T3 Short Implants. Implants & Instrumentation

Transcription

1 T3 Sort Implants Implants & Instrumentation

2 Implant Treatment Options for Vertical Heigt Deficiencies Te T3 Sort Implant s lengt and features are designed to provide an implant treatment option in some callenging clinical cases were te bone eigt is insufficient for standard lengt implants Te Clinical Callenge: In areas wit minimal bone eigt, providing implant treatment may require complex surgical procedures, suc as: A sinus lift procedure in te maxilla Vertical ridge augmentation in te mandible due to te proximity to te mandibular nerve Fig. 1: Minimal bone eigt under te maxillary sinus. Fig. 2: Reduced vertical bone eigt above te inferior alveolar nerve canal. Clinical Case By: Dr. Stavros Pelekanos, Atens, Greece. A 32-year-old male patient presented wit diminised bone eigt under te sinus secondary to a fractured root and extraction of te maxillary left first molar eigt weeks prior to surgery. Fig. 1: Preoperative periapical radiograp sowing missing toot number 14 [26]. Fig. 2: A 6.0 mmd x 6.0 mml T3 Sort Implant and ealing abutment was placed in a single-stage protocol. Clinical Treatment By: Dr. Stefano Sivolella, Padova, Italy. A 60-year-old female patient presented wit a opeless first molar due to caries, root resorption and severe alveolar bone loss as a result of generalized periodontitis; te inferior alveolar nerve was in close proximity (approximately 7.0 mm). Fig. 1: Preoperative periapical radiograp sowing opeless toot number 30 [46]. Fig. 2: A 6.0 mmd x 6.0 mml T3 Sort Implant and definitive crown inserted at nine monts post-implant placement. Drs. Pelekanos and Sivolella ave, or in te last 2 years ad, financial relationsips wit Zimmer Biomet Dental resulting from speaking engagements, consulting engagements and oter retained services.

3 Surgical Kit Everyting needed to place a T3 Sort Implant in one compact kit Instrumentation specific to te T3 Sort Implants Te drilling sequence undersizes te osteotomy in diameter by 1.15 mm 5.0 mm diameter implants: Yellow Pat 6.0 mm diameter implants: Green Pat Kit Insert Kit Bottom Tray Pointed Starter Drill Last Twist Drills Saping Drills Dense Bone Taps Hig Torque Indicating Ratcet Wrenc Silicone Mat Implant Staging Surgical Kit: BSISK Instruments Handpiece Connector Hex Drivers Ratcet Extension Open Spaces for Any Additional Instruments Open End Wrenc ACT206S ACT Reusable Twist Drill 2.0 mmd x 6.0 mml TAP56S Sort Implant Dense Bone Tap, 5.0 mmd x mml ACT326S ACT Reusable Twist Drill 3.25 mmd x 6.0 mml TAP66S Sort Implant Dense Bone Tap, 6.0 mmd x mml ACT386S ACT Reusable Twist Drill 3.85 mmd x 6.0 mml RE100 Sort Ratcet Extension ACT426S ACT Reusable Twist Drill 4.25 mmd x 6.0 mml PHD02N Narrow Posterior Large Hex Driver ACT486S ACT Reusable Twist Drill 4.85 mmd x 6.0 mml PHD00N Narrow Posterior Small Hex Driver FCS385S Flat Bottom Countersink Saping Drill 5.0 mml H-TIRW Hig Torque Indicating Ratcet Wrenc FCS386S Flat Bottom Countersink Saping Drill 6.0 mml MDR10 Handpiece Connector FCS485S Flat Bottom Countersink Saping Drill 5.0 mml CW100 Open End Wrenc FCS486S Flat Bottom Countersink Saping Drill 6.0 mml ACTPSD ACT Pointed Starter Drill

4 Flat Bottom Saping Drills Similar design to existing Tapered Implant Quad Saping Drills Special cutting features Flat-bottom cutting tip to prepare an osteotomy tat matces te dimensions of te implant Incorporates te countersink so te implant will be properly seated in te osteotomy Dept and diameter specific Sows implant platform position Creates countersink in te crestal bone Produces flat-bottom osteotomy Color coded for size identification Sows 1.0 mm Cover Screw position Dense Bone Taps Te surgical kit also includes taps for te T3 Sort Implants: One tap for te 5.0 mmd implants One tap for te 6.0 mmd implants Same design as existing taps but sorter One band wit two dept marks (see image to rigt) Color coded to matc implant diameter 6.0 mml 5.0 mml ACT Twist Drills Based on te design of standard lengt ACT Drills One laser mark indicating two depts: 5.0 mm and 6.0 mm Te dept mark includes te drill tip lengt for precise dept drilling Two cutting flutes at te tip 6.0 mm 5.0 mm

5 Differentiating Tecnology T3 Surface Blasted and acid-etced implant surface wit an average rougness of 1.4 µm along te full lengt of te implant. 1 In preclinical studies *, te T3 wit DCD Surface demonstrated increased integration strengt trougout te ealing pase as compared to less complex surface topograpies. 2 Initial Bone-to-Implant Contact (IBIC) Te dimensions of te surgical instrumentation and te T3 Sort Implant provide a tigt implant-to-osteotomy fit, to assist wit primary stability. 3 Implant/Abutment Clamping Force Use of te Gold-Tite Screw increases implant/abutment clamping force by 83% vs. a non-coated screw. 4 Proprietary* Gold-Tite Surface lubrication allows te screw to rotate furter, increasing clamping force and maximizing abutment stability. 5 Coarse and fine micron surface features are designed to create an average mean surface rougness value of 1.4 µm along te full lengt of te implant. 1 Coarse: (10+ microns) via resorbable calcium pospate media blast Fine: (1-3 microns) via Dual Acid-Etcing (DAE) on top of te blasted surface Option for nano-scale features along te full lengt of te implant via Discrete Crystalline Deposition (DCD) of calcium pospate Platform Switcing** Platform switcing medializes te implant/abutment junction (IAJ) redirecting te reformation of te biologic widt, tus elping to maintain bone levels. 6 Manual platform switcing is recommended 1 Gubbi P, Towse R. Quantitative and Qualitative Caracterization of Various Dental Implant Surfaces. Poster Presentation: European Association for Osseointegration, 20t Annual Meeting; October 2012; Copenagen, Denmark. To view te poster, please visit 2 Mendes V, Davies JE. Early Implant ealing at implant surfaces of varying topograpical complexity. Poster Presentation: Academy of Osseointegration, 26t Annual Meeting; Marc 2011; Wasington, DC. ttp://biomet3i.com/pdf/posters/poster_early_periimplant_healing.pdf. 3 Meltzer AM. Primary stability and initial bone-to-implant contact: Te effects on immediate placement and restoration of dental implants. J Implant Reconstr Dent. 2009;1(1): Suttin Z, Towse R. Effect of Abutment Screw Design on te Seal Performance of an External Hex Implant System. Presented at te European Association for Osseointegration, 22nd Annual Scientific Meeting; October 2013; Dublin, Ireland. ttp://biomet3i.com/resourcecenter/posters/eao Effect of Abutment Screw Design on te Seal Performance of An External Hex Implant System Poster_poster360_EN.pdf. 5 Byrne D, Jacobs S, O Connell B, Houston F, Claffey N. Preloads generated wit repeated tigtening in tree types of screws used in dental implant assemblies. J. Prostodont May Jun;15(3): Boitel N, Andreoni C, Grunder U, Naef R, Meyenberg K. A Tree Year Prospective, Multicenter, Randomized-Controlled Study Evaluating Platform-Switcing for te Preservation of Peri-implant Bone Levels. Academy of Osseointegration, 26t Annual Meeting: 2011 Marc 3-5; Wasington DC. To view te poster, please visit of%20peri_implant%20bone%20levels.pdf. A Biomet 3i sponsored study. Te autors conducted tis researc wile employed at Biomet 3i. Drs Grunder, Meltzer and Meyenberg ave, or in te last 2 years ad, financial relationsips wit Zimmer Biomet Dental resulting from speaking engagements, consulting engagements and oter retained services. * Pre-clinical studies are not necessarily indicative of clinical results. ** Placement of a smaller diameter restorative component tan te diameter of te implant seating surface.

6 Ordering Information 5.0 mmd External Hex Implants 6.0 mmd External Hex Implants BOES mmd x 5.0 mml BOES mmd x 5.0 mml BOES mmd x 6.0 mml BOES mmd x 6.0 mml 5.0 mmd External Hex Implants wit DCD Surface 6.0 mmd External Hex Implants wit DCD Surface BNES mmd x 5.0 mml BNES mmd x 5.0 mml BNES mmd x 6.0 mml BNES mmd x 6.0 mml Recommended Healing Abutments For Platform Switcing mmd Seating Surface Emergence Profile Collar Heigt THA mm 2.0 mm THA mm 3.0 mm THA mm 4.0 mm THA mm 6.0 mm THA mm 8.0 mm THA mm 3.0 mm THA mm 4.0 mm THA mm 6.0 mm THA mm 8.0 mm THA mm 3.0 mm THA mm 4.0 mm THA mm 6.0 mm THA mm 8.0 mm Tis product is not available in all markets. Please contact your local Zimmer Biomet Sales Representative for availability in your market. Refer to te Surgical Catalog (INSTSUR) for more options Recommended Healing Abutments For Platform Switcing mmd Seating Surface Emergence Profile Collar Heigt WTH mm 2.0 mm WTH mm 3.0 mm WTH mm 4.0 mm WTH mm 6.0 mm WTH mm 8.0 mm WTH mm 2.0 mm WTH mm 3.0 mm WTH mm 4.0 mm WTH mm 6.0 mm WTH mm 8.0 mm WTH mm 2.0 mm WTH mm 3.0 mm WTH mm 4.0 mm WTH mm 6.0 mm WTH mm 8.0 mm Contact us at or Zimmer Biomet Dental Global Headquarters 4555 Riverside Drive Palm Beac Gardens, FL Tel: Fax: Biomet 3i 4555 Riverside Drive Palm Beac Gardens, FL Biomet 3i Dental Iberica, S.L. WTC Almeda Park, Ed. 4, Planta 2 C/Tirso de Molina, Cornellà de Llobregat (Barcelona) Spain All trademarks are te property of Zimmer Biomet or its affiliates, unless oterwise indicated. All references contained erein to Zimmer Biomet Dental refer to te Zimmer Biomet Dental Division. Due to regulatory requirements, Zimmer Biomet s dental division will continue to manufacture products under Zimmer Dental Inc. and Biomet 3i, LLC respectively until furter notice. T3 Sort Implant is manufactured and distributed by Biomet 3i. Please note tat not all products are registered or available in every country/region. Tis material is intended for clinicians only and is NOT intended for patient distribution. Tis material is not to be redistributed, duplicated or disclosed witout te express written consent of Zimmer Biomet Dental. ZB0002 REV A 08/ Zimmer Biomet, All rigts reserved.