Colorado Surgical Institute

Colorado Surgical Institute When you are ready to introduce dental implants to your practice, things can get complicated really

09/04/2026

When you damage a nerve, closing it up and hoping isn't the plan. Knowing what to do next is.

This is the kind of decision-making you only build by planning real cases with people who've been there — and it's exactly what happens at CSI.

Take an anterior implant near the incisive canal. Dr. Dhoon walks through the small choices that add up: your apex tends to drift facial, so you stay intentional about keeping it palatal. You start with an envelope flap out to the cuspid and lateral to really visualize it — and on a high smile line patient, you either keep any vertical release in keratinized tissue or skip it entirely for a giant envelope flap, so you don't leave a visible scar.

Then the part worth slowing down for. If you over-reflect and nick the incisive nerve, you don't just close up and hope the patient's fine — because a partial injury can leave paresthesia or dysesthesia, a painful altered sensation. That's a real problem, and a real liability. The move is counterintuitive: if you've damaged it, you fully transect it and clean it out completely. Now the patient has a little palatal numbness they acclimate to, and everyone's fine.

That's the difference between reading about a complication and knowing exactly how to handle one in the moment. It's the hundred small calls — flap design, scar prevention, nerve management — that decide whether a case goes clean or goes sideways. Learned from faculty who've already made every one of them.

👉 www.coloradosurgicalinstitute.com
📞 Chris — (970) 410-6148

7 days out. Let's do this. One week until our next course kicks off — and the energy is already building.Here's who's jo...
09/03/2026

7 days out. Let's do this.

One week until our next course kicks off — and the energy is already building.

Here's who's joining us:

Single Implants — 11 doctors
IV Sedation — 5 doctors
Wisdom Teeth — 4 doctors
Frenectomy — 4 doctors
Full Arch — 3 doctors
Sinus — 3 doctors
Pterygoid — 2 doctors
FMR — 2 doctors

That's a full house across every track — doctors coming in ready to get hands-on and take real skills back to their practices.

And it's not just our attendees who are excited: over 50 patients are counting on this course to get the care they need. That's the heart of what we do — doctors leveling up their skills while real patients get real treatment.

To everyone traveling in next week: we can't wait to see you. It's going to be an incredible few days.

See you in 7. 👏

👉 www.coloradosurgicalinstitute.com
📞 Chris — (970) 410-6148

CSI is now on Milo — and that means the exact checklists we use inside our courses are available for you to grab and use...
09/02/2026

CSI is now on Milo — and that means the exact checklists we use inside our courses are available for you to grab and use in your own practice.

The pre-op protocols. The surgical setup lists. The post-op sequences. The step-by-step systems that keep our cases predictable and our doctors confident — all in one place, built for you to actually implement.

Because let's be honest: the difference between a course you took and a course you USE usually comes down to one thing — systems. Checklists are how knowledge becomes muscle memory. They're how your team gets on the same page. And they're how nothing falls through the cracks when the schedule gets crazy.

Now here's where you come in: what checklists do you want us to add next?

Drop your requests in the comments — implant setup, sedation protocols, full arch workflow, frenectomy post-op, team training — whatever would make your Monday easier, tell us and we'll build it.

Find all our checklists — link in bio!

Dr. Mark Costes is taking the stage at the Neodent Symposium — and it's one you won't want to miss. We're proud to share...
09/01/2026

Dr. Mark Costes is taking the stage at the Neodent Symposium — and it's one you won't want to miss.

We're proud to share that Dr. Mark Costes — co-founder and owner of Colorado Surgical Institute — is presenting at the Neodent Symposium on Business Growth.

If you know Mark, you know this is exactly his wheelhouse. Beyond the clinical side of dentistry, he's spent years helping dentists build practices that are more profitable, more sustainable, and a whole lot less stressful. His session is for any doc who's great at the dentistry but ready to level up the business behind it.

Whether you're scaling up, adding new services, or just trying to work smarter instead of harder — this is the kind of talk that changes how you run your practice.

Catch Dr. Costes at the Neodent Symposium.

👉 www.coloradosurgicalinstitute.com
📞 Chris — (970) 410-6148

One full arch spot just opened for September — and it comes with a deal. A doctor had to reschedule, so a single seat ju...
08/31/2026

One full arch spot just opened for September — and it comes with a deal.

A doctor had to reschedule, so a single seat just became available in our September 10–12 Full Arch course — and we'd rather fill it than leave it empty.

If full arch has been on your list, this is the moment. Three days of hands-on, live-patient full arch training alongside faculty who do these every week — the surgery, the prosthetics, and the real decision-making that makes cases predictable.

One seat. Short notice. Contact Chris for a great deal to grab it.

📞 Chris — (970) 410-6148
👉 www.coloradosurgicalinstitute.com

Don't sit on this one — when it's gone, it's gone.

$200,000 in CE. A failed startup that nearly wiped him out. Thousands of implants later — Colorado Surgical Institute. O...
08/31/2026

$200,000 in CE. A failed startup that nearly wiped him out. Thousands of implants later — Colorado Surgical Institute.

Our co-founder Dr. Taher Dhoon just sat down with the Couple of Dentists podcast, and if you've ever wondered why CSI is built the way it is — this is the origin story.

Taher's path wasn't a straight line. He was a general dentist chasing surgical reps wherever he could get them, spending a fortune on courses, and learning one of the hardest lessons in this field: getting reps isn't the same as getting good training. That gap is exactly why CSI exists.

In the episode, he gets honest about the stuff most people don't talk about:

• What those early implant courses were really like — and where they fell short
• How a failed startup nearly wiped him out financially
• Buying a $1.1M practice in Greeley and growing it to nearly $5M
• Why trying to implement everything at once burned out some of his best team members
• How a dentist should progressively build surgical skill without getting in over their head — case selection, managing complications, knowing when to refer, and building real relationships with specialists

And the throughline: why CSI was designed to be so much more than another weekend implant course.

If you're building your own surgical journey, this one's worth your commute.

🎧 Listen to the full episode on the Couple of Dentists podcast — wherever you get your podcasts.

Want to train somewhere built on hard-won lessons?
👉 www.coloradosurgicalinstitute.com
📞 Chris — (970) 410-6148

08/29/2026

"You can trap yourself in your own practice. I'm currently trapped."

That's a real, uncomfortable admission from a surgeon running a thriving full-arch startup — and it's exactly the kind of honesty that makes it worth listening to.

The core lesson: a full arch practice still needs a foundation. Full arch production is powerful, but it's lumpy — great months, low months, up and down. It sounds sexy to run an all-implant practice, but the general dentistry and hygiene side is what actually covers your overhead and gives you stability. He started at 80% implants / 20% general and is deliberately working back toward 50/50. On purpose.

A few more of the lessons he learned the hard way:

Build staff redundancy before you need it. Two smooth years, then a wave of departures — and suddenly no one knew the systems. So he sat down and built a master operating document: ideal staffing, what each person does, and who covers the role when someone leaves. Do it before the wave, not during it.

Get the lab and consults off your shoulders. He added two things to the morning huddle — a review of yesterday's lab cases (are they sent?) and yesterday's treatment plans (what's the next touch point?). Now it just happens daily, and he's not lying awake wondering.

The scary questions worth asking yourself: Who does the treatment plans when you're out? Who moves a consult forward? Who presents finance? If the answers are all "only me" — you're not free, you're trapped. And with a kid on the way, being present for your family made that impossible to ignore.

This is the business side we work through at CSI — not just how to do the surgery, but how to build a practice that doesn't run you into the ground.

👉 www.coloradosurgicalinstitute.com
📞 Chris — (970) 410-6148

08/28/2026

A stripped screw can eat 30 minutes of chair time — or 30 seconds, if you know the fix.

Here's one every implant doc hits eventually, whether you're a seasoned super-GP or brand new to surgery: a screw strips. Seating a crown, removing one, or just trying to get a healing abutment off — it feels like the simplest step in the world, right up until it isn't.

You know the scenario. Your assistant's been working to pull a healing abutment for 20, 30 minutes so you can get a scan body on and move the case forward. You come over to see what's taking so long — and everything's stripped. Now a two-minute step has blown up your schedule.

The fix is genuinely easy once someone shows you: take a 330 bur, cut a slot into the healing abutment, then use a simple flathead screwdriver or a crown-removal tool to back it right out. Done. Move on.

That's the thing about these little complications — they feel like a "holy crap" moment when they happen, but experienced hands navigate them without panic because they've seen them before and know exactly what to do. That's what our courses are: not just the big surgical moves, but the small saves that keep a case (and your day) on track — taught by faculty who've already run into all of it.

👉 www.coloradosurgicalinstitute.com
📞 Chris — (970) 410-6148

08/27/2026

8.5 millimeters of bone. 8 millimeter implant. The IAN right below.

This is the kind of case that separates knowing implants from knowing implant dentistry.

A 2.5mm lingual plate that needs countersinking at least a millimeter and a half. Significant rotation required just to keep the implant in bone. And barely any margin above the nerve when the textbooks teach staying two millimeters away.

Sometimes you don't have that option. That's when knowing your alternatives matters — like the Neodent Helix Short, which runs a slightly different drilling protocol but lets you work at a 5.5mm height with a tissue level built right in. It keeps you in the safe zone when standard protocols can't.

But the real lesson here isn't the implant selection. It's the case selection.

A case like this is not one to take on in private practice at four implants placed. It IS one to take on in a supervised setting with a mentor beside you — nice and slow, talked through at every step. That's how a doctor with four implants safely handles a case most GPs would refer out, and walks away knowing exactly what to tackle at home and what to wait on until they've hit fifty.

Push your limits where it's safe to push them. Know your limits where it's not.

That's the difference between confidence and recklessness — and it's exactly what we build at every CSI course.

📲 Visit www.coloradosurgicalinstitute.com or call Chris at (970) 410-6148 to get your reps.

08/26/2026

Tension-free closure isn't luck. It's a technique you can learn.

Ask any surgeon where full-arch and grafting cases go wrong down the road, and tissue closure under tension is near the top of the list. The good news: getting a clean, tension-free flap is a repeatable technique — not something you're born with.

Here's the level of detail that makes the difference. When you're first starting, close the crestal flap intact before moving to your verticals. On that first bite, keep the needle in your hand and have your assistant retract the flap as hard as they can — the needle stays with you, so there's no risk of a poke, but they're loading maximum tension on that flap. When you tie off and you both let go, there's simply no way tension is left on it. Every bite after that, you keep pulling tension as you tighten down.

And the sequencing that saves you a headache: trying to place PRF membranes and then suture is a nightmare. Instead, run your distal release from apical up to the crest, slide the PRF in there, work your crestal closure from distal to mesial, and stuff the membranes back as you go.

These are the small, learnable moves that separate a case that heals clean from one that opens up on you. And they're exactly what you get at CSI — not just the big steps, but the hundred details that decide the outcome, taught by faculty who've refined every one of them.

👉 www.coloradosurgicalinstitute.com
📞 Chris — (970) 410-6148

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