r4 Manuale Isykone Eng

ISY KONE
MANUAL
IMPLANT LINE
ISY KONE
GUIDELINES FOR THE USE

OF ISY KONE
IMPLANT SYSTEM
visit btk.dental FOLLOW US ON

IMPORTANT NOTE
For latest updates and information, visit www.btk.dental
This manual provides dental practitioners and related specialists

with general information regarding the use of ISY KONE dental implant systems.
For detailed information on other specific implant lines and their restorative procedures,
please refer to the corresponding manuals, specific literature or refer to the BTK website.
Consider to regularly visit practical courses for updates and professional exchange
with dedicated colleagues in order to ensure your long-term success with implant-borne den-
tal restorations.
© 2020 BTK - the smile system.

ISY KONE
ONE BONE-LEVEL IMPLANT:
ALL PROSTHETIC OPTIONS
INDEX
1. CORPORATE BACKGROUND 6
2. IMPLANT SELECTION 8
3. IMPLANT CHARACTERISTICS 10
4. IMPLANT PORTFOLIO 12
5. IMPLANT INSERTION PROCEDURE 14
6. SURGICAL KIT, TORQUE WRENCH AND DRILLS 16
7. SURGICAL PROTOCOLS 22
8. ADDITIONAL INSTRUMENTS 20
9. MORSE TAPER MTH KN/KR 26
10. INTERNAL HEXAGON INT IR/IW 30
11. EXTERNAL HEXAGON EXT EN/ER 35
12. OVERDENTURE 40
13. MATERIAL SPECIFICATIONS 42
14. LABELS SYMBOLS 44
15. DELIVERY TERMS AND CONDITIONS 45
4 ISY KONE MANUAL

ISY KONE MANUAL 5
1.CORPORATE BACKGROUND
CORPORATE BACKGROUND
Privately held BTK BIOTEC was founded in 1998 in order to improve the quality of life of people
with missing teeth.
BTK is a dedicated supporter of the genuine “100% Made in Italy” label, because with this it is
guaranteed that BTK products are of unmatcheable Italian craftsmanship and premium quality
materials offering dedicated specialization and ample differentiation.
BTK Headquarters - NORTH ITALY
Implanting Trust,
Smile again!
By combining cutting-edge technologies and biology, BTK’s mission is to offer affordable and
personalized implant-borne solutions thereby sustainably improving the daily life of dental patients.
Together with leading professionals, BTK strives to become a reference in replacing

missing teeth with trusted implant solutions in order to improve oral health
around the globe.
6 ISY KONE MANUAL

CORPORATE BACKGROUND
Ti
PREMIUM QUALITY ENDOSSEOUS IMPLANT-ABUTMENT
MATERIALS SURFACE DAE CONNECTION
Grade 4 commercially pure titanium Clinical trials confirm that roughened The precision of the connection between
(ASTM F 67 / ISO 5832-2) is BTK’s material endosseous surfaces perform better than implant and abutment creating a tight
of choice for dental implants. Grade 4 is machined surfaces concerning endosseous seal may be beneficial in preventing
slightly harder to work, but it provides wound healing, “de novo” bone formation inflammatory bacteria propagating in the
the highest strength and durability and reduced time-to-loading. interface between different components.
characteristics among the commercially
pure titanium grades, making it the natural Our DAE (dual- acid-etched) process aims Apart from that, extremely tight
choice for BTK dental implants. to obtain a moderately rough surface with tolerances as applied by BTK help to avoid
a controlled micro-roughness. micromovements.
Grade 5 titanium (ASTM F 136 / ISO 5832- Providing precision in every part produced
3) is used for BTK’s prosthetic components, is one of our key contributions ensuring
as these are subject to certain levels of longterm restorative success.
stress and in the MINI line implants.
This high-strength version, also known as
Ti-6Al-4V, is widely used in orthopedics
and shows excellent long-term physical
and mechanical properties.
RESTORATIVE MADE IN ITALY,

OPTIONS USED GLOBALLY
The purpose of dental implant therapy, now widely used in We constantly ensure that the quality of our products and services
dentistry, is to replace lost dental elements with biocompatible meet the high expectations of our customers and their patients.
titanium implants, in order to obtain a new and correct occlusion, Specialized professionals are taking care to offer comprehensive
using prostheses on implants. solutions in applied research, engineering, education and related
activities.
In order to achieve this goal, BTK offers a focused portfolio
of restorative solutions backed-up by comprehensive clinical Our brand is a solid promise of quality, we are certified UNI EN
experience. BTK offers a variety of prostheses components to ISO 9001, UNI EN ISO 13485 and MDD 93/42/EEC and subsequent
satisfy the clinical preferences and needs of the patients. amendements and additions, and is therefore authorized to apply
the CE Mark on its products.
ISY KONE MANUAL 7

2. IMPLANT SELECTION
IMPLANT
PORTFOLIO
BTK is dedicated to offer comprehensive implant solutions to meet the requirements of individual
clinical situations, user preferences and economic constraints.
Different designs, sizes, diameters, surfaces and abutment connections are available,
while at the same time BTK strives to maintain a small number of precision-instruments
thus simplifying procedures and limiting investments needed.
SELECTION OF THE IMPLANTS

ON THE BASIS OF BONE DENSITY
AND OF THE DRILLING PROTOCOL
IMPLANT DESIGN
PARALLEL BT KLASSIC
ISY KONE
DRILLING
PROTOCOL ISY+ / BT SAFE / BT NANO
TAPERED BT KONIC
IV III II I
BONE DENSITY
8 ISY KONE MANUAL

CHARACTERIZATION OF BTK
IMPLANT-ABUTMENT CONNECTIONS
MORSE-TAPER (MTH/MTD) INTERNAL HEXAGON (INT) EXTERNAL HEXAGON (EXT)
BTK’s morse-taper hexagon BTK’s internal hexagon connection BTK’s external hexagon connection
connection comprises a 2.6 mm comprises a parallel hexagon of 2 mm comprises a parallel hexagon at 0.7 mm
conical portion at 11° above a hexagon length opening with a small conical portion height and a 90° shoulder to allow a flat-to-
configuration combined with a M1.4 (KN), combined with a M1.8 abutment screw to flat margin fit to the implant. Abutments are
M1.6 (KR/DR) or M1.8 (KW) abutment deliver adequate pre-load with a minimum connected to the implant using a M1.8 (EN)
screw to deliver adequate pre-load with a of tightening. or M2.0 (ER/EW) abutment screw.
minimum of tightening.
The internal hexagon has two functions: The abutment screw plays a central role
Implants with a tapered interface can resist to transfer the torque momentum during for the mechanical, long-term strength and
larger axial and transversal forces than implant placement and as an indexing fatigue resistance of the implant abutment
implants with a flat interface. system to transfer the precise 3D-position of connection. The requirements for such a
The design guides the abutment into a the implant to the master cast. screw are many, such as no loosening, long-
predictable location with a precise fit with term fatigue resistance, overload protection
the inner portion of the implant. Internal indexing systems have some and safe pick-up and handling ability.
advantages over external indexing systems
The precision of the conical connection with since they allow longer engaging surfaces Due to the fact that the abutment screw is
its tight seal may be beneficial in preventing while reducing the platform height of exposed to heavy dynamic loads, the precise
inflammatory bacteria from propagating in the implant. This offers somewhat more application of tightening torque force is
the interface between implant and abutment flexibility in designing the emergence profile essential.
and it helps to avoid micro-movements. of the final restoration.
MORSE-TAPER (MTH) INTERNAL HEXAGON (INT) EXTERNAL HEXAGON (EXT)
KN = KONIC NARROW EN = EXTERNAL NARROW

KR = KONIC REGULAR
IR = INTERNAL REGULAR ER = EXTERNAL REGULAR
DR = DODECAGON REGULAR
IM = INTERNAL MEDIUM
KW = KONIC WIDE IW = INTERNAL WIDE EW = EXTERNAL WIDE
NOTE that different BTK implants require different types of prosthetic platforms using corresponding abbreviations according to their sizes. For more
details, refer to the corresponding BTK implant lines documentation.
ISY KONE MANUAL 9

3. IMPLANT CHARACTERISTICS
3 DIFFERENT CONNECTIONS
SMOOTH,
BACK-TAPERED
NECK ZONE
MICRO-THREADED
CRESTAL ZONE
SINGLE-LEAD SQUARE
THREAD WITH 0,9 MM PITCH
TAPERED BODY
CP TITANIUM
GRADE 4
DAE TEXTURED
SURFACE
ROUNDED-OFF
“APEX”
10 ISY KONE MANUAL

IMPLANT CHARACTERISTICS
ONE ENDOSSEUS DESIGN:
ALL RESTORATIVE OPTIONS
ISY KONE implants are indicated for single or multiple unit restorations in splinted or non-splinted applications.
They are suitable for two-stage or single-stage healing combined with immediate, early or delayed loading
protocols if sufficient primary stability and appropriate loading is ensured.
Restorations range from removable / fixed single crowns to partial / full dental arch restorations or
overdenture applications to restore the masticatory function and appropriate aesthetics.
The key feature of the ISY KONE concept comprises a standardized endosseous screw-type implant body
combined with tree different prosthetic connections offering maximum versatility based on a single implant
thread type and a corresponding surgical kit.
MORSE-TAPER INTERNAL HEXAGON EXTERNAL HEXAGON
IDENTICAL ENDOSSEOUS
DESIGN
IMPLANT
CHARACTERISTICS
This bone-level, root-shaped and self-tapping implant offers a back-tapered, micro-threaded smooth neck portion of
0,8-1,15 mm and is well suitable for most indications. ISY KONE is placed at bone level and offers both, healing modes.
The single-lead square thread pitch on ISY KONE measures 0,9 mm for all diameters including Ø 2.9 mm / Ø 3.3 mm /
Ø 3.7 mm / Ø 4.1 mm / Ø 4.8 mm / Ø 6 mm.
ISY KONE is a highly versatile type of implant line as it offers three different abutment connections either
external (EXT) or internal (INT) hexagon, or as a third option the well-proven 11° (MTH) hexagon having regular
(KR) and narrow (KN) corresponding prosthetic components. It shares the surgical kit with BT SAFE, BT NANO and ISY+.
ISY KONE MANUAL 11

4. IMPLANT PORTFOLIO
PORTFOLIO ISY KONE

MORSE-TAPER implant length in mm B
CONNECTION APEX TIP
KR - KN mm /
8 10 12 14 16 18 mm
A
D
KONIC REGULAR KR (konic regular)
(KR) C M1.6 occlusal thread / prosthetic platform Ø 2.8 mm / smooth neck portion 0.95 mm
3,3 129KR33J 129KR33L 129KR33N 129KR33Q - - 2.0

3,7 129KR37J 129KR37L 129KR37N 129KR37Q 129KR37S 129KR37T 2.4
4,1 129KR41J 129KR41L 129KR41N 129KR41Q 129KR41S 129KR41T 2.7
4,8 129KR48J 129KR48L 129KR48N 129KR48Q - - 3.3
6 129KR60J 129KR60L - - - - 4.3
KONIC NARROW KN (konic narrow)
(KN) C M1.6 occlusal thread / prosthetic platform Ø 2.8 mm / smooth neck portion 0.5 mm
2,9 129KN29J 129KN29L 129KN29N 129KN29Q - - 1.7
INTERNAL implant length in mm B

HEXAGON APEX TIP
CONNECTION mm
IR / IW 8 10 12 14 16 / mm
A D
INTERNAL IR (internal regular)
HEXAGON (IR) C M1.8 occlusal thread / prosthetic platform Ø 3.5 mm / smooth neck portion 0.95 mm
3,3 129IR33J 129IR33L 129IR33N 129IR33Q - 2.0
3,7 129IR37J 129IR37L 129IR37N 129IR37Q 129IR37S 2.4
4,1 129IR41J 129IR41L 129IR41N 129IR41Q 129IR41S 2.7
4,8 129IR48J 129IR48L 129IR48N 129IR48Q - 3.3
INTERNAL IW (internal wide)
HEXAGON (IW) C M1.8 occlusal thread / prosthetic platform Ø 5.0 mm / smooth neck portion 0.95 mm
4,8 129IW48J 129IW48L 129IW48N 129IW48Q - 3.3
EXTERNAL implant length in mm B

HEXAGON APEX TIP
CONNECTION mm
EN / ER 8 10 12 14 16 18 / mm
A D
EXTERNAL EN (external narrow)
HEXAGON (EN) C M1.8 occlusal thread / prosthetic platform Ø 3.4 mm / smooth neck portion 0.8 mm
3,3 131EN33J 131EN33L 131EN33N 131EN33Q - - 2.0
EXTERNAL ER (external regular)

M2.0 occlusal thread / prosthetic platform Ø 4.1 mm / smooth neck portion
HEXAGON (ER) C
1.15 mm (Ø 3.7) 0.8 mm (Ø 4.1 / Ø 4.8)
3,7 131ER37J 131ER37L 131ER37N 131ER37Q 131ER37S 131ER37T 2.4

4,1 131ER41J 131ER41L 131ER41N 131ER41Q 131ER41S 131ER41T 2.7
4,8 131ER48J 131ER48L 131ER48N 131ER48Q - - 3.3
12 ISY KONE MANUAL

MORSE-TAPER INTERNAL HEXAGON EXTERNAL HEXAGON
CONNECTION KR/KN CONNECTION IR / IW CONNECTION EN / ER
C
C C
A A A
B B B
D D D
The color codes applied for different implant diameters and prosthetic platforms are indicated below:
RED PURPLE WHITE BLUE YELLOW GREEN
IMPLANT DIAMETER Ø 2,9 3,3 3,7 4,1 4,8 6
PROSTHETIC PLATFORM MTH KN KR KR KR KR KR
PROSTHETIC PLATFORM INT IR IR IR IR/IW
PROSTHETIC PLATFORM EXT EN ER ER ER
ISY KONE MANUAL 13

5. IMPLANT INSERTION PROCEDURE
HANDLING OF STERILE
IMPLANT PACKAGING
CAUTION
The sealed package of the medical device (MD) must be opened in a surgically suitable environment.
The removal of the implant and of the cover screw, if provided, must be carried out using sterilized instruments, avoiding any contact with non-sterile surfaces.
The sterility of the medical device is only guaranteed if the following conditions are met:
the expiry date stated on the packaging is still valid; there is a red dot on the sterile vial that signals the successful operation of gamma ray irradiation; the sealed package has
not been opened and does not show damage or perforations.If only one of the aforementioned conditions is not respected, the device must not be used.
The device is disposable; the reuse can compromise the safety features of the device making it inappropriate for its intended use. BIOTEC explicitly declares that the MD is for
single use and assumes no responsibility for any re-use by users.
1 2 3
BTK dental implants are supplied sterile in a Open the blister from the back by breaking the The top lid of the vial is protected by the seal
double-vial package. The implant diameter, outer label, and take out the vial. label. The color of the seal label identifies the
length and lot are shown on the label located in diameter of the implant. To facilitate compliance
the vial containing the implant and in the outer with the traceability requirement of the medical
label on the back of the packaging. device, there are two detachable patient-labels
in the vial. One must be stuck onto the patient’s
medical record and one onto the patient’s
implant passport.
4 5 6
Open the external vial and withdraw the internal Remove the safety cap of the sterile inner vial, Some implant lines are supplied with mounting
vial containing the implant in a surgically suitable which always includes the sterile closure screw. device connected to the implant, other lines are
environment. The internal vial must be handled WARNING The internal vial consists of 3 parts. supplied without.
with sterile gloves. The cover screw (locking screw), if provided, is Depending on the different configuration, use
placed in the vial cap. the appropriate instrument for the implant
Hold the vial upright to prevent the devices from withdrawal from the vial and for the insertion
leaking out. of the same in the previously prepared implant
Unscrew the central part of the vial, to access site.
the implant. The BTK dental implants can be positioned
manually with the Reversible Torque Wrench
or they can be inserted using the contra-
angle handpiece. A range of 15 - 25 rpm is
recommended for implant insertion and not to
exceed the maximum torque indicated by BTK.
14 ISY KONE MANUAL

IMPLANT
INSERTION
If a (partial / complete) tapping has been performed before implant insertion, the
implant should be placed carefully on the implant site by performing a counterclockwise
half rotation to engage the implant with the prepared thread.
After inserting into the thread, the implant can be guided in its final position clockwise,
making sure that the implant is inserted at the desired depth and that the connection
is intact.
WARNING The “implant driver” insertion drivers for the Morse-taper hexagon implant
connection must be removed with delicate off-axis movements before removing them.
Insert the implant slowly in the previously prepared site.

A range of 15-25 rpm is recommended. During insertion, do not exceed the maximum
torque values indicated below:
• implant ≤ Ø 3,7 mm:

Insertion torque max. 35 - 45 Ncm
• implant > Ø 3,7 mm:

Insertion torque max. 45 - 65 Ncm
In the cap of the internal vial there is, for each implant family, the corresponding cover
screw (locking screw), sterile and ready for use.
Use sterile saline solution to carefully clean the implant connection from any organic
residues. Therefore, make sure that it is clean and dry, before placing the cover screw
(locking screw) or any prosthetic components that have been decided to be connect to
the implant.
The cover screw is the chosen solution for the closed healing mode. To remove it more
easily at the end of the healing period, a small amount of sterile vaseline or sterile
chlorhexidine gel can be applied to the thread of the cover screw or healing cap
before tightening it manually (5-8 Ncm) on the BTK implant, using a driver with a hex
connection.
It is advisable to perform a postoperative x-ray check.
ISY KONE MANUAL 15

6. SURGICAL KIT, TORQUE WRENCH AND DRILLS
SURGICAL KIT
624NA001
The Surgical KIT 624NA001

contains all the tools necessary
for the application of the
ISY KONE – BT SAFE – BT NANO – ISY+
implants.
16 ISY KONE MANUAL

SIMPLICITY
REDEFINED
ONE KIT
The surgical tray is used for the secure storage and
sterilization of surgical and auxiliary instruments.
The surgical tray is made of a highly shock-proof

thermoplastic, which is well established in medical
applications and the material is suitable for frequent
sterilization in the autoclave.
General guidelines for the cleaning and sterilization
are given in the corresponding GENERAL SURGICAL
GUIDELINES (Ref. 06200117).
ISY KONE MANUAL 17

INSTRUMENTS KIT CODE 624NA001
1 2 3
8 9
10
12
11
1
GUIDE SHAFT
502MA002 Ø 2.5 mm
2
1 6 ANGLED WRENCH 30°
502MA003 HEX 3.10
2
7
3
3 DEPTH GAUGE
8 540MA011 Ø 1.8 mm L108 mm 30°
4
4
5 9
SURGICAL GUIDE BT4
502MA006 (PIN Ø2.5mm)
5
TORQUE WRENCH JD,
REVERSIBLE
18 ISY KONE MANUAL 501JD003 90 Ncm
6 10
1
TAPS ISY KONE SCREWDRIVER JD
SHARP LANCE DRILL
467HR290 Ø 2,9 mm L36 mm 530JD012 HEX 0.90 L15 mm

401HR202 Ø 2 mm L33 mm
2 467HR330 Ø 3,3 mm L36 mm

530JD005 HEX 1.20 L15 mm
TWIST DRILL
467HR370 Ø 3,7 mm L36 mm
11
426HR200 Ø 2 mm L36.5 mm MANUAL WRENCH - JD
467HR410 Ø 4,1 mm L36 mm
3
DRILLS 530JD033 ISO/HEX3.10-JD L10mm
467HR480 Ø 4,8 mm L36 mm
12
426HR250 Ø 2,5 mm L36.5 mm DRILL STOP
467HR600 Ø 6 mm L36 mm
TAPS BT SAFE
426HR310 Ø 2,75 - 3,10 mm L36.5 mm 518NA505 H5 mm Snap Fit
466HR330 Ø 3.3 mm L31 mm

466HR370 Ø 3.7 mm L31 mm

466HR410 Ø 4.1 mm L31 mm
426HR420 Ø 4.2 - 3.7 mm L36.8 mm 518NA510 H10 mm Snap Fit

466HR480 Ø 4.8 mm L31 mm
426HR455 Ø 4.55 - 4 mm L36.8 mm

518NA512 H12 mm Snap Fit
466HR600 Ø 6 mm L31 mm
426HR540 Ø 5.4 - 4.7 mm L36.8 mm 7

IMPLANT DRIVER 518NA514 H14 mm Snap Fit
426HR570 Ø 5.7 - 4.95 mm L36.8 mm 530HL003 KN (REGULAR) L33 mm
530HS013 KR (SHORT) L23 mm 518NA516 H16 mm Snap Fit

4
COUNTERSINK
ISY KONE INT-EXT 530HL001 KR (REGULAR) L33 mm
6
BONE PROFILER HS (BT4) 530HS014 KW (SHORT) L23 mm
435HS430 Ø 4.3 mm L25 mm 434HS330 L31 mm
Ø 3.3 mm (INT)
Ø 3.7 mm (INT/EXT) 530HL002 KW (REGULAR) L=33 mm 518NA706 H6 mm Snap Fit
7
SCREWDRIVER JD (BT4) 530HS022 IR-IW (SHORT) L25 mm
530JD021 HEX 2.0 L10 mm 434HS480 L31 mm 518NA708 H8 mm Snap Fit
530JD014 HEX1.20 L15mm Slim Shank Ø 4.8 mm (INT) 530HL005 IR-IW (REGULAR) L35 mm
5 518NA710 H10 mm Snap Fit

8 530HS023 DR (SHORT) L25mm
PARALLELISM PIN (BT4) PARALLELISM PIN/

DEPTH GAUGE 530HL006 DR (REGULAR) L35 mm
540MA007 M1.4 L26mm
8
9 540MA014 Ø 2-2,5 mm DRILLS EXTENSION
L36 mm 2 pcs
BONE PROFILER GUIDE
435EN001 EN 520HS003 L28 mm 518NA714 H14 mm Snap Fit
435ER001 ER 9
540MA019 Ø 2-2,5 mm
435IR001 IR L26 mm 2 pcs RETENTIVE WRENCH
435KR001 KR
435KW001 KW 530HS017 HEX 3.10
CHARACTERISTICS
OF SURGICAL DRILLS
• All drills and screw taps are made of stainless steel.
• All drills and screw taps are supplied in non-sterile single packs or in kit not sterile.
Please refer to the recommendations on cleansing and sterilization indicated by BTK.
• Drills and screw taps must be replaced after a maximum of 20 uses.
The effectiveness decreases after 5/6 applications already.
• All drills and screw taps have depth markings made with laser technique.
• The length relative to the corresponding black strip, realized with laser technique,
it is always the lower or upper end of the strip.
• The black strips correspond to the length of the selected implant.
However, to increase security, the drill stops can be used during site preparation.
• All drills report their diameter and the relevant reference code on the stem.
• All final drills allow you to apply suitable drill stops.
• In case the length of the drills is insufficient, there is the possibility to connect them
to the “Drill Extension” tool. ISO CONNECTION
Contra-angle dental
SURGICAL STANDARDS handpiece
For successful osseointegration, a precise, not traumatic surgical technique

is required, which safeguards the soft tissues and accurately prepares the
implant site without overheating the bone.
DRILL IDENTIFICATION
Diameter and product
Before starting the surgical procedure and during the same procedure the
reference number
following points must be taken into account:
• Check that all the necessary tools are available and fully functional.
It is recommended to always keep an adequate supply of sterile
implants and instruments. STAINLESS STEEL
• Do not use cutting tools more than 20 times.
Make sure that the drills are sharp before each use.
The effectiveness of a drill already decreases after 5/6 applications.
• Drilling must be carried out with sharp drills, intermittently at 500 - 600
rpm, always with abundant external irrigation with pre-cooled sterile
saline solution and avoiding excessive pressures.
• Do not exceed the speeds indicated by BTK for drills.
• Use the drills with diameters in ascending order.
• The drills can be placed in distilled / deionized water but should not RETENTION COLLAR BLACK LASER STRIPS
be placed in saline or Ringer’s solution during surgery if they are used Drill stop attachment Lenght identification
for more than one preparation.
NOTE
• For implants with a length of 18 mm, the corresponding depth 16 mm
markings on drills are not provided such as the suitable drill stops are not
available. It is advisable to prepare the implant site taking into account
14 mm
that the length of the drill, from the tip and up to the retention collar, is
equal to 18.8 mm. It is responsibility of the clinician to evaluate based on
the clinical case, morphology and bone quality, as well as the inclination of 12 mm
the implant, how to prepare the implant site.
• For ISY KONE implants with a diameter of Ø 6 mm, the corresponding
10 mm
screw tap (ref 467HR600 Screw Tap HR Ø6.0mm L36mm Isy Kone) is not
included in the surgical kit (ref. 624NA001). This tool is OPTIONAL and
must be purchased separately if necessary. 8 mm
TOOL SPEED (RPM) 6 mm

LANCE DRILL 800 5 mm
TWIST DRILL (PILOT) Ø 2mm 800 MULTI-BLADE DESIGN
Guidance and chip removal
DRILL Ø<3.5mm 600
DRILL 3.5mm≤Ø≤4.5mm 500
DRILL Ø>4.5mm 400 OVERLENGHT
COUNTERSINK 300/400 Up to 1 mm longer
TAPS <15 than implant
20 ISY KONE MANUAL

REVERSIBLE TORQUE WRENCH
The Reversible Torque Wrench is a dismantable, multiple-use instrument that provides means of tightening
implants, abutments and screws. The lever arm integrated in the Reversible Torque Wrench is pushed away from
the main body to the desired torque value. A torque value indicator is mounted at 90° in relation to the lever arm
and indicates different value marks.
NOTE
Before the first and each following use, the Reversible Torque Wrench should be dismantled, cleaned, disinfected and sterilized
in accordance with the instructions for use.
To dismantle the torque wrench for cleaning procedure, unscrew the wheel
and then remove the inner bar where the spring is assembled.
APPLYING THE CORRECT TORQUE VALUE

In order to achieve the desired torque value, apply the force only to the lever-arm
to the desired value mark. The following marks are indicated: 15, 25, 35, 50,
70 and 90 Ncm. Make sure that the arrow of the inversion device is matching to
the lever-arm direction.
HOW TO CHANGE DIRECTIONS

1
With this type of Reversible Torque Wrench, one is able to change directions
by simply pulling (1) and turning (2) the inversion device 180° in the desired
direction.
2
This is done without removing the Reversible Torque Wrench from the attached
driver in order to avoid additional manipulations and to save time.
3 The grey arrow on the inversion device always indicates in which direction the
force is applied (3). This design was chosen to avoid additional manipulation,
reduce potential sources of error while helping to save time.
DEVICE MATERIAL TIGHTENING TORQUE

Cover screw Titanium GR5 from 5 to 8 Ncm (hand tight)
Healing abutment Titanium GR5 from 5 to 8 Ncm (hand tight)
Impression Post screw, tightening to implant or implant replica Titanium GR5 from 5 to 8 Ncm (hand tight)
Retentive screw, tightening Scan Abutment Titanium GR5 from 5 to 8 Ncm (hand tight)
Retentive screw, temporary tightening (abutment to implant) Titanium GR5 from 15 to 20 Ncm
Retentive screw, final tightening (abutment to implant) Titanium GR5 from 25 to 30 Ncm
Straight abutment M.U.A. Titanium GR5 from 25 to 30 Ncm
Retentive screw, tightening angled abutment M.U.A. Titanium GR5 from 20 to 25 Ncm
Retentive screw, prosthesis to abutment M.U.A. - suprastructures Titanium GR5 10 Ncm
Connector abutment to implant Titanium GR5 from 20 to 25 Ncm
ISY KONE MANUAL 21

SURGICAL PROTOCOLS
DRILLS TAPS (D1-D2)* COUNTERSINKS
(D1-D2)*
Twist drill (Pilot) Ø 2,00 426HR200 ***
Ø3,3/ Ø3,7 434HS330

Ø2,9 467HR290
Ø3,3 467HR330
Ø3,7 467HR370
Ø4,1 467HR410
Ø4,8 467HR480
Ø4,8 434HS480
Twist drill Ø 3,45 426HR345


Ø6 467HR600
Lance drill 401HR202 ***
IMPLANT
Countersink
Countersink
Screw tap
Screw tap
Screw tap
Screw tap
Screw tap
Screw tap
D1 D2 D1 D2 D1 D2 D1 D2 D1 D2 D1 D2 D1 D2 D1 D2
8mm - -
10mm - -
2,9
12mm 1° ** 1° ** (IR only)
14mm 1° ** 1° **
8mm 1° -
10mm 1° -
3,3
12mm 1° 1° (IR only)
14mm 1° 1°
8mm 1° -
10mm 1° -
12mm 1° 1°
3,7 (IR and
14mm 1° 1° ER)
16mm 2° 1°
18mm 2° 1°
8mm 1° 1°
10mm 2° 1°
12mm 3° 2°
4,1
14mm 3° 2°
16mm 3° 3°
18mm 3° 3°
8mm 1° 1°
10mm 2° 1°
4,8
12mm 3° 2° (only IW)
14mm 3° 2°
8mm 1° 1°
6
10mm 1° 1°
Always 1° 2° 3° 4° 5°
Only in presence of D1 bone

Only in presence of D2 and D3 bone
** No Screw taps and Countersinks are necessary for D3 and D4

** Screw taps should be used when the standard protocol is not sufficient to insert completely the implant without oltrepassing the maximum insertion
torque recommended (max 45 Ncm) and it is a choice that must be evaluated by the clinician after a careful analisys
*** This tool is included in the surgical kit ref, 624NA001
NOTE: ISY KONE 2.9 is not suggested for D4 bone
N.B.
The above procedures should be considered indicative; it is responsibility of the clinician to evaluate potential variations of the procedure on the
basis of individual case and bone density.
Due to the presence of cutting edges on drills, it is strongly recommended the use of the stop in order to avoid excessive depth of drilling that
could compromise vital structures.
22 ISY KONE MANUAL

ISY KONE MANUAL 23
8. ADDITIONAL INSTRUMENTS
ADDITIONAL INSTRUMENTS
Optional instrumentation dedicated to the correct management of the surgical procedure.
PICTURE REF PRODUCT NAME SPECIFICATION

INITIAL PREPARATION
401HS200 Round Drill HS Ø2mm L30mm
401HS201 Lance Drill HS Ø2mm L30mm
401HR200 Round Drill HR Ø2mm L35mm
401HR201 Lance Drill HR Ø2mm L35mm
DRILLS, LENGHT 32.5-32.8 mm (SHORT)

426HS200 Twist Drill HS Ø2mm L32.5mm
426HS250 Twist Drill HS Ø2.5mm L32.5mm
426HS270 Twist Drill HS Ø2.7mm L32.5mm
426HS310 Twist Step Drill HS Ø3.1-2.75mm L32.5mm
426HS455 Twist Step Drill HS Ø4.55-4mm L32.8mm
DRILL STOPS (SNAP-FIT) Ø5 FOR SHORT DRILLS ≤ Ø3.45 mm
690NA258 Stop Kit Ø5 S5-12mm BT Safe

Isy Kone BT Nano
521NA505 Drill Stop H5mm Snap Fit Short
DRILL STOPS (SNAP-FIT) Ø7 FOR SHORT DRILLS ≤ Ø3.85 mm
690NA259 Stop Kit Ø7 S5-12mm BT Safe

Isy Kone BT Nano
24 ISY KONE MANUAL

DRILL STOPS (SNAP-FIT) Ø5 FOR REGULAR DRILLS ≤ Ø3.45 mm
690NA256 Stop Kit Ø5 R5-16mm BT Safe

Isy Kone BT Nano
DRILL STOPS (SNAP-FIT) Ø7 FOR REGULAR DRILLS ≤ Ø3.85 mm
690NA257 Stop Kit Ø7 R5-16mm BT Safe

Isy Kone BT Nano
TAP DRIVERS FOR MANUAL USE COMPATIBLE WITH REVERSIBLE TORQUE WRENCH (JD)
530JD031 Adapter Connection ISO/HEX3.10-JD L35mm
530JD032 Adapter Connection ISO/HEX3.10-JD L7.5mm
530JD034 Adapter Connection ISO/HEX3.10-JD L15mm
HANDPIECE DRIVER
530HS002 Handpiece Driver HEX0.90 L25mm
HEX DRIVERS FOR MANUAL USE COMPATIBLE WITH REVERSIBLE TORQUE RATCHET (JD)
530JD003 Screwdriver JD HEX1.20 L5mm
INSTRUMENTS FOR BT4 METHOD
530HS012 Handpiece Driver HEX1.20 L30mm Reduced
ISY KONE MANUAL 25

MORSE-TAPER (MTH) KN/KR
HEALING & SOFT TISSUE CONDITIONING
KN KR PICTURE REF PRODUCT NAME SPECIFICATION

HEALING ABUTMENTS Ø 1.8 mm
201KR2A6 Healing Abutments KR H2mm Ø1.8mm
201KR3A5 Healing Abutments KR H3.5mm Ø1.8mm
201KN2A2 Healing Abutments KN H2mm Ø2.5mm
201KN3A2 Healing Abutments KN H3.5mm Ø2.5mm
MILLABLE HEALING ABUTMENTS
204KR0A0 Millable Healing Abutments KR H4mm Ø4.3mm
204KR0A2 Millable Healing Abutments KR H4mm Ø6mm
IMPRESSION TAKING

TRANSFER CON CAPPETTA
325KR0A0 Impression Post Pro KR Plastic cap
690NA073 Impression Post Screw M1.6 HEX1.20 H7.9mm
690NA091.10 Caps Kit Pro Ø5.1mm Kit 10pcs
IMPRESSION POST PROPICK-UP
323KN0A0 Impression Post Propick-Up KN HUtile21.5mm Long Screw
323KR0A0 Impression Post Propick-Up KR HUtile21.5mm Long Screw
323KR0A2 Impression Post Propick-Up KR HUtile16.5mm Short Screw
323KR0R0 Impression Post Propick-Up KR HUtile21.5mm Rotating Long Screw
323KR0R1 Impression Post Propick-Up KR HUtile16.5mm Rotating Short Screw
690NA071 Impression Post Pick-Up Screw M1.6 HEX1.20 H21.4mm
690NA072 Impression Post Pick-Up Screw M1.6 HEX1.20 H26.4mm
IMPLANT REPLICA
301KN0A0 Implant Replica KN
301KR0A0 Implant Replica KR
26 ISY KONE MANUAL

INTERIM RESTORATIONS

TEMPORARY ABUTMENTS
210KN1A0 Temporary Abutment KN
210KR1A0 Temporary Abutment KR
210KR1R0 Temporary Abutment KR Rotating
215KR0A0 Temporary Abutment KR Peek
690NA070 Retentive Screw M1.6 HEX1.20 H8.3mm
CEMENT-RETAINED PROSTHESIS

214KR4A0 Transfer Abutment KR H4mm Ø4.5mm
STRAIGHT AND ESTHETIC ABUTMENTS Ø 3.5 mm
220KR1A2 Straight Abutment KR H1mm Ø3.5mm
220KR3A0 Straight Abutment KR H3.5mm Ø3.5mm
219KN2A0 Esthetic Abutment KN H2mm Ø3.5mm
219KN3A0 Esthetic Abutment KN H3.5mm Ø3.5mm
219KN2A1 Esthetic Abutment KN H2mm Ø4.5mm
219KN3A1 Esthetic Abutment KN H3.5mm Ø4.5mm
219KR2A3 Esthetic Abutment KR H2mm Ø4.5mm
219KR3A3 Esthetic Abutment KR H3.5mm Ø4.5mm
ESTHETIC ABUTMENTS Ø 6.5 mm
ANGLED ABUTMENT 10°
220KN2C0 Angled Abutment KN 10° H2mm Ø3.5mm
220KN2C1 Angled Abutment KN 10° H2mm Ø4.5mm
220KN3C0 Angled Abutment KN 10° H3.5mm Ø3.5mm
220KN3C1 Angled Abutment KN 10° H3.5mm Ø4.5mm
220KR1C0 Angled Abutment KR 10° H1mm Ø3.5mm
220KR3C0 Angled Abutment KR 10° H3.5mm Ø3.5mm
220KR1E0 Angled Abutment KR 20° H1mm Ø3.5mm
220KR3E0 Angled Abutment KR 20° H3.5mm Ø3.5mm
220KR1G0 Angled Abutment KR 30° H1mm Ø3.5mm
220KR3G0 Angled Abutment KR 30° H3.5mm Ø3.5mm
ISY KONE MANUAL 27

SCREW-RETAINED / CEMENT-RETAINED PROSTHESIS

BT LINK
246KN1A0 BT Link KN H1mm Ø4.1mm
246KN1A2 BT Link KN H1mm Ø3.6mm
246KR1A0 BT Link KR H1mm Ø4.1mm
246KR1A1 BT Link KR H1mm Ø4.1mm Rotating
247KN1A0 Base BT Link KN H1mm Ø4.1mm no Cap.
247KN1A2 Base BT Link KN H1mm Ø3.6mm no Cap.
247KR1A0 Base BT Link KR H1mm Ø4.1mm no Cap.
247KR1A1 Base BT Link KR H1mm Ø4.1mm no Cap. Rot.
205NA001.05 Castable Plastic Abut. BT Link H1mm Ø4.7mm Kit 5pcs
690NA083 Retentive Screw M1.6 HEX1.20 H8.3mm TP
244KR0A0 SIR Link KR H0.8mm Ø4.1mm
248KR1A0 X3 Link KR H1mm Ø4.1mm Multi High
SCREWDRIVER JD BT GRIP
530JD036 Screwdriver JD BT GRIP HEX1.50 L15 mm (Short)
530JD037 Screwdriver JD BT GRIP HEX1.50 L30 mm (Long)
690NA239 Retentive Screw BT GRIP M1.6 HEX1.50
CAST-ON TECHNIQUE
240KN1A0 CoCr Abutment KN H1.5mm
245KR0A0 Gold Abutment KR H1mm
240KR1A0 CoCr Abutment KR H1.5mm
240KR1R0 CoCr Abutment KR H1.5mm Rotating
SCAN ABUTMENT
351KN1A0 Scan Abutment Extra-oral KN
351KR1A0 Scan Abutment Extra-oral KR
352KN1A0 Scan Abutment Intra-oral KN
352KR1A0 Scan Abutment Intra-oral KR
690NA083 Retentive Screw M1.6 HEX1.20 H8.3mm TP
28 ISY KONE MANUAL

SCREW-RETAINED PROSTHESIS
MORSE-TAPER (MTH) KN/KR

KR PICTURE REF PRODUCT NAME SPECIFICATION
BT4 STRAIGHT ABUTMENTS
265KR1R0 BT4 Straight Abutment KR Rotating H1mm
268KR1R0 BT4 Slim Straight Abutment KR Rotating H1mm
268KR2R0 BT4 Slim Straight Abutment KR Rotating H2mm
BT4 ANGLED ABUTMENTS
266KR2L0 BT4 Angled Abutment KR 17° H2mm Ø4.8mm
266KR4L0 BT4 Angled Abutment KR 17° H4mm Ø4.8mm
266KR3L0 BT4 Angled Abutment KR 17° H3mm Ø 4.8mm
266KR3G0 BT4 Angled Abutment KR 30° H3mm Ø 4.8mm
BT4 CAPS
690NA075 Retentive Screw BT4 M1.6 Angled Abutment KR
330NA0A0.04 Covering Caps BT4 H5 Kit 4pcs
330BU0A0.04 Covering Caps BT4 Slim H5 Kit 4pcs

690NA024 Retentive Screw M1.4 HEX1.20 10N
BT4 INTERIM RESTORATION
267NA0A0 BT4 Titanium Abutment
269BU0A0 BT4 Slim Titanium Abutment
207NA0A0 Castable Plastic Abutment BT4
207NA0A1 Castable Plastic Abutment BT4 no screw
207BU1R0 Castable Plastic Ab. BT4 slim
311NA0A0 Impression Post Pick-up BT4 with long Screw
311BU0A0 Impression Post Pick-up BT4 Slim with long Screw
690NA031 Impression Post Pick-Up Screw M1.4 HEX1.20 H17mm
303NA0A0 Abutment replica BT4
303BU0A0 Abutment replica BT4 Slim
BT4 SCAN ABUTMENT
351BT1A1 Scan Abutment Extra-oral BT Rotating
352BT1A1 Scan Abutment Intra-oral BT Rotating
351BU1A1 Scan Abutment Extra-oral BU Rotating (BT4 Slim)
352BU1A1 Scan Abutment Intra-oral BU Rotating (BT4 Slim)
BT4 BT LINK
246BT1A1 BT Link BT H1mm Ø4.8mm Rotating
247BT1A1 Base BT Link BT H1mm Ø4.8mm no Cap. Rot.
246BU1A1 BT Link BU H1mm Ø4.1mm Rotating
247BU1A1 Base BT Link BU H1mm Ø4.1mm no Cap. Rot.
CAST-ON TECHNIQUE
240BT1R0 Base CoCr BT H1.5mm Rotating
240BU1R0 Base CoCr BU H1.5mm Rotating
ISY KONE MANUAL 29

INTERNAL HEXAGON (INT) IR/IW
IR IW PICTURE REF PRODUCT NAME SPECIFICATION

HEALING ABUTMENTS
201IR2A0 Healing Abutment IR H2mm Ø4.5mm
201IW2A0 Healing Abutment IW H2mm Ø6mm
201IW5A0 Healing Abutment IW H5mm Ø5.5mm
30 ISY KONE MANUAL

IMPRESSION TAKING

IMPRESSION POST
320IR0A1 Impression Post IR Aluminium Cap
320IW0A1 Impression Post IW Aluminium Cap
690NA029 Impression Post Caps Aluminium Kit 3pcs
325IR0A0 Impression Post Pro IR Plastic Cap
325IW0A1 Impression Post Pro IW Plastic Cap

323IR0A0 Impression Post Propick-Up IR HUtile21.5mm Long screw
323IR0A1 Impression Post Propick-Up IR HUtile16.5mm Short screw
323IR0R0 Impression Post Propick-Up IR HUtile21.5mm Rotating Long screw
323IR0R1 Impression Post Propick-Up IR HUtile16.5mm Rotating Short screw
323IW0A0 Impression Post Propick-Up IW HUtile21.5mm Long screw
323IW0A1 Impression Post Propick-Up IW HUtile16.5mm Short screw
323IW0R0 Impression Post Propick-Up IW HUtile21.5mm Rotating Long screw
323IW0R1 Impression Post Propick-Up IW HUtile16.5mm Rotating Short screw
IMPLANT REPLICA
301IR0A1 Implant Replica IR
301IW0A1 Implant Replica IW

TEMPORARY ABUTMENTS
210IR2A0 Temporary Abutment IR
210IR2A1 Temporary Abutment IR Rotating
215IR2A0 Temporary Abutment IR Peek
210IW2A0 Temporary Abutment IW
210IW2R0 Temporary Abutment IW Rotating
215IW2A0 Temporary Abutment IW Peek
690NA012 Retentive Screw M1.8 HEX1.20
ISY KONE MANUAL 31


STRAIGHT ABUTMENTS
220IR0A0 Straight Abutment IR H0mm Ø4.5mm
220IW0A0 Straight Abutment IW H0mm Ø5.5mm
220IW4A0 Straight Abutment IW H4mm Ø6mm
ANGLED ABUTMENT
220IR2D0 Angled Abutment IR 15° H2mm
220IR4D0 Angled Abutment IR 15° H4mm
220IR2F0 Angled Abutment IR 25° H2mm
220IR4F0 Angled Abutment IR 25° H4mm
220IW2D0 Angled Abutment IW 15° H2mm
AESTHETIC ABUTMENTS
219IR0A0 Aesthetic Abutment IR
219IW0A0 Aesthetic Abutment IW
VLE14TIT Lingual Screw Esthetic Abut. M1.4 HEX0.9
32 ISY KONE MANUAL

INTERNAL HEXAGON (INT) IR/IW

BT LINK
246IR1A0 BT Link IR H1mm Ø4.1mm
246IR1A1 BT Link IR H1mm Ø4.1mm Rotating
247IR1A0 BT Link IR H1mm Ø4.1mm no Cap.
247IR1A1 BT Link IR H1mm Ø4.1mm no Cap. Rot.
205NA001.05 Castable Plastic Abut. BT Link H1mm Ø4.7mm Kit 5 pcs
246IW1A0 BT Link IW H1mm Ø5.6mm
246IW1A1 BT Link IW H1mm Ø5.6mm Rotating
247IW1A0 BT Link IW H1mm Ø5.6mm no Cap.
247IW1A1 BT Link IW H1mm Ø5.6mm no Cap. Rot.
CAST-ON TECHNIQUE
245IR1A0 Gold Abutment IR H1mm
245IR1R0 Gold Abutment IR H1mm Rotating
240IR1A0 CoCr Abutment IR H1.5mm
240IR1R0 CoCr Abutment IR H1.5mm Rotating
245IW1A0 Gold Abutment IW H1mm
245IW1R0 Gold Abutment IW H1mm Rotating
240IW1A0 CoCr Abutment IW H1.5mm
240IW1R0 CoCr Abutment IW H1.5mm Rotating
CASTABLE PLASTIC ABUTMENTS
205IR1A0 Castable Plastic Abutment IR
205IR1A0.10 Castable Plastic Abutment IR Kit 10pcs
205IR1A1 Castable Plastic Abutment IR Rotating
205IR1A1.10 Castable Plastic Abutment IR Rotating Kit 10pcs
205IW1A0 Castable Plastic Abutment IW
205IW1A0.10 Castable Plastic Abutment IW Kit 10pcs
205IW1R0 Castable Plastic Abutment IW Rotating
205IW1R0.10 Castable Plastic Abutment IW Rotating Kit 10pcs
RETENTIVE SCREWS
690NA018 Retentive Screw Gold M1.8 HEX1.20
690NA077 Retentive Screw M1.8 HEX1.20 H7.8mm FH

SCAN ABUTMENTS
351IR1A0 Scan Abutment Extra-oral IR
352IR1A0 Scan Abutment Intra-oral IR
351IW1A0 Scan Abutment Extra-oral IW
352IW1A0 Scan Abutment Intra-oral IW
ISY KONE MANUAL 33

IR PICTURE REF PRODUCT NAME SPECIFICATION

265IR1R0 BT4 Straight Abutment IR Rotating H1mm
266IR2L0 BT4 Angled Abutment IR 17° H2mm Ø4.8mm
266IR3L0 BT4 Angled Abutment IR 17° H3mm Ø4.8mm
266IR3G0 BT4 Angled Abutment IR 30° H3mm Ø4.8mm
BT4 CAPS
690NA066 Retentive Screw BT4 M1.8 Angled abutment IR-EN
BT4 INTERIM RESTORATION
303NA0A0 Abutment Replica BT4
BT4 SCAN ABUTMENT
BT4 BT LINK
CAST-ON TECHNIQUE
240BT1R0 CoCr Abutment BT H1.5mm Rotating
34 ISY KONE MANUAL

EXTERNAL HEXAGON (EXT) EN/ER
EN ER PICTURE REF PRODUCT NAME SPECIFICATION

HEALING ABUTMENTS
201EN2A0 Healing Abutment EN H2mm Ø4.5mm
201ER2A0 Healing Abutment ER H2mm Ø5mm
201ER4A2 Healing Abutment ER H4mm Ø7.5mm
IMPRESSION TAKING

IMPRESSION POST
320EN0A0 Impression Post EN Aluminium Cap
320ER0A1 Impression Post ER Aluminium Cap
690NA029 Impression Post Caps Aluminium Kit 3pcs
325EN0A0 Impression Post Pro EN Plastic Cap
325ER0A0 Impression Post Pro ER Plastic Cap
690NA067 Impression Post Screw M2 HEX1.20 H8.1mm
ISY KONE MANUAL 35

323EN0A0 Impression Post Propick-Up EN HUseful22.8mm Long screw
323EN0A1 Impression Post Propick-Up EN HUseful17.8mm Short screw
323EN0R0 Impression Post Propick-Up EN HUseful22.8mm Rotating Long screw
323EN0R1 Impression Post Propick-Up EN HUseful17.8mm Rotating Short screw
323ER0A0 Impression Post Propick-Up ER HUseful21.5mm Long screw
323ER0A1 Impression Post Propick-Up ER HUseful16.5mm Short screw
323ER0R0 Impression Post Propick-Up ER HUseful21.5mm Rotating Long screw
323ER0R1 Impression Post Propick-Up ER HUseful16.5mm Rotating Short screw
690NA223 Impression Post Pick-Up Screw M2 HEX1.20 H24.4mm
690NA191 Impression Post Pick-Up Screw M2 HEX1.20 H19.4mm
IMPLANT REPLICA
301EN0A0 Implant Replica EN
301ER0A1 Implant Replica ER

TEMPORARY ABUTMENTS
210EN2A0 Temporary Abutment EN
210EN2R0 Temporary Abutment EN Rotating
215EN2A0 Temporary Abutment EN Peek
210ER2A0 Temporary Abutment ER
210ER2A1 Temporary Abutment ER Rotating
215ER2A0 Temporary Abutment ER Peek
690NA013 Retentive Screw M2 HEX1.20
36 ISY KONE MANUAL


STRAIGHT ABUTMENTS
220EN1A0 Straight Abutment EN H1mm Ø4.5mm
220ER2A1 Straight Abutment ER H2mm Ø5mm
220ER2A2 Straight Abutment ER H2mm Ø7.5mm
220ER4A2 Straight Abutment ER H4mm Ø7.5mm
ANGLED ABUTMENTS
220EN2D0 Angled Abutment EN 15° H2mm
220EN4D0 Angled Abutment EN 15° H4mm
220EN2F0 Angled Abutment EN 25° H2mm
220EN4F0 Angled Abutment EN 25° H4mm
220ER2D0 Angled Abutment ER 15° H2mm
220ER4D0 Angled Abutment ER 15° H4mm
220ER2F0 Angled Abutment ER 25° H2mm
220ER4F0 Angled Abutment ER 25° H4mm
ESTHETIC ABUTMENTS
219EN0A0 Esthetic Abutment EN
219ER0A0 Esthetic Abutment ER
VLE14TIT Lingual Screw Esthetic Abut. M1.4 HEX0.9
ISY KONE MANUAL 37


BT-LINK
246EN1A0 BT-Link EN H1mm Ø4.1mm
246EN1A1 BT-Link EN H1mm Ø4.1mm Rotating
247EN1A0 Base BT-Link EN H1mm Ø4.1mm no Cap.
247EN1A1 Base BT-Link EN H1mm Ø4.1mm no Cap. Rot.
246ER1A0 BT-Link ER H1mm Ø4.6mm
246ER1A1 BT-Link ER H1mm Ø4.6mm Rotating
247ER1A0 Base BT-Link ER H1mm Ø4.6mm no Cap.
247ER1A1 Base BT-Link ER H1mm Ø4.6mm no Cap. Rot.

CAST-ON TECHNIQUE
245EN1A0 Gold Abutment EN H1mm
245EN1R0 Gold Abutment EN H1mm Rotating
240EN1A0 CoCr Abutment EN H1.5mm
240EN1R0 CoCr Abutment EN H1.5mm Rotating
245ER1A0 Gold Abutment ER H1mm
245ER1R0 Gold Abutment ER H1mm Rotating
240ER1A0 CoCr Abutment ER H1.5mm
240ER1R0 CoCr Abutment ER H1.5mm Rotating
CASTABLE PLASTIC ABUTMENTS
205EN1A1 Castable Plastic Abutment EN
205EN1A1.10 Castable Plastic Abutment EN Kit 10pcs
205EN1R1 Castable Plastic Abutment EN Rotating
205EN1R1.10 Castable Plastic Abutment EN Rotating Kit 10pcs
205ER2A0 Castable Plastic Abutment ER
205ER2A0.10 Castable Plastic Abutment ER Kit 10pcs
205ER2A1 Castable Plastic Abutment ER Rotating
205ER2A1.10 Castable Plastic Abutment ER Rotating Kit 10pcs
RETENTIVE SCREWS
690NA018 Retentive Screw Gold M1.8 HEX1.20
690NA019 Retentive Screw Gold M2 HEX1.20
690NA077 Retentive Screw M1.8 HEX1.20 FH
690NA076 Retentive Screw M2 HEX1.20 FH
SCAN ABUTMENTS
351EN1A0 Scan Abutment Extra-oral EN
352EN1A0 Scan Abutment Intra-oral EN
351ER1A0 Scan Abutment Extra-oral ER
352ER1A0 Scan Abutment Intra-oral ER
38 ISY KONE MANUAL


265EN1R0 BT4 Straight Abutment EN Rotating H1mm
265ER1R0 BT4 Straight Abutment ER Rotating H1mm
266EN2L0 BT4 Angled Abutments EN 17° H2mm Ø4.8mm
266EN3L0 BT4 Angled Abutments EN 17° H3mm Ø4.8mm
266EN3G0 BT4 Angled Abutments EN 30° H3mm Ø4.8mm
266ER2L0 BT4 Angled Abutments ER 17° H2mm Ø4.8mm
266ER3L0 BT4 Angled Abutments ER 17° H3mm Ø4.8mm
266ER3G0 BT4 Angled Abutments ER 30° H3mm Ø4.8mm
BT4 CAPS
690NA066 Retentive Screw BT4 M1.8 Angled abutment IR-EN
690NA065 Retentive Screw BT4 M2 Angled abutment ER
690NA024 Retentive screw M1.4 HEX1.20 10N
INTERIM RESTORATION BT4

303NA0A0 Abutment Replica BT4
BT4 SCAN ABUTMENT
BT4 BT LINK
CAST-ON TECHNIQUE
240BT1R0 CoCr Abutment BT H1.5mm Rotating
ISY KONE MANUAL 39

OVERDENTURE
SPHERO®
SPHERO® Flex
SPHERO® Block Normo SPHERO® Block Micro
Sphere Ø 2.5mm 0°-7.5°
Sphere Ø 2.5mm Sphere Ø 1.8mm
Divergenza
REF SPECIFICATION REF SPECIFICATION REF SPECIFICATION
254KR1A0 H1mm 255KR1A0 H1mm 256KR1A0 H1mm
KR 254KR4A0 H4mm 255KR4A0 H4mm 256KR4A0 H4mm
254IR1A0 H1mm 255IR1A0 H1mm 256IR1A0 H1mm
IR 254IR4A0 H4mm 255IR4A0 H4mm 256IR4A0 H4mm
254IW1A0 H1mm
254IW2A0 H2mm
255IW1A0 H1mm
254IW3A0 H3mm 256IW1A0 H1mm
255IW2A0 H2mm
IW 254IW4A0 H4mm
255IW3A0 H3mm
256IW2A0 H2mm
254IW5A0 H5mm 256IW3A0 H3mm
255IW4A0 H4mm
254IW6A0 H6mm
254IW7A0 H7mm
254EN1A0 H1.4mm 255EN1A0 H1mm 256EN1A0 H1mm
254EN2A0 H2mm 255EN2A0 H2mm 256EN2A0 H2mm
EN 254EN4A0 H4mm 255EN4A0 H4mm 256EN4A0 H4mm
254ER1A0 H1mm 255ER1A0 H1mm 256ER1A0 H1mm
ER 254ER4A0 H4mm 255ER4A0 H4mm 256ER4A0 H4mm
Accessori Sphero®
530JD030 Wrench Cric. Sphero Flex/Block Rhein83® 771CEF
NOTA Every SPHERO® as listed above includes the following products: 1pc. Titanium Abutment with self-aligning 2.5mm or 1.8 mm sphere, 2pcs. Soft
Retention Pink Caps, 1pc. Stainless Steel Housing, 1pc. Protective Disk and 3 pcs. Directional Rings.
These Devices are produced by Rhein83. s.r.l. Via E. Zago, 10/ABC, 40128 Bologna Italy.
40 ISY KONE MANUAL

BTK CONNECTOR
Abutment Connector
KR IR ER
REF SPECIFICATION REF SPECIFICATION REF SPECIFICATION
261KR1A0 H1mm
261KR2A0 H2mm 261IR1A0 H1mm 261ER1A0 H1mm
261KR6A0 H6mm
Locator® Accessories
530JD029 Screwdriver JD Locator L10mm (for reversible torque wrench JD)
530HS015 Handpiece Driver Locator® L 23mm

530HS016 Handpiece Driver Locator ®
L 29mm
540MA015 Angle Measur. Guide Locator®
540MA016.04 Parallel Pin for Locator® Kit 4pcs
321NA0A0 Impression Post Locator®
301NA0A0 Implant Replica Locator® Abut.
690NA011 Replacement Males Locator®
690NA022 Kit Locator® Metal Cap + Blockout Spacer
690NA054.04 Replacement Males Locator® 0N Black Kit 4pcs
690NA006.04 Replacement Males Locator® 15N Blue Kit 4pcs (700gr. 0-20°)
690NA008.04 Replacement Males Locator® 30N Pink Kit 4pcs (1400gr. 0-20°)
690NA010.04 Replacement Males Locator® 50N Neutral Kit 4pcs (2300gr. 0-20°)
690NA005.04 Replacement Males Locator® 10N Red Kit 4pcs (700gr. 20-40°)
690NA007.04 Replacement Males Locator® 20N Orange Kit 4pcs (900gr. 20-40°)
690NA009.04 Replacement Males Locator® 40N Green Kit 4pcs (1400gr. 20-40°)
690NA134.04 Replacement Males Locator® 0N Gray Kit 4pcs (0gr.)
502MA004 Locator® Core Tool 3 in 1

502MA019 Locator® Male Removal Tip End
690NA020 Retaining Sleeve Locator® Locator® core tool
NOTA Every “Connector Abutment” as listed above includes the following products: 1 pc. Connector Abutment; 1 pc. Denture Male Cap (Housing); 1 pc. Block-Out
Spacer, 1 pc. each LOCATOR® Replacement Males (blue / pink /clear). All these codes (except 530JD029 and Connector abutments) are medical devices patented
and realised by Zest Anchors Inc, 2061 Wineridge Place, Escondido CA 92029 USA. LOCATOR® is a registered trademark of Zest Anchors Inc.
ISY KONE MANUAL 41

13. MATERIAL SPECIFICATIONS
MATERIAL
SPECIFICATIONS
TITANIUM GRADE 4 IMPLANTS
CHEMICAL COMPOSITION: MAXIMUM VALUES (%) TOLERANCE

Nitrogen (N) 0.05 +/- 0.02
Carbon (C) 0.08 +/- 0.02
Hydrogen (H) 0.015 +/- 0.002
+/- 0.10 (%<0.25)
Iron (Fe) 0.50
+/- 0.15 (%>0.25)
+/- 0.02 (%<0.20)
Oxygen (O) 0.40
+/- 0.03 (%>0.20)
Titanium (Ti) balance -
MECHANICAL PROPERTIES: MINIMUM VALUES

Tensile stress: 550 MPa
Yield strength (0.2%): 483 MPa
Elongation at yield: 15 %
Section reduction: 25 %
This technical information complies with the express specification of the regulations in force for the use of grade 4 titanium in implantology:
• ASTM F67: Standard Specification for unalloyed titanium, for surgical implant applications.
• ISO 5832-2: Implant for surgery – Metallic Materials – Part 2: Unalloyed titanium.
TITANIUM GRADE 5 PROSTHETICS AND MINI IMPLANTS
CHEMICAL COMPOSITION: MAXIMUM VALUES (%) TOLERANCE

Nitrogen (N) 0.05 +/- 0.02
Carbon (C) 0.08 +/- 0.02
Hydrogen (H) 0.012 +/- 0.002
Iron (Fe) 0.25 +/- 0.10
Oxygen (O) 0.13 +/- 0.02
Aluminium (Al) 5.50-6.50 +/- 0.40
Vanadium (V) 3.50-4.50 +/- 0.15
Titanium (Ti) balance -
MECHANICAL PROPERTIES: MINIMUM VALUES

Tensile stress: 860 MPa
Yield strength (0.2%): 795 MPa
Elongation at yield: 10 %
Section reduction: 25 %
This technical information complies with the express specification of the regulations in force for the use of grade 5 titanium in implantology:
• ASTM F136: Standard Specification for wrought Titanium-6Aluminium-4Vanadium ELI (Extra low Interstitial) Alloy for surgical implant applications;
• ISO 5832-3: Implant for surgery – Metallic Materials – Part 3: Wrought titanium 6-alumium 4-vanadium alloy.
COBALT CHROME COBALT CCM®
CHEMICAL COMPOSITION: (%) MATERIAL NO. AND NORMS MECHANICAL PROPERTIES

Carbon (C) max. 0.14 DIN CoCr28Mo Coefficient of Expansion (CTE) 13.2•10-6 °C-1
Silicon (Si) max. 1.00 ISO 5832-12 Melting range 1340-1440°C
Manganese (Mn) max. 1.00 AFNOR CoCr28Mo Yield strength (R0.2) up to 1115 MPa
Chromium (Cr) 26.00-30.00 ASTM F1537 alloy 1 Young Modulus E 241 GPa
Molybdenum (Mo) 5.00-7.00 UNS R31537 Hardness up to 46 HRC
Nickel (Ni) max. 1.0
Iron (Fe) max. 0.75
Nitrogen (N) max. 0.25
Cobalt (Co) balance
42 ISY KONE MANUAL

PRECIOUS ALLOY FOR ABUTMENTS
COMPOSITION:
Gold (Au) 60.0 %
Platinum (Pt) 24.9 %
Palladium (Pd) 15.0 %
Iridium (Ir) 0.1 %
PHYSICAL AND MECHANICAL PROPERTIES:

Density: 18.1 g/cm³
Melting range: 1350 – 1460 °C
Coefficient of Expansion (CTE) 25-500°C – 25-600°C: 12.7•10-6 °C-1 – 12.9•10-6 °C-1
Modulus of elasticity (tensile test): 110 GPa
Elongation at yield: 18 – 12 %
Breaking load: 580 – 810 MPa
Yield strength (0.2%): 450 – 720 MPa
Vickers Hardness HV5/30: 150 – 205 – 230
PRECIOUS ALLOY FOR GOLD RETENTIVE SCREWS
COMPOSITION: MAXIMUM VALUES (%) TOLERANCE

Gold (Au) 0,5 +/- 0.2
Gallium (Ga) 2 +/- 0.2
Copper (Cu) 10 +/- 0.5
Iridium (Ir) 7 +/- 0.5
Ruthenium (Ru) 0.03 +/- 0.02
Rutenio (Ru) 0.1 +/- 0.09
Palladium (Pd) balance
MECHANICAL PROPERTIES: MINIMUM VALUES (%)
Tensile stress: 586 - 862 MPa
Yield strength (0.2%): 483 - 690 MPa
Elongation: 5 - 20 %
Young’s Modulus: 138 GPa
PHYSICAL PROPERTIES:
Melting Range 1450 – 1500 °C
Coefficient of Expansion (CTE) 25-500°C – 25-600°C: 12.3•10-6 °C-1
The temporary abutments in PEEK and the SCAN ABUTMENT are made of PEEK / TECAPEEK CLASSIC (chemical name
Polietereterketone). This material is suitable to stay in contact with tissue for up to 180 days.
Depending on the intended use, the Biotec instrumental is made of specific types of stainless steel.
ISY KONE MANUAL 43

14. LABELS SYMBOLS
SYMBOLS USED
ON LABELS
Use-by date: indicates the date after

Legal manufacturer
which this device is not to be used
Products with the CE mark in accordance

with Directive 93/42/EEC and following Do not use if packaging is damaged
modifications/integrations
0426
Number of the notification body Do not reuse
0426
Consult instructions for use Keep away from sunlight
Electronic instructions for use available

Sterile by gamma irradiation
online ifu.btk.dental
Caution; see instructions for use
Catalogue number
Lot/batch number
44 ISY KONE MANUAL

15. DELIVERY TERMS AND CONDITIONS
DELIVERY TERMS & CONDITIONS
RESPONSABILITY GUARANTEE
The use of BTK medical devices is reserved exclusively for personnel We constantly guarantee that the quality of our products and
with the necessary qualifications for the exercise. An improper or services meets the high expectations of our customers and their
incorrect use of the devices can cause the failure or worse, injury patients. Specialized professionals are committed to offering
to the patient or the user. BTK implant systems should only be used complete solutions in applied research, engineering, training and
with original BTK components and instruments and in accordance related activities. Biotec is available to customers in the event that
with the specific BTK instructions. Combining with different devices a defect in the product or its use is found.
may cause a failure. Biotec must not and can not control the
procedures for using the product for implant-prosthetic treatment. VALIDITY
Therefore, Biotec assumes no responsibility for the application of
the device and its processing nor for any incongruous use of the The contents are updated at the date of publication. This manual
device under the surgical or prosthetic profile, nor in any case for replaces all previous editions.
failure, adverse reactions or damage to the patient or dentist as a
result of application of the product. CASE DOCUMENTATION AND TRACEABILITY
BTK absolutely recommends documenting implant cases
STERILITY OF WARRANTY AND DISPOSABLE comprehensively at the clinical, radiographic, photographic and
Dental implants are supplied STERILE (gamma ray sterilization). statistical levels. The clinician must guarantee the traceability of the
The sterility of the medical implant is guaranteed only according to devices used. It is advisable to use the adhesive labels included in
the following conditions: the expiry date stated on the packaging is the packaging of the BTK devices, which show the code and lot of
still valid; there is a red dot on the sterile vial which demonstrates the device used, for the purpose of documentation on the medical
that it has undergone gamma ray irradiation; the sealed package records and on the relative implant passport of the patient.
has not been opened and does not show any signs of damage.
Compliance with all these conditions must be ensured; alternatively
do not use the device.
TRAINING
Comprehensive and regular training ensures long-term implant
Surgical components, laboratory accessories and instruments are success.
not supplied in sterile packs, therefore before use they must be Be advised that we strongly recommend regular education events
properly CLEANED and STERILIZED, as shown in the instructions for in order to update your know-how and clinical expertise.
use. Biotec dental implants, prosthetics and laboratory accessories
are designed for SINGLE USE. In fact, reuse is a potential risk DELIVERY TERMS
and could damage the construction of the device, making it
inappropriate for its intended use. Biotec explicitly declares the BTK delivery terms are 1 working day for order received before
single-use of MD and assumes no responsibility for any re-use by 12.00 p.m. of the previous day in Italy; except for islands where
delivery is evaluated to be 2 working days. For export deliveries
users.
contact Biotec offices.
STORAGE
QUALITY STANDARD
Biotec products must be stored at room temperature and protected
from direct heat or sunlight and dust. Owing to extensive research, development and to a strict quality
standard, we guarantee premium quality materials and products.
Our products meet the requirements of directive 93/42 /EEC and
INSTRUCTIONS FOR USE subsequent amendments and additions, and therefore have the CE
The information in this manual is not intended to be exhaustive mark, in accordance with the corresponding law. BTK has a quality
for BTK implant systems. It is recommended that new customers system certified UNI EN ISO 9001 and UNI EN ISO 13485.
follow the training courses that Biotec makes available with trained
personnel and clinicians who are experts in implantology and in the
use of BTK devices. The complete and updated user manuals, which CAUTION
allow the correct use of the product, are available online (www.btk. In addition to the instructions for use, warnings and risks reported
dental) or at BTK and / or the local distributor. both in this document and in the instructions for use, it must always
be ensured that the devices used in the oral cavity are not aspirated
or swallowed by the patient.
AVAILABILITY
Not all products described here are available in ExtraEU countries.
For more information, please contact BTK and / or your local COPYRIGHT AND TRADEMARKS
distributor. BTK documents cannot be reprinted or published, in whole or in
part, without the written permission of BTK.
RETURNS BTK, BIOTEC, The Smile System® or Implanting Trust, Smile Again®
are trademarks or registered trademarks of BIOTEC s.r.l. and / or
Biotec does not accept returned goods if the packaging seals are its affiliates.
broken or not conforming to the sale specifications of the company.
ISY KONE MANUAL 45

46 ISY KONE MANUAL
ISY KONE
MANUAL
BTK PERSONAL TUTOR
A program for individual case planning and execution

supported by experienced professionals in order to leverage know-how
and maximize clinical experience with the aim to achieve sustainable
high patient satisfaction rates.
BTK is always at your disposal for any request for further

follow-up or information, promoting periodic and ad-hoc
training course.
CERTIFIED
QUALITY SYSTEM
BIOTEC is certified UNI EN ISO 9001
and UNI EN ISO 13485.
CE marked product, in accordance with Directive 93/42/EEC

and subsequent modifications and additions.
MADE IN ITALY
USED GLOBALLY
Biotec srl reserves the right to make changes, corrections and / or improvements to the document without notice. The content is updated at the date of publication.
We constantly ensure that the quality of our products
and services meet the high expectations of our customers
and their patients.
Specialized professionals are taking care to offer
It is customer’s responsibility to check the latest update available, by contacting Biotec or visiting the website www.btk.dental.
comprehensive solutions in applied research, engineering,
education and related activities.
ALL IMAGES ARE FOR ILLUSTRATIVE PURPOSE. The informations may contain typographical imprecisions.
REF. 06200119 Rev 4 - 21.09.2020
BIOTEC S.R.L. VIA INDUSTRIA, 53

36031 POVOLARO DI DUEVILLE (VI) - ITALY
TEL: +39 0444 361251 - FAX: +39 0444 361249
mail: [email protected]
visit btk.dental FOLLOW US ON

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ISY KONE

GUIDELINES FOR THE USE

visit btk.dental FOLLOW US ON

For latest updates and information, visit www.btk.dental

This manual provides dental practitioners and related specialists

© 2020 BTK - the smile system.

4 ISY KONE MANUAL

BTK Headquarters - NORTH ITALY

Together with leading professionals, BTK strives to become a reference in replacing

6 ISY KONE MANUAL

RESTORATIVE MADE IN ITALY,

ISY KONE MANUAL 7

SELECTION OF THE IMPLANTS

8 ISY KONE MANUAL

MORSE-TAPER (MTH/MTD) INTERNAL HEXAGON (INT) EXTERNAL HEXAGON (EXT)

MORSE-TAPER (MTH) INTERNAL HEXAGON (INT) EXTERNAL HEXAGON (EXT)

KN = KONIC NARROW EN = EXTERNAL NARROW

ISY KONE MANUAL 9

10 ISY KONE MANUAL

MORSE-TAPER INTERNAL HEXAGON EXTERNAL HEXAGON

ISY KONE MANUAL 11

PORTFOLIO ISY KONE

3,3 129KR33J 129KR33L 129KR33N 129KR33Q - - 2.0

2,9 129KN29J 129KN29L 129KN29N 129KN29Q - - 1.7

INTERNAL implant length in mm B

EXTERNAL implant length in mm B

EXTERNAL ER (external regular)

3,7 131ER37J 131ER37L 131ER37N 131ER37Q 131ER37S 131ER37T 2.4

12 ISY KONE MANUAL

RED PURPLE WHITE BLUE YELLOW GREEN

IMPLANT DIAMETER Ø 2,9 3,3 3,7 4,1 4,8 6

PROSTHETIC PLATFORM MTH KN KR KR KR KR KR

PROSTHETIC PLATFORM INT IR IR IR IR/IW

PROSTHETIC PLATFORM EXT EN ER ER ER

ISY KONE MANUAL 13

14 ISY KONE MANUAL

Insert the implant slowly in the previously prepared site.

• implant ≤ Ø 3,7 mm:

• implant > Ø 3,7 mm:

It is advisable to perform a postoperative x-ray check.

ISY KONE MANUAL 15

The Surgical KIT 624NA001

16 ISY KONE MANUAL

The surgical tray is made of a highly shock-proof

ISY KONE MANUAL 17

467HR290 Ø 2,9 mm L36 mm 530JD012 HEX 0.90 L15 mm

2 467HR330 Ø 3,3 mm L36 mm

466HR330 Ø 3.3 mm L31 mm

466HR370 Ø 3.7 mm L31 mm

466HR410 Ø 4.1 mm L31 mm

426HR420 Ø 4.2 - 3.7 mm L36.8 mm 518NA510 H10 mm Snap Fit

426HR455 Ø 4.55 - 4 mm L36.8 mm

426HR540 Ø 5.4 - 4.7 mm L36.8 mm 7

426HR570 Ø 5.7 - 4.95 mm L36.8 mm 530HL003 KN (REGULAR) L33 mm

530HS013 KR (SHORT) L23 mm 518NA516 H16 mm Snap Fit

5 518NA710 H10 mm Snap Fit

PARALLELISM PIN (BT4) PARALLELISM PIN/

For successful osseointegration, a precise, not traumatic surgical technique

TOOL SPEED (RPM) 6 mm