B.O.P.T.

TECHNIQUE
Dr. Ignazio Loi
TA B L E O F C O N T E N T S

Preparation Drills

Preparation and finishing drills for

temporary bridges
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Sequence of use:
front teeth
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Sequence of use:
full arch
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Sequence of use:
molars
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 Preparation Drills

Preparation Drills
B.O.P.T. Technique (Biologically Oriented Preparation Technique) by dr. Ignazio Loi

Diamond drills for the biologically oriented vertical preparation of theet.

The B.O.P.T. Technique consists of the vertical preparation of the tooth to allow soft tissues to adapt to the desired prosthetic contours.
This prosthetic protocol is known as B.O.P.T. or Biologically Oriented Preparation Technique, indicating that it is the tissues themselves that adapt naturally
to the preparation and the restoration.
The technique, supported by Dr. Lois long clinical experience, has demonstrated medium- and long-term stability of the tissues.
This selection of diamond drills allows the performance of all the clinical steps for the preparation of teeth, from mesiodistal separation of adjacent teeth to
preparation of all profiles, according to the B.O.P.T. Technique.
The assortment includes 17 diamond drills with different shapes and grits, the morphology of which allows them to work without making grooves
indentations or unevenesses that would prevent the correct and natural adaptation of the mucosa. The different grits allow gradual polishing of the tooth
so as to obtain an optimum surface finish.
Together with the assortment of drills a practical stainless steel holder is supplied, which is sterilisable and autoclavable and allows the instruments to be
ergonomically organised.

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The drills of the same shape are Once opened, the cover determines the angle
arranged diagonally in the 3 grits, of the base of the case, allowing the best
coarse (green), fine (red) and ergonomic working position.
superfine (yellow).

The ISO code allows easy

identification of the drills. The colour of the silicone supports is the code
of the grit of the drills and corresponds to the
coloured ring on the drill shank. The three different grits in which the preparation
drills are available allow perfect smoothing of the
tooth so as to guarantee an improved seal after
cementing of the crown.

Key to the diamond grit

ring colour silicone support colour type grit in

Green Green coarse 125

- Blue medium 105

Red Red fine 40

Yellow Yellow superfine 20

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 Assortment of drills

Images reference codes and descriptions of the products are listed below:

ring colour
description ISO code ISO grit
code

8.00

Flame drill 862.524.010 010 medium no ring

FG862/010C

8.00

Flame drill 862.534.012 012 coarse green

FG862G/012C

8.00

Flame drill 862.514.012 012 fine red

FG862M/012C

8.00

Flame drill 862.504.012 012 superfine yellow

FG862FC/012C

8.00

Flame drill 862.534.016 016 coarse green

FG862G/016C

8.00

Flame drill 862.514.016 016 fine red

FG862M/016C

8.00

Flame drill 862.504.016 016 superfine yellow

FG862FC/016C
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 ring colour
description ISO code ISO grit
code

10.00

Flame drill 863.534.012 012 coarse green

FG863G/012C

10.00

Flame drill 863.514.012 012 fine red

FG863M/012C

10.00

Flame drill 863.504.012 012 superfine yellow

FG863FC/012C

10.00

Flame drill 863.534.016 016 coarse green

FG863G/016C

10.00

Flame drill 863.514.016 016 fine red

FG863M/016C

10.00

Flame drill 863.504.016 016 superfine yellow

FG863FC/016C

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 Assortment of drills

ring colour
description ISO code ISO grit
code

5.00

Football drill 868.534.023 023 coarse green

FG868G/023C

5.00

Football drill 868.514.023 023 fine red

FG868M/023C

5.00

Football drill 868.504.023 023 superfine yellow

FG868FC/023C

8.00
Tapered drill 856.524.018 018 medium no ring

FG856/018C
All the drills are available individually in minimum quantity of 3 pieces each.

descripcin

Stainless steel drill holder

4999

Stone for cleaning diamond drills

529D

Code Z4999 refers to complete assortment of one drill of each type and the stainless steel drill holder.
To improve lifetime of the drills it is recommended to make periodic use of the stone 529D, which must be ordered separately.
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Sequence of use: front teeth
Photos by kind permission of Dr. Ignazio Loi

Before and after

Phase 1
Mesiodistal separation with coarse grit thin flame drill FG862/010C (first three pictures) and mesiodistal preparation with 012 flame drill FG862G/012C
(last two pictures).

Phase 2
Incisal reduction of about 2 mm with coarse grit flame drill (FG862C/016C) until the border line between enamel and dentin is clearly seen.

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 Use protocol

Phase 3
45 inclined vestibular preparation from the incisal edge with the drill FG862G/016C, until the enamel-dentin border line previously exposed is reached.

Phase 4
Vestibular and palatal supragingival axial reduction with the coarse grit drill FG862G/012C or with the drill FG862G/016C. The preparation is kept
supragingival to avoid touching the gum. After reduction of the tooth circumference, proceed to phase 5.

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Phase 5
Intrasulcular preparation. The drills are shape so as not to leave grooves, indentations or unevenesses that would interfere with the correct adaptation of soft
tissues. The drill FG862C/012C is used as a probe, first entering the sulcus with an oblique and not a vertical inclination. This enables the drill to work with
its body and not with its tip. In fact the tip could create grooves unevenesses, causing irregularities on the axial walls. Once the tool is entered obliquely,
gradually verticalise the drill to align the preparation with the axial plane.

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 Use protocol

Phase 6
Palatal reduction with the drill FG868C/023C.

Phase 7
Tooth preparation is finished with the red ring coded drills and then if necessary with the yellow ring coded drills. The surface is polished as much as possible
in the cervical area where the crown margin will be positioned.

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Sequence of use: molars
Photos by kind permission of Dr. Ignazio Loi

Before and after

Phase 1
Mesiodistal separation with coarse grit thin flame drill FG862/010C (first three pictures) and mesiodistal preparation with 012 drill FG862G/012C (last
two pictures).

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 Use protocol

Phase 2
Unlike front teeth, in molars the occlusal surface is prepared aligning the tapered drill FG856/018 to the angle of the cusps.

Phase 3
45 inclined vestibular and lingual preparation from the incisal edge the drill FG862G/016C until the enamel-dentin border is reached.

Phase 4
Vestibular and palatal supragingival axial reduction with the coarse grit drill FG862G/012C or with the drill FG862G/016C. The preparation is kept
supragingival to avoid touching the gum. After reduction of the tooth circumference, proceed to phase 5.

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Phase 5
Intrasulcular preparation. The drill FG862C/012C or FG862C/016C is used as a probe, first entering the sulcus with an oblique inclination. Once the tool
is entered obliquely, gradually verticalise the drill to align the preparation with the axial plane using the drill FG862G/012 for the interproximal walls or
FG862G/016 in the vestibular areas, if a greater reduction of the volumes is necessary.

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 Use protocol

Phase 6
Tooth preparation is finished with the red ring coded drills and then if necessary with the yellow ring coded drills. The surface is polished in the cervical area
where the crown margin will be positioned.

Finished tooth

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Errors to be avoided
You must avoid creating groovers or indentations with the tip of the drills, so phase 5 must be performed with great care and as explained by the protocol.

SULCUS 1 mm
EPITELIAL JUNCTION 1 mm
SUPRACRESTAL FIBRES 1 mm

Bibliography
1. Loi I., Di Felice A.; Biologically oriented preparation technique (B.O.P.T.): a new approach for prosthetic restoration of periodontically healty teeth;
European Journal of Aestethic Dentistry 8(2013), 1, 10-23 (disponibile anche in italiano nella versione italiana della stessa rivista, pagine 8-21).
2. Canullo L. Cocchetto R., Loi I.; Periimplant tissue remodelling: scientific background and clinical implications. Chapter 8: Abutment Morphology and Peri-
Implant soft tissues. Milan, Italy, Quintessence Editions, 2012.
3. Loi l.; Protesi su denti naturali nei settori di rilevanza estetica: descrizione tecnica B.O.P.T.; Case series report; Dental Cadmos 2008:76(10):51- 59.

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 Preparation Drills

Preparation and Finishing Drills for Temporary Bridges

Tecnica B.O.P.T. (Biologically Oriented Preparation Technique)
Drills for the preparation and finishing of temporary restorations according to the B.O.P.T. Technique.

The B.O.P.T. Technique consists of the vertical preparation of the tooth to allow soft tissues to adapt to the prosthetic contours.
The prosthetic protocol is known as B.O.P.T. or Biologically Oriented Preparation Technique, indicating that it is the tissues themselves that adapt naturally
to the preparation and the restoration. This selection of rotary instruments allows preparation and finishing of temporary resin restorations for feather edge
preparated teeth according to the B.O.P.T. technique.

The assortment includes:

- five tungsten carbide cutters with different shapes and cuts
- a diamond disc with superfine grit
- a boar bristle brush
- two steel mandrels
- one hundred disposable Moore discs in medium grit corundum
- a rubber polishier with in-built diamond grit

Together with the assortment of drills a handy instrument holder is supplied which is sterilisable and autoclavable and allows the instruments to be
ergonomically organised.

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Both working sides of the diamond The boar bristles brush The two steel mandrels are already
discare diamond bonded, to must be used with suitable preassembled with one corundum Moore
facilitate in and out from the inter- polishing pastes. abrasive disc each, for temporary elements pre-
proximal areas of the temporary polishing.
elements.

The ISO code allows

easy identification of the
The mixture used for the pink rubber instruments.
polisher contains a fine diamond grit
which allows excellent smoothing of
the surfaces.

The cutter with a cross-cut spherical The two large tungsten carbide cutters are
head is used for removing internal The two tungsten carbide cutters with a small quickly used to remove any excess resulting
interferences from the temporary ele- head allow easy modelling of the surfaces of the from the relining of the resin
ments before relining and to decrease temporary elements, even in very small details,
friction on the relined prosthesis. thanks to their reduced working dimensions.

Key to the ISO codes

ISO codes are so called self explanatary codes. In the example below, we explain the keys of these codes, to help identifying and recognizing the instruments.
E.g.: CX71NG.104.027

CX71NG 104 027

first part of code: second part of code: third part of code:
instrument morphology international numbering international numbering
identifying the shank identifying the diameter

C = the material (Tungsten carbide) 104 = shank for straight handpiece (also e.g.: 027 = 2.7 mm
X = the presence of a cross-cut indicated as HP = Handpiece) The measurement is taken at the
71N = internationally used abbreviation, in this or: widest point of the working part
case, for the round shape 204 = shank for contra-angle
G = large cut (also indicated as CA = Contra-Angle)
or: 900 = unmounted instrument
Z = superfine spiral cut
ZG = simple toothing with transverse cut
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 Assortment of drills

Images, reference codes and description of the products are listed below.

assortment minimum quantity in

description ISO code ISO
quantity spare pack

2.70

Tungsten carbide round cutter,

large cross cut, blue ring CX71NG.104.027 027 1 1

CX71NG/027HP

8.00

Tungsten carbide tapered cutter,

C136Z.104.016 016 1 1
superfine spiral cut, triple violet ring

C136Z/016HP

4.00

Tungsten carbide tapered cutter,

CX134G.104.008 008 1 1
large cross cut, blue ring

CX134G/008

13.50
Tungsten carbide tapered cutter
with round tip, superfine spiral cut, C79Z.104.040 040 1 1
triple violet ring

C79Z/040HP

12.00
Tungsten carbide tapered cutter
with round tip, simple toothing with C75ZG.104.060 060 1 1
transverse cut, triple green ring

C75ZG/060HP

0.17

Diamond disc, superfine grit,

915S.104.220 220 1 1
yellow ring

915S/220HP

The height of the working part is expressed in millimetres.

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 assortment minimum quantity in
description ISO code ISO
quantity spare pack

Boar bristle brush 210/3.104.210 210 1 20

210.3

Steel mandrel, Snap-On type for

313.204.060 060 2 1
contra-angle

313/060CA

Moore corundum medium grit

abrasive discs with Snap-On 4645.900.220 220 100 100
connection

4645

14.00
Flame-shaped diamond rubber
polisher, Cerashine, 9005.104.040 040 1 1
yellow ring

9005HP

4555 Stainless steel drill holder 4555 1

Code Z4555 refers to a complete assortment of one of each tungsten carbide cutters, a diamond disc, a boar bristle brush, a Cerashine rubber polisher, two
mandrels, 100 Moore abrasive discs and a steel drill holder.
All the items are available individually in spare packs, in the minimum quantity listed in the table. 21
 Use protocol

Sequence of use: full arch

Photos by kind permission of Dr. Ignazio Loi

Phase 1
Case of rehabilitation of a full upper arch. After preparation of teeth according to the B.O.P.T. technique, resin temporary prosthesis which has been
previously made by the dental technician on a cast model, is tried in the mounth.

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Phase 2
All the interferences are removed from the internal of the temporary bridge using first a spherical head drill with large cross cut (CX71NG/027HP) and then
the tapered drill with round tip, superfine spiral cut, identified by a triple violet ring (C79Z/040HP). This drill is also useful to shape ovoid pontics sustaining
soft tissues in edentulous areas. At the end of this step, the temporary bridge will easily fit the natural posts.

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 Use protocol

Phase 3
With the relining it is possible to define the sulcus and the surrounding tissues. In this phase the margin of the temporary structured is thickened before
defining the margin line and the shape of the emergence profile from the sulcus shape on which the tissues will adapt.

Phase 4
With the tapered drill with round head and simple toothing with transverse cut, identified by the triple green ring (C75ZG/060HP) the reduction on the
relined temporary post are simple and fast.

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Phase 5
Reduction and shaping of the temporary structure is further carried on using the tapered drill with round tip, triple green ring and fine cut (C79Z/040HP).
Then, using the tapered lancet shape drill with superfine spiral cut, triple violet ring (C136Z/016HP) the interdental areas can be defined.

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 Use protocol

Phase 6
Using the tapered fine point drill with large cross cut, with blue ring (CX134G/008), the interdental spaces can be outlined, and they are further finished
with the Moore abrasive discs (4645 to be fitted on the snap-on mandrel for contra-angle 313/060CA). These are used also to define the finishing line and
the emergence profile.
The superfine grit diamond disc, yellow ring (915S/220HP), allows the precise definition of the gingival embrasures and of the interdental lines.

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Phase 7
After the forms have been defined, all the margins in contact with the soft tissues must be polished. The first part of the polishing operation is carried
out with the Cerashine flame-shaped diamond rubber polishing head with yellow ring (9005HP), whose particular shape and flexibility make it reach all
the areas and leave the surface uniform. Last, a boar bristle brush (210.3) is used to complete polishing, giving the temporary structure a very aesthetic
appearance. The brush can be used with or without abrasive paste, depending on the characteristics of the resin used.

27
 Use protocol

Phase 8
The described procedure enable to obtain excellent results in a short time as regards adaptation of tissue to new morphologies and aesthetic appearance
of the patient.

Case at dismissal

Case after one week

Case after six weeks

Occlusal view and detail of the sulcus

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Initial case

Follow up at 3 weeks

Lateral view of the follow up at 3 weeks

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 Notes

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31
 D - D E N - B O P T 3 - E
Rev. 05-14

Sweden & Martina S.p.A. Sweden & Martina Mediterranea S.L.

Via Veneto, 10 - 35020 Due Carrare (PD), Italy Sorolla Center, Oficina 801
Tel. +39.049.9124300 Av.da Cortes Valencianas 58, 8pl -46015-Valencia, Espaa
Fax +39.049.9124290 Tel. +34.96.3525895

www.sweden-martina.com info@sweden-martina.com info.es@sweden-martina.com

Numero gratuito 900993963

The diamond drills which aredescribed in this catalogue are Medical Devices, they are certified with the CE 0476 mark (Class IIA) in compliance with European Medical Device
Directive No. 93/42 and European Directive No. 2007/47.
The drill holder REF 4999 that is described in this catalogue is a Medical Devices, it is certified with the CE mark (Class I) in compliance with European Medical Device Directive
No. 93/42 and European Directive No. 2007/47.
All these medical devices are manufactured by Sweden & Martina and conform to the UNI EN ISO 9001:2008 / UNI EN 13485:2012 standards.