The Dentalpreneur Podcast w/ Dr. Mark Costes 2407: Predictable Implant Stability: Never Get a Spinner Again
Dec 23, 2025
Dr. Taher Dhoon is a surgical trainer at the Colorado Surgical Institute, specializing in advanced implant protocols. Dr. Dan Briskie is an experienced oral surgeon and co-presenter, focusing on improved implant success. They discuss strategies to eliminate implant 'spinners' through precise tactile drilling and effective inventory management. Key topics include bone assessment techniques, case tracking for better outcomes, and the financial repercussions of implant failures. Their insights promise increased confidence and efficiency in implant dentistry.
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Gene: From Multiple Failures To Same‑Day Teeth
- Dan Briskie shared a patient, Gene, who had multiple previous implant failures before same-day teeth restored successfully.
- He credits recognizing D4 bone and applying refined techniques to deliver predictable immediate loading outcomes.
Train Tactile Drilling Feedback
- Use consistent handpiece pressure and inspect drill flutes to develop tactile feedback that predicts bone density.
- Practice until tactile cues become unconscious so you can adjust drilling without constantly referencing the CBCT.
Build One Surgical Program At A Time
- Before new surgical programs, focus on one area at a time so you can build competency without overextending the team.
- Ask experts like Taher Dhoon or Dan Briskie to review your plans before attempting complex cases.