Instruments needed: Round Drill (RD100) 

2. Proceed with the initial twist drill. Penetrate the bone at the marked site to the desired depth. Drill to the top of the depth mark.

Instruments needed:
2.0 or 2.3mm Twist Drill
(ITD215, RTD215, DT215 or DTN215)

3. Verify the direction and position of the preparation by inserting the thin portion of the Direction Indicator into the osteotomy.

Instruments needed:
Direction Indicator (DI100, DI2310 or
NTDIXXX) 

4. With hard cortical bone, use the Pilot Drill to shape the coronal aspect of the implant site. Drill to the laser etched depth marking for placement of an OSSEOTITE Tapered Implant. The apical end of a 3.25mm Shaping Drill is smaller in diameter than the osteotomy created by the 2.3mm initial twist drill.

Instruments needed:
Pilot Drill (PD100)

First Shaping Drill Step For Placement Of 3.25,4.0,5.0 And 6.0mm OSSEOTITE Tapered Implant. Final Shaping Drill Step For 3.25mm OSSEOTITE Tapered Implant.

5a. Proceed with the 3.25mm QSD Shaping Drill that is the same length as the OSSEOTITE Tapered Implant to be placed.

Instruments needed:
3.25mm QSD Shaping Drill (QSD32XX)

NOTE: 1200–1500rpm is the recommended speed when using the QSD Shaping Drill.

5b. Using suction, remove drilling debris from the osteotomy before proceeding with the NTDI Depth/Direction Indicator.
 

5c. Insert the tapered end of the 3.25mm NTDI Depth/Direction Indicator (purple) that corresponds to the length of the OSSEOTITE Tapered Implant to be placed. This will simulate the position of the implant platform in relation to the crest of the bone. If the position of the NTDI Depth/Direction Indicator does not indicate proper osteotomy depth, adjust the depth of the osteotomy with the corresponding 3.25mm QSD Shaping Drill or consider a longer length implant if the site has been over prepared. Re-evaluate with a proper length NTDI Depth/Direction Indicator.

NOTE: If placing a 3.25mm OSSEOTITE Tapered Implant in Type 1 or Type 2 bone, tapping with the NTAP32 is recommended.

NOTE: 1200–1500rpm is the recommended speed when
using the QSD Shaping Drill. 

Second Shaping Drill Step For Placement Of 4.0,5.0 And 6.0mm OSSEOTITE Tapered Implant. Final Shaping Drill Step For 4.0mm OSSEOTITE Tapered Implant.

6a. Continue preparing the osteotomy with the 4.0mm QSD Shaping Drill that is the same length as the OSSEOTITE Tapered Implant to be placed.

Instruments needed:
4.0mm QSD Shaping Drill (QSD4XX)

NOTE: 1200–1500rpm is the recommended speed when using the QSD Shaping Drill.

NOTE: If placing a 4.0mm OSSEOTITE Tapered Implant in Type 4 bone, undersizing the osteotomy by one shaping drill size (diameter) is recommended.

6b. Using suction, remove drilling debris from the osteotomy before proceeding to the NTDI.

6c. Insert the tapered end of the 4.0mm NTDI Depth/Direction Indicator (blue) that corresponds to the length of the OSSEOTITE Tapered Implant to be placed. This will simulate the position of the implant platform in relation to the crest of the bone. If the position of the NTDI Depth/Direction Indicator does not indicate proper osteotomy depth, adjust the depth of the osteotomy with the corresponding 4.0mm QSD Shaping Drill or consider a longer length implant if the site has been over prepared. Re-evaluate with a proper length NTDI Depth/Direction Indicator.

NOTE: If placing a 4.0mm OSSEOTITE Tapered Implant in Type 1 or Type 2 bone, tapping with the NTAP4 is recommended.

NOTE: 1200–1500rpm is the recommended speed when using the QSD Shaping Drill. 

For 4.0mm OSSEOTITE Tapered Implant subcrestal placement only.

IMPORTANT NOTE: When placing a 4.0mm diameter OSSEOTITE Tapered Implant subcrestally, you must use an ICD100 Countersink to prepare the ridge before placing the implant.

6d. Countersink the osteotomy with an ICD100 to accommodate the cover screw for the 4.0mm implant.

NOTE: The ICD100 is not required for crestal and supracrestal placement of a 4.0mm diameter OSSEOTITE Tapered Implant.

Third Shaping Drill Step For Placement Of 5.0 And 6.0mm OSSEOTITE Tapered Implant. Final Shaping Drill Step For 5.0mm OSSEOTITE Tapered Implant.

7a. Resume preparing the osteotomy with the 5.0mm QSD Shaping Drill that is the same length as the OSSEOTITE Tapered Implant to be placed.

Instruments needed:
5.0mm QSD Shaping Drill (QSD5XX)

NOTE: If placing a 5.0mm OSSEOTITE Tapered Implant in Type 4 bone, undersizing the osteotomy by one shaping drill size (diameter) is recommended.

NOTE: 1200–1500rpm is the recommended speed when using the QSD Shaping Drill.

7b. Using suction, remove drilling debris from the osteotomy before proceeding to the NTDI. 

7c. Insert the tapered end of the 5.0mm NTDI Depth/Direction Indicator (yellow) that corresponds to the length of the OSSEOTITE Tapered Implant to be placed. This will simulate the position of the implant platform in relation to the crest of the bone. If the position of the NTDI Depth/Direction Indicator does not indicate proper osteotomy depth, adjust the depth of the osteotomy with the corresponding 5.0mm QSD Shaping Drill or consider a longer length implant if the site has been over prepared. Re-evaluate with a proper length NTDI Depth/Direction Indicator.

NOTE: if placing a 5.0mm OSSEOTITE Tapered Implant in Type 1 or Type 2 bone, tapping with the NTAP5 is recommended. 

NOTE: 1200–1500rpm is the recommended speed when using the QSD Shaping Drill.

Fourth Shaping Drill Step For Placement Of 6.0mm OSSEOTITE Tapered Implant. Final Shaping Drill Step For 6.0mm OSSEOTITE Tapered Implant.

8a. Resume preparing the osteotomy with the 6.0mm QSD Shaping Drill that is the same length as the OSSEOTITE Tapered Implant to be placed.

Instruments needed:
6.0mm QSD Shaping Drill (QSD6XX

NOTE: If placing a 6.0mm OSSEOTITE Tapered Implant in Type 4 bone, undersizing the osteotomy by one shaping drill size (diameter) is recommended.

NOTE: 1200–1500rpm is the recommended speed when using the QSD Shaping Drill. 8b. Using suction, remove drilling debris from the osteotomy before proceeding to the NTDI.

8b. Using suction, remove drilling debris from the osteotomy before proceeding to the NTDI.

8c. Insert the tapered end of the 6.0mm NTDI Depth/Direction Indicator (green) that corresponds to the length of the OSSEOTITE Tapered Implant to be placed. This will simulate the position of the implant platform in relation to the crest of the bone. If the position of the NTDI Depth/Direction Indicator does not indicate proper osteotomy depth, adjust the depth of the osteotomy with the corresponding 6.0mm QSD Shaping Drill or consider a longer length implant if the site has been over prepared. Re-evaluate with a proper length NTDI Depth/Direction Indicator.

NOTE: If placing a 6.0mm OSSEOTITE Tapered Implant in Type 1 or Type 2 bone, tapping with the NTAP6 is recommended.

Proceed to step 9 for OSSEOTITE Tapered Certain Implant Placement. (Click on Link)

NOTE: 1200–1500rpm is the recommended speed when using the QSD Shaping Drill.