| |
|
 |
STEP-01 |
 |
|
|
|

|
Palpate the ridge in order to obtain a three-dimensional concept of the bone structure. Ridge calipers can be employed as needed. Clinical observation and the use of a dental probe is recommended to assess the quantity and quality of the soft tissue. CT Scan might be needed, at clinician’s discretion. This data will help to determine the location and depth of the surgical sites. |
| |
|
 |
STEP-02 |
 |
|
|
|

|
A Tissue Punch (RPCA3) may be used to create access to the site. When thin, porous or irregularly contoured bone is encountered, or when gingival manipulation or grafting is necessary, a full thickness mucoperiosteal flap is indicated. |
| |
|
 |
STEP-03 |
 |
|
|
|

|
A 1.5mm diameter Twist Drill (D15),initiates alignment and creates a precise initial site for the MILO™ Implant (1000-2000rpm). Its sharp-angled cutting surface geometry breaches the crestal bone in preparation for the o2.5mm Drill. A constant external flow of sterile irrigation should be applied during this step. Drilling is accomplished by using a delicate up-and-down pumping action. Laser-etched depth marks on the drill correspond to the length of the selected MILO™ Implant. |
| |
|
 |
STEP-04 |
 |
|
|
|

|
Light, repeated, intermediate, vertical introduction of the Final Drill (D25), o2.5mm, is used to widen the site (500-1000rpm). A constant external flow of sterile irrigation should be applied during this step.
 |
| |
|
 |
STEP-05 |
 |
|
|
|

|
Attach the Contra-Angle Driver (MDLCAD) to a slow speed high torque surgical contra-angle. The MILO™ Implant is removed from its sterile packaging and transferred directly to the surgical site via this attachment driver that is engineered to slip over the O-Ball Abutment, firmly engaging the implant for direct delivery and seating. |
| |
|
 |
STEP-06 |
 |
|
|
|

|
Use the Contra-Angle Attachment Driver (MDLCAD) mounted on a slow speed handpiece (15rpm or less) to initiate insertion of the MILO™ Implant. Placement by hand can be an alternative using the Ratchet Driver (MDLRD). The Manual Wrench (MDLMW) mounted on top of the Ratchet Driver may be used to provide additional torque. |
| |
|
 |
STEP-07 |
 |
|
|
|

|
A Surgical Ratchet (SRA) with a Ratchet Driver (MDLRD) is used to accomplish final seating. The Ratchet Driver is also available in a long shaft version (MDLRDL).
 |
| |
|
 |
STEP-08 |
 |
|
|

 |
Implant seating is accomplished when either the Ratchet Driver (MDLRD) or the Contra Angle Driver (MDLCAD) is flush with the surrounding gingival tissue. At this point, the implant is ecurely in place, the gingival collar is in its proper relationship with the soft tissue and the O-Ball Abutment is at its correct height. |