instruments I used in each case)</p><p>* Dental Implant Partner - (I place 3 different brands of implants and I&#39;m waiting for my favorite one to partner with me on this project so I can finally reveal it...)</p><p>* Bone Grafting Partner - (This could be you! You know who you are lol let me know)</p><p><br></p><p>Top 15 Viewers on this Episode on TikTok LIVE 126 Q&amp;A:</p><p>1st – @emmac623</p><p>2nd – User248, @jacob12456789</p><p>3rd – @hofblinders</p><p>4th – @laquizexad8</p><p>5th – J-mar..i, @jpamplin23</p><p>6th – kangaroojack30, @kjacke3090</p><p>7th – user3094365976936, @greenlucky70</p><p>8th – moustafa 🎩, @risingkpopstar</p><p>9th – alskfjrn, @kdkrjtheh</p><p>10th – Gaby Sousou, @gaby.sousou