常见问题

Although it is possible to use the Osstell Beacon directly, depending on the status of the built-in rechargeable battery, it is recommended to charge the battery for at least 3 hours before using the Osstell Beacon instrument.

The Osstell Beacon is activated by a built-in motion sensor. As soon as the motion sensor detects movement, the Osstell Beacon will start-up and shortly show battery status and then be ready for measurement in the BL (Buccal – Lingual) direction, which is indicated in the upper display.

The Osstell Beacon will start to measure, indicated by an audible sound, when near an Osstell SmartPeg or Test peg due to a built-in magnetic detector that senses the magnet on the top of the Osstell SmartPeg/TestPeg. Measured data will be shown in the upper display combined with a colored light indication below the tip.

The red, yellow and green color indicates if the measured ISQ value corresponds to a low, medium or high implant stability according to the ISQ scale guidance, click here for more information.

After 60 seconds of no motion, the Osstell Beacon will turn off automatically.

1. Activate the Osstell Beacon by picking it up. The instrument will start-up and after showing the battery status, the instrument will be ready for measurement in the BL (Buccal – Lingual) direction, which is prompted in the upper display as well as optimal angle towards the Smartpeg.

2. Place a barrier sleeve over the Osstell beacon instrument.

3. Place the SmartPeg into the SmartPeg Mount. The SmartPeg is magnetic, and the SmartPeg Mount will hold the SmartPeg. See fig 2. Attach the SmartPeg to the implant or abutment by screwing the SmartPeg Mount using finger force of approximately 4-6 Ncm. Do not over-tighten, to avoid damaging the SmartPeg threads.

4. Hold the instrument tip close (2-4mm) to the top of the SmartPeg without touching it. Sometimes, you will need to go as close as 1 mm. An audible sound indicates when measurement has started, and measured data will be shown in the upper display combined with a colored light indication below the tip.

5. Bring the instrument out of the mouth to clearly read the ISQ value and the colored indication. The measured ISQ values will be displayed in the upper display for a couple of seconds and then switch to be ready for measurement in mesial-distal direction.

6. Repeat step 4 and the sequence starts over and the Osstell Beacon is ready for measurement in the BL (Buccal- Lingual) direction again.

7. When all measurements are performed, remove the SmartPeg by using the SmartPeg Mount. The instrument is automatically turned off after 60 seconds of inactivity.

可能的原因包括：

重复使用 SmartPeg： SmartPeg 为一次性器件，仅应在一次治疗过程中为单个患者进行一次或多次测量时使用。反复使用会因软铝螺纹磨损而导致读数不准确。

为种植体选择了错误的 SmartPeg 类型： 请参阅 SmartPeg 参考列表：osstell.com/smartpegguide

SmartPeg 与种植体之间存在骨或软组织： 连接 SmartPeg 前，请确保清洁种植体的修复连接部位。

电磁干扰： 排除电磁干扰源。

探头距离 SmartPeg 过远： 将探头保持在距离 SmartPeg 2–4 mm 处。

Although it is possible to use the Osstell Beacon directly, depending on the status of the built-in rechargeable battery, it is recommended to charge the battery for at least 3 hours before using the Osstell Beacon instrument.

The Osstell Beacon is activated by a built-in motion sensor. As soon as the motion sensor detects movement, the Osstell Beacon will start-up and shortly show battery status and then be ready for measurement in the BL (Buccal – Lingual) direction, which is indicated in the upper display.

The Osstell Beacon will start to measure, indicated by an audible sound, when near an Osstell SmartPeg or Test peg due to a built-in magnetic detector that senses the magnet on the top of the Osstell SmartPeg/TestPeg. Measured data will be shown in the upper display combined with a colored light indication below the tip.

The red, yellow and green color indicates if the measured ISQ value corresponds to a low, medium or high implant stability according to the ISQ scale guidance, click here for more information.

After 60 seconds of no motion, the Osstell Beacon will turn off automatically.

1. Activate the Osstell Beacon by picking it up. The instrument will start-up and after showing the battery status, the instrument will be ready for measurement in the BL (Buccal – Lingual) direction, which is prompted in the upper display as well as optimal angle towards the Smartpeg.

2. Place a barrier sleeve over the Osstell beacon instrument.

3. Place the SmartPeg into the SmartPeg Mount. The SmartPeg is magnetic, and the SmartPeg Mount will hold the SmartPeg. See fig 2. Attach the SmartPeg to the implant or abutment by screwing the SmartPeg Mount using finger force of approximately 4-6 Ncm. Do not over-tighten, to avoid damaging the SmartPeg threads.

4. Hold the instrument tip close (2-4mm) to the top of the SmartPeg without touching it. Sometimes, you will need to go as close as 1 mm. An audible sound indicates when measurement has started, and measured data will be shown in the upper display combined with a colored light indication below the tip.

5. Bring the instrument out of the mouth to clearly read the ISQ value and the colored indication. The measured ISQ values will be displayed in the upper display for a couple of seconds and then switch to be ready for measurement in mesial-distal direction.

6. Repeat step 4 and the sequence starts over and the Osstell Beacon is ready for measurement in the BL (Buccal- Lingual) direction again.

7. When all measurements are performed, remove the SmartPeg by using the SmartPeg Mount. The instrument is automatically turned off after 60 seconds of inactivity.

Possible explanations include:

Re-Used SmartPeg: The SmartPegs are disposable and should only be used for one or multiple measurement at one treatment session, for a single patient only. Repeated re-use may result in false readings due to wear and tear of the soft aluminum SmartPeg threads.

Wrong SmartPeg type selected for the implant: See SmartPeg reference list, osstell.com/smartpegguide

Bone or soft tissue in between SmartPeg and Implant: Make sure to clean the Implant prosthetic connection before attaching the SmartPeg.

Electromagnetic interference: Remove the source of electromagnetic interference.

Probe is held too far away from the SmartPeg: Hold the probe 2-4 mm away from the SmartPeg.

You can have your Osstell Beacon online connected to OsstellConnect for data collection, but it is not a requirement. OsstellConnect is an online tool for statistical analysis and valuable insights based on your data. Before you can start using data connection to OsstellConnect you have to register your Osstell Beacon. The serial number can be found on the back of the instrument. For registration assistance and features of data connection to OsstellConnect, please visit osstellconnect.com/beacon

2 years

Before each use, moisten a gauze or soft cloth with an acceptable (see list below) surface disinfectant and wipe the whole Osstell Beacon instrument. Note! Do not autoclave the Osstell Beacon instrument. Routinely check the surface of the instrument tip and overall surface for possible cracks and resins.

Acceptable Cleaners:
o Isopropyl alcohol
o Ethyl alcohol-based cleaners

Do not use:
o Strong alkali detergent of any type, including hand soaps and dish soaps Bleach based cleaners
o Hydrogen Peroxide based cleaners Abrasive Cleansers
o Acetone or hydrocarbon based cleaners MEK (Methyl Ethyl Ketone)
o Birex Gluteraldehyde
o Quaternary Ammonium Chloride salt-based cleaners

The Osstell Beacon is delivered from factory in a “transport” mode, where the built-in motion sensor is deactivated. To deactivate the transport mode and start charging, connect the small USB connector of the Osstell USB cable to wide end of the instrument. Connect the large USB connector to a standard USB outlet of a PC, laptop or charger.

Charge the Beacon for at least 30 min in room temperature, then try again. If the error remains, try resetting the device by:

1. Identify the Beacon reset pin on the picture below.

2. With a paper clip, do a gentle press for 1 second on the reset button (Note! You may have to tilt the pin a little downwards).
If you see a “PadLock” symbol in the upper display, press one more time on the reset button.

If the Beacon still doesn’t start or the display is showing a wrench and a manual, then please contact your local sales representative or distributor or support@osstell.com.

You can have your Osstell Beacon online connected to OsstellConnect for data collection, but it is not a requirement. OsstellConnect is an online tool for statistical analysis and valuable insights based on your data. Before you can start using data connection to OsstellConnect you have to register your Osstell Beacon. The serial number can be found on the back of the instrument. For registration assistance and features of data connection to OsstellConnect, please visit osstellconnect.com/beacon

2 years

Before each use, moisten a gauze or soft cloth with an acceptable (see list below) surface disinfectant and wipe the whole Osstell Beacon instrument. Note! Do not autoclave the Osstell Beacon instrument. Routinely check the surface of the instrument tip and overall surface for possible cracks and resins.

Acceptable Cleaners:
o Isopropyl alcohol
o Ethyl alcohol-based cleaners

Do not use:
o Strong alkali detergent of any type, including hand soaps and dish soaps
o Bleach based cleaners
o Hydrogen Peroxide based cleaners
o Abrasive Cleansers
o Acetone or hydrocarbon based cleaners
o MEK (Methyl Ethyl Ketone)
o Birex
o Gluteraldehyde
o Quaternary Ammonium Chloride salt-based cleaners

The Osstell Beacon is delivered from factory in a “transport” mode, where the built-in motion sensor is deactivated. To deactivate the transport mode and start charging, connect the small USB connector of the Osstell USB cable to wide end of the instrument. Connect the large USB connector to a standard USB outlet of a PC, laptop or charger.

Charge the Beacon for at least 30 min in room temperature, then try again. If the error remains, try resetting the device by:

1. Identify the Beacon reset pin on the picture below.

2. With a paper clip, do a gentle press for 1 second on the reset button (Note! You may have to tilt the pin a little downwards).
If you see a “PadLock” symbol in the upper display, press one more time on the reset button.

If the Beacon still doesn’t start or the display is showing a wrench and a manual, then please contact your local sales representative or distributor or support@osstell.com.

Osstell ISQ 量表之所以很重要是因为它在骨整合进程中能提供精确的见解，有助于临床医生确定假牙负重的最佳时间，保证安全的外科手术方案。4 5

已骨整合的牙齿种植体是已经与周围骨骼稳固连接到种植体，其为假牙提供稳固基础并随着时间的推移确保牙齿的牢固。1 2

在骨整合过程中，骨细胞在种植体表面生长并稳固地与其连接，随着时间的推移，实现从机械稳定性到生物稳定性的过渡。1 3

骨整合是活骨与种植体表面之间直接的功能性连接。其是确保牙齿种植体稳固和成功种植的关键因素。1 2

1 年。

对患者使用前，请在器械上安装一个隔离套。隔离套有助于防止交叉感染，并有助于防止牙科复合材料粘附在器械尖端和主体表面，同时避免清洁溶液导致的变色和降解。

注意

• 隔离套仅供单个患者一次性使用。
• 每位患者使用后，请将使用过的隔离套按标准废弃物处理。
• 请勿将隔离套长时间留在器械上。
• 推荐的隔离套如下：
  • TIDIShield，商品号：20808、20987。tidiproducts.com
  • PremiumPlus：183-2 X 光传感器隔离套，尺寸 2
• 每位患者测量后，必须使用适当的清洁剂清洁器械。
• 应在种植体植入时进行首次测量，以获得愈合过程中后续测量的基准值。最终修复前需再次测量，以观察种植体稳定性的变化。
• 建议在颊舌向和近远中向两种方向进行测量以找到最低的稳定性。因此，仪器会提示用户在这两个方向进行测量。
• 点击此处查看测量方法视频。

每次使用前，使用推荐的表面清洁剂（见下表）润湿纱布或软布，擦拭整个器械。

可接受的清洁剂：

• 70% 异丙醇
• 低泡、中性 pH 的酶制清洁剂，例如：
  • BePro 消毒湿巾，REF 19500102，www.wh.com（可通过 W&H Sterilization 订购）
  • Medizime LF
  • Enzol

切勿使用：

• 酸性或酚类清洁剂/消毒剂
• 任何类型的强碱性清洁剂（包括洗手液和洗碗液）
• 含漂白剂的清洁剂
• 过氧化氢类清洁剂
• 研磨性清洁剂
• 丙酮或烃类清洁剂
• MEK（甲乙酮）
• Birex
• 戊二醛
• 季铵盐类清洁剂

该器械不需要定期维护。如出现故障，请联系当地销售代表或经销商获取进一步指示。

可能的原因包括：

重复使用 SmartPeg： SmartPeg 为一次性器件，仅应在一次治疗过程中为单个患者进行一次或多次测量时使用。反复使用会因软铝螺纹磨损而导致读数不准确。

为种植体选择了错误的 SmartPeg 类型： 请参阅 SmartPeg 参考列表：osstell.com/smartpegguide

SmartPeg 与种植体之间存在骨或软组织： 连接 SmartPeg 前，请确保清洁种植体的修复连接部位。

电磁干扰： 排除电磁干扰源。

探头距离 SmartPeg 过远： 将探头保持在距离 SmartPeg 2–4 mm 处。

You can measure and record ISQ on an abutment.

• First, navigate to your patients records, select the patient and the implant on the tooth chart. Click ‘Add abutment’, choose the abutment and save.

• Second, click ‘Measure stability’. Select ‘Abutment’ under ‘Measurement level’. Measure on the abutment, as you would on implant level. Save.

• To visualize stability, go to the stability tab and toggle on ‘Show abutment’ to see the details. You can also toggle on ‘Show details’ to see ISQ for both buccal lingual and mesial distal.

• To document an implant failure, go to your patients records. Select the patient, then select the tooth. Click ‘Mark as failed’. Choose the type of failure (early or late failure), fill in the failure date. Choose the reason for failure. Click ‘Mark as failed’.

• You can access the history of the implant failure by navigating to the history tab. Click the tab ‘Failed’ to see all information related to the treatment and the failure.

• A history symbol is displayed on the tooth with a failed implant.

The data in your Osstell IDx is automatically uploaded to your OsstellConnect account, if it is connected to the internet. To connect your device to the internet, please follow the instructions here.

Please note that you can also create backups, for example on a USB stick. Please follow the instructions here.

Before starting, make sure that you have already installed the Beacon Gateway. If you have not installed it yet, please navigate to your clinic in your account, click the instruments tab and download the gateway. Install it.

• Plug in the Osstell Key to a USB port on your computer.

• Take your instrument in hand. It is now connecting to OsstellConnect and you should see the following symbol animating. Please note that it can take a few seconds.

• When connected, the symbol stops animating.

• Go to your patient records.

—— If it is the first measurement, create a patient. Fill in patient data and save. Click New Treatment and fill in treatment information. Click Add implant, fill in implant data and save. Click measure stability.
—— If it is a follow up measurement, select the patient and then the tooth on the teeth chart. Click measure stability.

• Measure in buccal lingual direction. The ISQ value is now showing in OsstellConnect.

• Measure in mesial distal direction. The ISQ value is now showing in OsstellConnect.

• Fill in the information about the treatment and save.

Navigate to your clinic in your account. Select the instrument tab. Click on Download firmware.
Download instructions:

• Wait for the download to complete (could take a while depending on your connection)

• Copy the .m2f binary file to a USB memory stick

• Insert the memory stick in your IDx while it is running

• Follow instructions on the IDx display

Note: you cannot open or view the .m2f file
You can also check this guide

Yes, simply navigate to your patient records. Select the patient. Select the implant. Go to the stability tab. Click on the edit icon by the measurement you would like to delete. Click delete. Please note that the measurement will be permanently removed from the patient chart.

Yes, simply navigate to your patient records. Select the patient you would like to delete. Click delete in the upper right corner. Confirm that you want to delete the patient and all data. Please note that it will be permanently removed from your account.

Yes, you can export all your data to an Excel file for further analysis. Simply go to your patients records and click CSV export. The file will appear in your downloads.

Yes, simply navigate to your patient records. Select the patient. Select the implant you want to edit on the tooth chart. Select the tab ‘Implant & abutment’. Click on the pen icon to edit. Edit implant data. Save.

Simply navigate to your patient records. Select the patient. Click ‘edit’ on the top right corner. Edit the data and save.

You can find the serial number on the back of your instrument.

Osstell Beacon
• To find your registration code, please make sure that you have already installed the Beacon Gateway. If you have not installed it yet, please navigate to your clinic in your account, click the instruments tab and download the gateway. Install it.
• Make sure that you have inserted the Osstell Key to your computer.
• Take your instrument in hand. It is now connecting to OsstellConnect and you should see a symbol animating. Please note that it can take a few seconds.
• When connected, the symbol stops animating.
• The registration code is now displayed on the lower screen of your instrument.

Osstell IDx
• When turning on your Osstell IDx for the first time, you will be prompted to select language, time zone, date and time.
• After that, you will need to set up a 4-digit pin code and a backup password. The backup password is needed when restoring to a backup, so please note it down and save it in a safe place.
• Your registration code is now displayed on your Osstell IDx.

Click here

The IDx consumes power when it is turned off, so if the battery is totally drained and down at 0% the settings for date and time will be lost. If the battery is drained the IDx will ask you to set date and time again at start-up. If you connect the IDx to the internet, the date and time will be set automatically.

Simply register your IDx by following the instructions in the device or by going to
osstellconnect.com

No, for the moment is it not possible to connect to other patient data system.

For normal use, the batteries last for at least one day but in most cases longer. It takes about 2
hrs to charge the IDx from a fully discharged state.

Simply choose a tooth position on the touch screen and start measuring.

Perform measurements, press End patient, and then save as Add new patient.

Simply select the pen symbol in the patient list to edit.

The patient data can be saved either in the instrument or on Osstell Connect.

Values can only be removed before saving clicking on the trash bin symbol. After saving the data cannot be modified.

Yes, OsstellConnect is accessible via iPhone, iPad, Mac or PC.

Have you registered your device? You can only use the Osstell IDx for a limited time without
registration.

No, you can also register your IDx at osstellconnect.com. All you need is the serial number.

To enable automatic backup of your Osstell IDx, you will be asked to create a backup code made up of 8 characters. The purpose of the backup is to reset the unit if you for some reason remove patients by mistake or lose your instrument. The code is created during the registration process and you only have to enter it once. To make sure you can access your backup at a later date, it is VERY important that you write this code down and keep it in a safe place.

Backup can also be done via USB without a code.

Just connect the instrument via wifi and follow the instructions on the screen. A confirmation
email with login details will be sent to your email address.

ISQ means Implant Stability Quotient and derives from Herz since the technique we use is Resonance Frequency Analysis (RFA). The scale in Herz is non-intuitive and hard to communicate so it was translated to a scale from 1-100 ISQ more than 20 years ago. Today we know that the scale correlates to micro mobility and that high stability means > 70 ISQ, between 60-69 is medium stability and < 60 ISQ is considered as low stability.

ISQ, or Implant Stability Quotient, is a scale from 1 to 100 and is a measure of the stability of an implant. The ISQ is a close to linear mapping of the resonance frequency of the SmartPeg that is attached to the implant.

Most users agree, which is in line with the scientific studies, that a preferable second ISQ value for non-splinted implants should be 70 ISQ or more to initiate the prosthetic rehabilitation. For splinted implants which will stabilize each other, lower ISQ values could be used. More information about how to use the ISQ scale can be found under “Education”.

In general, Electromagnetic noise, or should be taken as an indication that the environment contains an alternating magnetic field of some magnitude. However there could be sudden bursts of electromagnetic noise from different electronic equipment, which could sometimes coincide with a measurement. TV-sets are among those devices that create a lot of noise.
If the probe is close to the instrument (a few centimeters), the noise from the instrument itself will cause the warning. If the warning is only visible when the probe is held close to a SmartPeg, it can be due to:

– If the implant is really rigid, it makes the signal from the SmartPeg very strong, which can cause the warning. Try to distance the probe from the SmartPeg a millimeter or two. Clinically this should happen very seldom, but on a plastic jaw model for instance, it can be necessary to hold the probe several millimeters from the SmartPeg, due to the lack of dampening soft tissue.

– If the SmartPeg is not mounted properly, it can cause the warning. If this has happened the SmartPeg threads are probably damaged, and it has to be exchanged.

The SmartPegs are single patient 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.

No, it is enough with finger tightening and a firm contact between the components. The result is very repeatable even between different users for the same implant.

It is impossible to base the decision about immediate loading only on the ISQ-value. The literature shows that good primary stability is essential for a successful outcome, but there are of course also other parameters that have to be considered in such a decision. See also above about which ISQ values to expect. Many direct loading studies show good results with immediate loading if the primary stability is good. It seems as the implant stability will not change considerably from implantation to after osseointegration in many such cases.

The SmartPeg measures stability in all directions and singles out the most stable and the least stable directions. The two ISQ values represent these values. If they are both found at the same time, and they differ by more than 3 ISQ units, they are presented on the display together. The two values can also be found by measuring from two different directions.

There are currently more than 1500 articles where Osstell was used in the study, published in scientific papers. These abstracts could be found in our searchable database under “Education”.

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.

If you see an increased ISQ value, compared to the baseline value taken at placement, it is the
effect of osseointegration. The same is true for high values that should stay high over time. If there is
a significant drop in ISQ value, it is probably due to a failing implant.

Osstell helps you ensure that the implant is stable enough to load before initiating the prosthetic rehabilitation. This is especially important if you are trying to reduce treatment times or if you are treating risk patients.

Osstell measures the lateral stability of the implant and thereby indirectly the degree of osseointegration. The results are presented as an ISQ, ranging from 1-99 ISQ, which correlates to micro mobility.

The SmartPeg, with its magnet on top, works like a small tuning fork. The magnet is emitted with magnetic pulses from the probe which makes the SmartPeg vibrate. Due to the stiffness in the interface between the implant surface and the bone the SmartPeg will vibrate accordingly. The more dense bone the higher stability, the higher frequency and the higher ISQ value. The ISQ value will be displayed on the screen within a second after the measurement is done.
If you start with low mechanical stability at placement the value will increase due to the increased stability caused by osseointegration. If the initial value is in the high range, e.g. 75 ISQ it will stay about the same even after osseointegration, since the initial mechanical stability was already so high. If the implant does not osseointegrate the ISQ value will decrease significantly and should be taken as a warning.

Periotests are designed for natural teeth that are attached to the bone with a periodontium. An implant is attached directly to the bone without periodontium.
Osstell uses a more sensitive scale with a non-contact, non-invasive technique which is totally objective and repeatable.

Torque is a one time, static measurement at placement of the implant and cannot be repeated later on in a non-invasive way. It measures the rotational friction between the implant surface and the bone and not the lateral stability of the implant. Osstell measures the lateral stability of the implant and the measurements could be repeated in a non-invasive, dynamic way to monitor the development of osseointegration.

You can have high percentage of bone contact in soft bone but low implant stability compared with a situation with dense bone, less contact percentage but still higher stability. This is explained by the stiffness in the bone itself (Young’s Modulus). In soft bone you will get a low ISQ at placement and you will see an increased stability value due to osseointegration. If you have high initial mechanical stability already at placement, osseointegration will not add stability in a significant way since the implant was already stable. If the implant does not osseointegrate the ISQ value will continue to decrease.

The Osstell IDx measures constantly when switched on. The Osstell Beacon starts to measure when close to a SmartPeg. To ensure that the instrument is working properly, use the SmartPeg test block (TestPeg) to take a measurement.

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.

The damping effect from the surrounding tissue can vary a great deal from implant to implant. If the damping is extreme, it may be necessary to hold the probe tip close to the magnet on top of the SmartPeg to get a reading. Normally, the probe is held 2-4 mm from the magnet, but if you do not get an ISQ value, try shortening the distance between the magnet and the probe tip. You can also try holding the probe at a slightly different rotational angle. Always make sure the implant platform is clean. See also the question about “Electromagnetic noise”.

Since we are only vibrating the SmartPeg we are basically not affecting the implant itself. The SmartPegs’ magnet is emitted by magnetic pulses with very low energy generated through the probe. This way the technique is totally objective, repeatable and non-invasive.

The average ISQ is approximately 70. The clinical range that can be seen is from 40-45 up to 85-90. Most implants have between 55 ISQ to 80 ISQ

The following products may be autoclaved (over-pressurized steam up to 135 deg Celsius):

– Probe
– Probe extension cable
– SmartPeg Mount

Please note that SmartPegs are disposable and can not be autoclaved!

You can check the SmartPeg Reference Guide by clicking here

Clinically, the lowest number seen is approximately 40 ISQ. If the stability is less than 30, the implant is more or less “loose”. Values below 20 will not be seen, unless on a lab model with artificially low stability.

Yes, you can measure ISQ on a patient who has a pacemaker. But to be really sure, you should keep in mind to position the probe away from the chest/pacemaker due to the magnetic pulses emitted. There are numerous reports about pacemakers and magnetic fields, e.g. this report.

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.