Name: OUT-LINK 2 Type: Cylindrical implant with external connection Year of birth: 2002 Study group: Dr. Marco Csonka (Catania ITALY) Dr.

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2 Name: OUT-LINK 2 Type: Cylindrical implant with external connection Year of birth: 2002 Study group: Dr. Marco Csonka (Catania ITALY) Dr. Roberto Crespi (Milan) Fields of application: Ordinary implantology Toronto bridge All on 4 / All on 6 Switching Platform User profile: Ordinary implantologist User of external hexagon connection Regular user of overdenture techniques

3 Over 25 publications on the Outlink implant alone

4 The OUT-LINK 2 dental implant system has been studied and developed in cooperation with Dr Marco Csonka, Catania. Specialisation in oral implantology at New York University (USA) Specialisation in advanced surgical implant techniques at U-Conn University (USA). Active member of the North American Association of Oral and Maxillo-Facial Implants. Tutor at New York University in the International Postgraduate Program. European coordinator of the committee for clinical studies about bone growth factors in oral implantology. Inventor of the so called SIMPLE technique in implantprosthetics.

5 The OUT-LINK2 dental implant system has been studied and developed in cooperation with Dr Roberto Crespi, Milan Medical Degree, University of Pavia 1986 Specialization in Anatomy and Histopathology at the University of Pavia 1987 Specialization in Periodontology at the University of Gothenburg, Department of Prof. Jan Lindhe Cooperation in the Department of Oral Biology of the State University of New York, Buffalo (USA), Director Prof. Genco. Cofounder and member of Bonetwork (research group at the Istituto San Raffaele, studying the physiopathology of bone and new bone substitute material). Member of the Editorial Board of the International Journal of Oral and Maxillofacial Implants (JOMI), Quintessence Publishing Co, Inc, Illinois (USA). Member of the Editorial Board of Case Reports in Dentistry Journal. Referee of the Journal of Periodontology. Referee of Histology and Histopathology European Master in Science in Oral Surgery Professor at the University of Genoa Professor at the Ateneo Vita Salute S Raffaele in Milan. Registered with the following scientific societies: American Academy of Periodontology (AAP), International Association for Dental Research (JDR), International Society for lasers in Dentistry (ISLD), Società Italiana di Chirurgia Orale (SICO)

6 The worldwide economic crisis is leading patients to seek more socially affordable solutions, at a lower cost. For this reason the request for prostheses such as Toronto bridge All on 4 All on 6 has given a great boost to the use of implants with an external hexagon. This connection makes them particularly suitable for operations in the case of multiple edentulism even with severe disparallelism, as it considerably facilitates the phase of taking the impression and the subsequent insertion and removal of prostheses

7 EASE OF OPERATION = SAVING TIME AND PASSAGES = PROSTHESES AT LOWER COSTS

8 CHARACTERISTICS CYLINDRICAL/CONICAL BODY THREAD WITH SYMMETRICAL TRIANGULAR PROFILE. DEEP APICAL INCISIONS AGGRESSIVE IMPLANT CONNECTION WITH EXTERNAL HEXAGON POSSIBILITY OF SWITCHING PLATFORM MULTIFUNCTIONAL MOUNTER VAST RANGE OF SIZES AND DIAMETERS

9 Smooth Collar H 0.75 mm 4,000 enlargements surface ZirTi 10,000 enlargements

10 4 spire diam., 2 connections Diam. 3.3 mm. Diam. 4.1 mm. SP Diam. 3.75/4.1 mm. Diam. 5 mm. STANDARD

11 "Small" connection (1x2.40 mm.) Standard connection (0.7x2.70 mm.) Diam.5 mm. Diam. 4.1 mm. Diam. 3.3 mm. Diam. 4.1 SP Diam mm.

12 DIAM. 3.75/4.1 mm. Spire diameter: 3.75/4.1 mm. Platform diameter: 4.1 mm. Spire diam. 3,75: Pitch 0.6 mm. Depth mm. Spire diam. 4,1: Pitch 0.6 mm. Depth 0.4 mm. Connection: Standard (0.7 x2.7 mm.) Apex: Tapered with cutting tripod Diam. prosthetic screw: 2 mm. Posts: diam. 4,1 Possibility of switching platform: NO Heights: diam from 8.5 to 15 mm. diam. 4.1 from 8.5 to 18 mm.

13 DIAM. 3.3 mm. Spire diameter: 3.3 mm. Platform diameter: 3.3 mm. Spire: Pitch 0.6 mm. Depth 0.3 mm. Connection: Small (1 x 2.4 mm.) Apex: Tapered with "cutting tripod Diam. prosthetic screw: 1.8 mm. Posts: diam. 3.3 Possibility of switching platform: NO Heights: from 8.5 to 15 mm.

14 CLINICAL INDICATIONS Diam. 3.3 mm. They can also be used for the rehabilitation of elements up to premolar level. In distal sectors they must be used exclusively for the rehabilitation of multiple fixed structures. They are also very useful in the case of total edentulism on thin mandibular crests where it is preferred not to carry out regeneration. In this case it is recommended to use at least 4 fixed implants with a bar. In compact bone, at least partial tapping is recommended.

15 DIAM. 4.1 SP Spire diameter: 4.1 mm. Platform diameter: 4.1 mm. Spire: Pitch 0.6 mm. Depth 0.4 mm. Connection: Small (1 x 2.4 mm.) Apex: Tapered with "cutting tripod Diam. prosthetic screw: 1.8 mm. Posts: diam. 3.3 Possibility of switching platform: YES (obligatory) Heights: from 5 to 15 mm. FEM analysis of Outlink2 implant ø 4.10 mm with post ø 3.30 mm according to the switching platform protocol

16 DIAM. 5 mm. Spire diameter: 5 mm. Platform diameter: 5 mm. Spire: Pitch 0.6 mm. Depth 0.35 mm. Connection: Standard (0.7 x2.7 mm.) Diam. prosthetic screw: 2 mm. Posts: 2 types - diam. 4.1 performing switching - diam. 5 working at the implant margin Possibility of switching platform: YES Heights: from 5 to 13 mm.

17 HEIGHTS TABLE Diam. 3.3 mm. From 8.5 mm. to 15 mm. Diam mm. From 8.5 mm. to 15 mm. Diam. 4.1 mm.. From 8.5 mm. to 18 mm. Diam. 4.1 SP From 5 mm. to 15 mm. Diam. 5 From 5 mm. to 15 mm.

18 Shorty implants have a height of 5 and 7 mm. They are available in diameters 4.1 SP and 5 mm. Shorty with h 5 mm come only in diam. 4.1 SP and 5, and must be prosthesized EXCLUSIVELY in SP

19 SHORTY DRILLING KIT

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

21 Multifunctional mounter: Mounters Transfer Post

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24 Premium 5.00 SP Premium 4.25 SP Premium 3.80 SP Outlink2 3.75

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

26 Although they are defined as SELF-THREADING 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)

27 Osteotomes for expansion and sinus lift techniques

28 Standard surgical procedure:

29 Standard surgical procedure:

30 Standard surgical procedure:

31 Standard surgical procedure:

32 SURGICAL PROCEDURE

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34 SCREW KIT Optional prosthetic kit containing drivers necessary for the various prosthetic phases

35 PROSTHETIC COMPATIBILITY Diam. 3.75/4.1: NOBEL, 3I, KEYSTONE Diam. 5 mm: 3I, KEYSTONE Diam. 3.3: KEYSTONE ATTENTION! For American companies, in narrow diameters there may be compatibility of connection but incongruity of the screw thread

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38 Ideal implant for socially affordable prostheses with All on Four, All on Six and similar techniques

39 T-Connect for CAD CAM individualised prostheses

40 COMMERCIAL MOTIVATIONS Two connections 4 diameters Multifunctional mounter: - transfer - analogue - post Easy approach to Switching Platform With a few additions it can be used with the Premium kit Good performance in every type of bone Prosthetic indication for bars and Toronto

41 COMMERCIAL MOTIVATIONS Excellent price-quality ratio (three functions, three pieces, included in the fixture) Prosthetic compatibility with Nobel, Keystone... Wide range of diameters and heights (from 3.3 mm to 5 mm if diameter, from 5 mm to 18 mm. in height) Complete surgical kit Complete prosthetic components Vast literature on use with immediate loading

42 Out-Link2 Competition BIOMET 3I No multifunctional post Our 4.1 SP offers greater safety against the infiltration of bacteria as it can develop ample switching (0.8 mm each side) Dentists who have used the Nanotite surface have reported osseointegration problems. The new T3 surface, recently released, also has osseointegration problems

43 Keystone Restore No multifunctional mounter Old generation surface, only RBM sandblasted (no nanostructured component) Badly distributed, although it is an important American company, especially after the merger with Southern Implant last year Nobel Mark III and Mark IV Very high prices for fixtures and prostheses, even though it does not have a mounter that performs three functions Inadequate response to the needs of socially affordable prostheses due to the high cost

44 END OUT-LINK2