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When to use this implant template

Use it for surgical placement of an endosteal implant (D6010), with or without grafting at the same visit. An implant note is a surgical record and also a product record. Years later, a restorative dentist or a manufacturer warranty claim will need the system, size, and lot number, and insertion torque explains why you loaded the implant when you did.

What an implant note must include

Example implant note

Patient seen for implant placement (D6010) at #30. Medical history reviewed, no contraindications. CBCT reviewed. Written informed consent signed. Anesthesia: 4% articaine w/ 1:100,000 epi, 2 carpules, infiltration and IANB. Full-thickness flap; static surgical guide; sequential drilling per manufacturer protocol with copious irrigation. Bone quality D2. Implant placed: 4.8 × 10mm, lot recorded. Insertion torque 35 Ncm or more, ISQ 74. Healing abutment, non-submerged. Sutures: 4-0 PTFE, 3 interrupted. Periapical confirms position. Tolerated well. Post-op check and suture removal in 7–14 days; restoration after 3–4 months of healing.