With 34 mg of Lidocaine and 17 mcg of Epinephrine (local infiltration), a 4.5x8.5 mm implant is placed with guide. The insertion torque is ~50 Ncm.  It is placed in precise depth and in a short period of time (tolerable to the operators and patient, easier than mini-implant placement, Fig.1).  There is no postop pain or paresthesia.

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Xin Wei, DDS, PhD, MS 1st edition 05/24/2018, last revision 09/07/2018