inserts for the original - geass.cz · index 4 piezosurgery technique 6 insert quality 10...

Inserts for the original piezoelectric bone surgery

www.mectron.com

PIezosurgery®

2

the original piezoelectric bone surgery – evidence based!

Index

4 Piezosurgery Technique

6 Insert Quality

10 Indications

12 Basic Kit

13 Sinus Lift Kit

14 Implant Prep Kit

15 Implant Prep Kit Pro

16 Osteotomy Kit

17 Periodontal Kit

18 Extraction Kit

19 Retro Surgical Kit

20 Insert Tray

22 Insert IM1

23 PIN IM1 - PIN 2-2.4

24 Insert IM2A

25 Insert IM2P

26 Insert IM3A

27 Insert IM3P

28 Insert IM4A

29 Insert IM4P

30 Insert IP2-3

31 Insert IP3-4

32 Insert OT1

33 Insert OT1A

34 Insert OT2

35 Insert OT3

36 Insert OT4

37 Insert OT5 - OT5A - OT5B

38 Insert OT6

39 Insert OT7 - OT7A

40 Insert OT7S-4

41 Insert OT7S-3

42 Insert OT8R

43 Insert OT8L

44 Insert OP1

45 Insert OP2

46 Insert OP3 - OP3A

47 Insert OP4

48 Insert OP5

49 Insert OP6 - OP6A

50 Insert OP7

51 Insert EL1

52 Insert EL2

53 Insert EL3

54 Insert EN1

55 Insert EN2

56 Insert EN3

57 Insert EN4

58 Insert EN5R

59 Insert EN5L

60 Insert EN6R

61 Insert EN6L

62 Insert EX1

63 Insert EX2 - EX3

64 Insert PS1

65 Insert PS2

66 Insert PS6

67 Insert PP1

68 Insert PP10

69 Insert PP11-PP12

70 Science

72 Spare Parts

74 Reference Numbers

3

PIezosurgery® TechnIque

4

PIEZOSURGERY® has defined a new dimension in bone surgery n It’s simple, stress-free and selective

n It increases the quality and success for you and your patients

5

Thanks to the controlled sophisticated ultrasound vibrations, the original PIEZOSURGERY® technique opens up a new age for osteotomy, osteoplasty and extraction in Implantology, Periodontology, Endodontics and Surgical Orthodontics.

MIcroMeTrIc cuTsmaximum surgical precision and intra-operative sensitivity

selecTIve cuTs minimal damage to soft tissue, maximum safety for you and your patients

cavITaTIon effecT maximum intra-operative visibility and a blood-free surgical site

InserT qualITy

6

high end inserts for professionalsEach mectron ultrasound insert will pass through 12 working steps.

MaTerIalmectron ultrasound inserts are build with medical grade, high quality, stainless steel.

PrecIsIonA CNC controlled 5-dimensional sharpening machine cuts with an accuracy of up to 0.1 μm. The whole cutting process for a single insert last up to 12 min.

7

laBelIngEach insert is labeled gently by a laser.

dIaMond coaTIngDepending on the indication,

the inserts are coated with specially selected diamonds.

The granulometry of the diamond coating is adapted to the respective treatment.

qualITy checKEach insert is checked in detail before getting an OK for the sales.

TITanIuM nITrIde coaTIng

A coating of titanium nitride, applied to inserts which

treat bone, increases the hardness of the surface,

avoids corrosion and therefore increases working life.

InserT qualITy

8

PIEZOSURGERY® inserts –because quality matters!The basis of the original method’s efficiency is the controlled insert vibration. Therefore inserts and device haveto be matched perfectly – a complex procedure as you have to control a multitude of different parameters.

Alike is not identical – counterfeited inserts and accessories are offered for the original PIEZOSURGERY® method today. Using counterfeited accessories can have serious consequences: from damages of the device up to injuries of the patient.

InserT surfaceSurface quality has a distinct impact on stability and lifespan of the insert. Insert quality also affects clinical results. As most studies are done with mectron PIEZOSURGERY®, nobody can evaluate the effects of bad quality inserts on bone.

mectron european competitor asian competitor

9

InserT shaPesThe promise is identical, bone cutting for ridge expansion or bone block grafting. What ever the treatment is, insert quality is fundamental for clinical success. Cutting characteristics such as osteotomy depth and velocity depend not only on electronics but also – and to great extent – on insert design. A simple comparison reveals the truth: only the best inserts deliver the promised result!

handPIece ThreadPoorly manufactured counterfeited inserts may damage the handpiece. Warranty is voided in such cases.

normal handpiece thread

handpiece thread damaged

by counterfeited insert

scale 4:1

0 mm

5 mm

10 mm

oT7 a B c

mectron competitors

sinus lift technique

sTandard

oP3

oT1

el1

oPTIonal

oT1a

oT5

oT5a

oT5B

el2

el3

ridge expansion

sTandard

oT7

oT4

oP5

oPTIonal

oT2

oT7a

oT7s-4

oT7s-3

corticotomy technique

sTandard

oT2

oT7

oT7a

oT7s-4

oT7s-3

bone block grafting

sTandard

oT7

oT8r

oT8l

oP5

oPTIonal

oT6

oT7a

oT7s-4

oT7s-3

bone chip grafting

sTandard

oP3

oP1

oPTIonal

oP2

oP3a

apicectomy and retro surgical

sTandard

oP3

Ps2

en1

en2

en3

en4

en5r

en5l

en6r

en6l

oP7

IndIcaTIons

10

implant site preparation

sTandard

IM1

IM2a

IM2P

oT4

IM3a

IM3P

IM4a

IM4P

oPTIonal

IP2-3

IP3-4

PIn IM1

PIn 2-2.4

osteotomy close to nerves

sTandard

oT1

oT5

extractions

sTandard

ex1

ex2

ex3

Ps2

bone modeling

sTandard

oP1

oP2

oP3

root scaling and planing

sTandard

Ps2

oP5

PP1

oPTIonal

Ps1

Ps6

PP10

PP11

PP12

periodontal surgery

sTandard

Ps2

oP5

oP3

PP1

oPTIonal

oP2

oP3a

oP4

oP6

oP6a

11

BasIc KIT

12

equIPPed wITh :

1 insert OT7

1 insert OT2

1 insert EX1

1 insert OP1

1 insert OP3

oT7 oT2

ex1 oP1

oP3

SinuS Lift Kit

13

EquippEd with :

1 insert OT1

1 insert OT5

1 insert EL1

1 insert EL2

1 insert EL3

Ot1 Ot5

EL1 EL2

EL3

IMPlanT PreP KIT

14

equIPPed wITh :

1 insert IM1

1 insert IM2A

1 insert IM2P

1 insert IM3A

1 insert IM3P

1 insert OT4

2 insert trays

IM1 IM2a

IM2P IM3a

IM3P oT4

implant prep kit prO

15

im2a im2p im3a

im3p

ip2-3 ip3-4 pin im1

Ot4

equipped with :

1 insert IM1

1 insert IM2A

1 insert IM2P

1 insert IM3A

1 insert IM3P

1 insert OT4

1 insert IM4A

1 insert IM4P

1 insert IP2-3

1 insert IP3-4

3 pins IM1

3 pins 2-2.4

2 insert trays

im1

im4a im4p

pin 2-2.4

osTeoToMy KIT

16

equIPPed wITh :

1 insert OT7

1 insert OT7S-4

1 insert OT7S-3

1 insert OT8R

1 insert OT8L

oT7 oT7s-4

oT7s-3 oT8r

oT8l

PerIodonTal KIT

17

equIPPed wITh :

1 insert PS2

1 insert OP5

1 insert PP1

1 insert OP3

1 insert OP3A

Ps2 oP5

PP1 oP3

oP3a

exTracTIon KIT

18

equIPPed wITh :

1 insert EX1

1 insert EX2

1 insert EX3

1 insert PS2

1 insert PS6

ex1 ex2

ex3

Ps6

Ps2

reTro surgIcal KIT

19

equIPPed wITh :

1 insert OP7

1 insert EN1

1 insert EN3

1 insert EN5R

1 insert EN5L

1 insert tray

oP7 en1

en3

en5l

en5r

InserT Tray

20

n stainless steel tray with depth markingsn for sterilisation and storage

IM1 initial implant site preparation insert

cuTTIng acTIon bone perforation

clInIcal aPPlIcaTIon initial pilot osteotomy (in the maxilla)

Mode PowerPIezosurgery 3

Implant ImplantPIezosurgery II

Bone 1PIezosurgery

Boosted C

22

diamond grain size 30 µm

PIn IM1 - PIn 2-2.4

descrIPTIon alignment pins, dedicated to IM1, IM2 (Ø 2), OT4 (Ø 2.4)

clInIcal aPPlIcaTIon to check preparation axis alignment

23

alignment pins

PIn 2-2.4

PIn IM1

2 mm Ø implant site preparation insert


clInIcal aPPlIcaTIon pilot osteotomy in anterior region (in the maxilla)



Bone 1PIezosurgery

Boosted C

IM2a

24


clInIcal aPPlIcaTIon pilot osteotomy in posterior region (in the maxilla)



Bone 1PIezosurgery

Boosted C

2 mm Ø implant site preparation insert IM2P

25


clInIcal aPPlIcaTIon to enlarge or to finalize the implant site preparation; insert with double irrigation to avoid overheating (in the maxilla)



Bone 1PIezosurgery

Boosted C

3 mm Ø implant site preparation insertIM3a

26


clInIcal aPPlIcaTIon to enlarge or to finalize the implant site preparation; insert with double irrigation to avoid overheating (in the maxilla)



Bone 1PIezosurgery

Boosted C

3 mm Ø implant site preparation insert IM3P

27

IM4a 4 mm Ø implant site preparation insert


clInIcal aPPlIcaTIon to finalize the implant site preparation; insert with double irrigation to avoid overheating (in the maxilla)



Bone 1PIezosurgery

Boosted C

28

IM4P


clInIcal aPPlIcaTIon to finalize the implant site preparation; insert with double irrigation to avoid overheating (in the maxilla)



Bone 1PIezosurgery

Boosted C

29

4 mm Ø implant site preparation insert

IP2-3 pilot implant site preparation insert

cuTTIng acTIon micrometric osteotomy

clInIcal aPPlIcaTIon to optimize concentricity of implant site preparation between Ø 2 and Ø 3 mm



Bone 1PIezosurgery

Boosted C

30


IP3-4

cuTTIng acTIon micrometric osteotomy

clInIcal aPPlIcaTIon to optimize concentricity of implant site preparation between Ø 3 and Ø 4 mm



Bone 1PIezosurgery

Boosted C

31

pilot implant site preparation insert


oT1 sinus bony window osteotomy insert

cuTTIng acTIon micrometric osteotomy (about 1 mm)

clInIcal aPPlIcaTIon to finalize the osteotomy in proximity of soft tissue (for example: sinus membrane, vessel, alveolar nerve)


Bone Cortical/SpongiousPIezosurgery II

Bone 1PIezosurgery

Boosted C


32

33

oT1a





Bone 1PIezosurgery

Boosted C


sinus bony window osteotomy insert

3,00

oT2 basic scalpel


clInIcal aPPlIcaTIon osteotome of great precision in anatomically thin structures (for example, ridge expansion, interdental corticotomies, non traumatic nasal spina)



Bone 1PIezosurgery

Boosted C

34

oT3





Bone 1PIezosurgery

Boosted C

35

swallow-tailed osteotome

oT4 differential implant site preparation insert


clInIcal aPPlIcaTIon to correct pilot osteotomy axis, to finalize the implant site preparation close to the alveo-lar nerve; sinus crestal approach technique



Bone 1PIezosurgery

Boosted C

36


oT5a

oT5B

oT5-oT5a-0T5B

cuTTIng acTIon micrometric osteotomy or osteoplasty

clInIcal aPPlIcaTIon non-traumatic, to finalize the osteotomy or osteoplasty on thin bone and/or near delicate anatomic structures



Bone 1PIezosurgery

Boosted C

37

osteoplasty and osteotomy insert

Ø 1.7 - diamond grain size 91 µm

Ø 1.9 - diamond grainsize 91 µm

Ø 1.7 - diamond grainsize 126 µm

oT6 bony saw 0.75 mm

cuTTIng acTIon high effectiveness osteotomy

clInIcal aPPlIcaTIon osteotomy of large bone sections during maxillofacial surgery



Bone 1PIezosurgery

Boosted C

38

oT7a

oT7-oT7a

cuTTIng acTIon high effectiveness osteotomy

clInIcal aPPlIcaTIon all the osteotomy technique in maxilla and mandible– ridge expansion– corticotomy technique– bone block grafting



Bone 1PIezosurgery

Boosted C

39

principal micro-saw 0.55 mm

thickness 0.55 mm

thickness 0.75 mm

oT7s-4 special micro-saw 0.35 mm (4 teeth)

40

cuTTIng acTIon high effectiveness and precision osteotomy

clInIcal aPPlIcaTIon very thin osteotomy, corticotomy for orthodontic microsurgery technique, root separation in dental extraction technique and periodontal surgery


Bone SpecialPIezosurgery II

Bone specialPIezosurgery

Boosted C

oT7s-3

41

special micro-saw 0.35 mm (3 teeth)

cuTTIng acTIon high precision osteotomy

clInIcal aPPlIcaTIon very thin and small osteotomy and corticotomy technique for orthodontic microsurgery, root fraction technique for dental extraction maneuver


Bone SpecialPIezosurgery II

Bone specialPIezosurgery

Boosted C

right

oT8r right angled micro-saw 0.6 mm

cuTTIng acTIon horizontal osteotomy

clInIcal aPPlIcaTIon all the osteotomy technique in maxilla and mandible – bone block grafting



Bone 1PIezosurgery

Boosted C

42

oT8l

cuTTIng acTIon horizontal osteotomy

clInIcal aPPlIcaTIon all the osteotomy technique in maxilla and mandible – bone block grafting



Bone 1PIezosurgery

Boosted C

43

left angled micro-saw 0.6 mm

left

oP1 scraper

cuTTIng acTIon high efficiency bone osteoplasty

clInIcal aPPlIcaTIon bone remodelling and harvesting of bone chips



Bone 1PIezosurgery

Boosted C

44

oP2

cuTTIng acTIon osteoplasty

clInIcal aPPlIcaTIon bone osteotomy, remodelling and removal of inflammatory tissue



Bone 1PIezosurgery

Boosted C

45

back action scalpel

oP3-oP3a principal osteoplasty insert

cuTTIng acTIon universal osteoplasty

clInIcal aPPlIcaTIon periodontal osteotomy, crown lengthening, bone chips harvesting, inflammatory tissue removal (cyst, etc.)



Bone 1PIezosurgery

Boosted C

46

oP4

cuTTIng acTIon micro-osteoplasty

clInIcal aPPlIcaTIon interproximal osteoplasty and root planing



Bone 1PIezosurgery

Boosted C

47

crown lengthening file


OP5 root debridement insert

48


Cutting aCtiOnscaling and micro- debridement

CliniCal aPPliCatiOn root debridement and root planing during resective and regenerative periodontal surgery

MOde POwerPieZOSurgerY 3

Bone Cortical/SpongiousPieZOSurgerY ii

Root PerioPieZOSurgerY

High 2-3

oP6adiamond grain size 126 µm

oP6-0P6a

cuTTIng acTIon micro-root preparation

clInIcal aPPlIcaTIon root preparation in periodontal surgery



Root PerioPIezosurgery

High 2-3

49

micro-root-preparation


oP7 endodontic osteotomy insert

cuTTIng acTIon micro-osteotomy

clInIcal aPPlIcaTIon peri-apical maxillary bone osteotomy access, inflammatory tissue removal



Bone 1PIezosurgery

Boosted C

50

el1

cuTTIng acTIon schneiderian membrane separation from bony walls

clInIcal aPPlIcaTIon separation of the sinus membrane, 2 mm around the frame of bony window


Root EndoPIezosurgery II

Root EndoPIezosurgery

Low 1

51

sinus membrane separator

el2 sinus membrane separator angled at 105°

cuTTIng acTIon non-cutting elevator of the sinus membrane

clInIcal aPPlIcaTIon separation of the sinus membrane in internal zones




Low 1

52

el3

cuTTIng acTIon non-cutting elevator of the sinus membrane

clInIcal aPPlIcaTIon separation of the sinus membrane in internal zones




Low 1

53

sinus membrane separator angled at 130°

en1 diamond-coated endo apical debrider 3 mm

cuTTIng acTIon efficient canal cleaning

clInIcal aPPlIcaTIon apical root debridement




Low 1

54


en2

cuTTIng acTIon gentle canal cleaning

clInIcal aPPlIcaTIon gentle apical root debridement




Low 1

55

smooth endo apical debrider 3 mm

en3

56


diamond-coated endo apical debrider 2.2 mm






Low 1

en4

57

cuTTIng acTIon gentle canal cleaning

clInIcal aPPlIcaTIon gentle apical root debridement




Low 1

smooth endo apical debrider 2.2 mm

en5r right angled, diamond-coated endo apical debrider 2.2 mm






Low 1

58


en5l






Low 1

59

left angled, diamond-coated endo apical debrider 2.2 mm


en6r right angled, smooth endo apical debrider 2.2 mm






Low 1

60

en6l






Low 1

61

left angled, smooth endo apical debrider 2.2 mm

ex1 principal extraction scalpel

cuTTIng acTIon root osteoplasty

clInIcal aPPlIcaTIon to cut off the ankylosis, root fraction techniques



Bone 1PIezosurgery

Boosted C

62

ex2-ex3

cuTTIng acTIon root osteoplasty

clInIcal aPPlIcaTIon analogue to EX1 in the posterior regions



Bone 1PIezosurgery

Boosted C

63

angled extraction scalpel

Ps1 periodontal curette

cuTTIng acTIon gentle scaling

clInIcal aPPlIcaTIon Root scaling


Root PerioPIezosurgery II


High 2-3

64

periodontal curette Ps2

cuTTIng acTIon powerful scaling

clInIcal aPPlIcaTIon scaling and inflammatory tissue removal fractured root apex extraction



Root Perio PIezosurgery

High 2-3

65

principal periodontal scaler

Ps6 angled curette

cuTTIng acTIon gentle scaling

clInIcal aPPlIcaTIon Root scaling




High 2-3

66

PP1

cuTTIng acTIon root surface micro-smoothening

clInIcal aPPlIcaTIon root planing




High 2-3

67

principal root planing insert

PP10 gentle perio anatomic insert


clInIcal aPPlIcaTIon gentle subgingival concrements removal




High 2-3

68

PP11-PP12


clInIcal aPPlIcaTIon gentle subgingival concrements removal




High 2-3

69

left and right angled, gentle perio anatomic insert

scIence

70

PIEZOSURGERY® – 12 years ofsuccessful scientific research

MeThod PIezosurgery®:evIdenced-Based

With over 12 years of successfulclinical research, the original

PIEZOSURGERY® method is the only one supported by more than 50 clinical and scientific studies.

An updated list of publications can be found at www.mectron.com.

An abstract collection is also available for download.

71

Piezosurgery academy Palazzo Negrotto CambiasoVia Portobello, 12 – 16039 Sestri Levante (GE) Ph.: +39 0185 42968Fax: +39 0185 450477e-mail: [email protected]

The InvenTIon„The PIEZOSURGERY® has been developed in order to overcome the limits of precision and intraoperatory safety existing in traditional bone cutting inserts.“

Tomaso vercellotti, Md, dds

www.piezosurgery.com –the scientific info platformThe website of the PIEZOSURGERY® academy, an independent institute for the advancementof the original PIEZOSURGERY® method. To find out about the possibilities of PIEZOSURGERY®,join one of the many seminars which are held in different languages.

sPare ParTs

72

torque wrench K5

peristaltic pump handpiece holder

handpiece, complete with cord

rod

73

ITeM reference nuMBer

n handpiece, complete with cord 0 3 1 2 0 0 2 3

n surgical tray 0 2 9 0 0 0 4 1

n torque wrench K5 0 2 9 0 0 0 5 2

n kit of 8 tubes for pump 0 2 9 0 0 0 3 9

n footswitch 0 2 9 0 0 0 7 8

n irrigation set 0 3 2 3 0 0 0 6

n tube-tube connector 0 0 6 8 0 0 1 4

n rod 0 1 3 8 0 0 0 2

n handpiece holder 0 2 9 0 0 0 4 0

n insert’s tray 0 2 9 0 0 0 3 7

n watson-Marlowe peristaltic pump 0 3 2 1 0 0 0 6

n diamond-coated inserts When the diamond chips wear out a reduction in cutting capacity and a consequent increase in temperature may occur.

Use these inserts for a maximum of ten applications.

n cutting insertsWhen the nitriding wears out the cutting edge loses efficiency and a re-sharpening is unadvisable due to its limited life-span.

n membrane separatorsFor a greater life-span it is recom-mended to use it on low power.

Boosted or high power can be useful if there are residual bony edges to be removed

w a r n I n g s

reference nuMBers

74

basic kit 01520 0 01

sinus Lift kit 01520 0 02

implant prep kit 01520 0 0 8

implant prep kit pro 01520 011

osteotomy kit 01520 010

periodontal kit 01520 0 0 4

extraction kit 01520 0 03

retro surgical kit 01520 0 0 5

insert IM1 03510 0 07

PIN IM1 0374 0 0 02

PIN 2-2.4 0374 0 0 03

insert IM2A 03510 0 01

insert IM2P 03510 0 02

insert IM3A 03510 0 03

insert IM3P 03510 0 0 4

insert IM4A 03510 0 0 5

insert IM4P 03510 0 0 6

insert IP2-3 03510 0 0 8

insert IP3-4 03510 0 0 9

insert OT1 03370 0 01

insert OT1A 03370 0 0 8

insert OT2 03370 0 02

insert OT3 03370 0 03

insert OT4 03370 0 0 4

insert OT5 03370 0 0 5

insert OT5A 03370 0 0 9

insert OT5B 03370 010

insert OT6 03370 0 0 6

insert OT7 03370 0 07

insert OT7A 03370 011

insert OT7S-4 03370 014

insert OT7S-3 03370 015

insert OT8R 03370 012

insert OT8L 03370 013

insert OP1 033 8 0 0 01

insert OP2 033 8 0 0 02

insert OP3 033 8 0 0 03

insert OP3A 033 8 0 011

insert OP4 033 8 0 0 0 4

insert OP5 033 8 0 0 0 5

insert OP6 033 8 0 0 0 6

insert OP6A 033 8 0 010

insert OP7 033 8 0 0 07

insert EL1 0339 0 0 01

insert EL2 0339 0 0 02

insert EL3 0339 0 0 03

insert EN1 02170 0 01

insert EN2 02170 0 02

insert EN3 02170 0 0 5

insert EN4 02170 0 0 6

insert EN5R 02170 0 07

insert EN5L 02170 0 0 8

insert EN6R 02170 0 0 9

insert EN6L 02170 010

insert EX1 03 4 0 0 0 01

insert EX2 03 4 0 0 0 02

insert EX3 03 4 0 0 0 03

insert PS1 0318 0 0 01

insert PS2 0318 0 0 03

insert PS6 0318 0 0 0 5

insert PP1 0318 0 0 02

insert PP10 0318 0 0 0 6

insert PP11 0318 0 0 07

insert PP12 0318 0 0 0 8

Item/reference number Item/reference number Item/reference number

mectron s.p.a., via Loreto 15/A, 16042 Carasco (G

e), ITALIA, tel +39 0185 35361, fax +39 0185 351374

Û m

ectron

Piezosu

rgery® w

hy w

ould yo

u buy an

imitate w

hen

yo

u can

have th

e origin

al?

Û w

ww

.mectron.com

or mectron@

mectron.com

© Copyright m

ectron S.p.A., Carasco, ItalyAll rights reserved. Texts, pictures and graphics of m

ectron brochures are protected by copyright and other protection law

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ritten approval of mectron S.p.A. the contents m

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0200en-03/09

inserts for the original - geass.cz · index 4 piezosurgery technique 6 insert quality 10...

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