200 Cooper Ave.

Tonawanda, New York 14150

800.828.7626 | greatlakesdentaltech.com

SMBI155Rev041921
How to use Components
Overview Process
Mini Hand Driver+ Short Engine Blade

@��
MHDandSEB Insert a blade into the Rotate and push in the blade until it
mini hand driver hole seats and locks in.

e 0

Mini Hand Driver handling f

To separate theSEB andMHD,
position during MI insertion \the blue button on theMHD
Press

Ratchet Wrenches � O Take lateral Ceph 8 Labwork

Max. Insertion Torque : BONcm or CBCT Posterior screw position
Follow important fabrication
To measure thickness of palatal bone and considerations
determine the proper length of MI

The button on the top : The button on the bottom :

Position for MI insertion Position for MI removal

Safety Leash+ Activation Key

Activation Key &Safety Leashes

C) Insertion MI
Bi-cortical Engagement
Vertical insertion
Use RW Driver and Mini driver
Pull the tip of the safety leash through
the hole in the activation key handle
8 Activation protocol
6 T urns e, 0.8mm (1 revolution)
For MSE-2
8mm - Max of 60 turns
10mm - Max of 75 turns
12mm - Max of 90 turns
PROCESS
1. Decide on MSE expander size by 2. Determine the proper length of the MI
the width and profile of the palate for definitive bi-cortical engagement

MSE
Type \ Capacityty

Type - 1 Size

Type - 2 Size
LAB WORK LAB WORK

Antero-Posterior position: MSE expander is placed between the first

and second molars in order to direct the expansion force against the Vertical MSE expander placement:
buttress bones.

3~4mm

1mm

• MSE expander must be placed no farther than 1-2mm away from the
vault of the palate. This is CRITICAL!

• Supporting arms must clear the palate by 3-4mm

LAB WORK
Fabrication 4 I
1. MSE expander is placed perpendicular to the generalized suture line

1. Vertical Insertion
After an expander placement. Insert MI
When inserting MI, make sure they are placed
vertically with proper insertion sequence. (1-2-3-4)

(o) (x)

2. If suture is not straight, MSE needs to be pre-expanded in order to straddle the suture

2. Can I use a Motor Driver?

• [Manual Driver]_MHD + SEB
Use of manual drivers is recommended as
it permits tactile feedback with regard to
torque and bi-cortical engagement.

Do not overtighten MIs. This may bend the

MSE body and push it into the palate.

• [Manual DriverLRW
(x) (o) It is important to insert M.I by applying force intermittently
Placing MI (Micro Implant)
Bi-cortical process

8mm MSE-1 can be activated a max of 40 turns 8mm MSE-2 can be activated a max of 60 turns

Increased resistance when the second layer Slight release of tightness and
of cortical bone is being penetrated tickling sensation in the nose