Titamed - Dedication to the Oral and Maxillofacial Profession

This instrument is used for positioning the ascending ramus of the lower jaw after the sagittal split osteotomy. The instrument is stable and remains light in the hand, what greatly helps to control force. The fork is larger than a conventional gauze packer and is in titanium.

The scissor is used for cutting micro plates (gold anodized) and meshes of 0,6mm.

To work with the system you need two pliers in order to shape and bend the bone plates.

Their fabrication is in such a way that their grip is maximal at 0,6 mm. The grip is then evenly distributed over the working length of the instrument. This prevents sideway movements and slipping of the bone plates. The instrument is slim but virtually indestructible. It’s use is guaranteed for many years.

This instrument is extremely helpful to place and hold the micro(Ø1.2mm holes)- and mini (Ø2.3mm holes) plates on the bone.

The slot screwdriver is needed for finishing the screws in the plates . Use always first the wrench. Once the wrench slips away from the screw head, then continue with the slot screwdriver.

The handle of the screwdriver has been researched for lightness and comfort. The handle feels secure in the palm of your hand.

The titanium wrench-screwdriver has a ten point head crenation, which is in fact the inverse of the screw head. At the top you find two longitudinal sleeves. The metal strip between the sleeves is slightly pushed inwards. This activates the screwdriver and enables the instant grip of the screw head in the wrench.

Even after years of extensive use, the wrench screwdriver remains equally reliable due to the hardness and rebound properties of titanium grade V.

Near the end of screwing process, the instrument slips of the screw. The final tightening of the screw is then achieved with the slot screwdriver  (IT.0133). Two wrench screwdrivers  are included as standard accessories, enabling the speedy insertion of screws.

The tap is a sharp instrument, the top of the instrument is meticulously conceived to pretap even the hardest cortical bone. After the initial hole is drilled, the tap is inserted and hand turned, cutting treads in the bone. It has a precision made flute throughout its lenght, collecting the bone debris into the flute.

The tap is most often used in genioplasties, where thick cortical bone is usually present.

The tap can also be used whenever a “tandem screw” concept is considered, as in the lower jaw sagittal split to spare the temporo-mandibular joints. In this case the bone threads are pretapped in both bone segments.

This particularly handy and ultra light instrument is enabling the fixation of the sagittal split in orthognatic surgery. This instrument is conceived in 1983 and since then used over many thousands of osteotomies by countless surgeons. The strength of the instrument is the astonishing working freedom together with its lightness.

The instrument is placed in position within a few seconds. It gives you all the freedom of transbuccal access necessary to direct the drilling and the screwing.

The instrument comes in three  parts: the pin, the wing trochar and the cheek holder.

After the stab incision, +/- 1cm under the antigonial notch region, the pin with the wing trochar  is driven intraorally in a upward and slightly forward direction, just superior of the lower part of the mucosal incision. Try to  leave the masseter muscle on the outside. Remove the pin from intraorally. Next, the cheek holder is slided along the corner of the mouth and along cheek. The wing trochar is positioned in the sleeve of the cheek holder and turned into a fixed position.

The burguard is uniquely adapted for the use with the trochar (IT.0139).

It can be used with any Hall drill, Stryker or Zimmer type of bone drill.

Two bollrings are inserted near the top to prevent eventual heating of the skin.

If an electrical system is used, then you don’t need the burquard, but you should be careful not to damage the wing trochar.