Планирование клинического случая 13

Four molar implants in one patient — and a real-time masterclass on the thing that makes new surgeons nervous: what to do when something bleeds. This live planning session walks attendees through the full quadrant while teaching the decisions and the save-your-day techniques along the way. The case-planning fundamentals: • Approaching a four-molar case — one at a time vs. batching your osteotomies, and why starting with #3 lets you learn the bone and course-correct on the rest • Incision choice on a wide, high-KG ridge — when midcrestal is fine and when to lingualize • Envelope flap vs. distal release when there's no distal tooth — visibility vs. healing, and why a clean flap matters more than a small one • When to engage the sinus floor and when to stay short — and why a 5x10 is easier to repair down the road than a 5x16 • Restoratively driven placement over buccal bone loss — stepping to a 5x8 to stay straight instead of tipping lingual • Harvesting bone with a hockey-stick extension and safe scraper if you ever need to graft Then the part worth saving: • Soft tissue bleeds — compression, anesthetic with vasoconstriction, clamping with a hemostat (and the timer trick so you don't necrose the tissue), a battery-operated cautery unit, and TXA if you have an IV in • Bone bleeds — the "barbecue" technique (dry bur on bone to cook the vessel closed), crushing with the back of a mirror, and bone wax • A nicked vessel in the osteotomy — the guide-pin trick to plug the hole and control the bleed until the implant seats And a great teaching thread on autonomy: whether to do your hardest implant first (fresh and caffeinated) or build confidence on the easy ones — and why, in the operatory, "you're the quarterback, we're just the guardrails." Bring your cases and run them by Dr. Briskie or the CSI faculty anytime. Want to plan and place implants with confidence on live patients? www.coloradosurgicalinstitute.com Chris — (970) 410-6148 #DentalImplants #ImplantDentistry #CasePlanning #ImplantSurgery #ImplantComplications #Neodent #BleedingManagement #DentalCE #ColoradoSurgicalInstitute #CBCT #DentalEducation