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

Key Concepts: 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. 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. 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. 4 – Position the #30 implant for the crown: parallel to the tooth it'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. 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) Key Instruments/Materials: • CBCT: measured bone height and width before choosing thin, longer implants. • Panoramic radiograph: showed the inferior alveolar nerve, the mental foramen and the implants; a 2D image doesn’t show bucco-lingual angulation. • Abutment: placed on the #30 implant the same day with stability over 45 Ncm. • 3-0 chromic gut suture: closed the #30 implant site. • 4-0 Vicryl suture: closed the grafted front site to hold the bone graft in longer; removed at about 2 weeks. * 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 15 Viewers on this Episode on TikTok LIVE 126 Q&A: 1st – @emmac623 2nd – User248, @jacob12456789 3rd – @hofblinders 4th – @laquizexad8 5th – J-mar..i, @jpamplin23 6th – kangaroojack30, @kjacke3090 7th – user3094365976936, @greenlucky70 8th – moustafa 🎩, @risingkpopstar 9th – alskfjrn, @kdkrjtheh 10th – Gaby Sousou, @gaby.sousou 11th – Anoopy, @anoopy_ 12th – ., @akona2_ 13th – User, @chemist_k 14th – Craig, @craig4137 15th – Ryan, @ryanhhhhhhhhhh Top Questions: “How did you decide on dentistry?” “How much planning goes into a case before you start a procedure?” “Can you do referrals for double jaw surgery?” “How do you get good bitewings? I can't get rid of the overlaps on the interproximals.” Now available on: - Dr. Gallagher’s Podcast & YouTube Channel My watch in this episode = Citizen Ecozilla Diver (overnight on-call watch in residency) 10.2026 #podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #oralsurgeon #doctorgallagher #doctorgallagherspodcast