Yes, you are correct. Using bone tacks in the mandible is somewhat different because of the dense cortical bone in the mandible. There are 3 options for placing the tacks in the mandible with the Automatic Bone Tack: Use a piezoelectric bur or drill to make a line (i.e. score the cortical bone) where the tacks are going to be inserted. This will allow for easier penetration of the tacks and also create extra blood supply for your GBR. Fire the automatic bone tack kit pull back device twice instead of only once when inserting into the mandible. To do this, you use the tack pull back to insert the tack into the mandible area the first time (it won’t go completely in because of the bone density). Then you remove the instrument, pull back again, place the automatic bone tack kit on the tack, and fire again to fully insert the tack. Use a standard manual tack holder with a mallet to place or simply push the tack further into the mandible.