Name: PREMIUM Type: Hybrid form, cylindrical-conical implant Year of birth: 1996 Study group: Prof. Ugo Covani, Prof. Daniele Botticelli Fields of

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2 Name: PREMIUM Type: Hybrid form, cylindrical-conical implant Year of birth: 1996 Study group: Prof. Ugo Covani, Prof. Daniele Botticelli Fields of application: Ordinary and advanced implantology, post-extraction with immediate loading and not. The completeness of the range in diameters and heights and the possibility of choosing between two types of neck in bone level and the presence of the transgingival version make it one of the most complete implants on the market User profile: Everyone, from the novice to the big user

3 The PREMIUM dental implant system has been studied and developed in cooperation with: Prof. Ugo Covani, MD, PHD, Professor at the Dept of Dental University of Pisa Head of the Course for dental Prosthesis in the Faculty of Dentistry Head in the Course of Gnathology in the Faculty of Dentistry and Physiology Director of the Master Course in Implant prosthetics level I and level II Coordinator of the 1 and 2 course on oral rehabilitation Specialist in Surgery and Stomatology Specialist in periodontal surgery and Implantology Visiting Professor Dep.t of Oral and Maxillo-facial Surgery State University of New York at Buffalo (1997/to date) Past-President of the Italian Society of Oral Surgery (1994/96) Past-President of European Board of Oral Surgery (2004/08) Director of the Istituto Stomatologico Tirreno Ospedale Unico della Versilia (2003/to date) President of the Academy of Studies and Research in Odontostomatology and Prevention in Odontostomatology Il Chirone Faculty member of the Nanoworld Institute (Interuniversity Centre for research in nano science and nanotechnology in Genoa) Research projects: Reduction of implant therapy time with ref to post-extractive implant insertion and immediate loading Infection control in dentistry and implantology by using laser technology Advanced technologies in bone reconstruction in odontostomatology Biological interactions on implant surfaces

4 The PREMIUM TG dental implant system has been studied and developed in cooperation with: Daniele Botticelli MD & DDS at the University of Bologna (Italy) in 1980 Specialist license in General Surgery at the University of Modena (Italy) in 1986 Odont. Dr. (PhD) at Göteborg University (Sweden) in Permanent Professor in the post-graduate course, University of the State of São Paulo (UNESP), Faculty of Araçatuba (Brazil). Honorary full professor at the University of Hong Kong (SAR, China). Visiting professor at the University of Padua (Italy). Director of Ariminum Research & Dental Education Centre (ARDEC) in Rimini, (Italy) since Head of the division of Oral Surgery at ARDEC (Ariminum Odontologica), Rimini (Italy) since Director for the Italian section of a project for experimental research in collaboration with the Faculty of Odontology and the University of Medical Science of Habana, Cuba. Member of the Editorial Board of the Journal of Clinical Periodontology and of Clinical Oral Implants Research. He has held more than 100 lectures in congresses and courses. He has published a series of experimental (>30) and clinical articles (>10), mainly regarding osseointegration at implants installed in conventional and compromised sites.

5 CHARACTERISTICS HYBRID BODY (CYLINDRICAL WITH TAPERED APEX) AVAILABLE IN 2 VERSIONS (BONE LEVEL AND TRANSGINGIVAL) BONE LEVEL VERSION IN 2 NECK VERSIONS (STRAIGHT AND SP) DEEP APICAL INCISIONS MAKE IT A "PROGRESSIVE" IMPLANT CONNECTION WITH INTERNAL HEXAGON AND STABILISING EXTERNAL COLLAR POSSIBILITY OF SWITCHING PLATFORM MOUNTLESS IN THE AMPOULE, IT HAS ONE OF THE MOST RELIABLE CARRIER SYSTEMS ON THE MARKET VAST RANGE OF SIZES AND DIAMETERS VAST BIBLIOGRAPHY

6 Over 60 publications on the Premium implant alone

7 Smooth Collar H 0.8 mm 4,000 enlargements surface ZirTi 10,000 enlargements

8 Bone level One fixture 3 types of neck Submerged Straight Submerged SP Transgingival TG

9 Bone level SP Bone level Straight BONE LEVEL FIXTURE Spire diameter: 3.3/3.8 /4.25/5 mm. Shiny Collar: H. 0.8 mm. Spire: (Diam. 3.8/4.25/5 mm.) Pitch 1 mm. Depth 0.4 mm. Spire profile: Asymmetrical, convex at top and flat at the bottom Discharge incisions: 3 in the apical middle portion Apex: Tapered with cutting tripod Heights:diam from 10 mm. to 15 mm. diam from 8.5 to 18 mm. diam from 7 to 18 mm. diam. 5 from 7 to 15 mm.

10 BEVEL The widening created by the bevel in SP implants allows an implant Switching Platform of 0.3 mm horizontally and 0.5 mm vertically COLLAR The function of the 0.35 mm external collar is to stabilise the post and distribute the loading forces onto the implant surface INTERNAL HEXAGON Located in a coronal position, it is characterised by excellent visibility. The 60 repositioning and the total connection depth of almost 2 mm ensure non-rotation and precision. CONNECTION

11 STRAIGHT PLATFORMS AND SP (SWITCHING PLATFORM) In the "bone level" version, Premium implants are available with two types of neck: the traditional version with a straight neck (Straight) and the SP version with wide coronal emergence, which allows use of the Switching platform technique. On SP implants we have to calculate 0.6 mm. more on the nominal diameter of the implant. Example: diam Straight (3.80 mm. actual) diam. 3,80 SP (4.40 mm. actual)

12 Image by kind permission of Dr. D. Botticelli Ground section at 4 months from insertion 0.35 mm. 0.3 mm.

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14 Post closure on SP neck Post closure on Straight neck Bone level

15 It is possible to perform prosthetic Switching on diam. 3.8 and 3.8 SP with post 3.3 mm.

16 TOTAL COUPLING OF POST mm ON IMPLANT 3.80 mm

17 BONE LEVEL FIXTURE 3.3 mm. Neck: Only Straight Spire diameter: 3.3 mm. Shiny Collar: H. 0.8 mm. Spire: Pitch 0.6 mm. Depth 0.3 mm. Spire profile: Triangular with 50 angle Neck: Only Straight version Discharge incisions: 3 in the apical middle portion Apex: Tapered with cutting tripod Heights: From 10 mm. to 15 mm. Connection: Internal hexagon and collar

18 Ø 3.30 mm Ø 3.80 mm Ø 4.25 mm Ø 5.00 mm RANGE OF DIAMETERS

19 COLOUR CODES INDICATING THE DIAMETER Ø 3.30 mm Ø 3.80 mm Ø 4,25 mm Ø 5.00 mm

20 Ø 3.3 from 10 mm. to 15 mm (only straight) Ø 3.8 from 8.5 mm to 15 mm. S.P. Ø 3.8 from 8.5 mm to 18 mm. straight RANGE OF HEIGHTS Ø 4.25 from 7 mm to 15 mm. S.P. Ø 4.25 from 7 mm to 18 mm. straight Ø 5 from 7 mm to 15 mm. S.P. Ø 5 from 7 mm to 18 mm. straight

21 STRAIGHT PROFILE PREMIUM SHORTY Ø 3.8 h 8.5 mm. Ø 4.25 h 7 and 8.5 mm Ø 5 h 7 and 8.5 mm PROFILE SP SWITCHING PLATFORM

22 DIAM. 3.3/DIAM. 3,8 = WELL L 2.30 mm = BLUE EASY INSERT 3.30 mm mm. SIMILARITIES IN CONNECTION: DIAM. 4.25/DIAM. 5 = WELL L 2.50 mm = FUCHSIA EASY INSERT 4.25 mm. 5 mm.

23 EASY INSERT MOUNTLESS PROCEDURE The implants are mountless, they are inserted using the Easy Insert drivers which engage directly inside the connection. PREMIUM PREMIUM SP Section traditional mounter Section Easy insert PREMIUM TG

24 EASY INSERT MOUNTLESS PROCEDURE No deformation of the connecting hexagons during insertion. Excellent intra-operative visibility Patented design, prevents deformations of the connecting hexagons: Easy Insert is made so that there are never sharp edges in contact with the connection.

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27 SURGICAL PROCEDURE

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29 Premium 5.00 SP Premium 4.25 SP Premium 3.80 SP Outlink2 3.75

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31 Drills for distal sectors As an option, shorter drills are available that are very practical in distal sectors with limited oral opening. They come in a wide range of diameters and are also useful for preparations in extremely compact bone where, in the most coronal portion, you want to widen the preparation diameter by 0.10 mm with respect to the size of the standard drills to facilitate the insertion of the implants. On the other hand, in low-density bone they can be used to under-prepare the implant site so as to obtain optimum primary stability. The drills have etched depth lines from 7 to 15 mm.

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33 SHORTY DRILLING KIT

34 PARALLELISM PINS STOP DRILL S The drills have no bulk at the tip and their overall length is reduced As well as for Shorty implants, they are therefore indicated also for use in distal sites with limited oral opening.

35 Although they are defined as "SELF-THREADING IMPLANTS it is recommended to use bone taps in the mandible or in the presence of compact bone. As well as the "Standard" version there are "optional" versions (Shorty and right-angle)

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37 Since the PREMIUM implant has a very similar geometry to the OUTLINK2 implant it is possible to transform the PREMIUM kit into a functional kit for both methods by adding the driver for OUTLINK2

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