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INFORMATIONS : info@sisomm.com
The different PERSO-C®
and PERSO-B®
- implant and abutment
forms and their measures
PAGE 3
Introduction and hints for the use of the PERSO-PEEK- Manual PAGE 4
PILOT DRILLING for PERSO-C®
–Implants PAGE 5
D
PROCEDURE CD 2-step loading of PERSO-C®
-Implants
surgical part
prosthetical part
PAGES 6 - 13
PROCEDURE BD 2-step loading for PERSO-B®
-implants for mandibula
surgical part
prosthetical part
PAGES 14 - 21
PROCEDURE BIT the temporary immediate implant procedure with PERSO-C032® PAGES 22 - 23
I
PROCEDURE CI Immediate loading of PERSO-C®
-Implants PAGES 24 - 29
PROCEDURE BI Immediate loading of PERSO-B®
-Implants for mandibula PAGES 30 - 31
PROCEDURE of partial or unilateral prosthetical reconstruction
of atrophic jaw zones
PAGES 32 - 33
OSTERI PACK PAGE 34 - 35
www.sisomm.com/peek/video/pee
PERSO-B001 UNIVERSAL PERSO-B101L Monobloc standard
PERSO-C001 UNIVERSAL PERSO-C047 Medium standard PERSO-C032
OABU1 OABU2
OAXE
Content
3
The different PERSO-C®
and PERSO-B®
- implant and abutment
forms and their measures

This presentation of the PEEK-PERSO-Technic has to be seen as a help to summarize your knowledge during
your participation in a Familiarization- and Operation-course. We try to provide knowledge as far as possible –
but those written resumees can have lacks.
Only the authorization by our partner, the scientific society IsoSS (www.isoss.eu), to whom we have delegated the
educational duties concerning the PEEK-PERSO-technic, qualifies customers to use SisoMM-products made from
PEEK.
En complément d’informations vous trouverez aussi sur ce facsicule des liens url qui indiquent des vidéos visibles
sur internet.
With pleasure we see forward to receive suggestions from our customers what aspects have to be displayed in a
more sophisticated manner.
Here we want to thank Michele Flanagan (Graphic), Myriam Broche (Communication), the translators:
Dr Ádám Dávid (Hungari), Mirella Filippini (Italy), Balgat Merkez (Turkey), Dr Fahrhad Ghazaei-Motlagh (Canada),
Dr Elena Fokeeva, Irina Nemeth, (Russia), Panos Pagratis (Greece), Dr Vlad Petrescu (Romania),
Bettina Rode, (Germany), Caroline Wallis (Spain) for their cooperation and comprehension in working out
this Manual.
Claudia Strinella
CEO SisoMM
5
Pilot Drilling for
PERSO-C®
–Implants
4
PERSO-C001
UNIVERSAL
PERSO-C047
Medium standard
PERSO-C032
CFP-1 CFP-2 CFP-3
(Ø 1,8 mm) 1200 rpm (Ø 2,2 mm) 900 rpm (Ø 2,5 mm) 750 rpm
Before starting the drilling determine the needed depth of the insertion channel and the
exact postion needed in the space – considering prosthetical rerestoration and position
of antagonist.
In function of these findings make the drilling with pilot-drills CFP1, CFP2 and CFP3
with reduced and decreasing speeds, using a contra-angle “green” handpiece 20:1.

CF1
CFC
CFCC
CD-2a
In the case of even larger
alveolar crest: finish the
conical part with a bigger
diameter (5,5 to 8,0 mm)
and use the drill CFCC.
(less than 20 rpm or manually)
CD-1
After the pilote drilling (page 5), form
the insertion channel for the straight
part of the implant PERSO-C®
(less
than 50 rpm) with form-drill CFI.
CD-2
Drill in bone the conical part of the
implant. (less than 20 rpm or by
hand) For an implant of Ø 4,7 mm,
use the form-drill CFC47. If other
diameters are indicated use the
different diameters of drills between
3,6mm and 5,5mm. (see catalogue)
OFR1
Diamond
Burr
CD-4 Insertion of the implant in the channel
Eventually assisted by needle-holder or OPORTE-C
OPORTE-C
www.sisomm.com/peek/video/tec
CD-3
Adjust the implant in
length with a hard-metal-bur
holding it by hand or in the
OBOCK.
En cas d’os en classe I
(d’après Misch) il faudra
recouper (supprimer) avec
une fraise en tungstène les
cotes de l’implant dépassant
3,0 mm de Ø et les 2 ailettes
au pied du conus. Ceci sera
fait par une fraise en
tungstene.
HAMMER
OFIX
OPORTE
DD
6
2-step loading
of PERSO-C®
-Implants
7
CD
Auxiliary instruments
Eventually treat surface
with Plasma-Spray
PERSO-C001 Universal PERSO-C047 Medium standard PERSO-C032

OFR1
OFR 645
CD-5
OFR 645
CD-6
Auxiliary instruments ODYN, OCLIP, OPORTE
After waiting as long as you would for loading a rigid implant (titanium/circonium),
open the gingiva to find the implant emergence.
Make an opening in the center of the implant, using OZIEL and the rotative instruments OFR7 and OFR8 or
OFR7-L and OFR8-L.
Eventually use a gingiva-former as esthetically necessary. (Adapt OAXE to the local needs)
CD-9
Cut the implant-emergence
- or on the level of the bone
- or 2-3mm above the surface of bone and close the woundflap
- or let heal transmucosally
CD-6
CD-8CD-7
CD-7a CD-8a
CDPERSO-C001 UNIVERSAL PERSO-C047 Medium standard PERSO-C032
D D
8 9
2-step loading of PERSO-C®
-Implants

abutments
OABU1
UNIVERSAL
CD-11
Fix the bridge with resine-cement after
equilibration of occlusion
OABU2
STANDART
OAXE
SPECIAL
Use for extended
distance between
implant and
superstructure
(13-27 mm)
Use for a
stub-height from 1
to 12 mm and with
angulation up to 6°
Use for stub-height
from 3 to 14 mm
and for an
angulation up
to 20°
Peut servir de
Use for
- healing screw
- additional OABU2
composed with
upper portion of
OAXE
Use for
- gingiva-former
- additional OABU2
composed with upper
portion of
OABU2
Auxilliary instruments
OCOH OC1H
CD
Prosthetics fixed by cements
* For screwing procedure switch over to page 12 (CD-10a)CD-10*
CD-12
Last controls and
corrections of occlusion
D
10
D
11
-Implants

CD-10a*
Use for screwing
exclusively
OAXE-abutment.
CD-10b
After equilibration of
occlusion pass with OFR7
through opening
(Ø 2 mm) in crown which
was installed by dental
technician on some
crowns into the stubs
OAXE.This opening is
horizontal and has to be
easily accessible
for the dentist.
CD-10c
Form the opening in the
stub with the OFR-8 drill
for reduced
contra-angle, 50 rpm.
Occlusion Control
CD-10d
Install the thread with
OT25 with 5 to 25 rpm or
manually.
CD-10e CD-10f CD-10g CD-10h
Last controls and
corrections of occlusion
Prosthetics fixed by screwing
CD
www.sisomm.com/peek/video/fix
OCOH OC1H
D
ODYN 2
12
OCLIP OPORTE
D
13
-Implants

BD-1
Create the insertion canal,
and pay attention to situation
of antagonists, with
CUCA4522 or 4532
(4000-40000 rpm) and cut
through transverse till in the
opposite lingual corticalis.
BD-2
Enlarge the basal cut to
7 mm Ø with CUCA9732
or 9722.(4000-20000 rpm)
BD-2a
View on the channel in
position 31 made by a
7mm cutter.
BD-1a
5 mm cutter.
www.sisomm.com/peek/video/bd
BD-3
Enlarge the basal cut to 9mm Ø with
CUCA9932 or 9922. (4000-20000 rpm)
BD-3a
View on the channel in position 31
made by a 9 mm cutter.
D 2-step loading
of PERSO-C®
-Implants for mandibula
14
D
15
BDPERSO-B001 Universal PERSO-B101L Monobloc standard

BD
BD-6
Pass with the form-cutter CUCADEF for the
definite form of the vertical cut. (Ø 2,3mm being
larger than the inferior part of the vertical post,
measuring 2,0mm)
BD-6a
View on the cut done by CUCADEF at position 31.
OPORTEOFIX HAMMER
BD-4
Enlarge the cut of the base to
10 mm Ø with CUCA 91032 or
91022. (4000-20000 rpm)
BD-4a
10 mm cutter.
BD-5
Enlarge the cut of the base to 12
mm Ø with CUCA 91032 or 91022.
(4000-20000 rpm)
BD-5a
12 mm cutter.
- if bad bone quality
- if the retentional bone
structures are far away
- if there is impossible
to fix an implant with
lower diameter
To enlarge the cut for the base to 10 mm or 12 mm
PERSO-B001 UNIVERSAL
D
PERSO-B101L Monobloc standard
D
16 17

D
18
D
19
www.sisomm.com/peek/video/cut
BD2-step loading of PERSO-C®
BD-7
Install implants with help of OFIX and the
impactation instrument OPORTE.
Shaping of implant on OBOCK
BD-8
For full security we consult to respect the sames
delays of bone healing before loading of the
implants as in rigid implantologie
(titanium, circonium)
Insert basal implant with OFIX

D
20
D
21
BD-8a
In order to avoid an immediate loading, use our
immediate temporary implants PERSO-C032.
BD-8b
Stubs in situ after 6 weeks
BD
OCOH OC1H
BD-8
After the usual healing time, choice the stubs and
screw them on the implants.
If you would avoid to work in two steps but also
avoid an immediate loading , please refer to the
procedure BIT (page23)
BD-9
The stubs may be charged after at least 6
weeks but better up to 8 months after
intervention; the moment to choice depends
from the personal skills of the practitioner for
titanium implants.
OABU1 OABU 2 OAXE

D
22
the temporary immediate implant procedure
with PERSO-C032®
D
23
BIT-1
Create the insertion canal, and pay attention to situatio-
nof antagonists, with CUCA4522 or 4532 (4000-40000
rpm) and transverse till in the opposit lingual corticalis.
The procedure BIT described in the graphs 1 to 7 (BI-1 à BI-7) is the same as described in
the chapter concerning the two-step technic with the implants PERSO-B (Pages 14-18)
BIT-7
Install implants with help of OFIX and the
impactation instrument OPORTE.
...
«The procedure may concern parts of the jaws or the full arches. It is important to avoid the immediate
loading by insertion of immediate temporaries implants which will be extracted after having served in the
osseointegration period of the permanent implants. We could as well join this implants au natural posts
which are eventually disponible for fixation of a temporary provisional bridge»
PERSO-C032PERSO-B001 UNIVERSAL PERSO-B101L Monobloc standard
BIT-8a
For to avoid an immediate loading, use our
immediate temporary implants PERSO-C032.
BIT-8c
All stubs are srewed in the implants not earlier than after 6
weeks ; this date is fixed in function of the prosthetic works
for the loading and depends from the habit of the profes-
sional in rigid implantology. the healing delay is the same.
BIT-8
For highest security we recommend to respect the
delays of bone healing before loading of implants as you do
in rigid implantology (titanium, circonium)
BIT-8b
Only the temporary immediate implants will be loaded by a fixed
prosthesis. Installing that bridge be sure to have an equilibrated
occlusion, type PLANAS. When charging the definitive implants
verify the temporary implants ;eventually the one or other may
stay in bone, when not affected by any pathology. Those which
show one deficiency in the interface will be ablated.
BIT

OFR1
Diamond
Burr
CI-3
Adjust the implant in length with a
hard-metal-bur holding it by hand
or in the OBOCK.
OFR1
Diamond Burr
OBOCK
OPORTE-C
OPORTE
OFR1
OFR655 OFR643
Diamond Burr
OBOCK
OPORTE-C
OPORTE
CI-3b
Prepare the perimeter and the
diameter
of the implant
following the
anatomical site.
Use OFR655 to OFR640 with
decreasing diameters or shape the
stub with a diamond bur.
OFR1
OFR655 OFR643
Diamond Burr
OBOCK
OPORTE-C
OPORTE
CI-3c
Give eventually the
needed angulation of the
stub for optimized positioning
opposite to the antagonist and adjust
the enosseous length.
CI-2a
In the case of even larger
alveolar crest: finish the
conical part with a bigger Ø (5,5
to 8,0 mm) and use the
drill CFCC. (less than 20 rpm or
manually)
CI-1
After pilot drilling (page 5), form the
insertion channel for the straight part
of the implant PERSO-C®
.
(less than 50 rpm)
www.sisomm.com/peek/video/ci
www.sisomm.com/peek/video/pre
www.sisomm.com/peek/video/per
I IImmediate loading of PERSO-C®
-Implants
« We understand by CI (immediate or early loading) the loading of implants
- between the implant insertion and the 3 month for the lower jaw
- between the implant insertion and the 6th month for the upper jaw.
In this interval the bone structures around the implant are in the processus of
24 25
CI
osteointegration, néoformation of bone is developing;
there is a strong sensibility for micro-mouvements.
It is necessary to install and to maintain from the first day of loading till the 12th month a bilaterally equilibrated, balanced occlusion known as
PLANAS occlusion.
This has to be maintained for the time of mineralization and remineralization of the old and new bone tissues.It is necessary to control regularly the
maintenance of the PLANAS occlusion, in particular if we have to do with a case of edentation since a longue time or having had full dentures.
This processus will last at least 12 months.
In cases of Myoarthropathie, luxation or subluxation should be installed a narrow recall. We don’t recommend to work in immediate or early loading
with patients where is a doubt on their compliance for to follow the procedures ; the same valid for individual cases where probably an equilibrated
occlusion cannot be obtained immediately. The loss of implants could be the consequence »
with Plasma-Spray
CI-2
Drill in bone the conical part of the
implant. (less than 20 rpm or by
hand) For an implant of Ø 4,7 mm,
use the form-drill CFC047. If other
diameters are indicated use the
different diameters of drills between
3,6 mm and 5,5 mm. (see catalogue)
CI-3a
For insertion in the opening the two
cervical wings have to be
horizontal. Hold
the implant on the
straight part with a
finger; use the
transparent sheet as to
avoid to contaminate the surface
with talc from gloves. Cut the parts of
implants which have to be adapted
with hard metal-burs.

OFIX
OPORTE
CI-5
If you have used the OBOCK
shape the stub like a natural
tooth with a diamant bur and
make last corrections after
insertion.
Permanent Cemet
Permanent Cemet
Occlusion Control
Diamond Burr
CI-6
Fix the bridge with
resin cement after
equilibration of occlusion.
Occlusion Control
CI-7
Last controls and
corrections of occlusion.
Prosthetics fixed by cements*
CI-4 Insertion of the implant in the channel
Assisted by needle-holder or OPORTE-C
* For screwing procedure switch over to page 26 (CI-6a)
I I
26 27
CI
with Plasma-Spray
Immediate loading of PERSO-C®
-Implants
The day of operation and some days after, use Alginate for
impression and avoid silicones because of their penetration
potential in the wounds and potential infections because of
residuals staying in the wounds.

CI-6a*
After equilibration of
occlusion pass with OFR7
through opening (Ø 2 mm)
in crown which was installed
by dental technician on some
crowns into the stubs OAXE.
This opening is horizontal and
has to be easily accessible for
the dentist.
CI-6b
Form the opening in the stub
with the OFR-8 drill for reduced
counter-angle, 50 rpm.
CI-6c
Install the thread with OT25
with 5 to 25 rpm or manually.
Occlusion Control
CI-6g
Last
controls
and
corrections
of occlusion
CI-6f
CI-6e
Cut OABU1 with a bur in
tungsten.
CI-6d
Prosthetics fixed by screwing
www.sisomm.com/peek/video/fix
I I
28 29
CI
Immediate loading of PERSO-C®
-Implants

BII I
30 31
The Procedure BI for the graphs 1 to 8 (BI-1 to B1-8) is similar to that described in the
chapter « 2-step loading of implants PERSO-B (pages 14 to 18)
BI-8
For all security we recommend to respect
equivalent delays as in rigid implantology
(titanium and circonium) for bone healing before
loading implants.
...
BI-9
For specialists in occlusion it is not excluded to have success with immediate loading
of PERSO-implants.
In deed, you have to install an occlusion type PLANAS and this from the 1st day
of loading.
The immediate loading requires that the implants are fixed by a bridge as by a splint or
external fixator from the end of the operation and on its last after 12 days.
BI-1
Create the insertion canal, and pay attention to
situationof antagonists, with CUCA4522 or 4532
(4000-40000 rpm) and cut through transverse till in
the opposite lingual corticalis.
Immediate loading of
PERSO-B®
-Implants
PERSO-B001 Universal PERSO-B101L Monobloc standard

PROCEDURE of partial or unilateral prosthetical reconstruction of atrophic jaw zones
Parallize the emergence of implants and the stubs
with a diamond burr or a bellforme grinder.
32 33
For the places with reduced bone height in the near
of obstacles (<10mm) and of bad quality or with
reduced crestal width (<3,6mm) please use
PERSO-B implants in the place of crestal implants.
Use PERSO-C for insertions in pterygomaxillary
and zygoma-regions.
Whilst choosing implant techniques for atrophiques zones, you have to consider that there will be often longues distances between the
zones of anchoring in bone and the superstructure and that there will be only little bone volumina for to stand constraints.
A basal implant which is not inserted in all its height in bone (at least 8mm) will not develop sufficient lateral stability for to counter the
important scissors forces rising up in such a case ; that is why it must be associated to a crestal implant which will stabilize with its leaning
against the lateral corticalis or by connection with a natural parodontally intact tooth.
If they are integrated in weak bone structures, even 2 basal implants in position 5,6 or 7 could not be enough . It might bet hat a crestal
implant has to be associated, eventually a pterygo-maxillary implant. It is important in any case to wait a good osseointegration before
loading.
Per unity of replaced teeth it is important to calculate a an interface of the implant of 7 sqmm at least, better 9 or 10 sqmm.
www.sisomm.com/peek/video/pte

Drills and milling cutters
-for dynamometrical keys-
For create and parallelize stubs
OFR651
OFR647
OFR620 OFR625
OFR5
CFP1 CFP2 CFP3
CFI
CFC047 CFC051
45-22
45-32
97-22
97-32
910-22
910-32
912-22
912-32
CUCADEF CUTUDEF
99-22
99-32
To put the implant in its insertion channel
For to cut and grind the PEEK-material and rigid materials
(metal/circonium)
For creating external and internal threads in PEEK
or in fractured rigid implants.
Manual milling adapters
OPORTE-B OPORTE-C OFIX
OBOCK
OFR1 OP25 OP45
OT25 OT45
OCLIP OCOH OC1H
CUCA
for Contre-Angle
OFR6ABU
OSTERI
OKRON 1
ODYN 1
For to prepare surgical and prosthetical work
OLANG
OFR630 OFR632
OFR636 OFR643
OFR655
45-22
45-32
97-22
97-32
910-22
910-32
912-22
912-32
99-22
99-32
OFR640
ODYN 2
OKRON K
TOOLS & INSTRUMENTSfor the 2 implants types PERSO-B®
and PERSO-C®
+ Repairs
www.sisomm.com/peek/video/too
34
CFC036 CFC040
CFC043 CFCC
Cutters
CUTU
for Turbine
OZIEL040 OZIEL051
OFR2 OFR3
OFR4 OFR7 OFR8
For treat surface with Plasma-Spray
PB2
35
CFP1-L
CFI-L

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