Subcrestal Implant Placement Protocol
Certain® PREVAIL® 4/3mm, OSSEOTITE® Certain And OSSEOTITE External Hex Implant Placement
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11.  Pick up the implant from the surgical tray using the Certain® Implant Placement Driver Tip (IIPDTS or IIPDTL).

NOTE: The Certain MicroMiniplant™ (3.25mm dia.) requires the use of a dedicated MicroMiniplant Driver Tip (IMPDTS or IMPDTL) that is marked with a purple band on the shank. The Internal Hex configuration of the MicroMiniplant is smaller than the standard Certain Internal Hex Connection (4, 5 and 6mm dia. implants). The item numbers can be identified on the side of the driver tip.

or

 Pick up the implant from the surgical tray using the Handpiece Connector (MDR10).

 Carry the implant to the mouth facing upward to prevent accidental dislodging.

12.  Place the implant in the prepared site at approximately 15–20rpm. The ICE® Design will allow smooth and precise implant placement without tapping in all but the most dense bone. The recommended drill torque setting for placing an implant is 40–50Ncm.

13.  To remove the Certain Implant Placement Driver Tip from the implant, lift straight up and out.

or

To remove the implant mount, place the Open- End Wrench onto the mount. Loosen the screw at the top of the mount with a Large Hex Driver or the Large Hex Driver Tip inserted into the Right-Angle Driver and rotate counter-clockwise. After the screw is loosened, rotate the Open-End Wrench counter-clockwise slightly before removing the mount. The mount may be carried from the mouth with the Open-End Wrench.

• Instruments needed:
  Open-End Wrench (CW100), Large Hex Driver Tip (RASH3) and Right-Angle Driver (CATDB with CADD1) or a Large Hex Driver (PHD02N)

14.  Pick up the cover screw from the surgical tray using the Certain Implant Placement Driver Tip (IIPDTS or IIPDTL) or Large Hex Driver (PHD02N) and place onto the implant.

NOTE: When using the Certain Implant Placement Driver, reduce the torque setting on the drilling unit to 10Ncm.

or

 Pick up the cover screw from the surgical tray using the Small Hex Driver (PHD00N) and place onto the implant. The Small Hex Driver may be used for all External Hex Cover Screws. Final hand-tightening of the cover screw should be done with the Small Hex Driver.

NOTE: At this step, a temporary healing abutment may be placed for single-stage surgery instead of a cover screw.

15.  Close tissue and suture.