1. TSI #19
Dr. David D’Alise

2. Pre-op panograph

3. Intra-oral view

4. CBCT planning

5. Soft tissue reflection

6. Crest marked with #8 round bur

7. 1.8mm pilot with 10mm depth stop

8. Pilot taken to full depth

9. Countersink

10. Countersink taken to proper depth

11. Perfect amount of bone removed from
both the buccal and lingual

12. Pilot is now taken to full depth of
countersink

13. Final osteotomy former taken to
length

14. Osteotomy completed

15. TSI implant on driver

16. Implant being seated by hand

17. Final torque value is >50N/cm

18. Driven to depth with torque driver
(notice micro thread exposure)

19. Harvested bone used to cover
microthreads

20. Cover screw placed

21. Sutured with 3.0 silk