Info for Dentists - Surgical Procedure

All dimensions in [mm] - click illustration to zoom in

Drill Sequence for NaturaLLock Implant System (Ø 4.3 mm, L 13 mm)
Drill Sequence for NaturaLLock Implant System (Ø 4.3 mm, L 13 mm)

Fig.1
Diagram of the initial situation. Surgical procedure for minimally invasive implant placement of a 4.3 x 10 mm implant. We recommend preparing at 800 rpm (contra-angle reduction 10:1) with gentle up and down movements until the planned depth is reached. Ensure that there is constant and adequate cooling using sterile saline solution with all drilling procedures.

Fig. 2
In the first drilling procedure a drill guide Ø 4.3 is placed on the planned region to simulate the ideal position of the implant. Great care should be taken to ensure that there is adequate attached gingival all round the drill guide.

Fig. 3
The pilot drill 2.0 is then drilled through the drill guide and mucosa into the bone ...

Fig. 4
... to the 18 mm mark. This corresponds to a drilling depth of 10 mm in the bone, as the drill guide is 5 mm high and we assume an average mucosal thickness of 3 mm.

Fig. 5
The guide pin of the corresponding punch guide size is inserted into the pilot drill hole ...

Fig. 6
... the tissue punch is then placed over the punch guide ...

Fig. 7
... and rotated until it comes into contact with the bone.

Fig. 8
Pilot drilling 2.0

Fig. 9
The pilot drill Ø 3.0 has a noncutting tip. This enables controlled extension of the 2 mm pilot drill hole to 3 mm.

Fig. 10
Implant site preparation: The main drills have the same dimensions as the respective implants. First use a main drill Ø 3.5, L 10...

Fig. 11
... and then extend using the main drill Ø 4.3, L 10.

Fig. 12
Generally: use the drilling sequence according to the colour coding.

Fig. 13
The implant site after thorough wound cleaning, prepared for placing the implant.

Fig. 14
Implant placement: The implant is removed from the glass bottle using the integrated silicone seal ...

Fig. 15
... and inserted into the implant site until it engages initially.

Fig. 16
Then the silicone seal is unscrewed from the implant ...

Fig. 17
The implant driver Ø 4.3 is placed on the implant and the implant is rotated using 25 rpm and a maximum torque of 40 Ncm.

Fig. 18
The implant driver has markings on the buccal and lingual to ensure that the implant can be positioned to the optimal alignment

If the bone is too hard and the implant cannot be inserted to its final position, it should be unscrewed and temporarily stored in the sterile packaging. The main drill Ø 4.3, L 8 is then drilled 1 mm deeper than planned. This extends the bone in the crestal region. The implant is then re-inserted.

Fig. 19
Inserted NaturaLLock implant.

Fig. 20
The abutment of the NaturaLLock implant has been designed so that preparation is no longer required with an ideal position. Before the
impression is taken, a transfer screw is screwed on top of the implant.

Fig. 21
The gingival margin contour is different from tooth to tooth and from mesial to distal. The margin of the restoration should follow this contour to ensure that the biological boundary is not damaged.

Fig. 22
Impression with a mounted transfer screw.

Fig. 23
A transfer screw is screwed on top of the Lab Analog Ø 4.3.

Fig. 24
The Lab Analog Ø 4.3 with the mounted transfer screw is placed in the impression.

Fig. 25
Fabrication of the model using Class IV synthetic dental stone.

Fig. 26
The dental technician sets and virtually designs the course of the crown margin according to the specification of the dentist. The situation is scanned and a cap is constructed with CAD technique. Afterwards, the cap is veneered.

Fig. 27
The crown on the model.

Fig. 28
The crown cemented on the NaturaLLock implant.