1. Once the implant site has been determined, mark the site with a round drill and penetrate the cortical bone. Set the drill speed at 1200–1500rpm.

• 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 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 NTSD Shaping Drill that is the same length as the OSSEOTITE Tapered Implant to be placed.

• Instruments needed:
  3.25mm NTSD Shaping Drill (NTSD32XX)

NOTE: 300–800rpm is the recommended speed when using the NTSD Shaping Drill—specific speed is bone type dependent.

5b. Using suction, remove drilling debris from the osteotomy before proceeding to 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 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.

• Proceed to step 9 for OSSEOTITE Tapered Certain Implant Placement. (Click on Link)
• NOTE: 300–800rpm is the recommended speed when using the NTSD Shaping Drill—specific speed is bone type dependent.

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 NTSD Shaping Drill that is the same length as the OSSEOTITE Tapered Implant to be placed.

• Instruments needed:
  4.0mm NTSD Shaping Drill (NTSD4XX)

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

NOTE: 300–800rpm is the recommended speed when using the NTSD Shaping Drill—specific speed is bone type dependent.

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 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.

• Proceed to step 9 for OSSEOTITE Tapered Certain Implant Placement. (Click on Link)
• NOTE: 300–800rpm is the recommended speed when using the NTSD Shaping Drill—specific speed is bone type dependent.

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 NTSD Shaping Drill that is the same length as the OSSEOTITE Tapered Implant to be placed.

• Instruments needed:
  5.0mm NTSD Shaping Drill (NTSD5XX)

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: 300–800rpm is the recommended speed when using the NTSD Shaping Drill—specific speed is bone type dependent.

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 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.

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

NOTE: 300–800rpm is the recommended speed when using the NTSD Shaping Drill—specific speed is bone type dependent.

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 NTSD Shaping Drill that is the same length as the OSSEOTITE Tapered Implant to be placed.

• Instruments needed:
  6.0mm NTSD Shaping Drill (NTSD6XX)

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: 300–800rpm is the recommended speed when using the NTSD Shaping Drill—specific speed is bone type dependent.

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 NT 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 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 NT Implant in Type 1 or Type 2 bone, tapping with the NTAP6 is recommended.

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

NOTE: 300–800rpm is the recommended speed when using the NTSD Shaping Drill—specific speed is bone type dependent.