Dental Implant In The “Aesthetic Zone,” Bone Grafting | Oral Surgery Techniques #2 with Dr. Gallagher

Key Concepts: 1 - Width vs. Length Trade-off: Apex concavity forced a shorter 8.5mm implant (10mm planned) at 3.75mm width to protect the buccal cortex 2 - Reading Anatomy Beyond X-Rays: Apical concavity wasn't visible on imaging — confirmed only by drill palpation 3 - Spacing Guidelines: 1.5mm implant-to-tooth, 3mm implant-to-implant — both maintained 4 - Aesthetic Angulation Challenges: Bone limits required a compromised trajectory, corrected with a multi-unit abutment (15°–33°) 5 - Buccal Grafting Technique: Thin periosteal reflection via sulcular incision to tuck a 50/50 cortical-cancellous graft for added contour Key Instruments & Materials: - Osteotomy drills — sequential prep, monitored by feel to avoid apical perforation - 3.75mm x 8.5mm implant fixture — sized to bone constraints - Periosteal elevator — used for thin, careful reflection during graft placement - 50/50 cortical-cancellous graft — buccal surface augmentation - 3-0 chromic gut suture — closure Instrument Partner Of This Project – (Could be you! Let me know) Top 10 Viewers on this Episode on TikTok LIVE 117 Q&A: 1st – H.D., @class.of2022 2nd – GeorgeAnthony Kuttab, @georgeanthony.kut 3rd – lilyana, @lilyana2908 4th – Alain, @alain_0000 5th – nonickname, @buddifkusok 6th – Simon, @simonphm_12 7th – Lucyann58, @lucyannlester 8th – @dentalguy123 9th – Sadeem, @smalllevel_ 10th – sena, @user171005270 Top Questions: ~09:10 “Do you need an implant?" ~09:45 "How long for the socket to heal after upper wisdom tooth removal?" ~10:15 "Would regular implants work for a trans patient?" ~10:45 "How hard is it to get into med/dental school?" ~11:10 "Does an MD matter for hospital-based OMFS?" Now available on: - Dr. Gallagher’s Podcast & YouTube Channel My watch in this episode = Citizen Promaster Diver Day Date 9.2026 #podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #oralsurgeon #doctorgallagher #doctorgallagherspodcast