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Penguin RFA - ISQ Implant Stability


Penguin RFA - ISQ Implant Stability

Penguin RFA - Implant Stability Quotient (ISQ) Measurement

The Penguin RFA allows the practitioner an easy, accurate and affordable solution to Implant Stability Quotient (ISQ) implant stability measurement. With the Penguin, you can easily monitor osseointegration of your dental implants and eliminate any doubt. Whether you are checking the ISQ of an implant at immediate placement following an atraumatic extraction or before definitive restoration impressions, the Penguin RFA is the predictable and accurate choice to give you comfort your implant is ready to load. The Penguin uses multi-use autoclaveable Multipegs that are calibrated to each individual implant brand and system.

The system works without any contact with the Multipeg. Start monitoring implant osseointegration today with this easy and affordable solution from Penguin RFA.

The Numbee

The Penguin RFA allows the practitioner an easy, accurate and affordable solution to Implant Stability Quotient (ISQ) implant stability measurement. With the Penguin, you can easily monitor osseointegration of your dental implants and eliminate any doubt. Whether you are checking the ISQ of an implant at immediate placement following an atraumatic extraction or before definitive restoration impressions, the Penguin RFA is the predictable and accurate choice to give you comfort your implant is stable and ready to load. Today’s implant dentistry trend is to use short, or no, healing periods before loading, so it is imperative to ensure proper stability to reduce the risk of failure and have confidence the implant is ready for loading. The Penguin uses multi-use autoclaveable Multipegs that are calibrated to each individual implant brand and system.

Resonance Frequency Analysis (RFA) was introduced to implant dentistry more than 20 years ago, where a peg attached to an implant causes vibration frequency that is picked up by a device and presented as an ISQ. The measurement scale is from 1 to 99 ISQ, which correlates strongly to the micro mobility of the implant that is dependent on bone quality and osseointegration. A baseline value can be taken at placement and another before loading to determine the degree/measurement of osseointegration.

The Penguin RFA is cordless, light-weight, and very user friendly. It is also cost-effective as the Multipegs (i.e., transducers) are fully autoclaveable for multi-use and calibrated.

The Penguin RFA Intro Kit includes the following:
  • PenguinRFA Device
  • Charger
  • MulTipeg™ Driver
  • User Manual

The Multipeg type will be determined based on your implant brand and system at an additional cost of $32. Please make sure you select the correct implant brand and system so we can ensure you get the correct multipeg for your implants. **If you do not see your implant brand and or system, please contact us to determine availability as the list is constantly changing and being added to.

The Penguin RFA has a 2-year warranty.

 

Q: What are the benefits of using MulTipegsTM?
A: MulTipegs are made from durable titanium with sealed magnets, and can be autoclaved for sterility. They are calibrated against a reference for consistent ISQ-values which in turn makes it easier to compare different implant systems. The laser marked MulTipegs are tissue friendly and leaves no foreign material inside the implants*. They are also cost effective since they are reusable.

*Effects of multiple reuse, remounting and consecutive autoclave sterilization on Osstell SmartPegs, D. Duddeck,1 F. Faber2

Q: Does PenguinRFA produce the same ISQ values as Osstell ISQ?
A: The PenguinRFA used together with the reusable MulTipegTM, give in principle the same ISQ readings as Osstell ISQ with the disposable SmartPegs. However, MulTipegs are calibrated against a common standard which means that the ISQ values are comparable between different implants. MulTipegs must be used to get the benefits of the calibrated system.

Q: Are the reusable MulTipegsTM compatible with the disposable Osstell SmartPegs?
A: Although the two systems in principle give the same ISQ values for an implant (however see the question above about the calibration standard), they are not directly compatible. If PenguinRFA is used with Osstell Smartpegs, the measurements need to be adjusted according to this table. If an Osstell instrument is used with MulTipegs, this table is used instead. This is because MulTipegsTM and Smartpegs® are made from different materials (titanium vs aluminum). MulTipegs must be used to get the benefits of the calibrated system.

Q: How many times can I use the reusable MulTipegTM ?
A: If a MulTipegTM is used, washed and autoclaved, it will mean some wear. Eventually, the MulTipegTM will be worn in such a way it should be replaced. How many uses that will take, differs dependent on the way it is handled, but in any case it is guaranteed for 20 autoclave cycles.

Q: What is the MulTipegTM material?
A: The reusable MulTipegTM is made in titanium, a highly biocompatible material which guarantees that no foreign material or substance comes in contact with the implant during the measurement.

Q: How do I work with the system under sterile conditions?
A: If the instrument is used together with a sterile cover, it can be used in a sterile environment. Both the MulTipeg and the MulTiPeg Driver are autoclavable.

Q: How long before the batteries have to be recharged?
A: Fully charged batteries will provide more than one hour of continuous measurements. Since the instrument normally is used only for a short while at a time, it means it can be used for many sessions before recharging.

Q: Which cut-off ISQ value should I strive for?
A: Dependent on the surgical protocol (one- or two-stage), loading protocol (immediate, early, standard, prolonged) and clinical situation (i.e. single tooth, full bridge), the ISQ value requirement differs. More information about how to use the ISQ-value can be found here.

Q: Is the method documented?
A: Resonance Frequency Analysis applied on implants is documented in more than 700 peer-reviewed published articles.

Q: Is the published Resonance Frequency Analysis (RFA) documentation valid for PenguinRFA?
A: The result of a measurement with the PenguinRFA instrument is presented as an ISQ-value. Internal research show that PenguinRFA together with MulTipegs produce the same results as other instruments for the measurement of ISQ.
Product system
The PenguinRFA system consists of a hand-held instrument and a reusable MulTipegTM. A charger is delivered together with the instrument as well as a stainless steel driver for attaching the MulTipegTM to the implant.

STEP 1
Select the correct MulTipegTM for the implant being measured.

STEP 2
Attach the MulTipegTM using the driver (approximately 6-8 Ncm of torque).

STEP 3
Turn on the instrument and hold the tip of the instrument close to the top of the MulTipegTM.

STEP 4
The instrument emits a beeping sound when it starts measuring and another sound when the ISQ value is presented on the display a second later.