General necessities for surgery
The actual surgical technique of dental implant placement, it would be appropriate to recapitulate the basic principles of surgery. The two principal requirements are adequate visibility and assistance. Adequate visibility depends on three things: adequate access, adequate light, and a surgical field free of excess blood and other fluids. Adequate access requires
1. Patients ability to open their mouths wide,
2. Surgically created exposure,
3. Retraction of tissues away from the operative field, and
4. Creation of surgical flaps.
Adequate light is another obvious necessity for surgery. A surgical field free of fluids is also necessary for adequate visibility. High-volume suctioning with a small tip can remove blood and other fluids from the field quickly. A properly trained assistant provides invaluable help during oral surgery. The assistant should be sufficiently familiar with the procedures being performed to anticipate the surgeon's needs.