When to Graft and When to Wait
The hardest decision in implant dentistry isn't how to graft — it's whether you need to graft at all. A framework for thinking through timing.
Articles, clinical questions, case observations, surgical tips, and course announcements. Searchable and growing.
The hardest decision in implant dentistry isn't how to graft — it's whether you need to graft at all. A framework for thinking through timing.
After training thousands of dentists, the same five guided bone regeneration mistakes show up again and again. Here's how to avoid each one.
The three mistakes I see again and again in referred cases — and the simple protocol changes that make grafts predictable.
A soft-tissue case that taught me more about case selection than any textbook ever did.
A 40-year-old with significant vertical bone loss in the anterior maxilla. Walk through the presentation, the plan, and the outcome.
A quick video breakdown of the suture pattern I use on almost every flap procedure.
The education I wished existed when I was starting out is the education I'm building now. The story behind Surgical Influence.
My signature soft-tissue course is coming to the platform. Here's what's inside and who it's for.
These courses are designed primarily for general dentists expanding into surgical procedures, as well as specialists who want practical, case-based instruction. Each course lists an experience level — Foundational, Intermediate, or Advanced — so you can choose what fits where you are.
Bone Grafting for the General Dentist is available now on-demand. New live session dates are announced first to members and the education email list.
CE credit status is pending approval for individual courses. When a course carries approved CE credit, it will be clearly indicated on that course's page. Do not assume CE credit unless it is explicitly stated.
Start with case selection and observation. Dr. Fien recommends beginning with the Foundational-level courses before advancing to hands-on techniques. The membership library includes short technique videos ideal for early learners.
Every course is built from cases Dr. Fien has actually performed in his practice — not borrowed footage or theoretical scenarios. The teaching is conversational and practical, focused on decisions you can use Monday morning. There is no academic complexity for its own sake.
This is covered in depth in 'Surgical Case Selection: When to Treat and When to Refer.' In general, cases involving significant medical complexity, severe anatomical limitations, or procedures outside your trained skill set should be referred.
Some courses require basic surgical comfort (flap design, extractions). The Foundational-level courses are designed for dentists with minimal surgical experience. Each course page lists who it is and isn't for so you can decide before purchasing.
Yes. Dr. Fien offers limited-seat live surgical training programs, typically limited to three or four participants. Visit the Live Training page for upcoming opportunities and application details.
Membership is a monthly or annual subscription that gives you access to the member library — monthly case reviews, technique videos, surgical image commentary, and member pricing on individually-purchased masterclasses. Several masterclasses are included with membership at no additional cost. You can cancel anytime.
CE credit status varies by course and is pending approval. Each course page will clearly indicate whether CE credit is available. Do not assume CE credit unless it is explicitly stated.
Individual course purchases are backed by a satisfaction guarantee — if a course isn't right for you, contact us within 14 days for a full refund. Membership can be canceled at any time and you keep access through the end of your billing period.
Yes. Visit the For Dental Companies page to explore sponsorship and collaboration opportunities. All sponsored content is clearly labeled and kept separate from educational content.
Some courses are included with the Surgical Education Membership, while others are available for individual purchase at a member discount. Each course card clearly indicates its access level.
No. The courses are designed primarily for general dentists expanding into surgical procedures, though specialists are welcome. Each course lists its recommended experience level.