I rebuilt our implant tray this morning and standardized my pass sequence — 15C, Molt 9, Minnesota, then torque driver — with HVE planted before irrigation; it consistently saves us about 5 minutes per case. I also tightened our 24‑hour call script to reinforce gauze pressure cycles, staggered analgesics, and when to call for uncontrolled bleeding or paresthesia. Anyone have a clean printable checklist or call template you like for implant days?
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Swapped the Molt 9 for a Woodson on graft cases so I can tuck membrane without nicking it, and I pre-set the torque driver to 35 Ncm with a colored zip tie so it’s grab-and-go. Your “HVE planted before irrigation” is gold; we also clip the hose to the drape with a Backhaus so it doesn’t drift. Only caveat: the Minnesota can crowd the driver on lower molars, so we switch to a cheek retractor there.
But i started texting a quick 7 p.m. follow-up after implants that repeats the key line: ‘keep firm gauze pressure 30 minutes on/30 off for the first 2 hours, stagger your analgesics, and call for bleeding that soaks through two gauze changes or any worsening tingling.’ It mirrors our 24‑hour call script and cut next‑day clarifications, but I tweak the wording for patients on anticoagulants.
I’ve had good luck making it a weekly disclosing tablet game — turn the night clean into a “pink spot hunt,” then do a quick final pass before sleep to clear what’s left. Doing it “right after dinner” still works best here, but if they’re fading I’ll do a 45‑second parent finish with a super‑soft head to wrap it. Have you tried a mild, non‑mint paste for the 3–6 crowd?