Abstract: An implant placement trephine may be used to drill into bone and also to bore a core of bone for purposes of forming an implant channel for implant placement. The trephine generally includes a trephine body with a cutting blade at one end and a spindle extending through the trephine body with a pilot drill at one end extending beyond the cutting blade. The spindle may be adjustably attached to the trephine body to allow the pilot drill to be adjusted relative to the trephine cutting blade. The trephine may be prepackaged with an implant, such as a dental implant, having a corresponding size. The implant placement trephine may be used for different osteotomy applications, for example, to form a channel for dental implants or orthopedic retaining stabilizers. The trephine may also facilitate harvesting bone from the core of bone removed for an autograft at the implant site.