SURGICAL TRAY INSERTION - Optident

INSERTION
SUCCESS
SURGICAL TRAY PITT-EASY ®
INSERTION
PATENTED
PROSTHETIC VARIETY
STEP-BY-STEP
Surgical Tray – Instructions
PITT-EASY

PITT-EASY ®
Surgical Tray – Instructions

Surgical Tray – Instructions
PITT-EASY ®
Contents
4
5
6
11
12
15
8
14
15
General information
The Implant pack
The Pitt-Easy Surgical Tray
The Color Guide system
The Implant Surgery
Prior to the Implantation
During the surgery
After the Implantation
The Tray
Poster of the contents
Additional instruments
Treatment sequence in short
Dear Implantology Assistant,
it will probably be a pleasure and a
great deal of responsibility for you, to
reliably assist at a modern implantology
treatment.
To facilitate this for all assistant
personnel, we provide this special
guidance for the Pitt-Easy system.
On the following pages you will find
detailed instructions on how and in which
order to use the instruments contained
in the tray. These instructions serve as
an active guide during the forthcoming
implantations.
The numberings in the text refer to the
illustrated tray on the poster (pages 8/9).
Text marked with * refers to optionally
available burs and instruments for Pitt-
Easy implants.
We wish you success!

PITT-EASY ®
Surgical Tray – Instructions
General Information
The gamma-sterilized Implant Double Pack
The gamma-sterilized Implant
Double Pack consists of
outside carton, blister pack
and acrylic vial and guarantees
a sterility of 5 years.
Upon ordering a Pitt-Easy
Implant (please see the ordering
instructions on the back) the
implant will be delivered in a
solid outer packing.
The lateral label informs you
about all the important data of
the implant, as for example
order number, length,
diameter, surface, expiration
date and lot number (the lot
number is important for
possible returns or claims).
After you have opened the
outer packing you can place
the extra labels on your
patient file and the implant
passport.
The Instructions for Use are
an important information for
the dentist.
The blister pack contains the
acrylic vial in which you will
find the sterile implant and the
cover screw.
The cap of the acrylic vial
consists of two parts. The
upper colored part indicates
the diameter (color guide
system, see page 6), the lower
transparent part of the cap
contains the implant which is
mounted on a titanium pin.
Inside the cap is the cover
screw which can be removed
by pulling off the colored part.
Tip: Remove the cover screw
only after the implant has
been inserted.

Surgical Tray – Instructions
PITT-EASY ®
The PITT-EASY ® Surgical Tray – complete for all four diameters
The ring-shaped silicone cap
sealing and the textile filter
element with quick sealing
allow a sterility of up to 6
weeks.
The solid stable casing made
of hard anodized aluminum is
saving space and ensures an
optimal drying.
The Surgical Tray contains all
instruments like drills, keys
and accessories which are
necessary for an implantation.
The inserts (made of silicone)
keep the instruments safe in
their position during use of the
tray.
For cleaning and maintenance
of the tray and the instruments
please follow the procedure
in the enclosed Instructions
„Preparation of Medical Devices”.
Important: After cleaning,
please sort the instruments
back into the corresponding
inserts for sterilization of the
tray.
l Important
We recommend to exchange the textile
filter prior to each sterilization. You can
order corresponding spare filters. Just
call us.

PITT-EASY ®
Surgical Tray – Instructions
The Color Guide System
The Surgical Tray contains silicone inserts,
which are used as a color guide
system for the different diameters of the
Pitt-Easy System.
Diameter Color Color marking
Ø 3.25 mm
Ø 3.75 mm
Ø 4.00 mm
Ø 4.90 mm
green
yellow
red
blue
All instruments in green
inserts apply to implants with
a diameter of 3.25 mm.
All instruments in yellow
inserts apply to implants with
a diameter of 3.75 mm.
All instruments in red inserts
apply to implants with a
diameter of 4.00 mm.
Instruments which are set
up in a non-marked neutral
area, can be applied for all
diameters.
Non-lettered neutral areas
are reserved for individual
instruments (e.g. please see
“Course of Treatment” for the
instruments marked with a *,
page 12 ff).
All instruments in blue inserts
apply to implants with a
diameter of 4.90 mm.

Surgical Tray – Instructions
PITT-EASY ®

PITT-EASY ®
Surgical Tray – Instructions
PITT-EASY ®
Initial Drills
1 2 3 4
IP Drill
16 mm
Pilot Drill
8 mm
Twist Drill
8–16 mm
Cali
Drill
Final Precision Drills
6 7 8 9
Ø .5
8–16 mm
Ø .75
8–16 mm
Ø .00
8–16 mm
Inters
Drill,
Cortical Drills
11 12 13
Ø .5 Ø .75 Ø .00
Instruments
15 16 17 18
Finger Key
Ø 0 mm
Hexagonal Insert for
finger key and ratchet
long Ø .5/.75 mm
Hexagonal Insert for
finger key and ratchet
long Ø .00/.90/6.50 mm
Hexag
for co
Ø .5
23 24 25 26
Bur
Extension
Hexagonal Insert
short
Hexagonal Insert
short
Hexag
for co
Ø .00

Surgical Tray – Instructions
PITT-EASY ®
5 30 31
ber
Depth
Gauge
pace
Ø .5
10 32 33
Ø .90
8–1 mm
14 34 35
Ø .90
19 20 21 22
onal Insert
ntra-angle
/.75 mm
Hex Key
long
Direction Indicators
27 28 29
onal Insert
ntra-angle
/.90/6.50 mm
Hex Key
short
Key Sleeve
Ø 10 mm

PITT-EASY ®
Surgical Tray – Instructions
10

Surgical Tray – Instructions
PITT-EASY ®
The Implant Surgery
Prior to Implantation
The drilling instruments for
Pitt-Easy implants are used
with the reduced handpiece
– these are handpieces with a
green ring.
For the forthcoming surgery
please prepare the following:
• sterilized Surgical Tray
• Panoramic X-ray on the
display
• X-ray indicator
(Magnification 1:1/ 1:1.25/
1:1.40 Order No. 90047)
• OP-instruments in the order
of surgery, covered sterile
• Precooled saline solution
• Sterile contra-angle
handpiece with green ring
• Selection of Pitt-Easy
implants
Also please have ready:
Sterile pads, suction system,
Bone-Collector, electro
surgical device, suture
material, X-ray films, ointment
for the lips etc.
X-ray indicator
For the selection of the implant
lengths and diameters, for placing onto
the panoramic X-ray
11

PITT-EASY ®
Surgical Tray – Instructions
Course of Treatment during Surgery
12
First of all the covering gingiva
will be opened with a scalpel.
Then the mucosa and the
periosteum will be carefully
detached with the raspatorium
in order to expose the bone.
Attached granulation tissue
will be removed with a sharp
spoon excavator.
If necessary the Crestotom*
can be used. The Crestotom is
a razor-sharp instrument
which is used to smoothen the
alveolar bone and to remove
any attached soft tissue from
the jaw bone ridge.
The next instruments to be
used are the Initial Perforation
Drill (1) to perforate the
cortical bone plate, and the
Pilot Drill (2) with which the
implantologist will determine
the insertion direction.
To be followed by the Twist
Drill (3). The Twist-Drill has a
diameter of 2 mm and is used to
enlargen the bone preparation.
In case more than one implant
is inserted, the Direction Indicators
(20 – 22) are necessary.
This Direction Indicator has
two different ends (2 and 3
mm diameter) and facilitates
the parallel preparation.
After use of the Twist Drill,
the Direction Indicators are
placed with the small 2 mm
side into the bur channels in
order to check the parallelism.
Next is the 2 Caliber Drill (4),
which extends the bone
preparation to 3 mm by the
upper part of the milling shaft
which has a diameter of 3 mm.
The lower guiding shaft has a
diameter of 2 mm.
l Please note
If the technician has prepared a Drilling Guide for Pitt-Easy implants (Order No. 90317),
the use of the IP Drill and the Pilot Drill is not necessary.
For the depth preparation, the implantologist uses in this case the Twist Drill Special*
(Order No. 90009).
* Instruments for individual addition are not supplied with the surgical tray.

Surgical Tray – Instructions
PITT-EASY ®
In order to check the parallelism the implantologist
can now use once more the
Direction Indicators (20 – 22) (this time
he will use the 3 mm side) and check
parallelism again.
The center ring has a diameter of
3.5 mm and serves as a guide for the
implant diameter to be used.
The graduated (8 – 16 mm) Depth Gauge
(5) should be applied to measure the
drilling depth at any time after using the
Twist Drill.
Now the implantologist is going to select
the final implant diameter(s) and
length(s).
In order to smoothly widen the bone
preparation gradually, the dentist starts
with the green Final Precision Drill (6).
Please continue to hand over the next
larger Final Precision Drill or the
Interspace Drill respectively:
l Important
Just take the implant acrylic vial out of
the blister pack, which was chosen by the
implantologist.
Example: Insertion of an implant
with a diameter of 4.90 mm:
1. Final Precision Drill,
Ø 3.25 mm (6)
2. Final Precision Drill,
Ø 3.75 mm (7)
3. Final Precision Drill,
Ø 4.00 mm (8)
4. Interspace Drill,
Ø 4.25 mm (9)
5. Final Precision Drill,
Ø 4.90 mm (10)
The Cortical Drills marked
with 2 rings (11/12/13/14) are
used in case of a compact
cortical substance.
Optional: For insertion of one
or more 6.50 mm Pitt-Easy
implants, additional drills
should be used for a careful
step by step widening of the
bone preparation:
• Interspace-Drill*, Ø 5.10 mm
• Interspace-Drill*, Ø 5.60 mm
and
• Final-Precision-Drill*,
graduated from 8–14 mm
• Cortical Drill*, for cortical
bone
13
The implant has to remain in the vial
until the insertion, the cover screw has to
stay in the cap until the insertion.
* Instruments for individual addition are not supplied with the surgical tray.

PITT-EASY ®
Surgical Tray – Instructions
Additional Instruments
14
When the implantologist has finished the
depth preparations, he will now insert
the implant.
Just open the acrylic vial by taking off
the two-part cap completely.
Tip: The caps can be easily removed by
holding the lower transparent part.
l Important!
Please take care to perform the bone preparation only
with sharp drills. We recommand to use a drill no more
than 15 times.
The implantologist will now perform the
first 2 – 3 insertion rotations of the
implant with the cap of the vial until the
implant finds retention in bone, and then
he simply takes the cap off the implant.
Now the implantologist will need a Finger
Key (15) and one of the Hexagonal
Inserts (16/17 or 24/25) in order to insert
the implant to be level with the alveolar
crest.
In the Surgical Tray you will find additional
instruments which the dentist may
request to use:
(23) The Bur Extension required for
access in narrow spaces
(19/27) The Hex Key, hex 1.70 mm diameter,
to tighten or to remove the
implant cover screw, the gingiva
former, the impression posts. The
hex key can be used manually
and with a ratchet with the
(28) Sleeve Key
(16) Hexagonal Insert long, for finger
key, Ø 3.25 mm and 3.75 mm,
(17) Hexagonal Insert long, for finger
key, Ø 4.00, 4.90 and 6.50 mm
(24) Hexagonal Insert short, for finger
key, Ø 3.25 and 3.75 mm
(25) Hexagonal Insert short, for finger
key, Ø 4.00, 4.90 and 6.50 mm
Important! A ratchet* cannot perform the
required forward and backward rotations
and should not be used for the insertion
of the Pitt-Easy implants.
(18) Hexagonal Insert for contraangle,
Ø 3.25 and 3.75 mm
(26) Hexagonal Insert for contraangle,
Ø 4.00, 4.90 and 6.50 mm.
*The ratchet is not included in the supply
of the surgical tray.

Surgical Tray – Instructions
PITT-EASY ®
After the Implantation
The actual insertion of the
implant is completed now.
In order to tighten the implant
Cover Screw it is necessary
to keep the Hexagon Wrench
(19/27) (Hex diameter 1.70 mm)
ready as well as the pertaining
implant Cover Screw
which originally was in the
cap of the acrylic vial (please
see “The gamma-sterilized
Implant Double Pack”, page 4).
As an alternative the implantologist
needs the Hexagon
Wrench (19/27) (Hex diameter
1.70 mm) to insert the Gingiva
Former as a single phase
insertion method.
If only one Pitt-Easy implant is
inserted, the dentist will place
the Cover Screw or the
Gingiva Former and suture the
site immediately.
For suturing please keep the
needle holder, suture forceps,
titanium tweezers, scissors,
suture material, etc. ready.
Tip: After the implantation
keep a large cooling compress
available and hand over to the
patient for the first few days.
l
Sequence of Instruments
in the Course of Treatment
1. IP Drill and Pilot Drill (1, 2)
2. Twist Drill (3)
3. Direction Indicators (20 – 22)
4. 2 Caliber Drill (4)
5. Depth Gauge (5)
6. Final Precision Drills or Interspace-Drill (6 – 10)
7. Implants**
8. Finger Key (15) and Hexagonal Insert for ratchet
(16/17 or 24/25)
9. Hexagonal Insert for contra-angle (18 or 26)
10. Hex Key, Ø 1,70 mm (19 or 27) for cover screw and
gingiva former**
11. Bur Extension (23)
12. Needle holder, scissors, titanium tweezers, suture
material, etc.**
13. Cooling compress**
14. Panoramica X-ray post-op**
15. Temporary denture**
**not incl. in the tray
15

Please do not hesitate to call us if you have more questions.
We also appreciate additional suggestions to these instructions.
Phone +49 421 43939-0
To place your order for a Pitt-Easy Implant more quickly and
safely, we explain our order number to you as follows:
3 75 12
ø Length
ORALTRONICS ® Dental Implant Technology GmbH
Herrlichkeit 4 · 28199 Bremen · Germany
Phone +49 421 43939-0 · Fax +49 421 443936
www.oraltronics.com · info@oraltronics.com
06-0172: 06/07 · HDS 1-27