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Roldan end we have utensils area in teeth number four and five now Iamp;#39;m a big believer if weamp;#39;re going to do this letamp;#39;s get intense anesthesia of the soft tissue and remember bone is not innervated bone has no pain receptors in it nerves run through bone but not in this area so we just want complete anesthesia of the soft tissue another great tool another wonderful tool that I use to make my implant surgery a little easier for me is something called the MD guide and we purchase these md guide mesial distal guide from gold and dental solutions here in the Detroit area and it comes in a kit and you can see it has a pilot drill at the end and it has cylinder round cylinder which duplicates the width the mesial distal width of the tooth you want to replace one thing thatamp;#39;s very important is to be able to virtually place the implant before you ever touch the patient and to imagine what the teeth are going to look like prior to surgical placement I find this to
