(A) Incision, note the tension on the labial mucosa and the scalpel axis; (B) periosteal elevation with the stripper; (C) retention of connectivity and presentation of the screw at the end of the screwdriver before insertion; (D) insertion of the device; (E) stabilization of the connector arm against the bone; (F) preparation of a bayonet to bring out the connection arm in the free mucosa; (G) realization of a hook at the termination of the connection and; (H) connecting the device to the orthodontic arch wire by a rubber band ligation (courtesy: Dr. Chillès).