EasyPiece - Surgical procedure

1. Sculpt a full-thickness flap with a first paracrestal incision of sufficient width to lay bare the area where you intend to intervene. If necessary, make mesial or distal release incisions to the chosen site. Then make a careful detachment of the lingual and vestibular periostic layer, avoiding tearing and at the same time removing any fibrous adhesions. If it is necessary to flatten the bone crest, use the ELPC crestal preparer. For the flapless technique use the ELCM mucotome to create a gingival operculum 5 mm in diameter.

2. After carefully preparing the surgical site, start drilling by marking the position of the implants on the external cortex with the ELOSD osseurice drill, if necessary use a previously prepared surgical guide. It is recommended to drill at a maximum speed of 1000 revolutions per minute while simultaneously cooling the cutter with sterile physiological solution cooled to 5 ° C. During this phase it is possible to establish approximately the quality of the cortical bone.

3 e 3A. Proceed to the drilling of the selected sites with the ELPD pilot drill, checking both the monthly-directional direction (as much as possible perpendicular to the crest) and the buccolingual direction, sometimes conditioned by anatomical limits. During drilling (maximum cutting speed 800 revolutions per minute), move the contra-angle back and forth to cool the cutter and to extract the bone whips. In case of compact bone do not exert excessive pressure on the contra-angle, the bone tissue could overheat with consequent risk of thermal necrosis. During this operation, care will be taken to control direction and depth using the specific ELPAP depth gauge and parallelism indicator

4. To facilitate the insertion of the implant in the prepared seat, it is necessary to proceed by creating a thread with the dedicated tap. This delicate phase can be performed using the contra-angle with the ELKC key at low speed (15/20 rpm), cooling with an abundant jet of refrigerant solution at 5 ° C. The same operation can be performed manually with the ELKW ratchet and the ELKMC1 (short) or ELKMC2 (long) key. In the presence of poor quality bone it is recommended to avoid tapping to have a greater primary stability of the implant.

5. After checking that the contents of the packaging corresponds to the size of the chosen implant, open the blister and take the implant manually by lifting the cap that supports the implant itself inside the ampoule.

6. Proceed by manually screwing the implant into the seat previously prepared using the cap in Peek until you feel a slight resistance. Remove the cap and complete the insertion in a mechanical way (A) or manually with a dynamometric ratchet (B).

7. Insert the contra-angle wrench, choosing between the two available lengths (short EPKC1 or long EPKC2), making sure to match the laser marked hexagonal face with the “witness” present on the implant hexagon. Proceed to insert the implant into the implant site at a speed. (Do not exceed the recommended 50 Ncm).

8. Insert the dynamometric ratchet wrench, choosing between the two available lengths (short EPKID1 or long EPKID2), making sure to match the laser marked hexagonal face with the “witness” present on the implant hexagon. Insert the ELKWD ratchet on the key and finish screwing clockwise until it is completed. (Do not exceed the recommended 50 Ncm).

9. Once the implant has been inserted, it is possible to correct the angle of the MUA abutment with the keys indicated in the previous points, managing the transmucosal height and the 0.5 mm collar.

10. In case of delayed loading, or waiting for the finalization of the prosthesis, the EPAD gingival adapter can be screwed. Alternatively, complete the prosthesis by screwing the prosthesis onto the MUAs.


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