2 Extractions, 2 Immediate Implants, Bone Grafting | Oral Surgery Techniques #4 with Dr. Gallagher

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