Mastering Implant Stability: Drilling Protocol for D1, D2, and D3 Bone in Full Arch Surgery

In this episode, Dr. Taher Dhoon and Dr. Daniel Briskie from Colorado Surgical Institute dive deep into implant stability techniques for D1, D2, and D3 bone in full arch surgery. Discover practical, real-world strategies for achieving optimal implant placement and preventing complications during surgery. Learn from the pros as they discuss how to properly assess bone density, adjust your drilling protocol, and avoid common pitfalls that can compromise implant stability.

Key Takeaways:

How to assess bone density on a CT scan (1:51)
Why pushing the drill apically helps evaluate bone type (2:28)
Techniques to ensure proper depth and prevent implant spinning (4:38)
When to over-drill to prevent implant bottoming out in D1 bone (5:30)
How to prevent perforating the lingual cortex during drilling (9:53)
Using the 50/50 protocol to avoid complications (12:09)
Implant placement strategies for soft and dense bone types (17:23)
Addressing implant stability concerns and pressure necrosis (24:04)
Why healing abutments are preferred over cover screws (29:56)

Chapters: 0:00 – Introduction: Full Arch Implant Stability in D1, D2, and D3 Bone
1:51 – Assessing Bone Density on CT Scans
2:28 – The Push Test for Bone Evaluation
4:38 – Drilling Depth: Avoiding Implant Spinning
5:30 – Over-Drilling in D1 Bone for Stability
9:53 – Preventing Lingual Cortex Perforation
12:09 – The 50/50 Drilling Protocol
17:23 – Under-Sizing Osteotomies for Implant Stability
24:04 – Addressing Pressure Necrosis and Finishing Techniques
29:56 – Healing Abutments vs. Cover Screws

For more advanced full arch implant techniques, visit ColoradoSurgicalInstitute.com.