OSSEOTITE® Tapered Certain® Implant
Subcrestal Placement Protocol
No-Touch™ Delivery System
9a. Remove contents from the implant box.
9b. The nonsterile assistant should peel back the tray lid and drop the No-Touch Implant Tray onto the sterile drape.
9c. Place the No-Touch Implant Tray into the appropriate location on the surgical tray.

9d. Peel back the tray lid to expose the implant and cover screw.
10. 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 MicroMini Driver Tip (IMPDTS or IMPDTL). The internal hex configuration of the MicroMini 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.
Carry the implant to the mouth facing upward to prevent accidental dislodging.
11A. Place the implant in the prepared site at about 15–20rpm. It is not uncommon for the handpiece to stall before the implant is completely seated. The implant position must match what was simulated with the NTDI Depth/Direction Indicator or there is a risk of a poor fit between the implant and osteotomy. Proceed to Step 11B. In dense bone, it is recommended to tap the site prior to implant placement.
- Instruments needed:
(IIPDTS or IIPDTL)

11B. Final seating of the implant may require the use of the IRE100 or IRE200 and a ratchet wrench. (IMRE100 or IMRE200 for Certain MicroMiniplant)
11C. To remove the Certain Implant Placement Driver Tip from the implant, pull straight up and out.
12. Pick up the Certain Cover Screw from the No-Touch™ Implant Tray with the internal connection implant driver (IIPDTS or IIPDTL) or large hex driver (PHD02N) and place onto the implant.
NOTE: When using the internal connection implant driver (IIPDTS or IIPDTL), reduce the torque setting on the drilling unit to 10Ncm.
13. Place the cover screw.

14. Close the tissue and suture.

3i and design, and OSSEOTITE Tapered are registered trademarks and Certain, MicroMiniplant, No-Touch and Spiral ICE are trademarks of BIOMET 3i, LLC. © 2005 BIOMET 3i, LLC. All rights reserved.