# Torquing (with torque wrench) and pressure necrosis?

Authors

Most of the time, the implants I placed reach 30-35Ncm about 2mm supracrestal in D2-3 bone. In order to get the implants subcrestally, I have to torque it down with a torque wrench (with a HIGH torque) and reverse it to release the pressure, and repeat 2-3 times to get the implant placed at the desired level. The final torque is 35Ncm. But I was just wondering if placing implants in this way tends to cause pressure necrosis. Does inserting implants in this way densify or expand the surrounding bone？