5. Mucotome Tissue Punch (optional)
The Infinitas mini implant is designed for transmucosal insertion, but the mucotome (soft tissue punch) is required when the mini implant will penetrate thick (e.g. palatal) or mobile mucosa. The mucotome is positioned perpendicular to the tissue surface and its cutting end is pressed through the soft tissue with clockwise rotations. Once the bone is contacted, the punch is rotated against its surface to fully incise the circle of tissue. If the tissue is cleanly incised, it usually stays in the head of the punch. Otherwise the excision can be completed with a curette and Mosquitoes / tweezers. When a stent is used it is best to provisionally indent the mucosa with the mucotome in the guidance cylinder , then remove the stent to enable the mucotome to be applied perpendicular to the tissue surface.
N.B. If the mucosa remains in the mucotome after use, this must be removed using a dental probe prior to instrument decontamination.
Two versions of the mucotome are available:
i) The standard mucotome (DB10-0022) fits into the standard handle (DB10-0020). Clockwise rotation of the screwdriver handles causes the punch tip to incise the tissue.
ii) In those palatal areas which are difficult to access, it is preferable to use the mini mucotome tissue punch (DB10-0027) in a speed reduction (e.g. 128:1) contra angle handpiece.