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Basic information on the surgical procedures - Straumann

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Tapping<br />

Tapping prepares <strong>the</strong> implant bed for a specific thread type. It is an opti<strong>on</strong>al step that gives <strong>the</strong> surge<strong>on</strong> <strong>the</strong> flexibility<br />

to adjust <strong>the</strong> <strong>surgical</strong> protocol to <strong>the</strong> b<strong>on</strong>e class to help achieve optimal primary stability. It is recommended in dense b<strong>on</strong>e<br />

and with large diameter implants in order to keep <strong>the</strong> inserti<strong>on</strong> torque in a desirable range. The table below summarizes suggested<br />

tap usage.<br />

Note<br />

TE implants generally do not need tapping.<br />

In specific situati<strong>on</strong>s of TE implants (e.g. dense b<strong>on</strong>e c<strong>on</strong>diti<strong>on</strong>s), <strong>the</strong> BL/TE tap can be used according to <strong>the</strong> recommendati<strong>on</strong><br />

for BL implants as suggested in <strong>the</strong> table below.<br />

Tapping according to b<strong>on</strong>e class<br />

S, SP implants BL implants<br />

B<strong>on</strong>e Endosteal diameter Endosteal diameter<br />

Classes* Ø 3.3 mm Ø 4.1 mm Ø 4.8 mm Ø 3.3 mm Ø 4.1 mm Ø 4.8 mm<br />

Class 1 full full full full full full<br />

Class 2 cor<strong>on</strong>al cor<strong>on</strong>al full full full full<br />

Class 3 full full<br />

Class 4 full full<br />

* Class 1: hardest<br />

b<strong>on</strong>e/Class 4: soft<br />

b<strong>on</strong>e<br />

cor<strong>on</strong>al = thread tapping<br />

in <strong>the</strong> cor<strong>on</strong>al<br />

area of <strong>the</strong> implant<br />

bed<br />

full = thread tapping<br />

over full depth of <strong>the</strong><br />

implant bed<br />

<strong>Straumann</strong> ® Standard and Standard Plus taps<br />

<strong>Straumann</strong> ® B<strong>on</strong>e Level and<br />

Tapered Effect taps<br />

Tap for adapter Tap for adapter<br />

Coupling for<br />

adapter<br />

Depth mark<br />

Coupling for adapter<br />

Label for implant type<br />

Depth mark<br />

Cutting head<br />

S/SP taps are used in <strong>the</strong> cor<strong>on</strong>al area <strong>on</strong>ly or over <strong>the</strong> full<br />

depth of <strong>the</strong> implant bed, depending <strong>on</strong> implant diameter and<br />

b<strong>on</strong>e class (see table above).<br />

Cutting head<br />

If a BL/TE tap is used, it should always<br />

be inserted over <strong>the</strong> full depth of <strong>the</strong> implant<br />

bed preparati<strong>on</strong> (see table above).<br />

BL/TE taps are available for adapter<br />

<strong>on</strong>ly.<br />

Cauti<strong>on</strong><br />

<strong>Straumann</strong> ® taps<br />

are to be used<br />

<strong>on</strong>ly for <strong>the</strong> corresp<strong>on</strong>ding<br />

implant<br />

type!<br />

15 rpm max. 15 rpm max.<br />

38<br />

4. Surgical <strong>procedures</strong> 4.1 Implant bed preparati<strong>on</strong>

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