Perforated Periosteal Elevator
The perforated periosteal elevator is a curette-style periosteal elevator with holes through the blade, designed by Dr. Cyril Niederquell for bone augmentation: it dissects the mucoperiosteum and lets the clinician press bone substitute material firmly into place with the same instrument. Helmut Zepf makes it as No. 41.862.24 in Germany, and it ships from our US warehouse.
The strategically placed perforations in the blade provide grip on the periosteum while reducing pressure on the soft tissue — for efficient, atraumatic flap reflection.
Which Perforated Periosteal Elevator Do You Need?
| Zepf No. | Pattern | Use |
|---|---|---|
| 41.862.24 | Perforated periosteal elevator by Dr. Cyril Niederquell — curette-style, perforated blade | Dissecting the mucoperiosteum and pressing bone substitute into place in bone augmentation and implantology |
Clinical Use
The instrument is used for full-thickness mucoperiosteal flap elevation in periodontal and implant surgery, bone grafting and ridge augmentation, and lateral-window sinus lift access; once the flap is reflected, the perforated blade doubles as a packer for particulate graft material. The holes reduce the suction effect between blade and tissue, improving grip on the periosteum while reducing tissue compression.
Care and Reconditioning
Periosteal elevators are cleaned, disinfected, and sterilized between patients; brush the perforations during manual cleaning so no debris remains in the holes, and return the instrument for reconditioning when the working edge dulls. Our Dental Hand Instrument Reprocessing & Sterilization Guide covers the general workflow for Helmut Zepf instruments.
Compare With
Other flap instruments: Dental Periosteal Elevators by Helmut Zepf, Molt Periosteal Elevator, Micro Periosteal Elevator, and Buser Periosteal; the hub is Dental Elevators. For pattern names and terminology, see the Dental Elevator Types Guide and the Surgical Instrument Glossary.

FAQ
How do I choose the right item from this collection? Every product page details the exact specification, reference number, and application; for cross-brand references and terminology, see our Hygiene Instrument Comparison Chart and Instrument Glossary — and our experts are a call away at (917) 480-2682 ext 101.
How should these instruments be reprocessed? Follow the manufacturer’s validated reprocessing instructions and the symbols on each product’s packaging; our reprocessing guide covers the general workflow.
Where are these instruments made? The instruments in this collection are manufactured by Helmut Zepf Medizintechnik in Seitingen-Oberflacht, Germany — precision dental and surgical instruments since 1921 — and ship fast from our US warehouse.
Part of the Dental Elevators & Periosteals hub. See also: Dental Elevator: Essential Tool for Atraumatic Extractions.
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Helmut Zepf GmbH
Perforated Periosteal Elevator by Dr. Cyril Niederquell | Helmut Zepf No. 41.862.24
Regular price $89.99Unit price