INTERNAL HEX Implant System

Transcription

1 Dental Implant Systems INTERNAL HEX Implant System

2 infinite OPPORTUNITIES IN IMPLANTOLOGY For over 50 years ACE Surgical has been dedicated to dental surgical advancements. We continue to develop and manufacture the highest quality, state-of-the-art products at competitive prices, while keeping customer service at the core of our business. infinity Dental Implant Systems allow you to place and restore our implants with confidence and without the added expense. The infinity INTERNAL HEX Dental Implant System is committed to delivering a functional and esthetic dental implant solution to both you and your patients. infinity implants infinite innovation, endless opportunities in implantology. ACE Surgical Supply Co., Inc acesurgical.com 1034 Pearl Street, Brockton, MA info@acesurgical.com

3 1 Dental Implant Systems Table of contents Introduction... 2 Features and Benefits... 4 Implant Offerings... 6 Drilling Sequences Surgical Drills, Drivers, and Kit Prosthetics Surgical Protocols Prosthetic Protocols Warranty ACE Surgical Supply Co., Inc Pearl Street, Brockton, MA USA Copyright 2016 ACE Surgical Supply Co., Inc. Reproduction in whole or part is specifically prohibited without written permission.

4 introduction to infinity INTERNAL HEX IMPLANTS

5 3 The infinity INTERNAL HEX implant has been designed to work with some of the leading internal hex implants in the market today. The infinity INTERNAL HEX platform allows for a secure connecting interface between the implant and prosthetic. The precise manufacturing of all INTERNAL HEX components is what separates this system from other compatible dental implant systems. infinity INTERNAL HEX implants are manufactured in the USA from high-strength bio-compatible, grade-4 pure titanium alloy (Ti 6AI-4V-ELI). The implant s roughened surface treatment provides an optimal surface topography for osseointegration. The engineered micro-grooves found on the collar of the implant are for maintaining crestal bone. The tapered thread design allows for immediate mechanical fixation, which in most instances, allows for early implant loading. The available prosthetics are designed to offer familiar options without the inflated costs. From a single tooth restoration to a full arch, infinity INTERNAL HEX prosthetics are easy to use, and restore functionality at a price that makes sense for your practice. INTERNAL HEX Ø3.5MM PLATFORM INTERNAL HEX Ø4.5MM PLATFORM Ø3.7mm INTERNAL HEX Implant Ø4.1mm INTERNAL HEX Implant Ø4.7mm INTERNAL HEX (ps) Platform Shift Implant Ø4.7mm INTERNAL HEX Implant Ø5.1mm INTERNAL HEX Implant

6 4 infinity INTERNAL HEX implant system INTERNAL HEX PLATFORM The popular INTERNAL HEX allows for low-profile restorative options compatible with internal hex configured implants. COLOR-CODED The entire INTERNAL HEX system is color-coded to easily identify the implant platform connection and their corresponding prosthetics, making it easier for you and your referrals to match between the restorative and implant components. MICRO-GROOVES Placed at the neck of all INTERNAL HEX implants are micro-grooves that aid in maintaining crestal bone. TAPERED THREAD Allows for immediate mechanical fixation. TRIPLE LEAD THREAD For faster implant insertion. SHARP CUTTING FLUTES Allows for easy implant insertion. RBM TEXTURED SURFACE For over twenty years Resorbable Blast Media technology has allowed for improved osseointegration. RBM is a surface treatment designed to roughen the surface of an implant without leaving the residual embedded blast particles or debris in the treated substrate. To achieve the desired roughening, a biocompatible material with a suitable hardened particle size is used and then subsequently dissolved from the surface with a defined passivation treatment. The result is a rougher surface than the traditional acid etch-treatments, providing a greater surface area for osseointegration.

7 infinity INTERNAL HEX implant system 5 PLATFORM SHIFT (ps) The Ø4.7mm infinity INTERNAL HEX (ps) implant has been developed to create more platform room for the biologic width. This will aid in crestal bone height and soft tissue maintenance. LIFETIME WARRANTY The ACE Surgical implant warranty program is designed to support all clinicians involved with the infinity Implant System. See page 33 for complete details. FIXTURE-MOUNT/TRANSFER The fixture-mount is designed to allow for easy transfer and implant placement. The mount can be converted for use as a temporary abutment. ALIGNMENT GUIDE The flat surface side of the fixture-mount is used to align for correct buccal placement. IMPLANT SUSPENSION CHAMBER Each suspension chamber is color-coded to match the implants platform with its restorative components. The suspension chamber securely cradles the implant and allows for easy removal. COVER SCREW Included inside the vial s bottom cap. STERILE PACKAGING All implants come packed sterile with easy-to-read labeling on the pull-back cover, sealing the implant chamber. CONTAINED IMPLANT Vial packed implant suspension and easy-to-retrieve cover screw. IMPLANT BOX Implant symbol, size and color clearly distinguishes the INTERNAL HEX product. Side label includes implant specifications. INSTRUCTIONS Every implant complete with instructions for use enclosed. PATIENT RECORD LABELS Every implant comes complete with multiple patient labels for adhering to patient files.

8 6 infinity INTERNAL HEX implant system INTERNAL HEX Ø3.7MM TAPERED IMPLANT Ø3.5mm Platform Ø3.5mm Platform Product No Connection Ø3.5mm Ø3.5mm Ø3.5mm Ø3.5mm Ø3.5mm IMPLANT COVER Diameter Ø3.7mm Ø3.7mm Ø3.7mm Ø3.7mm Ø3.7mm SCREW Length 8mm 10mm 11.5mm 13mm 16mm Included with every Implant Collar Height 2.5mm Length Major Ø3.7mm 3.1mm Apex INTERNAL HEX Ø4.1MM TAPERED IMPLANT Ø3.5mm Platform Ø3.5mm Platform Product No Connection Ø3.5mm Ø3.5mm Ø3.5mm Ø3.5mm Ø3.5mm Ø3.5mm IMPLANT COVER Diameter Ø4.1mm Ø4.1mm Ø4.1mm Ø4.1mm Ø4.1mm Ø4.1mm SCREW Length 6mm 8mm 10mm 11.5mm 13mm 16mm Included with every Implant Collar Height 2.5mm Length Major Ø4.1mm 3.5mm Apex

9 infinity INTERNAL HEX implant system 7 (ps) INTERNAL HEX (ps) Ø4.7MM TAPERED IMPLANT Ø3.5mm Platform Shift Note: Although the color shown here is green, representing the (ps) implant s Ø3.5mm platform, the surgical protocol to be followed will be the purple, representing the (ps) implant s diameter. Ø3.5mm Platform Product No Connection Ø3.5mm Ø3.5mm Ø3.5mm Ø3.5mm IMPLANT COVER Diameter Ø4.7mm Ø4.7mm Ø4.7mm Ø4.7mm SCREW Length 8mm 10mm 11.5mm 13mm Included with every Implant Collar Height 2.5mm Length Major Ø4.7mm 3.9mm Apex INTERNAL HEX HEALING ABUTMENTS Ø3.5mm Platform Uses a 1.25mm Hex Driver 30 Emergence Profile for Contoured Healing Abutments Recommended Seating Torque 20 N-cm CW CH Collar Width Collar Height Product No Connection Ø3.5mm Ø3.5mm Ø3.5mm Ø3.5mm Ø3.5mm Ø3.5mm Collar Width Ø3.7mm Ø3.7mm Ø4.5mm Ø4.5mm Ø5.5mm Ø5.5mm Collar Height 3mm Straight 5mm Straight 3mm Contoured 5mm Contoured 3mm Contoured 5mm Contoured

10 8 infinity INTERNAL HEX implant system INTERNAL HEX Ø4.7MM TAPERED IMPLANT Ø4.5mm Platform Ø4.5mm Platform Product No Connection Ø4.5mm Ø4.5mm Ø4.5mm Ø4.5mm Ø4.5mm IMPLANT COVER Diameter Ø4.7mm Ø4.7mm Ø4.7mm Ø4.7mm Ø4.7mm SCREW Length 8mm 10mm 11.5mm 13mm 16mm Included with every Implant Collar Height 2.5mm Length Major Ø4.7mm 3.9mm Apex

11 infinity INTERNAL HEX implant system 9 INTERNAL HEX Ø5.1MM TAPERED IMPLANT Ø4.5mm Platform Ø4.5mm Platform Product No Connection Ø4.5mm Ø4.5mm Ø4.5mm Ø4.5mm Ø4.5mm Ø4.5mm IMPLANT COVER Diameter Ø5.1mm Ø5.1mm Ø5.1mm Ø5.1mm Ø5.1mm Ø5.1mm SCREW Length 6mm 8mm 10mm 11.5mm 13mm 16mm Included with every Implant Collar Height 2.5mm Length Major Ø5.1mm 4.3mm Apex INTERNAL HEX HEALING ABUTMENTS Ø4.5mm Platform Uses a 1.25mm Hex Driver 30 Emergence Profile for Contoured Healing Abutments Recommended Seating Torque 20 N-cm CW CH Collar Width Collar Height Product No Connection Ø4.5mm Ø4.5mm Ø4.5mm Ø4.5mm Ø4.5mm Ø4.5mm Collar Width Ø4.7mm Ø4.7mm Ø5.5mm Ø5.5mm Ø6.5mm Ø6.5mm Collar Height 3mm Straight 5mm Straight 3mm Contoured 5mm Contoured 3mm Contoured 5mm Contoured

12 10 infinity INTERNAL HEX implant system SOFT BONE DRILLING SEQUENCES Ø4.1mm implant Ø3.7mm implant Follow the marking on the Surgical Tray for placement in Soft Bone Follow the marking on the Surgical Tray for placement in Soft Bone Ø3.0mm Round Drill 1 Ø3.0mm Round Drill 2 Ø2.3mm Straight 2 Ø2.3mm Straight 3 Ø2.3/ 2.8mm Paralleling Pin 3 Ø2.3/ 2.8mm Paralleling Pin 4 Ø2.8mm Straight 4 Ø2.8mm Straight 5 Ø2.8mm Depth Gauge 5 Ø2.8mm Depth Gauge 6 Ø3.4mm Straight Drill Depth Markings 16mm 13mm 11.5mm 10mm 8mm 6mm Caution: Twist drills with drill point tip are approximately 1mm longer in length than what is indicated by the markings. Ø4.7mm and Ø4.7mm (ps) Follow the marking on the Surgical Tray for placement in Soft Bone Ø3.0mm Round Drill 2 Ø2.3mm Straight 3 Ø2.3/ 2.8mm Paralleling Pin 4 Ø3.4mm/ Ø2.8mm Step 5 Ø2.8mm Depth Gauge 6 Ø3.8mm Straight Follow the marking on the Surgical Tray for placement in Soft Bone Ø5.1mm implant Ø3.0mm Round Drill 2 Ø2.3mm Straight 3 Ø2.3/ 2.8mm Paralleling Pin 4 Ø3.4mm/ Ø2.8mm Step 5 Ø2.8mm Depth Gauge 6 Ø3.8mm/ Ø3.4mm Step 7 Ø4.4mm Straight * Note: Instruments shown are drilling for a 11.5mm implant. Adjust accordingly for other implant depths. Caution: Twist drills with drill point tip are approximately 1mm longer in length than what is indicated by the markings.

13 infinity INTERNAL HEX implant system DENSE BONE DRILLING SEQUENCES 11 Follow the marking on the Surgical Tray for placement in Dense Bone OPTIONAL Ø4.7mm and Ø4.7mm (ps) Ø4.1mm implant Ø3.7mm implant Follow the marking on the Surgical Tray for placement in Dense Bone Follow the marking on the Surgical Tray for placement in Dense Bone Ø3.0mm Round Drill 1 Ø3.0mm Round Drill 1 Ø3.0mm Round Drill 2 Ø2.3mm Straight 2 Ø2.3mm Straight 2 Ø2.3mm Straight 3 Ø2.3/ 2.8mm Paralleling Pin 3 Ø2.3/ 2.8mm Paralleling Pin 3 Ø2.3/ 2.8mm Paralleling Pin 4 Ø3.4mm/ Ø2.8mm Step 4 Ø2.8mm Straight 4 Ø3.4mm/ Ø2.8mm Step 5 Ø2.8mm Depth Gauge 5 Ø2.8mm Depth Gauge 5 Ø2.8mm Depth Gauge 6 Ø3.7mm Bone Tap 6 Ø3.8mm/ Ø3.4mm Step 6 Ø4.4mm/ Ø3.8mm Step OPTIONAL 7 Ø4.1mm Bone Tap OPTIONAL 7 Ø4.7mm Bone Tap Follow the marking on the Surgical Tray for placement in Dense Bone OPTIONAL Ø5.1mm implant Ø3.0mm Round Drill 2 Ø2.3mm Straight 3 Ø2.3/ 2.8mm Paralleling Pin 4 Ø3.4mm/ Ø2.8mm Step 5 Ø2.8mm Depth Gauge 6 Ø3.8mm/ Ø3.4mm Step 7 Ø4.8mm/ Ø4.4mm Step 8 Ø5.1mm Bone Tap * Note: Instruments shown are drilling for a 11.5mm implant. Adjust accordingly for other implant depths. Caution: Twist drills with drill point tip are approximately 1mm longer in length than what is indicated by the markings.

14 infinity INTERNAL HEX implant system infinity INTERNAL HEX Surgical Drills, Drivers, and Kit

15 infinity INTERNAL HEX implant system 13 CERTIFIED PRECISION Manufactured under a strictly controlled machining process and certified to ISO regulations. BUILT TO LAST Engineered for multiple use, infinity drills are manufactured from hardened, high-strength, corrosive-resistant, surgical grade stainless steel. PROVEN DESIGN Proven tri-flute twist drill geometry is designed to keep drill centered (to avoid walking), and also allows for efficient bone chip removal. LASER MARKED Precision laser markings provide detailed drill identification and accurate drill depth guidance.

16 14 infinity INTERNAL HEX implant system Ø 3.0mm Round Drill Ø1.6mm/ Ø2.3mm Kirschner Bur Ø 2.3mm Straight Long Short Ø 2.8mm Straight Long Short Ø3.4mm/ Ø2.8mm Step Long Short Ø 3.4mm Straight Long Short Ø3.8mm/ Ø3.4mm Step Long Short Refer to pages for complete drilling sequences. Complete infinity INTERNAL HEX Surgical Kit Ø 2.3/2.8mm Paralleling Pins 2/set Ø 2.8mm Depth Gauge

17 infinity INTERNAL HEX implant system 15 Ø 3.8mm Straight Long Short Ø4.4mm/ Ø3.8mm Step Long Short Ø 4.4mm Straight Long Short Ø4.8mm/ Ø4.4mm Step Long Short Optional Bone Taps Ø 3.7mm Ø 4.1mm Ø 4.7mm Ø 5.1mm Driver Extenders CA Drill Ext Ratchet Ext mm Hex Screw Drivers CA Driver Ratchet Driver Hand Driver mm Hex Implant Drivers CA Driver Ratchet - Short Ratchet - Long Open-End Offset Wrench Implant Torque Ratchet N-cm

18 16 infinity INTERNAL HEX implant system infinity INTERNAL HEX Prosthetics INTERNAL HEX Ø3.5 PLATFORM PROSTHETICS Fits Ø3.7mm, Ø4.1mm Implants and Ø4.7mm (ps) Implants Implant Analog Product No Closed and Open Tray Impression Coping Implant Level Transfer Includes Retaining Screw Uses a 1.25mm Hex Driver Recommended Seating Finger Pressure Product No. Collar Width Tray Type mm Closed Tray mm Open Tray Prepable Abutments Includes Retaining Screw Uses a 1.25mm Hex Driver Recommended Seating Torque 30 N-cm 1mm Prepable Score Lines Product No Collar Width 4.5mm 4.5mm Collar Height 2mm 4mm CH CW TH CW = Collar Width CH = Collar Height TH = Total Height Total Height 7mm 9mm UCLA Includes Retaining Screw Uses a 1.25mm Hex Driver Recommended Seating Torque 30 N-cm Product No. Collar Width Engagement mm Non-Engaged mm Engaged

19 infinity INTERNAL HEX implant system 17 INTERNAL HEX Ø4.5MM PLATFORM PROSTHETICS Fits Ø4.7mm and Ø5.1mm Implants Implant Analog Product No Closed and Open Tray Impression Coping Implant Level Transfer Includes Retaining Screw Uses a 1.25mm Hex Driver Recommended Seating Finger Pressure Product No. Collar Width Tray Type mm Closed Tray mm Open Tray Prepable Abutments Includes Retaining Screw Uses a 1.25mm Hex Driver Recommended Seating Torque 30 N-cm 1mm Prepable Score Lines Product No Collar Width 5.5mm 5.5mm Collar Height 2mm 4mm CH CW TH CW = Collar Width CH = Collar Height TH = Total Height Total Height 7mm 9mm UCLA Includes Retaining Screw Uses a 1.25mm Hex Driver Recommended Seating Torque 30 N-cm Product No. Collar Width Engagement mm Non-Engaged mm Engaged

20 18 infinity INTERNAL HEX implant system INTERNAL HEX Ø3.5 PLATFORM ZEST LOCATOR ABUTMENT Fits Ø3.7mm, Ø4.1mm Implants and Ø4.7mm (ps) Implants Recommended Seating Torque 30 N-cm Product No Diameter Ø3.5mm Ø3.5mm Ø3.5mm Ø3.5mm Ø3.5mm Collar Height 1.0mm 2.5mm 3.5mm 4.5mm 5.5mm INTERNAL HEX Ø4.5mm PLATFORM ZEST LOCATOR ABUTMENT Fits Ø4.7 and Ø5.1mm Implants Recommended Seating Torque 30 N-cm Product No Diameter Ø4.5mm Ø4.5mm Ø4.5mm Ø4.5mm Ø4.5mm Collar Height 1.0mm 2.5mm 3.5mm 4.5mm 5.5mm ZEST LOCATOR COMPONENTS Fits Zest LOCATOR Abutments Zest LOCATOR Replacement Male - Sets Each Set includes: (1) Denture Cap with Black Processing Male (1) White Block-Out Spacer (3) Nylon Retention Males: 1 each of the Dual or Extended Range Nylon Retention Males Dual Retention Male Sets Use with divergent implants up to 10 (or 20 between 2 implants). 2 sets / pkg sets / pkg Extended Range Male Sets Use with divergent implants up to 20 (or 40 between 2 implants). 2 sets / pkg sets / pkg Replacement Processing Packs 4 / pkg. Available in various retention strengths Clear Dual Retention Standard 5 lbs. / 2268 grams Pink Dual Retention Light 3 lbs. / 1361 grams Blue Dual Retention Extra Light 1.5 lbs. / 680 grams Green Extended Range Standard 3-4 lbs. / grams Orange Extended Range Light 2 lbs. / 907 grams Red Extended Range Extra Light lbs. / grams ZEST LOCATOR LAB COMPONENTS AND INSTRUMENTS Zest LOCATOR White Block-Out Spacer - 20/pkg Zest LOCATOR Transfer - 4/pkg Zest LOCATOR Analog - 4/pkg Zest LOCATOR Torque Wrench Contra Angle Driver Zest LOCATOR Male Installation / Removal Tool CHAIRSIDE Denture Prep & Polish Kit for Installation of LOCATOR Denture Caps A comprehensive kit consisting of Recess, Trim, Undercut, Grind and Vent Burs, as well as a Polisher, all of which are designed to address the most frequent overdenture preparation requirements. Zest CHAIRSIDE Denture Prep & Polish Kit

21 infinity INTERNAL HEX implant system 19 INTERNAL HEX Ø3.5 PLATFORM ZEST LOCATOR R-TX ABUTMENT Fits Ø3.7mm, Ø4.1mm Implants and Ø4.7mm (ps) Implants Recommended Seating Torque 30 N-cm Each Abutment comes with Denture Cap and 4 Inserts Product No Diameter Ø3.5mm Ø3.5mm Ø3.5mm Ø3.5mm Collar Height 2.5mm 3.5mm 4.5mm 5.5mm INTERNAL HEX Ø4.5mm PLATFORM ZEST LOCATOR R-TX ABUTMENT Fits Ø4.7 and Ø5.1mm Implants Recommended Seating Torque 30 N-cm Each Abutment comes with Denture Cap and 4 Inserts Product No Diameter Ø4.5mm Ø4.5mm Ø4.5mm Ø4.5mm Collar Height 2.5mm 3.5mm 4.5mm 5.5mm Zest LOCATOR R-Tx Attachment system Each R-Tx Attachment Ststem includes: (1) LOCATOR R-Tx Abutment (1) Denture Cap with Black Processing Male (1) White Block-Out Spacer (4) Nylon Retention Inserts: 1 each of the Gray, Blue, Pink, and White R-Tx Nylon Retention Inserts Allows denture cap to pivot up to 30 over seated R-Tx Nylon Inserts (60 between 2 implants) ZEST LOCATOR R-TX COMPONENTS Fits only LOCATOR R-TX Abutments Replacement Processing Packs 4 / pkg. Available in various retention strengths Gray LOCATOR R-TX Zero Retention Blue LOCATOR R-TX Low Retention Pink LOCATOR R-TX Medium Retention White LOCATOR R-TX High Retention Green LOCATOR R-TX Extra High Retention Black LOCATOR R-TX Processing Insert Cap LOCATOR R-TX Denture Attachment Processing Assembly ZEST LOCATOR R-TX LAB COMPONENTS AND INSTRUMENTS LOCATOR R-TX Impression Analog - 4/pkg 3.35mm mm mm Zest LOCATOR White Block-Out Spacer - 20/pkg LOCATOR R-Tx Impression Coping 4/pkg LOCATOR R-Tx Processing Spacer 4/pkg LOCATOR R-Tx Retention Insert Installation / Removal Tool LOCATOR R-Tx.050 (1.25mm) Hex Insert Driver Thumb Knob Driver for Latch Handpiece (CA) for Square Drive (Ratchet)

22 20 infinity INTERNAL HEX Surgical Protocol

23 21 INTERNAL HEX IMPLANT SURGICAL KIT DRILL IDENTIFICATION LEGEND Determine implant diameter and bone density, identified with corresponding icons Use the select choosen drills for the choosen implant diameter and bone density Soft Bone Dense Bone Soft Bone Dense Bone Soft Bone Dense Bone Soft Bone Dense Bone Note: For Ø4.7mm (ps) platform shift implant follow implant drilling protocol. INTERNAL HEX IMPLANT SITE PREPARATION IMPLANT PLACEMENT PROTOCOL Drilling depths shown for 11.5mm(L) implant. Step 1 - Determine Tissue Depth Prior to drilling, use a tissue probe to determine soft tissue depth. 1 2 Step 2 & 3 Preparing the Surgical Site Make a mesio-distal incision along the buccal side of the alveolar crest through the mucoperiosteum and attached gingiva to the bone and reflect the flap. DRILLING SPEED: For the following Round Drill, the optional Kirschner Bur and for all s, Straight s and Step s, select a motor speed of 800 to 1200 rpm and use copious irrigation. 3 4 Step 4 - Marking the Implant Site Using the Ø3.0mm round drill mark the initial osteotomy. Step 5 - Drilling the Pilot Hole Using the Ø2.3mm twist drill, drill the initial pilot osteotomy to appropriate implant length. Drill Depth Markings 16mm 13mm 11.5mm 10mm 8mm 6mm If needed, the 1.6/2.3mm tapered Kirschner bur can be used to assist in creating the pilot hole. Step 6 - Check Parallel Alignment Confirm the appropriate drill angle with the 2.3/2.8mm paralleling pin. Osteotomy corrections can be made during the following step. continued on page 22 continued on page 23 continued on page 24 continued on page Caution: Twist drills with drill point tip are approximately 1mm longer in length than what is indicated by the markings.

24 22 INTERNAL HEX IMPLANT SITE PREPARATION IMPLANT PLACEMENT PROTOCOL (continued from page 21) 7 Ø3.7MM INTERNAL HEX 8 Step 7 - Select the Appropriate Drill from Below the Column Determining the bone density, choose the corresponding SOFT or DENSE Bone drills for implant placement and drill to the appropriate implant depth. Soft Bone - Use Ø2.8mm Straight. Dense Bone - Use Ø3.4/2.8mm Step. Step 8 - Measure Drill Depth Check depth by placing the 2.8mm Depth Gauge into osteotomy. NOTE: If placing a implant in SOFT bone, this is your final drill. NOTE: If placing a implant in DENSE bone, proceed to Step 9. Step 9 - Bone Tap - Optional for Dense Bone 9 Match to the Implant Diameter: In Dense Bone, the Optional Bone Tap is used to create threads in the osteotomy and are specially designed to be used three different ways: By Hand: Turn with gentle pressure letting it s cutting teeth turn into the osteotomy. CA Handpiece: Use the 2.5mm CA Implant Driver at a slow speed (20rpm). Implant Ratchet: Can be used with or without the 2.5mm Ratchet Implant Driver. Tap the osteotomy to the bottom of the laser marking as shown. CAUTION: Avoid letting the Bone Tap excessively cut into any more bone then just the threads as this could cause a wider than optimal osteotomy opening. Drill Depth Markings 16mm 13mm 11.5mm 10mm 8mm 6mm Note: The drilling speed for the Round Drill, the optional Kirschner Bur and for all s, Straight s and Step s, select a motor speed of 800 to 1200 rpm and use copious irrigation. Caution: Twist drills with drill point tip are approximately 1mm longer in length than what is indicated by the markings.

25 23 INTERNAL HEX IMPLANT SITE PREPARATION IMPLANT PLACEMENT PROTOCOL (continued from page 21) 7 Ø4.1MM INTERNAL HEX 8 9 Step 7 - Select the Soft Bone Drill from Below the Column Select the Ø2.8mm Soft Bone Straight and drill to appropriate implant length. Step 8 - Measure Drill Depth Check depth by placing the 2.8mm Depth Gauge into osteotomy. Step 9 - Select Appropriate Drill Below the Column Determining the bone density choose the corresponding SOFT or DENSE Bone drills for implant placement and drill to the appropriate implant depth. NOTE: If placing a Soft Bone - Use Ø3.4mm Straight. Dense Bone - Use Ø3.8/3.4mm Step. implant in SOFT bone, this is your final drill. NOTE: If placing a implant in DENSE bone, proceed to Step 10. Step 10 - Bone Tap - Optional for Dense Bone 10 Match to the Implant Diameter: In Dense Bone, the Optional Bone Tap is used to create threads in the osteotomy and are specially designed to be used three different ways: By Hand: Turn with gentle pressure letting it s cutting teeth pull into the osteotomy. CA Handpiece: Use the 2.5mm CA Implant Driver at a slow speed (20rpm). Implant Ratchet: Can be used with or without the 2.5mm Ratchet Implant Driver. Tap the osteotomy to the bottom of the laser marking as shown. CAUTION: Avoid letting the Bone Tap excessively cut into any more bone then just the threads as this could cause a wider than optimal osteotomy opening. Drill Depth Markings 16mm 13mm 11.5mm 10mm 8mm 6mm Note: The drilling speed for the Round Drill, the optional Kirschner Bur and for all s, Straight s and Step s, select a motor speed of 800 to 1200 rpm and use copious irrigation. Caution: Twist drills with drill point tip are approximately 1mm longer in length than what is indicated by the markings.

26 24 INTERNAL HEX IMPLANT SITE PREPARATION IMPLANT PLACEMENT PROTOCOL (continued from page 21) 7 (ps) Ø4.7MM INTERNAL HEX (ps) Ø4.7MM INTERNAL HEX 8 Step 7 - Select the Dense Bone Drill from Below the Column Select the Ø3.4/2.8mm Dense Bone Step and drill to the appropriate implant length. Step 8 - Measure Drill Depth Check depth by placing the 2.8mm Depth Gauge into the osteotomy. Step 9 - Select the Appropriate Drill from Below the Column Determining the bone density choose the corresponding SOFT or DENSE Bone drills for implant placement and drill to the appropriate implant depth. Soft Bone - Use Ø3.8mm Straight. Dense Bone - Use Ø4.4/3.8mm Step. 9 NOTE: If placing a implant in SOFT bone, this is your final drill. NOTE: If placing a implant in DENSE bone, proceed to Step 10. Step 10 - Bone Tap - Optional for Dense Bone 10 Match to the Implant Diameter: In Dense Bone, the Optional Bone Tap is used to create threads in the osteotomy and are specially designed to be used three different ways: By Hand: Turn with gentle pressure letting it s cutting teeth pull into the osteotomy. CA Handpiece: Use the 2.5mm CA Implant Driver at a slow speed (20rpm). Implant Ratchet: Can be used with or without the 2.5mm Implant Ratchet Driver. Tap the osteotomy to the bottom of the laser marking as shown. CAUTION: Avoid letting the Bone Tap excessively cut into any more bone then just the threads as this could cause a wider than optimal osteotomy opening. Drill Depth Markings 16mm 13mm 11.5mm 10mm 8mm 6mm Note: The drilling speed for the Round Drill, the optional Kirschner Bur and for all s, Straight s and Step s, select a motor speed of 800 to 1200 rpm and use copious irrigation. Caution: Twist drills with drill point tip are approximately 1mm longer in length than what is indicated by the markings.

27 25 INTERNAL HEX IMPLANT SITE PREPARATION IMPLANT PLACEMENT PROTOCOL (continued from page 21) 7 Ø5.1MM INTERNAL HEX Step 7 - Select the Dense Bone Drill Below the Column Select the Ø3.4/2.8mm Step and drill to appropriate implant length. 8 Step 8 - Measure Drill Depth Check depth by placing the 2.8mm Depth Gauge into the osteotomy. Step 9 - Select the Dense Bone Drill from Below the Column Select the Ø3.8/3.4mm Step and drill to appropriate implant length. Step 10 - Select the Appropriate Drill from Below the Column Determining the bone density choose the corresponding SOFT or DENSE Bone drills for implant placement and drill to the appropriate implant depth. 9 Use Ø4.4mm Straight. Use Ø4.8/4.4mm Step. NOTE: If placing a implant in SOFT bone, this is your final drill. NOTE: If placing a implant in DENSE bone, proceed to Step 11. Step 11 - Bone Tap - Optional for Dense Bone Match to the Implant Diameter: In Dense Bone, the Optional Bone Tap is used to create threads in the osteotomy and are specially designed to be used three different ways: By Hand: Turn with gentle pressure letting it s cutting teeth pull into the osteotomy. CA Handpiece: Use the 2.5mm CA Implant Driver at a slow speed (20rpm). Implant Ratchet: Can be used with or without the 2.5mm Ratchet Implant Driver. Tap the osteotomy to the bottom of the laser marking as shown. CAUTION: Avoid letting the Bone Tap excessively cut into any more bone then just the threads as this could cause a wider than optimal osteotomy opening. Note: The drilling speed for the Round Drill, the optional Kirschner Bur and for all s, Straight s and Step s, select a motor speed of 800 to 1200 rpm and use copious irrigation. Caution: Twist drills with drill point tip are approximately 1mm longer in length than what is indicated by the markings.

28 26 INTERNAL HEX IMPLANT PLACEMENT PROTOCOL LOADING IMPLANT ONTO DRIVER Step 1 - Implant Packaging Remove the Tyvek sealed blister package from the outside box. Open this blister package over a sterile field by locating and pulling off the sealed Tyvek lid. With the blister package open, drop the sterile inner implant vial onto the sterile field. Step 2 - Break Sterile Strip - Remove Cap Open the sterile implant vial by breaking the tamper proof tape and removing the cap using a gentle twisting and pulling motion. Step 3 - Loading the Driver Using either the 2.5mm hex ratchet or contra-angle driver tool, carefully rotate and engage the hexagon of the implant and driver tool in a downward direction. Pick up the implant body from the vial. Use caution when bringing implant to the surgical site INTERNAL HEX IMPLANT PLACEMENT PROTOCOL PLACING IMPLANT INTO OSTEOTOMY Step 1 - Placement Setup and Speed With the implant attached to the driver tool, insert the implant into the prepared osteotomy using an implant placement speed of 20 rpm and a maximum insertion torque of 45 N-cm. If the implant does not seat at 45 N-cm, back the implant out of the osteotomy, place the implant back into the sterile vial, then refer to the dense bone protocols for the appropirate size implant (pages 21 25). * External irrigation may be used to minimize heating during this process. Step 2 - Seating the Implant Drive the implant until fully seated and flush with the crest of the bone ridge. Do not exceed 45 N-cm Step 3 - Disengage Driver After placement, disengage the hand or contra-angle implant driver tool from the implant and fixture-mount by pulling off the tool in a straight upward direction. Step 4 - Remove Fixture-Mount Using the offset wrench to keep the fixture-mount from turning, remove the retaining screw from the top of the fixture-mount using the 1.25mm hex hand driver. This will remove the fixture-mount from the implant.

29 INTERNAL HEX IMPLANT PLACEMENT PROTOCOL TWO-STAGE HEALING OPTION 27 Step 1 - Loading the Implant Cover Screw The implant cover screw is located inside the bottom cap of the implant vial. Using one of the 1.25mm hex drivers, turn counterclockwise to release the screw from the cap. Step 2 - Placing the Implant Cover Screw Carefully place the implant cover screw into the implant and hand tighten into place Step 3 - Closing Tissue Suture the tissue over the cover screw using standard surgical protocols. INTERNAL HEX IMPLANT PLACEMENT PROTOCOL SINGLE-STAGE HEALING OPTION Step 1 - Healing Abutment Using one of the 1.25mm hex drivers, place the appropriate healing abutment into the implant using the recommended seating torque of 20 N-cm and secure tightly into place. 1 2 Step 2 - Closing Tissue Suture the tissue around the healing abutment using standard surgical protocols. INTERNAL HEX IMPLANT PLACEMENT PROTOCOL SINGLE-STAGE TEMPORARY PREPABLE ABUTMENT HEALING OPTION Step 1 - Remove Fixture-Mount Using the offset wrench to keep the fixture-mount from turning, remove the retaining screw from the top of the fixture-mount using the 1.25mm hex hand driver. This will remove the fixture-mount from the implant. 1 2 Step 2 - Attach Fixture-Mount to Analog Attach fixture-mount to its corresponding color-coded implant analog. Step 3 - Remove Fixture-Mount Using a circular saw remove the top colored section from fixture-mount through groove, creating a straight abutment. As required, prepare the temporary abutment to the appropriate occlusal height. Step 4 - Attach the Temporary Abutment Use a 1.25 driver to attach abutment to the implant and torque the temporary abutment to 30 N-cm. Step 5 - Closing Tissue Suture the tissue around the temporary abutment using standard surgical protocols Step 6 - Placing the Temporary Crown After prepping closing the tissue around the temporary abutment, cement the temporary crown to the abutment.

30 infinity INTERNAL HEX Prosthetic Protocol

31 29 INTERNAL HEX IMPLANT PROSTHETIC PROTOCOL IMPLANT LEVEL IMPRESSION TECHNIQUE - CLOSED TRAY Step 1 - Removing the Healing Abutment or Cover Screw Using one of the 1.25mm hex drivers, remove the healing abutment or cover screw from the implant. Note: In the case of bony overgrowth, use a curette to carefully clear the surface of the implant to provide direct access for Impression Coping seating. Step 2 - Place the Closed Tray Impression Coping Use finger pressure to seat the closed tray Impression Coping with Impression Coping retaining screw using one of the 1.25mm hex drivers. A radiograph may be taken to verify proper seating of the closed tray Impression Coping. Step 3 - Impression Preparation Use a cotton pellet or material to protect the head of the retaining screw. Fill the access hole to prevent impression material from entering. Using impression material, encase the Impression Coping. Step 4 - Take Impression Place the loaded impression tray into the mouth, apply pressure and allow the impression materials to set. Step 5 - Removing Impression Coping Once impression tray is lifted, unblock the transfer retaining screw opening. Using the 1.25mm hex driver, remove the Impression Coping. Remove the Impression Coping and materials protecting the head of the retaining screw. Thread the Impression Coping onto the corresponding implant analog. Send the complete implant analog assembly and the impression to dental laboratory for model fabrication. Step 6 - Replace Healing Abutment Re-seat the healing abutment with a 1.25mm hex driver using the recommended seating torque of 20 N-cm

32 30 INTERNAL HEX IMPLANT PROSTHETIC PROTOCOL IMPLANT LEVEL IMPRESSION TECHNIQUE - OPEN TRAY Step 1 - Removing the Healing Abutment or Cover Screw Using one of the 1.25mm hex drivers, remove the healing abutment or cover screw from the implant. Note: In the case of bony overgrowth, use a curette to carefully clear the surface of the implant to provide direct access for transfer seating. Step 2 - Placing the Open Tray Impression Transfer Seat the open tray transfer with transfer retaining screw using the 1.25mm hex driver. Step 3 - Prepare An Opening in Tray Mark and then cut a Ø5-10mm opening in the top of the impression tray at the exact area where the transfer will protrude. Step 4 - Impression Preparation Using impression material, encase the transfer. Step 5 - Take Impression Place the loaded impression tray into the mouth, apply pressure, and allow both impression materials to set. Step 6 - Removing Tray and Transfer Using one of the 1.25mm hex driver, carefully remove just the retaining screw through the access hole, leaving the open tray transfer in the impression. Once impression has set, passively remove the impression with the remaining impression transfer embedded. Send the impression along with the laboratory components to the dental laboratory for model fabrication. Step 7 - Replace Healing Abutment Clean the implant area and healing abutment. Re-seat the healing abutment with a 1.25mm hex driver using the recommended seating torque of 20 N-cm

33 31 INTERNAL HEX IMPLANT PROSTHETIC PROTOCOL PREPABLE ABUTMENT IMPRESSION TECHNIQUE Step 1 - Removing the Healing Abutment or Cover Screw Using one of the 1.25mm hex drivers, remove the healing abutment or cover screw from the implant. Note: In the case of bony overgrowth, use a curette to carefully clear the surface of the implant to provide direct access for final abutment seating. Step 2 - Preparing the Prepable Abutment Seat the abutment with the included retaining screw and mark for preparations. Mark the abutment s final height and gingival contour. Step 3 - Abutment Preparation Remove abutment and attach to implant analog and make any necessary adjustments. Re-seat the abutment with the included retaining screw and torque to 30 N-cm. Step 4 - Impression Preparation Use a cotton pellet or material to protect the head of the retaining screw. Fill the access hole to prevent impression material from entering the abutment. Using impression material, encase the abutment. Step 5 - Take Impression Place the loaded impression tray into the mouth, apply pressure, and allow impression material to set. Send impression to laboratory. Step 6A, 6B - Temporary Process A temporary crown can be made and cemented to the prepped abutment or left in place while the final prosthetic is being made B 2 4 6A

34 32 INTERNAL HEX IMPLANT PROSTHETIC PROTOCOL LOCATOR ABUTMENT Step 1 - Removing the Healing Abutment or Cover Screw 1 2 Using one of the 1.25mm hex drivers, remove the healing abutment or cover screw from the implant. Note: In the case of bony overgrowth, use a curette to carefully clear the surface of the implant to provide direct access for transfer seating. Step 2 - Placing the LOCATOR Abutment Seat the LOCATOR abutment by hand using finger pressure. Step 3A, 3B - Torque the LOCATOR Abutment Once seated on the implant, torque the LOCATOR Abutment to 30 N-cm using the brass end of the LOCATOR male installation tool with a standard 1.25mm hex driver. Step 4 - Impression Preparation Place the LOCATOR Impression Transfers onto the abutments. Step 5A, 5B, 5C - Take Impressions Using impression material, cover the transfers. Place the loaded impression tray into the mouth, apply pressure, and allow impression material to set. Remove impression and send along with laboratory components to the laboratory. 3A 4 3B 5A 5B 5C

35 33 INTERNAL HEX IMPLANT WARRANTY & RETURN POLICY The ACE Surgical Implant Warranty is designed to support our customers who place infinity Dental Implants and prosthetic products. This warranty addresses all aspects of the surgical procedure as long as either an infinity Implant or restorative component was used in conjunction with the failed dental implant. The infinity Dental Implant Systems Warranty covers: Same Day Spinners ACE Surgical will replace any infinity Dental Implant that for any reason, could not be placed at the time of surgery. Post-Placement, Pre-Loading Implant Failures Replaced with an identical infinity Dental Implant You will be issued a $150 product credit to be used to purchase any ACE regenerative product, sutures or instrumentation required to graft the implant site. Post-Loading Failures ACE Surgical will replace any implant that fails post-loading. You will be issued a $150 product credit to be used to purchase any ACE regenerative product, sutures or instrumentation required to graft the implant site. One additional infinity Dental Implant and corresponding restorative components. Post-loading failure using any infinity restorative component on another manufacturers matching configured implant ACE Surgical will replace the restorative components. ACE Surgical will replace the implant with a matching configured infinity Dental Implant. MAKING A WARRANTY CLAIM 1. Call our Customer Experience department to report a complaint and obtain an Implant Warranty Form. 2. Complete the Implant Warranty Form and follow all instructions included. 3. ACE will send you a replacement implant or prosthetic for which you will be temporarily invoiced. 4. All products must be decontaminated before returning them to ACE Surgical. 5. It is required to submit a radiograph of the compromised site, the completed Implant Warranty Form and the decontaminated product(s) to ACE Surgical. 6. Upon receipt of the implant, radiographs and Implant Warranty Form, ACE will credit the implant and prosthetic replacements. Please contact your infinity Dental Implant representative with any warranty related questions. infinity Dental Implant Systems ACE Surgical Supply Co., Inc Pearl Street Brockton, MA USA Tel Fax STERILE PRODUCT RETURN POLICY Unopened sterile products must be returned to ACE Surgical within 30 days of the purchase date. A 20% restocking fee will be applied to unopened merchandise returned after the 30 day purchase period. Dental Implant Systems

36 ACE SURGICAL SUPPLY CO., INC Pearl Street, Brockton, MA USA C