OSSEOTITE® Tapered Shaping Drill (NTSD)
Key Points 

• In Types 1 and 2 bone, begin drilling at 500rpm. If the Shaping Drill chatters, gradually increase the drill speed until the chattering stops, which is typically at 800rpm. 
• In Types 3 and 4 bone, begin drilling at 300rpm. If the shaping drill chatters, gradually increase the drill speed until the chattering stops, which is typically at 500rpm. 
• Shaping drills cut efficiently; reducing the downward force will allow the drill to cut without chatter.

Shaping Drill Technique:

• For either crestal or subcrestal implant placement, drill to the top of either the crestal or subcrestal depth lines on the shaping drill (full depth).
• Do not pump the shaping drill as you might pump a twist drill when creating the osteotomy. The shaping drill should be advanced once to full depth, then be removed without any pumping action.
• Once the shaping drill has reached full depth, pull it out of the site without running the drill. If the drill does not pull out easily, tap the foot pedal while pulling out. In addition to preserving the integrity of the osteotomy site, this technique maximizes autogenous bone recovery from the shaping drill flutes.
• When placing an OSSEOTITE Tapered Implant into softer Type 4 bone, the surgeon should consider undersizing the osteotomy by one shaping drill size (i.e. if placing an OSSEOTITE Tapered 5mm diameter X 10mm length implant in Type 4 bone, stop at the 4mm diameter X 10mm length shaping drill and directly place the implant).
• It is recommended that the clinician should tap the osteotomy when placing an OSSEOTITE Tapered Implant into harder Types 1 and 2 bone.