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