Dental implant placement protocols by Uniqa Dental

Dental implant placement is a complicated surgical procedure that should only be performed by an experienced specialist. Here you will find video instructions and a description of the procedure for inserting implants of all diameters offered by Uniqa Dental into bone of different density types. Drilling protocol file for download is located below the article.

1. Drilling protocol for 3.3 mm implant diameter, high density bone D1
2. Drilling protocol for 3.3 mm implant diameter, high density bone D2-D3
3. Drilling protocol for 3.3 mm implant diameter, soft bone D4
4. Drilling protocol for 3.75 mm implant diameter, hard bone D1
5. Drilling protocol for 3.75 mm implant diameter, medium density bone D2-D3
6. Drilling protocol for 3.75 mm implant diameter, soft bone D4
7. Drilling protocol for 4.2 mm implant diameter, hard bone D1
8. Drilling protocol for 4.2 mm implant diameter, medium-hard bone D2-D3
9. Drilling protocol for 4.2 mm implant diameter, soft bone D4
10. Drilling protocol for 5.0 mm implant diameter, hard bone type D1
11. Drilling protocol for 5.0 mm implant diameter, medium density bone D2-D3
12. Drilling protocol for 5.0 mm implant diameter, soft bone, type D4

Drilling protocol for 3.3 mm implant diameter, high density bone D1

IMPORTANT: Before inserting implants from Uniqa Dental it is necessary to become acquainted with the protocol of preparing the hole for the implant placement. The video shows the sequence of operations for inserting a 3.3 mm diameter implant into D1 high density bone.

1. First you need to make a hole in the hardest cortical layer of the bone to a depth of 1-2 mm, using a special cortical bone bur.
2. Next, you must use a 2 mm pilot drill bit to make the hole to full depth, usually up to 10 mm. The recommended speed is 1000 rpm; the maximum speed is 1200 rpm. Drilling should be done with moderate effort so that you do not feel resistance from the bone. Copious irrigation is necessary to cool the drill bit and surrounding bone.
3. Next, use a drill bit 2.5 mm in diameter and pass half the depth of the future hole with it.
4. A 2.8 mm drill bit will help go a quarter of the depth of the future hole.
5. Then with a 3.2 mm drill, expand the mouth of the hole to the depth of the cortical bone layer, usually 2-2.2 mm. If in the process of work there is resistance to the bone, it is necessary to replace the drill bit as it is possible that the one you worked with is blunt. Never drill without water, as it can overheat the bone and lead to thermal necrosis of the bone tissue after the implant is placed. In addition, you should rinse the hole abundantly with isotonic solution or physiological sodium solution after each drill to remove bone debris and reduce the temperature in the bone.
6. Insert the implant into the resulting cavity. The aggressive thread profile of Uniqa Dental implants allows you to screw it directly into the bone tissue and ensure good primary stability. The maximum allowable torque (torque) when inserting the implant is 50N*cm. Follow these instructions carefully.It is important to remember that improper implant placement can lead to various complications, including implant rejection, wound infection, and even damage to surrounding tissue.

Drilling protocol for 3.3 mm implant diameter, medium density D2-D3 bone

To correctly insert implants from Uniqa Dental, it is necessary to follow this protocol for preparing the hole. The video shows the steps that must be followed to insert a 3.3 mm diameter implant into medium density D2-D3 bone.

1. First you need to make a hole 1-2 mm deep in the hardest cortical bone layer, using a special cortical bone bur.
2. Then you must use a 2 mm pilot drill bit to go through the hole to its full depth, which is usually up to 10 mm. The recommended speed is 1000 rpm; the maximum speed is 1200 rpm. Moderate force should be used when drilling so that there is no resistance from the bone, and copious irrigation should be provided to cool the drill bit and bone.
3. Next, use a drill bit 2.5 mm in diameter and pass half the depth of the hole with it.
4. A 2.8 mm drill bit will help go a quarter of the depth of the hole.
5. Then with a 3.2 mm drill, expand the mouth of the hole to the depth of the cortical bone layer, usually 2-2.2 mm. If there is resistance from the bone in the process, it is necessary to replace the drill bit as it may be blunt. Never drill without water, as it can lead to bone overheating and thermal necrosis of bone tissue after implant placement. In addition, you should rinse the hole abundantly with isotonic solution or saline sodium solution after each drill to remove bone debris and reduce the temperature in the bone.
6. The implant should then be placed in the hole. The aggressive thread profile of Uniqa Dental implants allows screwing it directly into the bone tissue and ensuring good primary stability. The maximum allowable torque when inserting the implant is 50 N*cm.
   It is important to follow these instructions carefully.It is important to remember that improper implant placement can lead to various complications, including implant rejection, wound infection, and even damage to surrounding tissue.

Drilling protocol for 3.3 mm implant diameter, soft bone D4

IMPORTANT: To insert Uniqa Dental implants correctly it is necessary to follow this well preparation protocol. The video shows the steps that must be followed to insert a 3.3 mm diameter implant into soft bone of D4 density.

1. First you need to make a hole 1-2 mm deep in the hardest cortical bone layer, using a special cortical bone bur.
2. Then you must use a 2 mm pilot drill bit to go through the hole to its full depth, which is usually up to 10 mm. The recommended speed is 1000 rpm; the maximum speed is 1200 rpm. Moderate force should be used when drilling so that there is no resistance from the bone, and copious irrigation should be provided to cool the drill bit and bone.
3. Then use a 2.5 mm drill bit and pass half the depth of the hole with it.
4. A 2.8 mm drill bit will help go a quarter of the depth of the hole. If there is resistance from the bone in the process, it is necessary to replace the drill bit as it may have become blunt. It is important to use water during drilling to avoid overheating of the bone and thermal necrosis of the bone tissue after the implant placement. In addition, it is important to rinse the hole abundantly with isotonic solution or physiological sodium solution after each drill to remove bone debris and reduce the temperature in the bone.
5. The implant should then be placed in the hole. The aggressive thread profile of Uniqa Dental implants allows to screw it directly into the bone tissue and provide good primary stability. The maximum allowable torque for installation of an implant is 50 N*cm, but in case of soft bone the torque may be 22-24 N*cm.
   It is important to follow these instructions carefully.

It is important to remember that improper implant placement can lead to various complications, including implant rejection, wound infection, and even damage to surrounding tissue.

Drilling protocol for 3.75 mm implant diameter, hard bone D1

IMPORTANT: To insert Uniqa Dental implants correctly it is necessary to follow this well preparation protocol. This video demonstrates the necessary steps for inserting a 3.75 mm diameter implant into D1 dense bone.

1. First you need to make a hole 2.5-3 mm deep in the hardest cortical bone layer, using a special drill for cortical bone.
2. Then you must use a 2 mm pilot drill bit to go through the hole to its full depth, which is usually up to 10 mm. The recommended speed is 1000 rpm; the maximum speed is 1200 rpm. Moderate force should be applied during drilling to avoid resistance from the bone, and copious irrigation should be provided to cool the drill bit and bone.
3. Next, drill bits of increasing diameter should be used to expand the hole to the desired depth. A 2.5 mm drill will help go halfway through the hole.
4. 2.8 mm drill bit – a quarter of the depth of the hole.
5. The 3.2 mm drill should be used to extend the hole another quarter of the depth and the last 3.65 mm drill should be used to extend the hole mouth to the depth of the cortical layer (in this type of bone, the cortical layer can be 3-4 mm thick). If there is resistance from the bone, the drill bit must be replaced as it may have become blunt. It is important to use water during drilling to avoid bone overheating and thermal necrosis of the bone tissue after the implant is placed. In addition, it is necessary to rinse the hole abundantly with isotonic solution or physiological sodium solution after each drill to remove bone debris and reduce the temperature in the bone.
6. The implant should then be placed in the hole. The aggressive thread profile of Uniqa Dental implants allows screwing it directly into the bone tissue and provides good primary stability. The maximum allowable torque when inserting the implant is 50 N*cm.
   It is important to follow these instructions carefully.

It is important to remember that improper implant placement can lead to various complications, including implant rejection, wound infection, and even damage to surrounding tissue.

Drilling protocol for 3.75 mm implant diameter, medium density D2-D3 bone

IMPORTANT: Before inserting Uniqa Dental implants, familiarize yourself with the protocol of well site preparation for implant placement. The video shows the sequence of operations for inserting a 3.75 mm diameter implant into D2-D3 bone.

1. First you need to make a hole in the hardest cortical layer of the bone to a depth of 1-2 mm. For this you need to use a special drill for cortical bone.
2. Next you must use a pilot drill with a diameter of 2 mm to make a hole to a full depth, usually up to 10 mm. Recommended speed is 1000 rpm; the maximum speed is 1200 rpm. Do not forget intensive irrigation to cool the bevel and surrounding bone. Drill with moderate force so that you do not feel resistance from the bone.
3. Next, take a drill bit 2.5 mm in diameter and use it to go through half of the depth of the future hole.
4. The next diameter drill bit is 2.8 mm, with its help go through a quarter of the depth of the future hole.
5. Then with a 3.2 mm drill you need to expand the mouth of the hole to the depth of the cortical bone layer, usually 2-2.2 mm. If you feel any resistance to the bone, replace the drill bit as it is possible that the one you were working with is blunt. Never drill without water, because you can overheat the bone and cause thermal necrosis, which occurs after the placement of the implant. In addition, after passing each drill, you need to rinse the hole abundantly with isotonic solution or physiological sodium solution to remove bone debris and reduce the temperature in the bone.
6. Place the implant into the resulting well. The aggressive thread profile of Uniqa Dental implants allows you to screw it directly into the bone tissue and ensure good primary stability. The maximum allowable torque (torque) when inserting the implant is 50N*cm.
   It is important to follow these instructions carefully.

It is important to remember that improper implant placement can lead to various complications, including implant rejection, wound infection, and even damage to surrounding tissue.

Drilling protocol for 3.75 mm implant diameter, soft bone D4

IMPORTANT: To correctly insert implants from Uniqa Dental it is necessary to follow this protocol for well preparation. The video demonstrates the necessary steps for inserting a 3.75 mm diameter implant into soft bone of D4 density.

1. First, you need to drill a hole 1-2 mm deep in the hardest cortical layer of the bone, using a special cortical bone drill.
2. Then you must use a 2mm pilot drill bit to go through the hole to its full depth, which is usually up to 10mm. The recommended speed of rotation is 1000 rpm; the maximum speed 1200 rpm. Moderate force should be applied while drilling and copious irrigation should be provided to cool the drill and bone.
3. Next, drill bits of increasing diameter should be used to widen the hole to the desired depth. A 2.5 mm drill helps to go halfway down the hole.
4. Drill bit with a diameter of 2.8 mm – a quarter of the depth of the hole. If there is resistance from the bone, it is necessary to replace the drill bit as it may be blunt. It is important to use water during drilling to avoid bone overheating and thermal necrosis of bone tissue after implant placement. In addition, it is necessary to rinse the hole abundantly with isotonic solution or physiological sodium solution after each drill to remove bone debris and reduce the temperature in the bone.
5. The implant should then be placed in the hole. The aggressive thread profile of Uniqa Dental implants allows to screw it directly into the bone tissue and provide good primary stability. The maximum allowable torque when inserting the implant is 50 N*cm.
   It is important to follow these instructions carefully.

It is important to remember that improper implant placement can lead to various complications, including implant rejection, wound infection, and even damage to surrounding tissue.

Drilling protocol for 4.2 mm implant diameter, hard bone D1

IMPORTANT: For the correct insertion of implants from Uniqa Dental it is necessary to follow this protocol of well preparation. The video demonstrates the necessary steps for inserting an implant with a diameter of 4.2 mm into the hard bone with density D1.

1. First you have to drill a hole in the hardest cortical layer in D1 bone with a cortical layer of 2.5 to 3.5 sometimes more. This is done using a special drill bit for cortical bone.
2. Then a 2 mm pilot drill must be used to pass the hole to its full depth, which is usually up to 10 mm, but it depends on the length of the implant and the depth of the hole can be up to 16 mm. The recommended speed of rotation is 1000rpm; the maximum speed is 1200 rpm. Moderate force should be used when drilling and copious irrigation should be provided to cool the drill bit and bone.
3. Next, drill bits of increasing diameter should be used in order to widen the hole to the desired depth. First, go full depth with a 2.5 mm drill bit.
4. Then with a 2.8 mm diameter drill – go 2/3 of the depth of the hole.
5. Next comes a 3.2 mm diameter drill bit with its help you need to go 1/2 of the full depth.
6. Next you need to pass the same half of the depth with a drill bit with a diameter of 3.65 mm.
7. The final 3.8 mm drill is needed to expand the mouth of the hole to the depth of the cortical layer, remember that this can sometimes be 3 mm or slightly more. If there is resistance from the bone, the drill bit must be replaced as it may have become blunt. It is important to use water during drilling to avoid overheating the bone and thermal necrosis of the bone after the implant is placed. In addition, after passing each drill, rinse the hole abundantly with an isotonic solution or physiological sodium solution to remove bone debris and reduce the temperature in the bone.
8. The implant should then be placed in the hole. The aggressive thread profile of Uniqa Dental implants allows you to screw it directly into the bone tissue and ensure good primary stability. The maximum allowable torque when inserting the implant is 50 N*cm.
   It is important to follow these instructions carefully.

It is important to remember that improper implant placement can lead to various complications, including implant rejection, wound infection, and even damage to surrounding tissue.

Drilling protocol for 4.2 mm implant diameter, medium-hard D2-D3 bone

To correctly insert implants from Uniqa Dental it is necessary to follow this protocol for well preparation. This video demonstrates the necessary steps for inserting a 4.2 mm diameter implant into medium hard bone of D2-D3 density.

1. The first step is to drill a hole in the hardest cortical layer of the bone. For D2-D3 bone, the cortical layer is usually 1.5 to 2.2 mm thick and a special cortical bone drill bit is used.
2. A 2mm pilot drill must then be used to go through the hole to its full depth, which is usually up to 10mm, but it all depends on the implant length and the hole can be as deep as 16mm. The recommended rotational speed is 1000rpm; the maximum speed is1200 rpm. Moderate force should be applied during drilling and copious irrigation should be provided to cool the drill bit and bone.
3. Next, drill bits of increasing diameter should be used to widen the hole to the desired depth. First, go full depth with a 2.5 mm drill bit.
4. Then with a 2.8 mm drill – go 2/3 of the depth of the hole.
5. Next comes the 3.2 mm drill bit, with which you need to go 1/2 of the full depth.
6. Next, you need to go through the same half of the depth with a drill bit with a diameter of 3.65 mm. If you feel resistance from the bone when drilling, it is necessary to replace the drill bit as it may be blunted. It is important to use water during drilling to avoid overheating of the bone and thermal necrosis of the bone tissue after the implant is placed. In addition, rinse the hole abundantly with isotonic solution or physiological sodium solution after each drill to remove bone debris and reduce the temperature in the bone.
7. The implant should then be placed in the hole. The aggressive thread profile of Uniqa Dental implants allows screwing it directly into the bone tissue and provides good primary stability. The maximum allowable torque when inserting the implant is 50 N*cm.
   It is important to follow these instructions carefully.

It is important to remember that improper implant placement can lead to various complications, including implant rejection, wound infection, and even damage to surrounding tissue.

Drilling protocol for 4.2 mm implant diameter, soft bone type D4

The installation of implants from Uniqa Dental is a complicated surgical procedure that should only be performed by an experienced specialist. In this process it is necessary to follow this protocol for the preparation of the cavity. The video shows all the stages of preparation and placement of a dental implant.

To insert a 4.2 mm diameter implant into soft bone of D4 density, you must:

1. Drill a hole in the hardest cortical layer of the bone using a special cortical bone drill. Remember that the thickness of the cortical layer in this type of bone is small 1-1.6 mm, sometimes more.
2. Then use a 2mm pilot drill to go through the hole to its full depth, providing moderate force and copious irrigation to cool the drill and bone.
3. Next, use drill bits of increasing diameter in order to widen the hole to the desired depth. First, go 2/3 of the depth with a 2.5 mm drill bit.
4. Then expand the hole with a 2.8 mm drill bit to the same 2/3 depth.
5. Then use a 3.2 mm drill bit to penetrate 1/2 full depth. Copious water irrigation should be provided during drilling to avoid bone overheating and thermal necrosis of the bone tissue after implant placement. After passing each drill, rinse the hole abundantly with isotonic solution or physiological sodium solution to remove bone debris and reduce the temperature in the bone.
6. The implant should then be placed in the hole. Use the aggressive thread profile of Uniqa Dental implants to screw it directly into the bone and ensure good primary stability. The maximum allowable torque when inserting the implant is 50 N*cm.
   It is important to follow these instructions carefully.

It is important to remember that improper implant placement can lead to various complications, including implant rejection, wound infection and even damage to surrounding tissue.

Drilling protocol for implant diameter 5.0 mm, hard bone type D1

WARNING! Be sure to read the Uniqa Dental implant placement protocol. Dental implant placement is a complicated surgical procedure that should only be performed by an experienced specialist.

To insert a 5.0 mm diameter implant into D1 density bone, you must:

1. Drill a hole in the hardest cortical layer of the bone using a special drill for cortical bone. Remember that the thickness of the cortical layer in this type of bone is the largest at 2.2-3.5 mm, sometimes more.
2. Then use a 2mm pilot drill to go through the hole to its full depth, providing moderate force and copious irrigation to cool the drill and bone.
3. Next, use drill bits of increasing diameter in order to widen the hole to the desired depth. First, expand the hole with a 2.5 mm drill bit to its full depth.
4. Then expand the hole with a 2.8 mm drill bit to 2/3 of the depth.
5. Next use a 3.2 mm drill bit to go 1/2 of the full depth of the hole.
6. Then you have to widen the hole by 1/2 with a 3.65 mm drill bit.
7. Then you have to take a 4.2 mm drill bit and widen the hole by 1/4 of the depth of the hole.
8. The final drill with 4.6 mm diameter, which should extend the mouth of the hole to a depth of about 3 mm to pass the cortical layer completely. Copious water irrigation should be provided during drilling in order to avoid bone overheating and thermal necrosis of bone tissue after implant placement. After passing each drill, rinse the hole abundantly with isotonic solution or physiological sodium solution to remove bone debris and reduce the temperature in the bone.
9. The implant should then be placed in the hole. Use the aggressive thread profile of Uniqa Dental implants to screw it directly into the bone and ensure good primary stability. The maximum allowable torque when inserting the implant is 50 N*cm.
   It is important to follow these instructions carefully.

It is important to remember that improper implant placement can lead to various complications, including implant rejection, wound infection and even damage to surrounding tissue.

Drilling protocol for a 5.0 mm diameter implant, medium density bone type D2-D3

The installation of implants from Uniqa Dental is a complicated surgical procedure that should only be performed by an experienced specialist. In this process it is necessary to follow this protocol for the preparation of the cavity. This video shows all the steps for drilling the bone and placing the implant.

If you are planning to place a 5.0 mm diameter implant in D2-D3 bone density, you must:

1. Drill a hole in the hardest cortical layer of the bone using a special cortical bone drill. The cortical layer in this type of bone can be as thick as 1.5-2.2 mm.
2. Then use a 2 mm pilot drill and provide moderate force and copious irrigation to cool the drill and bone.
3. Next, use drill bits of increasing diameter in order to enlarge the hole to the desired depth. First, expand the hole with a 2.5 mm drill bit to its full depth.
4. Then expand the hole with a 2.8 mm drill bit to 2/3 of the depth.
5. Next, use a 3.2 mm drill bit to go 1/2 of the full depth of the hole.
6. Then you need to widen the hole by 1/2 with a 3.65 mm drill bit.
7. After that, take a 4.2 mm diameter drill bit and widen the hole by 1/4 of the full depth of the hole. Copious water irrigation should be provided during drilling in order to avoid bone overheating and thermal necrosis of bone tissue after implant placement. After passing each drill, rinse the hole abundantly with isotonic solution or physiological sodium solution to remove bone debris and reduce the temperature in the bone.
8. After that, it is necessary to place the implant in the well with the aggressive thread profile of Uniqa Dental implants to ensure good primary stability. The maximum allowable torque when inserting the implant is 50 N*cm.
   It is important to follow these instructions carefully.

It is important to remember that improper implant placement can lead to various complications, including implant rejection, wound infection, and even damage to surrounding tissue.

Drilling protocol for 5.0 mm implant diameter, soft bone type D4

The installation of implants from Uniqa Dental is a complicated surgical procedure that should only be performed by an experienced specialist. In this process it is necessary to follow this protocol for the preparation of the cavity. This video shows all the steps for drilling the bone and placing the implant.

In order to insert a 5.0 mm diameter implant into D4 density bone you need:

1. Drill a hole in the hardest cortical layer of the bone with a special cortical bone drill. The thickness of the cortical layer in D4 bone is 1.0-2.0 mm.
2. Then use a 2 mm pilot drill to penetrate the full depth of the hole, most commonly about 10 mm, but there are implants of 16 millimeters or more. When drilling, provide moderate force and copious irrigation to cool the drill bit and bone.
3. Next, use drill bits of increasing diameter in order to enlarge the hole to the desired depth. First, expand the hole with a 2.5 mm drill bit to a depth of 2/3.
4. Then expand the hole with a 2.8 mm drill bit also to 2/3 of the depth.
5. Then use a 3.2 mm drill bit to go 1/2 of the full depth of the hole.
6. Then you need to enlarge the hole by 1/2 with a 3.65 mm drill. This is sufficient because the bone is soft and the implant body will enter due to its own thread and provide a close to necessary primary stability. Copious water irrigation should be provided during drilling to avoid bone overheating and thermal necrosis of the bone tissue after implant placement. After passing each drill, rinse the hole abundantly with isotonic solution or physiological sodium solution to remove bone debris and reduce the temperature in the bone.
7. The implant must then be placed in the well with the aggressive thread profile of the Uniqa Dental implants to ensure good primary stability. The maximum allowable torque when inserting the implant is 50 N*cm.
   It is important to follow these instructions carefully.

It is important to remember that improper implant placement can lead to various complications, including implant rejection, wound infection, and even damage to surrounding tissue.

The final step for all types of implant is the placement of a gum former or plug and suturing of the soft tissue. There are two methods of implant completion. If the patient’s bone was dense enough, more often the gum former is inserted immediately into the implant and the soft tissue is sutured around the healing cap. If the bone is problematic and primary stability is low, the implant is often sealed with a healing cap and the soft tissue is sutured over the implant with the healing cap. There are many factors to consider, including the age and physical condition of the patient.

During the first days and weeks after placement of the implant, the patient may experience some discomfort, including swelling, bleeding and soreness at the site of the intervention. The doctor may prescribe medications to relieve pain and antibiotics to prevent infections. If it is not an immediate restoration protocol, the implant is left for six to 16 weeks for osseointegration to occur. During this time, the bone tissue injured by drilling and implant placement is replaced by new bone and the osteocytes gradually grow into the porous implant surface and permanent secondary stability of the implant is achieved. After that, the restoration can be placed and the patient can immediately start using prostheses without restrictions.

Download Uniqa Dental Drilling Protocol