Great points. I find in very soft bone cases you may even have to undersize your osteotomy 1 mm maybe even 1 1/2 mm. It’s always best to infer prepare and worst case scenario you have to go back in and go to the next protocol and open it up slightly more but once you go larger, you can’t put that bone back, so better to play it safe if you’re not sure, especially with Less experience you definitely want to error on the side of a smaller osteotomy and that will continue to get more accurate with experience. Also, very important to have some type of implant inventory. A very common mistake with some doctors starting off is they only order the implants needed for the surgery that day or they only have two or three implants around. If you drop an implant or you have to go up a size size you want to have a basic inventory so that you’re probably prepared to a surgeon. Typically I recommend 25 implants Which is for the most part one of each size in a system and maybe two of the most common ones the bare minimum would probably be at least 15 but you don’t need 50 or hundred but you do need some type of inventory to be able to make good clinical decisions that might change the time of surgery. After you have that inventory, you’re just replacing one implant at a time

I agree with the experts above. As someone who is only placing implants for few years, besides the advice above, remember that if al goes not according to plan you can always graft and live to fight another day.

Great advise even for me! Thank you guys.