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ImplantDrivers and Driver Tips


for Single-Torque Wrenches
Elizabeth J. Fleming, DDS,
Clinical Director, Dentaltown Magazine

Since I don’t surgically place implants on


my patients, I work with a periodontist or an
oral surgeon who will give me the specifics
about the implants they place, enabling
me to prepare to restore them. Using this
information, I can order the implant parts
ahead of time, and have the torque wrenches
and drivers on hand. I have an arsenal of
parts for the various implant systems.
Could you tell which driver would be
needed by having this information and
viewing your assortment? If not, here is a
handy guide.
48 AUGUST 2015 // dentaltown.com
prosthodontics
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Abutment Driver Tips

.048” (1.22mm) Hex ITI Driver • ITI Driver Long .08” (2.03mm) Female Hex
.048” (1.22mm) Hex Long “ITI” Driver for Straumann SCS For NobelBiocare, 31
For NobelBiocare, 31, Friadent, Keystone,
MegaGen, Hiossen

LOC Triangle Driver TG Driver


LOC Triangle Driver Long For 31 TG Abutment, Straumann SCS
.05” (1.25mm) Hex For Locator™ Abutment
.05” (1.25mm) Hex Long
For Zimmer, Astra, BioHorizons, Intra-Lock,
MIS,SteriOss,Sybron,ImplantDirect,PerioSeal
© 2015 Salvin.
Reprinted with permission.
.07” (1.7mm) Hex
For Paragon TSI Abutment

PROC Driver • PROC Driver Long


“Star” Driver for NobelBiocare Active & Unigrip
Screw, Neoss

Screw Driver • Screw Driver Long


Flat-Blade Screwdriver

.035” (0.9mm) Hex


.035” (0.9mm) Hex Long
For NobelBiocare, 31, Keystone, BioHorizons,
Friadent, PerioSeal

.05” (1.25mm) Square


.05” (1.25mm) Square Long
For Keystone, 31

dentaltown.com \\ AUGUST 2015 49


prosthodontics
feature

If you place implants on your patients, likely you work with a few different implant systems and are familiar with the components.
For those of us who are just restorative dentists, remembering which driver and the corresponding torque value needed to restore the
various implant systems can be a challenge. To help, here is a comprehensive torque value chart from Genieoss.

Abutment Screw Torque and Driver


Manufacturer Torque N-cm Driver
15 20 24 25 30 35 45 Titanium Screw Gold Screw
Atlantis™ titanium and zirconia abutments utilize the same torque and driver setting as the original implant manufacturer
Astra 3.0 X             0.050”- 1.25mm hex  
Astra 3.5-4.0   X           0.050”- 1.25mm hex  
Astra 4.5-5.0       X       0.050”- 1.25mm hex  
Astra EV 3.0, 3.6, 4.2, 4.8, 5.4       X       0.050”- 1.25mm hex  
BioHorizons External, Internal, Internal Tapered
®
        X     0.050”- 1.25mm hex  
Biomet 3i™ External Hex           X   0.048" hex Square
Biomet 3i™ Certain * ®
  X           0.048" hex  
BlueSkyBio One Stage         X     Star & 0.048" hex  
BlueSkyBio Trilobe         X     Unigrip & 0.048" hex  
BlueSkyBio Internal Hex & Molar         X     0.050" hex  
BlueSkyBio Conus 12 & Three         X     0.050" hex  
BlueSkyBio Max         X     0.048" hex  
BlueSkyBio Quatro         X     0.048" hex  
Brånemark (Nobel Biocare)           X   Unigrip Square
Camlog™ & Conelog®   X           0.050”- 1.25mm hex  
Dentium Super Line & Implantium         X     1.28mm hex  
Dentsply Friadent/Frialit & Xive     X         0.048" hex  
Dentsply Ankylos C/X ®
X             1mm hex  
Glidewell iNCLUSiVE® Tapered 3.7, 4.7, 5.2           X   0.050"- 1.25mm hex  
Hiossen/Osstem HG mini (3.5)   X           1.2mm hex  
Hiossen/Osstem HG standard (4.0, 4.5, 5.0)         X     1.2mm hex  
Imtec 3M Endure™
®
          X   0.050”- 1.25mm hex  
Implant Direct™         X     0.050"-1.25mm hex  
Keystone/Lifecore Genesis* &  Prima™ *         X     Square  
Keystone/Lifecore Renova®         X     0.048" hex  
Keystone/Lifecore Restore®         X     0.048" hex Square
Mega'Gen EZ Plus           X   0.048" hex  
Mega'Gen Rescue             X 0.048" hex  
Mega'Gen ExFeel internal (3.5)       X       1.2mm hex  
Mega'Gen ExFeel internal  (4.1, 4.8, 5.5)           X   1.2mm hex  
Mega'Gen ExFeel external (3.3)       X       1.2mm hex  
Mega'Gen ExFeel external (3.75, 4.0,4.5, 5.0, 5.5)           X   1.2mm hex  
MIS Biocom & Seven
®
        X     0.050"-1.25mm hex  
Unigrip (not compatible
Neoss         X      
with Nobel)
NobelActive™ & Replace™           X   Unigrip  

50 AUGUST 2015 // dentaltown.com


prosthodontics
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Manufacturer Torque N-cm Driver


15 20 24 25 30 35 45 Titanium Screw Gold Screw
NobelActive™ 3.0 X             Unigrip  
OCO Biomedical         X     0.050"-1.25mm hex  
Square &
Southern Implant External           32   0.048" hex Unigrip
Southern Implant Tri Nex           32   Unigrip  
Southern Implant Octa           32   Star/Torx  
Straumann® Bone & Tissue Level           X   Star/Torx  
Sybron Pitt Easy       X       1.7mm hex  
Thommen SPI 3.5 ®
X             Four lobe  
Thommen SPI 4.0, 4.5, 5.0, 6.0
®
      X       Four lobe  
Thommen SPI zirconia abutment
®
  X           Four lobe  
Zimmer®         X     0.050”- 1.25mm hex  

* Biomet 3i™ Certain® screws are gold plated only. Keystone Genesis and Prima™ abutment screws are
made of titanium and have a titanium
nitride coating.
© 2010 genieoss.com. Reprinted with permission.

FREE FACTS, circle 21 on card

dentaltown.com \\ AUGUST 2015 51

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