3

4

5

6

7

8

20 21

2227

26 28

29 31

30

9 10

14 15 16 17 18 19

11 12 13

1

2

{

23

MT-BTT28Body try in Ø2.80mm

15

MT-BTT32Body try in Ø3.20mm

16

MT-BTT40Body try in Ø4mm

17

MT-BTT45Body try in Ø4.50mm

18

MT-GDN33Countersink for standard platform

20

21

MT-GDN50Countersink for wide platform

22

MT-NRH10Long ratchet adapter for internal hex. connection, narrow platform

23

MT-PP240Parallel pin Ø2.40/Ø3mm for tapered implant procedure

24

MD-PF375Direct press fit for closed tray

25

MN-PF330Direct press fit for closed tray narrow platform

MT-HLI10Long insertion tool, internal hex. connection

26

MT-HSI10Short insertion tool, internal hex. connection

27

MT-SMD10Spade marking drill

1

MT-TDN19Marking drill Ø1.90mm external irrigation

2

MT-TDT28Twist drill Ø2.80mm external irrigation

9

MT-TDT32Twist drill Ø3.20mm external irrigation

10

MT-TDT40Twist drill Ø4mm external irrigation

11

MT-TDT45Twist drill Ø4.50mm external irrigation

12

MT-TDT50Twist drill Ø5mm external irrigation

13

SEVEN Surgical KitContent:

®SEVEN

{ 33

30

MT-DE001Drill extender

MT-RDS30 Short hex. drive 0.05 inch

32

MT-BTT50Body try in Ø5mm

19

3

4

5

6

7

CT-P2416Pilot drill Ø2.4/2.0 height 16mm

8

31

MT-RMR10Long direct hand and ratchet key

28

MT-LRH20Long insertion tool for internal hex. connection

MT-SRH20Short insertion tool for internal hex. connection

29

34

MT-RI030Ratchet wrench

24

25

32

33

MP-WC048 Rev.8

The MIS Quality System complies with International Quality Standards: ISO 13485:2003 - Quality

Management System for Medical Devices, ISO 9001: 2008 – Quality Management System

and Medical Device Directive 93/42/EEC. MIS products are CE marked.

MIS Implants Technologies Ltd. www.mis-implants.com

®

MT-RDL30Long hex. drive 0.05 inch

Surgical Kitwall chart

34

CT-P2406Pilot drill with built in stopper Ø2.4/2.0 height 6mm

CT-P2408Pilot drill with built in stopper Ø2.4/2.0 height 8mm

CT-P2411Pilot drill with built in stopper Ø2.4/2.0 height 11.5mm

CT-P2413Pilot drill with built in stopper Ø2.40 height 13mm

CT-P2410Pilot drill with built in stopper Ø2.4/2.0 height 10mm

14

CT-BTC24Body try in 2.40mm for tapered implant procedure

3

4

5

6

7

8

20 21

2227

26 28

29 31

30

9 10

14 15 16 17 18 19

11 12 13

1

2

{

23

MT-BTT28Body try in Ø2.80mm

15

MT-BTT32Body try in Ø3.20mm

16

MT-BTT40Body try in Ø4mm

17

MT-BTT45Body try in Ø4.50mm

18

MT-GDN33Countersink for standard platform

20

21

MT-GDN50Countersink for wide platform

22

MT-NRH10Long ratchet adapter for internal hex. connection, narrow platform

23

MT-PP240Parallel pin Ø2.40/Ø3mm for tapered implant procedure

24

MD-PF375Direct press fit for closed tray

25

MN-PF330Direct press fit for closed tray narrow platform

MT-HLI10Long insertion tool, internal hex. connection

26

MT-HSI10Short insertion tool, internal hex. connection

27

MT-SMD10Spade marking drill

1

MT-TDN19Marking drill Ø1.90mm external irrigation

2

MT-TDT28Twist drill Ø2.80mm external irrigation

9

MT-TDT32Twist drill Ø3.20mm external irrigation

10

MT-TDT40Twist drill Ø4mm external irrigation

11

MT-TDT45Twist drill Ø4.50mm external irrigation

12

MT-TDT50Twist drill Ø5mm external irrigation

13

SEVEN Surgical KitContent:

®SEVEN

{ 33

30

MT-DE001Drill extender

MT-RDS30 Short hex. drive 0.05 inch

32

MT-BTT50Body try in Ø5mm

19

3

4

5

6

7

CT-P2416Pilot drill Ø2.4/2.0 height 16mm

8

31

MT-RMR10Long direct hand and ratchet key

28

MT-LRH20Long insertion tool for internal hex. connection

MT-SRH20Short insertion tool for internal hex. connection

29

34

MT-RI030Ratchet wrench

24

25

32

33

MP-WC048 Rev.8

The MIS Quality System complies with International Quality Standards: ISO 13485:2003 - Quality

Management System for Medical Devices, ISO 9001: 2008 – Quality Management System

and Medical Device Directive 93/42/EEC. MIS products are CE marked.

MIS Implants Technologies Ltd. www.mis-implants.com

®

MT-RDL30Long hex. drive 0.05 inch

Surgical Kitwall chart

34

CT-P2406Pilot drill with built in stopper Ø2.4/2.0 height 6mm

CT-P2408Pilot drill with built in stopper Ø2.4/2.0 height 8mm

CT-P2411Pilot drill with built in stopper Ø2.4/2.0 height 11.5mm

CT-P2413Pilot drill with built in stopper Ø2.40 height 13mm

CT-P2410Pilot drill with built in stopper Ø2.4/2.0 height 10mm

14

CT-BTC24Body try in 2.40mm for tapered implant procedure

3

4

5

6

7

8

20 21

2227

26 28

29 31

30

9 10

14 15 16 17 18 19

11 12 13

1

2

{

23

MT-BTT28Body try in Ø2.80mm

15

MT-BTT32Body try in Ø3.20mm

16

MT-BTT40Body try in Ø4mm

17

MT-BTT45Body try in Ø4.50mm

18

MT-GDN33Countersink for standard platform

20

21

MT-GDN50Countersink for wide platform

22

MT-NRH10Long ratchet adapter for internal hex. connection, narrow platform

23

MT-PP240Parallel pin Ø2.40/Ø3mm for tapered implant procedure

24

MD-PF375Direct press fit for closed tray

25

MN-PF330Direct press fit for closed tray narrow platform

MT-HLI10Long insertion tool, internal hex. connection

26

MT-HSI10Short insertion tool, internal hex. connection

27

MT-SMD10Spade marking drill

1

MT-TDN19Marking drill Ø1.90mm external irrigation

2

MT-TDT28Twist drill Ø2.80mm external irrigation

9

MT-TDT32Twist drill Ø3.20mm external irrigation

10

MT-TDT40Twist drill Ø4mm external irrigation

11

MT-TDT45Twist drill Ø4.50mm external irrigation

12

MT-TDT50Twist drill Ø5mm external irrigation

13

SEVEN Surgical KitContent:

®SEVEN

{ 33

30

MT-DE001Drill extender

MT-RDS30 Short hex. drive 0.05 inch

32

MT-BTT50Body try in Ø5mm

19

3

4

5

6

7

CT-P2416Pilot drill Ø2.4/2.0 height 16mm

8

31

MT-RMR10Long direct hand and ratchet key

28

MT-LRH20Long insertion tool for internal hex. connection

MT-SRH20Short insertion tool for internal hex. connection

29

34

MT-RI030Ratchet wrench

24

25

32

33

MP-WC048 Rev.8

The MIS Quality System complies with International Quality Standards: ISO 13485:2003 - Quality

Management System for Medical Devices, ISO 9001: 2008 – Quality Management System

and Medical Device Directive 93/42/EEC. MIS products are CE marked.

MIS Implants Technologies Ltd. www.mis-implants.com

®

MT-RDL30Long hex. drive 0.05 inch

Surgical Kitwall chart

34

CT-P2406Pilot drill with built in stopper Ø2.4/2.0 height 6mm

CT-P2408Pilot drill with built in stopper Ø2.4/2.0 height 8mm

CT-P2411Pilot drill with built in stopper Ø2.4/2.0 height 11.5mm

CT-P2413Pilot drill with built in stopper Ø2.40 height 13mm

CT-P2410Pilot drill with built in stopper Ø2.4/2.0 height 10mm

14

CT-BTC24Body try in 2.40mm for tapered implant procedure

Ø5.10 Ø 5.90

Ø6

200-400 200-500

Ø6

15-25

Ø4 Ø4.5

300-500 300-5001200-1500 900-1200

Ø2.40 Ø2.80 Ø3.20Ø2.40Ø1.90

500-700 400-700

Ø5 Ø5

1200-1500

Ø2.40 Ø3.30Ø1.90

900-1200 15-25

Ø2.20 Ø3.20

200-400

Ø2.40

Drilling Speed (RPM)

Diameter

1200-1500 900-1200

Ø1.90 Ø2.80 Ø3.75Ø2.40 Ø2.40

500-700 15-25Ø2.80 Ø3.60

Ø3.75

200-400 200-500

Ø2.80

Drilling Speed (RPM)

DiameterOR

1200-1500 900-1200

Ø2.40 Ø2.80Ø1.90 Ø2.40

500-700

Ø3.20 Ø3.20

400-700Ø3.30Ø4.10

Ø3.30Ø4.20

200-400 200-500

Ø4.20

15-25Drilling Speed (RPM) Drilling Speed (RPM)

DiameterOR

Ø4.10 Ø 4.90

Ø5

200-400 200-500

Ø5

15-25

Ø4

300-5001200-1500 900-1200

Ø2.40 Ø2.80 Ø3.20Ø2.40Ø1.90

500-700 400-700

Ø4

Drilling Speed (RPM)

DiameterOR

Ø3.30 mm

Ø4.20 mm

Ø6 mm

Ø3.75 mm

Ø5 mm

300-500

The tools shown are in proportion to one another.

MIS Implants Technologies Ltd.P.O.Box 7, Bar Lev Industrial Park,2015600, IsraelWebsite: www.mis-implants.com

EC

MIS Implants Technologies GmbHSimeonscarre 2, 32423 Minden, GermanyTel: +49 571-972-7620Email: service@mis-implants.de

REP

0483refers to drills only

Diameter

MT-GDN50 Countersink

For bonetype 3&4

MT-GDN33 Countersink

For bonetype 3&4

MT-GDN50 Countersink

For bonetype 3&4

MT-GDN33 Countersink

For bonetype 3&4

Final drill For bonetype 1&2

Final drill For bonetype 1&2

Final drill For bonetype 1&2

Final drill For bonetype 1&2

Final drill For bonetype 1&2

OR

Batch Code

Catalog Number

Non sterile

Key to code used:

Manufacturer

For cleaning and sterilization instructions, please refer to the included 'Cleaning and Maintenance Instructions for Surgical Instruments'.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace t h e j u d g m e n t a n d professional experience of the surgeon.

Ø5.10 Ø 5.90

Ø6

200-400 200-500

Ø6

15-25

Ø4 Ø4.5

300-500 300-5001200-1500 900-1200

Ø2.40 Ø2.80 Ø3.20Ø2.40Ø1.90

500-700 400-700

Ø5 Ø5

1200-1500

Ø2.40 Ø3.30Ø1.90

900-1200 15-25

Ø2.20 Ø3.20

200-400

Ø2.40

Drilling Speed (RPM)

Diameter

1200-1500 900-1200

Ø1.90 Ø2.80 Ø3.75Ø2.40 Ø2.40

500-700 15-25Ø2.80 Ø3.60

Ø3.75

200-400 200-500

Ø2.80

Drilling Speed (RPM)

DiameterOR

1200-1500 900-1200

Ø2.40 Ø2.80Ø1.90 Ø2.40

500-700

Ø3.20 Ø3.20

400-700Ø3.30Ø4.10

Ø3.30Ø4.20

200-400 200-500

Ø4.20

15-25Drilling Speed (RPM) Drilling Speed (RPM)

DiameterOR

Ø4.10 Ø 4.90

Ø5

200-400 200-500

Ø5

15-25

Ø4

300-5001200-1500 900-1200

Ø2.40 Ø2.80 Ø3.20Ø2.40Ø1.90

500-700 400-700

Ø4

Drilling Speed (RPM)

DiameterOR

Ø3.30 mm

Ø4.20 mm

Ø6 mm

Ø3.75 mm

Ø5 mm

300-500

The tools shown are in proportion to one another.

MIS Implants Technologies Ltd.P.O.Box 7, Bar Lev Industrial Park,2015600, IsraelWebsite: www.mis-implants.com

EC

MIS Implants Technologies GmbHSimeonscarre 2, 32423 Minden, GermanyTel: +49 571-972-7620Email: service@mis-implants.de

REP

0483refers to drills only

Diameter

MT-GDN50 Countersink

For bonetype 3&4

MT-GDN33 Countersink

For bonetype 3&4

MT-GDN50 Countersink

For bonetype 3&4

MT-GDN33 Countersink

For bonetype 3&4

Final drill For bonetype 1&2

Final drill For bonetype 1&2

Final drill For bonetype 1&2

Final drill For bonetype 1&2

Final drill For bonetype 1&2

OR

Batch Code

Catalog Number

Non sterile

Key to code used:

Manufacturer

For cleaning and sterilization instructions, please refer to the included 'Cleaning and Maintenance Instructions for Surgical Instruments'.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace t h e j u d g m e n t a n d professional experience of the surgeon.

Ø5.10 Ø 5.90

Ø6

200-400 200-500

Ø6

15-25

Ø4 Ø4.5

300-500 300-5001200-1500 900-1200

Ø2.40 Ø2.80 Ø3.20Ø2.40Ø1.90

500-700 400-700

Ø5 Ø5

1200-1500

Ø2.40 Ø3.30Ø1.90

900-1200 15-25

Ø2.20 Ø3.20

200-400

Ø2.40

Drilling Speed (RPM)

Diameter

1200-1500 900-1200

Ø1.90 Ø2.80 Ø3.75Ø2.40 Ø2.40

500-700 15-25Ø2.80 Ø3.60

Ø3.75

200-400 200-500

Ø2.80

Drilling Speed (RPM)

DiameterOR

1200-1500 900-1200

Ø2.40 Ø2.80Ø1.90 Ø2.40

500-700

Ø3.20 Ø3.20

400-700Ø3.30Ø4.10

Ø3.30Ø4.20

200-400 200-500

Ø4.20

15-25Drilling Speed (RPM) Drilling Speed (RPM)

DiameterOR

Ø4.10 Ø 4.90

Ø5

200-400 200-500

Ø5

15-25

Ø4

300-5001200-1500 900-1200

Ø2.40 Ø2.80 Ø3.20Ø2.40Ø1.90

500-700 400-700

Ø4

Drilling Speed (RPM)

DiameterOR

Ø3.30 mm

Ø4.20 mm

Ø6 mm

Ø3.75 mm

Ø5 mm

300-500

The tools shown are in proportion to one another.

MIS Implants Technologies Ltd.P.O.Box 7, Bar Lev Industrial Park,2015600, IsraelWebsite: www.mis-implants.com

EC

MIS Implants Technologies GmbHSimeonscarre 2, 32423 Minden, GermanyTel: +49 571-972-7620Email: service@mis-implants.de

REP

0483refers to drills only

Diameter

MT-GDN50 Countersink

For bonetype 3&4

MT-GDN33 Countersink

For bonetype 3&4

MT-GDN50 Countersink

For bonetype 3&4

MT-GDN33 Countersink

For bonetype 3&4

Final drill For bonetype 1&2

Final drill For bonetype 1&2

Final drill For bonetype 1&2

Final drill For bonetype 1&2

Final drill For bonetype 1&2

OR

Batch Code

Catalog Number

Non sterile

Key to code used:

Manufacturer

For cleaning and sterilization instructions, please refer to the included 'Cleaning and Maintenance Instructions for Surgical Instruments'.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace t h e j u d g m e n t a n d professional experience of the surgeon.

Ø5.10 Ø 5.90

Ø6

200-400 200-500

Ø6

15-25

Ø4 Ø4.5

300-500 300-5001200-1500 900-1200

Ø2.40 Ø2.80 Ø3.20Ø2.40Ø1.90

500-700 400-700

Ø5 Ø5

1200-1500

Ø2.40 Ø3.30Ø1.90

900-1200 15-25

Ø2.20 Ø3.20

200-400

Ø2.40

Drilling Speed (RPM)

Diameter

1200-1500 900-1200

Ø1.90 Ø2.80 Ø3.75Ø2.40 Ø2.40

500-700 15-25Ø2.80 Ø3.60

Ø3.75

200-400 200-500

Ø2.80

Drilling Speed (RPM)

DiameterOR

1200-1500 900-1200

Ø2.40 Ø2.80Ø1.90 Ø2.40

500-700

Ø3.20 Ø3.20

400-700Ø3.30Ø4.10

Ø3.30Ø4.20

200-400 200-500

Ø4.20

15-25Drilling Speed (RPM) Drilling Speed (RPM)

DiameterOR

Ø4.10 Ø 4.90

Ø5

200-400 200-500

Ø5

15-25

Ø4

300-5001200-1500 900-1200

Ø2.40 Ø2.80 Ø3.20Ø2.40Ø1.90

500-700 400-700

Ø4

Drilling Speed (RPM)

DiameterOR

Ø3.30 mm

Ø4.20 mm

Ø6 mm

Ø3.75 mm

Ø5 mm

300-500

The tools shown are in proportion to one another.

MIS Implants Technologies Ltd.P.O.Box 7, Bar Lev Industrial Park,2015600, IsraelWebsite: www.mis-implants.com

EC

MIS Implants Technologies GmbHSimeonscarre 2, 32423 Minden, GermanyTel: +49 571-972-7620Email: service@mis-implants.de

REP

0483refers to drills only

Diameter

MT-GDN50 Countersink

For bonetype 3&4

MT-GDN33 Countersink

For bonetype 3&4

MT-GDN50 Countersink

For bonetype 3&4

MT-GDN33 Countersink

For bonetype 3&4

Final drill For bonetype 1&2

Final drill For bonetype 1&2

Final drill For bonetype 1&2

Final drill For bonetype 1&2

Final drill For bonetype 1&2

OR

Batch Code

Catalog Number

Non sterile

Key to code used:

Manufacturer

For cleaning and sterilization instructions, please refer to the included 'Cleaning and Maintenance Instructions for Surgical Instruments'.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace the judgment and professional experience of the surgeon.

▪ Do not use the final drill for bone type 3&4.

▪ The drilling sequence is demonstrated by a 13mm implant.

▪ Procedure recommended by MIS cannot replace t h e j u d g m e n t a n d professional experience of the surgeon.

3

4

5

6

7

8

20 21

2227

26 28

29 31

30

9 10

14 15 16 17 18 19

11 12 13

1

2

{

23

MT-BTT28Body try in Ø2.80mm

15

MT-BTT32Body try in Ø3.20mm

16

MT-BTT40Body try in Ø4mm

17

MT-BTT45Body try in Ø4.50mm

18

MT-GDN33Countersink for standard platform

20

21

MT-GDN50Countersink for wide platform

22

MT-NRH10Long ratchet adapter for internal hex. connection, narrow platform

23

MT-PP240Parallel pin Ø2.40/Ø3mm for tapered implant procedure

24

MD-PF375Direct press fit for closed tray

25

MN-PF330Direct press fit for closed tray narrow platform

MT-HLI10Long insertion tool, internal hex. connection

26

MT-HSI10Short insertion tool, internal hex. connection

27

MT-SMD10Spade marking drill

1

MT-TDN19Marking drill Ø1.90mm external irrigation

2

MT-TDT28Twist drill Ø2.80mm external irrigation

9

MT-TDT32Twist drill Ø3.20mm external irrigation

10

MT-TDT40Twist drill Ø4mm external irrigation

11

MT-TDT45Twist drill Ø4.50mm external irrigation

12

MT-TDT50Twist drill Ø5mm external irrigation

13

SEVEN Surgical KitContent:

®SEVEN

{ 33

30

MT-DE001Drill extender

MT-RDS30 Short hex. drive 0.05 inch

32

MT-BTT50Body try in Ø5mm

19

3

4

5

6

7

CT-P2416Pilot drill Ø2.4/2.0 height 16mm

8

31

MT-RMR10Long direct hand and ratchet key

28

MT-LRH20Long insertion tool for internal hex. connection

MT-SRH20Short insertion tool for internal hex. connection

29

34

MT-RI030Ratchet wrench

24

25

32

33

MP-WC048 Rev.8

The MIS Quality System complies with International Quality Standards: ISO 13485:2003 - Quality

Management System for Medical Devices, ISO 9001: 2008 – Quality Management System

and Medical Device Directive 93/42/EEC. MIS products are CE marked.

MIS Implants Technologies Ltd. www.mis-implants.com

®

MT-RDL30Long hex. drive 0.05 inch

Surgical Kitwall chart

34

CT-P2406Pilot drill with built in stopper Ø2.4/2.0 height 6mm

CT-P2408Pilot drill with built in stopper Ø2.4/2.0 height 8mm

CT-P2411Pilot drill with built in stopper Ø2.4/2.0 height 11.5mm

CT-P2413Pilot drill with built in stopper Ø2.40 height 13mm

CT-P2410Pilot drill with built in stopper Ø2.4/2.0 height 10mm

14

CT-BTC24Body try in 2.40mm for tapered implant procedure