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 cortex2 - Reading Anatomy Beyond X-Rays: Apical concavity wasn't visible on imaging — confirmed only by drill palpation3 - Spacing Guidelines: 1.5mm implant-to-tooth, 3mm implant-to-implant — both maintained4 - 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 contourKey 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 — closureInstrument 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.of20222nd – GeorgeAnthony Kuttab, @georgeanthony.kut3rd – lilyana, @lilyana29084th – Alain, @alain_00005th – nonickname, @buddifkusok6th – Simon, @simonphm_127th – Lucyann58, @lucyannlester8th – @dentalguy1239th – Sadeem, @smalllevel_10th – sena, @user171005270Top 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 ChannelMy watch in this episode = Citizen Promaster Diver Day Date9.2026#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #oralsurgeon #doctorgallagher #doctorgallagherspodcast