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When using the BioHorizons AutoTac to secure a collagen membrane, there can be problems with the tack staying in place with the first strike. This happens with dense bone because the tack is relatively thin. I recommend that a number 8 round fissure bur be used to create a dimple in the bone thus minimizing the amount of cortex that the tack must penetrate.
Then the spring loaded AutoTac should be positioned perpendicular to this dimple so as to not create an off angled strike which will result in a damaged tack.