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Welcome to the Osstell IDx resource page!

Here you will find all the information you need about your instrument, including set-up, usage and care.

Getting Started

How do I get started?

Simply register your IDx by following the instructions in the instrument. For step by step instructions, please watch the video or download the quick guide by clicking here.

Do I need to be connected to WiFi to register?

No, but you do need access to the Internet through a computer or a mobile device to complete the registration process.

The IDx automatically backs up your data on a regular basis, if it is connected to the Internet, which may come in handy if something were to happen to your instrument. For a quick guide of how to connect your IDx to the Internet, please click here.

Using Your IDx

When should I measure?

Measure at implant placement and again before the final restoration to monitor the development of osseointegration. If the ISQ value is not high enough it is advised to add time and remeasure before proceeding with the prosthetic rehabilitation of the implant.

Why do I need to take two measurements at the same occasion?

The SmartPeg measures the stability in all directions and singles out the most stable and the least stable direction. Sometimes, there is no difference between them. To make sure to measure both values, the probe should be held perpendicular to the jaw line for one measurement, and in line with the jaw line for the other measurement. The two ISQ’s represent these values. If the instrument finds them both at the same time, and they differ more than 3 ISQ units, they are presented on the display together.

Clinical Guidelines

SmartPeg Usage

Can I re-use the SmartPegs?

The SmartPegs are single use items. To avoid damage to the implant, the SmartPeg material is quite soft, which limits the lifetime of the threads. So the SmartPeg cannot be reused for two reasons:
First, the magnet cannot stand the heat of an autoclave, it will be affected and discolored. Second, the threads are made weak not to jeopardize the inner threads in the implant. Reusing the SmartPeg might wear out the threads and give misleading ISQ values.

Is the ISQ-value sensitive to how hard the SmartPeg is tightened?

The SmartPeg should be tightened with 4-5 Ncm, which means “finger tight”, using the SmartPeg Mount. It is enough with firm contact between the SmartPeg and the implant. The difference in ISQ value will then stay within 2 ISQ units. (If the SmartPeg is tightened too loosely, the ISQ-value will be lower.) If the SmartPeg is over-tightened, there is a risk that the SmartPeg threads will be damaged.

Cleaning & Care

Instrument

Can be cleaned using a damp cloth with water or isopropyl alcohol solution. Do not immerse the IDx instrument in water, or clean under running water.

SmartPegs

Single use only.

Probe and SmartPeg Mount

Must be autoclaved according to the recommended sterilization method, validated to sterility assurance levels (SAL), according to ISO 17665-1 and ISO 17664. Other sterilization cycles may also be suitable, although individual clinicians or hospitals are advised to validate other methods before use. The Probe and SmartPeg Mount should be placed in suitable packaging for the sterilization process.

When storing the probe, don’t twist, kink or coil the cable too tightly.

Sterilization

Method: gravity displacement steam
Exposure temperature: 135˚C (275˚F)
Exposure time: 10 minutes
Drying time: 30 minutes

  • Do not exceed 135˚C (275˚F).
  • Remove from autoclave immediately after finished cycle.
  • Allow to cool down before use; handle carefully when hot.
  • Do not wash in dishwasher.
  • Do not pour liquids directly into any of the connectors.