NiTi Brush models — nickel-titanium brush for peri-implantitis

Four geometries. One mechanism.

Every NiTi Brush uses the same shape-memory nickel-titanium bristle that removes the contaminated layer and leaves a cleaner, smoother† implant surface. What changes between models is access — how deep the pocket is, how much thread is exposed, and how much room the operator has.

NiTi Brush titanium brush for peri-implantitis mounted in a 20:1 implant handpiece

Model line-up 4 models

Select the model by the access you need at the defect. Every model is driven by an implant motor through a 20:1 reduction handpiece, and is supplied non-sterile for single use.

NiTi Brush POCKET mounted in an implant handpiece

NiTi Brush POCKET

The regular brush for the normal presentation of peri-implantitis. Open bristle head with effective access into the pocket.

Typical use
Routine peri-implantitis cases
NiTi Brush POCKET SHORT mounted in an implant handpiece

NiTi Brush POCKET SHORT

The same bristle head and the same debridement performance as POCKET. Recommended where the posterior region is narrow, or where the patient cannot open wide.

Typical use
Narrow posterior sites · limited mouth opening
NiTi Brush NANO mounted in an implant handpiece

NiTi Brush NANO

The finest tip in the range. A tightly bound bristle point for very targeted, precise work where almost no space is available.

Typical use
Initial-stage peri-implantitis
NiTi Brush OMEGA mounted in an implant handpiece

NiTi Brush OMEGA

A wide, splayed bristle head that folds around the thread. Its wide opening angle reaches the implant threads even at the bottom of deep pockets where space is limited.

Typical use
Deep pocket involvement

Choosing a model

The defect decides the brush. The table below is the practical selection guide used in the NiTi Brush protocol.

  POCKET POCKET SHORT NANO OMEGA
Bristle head Open Open Pointed, bound Wide, splayed
Thread exposure 2–3 threads open 2–3 threads open One thread open Deep pocket
Debridement performance Standard Same as POCKET Precision Maximum coverage
Stage Established Established Initial Advanced
Choose it when Access is normal Posterior site is narrow, or the patient cannot open wide Access is minimal The defect is deep
Drive Implant motor Implant motor Implant motor Implant motor
Handpiece 20:1 20:1 20:1 20:1
Speed 600–1,200 rpm 600–1,200 rpm 600–1,200 rpm 600–1,200 rpm
Titanium brush for peri-implantitis: NiTi Brush NANO, POCKET, POCKET SHORT and OMEGA, nickel-titanium bristles, HANS Korea
NANO, POCKET, POCKET SHORT and OMEGA. Same nickel-titanium bristle, same shaft diameter, same 20:1 drive; the difference is only the head geometry and the shaft length. What a titanium brush for peri-implantitis is →

The bristle

Ni-Ti is about three to four times more flexible than titanium at a comparable hardness. The bristle bends into the thread rather than cutting across it, so the contaminated layer is removed while the implant geometry is preserved. Nickel-titanium alloy: contraindicated in patients who report a reaction to titanium or nickel (see the IFU). In laboratory studies, brushing did not compromise the cytocompatibility of titanium surfaces: dental-pulp stem cells kept their biological features after NiTi brushing at 600 rpm,3 and cell viability was highest in the nickel-titanium brush group in a study that used 5,000 rpm.1

POCKET bristle head
POCKET
standard
POCKET SHORT bristle head — identical to POCKET
POCKET SHORT
short pocket
NANO bristle tip
NANO
precise operation
OMEGA bristle head
OMEGA
deep pocket

The four models, mounted

Every model uses the same Ni-Ti bristle and the same 20:1 implant-motor drive. The difference is only the head geometry and the shaft length.

NiTi Brush POCKET mounted in an implant handpiece
POCKET — standard
NiTi Brush POCKET SHORT mounted in an implant handpiece
POCKET SHORT — short pocket
NiTi Brush NANO mounted in an implant handpiece
NANO — precise operation
NiTi Brush OMEGA mounted in an implant handpiece
OMEGA — deep pocket

How it is supplied

NiTi Brush for peri-implantitis single pack: one titanium brush in a bur holder, sealed in a blister, HANS Korea
Single package
NiTi Brush for peri-implantitis 4-pack set: four titanium brushes sealed in one blister, HANS Korea
4 pieces package

Shaft profiles

POCKET, POCKET SHORT, NANO and OMEGA brush profiles, each marked on the shank
From the top: POCKET, POCKET SHORT, NANO, OMEGA — each marked on the shank. POCKET SHORT carries the POCKET head for posterior sites and limited mouth opening.
Technical illustrations. The appearance of the delivered product may differ.

What the brush does

SEM image at x10,000 of a contaminated implant surface before debridement
Before — contaminated surface (SEM, ×10,000)
SEM image at x10,000 of the implant surface after debridement with the NiTi Brush
After — contaminants removed, smoother† surface (SEM, ×10,000)
Exposed implant with peri-implantitis before debridement
Before — exposed threads, contaminated
The same implant after debridement with the NiTi Brush, threads clean and bright
After — debrided with NiTi Brush

Debrides and cleans the contaminated implant surface while preserving the implant threads, leaving a smoother† surface. The instrument is used as the mechanical decontamination step in published randomised controlled trials of peri-implantitis therapy.2

Intended use

NiTi Brush for peri-implantitis is intended for mechanical debridement and cleaning of the titanium dental implant surface contaminated by osseous defect of plaque, calculus or any other foreign body materials resulting from peri-implantitis. NiTi Brush for peri-implantitis is designed for use in the dental office by dentists, dental hygienists and trained dental assistants.

IndicationPeri-implantitis
Applicable surfaceAll titanium dental implants
Patient populationAdults with dental implants
Intended operatorDentists, dental hygienists and trained dental assistants
Operating room temperature15–30 °C
Storage15–30 °C, 1–75 % humidity, away from sunlight
Shelf life5 years from the date of manufacture
SuppliedNon-sterile, single use

Drive with an implant motor

The NiTi Brush must be run from an implant motor through a 20:1 reduction handpiece at 600–1,200 rpm, with continuous external sterile saline irrigation. It is not intended for a high-speed turbine or any drive that cannot maintain this speed range.

Non-sterile — sterilise before use

Supplied non-sterile. Sterilise using a sterile pouch and autoclave at 134 °C for 15 minutes before every use.

Treating more than one implant in the same patient

Where one brush is used on several implants in the same patient, immerse it in 3 % hydrogen peroxide and rinse with sterile saline before moving to the next implant.

Single use only — DO NOT REUSE

Each brush is for single-patient, single-procedure use. For full instructions, refer to the Instructions for Use for your market.

  • Single use only — do not reuse Non-sterile — sterilise before use
  • Do-not-reuse symbol Do not re-use — single patient, single procedure

Safety information

Summarised from the Instructions for Use (HK IFU-001, Rev. 7). This summary does not replace the IFU — always read the Instructions for Use applicable to your market before treatment.

Contraindications

  • Patients who report a reaction to, or incompatibility with, titanium or nickel.
  • Young patients who cannot maintain attention during the procedure.
  • Patients without dental implants — the device is not for non-implant surgery.
  • Pregnant, paediatric and elderly patients: no safety information is available. Consult a specialist before use.

Possible side effects

Redness, discomfort and swelling.

Do not use the brush if

  • the packaging or the inner plastic box is damaged;
  • the brush shows damage, breakage, deformation or contamination by any foreign material;
  • the expiry date has passed.

Before and after use

  • Check the patient for titanium or nickel sensitivity, and inspect the package and brush.
  • Sterilise before every use, and use immediately after sterilisation — do not repack or return to storage.
  • Discard after the procedure. Reuse carries a risk of cross-infection between patients.
  • Dispose of as a single-use medical device under your local rules.
Sterilisation — autoclave
ConfigurationWrapped (sterilisation pouch)
Temperature134 °C
Pressure2.5 bar
Exposure time15 minutes
Dry time20 minutes

References

  1. Brunello G, Becker K, Rauch N, Schwarz F, Becker J. The effect of NiTi brush, polishing brush and chemical agent on the dental implant surface morphology and cytocompatibility. Clinical Implant Dentistry and Related Research 2025;27:e13417. DOI: 10.1111/cid.13417
  2. Monje A, Pons R, Vilarrasa J, Nart J, Wang H-L. Significance of barrier membrane on the reconstructive therapy of peri-implantitis: a randomised controlled trial. Journal of Periodontology 2023. DOI: 10.1002/JPER.22-0511
  3. Tagliaferri N, Pisciotta A, Orlandi G, et al. Zirconia hybrid dental implants influence the biological properties of neural crest-derived mesenchymal stromal cells. Nanomaterials 2024;14(5):392. DOI: 10.3390/nano14050392

Full list on the Clinical evidence page. HANS Korea is not the publisher of these works and has no commercial relationship with them.

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Names and spellings what to search for

The instrument's name is NiTi Brush — NiTi for nickel-titanium, the shape-memory alloy of its bristles. In papers, tenders and everyday clinic language it is also written NiTi bur, NiTi burr, Ni-Ti brush or nickel-titanium brush, or described generically as a titanium brush‡ (Ti brush) for peri-implantitis. The generic term also covers similar devices from other manufacturers, so look for “HANS Korea” or “NiTi Brush” to be sure of the instrument. Peri-implantitis itself is spelled peri-implantitis, periimplantitis or peri implantitis. In Korea the NiTi Brush is sold under the brand name Ssakssuri — see the Korean resources page.

Note on “smooth”

† Smooth refers to moderately rough implant surfaces (e.g. SLA, RBM). In laboratory studies with the NiTi Brush, surface micro-roughness was reduced by removing protrusions (Kim et al. 2016) and the sharp-edged microstructure was smoothed, brushing continuing until the surface looked uniformly smooth and shiny, as in clinical use (Brunello et al. 2025). A clinical review describes polishing the exposed rough implant surface to a smooth surface with the NiTi Brush (Hiroyasu 2018). The shine seen chairside is the visible sign of this change (HANS Korea performance test).

Note on “titanium brush”

‡ Titanium brush (Ti brush) is used on this site as a generic, descriptive term, as in the literature; it is not a product name. Investigators have described the NiTi Brush by HANS Korea in this way, for example “a rotating titanium brush (Nano NiTi Brush, HANS KOREA CO. Ltd)” in randomised trials (Derks et al. 2022; Regidor et al. 2023; Alibegovic et al. 2025; Regidor et al. 2026) and “a titanium brush (Hans Korea Co., Ltd.)” in clinical studies (Galarraga-Vinueza et al. 2020; Schwarz et al. 2023; Zhou et al. 2026; Dionigi et al. 2025; Babgi & Felemban 2024); a laboratory study abbreviates it “TiB” (Ichioka et al. 2023). Another laboratory study calls it a “Ti brush” (“NiTi Brush Omega, Hans Korea”; Kao et al. 2024). The bristles are a nickel-titanium (NiTi) alloy, not pure titanium; for patients who report a reaction to titanium or nickel, see the IFU.