T6 Torq surgical manual and drilling protocol

About the manual and the implant

These are the manufacturer’s recommended instructions for the surgical use of the NucleOSS Dental Implant System. Treatment and surgical planning should be based on clinical data and the clinician’s evaluation of the case.

Connection: hexagonal internal connection; superstructures can be placed in 6 different indexes with 60° rotation.
Abutment interface: a 20° angled contact zone.
Thread: a double thread design.

Diameters, lengths and cover screws

T6 TorQ implant product codes by diameter and length
Length	Ø 3.5	Ø 4.0	Ø 4.5	Ø 5.0	Ø 6.0
6.5 mm	—	TRQ 40065	TRQ 45065	TRQ 50065	TRQ 60065
8 mm	TRQ 3508	TRQ 4008	TRQ 4508	TRQ 5008	TRQ 6008
10 mm	TRQ 3510	TRQ 4010	TRQ 4510	TRQ 5010	TRQ 6010
12 mm	TRQ 3512	TRQ 4012	TRQ 4512	TRQ 5012	TRQ 6012
14 mm	TRQ 3514	TRQ 4014	TRQ 4514	TRQ 5014	—
17 mm	TRQ 3517	TRQ 4017	TRQ 4517	TRQ 5017	—
Cover screw	T6 32150	T6 32158	T6 32157	T6 32151	T6 32152

T6 TorQ Ø 3.5 mm implants TRQ 3508 to TRQ 3517 beside cover screw T6 32150 — T6 TorQ Ø 3.5 mm implants and cover screw T6 32150

T6 TorQ Ø 4.0 mm implants TRQ 40065 to TRQ 4017 beside cover screw T6 32158 — T6 TorQ Ø 4.0 mm implants and cover screw T6 32158

T6 TorQ Ø 4.5 mm implants TRQ 45065 to TRQ 4517 beside cover screw T6 32157 — T6 TorQ Ø 4.5 mm implants and cover screw T6 32157

T6 TorQ Ø 5.0 mm implants TRQ 50065 to TRQ 5017 beside cover screw T6 32151 — T6 TorQ Ø 5.0 mm implants and cover screw T6 32151

T6 TorQ Ø 6.0 mm implants TRQ 60065 to TRQ 6012 beside cover screw T6 32152 — T6 TorQ Ø 6.0 mm implants and cover screw T6 32152

The figure shows the recommended areas of use for each diameter. The clinician should evaluate the patient, the case and the intended final restoration before surgery; use outside the specified areas is at the clinician’s discretion and responsibility.

Dental chart of the upper and lower arches by tooth position, colour-coded with the implant diameter recommended for each position — Recommended areas of use by implant diameter (colour-coded by tooth position)

Implant package and transfer

T6 TorQ implants are supplied in a Tyvek sterile, leak-proof tube that includes the cover screw. The tube carries a diameter and length label and holds a lockable sterile hanger cap, the cover screw, the implant and a carrier hanger.

The product label shows the catalogue number (REF), label revision, lot number, implant diameter and length, the CE mark with the certification body’s number, the UDI, model, expiry date and the authorised representative.

T6 TorQ implant carton, blister and sterile tube, with an exploded view labelling the diameter and length label, lockable sterile hanger cap, cover screw, implant, carrier hanger and sterile tube — Implant box, blister and sterile tube with its parts

Example T6 TorQ implant label TRQ 4512 with callouts for catalogue number, lot number, implant diameter and length, CE mark 2975, UDI, model, expiry date and authorised representative — Product label information

Remove the tube cover and place the carrier on a sterile drape.
Seat the implant insertion tool precisely in the internal hex of the implant to transfer it from the plastic carrier to the mouth.
To transfer the cover screw from the tube, insert the hex driver fully into the cover screw and pull it straight back along the same axis.

Caution. Once the carrier cover is opened, do not tilt the carrier more than 60 degrees, or the implant may fall out.

Steps for removing the tube cover and engaging the implant insertion tool with a micromotor, ratchet or screwdriver, with correct and incorrect seating of the tool in the implant hex — Opening the tube and engaging the implant with a micromotor, ratchet or screwdriver

Correct: hex driver fully inserted into the cover screw and pulled straight back. Incorrect: driver twisted while pulling — Transferring the cover screw: correct and incorrect

Before surgery

Evaluate the patient with clinical and oral radiographic tests. Examine the mucous membrane, jaw morphology, dental history, prosthetic history and oral dysfunctional signs; use radiographic analysis for bone topography.
If the patient is suitable, examine the treatment area and the opposing area in more detail. Treat any pathological condition in the jaw before the implant operation.
Plan the intended final prosthetic treatment first, then decide the type and number of implants. Articulator-mounted models and wax modelling of the edentulous area support planning.
Consider primary stability, single- or two-stage surgery, immediate placement after extraction and the expected recovery time before loading.
Based on mechanical considerations, the largest diameter implant possible is recommended, especially in posterior areas where loading forces are higher.
Explain the examination results, treatment method, expected result, required care and possible risks to the patient before treatment.

Bone classification used in the drilling protocol
Class	Description	Typical regions
D1	Dense cortical	Anterior mandible
D2	Porous cortical and thick trabecular	Anterior mandible, posterior mandible, anterior maxilla
D3	Porous cortical and (thin) tight trabecular	Anterior maxilla, posterior mandible, posterior maxilla
D4	Tight trabecular	Posterior maxilla

Bone samples for classes D1 (dense cortical), D2, D3 and D4 (tight trabecular) with their typical regions — Bone classes D1 to D4

Drilling protocol

Operate the drills with coolant at a maximum of 800 rpm.

All drills are designed for use with a micromotor and are colour-coded by diameter.

Preparing the implant socket

Mark the position and drill axis with the point drill.
Continue with the pilot drill for the implant length. Pilot drills have stoppers for each implant size, which keeps the following drills from going deeper.
Check position and axis, then enlarge the slot gradually through the previous diameter drills until the final drill for the selected implant reaches its stopper.
In D1/D2 bone, enlarge the slot with the hard bone drill after the standard final drill.
Finish with the countersink drill to prevent jamming in the neck area.

Caution. The hard bone drill expands the slot after the standard final drill. Using it as a final drill straight after the previous diameter drill may damage the bone and the drill.

Drill protocol overview: point drill, pilot drill, then for Ø 3.5 and Ø 4.0 the final drill in D2/D3/D4 bone, the hard bone drill in D1 bone and the countersink for all bone types — Drill protocol overview, Ø 3.5 and Ø 4.0

Drill protocol overview for Ø 4.5, Ø 5.0 and Ø 6.0: final drill in D2/D3/D4 bone, hard bone drill in D1 bone and countersink for all bone types — Drill protocol overview, Ø 4.5, Ø 5.0 and Ø 6.0

The socket opened by the drill is 0.7 mm longer than the implant length, to increase healthy bone formation in the neck area; for T6 standard short (L 6.5 mm) implants only, it is 0.5 mm longer. Bone level should be considered in surgical planning and practice.

Implant seated 0.7 mm below bone level in its socket, with the note on socket depth for standard and 6.5 mm implants — Implant 0.7 mm below bone level

Drill sequence by implant diameter (8 to 17 mm)

Drill sequences for each diameter
Implant	D2/D3/D4 bone	D1/D2 hard bone
Ø 3.5	Point drill → Ø 3.0 pilot → Ø 3.5 final → Ø 3.5 countersink	Point drill → Ø 3.0 pilot → Ø 3.5 final → Ø 3.5 hard bone → Ø 3.5 countersink
Ø 4.0	Point drill → Ø 3.0 pilot → Ø 3.5 final → Ø 4.0 final → Ø 4.0 countersink	Point drill → Ø 3.0 pilot → Ø 3.5 final → Ø 4.0 final → Ø 4.0 hard bone → Ø 4.0 countersink
Ø 4.5	Point drill → Ø 3.0 pilot → Ø 3.5 final → Ø 4.0 final → Ø 4.5 final → Ø 4.5 countersink	Point drill → Ø 3.0 pilot → Ø 3.5 final → Ø 4.0 final → Ø 4.5 final → Ø 4.5 hard bone → Ø 4.5 countersink
Ø 5.0	Point drill → Ø 3.0 pilot → Ø 3.5 final → Ø 4.0 final → Ø 4.5 final → Ø 5.0 final → Ø 5.0 countersink	Point drill → Ø 3.0 pilot → Ø 3.5 final → Ø 4.0 final → Ø 4.5 final → Ø 5.0 final → Ø 5.0 hard bone → Ø 5.0 countersink
Ø 6.0	Point drill → Ø 3.0 pilot → Ø 3.5 final → Ø 4.0 final → Ø 4.5 final → Ø 5.0 final → Ø 6.0 final → Ø 6.0 countersink	Point drill → Ø 3.0 pilot → Ø 3.5 final → Ø 4.0 final → Ø 4.5 final → Ø 5.0 final → Ø 6.0 final → Ø 6.0 hard bone → Ø 6.0 countersink

The point drill is the first drill that must be used in every protocol.
For soft bone types, only the pilot and final drill lengths differ for 8, 10, 12, 14 and 17 mm implants.
For 17 mm implants, the hard bone drill is the final drill for all bone types (D1/D2/D3/D4).
Place the implant with the transfer and tightening parts; each sequence ends with the cover screw for that diameter.
The protocol is different for L 6.5 mm implants (see below).

6.5 mm implants

Mark the position and drill axis with the point drill (the caution on this page gives a slot 14 mm long, Ø 2.10 mm).
Use the pilot drill, then enlarge the slot gradually with the diameter drills until the 6.5 mm final drill for the selected implant: Ø 4.0, Ø 4.5, Ø 5.0 or Ø 6.0.

The 6.5 mm final drills are short implant drills included in the T6 TorQ surgical set. They have stoppers and there is a separate drill for each diameter. The figure shows the same sequence for D1, D2, D3 and D4 bone, with the top of the implant 0.7 mm below bone level. Operate the drills with coolant at a maximum of 800 rpm.

Drill protocol for 6.5 mm implants in D1/D2/D3/D4 bone: point drill, pilot drill and 6.5 mm final drills up to Ø 4.0, Ø 4.5, Ø 5.0 or Ø 6.0, with the implant 0.7 mm below bone level — Drill protocol for 6.5 mm implants

Pilot drills

The pilot drill is the first osteotomy drill that must be used after the initial drills in every protocol. It is in both the T6 Standard and T6 TorQ surgical kits.

Pilot drills
Implant length	Reference	Length marking	Diameter
6.5 mm	T0 25039	L: 6.5+1 mm	Ø 2.45 mm
8 mm	T0 25043	L: 8.0+1 mm	Ø 2.95 mm
10 mm	T0 25044	L: 10.0+1 mm	Ø 2.95 mm
12 mm	T0 25045	L: 12.0+1 mm	Ø 3.0 mm
14 mm	T0 25046	L: 14.0+1 mm	Ø 3.0 mm
17 mm	T0 25020	L: 17.0+1 mm	Ø 3.0 mm

Six pilot drills with their length markings L 6.5+1 to L 17.0+1 mm, diameters and references — Pilot drills T0 25039 to T0 25020

Final drills

Final drills have stoppers and come in five lengths: 6.5, 8, 10, 12 and 14 mm (Ø 6.0: up to 12 mm). All drills are designed 1 mm longer than the implant length.

For 17 mm implants, the hard bone drill is used.

Final drill references and drill lengths
Implant length	Ø 3.5	Ø 4.0	Ø 4.5	Ø 5.0	Ø 6.0	Drill length
6.5 mm	T6 25040	TRQ 25047	TRQ 25048	TRQ 25049	TRQ 25050	L: 7.5
8 mm	TRQ 25145	TRQ 25087	TRQ 25090	TRQ 25093	TRQ 25096	L: 9.0
10 mm	TRQ 25146	TRQ 25088	TRQ 25091	TRQ 25094	TRQ 25054	L: 11.0
12 mm	TRQ 25147	TRQ 25051	TRQ 25052	TRQ 25053	TRQ 25058	L: 13.0
14 mm	TRQ 25148	TRQ 25089	TRQ 25092	TRQ 25095	—	L: 15.0

Final drills grouped by diameter Ø 3.5, Ø 4.0, Ø 4.5, Ø 5.0 and Ø 6.0 with colour bands, references and drill lengths L 7.5 to L 15.0 — Final drills by diameter, colour-coded

Hard bone drills and countersinks

Hard bone drills are used after the final drills in D1/D2 bone. They widen the cavity by 0.2 mm so the implant advances more easily and with less stress.
Hard bone drills are also used to place 17 mm implants. They are approximately 1 mm longer than the implant length; the figure marks L 9, 11, 13, 15 and 18 mm.
Even after a hard bone drill in D1/D2 bone, a countersink should definitely be used afterwards; otherwise resorption may occur due to stress.
The countersink prevents the implant from sticking in the neck area and provides passive seating. The kit has countersinks for the full range of T6 implant diameters.

Hard bone drills and countersinks
Implant	Hard bone drill	Countersink	Countersink dimension marked
Ø 3.5	TRQ 25149	TRQ 25150	5.91 mm
Ø 4.0	TRQ 25059	TRQ 25157	5.91 mm
Ø 4.5	TRQ 25060	TRQ 25158	5.71 mm
Ø 5.0	TRQ 25061	TRQ 25159	5.70 mm
Ø 6.0	TRQ 25062	TRQ 25160	5.70 mm

Hard bone drills Ø 3.5 to Ø 6.0, TRQ 25149 to TRQ 25062, with length marks L 9 to L 18 mm — Hard bone drills

Countersink drills Ø 3.5 to Ø 6.0, TRQ 25150 to TRQ 25160, with countersink dimensions 5.91 to 5.70 mm — Countersink drills

Drill and implant dimensions

Each final or hard bone drill is compared with the implant below. Only the drill body diameter is labelled; the other columns describe where each value appears.

Implants other than 6.5 mm: values marked in the drill compatibility figures
Implant	Bone	Drill shown	Drill body diameter	Inner diameter marked on implant	Offset marked	Diameter marked under drill
Ø 3.5	D2/D3/D4	T6 25148	Ø 2.70 mm	Ø 2.70 mm	0 mm	Ø 2.8 mm
Ø 3.5	D1	TRQ 25149	Ø 3.30 mm	Ø 2.70 mm	0.3 mm	Ø 3.3 mm
Ø 4.0	D2/D3/D4	TRQ 25089	Ø 3.00 mm	Ø 2.80 mm	0.1 mm	Ø 3.0 mm
Ø 4.0	D1	TRQ 25059	Ø 3.6 mm	Ø 2.80 mm	0.4 mm	Ø 3.6 mm
Ø 4.5	D2/D3/D4	T6 25091	Ø 3.7 mm	Ø 3.3 mm	0.2 mm	Ø 3.7 mm
Ø 4.5	D1	TRQ 25060	Ø 4.0 mm	Ø 3.3 mm	0.35 mm	Ø 4.0 mm
Ø 5.0	D2/D3/D4	T6 25094	Ø 4.2 mm	Ø 3.8 mm	0.2 mm	Ø 4.2 mm
Ø 5.0	D1	TRQ 25061	Ø 4.5 mm	Ø 3.8 mm	0.35 mm	Ø 4.5 mm
Ø 6.0	D2/D3/D4	T6 25054	Ø 5.2 mm	Ø 4.7 mm	0.25 mm	Ø 5.2 mm
Ø 6.0	D1	TRQ 25062	Ø 5.6 mm	Ø 4.7 mm	0.45 mm	Ø 5.6 mm

Final and hard bone drill body diameters compared with the Ø 3.5, Ø 4.0 and Ø 4.5 implant profiles — Drill and implant dimensions, Ø 3.5 to Ø 4.5

Final and hard bone drill body diameters compared with the Ø 5.0 and Ø 6.0 implant profiles — Drill and implant dimensions, Ø 5.0 and Ø 6.0

6.5 mm implants: values marked in the drill compatibility figures (all bone types)
Implant	Drill shown	Drill body diameter	Upper inner diameter on implant	Offset marked	Lower diameter on implant	Drill tip length	Tip a	Tip b
Ø 4.0	T6 25047	Ø 3.60 mm	Ø 3.35 mm	0.13 mm	Ø 3.40 mm	L: 7.6 mm	Ø 2.40 mm	Ø 3.60 mm
Ø 4.5	T6 25048	Ø 4.10 mm	Ø 3.35 mm	0.25 mm	Ø 3.20 mm	L: 7.5 mm	Ø 3.20 mm	Ø 4.10 mm
Ø 5.0	T6 25049	Ø 4.90 mm	Ø 4.30 mm	0.2 mm	Ø 3.40 mm	L: 7.6 mm	Ø 3.40 mm	Ø 4.90 mm
Ø 6.0	T6 25050	Ø 5.70 mm	Ø 4.90 mm	0.35 mm	Ø 4.60 mm	L: 7.60 mm	Ø 3.40 mm	Ø 4.90 mm

6.5 mm final drills T6 25047 to T6 25050 compared with the Ø 4.0, Ø 4.5, Ø 5.0 and Ø 6.0 short implant profiles, with tip dimensions a and b — Drill and implant dimensions for 6.5 mm implants

Implant transfer and insertion

T6 implant transfer and tightening parts
Reference	Used with	Length
T6 25213	Micromotor	Long
T6 25214	Micromotor	Short
T6 25215	Ratchet	Long
T6 25216	Ratchet	Short

Transfer parts T6 25213, T6 25214, T6 25215 and T6 25216, with correct and incorrect seating in the implant and use with a screwdriver, ratchet or micromotor — Implant transfer and tightening parts, correct seating and drive options

Check that the PEEK ring on the tip of the transfer part is present before picking up the implant.
Seat the transfer part in the implant in the exact, correct position. Otherwise the implant may fall or the implant hex may be damaged.
Turn the dots on the transfer part towards the vestibule, so the flat of the implant hex faces the vestibule. With angled abutments, the hex flat faces the angle axis.
Place the implant in the prepared socket as soon as possible, without touching it.
Insert clockwise with a micromotor at a maximum of 15 rpm, or with a manual hex driver, until the top of the implant is 0.7 mm below bone level.
Keep pressure on the transfer part during insertion so it does not come out of the hex socket.

Correct and incorrect implant orientation: with the transfer part dots towards the vestibule the hex flat faces the vestibule — Dots on the transfer part facing the vestibule

Caution. If the dots are ignored, the hex flat will face mesially or distally and a standard abutment will be positioned incorrectly.

For insertion torque, see the implant instructions for use.

Surgical kit and instruments

Kit reference: CRH-115 T6 Torq Surgical Kit (the T6 Standard Surgical Kit is CRH-109).
Two parts: a movable middle shelf for drills and tightening parts, and a lower section for the torque ratchet and hand tools. The bottom holds the depth gauge (T0 25312), torque ratchet (T0 25900) and screwdriver (T0 2022).
The kit can be autoclaved as one piece. The plastic is stated to withstand more than 1000 steam sterilisation cycles. The cover opens to 90° or 210° and locks the contents when closed.

Annotated layout of the CRH-115 T6 TorQ surgical kit tray with every instrument and its reference: pilot, final, hard bone and countersink drills, pins, insertion tools, hex drivers, bone profilers and adapter — T6 TorQ surgical kit CRH-115: tray layout and instrument references

Point, round and Lindemann drills

Initial drills and drill extender
Instrument	Reference	Dimensions marked	Use
Point drill	T0 25024	30 mm, 9 mm, Ø 2.40 mm	Marks the implant position and lets the next drill advance; first drill after any round-drill correction
Round drill	T0 0103	Ø 3.10 mm	Corrects a damaged or irregular bone surface at the start of the osteotomy
Lindemann drill	T0 25163	Ø 2.20 mm, Ø 1.90 mm, 12.60 mm	After point drilling, to bring the implant site to the correct angle; side-cutting
Drill extender	T0 2012-1	Adds approximately 16 mm	Extends drill length where the drill is too short or the micromotor cannot reach

Point drill T0 25024 in a micromotor handpiece, showing the stopper — Point drill T0 25024

Point drill marked 30 mm overall, 9 mm cutting length and Ø 2.40 mm — Point drill dimensions

Round drill T0 0103 in a handpiece, Ø 3.10 mm — Round drill T0 0103, Ø 3.10 mm

Round drill smoothing an irregular crest before osteotomy — Round drill correcting an irregular bone surface

Lindemann drill T0 25163 with Ø 2.20 mm and Ø 1.90 mm, 12.60 mm cutting length — Lindemann drill T0 25163

Four steps showing the Lindemann drill used after point drilling to bring the implant site to the correct angle — Correcting the implant axis with the Lindemann drill after point drilling

Drill extender T0 2012-1, which lengthens a drill by about 16 mm — Drill extender T0 2012-1

Drill extender lengthening a drill where the micromotor head cannot reach between adjacent teeth — Drill extender in use between teeth

Caution. The Lindemann drill is recommended at 1200–1500 rpm, and cooling is absolutely necessary.

Caution. Drills must be correctly attached to the micromotor and should not be operated until they are properly seated.

Parallel and angled pins

Parallel and angled pins
Pin	Reference	Dimensions	Use
Parallel pin, lower (Ø 2.0 mm) end	T0 25320	Ø 2.0 mm, 8 mm	Check after the point drill
Parallel pin, Ø 2.5 mm end	T0 25320	Ø 2.5 mm, 9 mm	Check after the pilot drill
17° angled pin	T0 25305	Ø 2.3 mm, L: 11.60 mm	Check the angle for multi-unit abutments, after the pilot drill
30° angled pin	T0 25306	Ø 2.3 mm, L: 11.60 mm	Check the angle for multi-unit abutments, after the pilot drill

Parallel pins placed after the point drill and the pilot drill to check parallelism between two implant cavities — Parallel pins after the point and pilot drills

Parallel pins check parallelism with adjacent teeth for single implants and between cavities for multiple implants. T6 surgical sets have four parallel pins.

Open a 90° vertical reference slot with the point and pilot (Ø 3.0 mm) drills near the planned implant site.
Place the 17° or 30° pin in the reference slot.
Using the pin as a guide, open the implant slot with the point and pilot (Ø 3.0 mm) drills, follow the drill protocol and place the implant.
Place the angled multi-unit abutment with its platform parallel to the bone surface and fix it with the M1.6 multi-unit connection screw (16008).

Angled pins T0 25305 at 17° and T0 25306 at 30°, L 11.60 mm, Ø 2.3 mm, and eight steps for using an angled pin to place an implant for an angled multi-unit abutment — Angled pins T0 25305 (17°) and T0 25306 (30°) and their use

Bone profiler

Uneven bone around the implant neck can stop the abutment seating properly, which may cause the abutment or connecting screw to break. The bone profiler is used before the abutment is placed: T0 25032 (Ø 4.90 mm) and T0 25064 (Ø 6.40 mm).

Two implants: abutment seated fully where the bone is level, and held off by uneven bone at the neck — Uneven bone stops the abutment seating

Bone profiler drills T0 25032 Ø 4.90 mm and T0 25064 Ø 6.40 mm used with a micromotor over the T6 TorQ implant — Bone profiler drills T0 25032 (Ø 4.90 mm) and T0 25064 (Ø 6.40 mm)

Place the bone profiler on the guide pin before starting the micromotor, and clean the uneven bone around the implant neck.
Cool the bone surface with water while the drill runs.
Check the abutment on the implant.

Bone profiler lowered over the guide pin in the implant — Bone profiler placed over the guide pin

Three steps: profiling the neck with water cooling, level bone around the implant, abutment seated — Profiling with water cooling, then checking the abutment

Hex drivers, tightening parts and adapter

Hex drivers, tightening parts and adapter
Part	Reference	Use
Manual hex driver	T0 25251	Carrying screws and healing caps, light tightening; up to 10 Ncm, never final torque
Micromotor hex driver	T0 2009	Carrying screws and healing caps, light tightening; up to 10 Ncm, never final torque
Short hex driver (ratchet), L: 12 mm	T0 2024	Final torque with the NucleOSS ratchet only; no retention, not for carrying
Long hex driver (ratchet), L: 15.5 mm	T0 2025	Final torque with the NucleOSS ratchet only; no retention, not for carrying
Ball abutment tightening part (O-ring)	T0 25205	Ball abutments; ratchet or screwdriver
Multi-unit abutment tightening part	T0 25206	Multi-unit straight abutments; ratchet or screwdriver
Adapter	T0 25212	Lets the multi-unit and O-ring tightening parts be used with a micromotor
Slimex carrying part, micromotor	T0 2008	Slimex implants
Slimex carrying part, ratchet, long	T0 2005-1	Slimex implants
Slimex carrying part, ratchet, short	T0 2006-1	Slimex implants

Manual hex driver T0 25251 and micromotor hex driver T0 2009 for transfer, and short T0 2024 (L 12 mm) and long T0 2025 (L 15.5 mm) hex drivers for final torque with the ratchet — Hex drivers for transfer and for final torque

Multi-unit abutment tightening part T0 25206 with its double line marking — Multi-unit abutment tightening part T0 25206 (double line)

Multi-unit abutment tightening part on the ratchet above a multi-unit abutment on an implant — Multi-unit tightening part on the ratchet

Ball abutment tightening part T0 25205 with its single line marking — Ball abutment tightening part T0 25205 (single line)

O-ring abutment tightening part T0 25205, multi-unit abutment tightening part T0 25206 and adapter T0 25212 — Adapter T0 25212 with the O-ring and multi-unit tightening parts

Adapter bottom view and cutaway showing the socket for the tightening part — Adapter: bottom view and cutaway

Caution. Never apply final torque with the manual or micromotor hex drivers: the screw’s hex slot or the driver tip may be damaged.

Caution. Torque the multi-unit straight abutment to a maximum of 30 Ncm; a lower or higher torque may loosen or break the abutment.

Caution. Torque the multi-unit angled abutment connection screw and the ball abutment to a maximum of 30 Ncm with the NucleOSS ratchet.

A PEEK ring on the tip of the Slimex insertion drivers stops the implant falling during transfer; check that it is in place and undamaged before use.

Multi-unit abutment, tightening part and adapter assembled on a micromotor to place the abutment — Placing a multi-unit abutment with the adapter on a micromotor

Slimex insertion drivers: T0 2008 for the micromotor, T0 2005-1 long and T0 2006-1 short for the ratchet — Slimex insertion drivers T0 2008, T0 2005-1 and T0 2006-1

Slimex drivers used with ratchet, screwdriver and micromotor, and their slots in the CRH-109 T6 Standard and CRH-115 T6 TorQ kits — Slimex drivers in the CRH-109 and CRH-115 kits

Depth gauge, screwdriver and torque ratchet

Depth gauge, screwdriver and torque ratchet
Instrument	Reference	Specification
Depth gauge, thin end	T0 25312	Ø 1.8 mm; socket depth marks 6.5, 8.0, 10.0, 12.0, 14.0 and 17.0 mm, used after the pilot drills
Depth gauge, thick end	T0 25312	Gingival height marks 1.0 to 6.0 mm, for choosing the abutment
Screwdriver	T0 2022	L: 13.80 cm, Ø 7.8 mm
Torque ratchet	T0 25900	0 to 70 Ncm; about 80 Ncm with the needle at the top

Depth gauge with socket depth marks 6.5 to 17.0 mm on the thin end and gingival height marks 1.0 to 6.0 mm on the thick end, shown in use — Depth gauge: socket depth and gingival height

NucleOSS screwdriver, L 13.80 cm, Ø 7.8 mm, with its square socket — Screwdriver, L 13.80 cm, Ø 7.8 mm

Implant carrying part, short and long hex drivers, O-ring abutment tightening part and screw-retained tightening part — Parts the screwdriver drives

Screwdriver placing an implant in the anterior maxilla — Screwdriver in the anterior maxilla

Correct: screwdriver aligned with the socket axis. Incorrect: screwdriver tilted — Keep the screwdriver aligned with the socket axis

NucleOSS torque ratchet with a close-up of its Ncm scale, which reads up to 70 Ncm — Torque ratchet and its scale

Three uses of the ratchet: torqueless with arm and needle held together, torque by pulling the arm, and removal with the arrow facing down — Ratchet without torque, with torque, and for removal

The screwdriver is an alternative to the ratchet for implant carrying parts, hex drivers and the screw-retained and ball abutment tightening parts, and is convenient in the anterior maxilla. Keep it aligned with the socket axis, or the implant may be damaged or the transfer part may break.
Torque setting: hold the ratchet by pressing the wheel, then pull the torque arm lightly in the direction of the arrow to the required value. Do not turn the arm beyond the values on the ratchet, or the torque will be incorrect.
Without torque: hold the torque arm and needle together and press the wheel.
The direction arrow points up for tightening and down for loosening and removal.

Tightening torque values

Both torque tables apply to the T0 25900 torque ratchet.

Healing, cemented and CAD/CAM parts
Product	Tightening parts	Torque
Implant cover screws and sinus caps	T0 2024 short or T0 2025 long (ratchet); T0 25251 manual hex driver	Manual or ratchet (10 Ncm with a ratchet)
Gingiva formers	T0 2024 short or T0 2025 long (ratchet); T0 25251 manual hex driver	Manual or ratchet (10 Ncm with a ratchet)
Connection screws of PEEK parts	T0 2024 short or T0 2025 long (ratchet); T0 25251 manual hex driver	Manual or ratchet (10 Ncm with a ratchet)
All cemented abutment screws	T0 2024 short or T0 2025 long (ratchet); T0 25251 manual hex driver	Max. 30 Ncm
Cast abutment screws	T0 2024 short or T0 2025 long (ratchet); T0 25251 manual hex driver	Max. 30 Ncm
CAD/CAM Ti-Base abutment screws	T0 2024 short or T0 2025 long (ratchet); T0 25251 manual hex driver	Max. 30 Ncm

Overdenture, multi-unit and occlusal screws
Product	Tightening parts	Torque
Ball abutment	T0 25205 ball abutment tightening part	Max. 30 Ncm
Equator abutment	774CHE Equator abutment tightening part	Max. 30 Ncm
Multi-unit straight abutments	T0 25206 multi-unit abutment tightening part	Max. 30 Ncm
Multi-unit angled (17° / 30°) abutment screws	T0 2024 short or T0 2025 long (ratchet); T0 25251 manual hex driver	Max. 30 Ncm
Parts installed on the multi-unit	T0 2024 short or T0 2025 long (ratchet); T0 25251 manual hex driver	Max. 10 Ncm
Occlusal screws attached to the prosthesis (two set-ups shown)	T0 2024 short or T0 2025 long (ratchet); T0 25251 manual hex driver	Max. 20 Ncm

Healing, loading and the cover screw

The recommended healing period before loading is 12 weeks, unless the clinician takes a different medical decision.
The clinician should set the loading time for each implant after examining bone quality, quantity, density, primary stability, restoration type and loading conditions.
Each implant tube includes its cover screw.
The cover screw references by diameter are in the dimensions table above.
Pick the cover screw out of the tube by fully inserting the hex driver and pulling straight back along the same axis.

Cleaning, sterilisation and storage of the instruments

Drill cutting performance falls after a number of uses; the maximum for NucleOSS drills is 15 uses.
Do not let blood, bone or tissue residue dry on an instrument; clean immediately after surgery with soft brushes only, removing detachable parts where needed.
Never disinfect, clean (including ultrasonic) or sterilise instruments of different materials together. Rinse cleaning agents off thoroughly with water and never store instruments wet.
Non-sterile surgical instruments must not be used. Sterilise the cleaned, dried instruments in their slots in the kit, in an autoclave bag; do not stack boxes during sterilisation.
For cleaning and disinfection details, see the D006 NucleOSS surgical instruments manual.

Sterilisation cycle recommended by the manufacturer
Parameter	Value
Method	Moist heat sterilisation according to ISO 17665:2024
Cycle	Pre-vacuum
Temperature	134°C / 273.2°F
Exposure time	3 minutes
Pressure	2.2 bar
Pre-vacuum	3 times < 60 mbar
Minimum drying time	60 minutes in the enclosed chamber

After sterilisation, store the instruments in a dry, dark place such as a closed cupboard or drawer.

T6 Torq surgical manual