HANS Korea  ·  Since 2010

NiTi Brush
for peri-implantitis

Shape-memory nickel-titanium bristles that reach into the implant threads and clean the contaminated surface — on the 20:1 handpiece you already own.

The reference instrument for mechanical decontamination — independently studied by 65 investigators at 30 institutions in 14 countries.

  • CE · Class IIa
  • 17 peer-reviewed publications
  • Supplied to 18 countries
  • Single use

The reference instrument what the field measures against

Fifteen years of continuous manufacture have put the NiTi Brush in an unusual position: it is not only sold into the field, it is the instrument other technologies are tested against.

15Years in production
17Verified publications
65Independent investigators
30Institutions in 14 countries
18Countries supplied
  • Named by the manufacturer in independent peer-reviewed papers — “a titanium brush (Hans Korea Co., Ltd.)”, “NiTi Brush Omega, Hans Korea”.
  • Used as the mechanical baseline in multicentre randomised trials — newer decontamination technologies are evaluated on top of debridement with this instrument.
  • Regulatory depth — CE Class IIa, MDR transition under way, IFU in nineteen languages, established EU authorised representative.
  • Counted to a deliberately strict standard. The seventeen publications on our Literature page are only those we have read in full, verified against the publisher's record, and in which the instrument is identifiable as the NiTi Brush from HANS Korea. Papers that report merely “a titanium brush” are not counted, even where we have reason to believe it was ours. The figure is therefore a floor; when a paper names the instrument, we add it.

Regulatory position EU MDR transition under way

ClassificationClass IIa medical device, GMDN 57955
European UnionCE marked under the MDD; validity extended under Regulation (EU) 2023/607 to 31 December 2028
MDR transitionApplication filed 2024 · on-site audit conducted June 2026 · technical file review due December 2026 · certificate expected 2027
United StatesFDA establishment registration and device listing (D122465, product code DZA); 510(k)-exempt. Not FDA approval or clearance.
JapanRegistered with the Ministry of Health, Labour and Welfare (MHLW)

Choose the instrument four models, one mechanism

Shape-memory Ni-Ti bristles bend into the thread rather than cutting across it — returning a contaminated implant surface to a machined finish while preserving the original geometry of the implant. Select by the access the defect allows. All models are driven by an implant motor with a 20:1 reduction handpiece at 600–1,200 rpm.

What it does to the surface

Make rough surface into machined smooth surface. Remove everything except the original shape of the implant. Chairside, the endpoint is visible: the shade of the implant changes to a bright, machined finish.

Exposed implant with peri-implantitis before debridement
Before — exposed threads, contaminated
The same implant after debridement with the NiTi Brush
After — debrided with NiTi Brush
SEM at 10,000x of a contaminated implant surface
Before — SEM, ×10,000
SEM at 10,000x of the implant surface after debridement
After — SEM, ×10,000

The protocol example of protocol

  1. Diagnosis

    Diagnose peri-implantitis and measure the depth of the pocket.

  2. Select the brush

    NANO for 1–2 threads exposed · POCKET for more than 2 threads · POCKET SHORT for molars.

  3. Sterilise

    Supplied non-sterile. Autoclave in a pouch at 134 °C for 15 minutes.

  4. Rotate — debridement & decontamination

    Implant motor, 600–1,200 rpm with extensive external saline, until the surface is machined and smooth.

  5. Chemical treatment

    Tetracycline 250 mg in 2.5 cc warm saline, applied by syringe. Wait 3 minutes, then rinse. The agent and protocol are a clinical decision — refer to the literature.

  6. GBR

    Guided bone regeneration follows the chemical step.

Use an implant motor — not a turbine or a straight handpiece

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

Supplied non-sterile — autoclave at 134 °C for 15 minutes before every use. Single use only, do not reuse. This summary does not replace the Instructions for Use. Always read the IFU applicable to your market before treatment.

Published evidence

Researchers outside HANS Korea have used the instrument as the mechanical decontamination step in published studies of peri-implantitis therapy, including multicentre randomised controlled trials.

17Publications
14Countries
30Institutions
~600Implants treated
6–42Months follow-up
2011First patent filed

The original instrument for peri-implantitis

HANS Korea has been developing the NiTi Brush since 2010 and filed its first patent for the instrument in November 2011. Every NiTi Brush since — NANO, POCKET, POCKET SHORT and OMEGA — descends from that original design, protected by a portfolio of granted patents.

It is a category we created and have refined for more than a decade, alongside the clinicians who use it.

3 granted patents  ·  first filed 2011  ·  Republic of Korea

Where it came from

“In 2010, two ITI fellows and I sat in Osaka discussing peri-implantitis over sake until the early morning. That is the starting point of the NiTi Brush.”

HANS Kim Founder, HANS KOREA CO.,Ltd.
With Prof. Dr. Baek-Soo Lee (Department of Oral and Maxillofacial Surgery, Kyung-Hee University, Seoul) and Dr. Yasushi Nakajima, DDS, PhD, FITI (Osaka).

The four NiTi Brush models drawn at the same scale, each marked on the shank

Technical illustrations. The appearance of the delivered product may differ.

The original NiTi Brush™ — how to be sure you have it

HANS Korea developed the NiTi Brush and holds granted patents for the instrument, first filed in November 2011. Similar devices exist. They are not made to our specification, they are not covered by our documentation, and their behaviour against a titanium surface has not been evaluated in the studies cited on this site.

Buy from HANS Korea or from an authorised distributor, and check that the product you receive is a genuine NiTi Brush™.

3 granted patents CE Class IIa Single use · non-sterile 19-language IFU
The NiTi Brush OMEGA bristle head

The clinical problem

Implants have been placed at scale for three decades. The population old enough to fail grows every year, and peri-implantitis is the reason most of them do.

~1 in 5 of implant patients affected, in a systematic review of the epidemiology1
5–10 yrs typical interval from placement to presentation
Surgical established lesions generally require flap access to decontaminate the surface

And removing the implant is often not an option

A single, standalone implant in a healthy patient can usually be explanted and replaced. That changes when the patient is older and carries comorbidities, or when the case rests on several implants — where even one failing implant cannot be dealt with in isolation, and a fixed bridge would have to be dismantled to reach it. In those cases the realistic path is to decontaminate the surface and keep the implant in function. Read more →