1. Cut a full-thickness flap with a first incision wide enough to expose the area where you intend to operate. If necessary, use mesial or distal incisions around the selected site.
Make a careful dissection of the lingual and buccal periosteum layer, preventing laceration and at the same time removing any fibrous adhesions. In case you do not want to practice the surgical flap, you can intervene using the circular punch ELCM to create a gingival operculum of 5 mm diameter.
After the preparation of the surgical site, mark the position of the implants on the outer cortex with the dedicated precision drill (RIPR37, RIPR44, RIPR50).
Drill at a maximum speed of 700 rpm, cooling the site with sterile saline solution at 5 °. It is advisable to flush the implant site with an antibiotic.
The particular design of the system allows screwing immediately after using the precision drill. Open the package and remove the cap of the implant’s plastic container, exposing the head of the implant. Proceed to the atraumatic extraction using the contra-angle mounter key ELKC.
2. Proceed with the implant insertion at a speed between 100 and 200 rpm, until you meet increased resistance. For this operation, set the torque control of the torque ratchet to a value of 40/50 N * cm. When the neck of the mounter rests on the mucosa stop immediately screwing. If you experience a high resistance to the implant insertion, remove it and carry out an enlargement of the implant site.
3. Once the implant is in place, it is necessary to remove the mounter using the open-end key ELKM. Lock the mounter and unscrew the fastening screw using manual screwdrivers ELCSK1 or ELCSK2.
4. Remove the cover screw ELCS from the cap of the container by using the manual screwdrivers ELCSK1 or ELCSK2 and screw it on the implant. If it is necessary to widen the transmucosal neck, to maintain the tissues open, use an healing screw.
In rare cases with particularly compact bone, the hole created with the precision drill may not be enough to allow the insertion of the implant with the values of the control torque imposed by the surgical protocol. In this case it is possible to perform an additional reaming step to bring the implant seat as close as possible to the shape of the implant.
Continue with the preparation of the implant site using the reamer dedicated to the diameter of the implant to be inserted, expanding the site until you reach the length of the implant previously chosen (refer to black marks, corresponding to the length of the implant).
There available reamers (RIR37, RIR44 and RIR50) are dedicated respectively to the implants with a diameter of 3.75, 4.40 and 5.00 mm.