Penguin RFA

MONITOR OSSEOINTEGRATION

Just mount the MulTipeg™, aim for the top and the ISQ value will be displayed in less than a second. Values above 70 means high stability and are typically recommended for one-stage and immediate loading.

DOWNLOAD CATALOGUE
Penguin_REF-Osseointegraion-monitor
Penguin_REF-Osseointegraion-monitor

Penguin RFA

MONITOR OSSEOINTEGRATION

Just mount the MulTipeg™, aim for the top and the ISQ value will be displayed in less than a second. Values above 70 means high stability and are typically recommended for one-stage and immediate loading.

DOWNLOAD CATALOGUE

WHY SHOULD I BUY THIS?:

Implant Stability Checker

The Procedure

By mounting a MulTipeg the measurement is made in a second. Just aim for the magnet on top of the MulTipeg. Non-invasive, objective, accurate and repeatable.

Implant Stability Checker

The technique behind and the ISQ scale

The technique behind the Penguin RFA is called Resonance Frequence Analysis (RFA) and the measurement unit is named Implant Stability Quotient (ISQ).

The peg is excited by magnetic pulses and vibrates due to the stiffness in the contact area between the bone and the implant surface.Once attached to an implant, magnetic pulses cause the MulTipeg™ to vibrate. The instrument measures the frequency of the vibration and translates it to an ISQ scale value between 1 and 99. The higher the ISQ value, the better the stability. RFA measures implant stability as a function of interface stiffness, which correlates with implant displacement, i.e. micro-mobility. The local bone density determines the ISQ value, and is influenced by factors such as the implant placement technique, implant design and healing time. Implants with low and/or dropping ISQ values seem to pose an increased risk for failure compared with implants with high and/or increasing values.

The Penguin RFA Monitor

The ISQ-scale and clinical guidelines

Values above ISQ 70 indicate a very stable implant with low micro-mobility. This value is typically recommended for one-stage and immediate loading. A second measurement is recommended before the final restoration to verify osseointegration.

Osseointegration

Values in the range of 75 ISQ means the implant is already so stable that osseointegration cannot add stability in a significant way. The proof of osseointegration is the lack of a drop in ISQ.

MulTipegs™

Sensible measuring devices made in titanium with sealed magnets, which makes them reusable. The main purpose with its design are environment considerations and to make them cost effective.

  • For all major implant systems
  • Durable, tissue friendly titanium
  • Sealed magnet inside the top
  • Autoclavable at least 20 times
  • Laser marked with Type no.
  • Optimal platform fit
  • ISQ Standard Calibrated™

MulTipeg™ Driver

The Driver is made of stainless steel and works like a screwdriver and a carrier for the MulTipeg. Since the MulTipeg has a magnet in its top it will attach safely inside the Driver.

The Penguin RFA Instrument kit

To get started, you need the PenguinRFA Instrument kit and MulTipegs. If you are working under sterile conditions you also need sterile covers. The Instrument Kit Includes:

  • PenguinRFA Instrument
  • Charger
  • MulTipeg™ Driver
  • Users Manual

MulTipeg Assortment

MulTipegs™

Sensible measuring devices made in titanium with sealed magnets, which makes them reusable. The main purpose with its design are environment considerations and to make them cost effective.

  • For all major implant systems
  • Durable, tissue friendly titanium
  • Sealed magnet inside the top
  • Autoclavable at least 20 times
  • Laser marked with Type no.
  • Optimal platform fit
  • ISQ Standard Calibrated™

MulTipeg™ Driver

The Driver is made of stainless steel and works like a screwdriver and a carrier for the MulTipeg. Since the MulTipeg has a magnet in its top it will attach safely inside the Driver.

The Penguin RFA Instrument kit

To get started, you need the PenguinRFA Instrument kit and MulTipegs. If you are working under sterile conditions you also need sterile covers. The Instrument Kit Includes:

  • PenguinRFA Instrument
  • Charger
  • MulTipeg™ Driver
  • Users Manual

MulTipeg

Assortment

FAQ

A: MulTipegs are made from durable titanium with sealed magnets, are re-usable and can be autoclaved for sterility. They are calibrated against a reference to ensure consistent ISQ values, making it easier to compare different implant systems. The laser-marked MulTipegs are tissue-friendly.

A: PenguinRFA used together with the reusable MulTipeg™ gives essentially the same ISQ readings as Osstell ISQ used with disposable SmartPegs. However, MulTipegs are calibrated against a reference to ensure consistent ISQ values between different implants. MulTipegs must be used to get the benefits of the calibrated system.

A: Although in principle the two systems give the same ISQ values for an implant (however, see the question above about the calibration standard), they are not directly exchangeable. 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, use this table instead. This is because MulTipegs™ and Smartpegs® are made from different materials (titanium vs. aluminium). MulTipegs must be used to get the benefits of the calibrated PenguinRFA system.

A: Using, washing and autoclaving a MulTipeg™ leads to some wear, and eventually it will need to be replaced. How many uses that will take differs depending on the way it is handled, but the MulTipegTM is validated for 20 autoclave cycles.

A: The reusable MulTipeg™ is made of titanium, a highly biocompatible material.

A: Use a sterile cover with the instrument for use in a sterile environment. Both the MulTipeg and the MulTiPeg Driver are autoclavable.

A: Fully charged batteries will provide more than one hour of continuous measurements. Since the instrument is normally only used for short periods of time, it can be used for many sessions before recharging.

A: The ISQ value requirement differs depending on the surgical protocol (one or two-stage), loading protocol (immediate, early, standard, prolonged) and clinical situation (single tooth, full bridge). More information about how to use the ISQ value can be found here.

A: Resonance Frequency Analysis of implants is documented in more than 1000 peer-reviewed published articles.

A: The results of a measurement with the PenguinRFA instrument are presented as an ISQ value. Internal research shows that the PenguinRFA together with MulTipegs produce the same results as other instruments for measuring ISQ.

A: We are recommending measuring from at least two directions (perpendicular to each other), to pick up the highest and the lowest ISQ. For more information, see the manual.

A. Try to distance any other electronic equipment from the tip of the instrument. You can use the PenguinRFA as an “interference detector” by moving it close to other equipment and check if the Electromagnetic noise warning (display flashing, instrument making noise continuously) is occurring. For more information, see the manual.

A:If the ISQ is lower in one of the two directions, the implant stability is most likely lower there. More information about the difference when measuring from different directions can be found in the article: Sennerby L, Meredith, Periodontology 2000, Vol. 47, 2008, 51–66

WHY SHOULD I

BUY THIS?:

Implant Stability Checker

The Procedure

By mounting a MulTipeg the measurement is made in a second. Just aim for the magnet on top of the MulTipeg. Non-invasive, objective, accurate and repeatable.

Implant Stability Checker

The technique behind and

the ISQ scale

The technique behind the Penguin RFA is called Resonance Frequence Analysis (RFA) and the measurement unit is named Implant Stability Quotient (ISQ).

The peg is excited by magnetic pulses and vibrates due to the stiffness in the contact area between the bone and the implant surface.Once attached to an implant, magnetic pulses cause the MulTipeg™ to vibrate. The instrument measures the frequency of the vibration and translates it to an ISQ scale value between 1 and 99. The higher the ISQ value, the better the stability. RFA measures implant stability as a function of interface stiffness, which correlates with implant displacement, i.e. micro-mobility. The local bone density determines the ISQ value, and is influenced by factors such as the implant placement technique, implant design and healing time. Implants with low and/or dropping ISQ values seem to pose an increased risk for failure compared with implants with high and/or increasing values.

The Penguin RFA Monitor

The ISQ-scale and clinical guidelines

Values above ISQ 70 indicate a very stable implant with low micro-mobility. This value is typically recommended for one-stage and immediate loading. A second measurement is recommended before the final restoration to verify osseointegration.

Osseointegration

Values in the range of 75 ISQ means the implant is already so stable that osseointegration cannot add stability in a significant way. The proof of osseointegration is the lack of a drop in ISQ.

MulTipegs™

Sensible measuring devices made in titanium with sealed magnets, which makes them reusable. The main purpose with its design are environment considerations and to make them cost effective.

  • For all major implant systems
  • Durable, tissue friendly titanium
  • Sealed magnet inside the top
  • Autoclavable at least 20 times
  • Laser marked with Type no.
  • Optimal platform fit
  • ISQ Standard Calibrated™

MulTipeg™ Driver

The Driver is made of stainless steel and works like a screwdriver and a carrier for the MulTipeg. Since the MulTipeg has a magnet in its top it will attach safely inside the Driver.

The Penguin RFA Instrument kit

To get started, you need the PenguinRFA Instrument kit and MulTipegs. If you are working under sterile conditions you also need sterile covers. The Instrument Kit Includes:

  • PenguinRFA Instrument
  • Charger
  • MulTipeg™ Driver
  • Users Manual

MulTipeg

Assortment

FAQ

A: MulTipegs are made from durable titanium with sealed magnets, are re-usable and can be autoclaved for sterility. They are calibrated against a reference to ensure consistent ISQ values, making it easier to compare different implant systems. The laser-marked MulTipegs are tissue-friendly.

A: PenguinRFA used together with the reusable MulTipeg™ gives essentially the same ISQ readings as Osstell ISQ used with disposable SmartPegs. However, MulTipegs are calibrated against a reference to ensure consistent ISQ values between different implants. MulTipegs must be used to get the benefits of the calibrated system.

A: Although in principle the two systems give the same ISQ values for an implant (however, see the question above about the calibration standard), they are not directly exchangeable. 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, use this table instead. This is because MulTipegs™ and Smartpegs® are made from different materials (titanium vs. aluminium). MulTipegs must be used to get the benefits of the calibrated PenguinRFA system.

A: Using, washing and autoclaving a MulTipeg™ leads to some wear, and eventually it will need to be replaced. How many uses that will take differs depending on the way it is handled, but the MulTipegTM is validated for 20 autoclave cycles.

A: The reusable MulTipeg™ is made of titanium, a highly biocompatible material.

A: Use a sterile cover with the instrument for use in a sterile environment. Both the MulTipeg and the MulTiPeg Driver are autoclavable.

A: Fully charged batteries will provide more than one hour of continuous measurements. Since the instrument is normally only used for short periods of time, it can be used for many sessions before recharging.

A: The ISQ value requirement differs depending on the surgical protocol (one or two-stage), loading protocol (immediate, early, standard, prolonged) and clinical situation (single tooth, full bridge). More information about how to use the ISQ value can be found here.

A: Resonance Frequency Analysis of implants is documented in more than 1000 peer-reviewed published articles.

A: The results of a measurement with the PenguinRFA instrument are presented as an ISQ value. Internal research shows that the PenguinRFA together with MulTipegs produce the same results as other instruments for measuring ISQ.

A: We are recommending measuring from at least two directions (perpendicular to each other), to pick up the highest and the lowest ISQ. For more information, see the manual.

A. Try to distance any other electronic equipment from the tip of the instrument. You can use the PenguinRFA as an “interference detector” by moving it close to other equipment and check if the Electromagnetic noise warning (display flashing, instrument making noise continuously) is occurring. For more information, see the manual.

A:If the ISQ is lower in one of the two directions, the implant stability is most likely lower there. More information about the difference when measuring from different directions can be found in the article: Sennerby L, Meredith, Periodontology 2000, Vol. 47, 2008, 51–66