BASIC Recommended Success Initiatives

1. The seated implant collar should be surrounded by attached gingiva
2. A minimum of 1.5mm of bone and blood supply must surround the implant body.
3. The macro threads of the 'BASIC' implant must be placed below the level of the cortical bone.
4. The total implant body surface area effects directly osseointergration stability and prosthetic success. The more the better, the less the more risk for failure.
5. 4.5 maxillary option implants are used in porous maxillary bone if volume is sufficient and compaction desirable.
6. Three major physical factors have a direct effect on implant success
   1. Overheating of bone cells due to friction during the osteotomy.
   2. Pressure causing necrosis of bone cells due to excess torque application during implant seating.
   3. Excess implant body movement pre and or post osseointergration.
7. Sharp drills are mandatory to minimize frictional cutting heat. Replace as needed.
8. The 'BASIC' pilot drill should first be utilized as a "spot" or start point instrument to create a bone 'divot' before starting the pilot channel.
9. The ‘BASIC’ osteotomy drill should first be utilized freehand under magnification to create a 'funnel' opening at the pilot channel opening.
10. In dense bone (D1,D2) use sequential osteotomy channel drilling using increasing drill diameters beginning with the 2.3mm and finishing up with the correct implant diameter drill.
11. Always lock your wrist before any drill use. Be sure that you attain complete freedom of drill movement within the respective guide cylinders before drilling rotation begins. The guide stent must fit correctly on supporting teeth.
12. Use external cold irrigation when pilot channel drilling and internal and external cold irrigation when osteotomy channel drilling.
13. The osteotomy drilling protocol: 2 seconds cutting drill pressure then out of bone channel only for 5 to 8 seconds rest and cooling then repeat process until desired depth is reached.
14. Positive gloved finger pressure should always be placed atop the ratchet wrench and driver when seating the self tapping BASIC implant.
15. Ratchet wrenching of the implant body to seating place should be slow. 5 seconds for each partial rotation.
16. Reach full collar stop depth with the pilot and osteotomy drills. Then 3-4 full depth passes with each drill all under full cold irrigation.
17. Utilize hard bone drill after completed osteotomy in D1 and D2 bone or when adjacent to socket lamina dura. This removes a thin layer of bone to make the self tapping easier.
18. Thirty-five (35) NCM is the maximum torque allowed in seating a 'BASIC' implant. Test this limit with your kit provided torque instrument and driver.
19. In seating of the implant body rest periods of 30 seconds are encouraged to allow cool down and bone flex.
20. Height adjust the profiler out of the mouth using the implant analog as a handle and holder for the cap and profiler. Smooth all rough edges with rubber wheel.
21. The healing cap or healing cap and profiler is attached to the cap tool by two threads clockwise. It is pushed to place in the same direction as the implant placement and is held by friction and spring action.
22. Prosthetic adjustment is important in stand alone implants. Light axial pressure evident on full hard closure. Incline interference of all types are eliminated. Any "high" implant crown is taken "out" of occlusion completely.
23. Immediate implant placement can be done under certain strict protocol conditions. Immediate prosthetic placement is discouraged except in very specific situations and also under strict protocol conditions. (See Monographs)
24. Great care and correctness must be maintained when making bone soundings (tissue thickness measurements) and taking anatomic impressions of the proposed implant site so that the case selection aid Model-Tomographic™ will be accurate. (See appropriate manual sections)