PROSTHETIC SURGICAL CATALOGUE. BTI implant system

Transcription

1 PROSTHETIC SURGICAL CATALOGUE BTI implant system

2 Published by TEAM WORK MEDIA ESPAÑA EDUARDO ANITUA ALDECOA Photographs and infographics BTI Biotechnology Institute Layout and design TEAM WORK MEDIA ESPAÑA Vitoria-Gasteiz Spain 2016 All rights reserved. This manual may not be reproduced, saved in a retrieval system or transmitted in any way, by means of any procedure, whether mechanical, electronic, photocopies, slides, scanning or any other, without prior written permission from the author. 2

3 ABOUT THIS CATALOGUE This catalogue contains all of the surgical and prosthetics products by BTI Biotechnology Institute and sets out their specifications and other information that may be relevant to the user. You can find more detailed information on some of the products using the links marked with this icon +. For further information you can also consult the website: 3

4 4 CONTENTS

5 BTI IMPLANTS... 6 CLINICAL-PROSTHETIC COMPONENTS INSTRUMENTS FOR SURGERY INSTRUMENTS FOR PROSTHODONTICS SURGICAL INSTRUMENTS AND KITS DEVICES MICROIMPLANTS FOR ORTHODONTICS BLOCK GRAFTS KIT KITS FOR OBTAINING Endoret (PRGF ) BTI-SCAN CLEANING AND STERILISATION LIST OF BTI PATENTS

6 BTI IMPLANTS Narrow Universal Universal Plus Wide The Interna connection by BTI has the following main features: Exclusive four-lobe anti-rotation design. Entrance cone to facilitate the insertion of prosthodontic components. Designed to withstand high torques without the connection suffering deformations. The most advanced design technologies have been used to calculate the stress distribution. Guaranteed bone stability around the implant thanks to the study of the load stress distribution. The dimensions maximise material in critical areas and thus increase resistance to breakage and fatigue. The dimensions of the connection are always the same for all implants, regardless of the platform. The BTI Externa connection is characterised by: Having a hexagon with different side and height dimensions depending on the implant platform. This design is a result of the indications of the implants, therefore, the Wide platform implants will have a larger hexagon than the universal platform implants, as they are indicated for giving prosthetic solutions to those areas of the mouth with greater biomechanical requirements. Children: Permanent implants are not intended for use in children who have not concluded their growth and development stages. Women who are pregnant or breastfeeding: There are no additional preventive measures other than those generally accepted in oral implantology techniques. However, these particular situations should be considered by the clinician before placing the implants. Re-use and/or re-sterilisation of implants may cause risk of infection and/or cross contamination. 6

7 TECHNICAL SPECIFICATIONS BTI implants TRANSPORTER Transporter with depth marks and with the reproduction of the connection on the same, to control its positioning. INTERNA CONNECTION EXTERNA CONNECTION Two connections. Three different platform diameters with the widest range of prosthodontic components on the market. 1 o 2 o 3 o TWO SURFACES optima The optima surface is adapted to the different tissues in contact with the implant in order to promote and accelerate osseointegration. NECK 1 st The optima surface up to the platform is adapted to favour the retention of marginal tissues and reduce the risk of periimplantitis. CRESTS 2 nd The optima surface of the threads presents a porosity that allows bone anchoring to its exterior, favouring the initial stability and improving osseointegration. VALLEYS 3 rd The optima surface of the valleys presents an ideal average roughness suitable for guiding the bone growth between the threads at the same time as maintaining the mechanical properties of the implant. unicca (Surface optima + Ca) The unicca surface is a chemical modification with calcium ions, thus providing a number of advantages: ADHESIVE AND PLATELET-ACTIVATING Reduces regeneration times. OSTEOGENIC Induces the formation of bone tissue. PROCOAGULANT Provides immediate stability. ANTIBACTERIAL Significantly minimises the risk of periimplantitis. ELECTROPOSITIVE, CLEAN AND ACTIVE Maintains the superhydrophilic properties. TRIPLE ROUGHNESS Optimises the adaptation to the different tissues and improves osseointegration. APEX There are two possible apexes for BTI implants: 1. An apex with exceptional advance/drive capacity and a small apical surface that prevents compression at this level, providing control of the direction and the location of the implant in narrow alveolar crests. It also provides a greater osseointegration surface. This is the standard apex. 2. An apex with a lower advance/drive capacity and large apical surface adapted to achieve primary stability without compression in anatomical areas where significant injury to structures is possible such as to the maxillar sinus and dental nerve. Designed for extra-short implants. 7

8 NARROW IMPLANT Narrow platform Ø 3.5 mm. Interna Connection Externa Connection = Tiny INTERNA CONNECTION Diameters s Narrow implants will be the choice for lower incisors, upper lateral incisors and agenesic teeth. In addition, those with a diameter of 3.5 and 3.75 mm are indicated for premolars, when the prosthetic space is complicated. IDEAL POSITION OF THE TINY IMPLANTS upper maxilla EXTERNA CONNECTION = TINY Exterior hexagon 2.5 x 1.1 mm lower maxilla Diámetros Longitudes Tiny implants will be the choice for lower incisors, upper lateral incisors and agenesic teeth. In addition, those with a diameter of 3.5 and 3.75 mm are indicated for premolars, when the prosthetic space is complicated. + More information about the Tiny implants and their prosthetic components on the website: 8

9 FAMILY Narrow INTERNA CONNECTION 3,3 mm ø 3,5 mm ø 3,75 mm ø IIPECA3375 IIPECA3385 IIPECA3310 IIPECA3311 IIPECA3313 IIPECA3315 ø 3,3 3,3 3,3 3,3 3,3 3,3 7,5 mm. 8,5 mm. 10,0 mm. 11,5 mm. 13,0 mm. 15,0 mm. IIPECA3565 IIPECA3575 IIPECA3585 IIPECA3510 IIPECA3511 IIPECA3513 IIPECA3515 ø 3,5 3,5 3,5 3,5 3,5 3,5 3,5 6,5 mm. 7,5 mm. 8,5 mm. 10,0 mm. 11,5 mm. 13,0 mm. 15,0 mm. IIPECA3755 IIPECA3765 IIPECA3775 IIPECA3785 IIPECA3710 IIPECA3711 IIPECA3713 IIPECA3715 ø 3,75 3,75 3,75 3,75 3,75 3,75 3,75 3,75 5,5 mm. 6,5 mm. 7,5 mm. 8,5 mm. 10,0 mm. 11,5 mm. 13,0 mm. 15,0 mm. EXTERNA CONNECTION 2,5 mm ø 3,0 mm ø 3,3 mm ø IRTCA2585 IRTCA2510 IRTCA2511 IRTCA2513 IRTCA2515 ø 2,5 2,5 2,5 2,5 2,5 8,5 mm. 10,0 mm. 11,5 mm. 13,0 mm. 15,0 mm. IRTCA3085 IRTCA3010 IRTCA3011 IRTCA3013 IRTCA3015 ø 3,0 3,0 3,0 3,0 3,0 8,5 mm. 10,0 mm. 11,5 mm. 13,0 mm. 15,0 mm. IRTCA3385 IRTCA3310 IRTCA3311 IRTCA3313 IRTCA3315 ø 3,3 3,3 3,3 3,3 3,3 8,5 mm. 10,0 mm. 11,5 mm. 13,0 mm. 15,0 mm. 3,5 mm ø 3,75 mm ø Neck with Ø 4 mm IRTCA3565 IRTCA3575 IRTCA3585 IRTCA3510 IRTCA3511 IRTCA3513 IRTCA3515 ø 3,5 3,5 3,5 3,5 3,5 3,5 3,5 6,5 mm. 7,5 mm. 8,5 mm. 10,0 mm. 11,5 mm. 13,0 mm. 15,0 mm. IRTCA3745 IRTCA3755 IRTCA3765 IRTCA3775 IRTCA3785 IRTCA3710 IRTCA3711 IRTCA3713 IRTCA3715 ø 3,75 3,75 3,75 3,75 3,75 3,75 3,75 3,75 3,75 4,5 mm. 5,5 mm. 6,5 mm. 7,5 mm. 8,5 mm. 10,0 mm. 11,5 mm. 13,0 mm. 15,0 mm. 9

10 UNIVERSAL IMPLANT Universal Platform Ø 4.1 mm Interna/Externa Connection INTERNA CONNECTION Diameters The universal platform implants are indicated for situations with narrow alveolar crest, in anterosuperior areas or in middle areas of the mouth, to restore canine and premolar teeth. s IDEAL POSITION OF IMPLANTS OF BOTH CONNECTION TYPES EXTERNA CONNECTION Exterior hexagon 2.7 x 0.7 mm Diameters s upper maxilla lower maxilla + More information about the Universal implants and their prosthetic components on the website: 10

11 FAMILY Universal INTERNA CONNECTION 3.3 mm ø 3.5 mm ø 3.75 mm ø IIPUCA3385 IIPUCA3310 IIPUCA3311 IIPUCA3313 IIPUCA3315 ø mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm IIPUCA3555 IIPUCA3565 IIPUCA3575 IIPUCA3585 IIPUCA3510 IIPUCA3511 IIPUCA3513 IIPUCA3515 ø mm 6.5 mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm IIPUCA3755 IIPUCA3765 IIPUCA3775 IIPUCA3785 IIPUCA3710 IIPUCA3711 IIPUCA3713 IIPUCA3715 ø mm 6.5 mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm 4.0 mm ø 4.25 mm ø Neck with Ø 4.25 mm IIPUCA4055 IIPUCA4065 IIPUCA4075 IIPUCA4085 IIPUCA4010 IIPUCA4011 IIPUCA4013 IIPUCA4015 IIPUCA4018 ø mm 6.5 mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm 18.0 mm IIPUCA4255 IIPUCA4265 IIPUCA4275 IIPUCA4285 IIPUCA4210 IIPUCA4211 IIPUCA4213 IIPUCA4215 ø mm 6.5 mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm EXTERNA CONNECTION 3.75 mm ø 4.0 mm ø IRPU3765 IRPU3775 IRPU3785 IRPU3710 IRPU3711 IRPU3713 IRPU3715 ø mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm IRPU4065 IRPU4075 IRPU4085 IRPU4010 IRPU4011 IRPU4013 IRPU4015 IRPU4018 ø mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm 18.0 mm 11

12 UNIVERSAL PLUS IMPLANT Universal Platform Ø 4.1 mm Interna/Externa Connection INTERNA CONNECTION Diameters s The implants of the Universal Plus platform are indicated for immediate placement in a post-extraction alveolus and are ideal for bridge abutments in areas of canines and premolars. They can also be used individually in central upper and molar areas, but above all when there is a significant biomechanical requirement and it is necessary to be more stringent with the maintenance of soft tissue. IDEAL POSITION OF IMPLANTS OF BOTH CONNECTION TYPES EXTERNA CONNECTION Exterior hexagon 2.7 x 0.7 mm Diameters s upper maxilla lower maxilla + More information about the Universal Plus implants and their prosthetic components on the website: 12

13 FAMILY Universal Plus INTERNA CONNECTION 4.5 mm ø Neck with Ø 4.5 mm 5.0 mm ø Neck with Ø 5.0 mm 5.5 mm ø Neck with Ø 5.5 mm IIPSCA4555 IIPSCA4565 IIPSCA4575 IIPSCA4585 IIPSCA4510 IIPSCA4511 IIPSCA4513 IIPSCA4515 ø mm 6.5 mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm IIPSCA5055 IIPSCA5065 IIPSCA5075 IIPSCA5085 IIPSCA5010 IIPSCA5011 IIPSCA5013 IIPSCA5015 ø mm 6.5 mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm IIPSCA5555 IIPSCA5565 IIPSCA5575 IIPSCA5585 IIPSCA5510 IIPSCA5511 IIPSCA5513 ø mm 6.5 mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm EXTERNA CONNECTION 4.5 mm ø 5.0 mm ø Neck with Ø 4.5 mm Neck with Ø 5 mm IRPS4565 IRPS4575 IRPS4585 IRPS4510 IRPS4511 IRPS4513 IRPS4515 ø mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm IRPS5065 IRPS5075 IRPS5085 IRPS5010 IRPS5011 IRPS5013 IRPS5015 ø mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm 13

14 Wide IMPLANT Wide platform Ø 5.5 mm Interna/Externa Connection INTERNA CONNECTION Diameters s The implants of the Wide platform are ideal for obtaining good initial stability and good stress distribution for upper and lower molars. They are particularly useful in cases of post-extraction implant placements and in single molars, above all in the upper maxilla. IDEAL POSITION OF IMPLANTS OF BOTH CONNECTION TYPES EXTERNA CONNECTION Exterior hexagon 3.3 x 1.1 mm Diameters s upper maxilla lower maxilla + More information about the Wide platform implants and their prosthetic components on the website: 14

15 FAMILY Wide INTERNA CONNECTION 5.0 mm ø 5.5 mm ø 6.0 mm ø Neck with Ø 6.0 mm IIPACA5055 IIPACA5065 IIPACA5075 IIPACA5085 IIPACA5010 IIPACA5011 IIPACA5013 IIPACA5015 ø mm 6.5 mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm IIPACA5555 IIPACA5565 IIPACA5575 IIPACA5585 IIPACA5510 IIPACA5511 IIPACA5513 IIPACA5515 ø mm 6.5 mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm IIPACA6055 IIPACA6065 IIPACA6075 IIPACA6085 IIPACA6010 IIPACA6011 IIPACA6013 ø mm 6.5 mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 6.25 mm ø Neck with Ø 6.25 mm IIPACA6255 IIPACA6265 IIPACA6275 IIPACA6285 IIPACA6210 IIPACA6211 IIPACA6213 ø mm 6.5 mm 7.5 mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm EXTERNA CONNECTION 5.0 mm ø 5.5 mm ø IRPA5075 IRPA5085 IRPA5010 IRPA5011 IRPA5013 IRPA5015 ø mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm IRPA5575 IRPA5585 IRPA5510 IRPA5511 IRPA5513 IRPA5515 ø mm 8.5 mm 10.0 mm 11.5 mm 13.0 mm 15.0 mm 15

16 EXPANDER IMPLANTS TRANSITIONAL The expander implants by BTI are the perfect alternative and complement for conventional bone expansions. They are transitional implants that are inserted in the alveolar bone crest when there is not enough width to fit a definitive TINY implant. They are, therefore, an alternative to block bone grafts for the reconstruction of the atrophic alveolar process. They have a specific surface treatment that increases bone apposition, but different to that carried out on definitive implants, making their explantation easier. + More information about the expander implants in the brochure BTI solutions for atrophic maxillae. 16

17 FAMILY Expander Implants SHORT 2.5 mm ø 3.0 mm ø IET2585 ø mm IET3085 ø mm LONG 2.5 mm ø 3.0 mm ø IET2511 ø mm IET3011 ø mm 17

18 CLINICAL-PROSTHETIC COMPONENTS Narrow platform Universal Platform Wide platform This chapter presents all of the attachments for making both cemented and screw-retained provisional and/or final prostheses. It will set out the technical specifications of each of them and provide a basic explanation of how to perform the prosthetic work. Women who are pregnant or breastfeeding: There are no additional precautions other than those generally contemplated in techniques of oral implantology. 18

19 NEW SURFACE TREATMENT TI-GOLDEN Abutments BTI prosthetic attachments are evolving to improve the quality of the prosthetic work. Ti-Golden is a coating that improves the aesthetics and the biological interface by decreasing the accumulation of the bacterial plaque. ADVANTAGES Golden finish: The golden colour achieves a significantly aesthetic improvement by transmitting a greater warmth to the gingival tissues. At gingival level: Improved union of hemidesmosones to the new surface, improving the biological seal BIOCOMPATIBILITY OF GINGIVAL FIBRO- BLASTS / INCREASED GX Standard abutment Ti Golden abutment cell viability 0 Improves the antimicrobial properties: The bacterial colonisation decreases, therefore minimising the risk of periimplantitis. 60 IMPROVED ANTIMICROBIAL PROPERTIES Standard abutment Ti Golden abutment Bacterial adhesion (x10 4 cm -2 )

20 HEALING ABUTMENT INTERNA AND EXTERNA The slotted healing abutments are transepithelials made from commercially pure titanium with a smooth external surface finish that enables perfect healing of the soft tissues. They can be cut with thick diamond drills and polished with fine grain drills and rubber if it is necessary to customise the outline. (E.g. in case of pressure in the space of the papilla). The Interna connection abutments are supplied sterile in heat sealed blister packs. Thus they can be used in the patient's mouth straight from the package, without needing to be sterilised in the clinic. The Externa connection abutments do not come in blister pack. The new expanded healing abutments have a wider geometry in the supragingival part. Available for Interna connection, universal platform with expanded diameter from 4.1mm to 6 mm (total height 5 and 6 mm) and wide platform with expanded diameter from 5.5 mm to 7 mm (total height 5 and 6 mm). As main advantage, this expanded platform protects the soft tissue during the osseointegration period. Both abutments are retained directly into the implant (with a torque of 20 Ncm) in the first surgery for single stage implants, or when the second surgery is performed, in cases of two-stage implants. * BTI recommends using the narrowest abutment, provided this is possible, to gain gingival width, so the papilla will have greater irrigation and consequently, less recession. Re-use and/or re-sterilisation of these single-use products may cause risk of infection and/or cross contamination. 20

21 FAMILY Healing abutment Narrow Universal Universal Plus Wide INTERNA They have a small slot which can be used if the hexagon of the abutment is stripped, so it can be removed with a flat head screwdriver. Emergence profile Ø of 3.5 mm Ø INPCER31 INPCER32 INPCER33 INPCER34 INPCER35 INPCER42 INPCER43 INPCER mm. 2 mm. 3 mm. 4 mm. 5 mm. 2 mm. 3 mm. 4 mm. Slotted abutment Emergence profile Ø of 4.0 mm Ø INPCUR41 INPCUR42 INPCUR43 INPCUR44 INPCUR45 INPCUR46 INPCUR48 Emergence profile Ø of 5.0 mm Ø INPCUR52 INPCUR53 INPCUR54 INPCUR55 INPCUR56 INPCUR mm. 2 mm. 3 mm. 4 mm. 5 mm. 6 mm. 8 mm. 2 mm. 3 mm. 4 mm. 5 mm. 6 mm. 8 mm. Slotted abutment Emergence profile Ø of 5.5 mm Ø INPCAR51 INPCAR52 INPCAR53 INPCAR54 INPCAR55 INPCAR56 INPCAR58 Emergence profile Ø of 6.5 mm Ø INPCAR62 INPCAR63 INPCAR64 INPCAR mm. 2 mm. 3 mm. 4 mm. 5 mm. 6 mm. 8 mm. 2 mm. 3 mm. 4 mm. 5 mm. Expanded healing abutments Expanded healing abutments Ø INPCUREX45 INPCUREX mm. 6 mm. Ø INPCAREX55 INPCAREX mm. 6 mm. EXTERNA The longest abutments (6-8 mm) with the externa connection, as do not have the slot in the coronal area can be used as abutments for occlusal registration; in this case, the occlusion will be taken as the abutments were the teeth. Emergence profile Ø of 3.5 mm Emergence profile Ø of 4.0 mm Emergence profile Ø of 5.5 mm Ø PCT32 PCT33 PCT34 PCT35 PCT mm. 3 mm. 4 mm. 5 mm. 6 mm. Ø PCU42 PCU43 PCU44 PCU46 PCU mm. 3 mm. 4 mm. 6 mm. 8 mm. Ø PCA53 PCA54 PCA56 PCA mm. 4 mm. 6 mm. 8 mm. Emergence profile Ø of 5.0 mm Emergence profile Ø of 6.5 mm Ø PCU52 PCU53 PCU54 PCU56 PCU mm. 3 mm. 4 mm. 6 mm. 8 mm. Ø PCA63 PCA64 PCA66 PCA mm. 4 mm. 6 mm. 8 mm. 21

22 IMPRESSION COPINGS AND OCCLUSAL REGISTRATION INDICATORS INTERNA AND EXTERNA IMPRESSION COPINGS This part is used to make impressions directly to the implant or to a transepithelial abutment. Individual fenestrated trays or disposable perforated plastic trays are used for the indirect technique and closed trays are used for the direct technique. They are manufactured from commercially pure titanium and consist of two parts, the body that has the shape of the connection and the screw that must be tightened manually or with a large hexagon screwdriver. In the indirect technique, this screw must be loosened once the impression material has set and before removing the tray from the patient's mouth. The copings for the direct technique are made of steel AISI303. OCCLUSAL REGISTRATION INDICATORS These are used for occlusal registration in edentulous patients in cases of immediate load. They are screwed directly onto transepithelial abutments with the DIRO screwdriver before making impressions. 22

23 FAMILY Direct-to-implant impression copings Narrow Universal Universal Plus Wide INTERNA INDIRECT TECHNIQUE Engaging Emergence profile Ø of 3.5 mm Engaging Emergence profile Ø of 4.0 and 5.0 mm Engaging Emergence profile Ø of 5.5 and 6.5 mm Ø Ø INCIIE3 INCIIE mm. 12 mm. INCIIU41 INCIIU4 INCIIU51 INCIIU mm. 12 mm. 9 mm. 12 mm. Ø INCIIA51 INCIIA5 INCIIA61 INCIIA mm. 12 mm. 9 mm. 12 mm. Non-engaging Emergence profile Ø of 5.0 mm Ø INCIRIU mm. INCIRIU mm. Non-engaging Emergence profile Ø of 5.5 mm Ø INCIRIA51 INCIRIA mm. 12 mm. General information on copings for the indirect technique Engaging: Single prostheses Multiple cemented prostheses Non-engaging: Multiple screw-retained prostheses DIRECT TECHNIQUE Ø Lengt INCIDU2 INCIDU3 INCIDU mm. 3 mm. 4 mm. Ø INCIDA 5.5 SID (5 units) 23

24 Narrow Universal Universal Plus Wide EXTERNA INDIRECT TECHNIQUE Engaging Emergence profile Ø of 3.5 mm Ø CIITE mm. Engaging Emergence profile Ø of 4.0 and 5.0 mm ø. Ø CIIU4 CIIU mm. 12 mm. Engaging Emergence profile Ø of 5.5 and 6.5 mm Ø CIIA5 CIIA mm. 12 mm. Non-engaging Emergence profile Ø of 3.5 mm Ø CIRIT mm. Non-engaging Emergence profile Ø of 4.0 mm Ø CIRIU mm. Non-engaging Emergence profile Ø of 5.5 mm Ø CIRIA mm. General information on copings for the indirect technique Engaging: Single prostheses Multiple cemented prostheses Non-engaging: Multiple screw-retained prostheses DIRECT TECHNIQUE Ø Ø Ø CIDT 3.5 CIDU mm. CIDA

25 FAMILY Copings on transepithelials Narrow Universal Universal Plus Wide UNIT TRANSEPITHELIAL Indirect Technique Straight Indirect Technique Straight CIMIUPU CIMIUPA MULTI-IM TRANSEPITHELIAL Indirect technique Straight Indirect technique Angled 17º Indirect technique Straight CIMIPEU ø 4.0 CIMIPEUA ø 5.0 CIMIPA ø 5.5 OCCLUSAL REGISTRATION INDICATORS Straight Angled 17º Straight Ø Longitud ø Ø Longitud IROMIEU mm. IROMIEUA 4.0 IROMIA mm. IROMIEU mm. 25

26 LABORATORY ANALOG INTERNA AND EXTERNA Analog of the implant platform or transepithelial abutment. Once the tray has been extracted from the patient's mouth with the copings, the appropriate analog must be screwed in. The analogs of internal connection are manufactured from commercially pure titanium, while the analogs of external connection are manufactured from surgical stainless steel. They are a faithful reproduction of the platform and connection of the implant. They are designed to withstand the placement of the prosthetic work. 26

27 FAMILY Laboratory analog Narrow Universal Universal Plus Wide INTERNA Manufactured from commercially pure titanium. INRLIE Manufactured from commercially pure titanium. INRLIU Manufactured from commercially pure titanium. INRLIA EXTERNA Manufactured from surgical stainless steel. Manufactured from surgical stainless steel. Manufactured from surgical stainless steel. RLIE RLIU RLIA UNIT TRANSEPITHELIAL Manufactured from commercially pure titanium. RLMIUPU Manufactured from commercially pure titanium. RLMIUPA MULTI-IM TRANSEPITHELIAL Straight Angled 17º Straight Manufactured from surgical stainless steel. Manufactured from surgical stainless steel. Manufactured from surgical stainless steel. RLMIEU RLMIEUA RLMIA 27

28 PROVISIONAL TITANIUM CYLINDER Engaging and non-engaging INTERNA AND EXTERNA Cylinder indicated for the manufacture of resin provisionals. Manufactured from commercially pure titanium. It has different emergence profiles depending on the implant platform for which they are indicated. They are screwed into the implant with the titanium Ti-black hexagonal or gold square screw at 35 Ncm and at 20 Ncm on the transepithelials. 28

29 FAMILY Provisional titanium cylinder Narrow Universal Universal Plus Wide INTERNA Emergence profile Ø of 3.5 mm Emergence profile Ø of 5 mm Emergence profile Ø of 6.3 mm Individual restorations INCPIE1 (engaging) Multiple restorations INCPIE0 (non-engaging) Individual restorations INCPIU1 (engaging) Multiple restorations INCPIU0 (non-engaging) Individual restorations INCPIA1 (engaging) Multiple restorations INCPIA0 (non-engaging) EXTERNA Emergence profile Ø of 3.5 mm Emergence profile Ø of 5 mm Emergence profile Ø of 6.3 mm Individual restorations CPIE1 (engaging) Multiple restorations CPIE0 (non-engaging) Individual restorations CPIU1 (engaging) Multiple restorations CPIU0 (non-engaging) Individual restorations CPIA1 (engaging) Multiple restorations CPIA0 (non-engaging) UNIT TRANSEPITHELIAL Preparation of provisionals, in particular immediate load CPMIUPU Preparation of provisionals, in particular immediate load CPMIUPA MULTI-IM TRANSEPITHELIAL Straight Angled 17º Straight Preparation of provisionals, in particular immediate load CPMIPEU Preparation of provisionals, in particular immediate load CPMIPEUA Preparation of provisionals, in particular immediate load CPMIPA 29

30 PROVISIONAL TITANIUM BIOPILAR INTERNA AND EXTERNA Cylinder indicated for the manufacture of resin provisionals. This range of abutments is specific for the philosophy of the BIOPILAR profiles. The BIO concept represents an evolution of the design of prosthodontic rehabilitation, based on the modification of the biological space. It introduces a new vision oriented towards the long-term stability of hard and soft tissues for long lasting aesthetics. It is based on a change in the morphology of the transgingival profile to ensure better vascularisation. INDICATIONS In cases of aesthetic requirements in the anterior sector. When we wish to reduce the transgingival profile for horizontal movement in the biological space. In cases of limited interdental space. ADVANTAGES: Increases the biological space. Improves the vascularisation around the abutment and, consequently, reduces gum recession. Favours the maintenance of bone tissue. Material: commercially pure titanium. 30

31 FAMILY Provisional titanium bio-abutment Universal Universal Plus Wide INTERNA EXTERNA Emergence profile Ø of 5.0 mm Emergence profile Ø of 5.0 mm Ø Ø INCPIUB13 INCPIUB14 (engaging) mm 4 mm CPIUB13 CPIUB14 (engaging) mm 4 mm Emergence profile Ø of 5.0 mm Emergence profile Ø of 5.0 mm Ø Ø INCPIUB mm CPIUB mm INCPIUB mm CPIUB mm (non-engaging) (non-engaging) 31

32 PROVISIONAL AESTHETIC CYLINDER Engaging and non-engaging INTERNA AND EXTERNA Plastic provisional cylinders (PEEK) in white, which makes them suitable for preparing provisionals in aesthetic areas. They can be loaded with acrylic materials without the need to hide the grey of the titanium. The observations to be taken into account in the use of these components are the following: These parts are approved for provisional use in the mouth for periods of 6 months or less, so a more long-term use is absolutely contraindicated. The drilling of these parts in the laboratory must be performed at low revolutions. Excessive overheating that could melt the plastic must be avoided. They are not indicated in patients with bruxism or in the posterior tooth area exposed to greater masticatory loads. In cases in which it is necessary to use cement on these parts, it is advisable to avoid polyurethane-based cements, as they may present problems of setting. They are screwed into the implant with the titanium Ti-black hexagonal or gold square screw at 20 Ncm and on the transepithelials also at 20 Ncm. 32

33 FAMILY Aesthetic provisional cylinders and abutments Narrow Universal Universal Plus Wide INTERNA For screw-retained prostheses Perfil de emergencia de 3,5 mm. de ø. For screw-retained prostheses Emergence profile Ø of 5 mm For screw-retained prostheses Emergence profile Ø of 6.3 mm Individual restorations INCPIEP1 (engaging) Multiple restorations INCPIEP0 (non-engaging) Individual restorations INCPIUP1 (engaging) Multiple restorations INCPIUP0 (non-engaging) Individual restorations INCPIAP1 (engaging) For cemented prostheses Emergence profile Ø of 4 and 5 mm Height of neck 4 mm INPPUP44 INPPUP54 ø EXTERNA For screw-retained prostheses Perfil de emergencia de 3,5 mm. de ø. For screw-retained prostheses Emergence profile Ø of 5 mm For screw-retained prostheses Emergence profile Ø of 6.3 mm Individual restorations CPIEP1 (engaging) Multiple restorations CPIEP0 (non-engaging) Individual restorations CPIUP1 (engaging) Multiple restorations CPIUP0 (non-engaging) Individual restorations CPIAP1(engaging) For cemented prostheses Emergence profile Ø of 4 and 5 mm Height of neck 4 mm PPUP44 PPUP54 ø UNIT TRANSEPITHELIAL MULTI-IM TRANSEPITHELIAL Preparation of provisionals, in particular immediate load CPMIUPUP Preparation of provisionals, in particular immediate load CPMIUPAP Preparation of provisionals, in particular immediate load CPMIPEUP Preparation of provisionals, in particular immediate load CPMIPAP 33

34 GOLD ABUTMENT POST INTERNA AND EXTERNA Enables the restoration of multiple and individual teeth. They are screwed directly into the implant and used with cemented prostheses. The impression is made directly to the implant (indirect technique). Due to the precious alloy from which they are manufactured, the gold abutments can be ceramised with conventional feldspar ceramic, and thus porcelain margins can be created. (CET ºC: 14.6 x 10-6 K-1; ºC: 14.9 x 10-6 K-1). Fusion interval: ºC. They are screwed into the implant with the Ti-black screw or the gold square screw at 35 Ncm. INDICATIONS Multiple and single restorations, with high aesthetic requirements without serious angle problems (0º-15º). Material: Au precious alloy + metals from the group Pt 97.5%. * This component for the Universal and Universal Plus platforms can also be used in Wide Platform Implants (Interna ) as long as they are placed juxta- or subcrestally, to improve the biological space. 34

35 FAMILY Gold abutment post Narrow Universal Universal Plus Wide INTERNA EXTERNA Anatomical gold abutment post Ø INPPOU42 INPPOU mm. 4 mm. Ø PPAOE42 PPAOE44 3.7/ /4.2 2 mm. 4 mm. Ø INPPOU52 INPPOU mm. 4 mm. Ø PPOU mm. Ø PPOU mm. 35

36 TITANIUM ABUTMENT POST Straight and angled INTERNA AND EXTERNA Enables the restoration of multiple and individual teeth. They are screwed directly into the implant and used with cemented prostheses. The impression is made directly to the implant (indirect technique). They are screwed into the implant with the Ti-black screw or the gold square screw at 35 Ncm. INDICATIONS Straight titanium abutment posts: They are indicated for multiple and single restorations without significant angle problems (between 0º and 15º). Angled titanium abutment posts 15º: They are indicated for multiple and single restorations without significant angle problems (between 15º and 25º). In cases juxta-gingival implants, they can be micromilled to the limit (leaving a minimum margin of metal on the vestibular side). Material: commercially pure titanium. * This component for the Universal and Universal Plus platforms can also be used in Wide Platform Implants (Interna ) as long as they are placed juxta- or subcrestally, to improve the biological space. 36

37 FAMILY Titanium abutment post Narrow Universal Universal Plus Wide INTERNA Straight Ø INPPTU mm INPPTU mm INPPTU mm INPPTU mm INPPTU mm INPPTU mm INPPTU mm INPPTU mm INPPTU mm Straight Ø INPPTA mm INPPTA mm INPPTA mm INPPTA mm INPPTA mm INPPTA mm INPPTA mm With a surface treatment Ti golden. Angled 15º Angled 15º Ø INPPTUA mm Ø INPPTUA mm INPPTAA mm INPPTAA mm Anatomic angled 15º Ø INPPTUA42 4.3/5.0 2 mm INPPTUA44 4.3/5.0 4 mm EXTERNA Angled 15º Straight Straight Ø PPATEA32 3.7/4.2 2 mm. PPATEA34 3.7/4.2 4 mm. Ø Longitud PPTU mm PPTU mm PPTU mm PPTU mm PPTU mm PPTU mm PPTU mm PPTU mm PPTU mm Ø Longitud PPTA mm PPTA mm PPTA mm PPTA mm PPTA mm PPTA mm PPTA mm With a surface treatment Ti golden. Angled 15º Angled 15º Ø Longitud PPTUA mm PPTUA mm PPTUA mm. Ø Longitud PPTAA mm PPTAA mm 37

38 TITANIUM BIOPILAR Straight and angled INTERNA AND EXTERNA Enables the restoration of multiple and individual teeth. They are screwed directly into the implant with the square gold screw or the Ti-black screw at 35 Ncm and used with cemented prostheses. This range of abutments is specific for the philosophy of the BIOPILAR profiles. The BIO concept represents an evolution of the design of prosthodontic rehabilitation, based on the modification of the biological space. It introduces a new vision oriented towards the long-term stability of hard and soft tissues for long lasting aesthetics. It is based on a change in the morphology of the transgingival profile to ensure better vascularisation. INDICATIONS In cases of aesthetic requirements in the anterior sector. When we wish to reduce the transgingival profile for horizontal movement in the biological space. In cases of limited interdental space. ADVANTAGES: Increases the biological space. Improves the vascularisation around the abutment and, consequently, reduces gum recession. Favours the maintenance of bone tissue. Material: Commercial pure titanium with a Ti-golden surface treatment. * This component for the Universal and Universal Plus platforms can also be used in Wide Platform Implants (Interna ) as long as they are placed juxta- or subcrestally, to improve the biological space. 38

39 FAMILY Titanium bio-abutment Narrow Universal Universal Plus INTERNA Straight Straight Ø Ø INPPTEB43 4,.2 3 mm. INPPTEB mm. INPPTUB mm INPPTUB mm INPPTUB mm Angled 15º Angled 15º Ø INPPTEAB /4.2 3 mm. INPPTEAB /4.2 4 mm. INPPTEAB /4.2 5 mm. Ø INPPTUAB mm INPPTUAB mm INPPTUAB mm EXTERNA Straight Straight Ø PPATEB mm PPATEB mm PPATEB mm Ø PPTUB mm PPTUB mm PPTUB mm Angled 15º Angled 15º Ø PPTEAB33 3.7/4.2 3 mm PPTEAB34 3.7/4.2 4 mm PPTEAB35 3.7/4.2 5 mm Ø PPTUAB mm PPTUAB mm PPTUAB mm Straight bio-abutments: They are indicated for multiple and single restorations without significant angle problems (between 0º and 15º). Angled bio-abutments 15º: They are indicated for multiple and single restorations without significant angle problems (between 15º and 25º). 39

40 CERAMISABLE ABUTMENT POST CERAMIC-ON INTERNA AND EXTERNA These enable the restoration of multiple and individual teeth. They are screwed directly into the implant and used with cemented prostheses. The impression is made directly to the implant (indirect technique). They come in gold and titanium for Universal platform (internal and external connections) and in gold for the Wide platform (external connection). They are screwed into the implant with the square gold screw or the Ti-black screw at 35 Ncm. They do not require the use of any other component. INDICATIONS Multiple and single restorations When the height of the tissues is 1 mm or greater, it is possible to make angled ceramic abutments. Crowns with a ceramic shoulder or fully ceramic crowns can be cemented onto them. Designed to add ceramic for titanium in the titanium abutments and conventional ceramic in the gold abutments. (CET ºC: 14.6 x 10-6 K-1; ºC: 14.9 x 10-6 K-1). Fusion interval: ºC. Manufactured: The titanium version, from commercially pure Ti. The gold version, from a precious alloy (Au + metals from the group Pt 97.5%). * This component for the Universal and Universal Plus platforms can also be used in Wide Platform Implants (Interna ) as long as they are placed juxta- or subcrestally, to improve the biological space. 40

41 FAMILY CERAMIC-ON Universal Universal Plus INTERNA Gold Ø INPPCOU mm Titanium Ø INPPCTU mm N.B. The union of the ceramic to the gold abutment exceeds that of titanium, so BTI advocates the use of gold abutments. These posts are supplied without ceramising. 41

42 AESTHETIC ABUTMENT POST Engaging and non-engaging INTERNA AND EXTERNA Aesthetic abutments for direct to implant prostheses, with a BIO Profile of for long-term maintenance of the gingival mucous membranes. Available in five heights: 0,1,2,3,4 for Universal Platform Interna Connection; and four heights: 0,2,3,4 for all the rest plataforms Interna and Externa connection. Manufactured from commercial pure titanium with a Ti-golden surface treatment. Non-engaging version: Suitable for multiple prosthesis screwed into the implant. Engaging version: Suitable for single prosthesis (screwed and cemented) and multiple cemented prosthesis. Highly versatile, they can be used with or without a casting sleeve, for the manufacture of conventional prostheses and CAD/CAM systems. The casting sleeves are manufactured from ertacetal. When working with no sleeve, the aesthetic abutments are used as machined bases for cemented prostheses on which the Zr, e-max, Ti, Cr-Co and resin sleeves can be modelled. When working with a sleeve, there are prepared screw retained and cemented conventional prostheses (casting and ceramic injection). They are screwed into the implant with the square gold screw or the Ti-black screw at 35 Ncm. + More information on the aesthetic abutment post in the brochure Aesthetic abutments with BIO profile. 42

43 FAMILY Aesthetic abutment post Narrow Universal Universal Plus Wide INTERNA Ti-golden ø INPETZ mm. Ti-golden ENGAGING ø INPUTZ mm. Ti-golden ø INPATZ mm. INPETZ mm. INPETZ mm. INPETZ mm. INPETZ mm. NON-ENGAGING INPUTZ mm. INPUTZ mm. INPUTZ mm. INPUTZ mm. ø INPURTZ mm. INPATZ mm. INPATZ mm. INPATZ mm. INPURTZ mm. INPURTZ mm. INPURTZ mm. INPURTZ mm. EXTERNA Ti-golden Ti-golden Ti-golden ø PTTZ mm. ø ø PUTZ mm. PATZ mm. PTTZ mm. PTTZ mm. PTTZ mm. PUTZ mm. PUTZ mm. PUTZ mm. PATZ mm. PATZ mm. PATZ mm. CASTING SLEEVE Narrow Universal Wide CPETZ CPUTZ CPATZ 43

44 UCLA GOLD ABUTMENT Engaging and non-engaging INTERNA AND EXTERNA Gold cylinder, machined, used as an alternative in the construction of the conventional UCLA abutment. The engaging one is used for the construction of individual teeth (screw-retained) or stumps (cemented). The non-engaging one is used in cases of multiple screw-retained restorations. The impression is made directly to the implant (indirect technique). They are screwed into the implant with the square gold screw or the Ti-black screw at 35 Ncm. INDICATIONS Multiple and single restorations It also solves problems of angle and customisation of the emergence profile, as angled abutments can be custom made. They are cast-on with precious alloys for ceramic, for subsequent ceramisation, or with gold for manufacturing stumps. (CET ºC: 11.9x10-6 K-1; ºC: 12.2x10-6 K-1). Material: Alloy with a high gold content and a high melting point (1400º C). Consisting of two parts: Gold cylinder and casting chimney. BTI strongly recommends that, in cases of multiple screw-retained prosthesis, the abutment Multi-Im is used instead of this component. * This component for the Universal and Universal Plus platforms can also be used in Wide Platform Implants (Interna ) as long as they are placed juxta- or subcrestally, to improve the biological space. 44

45 FAMILY UCLA gold abutment Narrow Universal Universal Plus Wide INTERNA Emergence profile Ø of 4.1 mm Emergence profile Ø of 5.5 mm. INPUOU1 (engaging) INPUOU0 (non-engaging) INPUOA1 (engaging) INPUOA0 (non-engaging) EXTERNA Emergence profile Ø of 3.5 mm Emergence profile Ø of 4.5 mm Emergence profile Ø of 5.5 mm PUOE1 (engaging) PUOE0 (non-engaging) PUOU1 (engaging) PUOU0 (non-engaging) PUOA1 (engaging) PUOA0 (non-engaging) 45

46 CASTABLE ABUTMENT Engaging and non-engaging INTERNA AND EXTERNA Manufactured from casting plastic, the engaging one is used for the construction of individual teeth (screw-retained) or stumps (cemented), while the non-engaging one is used in cases of multiple screw-retained restorations. The impression is made directly to the implant (indirect technique). They are screwed into the implant with the square gold screw or the Ti-black screw at 35 Ncm. INDICATIONS Multiple and single restorations It also solves problems of angle and customisation of the emergence, as angled abutments can be custom made. They are cast with precious alloys for ceramic or with gold for manufacturing stumps. Lower quality alloys must not be used as the fit will be deficient and there may be problems of subsequent loosening of the abutments. BTI strongly recommends that, in cases of multiple screw-retained prosthesis, the abutment Multi-Im is used instead of this component. * This component for the Universal and Universal Plus platforms can also be used in Wide Platform Implants (Interna ) as long as they are placed juxta- or subcrestally, to improve the biological space. 46

47 FAMILY Castable abutment Narrow Universal Universal Plus Wide INTERNA Emergence profile Ø of 3.5 mm Emergence profile Ø of 4.5 mm Emergence profile Ø of 5.5 mm INPUCE1 (engaging) INPUCE0 (non-engaging) INPUCU1 (engaging) INPUCU0 (non-engaging) INPUCA0 (non-engaging) EXTERNA Emergence profile Ø of 3.5 mm Emergence profile Ø of 5.5 mm Emergence profile Ø of 5.5 mm PUCE1 (engaging) PUCE0 (non-engaging) PUCU1 (engaging) PUCU0 (non-engaging) PUCA1 (engaging) PUCA0 (non-engaging) 47

48 UNIT TRANSEPITHELIAL Straight INTERNA Engaging titanium transepithelial made up of two components: sleeve and retaining screw. Ti golden surface treatment in the cylinder and Ti-black in the screw. It is available for the Universal and Wide platform Interna connection and universal platform Externa connection. Connection with the implant through the corresponding tetra-lobed figure. At the top has a square, with no sharp edges, into which the rest of the components fit. It is screwed into the implant with the disposable plastic screwdriver and the definitive torque is applied with the tapered-standard torque wrench tip PTCE16 and the torque wrench LLMTP at 35 Ncm. The Unit Transepithelial for wide platform Interna connection has a specific torque wrench tip PTUA. INDICATIONS This is the appropriate component for immediate loading of screw retained single unit restoration. It asures the Hermetic Seal at the interface with the implant and the preservation of biological seal by means of hemidesmosomes; enables finishing the works in CAD/CAM or using the conventional aesthetic abutments. Re-use and/or re-sterilisation of these single-use products may cause risk of infection and/or cross contamination. + More information on the UNIT transepithelial on the website: 48

49 FAMILY UNIT Transepithelial Narrow Universal Universal Plus INTERNA Emergence profile Ø of 3.5 mm Prosthesis diameter of 4.1 mm Emergence profile Ø of 4.1 mm Prosthesis diameter of 4.1 mm Emergence profile Ø of 5.5 mm Prosthesis diameter of 5.5 mm INTMIUPE20 INTMIUPE30 INTMIUPE40 ø 3,5 3,5 3,5 2 mm. 3 mm. 4 mm. INTMIUPU20 INTMIUPU30 INTMIUPU40 INTMIUPU50 ø 4,1 4,1 4,1 4,1 2 mm. 3 mm. 4 mm. 5 mm. INTMIUPA20 INTMIUPA30 INTMIUPA40 ø 5,5 5,5 5,5 2 mm. 3 mm. 4 mm. EXTERNA Emergence profile Ø of 4.1 mm Prosthesis diameter of 4.1 mm TMIUPU30 TMIUPU40 ø 4,1 4,1 3 mm. 4 mm. PROTECTIVE CAPS Straight Straight TPMIUPU ø 4,0 TPMIUPA ø

50 Multi-Im TRANSEPITHELIAL Straight and angled INTERNA AND EXTERNA Titanium transepithelial made up of two components: sleeve and retaining screw. Ti golden surface treatment in the cylinder and Ti-black in the screw. The straight one is screwed into the implant with the disposable plastic screwdriver and the definitive torque is applied with the tapered-standard torque wrench tip PTCE16 and the torque wrench LLMTP at 35 Ncm. In the case of the angled 17º, the transporter is metallic. To apply the torque, the tip PTHS22 shall be used with wrench LLMTP at 35 Ncm. This angle of 17º between the prosthetic and surgical axis will help us to correct non-parallel cases for inclined implants, with greater ease in the construction of the prosthesis. The prosthetic components of these elements are specially designed for this. The impression is made with the specific impression coping. INDICATIONS For multiple screw-retained restorations. This is the abutment to choose for screw-retained immediate load in multiple restorations and for manufacturing bars on overdentures. It enables the restoration to emerge even at 0.5 mm above the implant, in addition its low cone height enables us to resolve divergences between implants. They are sold sterile. * This component for the Universal and Universal Plus platforms can also be used in Wide Platform Implants (Interna ) as long as they are placed juxta- or subcrestally, to improve the biological space. Re-use and/or re-sterilisation of these single-use products may cause risk of infection and/or cross contamination. + More information on the Multi-Im transepithelial on the website: 50

51 FAMILY Multi-Im transepithelial abutment Narrow Universal Universal Plus Wide INTERNA Straight (Ti Golden) Emergence profile Ø of 3.5 mm Prosthesis diameter of 4.1 mm Straight (Ti Golden) Emergence profile Ø of 4.1 mm Prosthesis diameter of 4.1 mm Straight (Ti Golden) Emergence profile Ø of 5.5 mm Prosthesis diameter of 5.5 mm INTMIPE10 INTMIPE20 INTMIPE30 INTMIPE40 INTMIPE50 ø mm. 2 mm. 3 mm. 4 mm. 5 mm. INTMIPU05 INTMIPU10 INTMIPU20 INTMIPU30 INTMIPU40 INTMIPU50 ø ,5 mm. 1 mm. 2 mm. 3 mm. 4 mm. 5 mm. INTMIPA10 INTMIPA20 INTMIPA30 INTMIPA40 ø mm. 2 mm. 3 mm. 4 mm. Angled 17º Emergence profile Ø of 4.1 mm Prosthesis diameter of 5.0 mm ø INTMIPUA15 INTMIPUA20 INTMIPUA30 INTMIPUA40 INTMIPUA ,5 mm. 2 mm. 3 mm. 4 mm. 5 mm. INTMIPUB15 INTMIPUB20 INTMIPUB30 INTMIPUB40 INTMIPUB ,5 mm. 2 mm. 3 mm. 4 mm. 5 mm. EXTERNA Straight (Ti Golden) Emergence profile Ø of 3.5 mm Prosthesis diameter of 4.1 mm Straight (Ti Golden) Emergence profile Ø of 4.1 mm Prosthesis diameter of 4.1 mm Straight (Ti Golden) Emergence profile Ø of 5.5 mm Prosthesis diameter of 5.5 mm TMIPE15 TMIPE20 TMIPE30 TMIPE40 ø ,5 mm. 2 mm. 3 mm. 4 mm. TMIPU10 TMIPU20 TMIPU30 TMIPU40 ø mm. 2 mm. 3 mm. 4 mm. TMIPA15 TMIPA20 TMIPA30 TMIPA40 ø ,5 mm. 2 mm. 3 mm. 4 mm. Angled 17º Angled 17º Emergence profile Ø of 3.5 mm Prosthesis diameter of 5.0 mm Emergence profile Ø of 4.1 mm Prosthesis diameter of 5.0 mm TMIPEA20 TMIPEA30 TMIPEA40 ø mm. 3 mm. 4 mm. TMIPUA15 TMIPUA20 TMIPUA30 TMIPUA40 TMIPUA50 ø ,5 mm. 2 mm. 3 mm. 4 mm. 5 mm. 51

52 TRANSEPITHELIALS Expanded INTERNA AND EXTERNA Expanded transepithelials, for Interna and Externa connections. These new products make the transfer from the Universal platform (diameter 4.1 mm in the implant) to the Wide platform (diameter 5.5 mm prosthetic structure). They maintain the two-part structure (sleeve and screw), and the surface with Ti Golden treatment and Ti Black screw. The Multi-Im transepithelials Interna Connection are available in 4 heights: 2, 3, 4 and 5. The transepithelial Unit Interna connection and Multi-Im Externa connection are available in 3 heights: 2, 3 and 4 mm. Insertion into the implant at 35 Ncm torque. INDICATIONS They are indicated for rear areas of the mandible which need a wider prosthetic emergence than that offered by a Universal platform. They facilitate the stability of the soft tissues, in rear areas of the jaw, in the second surgery or in cases of immediate load. Having positioned an implant from the Universal platform, they distribute the biomechanical load better in these rear areas of the mandible. Re-use and/or re-sterilisation of these single-use products may cause risk of infection and/or cross contamination. 52

53 FAMILY Expanded Transepithelial Universal Universal Plus Wide INTERNA MULTI-IM EXTERNA MULTI-IM Emergence profile Ø of 4.1 mm Prosthesis diameter of 5.5 mm Emergence profile Ø of 4.1 mm Prosthesis diameter of 5.5 mm INTMIPUEX20 INTMIPUEX30 INTMIPUEX40 INTMIPUEX50 ø mm 3 mm 4 mm 5 mm TMIPUEX20 TMIPUEX30 TMIPUEX40 ø mm 3 mm 4 mm N.B. These transepithelials are screw-retained into implants of TRANSEPITHELIAL UNIT the Universal platform and are restored with prosthetic attach- Emergence profile Ø of 4.1 mm Prosthesis diameter of 5.5 mm ments from the Wide platform. INTMIUPUEX20 INTMIUPUEX30 INTMIUPUEX40 ø 4,1 4,1 4,1 2 mm. 3 mm. 4 mm. PROTECTIVE CAPS Multi-Im transepithelial abutment Narrow Universal Universal Plus Wide INTERNA AND EXTERNA Straight Angled 17º Straight TPMIEU ø mm. TPMIEUA ø 5.0 TPMIA ø 5.5 TPMIEU mm. All the caps are screwed onto the transepithelials. They are used from the placement of the transepithelial until the fitting of the definitive or provisional prosthesis, to prevent the gum growing over the transepithelial and protecting the tongue from friction. The head of the cap has a hexagonal insertion that enables it to be transported to its position easily. The recommended tightening torque is 10 Ncm. Material: commercially pure titanium. 53

54 TOOLS FOR THE LABORATORY INTERNA Y EXTERNA Tools for polishing, made for Multi-Im transepithelial Narrow and Universal platforms and for UNIT Transepithelial Narrow and Universal platform. These pieces are necessary for the protection of the prosthetic structures in the laboratory. 54

55 FAMILY Tools for the laboratory Narrow Universal Universal Plus UNIT TRANSEPITHELIAL UPMIUPU MULTI-IM UPMIEU 55

56 ARTICULATED BARS FOR STRAIGHT Multi-Im INTERNA AND EXTERNA Suitable for provisional prosthetic structures screw-retained on Multi-Im abutments. They are titanium cylinders with lateral spheres, that mesh with the articulated bars to form the internal structure of the prosthesis. ADVANTAGES Ease and speed in the completion of the work. More robust that a classic provisional structure. 56

57 FAMILY Articulated bars for straight Multi-Im Narrow Universal Universal Plus Wide MULTI-IM BAP1 BAP2A BAP2B Top view Top view NOTE: The spheres may be cut, if they will not be used in the structure, so they do not interfere with adjacent teeth. BAP3 BAPA1 BAPA2A BAPA2B NOTE: The length of this bar can be shortened depending on the distance between implants. Top view Top view NOTE: The spheres may be cut, if they will not be used in the structure, so they do not interfere with adjacent teeth. SPECIFICATIONS The measurement of the maximum overhang permitted with these parts depends on the measurements of the horizontal arm of the cylinder. The maximum distance permitted between implants, to be able to work with this system of bars, shall be limited to the maximum length of the horizontal bar. d i-i = 20 mm 17 mm 4 mm 6.3 mm 57

58 CYLINDER FOR STRAIGHT AND ANGLED Multi-Im INTERNA AND EXTERNA GOLD CYLINDERS They are used with the Multi-Im transepithelial for the preparation of the final prosthesis. Their bevelled design enables a better union between the porcelain and the gold cylinder. We recommend using an alloy with a high gold content for cast-on (CET ºC:11.9x10-6 K-1; ºC: 12.2x10-6 K-1). They incorporate a casting chimney, to facilitate the wax-up work in the laboratory. The parts are non engaging. If needed, the casting sleeve can be separated from the gold body by traction. Material: Gold alloy (1400ºC). CASTING CYLINDERS Used for the manufacture of the final restoration on Multi-Im transepithelials, making a direct wax-up of onto the casting cylinder. Material: casting plastic. Screw-retained onto the abutment with a TTMIR screw at 20 Ncm. 58

59 FAMILY Cylinders for straight and angled Multi-Im Narrow Universal Universal Plus Wide MULTI-IM Straight (gold) Straight (casting) Straight (titanium for zirconium) COMIPEU CCMIPEU CZMIPEU Angled 17º (casting) CCMIPEUA Straight (gold) Straight (casting) Straight (titanium for zirconium) COMIPA CCMIPA CZMIPA 59

60 CYLINDERS FOR UNIT TRANSEPITHELIAL INTERNA AND EXTERNA AESTHETIC ABUTMENTS Solution for the definitve prosthetic restoration on the Unit Transepithelials. Highly versatile, the aesthetic abutments can be used with or without a casting sleeve, for the manufacture of conventional prostheses and CAD/CAM systems. They are screwed onto the transepithelials with the TTMIR screw at 20 Ncm. Attention! When restoring on Unit Transepithelial Wide Plataform it is necessary to use a different screw TTMIUPA (20 Ncm). 60

61 FAMILY Cylinders for UNIT Narrow Universal Universal Plus Wide UNIT TRANSEPITHELIAL Aesthetic abutment Aesthetic abutment PTZMIUPU PTZMIUPA Casting sleeve Casting sleeve CPTZMIUPU CPTZMIUPA Casting sleeve Casting sleeve PUCMIUPU PUCMIUPA 61

62 LOCATOR ABUTMENT INTERNA AND EXTERNA Abutment for overdentures, in one single piece that must be screw-retained into the implant at a torque of 30 Ncm. We will select the abutment that is exactly at the same height as the tissue or the next size up. This size will enable the 1.5 mm of the fixing head to emerge over the level of the gum that surrounds the implant. PROPERTIES Auto-aligning, as they provide easy positioning and correct seating of the patient's overdentures; in addition they eliminate additional wear and the loss of bonding due to incorrect seating. Angle corrections of up to 40º, in divergent implants, using the same abutment, therefore it is not necessary to place angled pillars. The lowest vertical height of the market, an advantage especially when the interocclusal space is limited. The total height of fixing is 2.5 mm for an Interna connection implant. LOCATOR MAIN TOOL ( HPL) There are three parts with the following uses: screwdriver for the abutment, to provide the torque with a large hexagon tip, remove the processing male and insert the final retention male. 62

63 FAMILY AND COMPONENTS Locator Narrow Universal Universal Plus INTERNA EXTERNA PLIE10 PLIE20 PLIE30 PLIE40 30 Ncm. 1 mm. 2 mm. 3 mm. 4 mm. PLT10 PLT20 PLT30 PLT40 30 Ncm. 1 mm. 2 mm. 3 mm. 4 mm. PLIU10 PLIU20 PLIU30 PLIU40 30 Ncm. 1 mm. 2 mm. 3 mm. 4 mm. PLEU10 PLEU20 PLEU30 PLEU40 30 Ncm. 1 mm. 2 mm. 3 mm. 4 mm. COMPONENTS Torque tip Screwdriver tip Spacing ring PTTL15 PTTL21 Height 15 mm 21 mm PTL23 PTL29 Height 23 mm 29 mm AEL Retention cylinder CRHL Replacement males (4 Units) Set of replacement males Direction indicator Retention Angle MLRA extra light 0-10º MLRR light 0-10º MLST strong 0-10º MLAR extra light 10-20º MLAN light 10-20º MLAV strong 10-20º MLAG without retention 10-20º Angle measurement guide GMAL JML2 (2 Units) JML10 (10 Units) Female analogue (4 units) Analog with Ø of 5.5 mm, manufactured in aluminium. RLL4 IDL Impression coping (4 units) Manufactured from aluminium. A male in the polyethylene interior. CIL 63

64 DALBO TRANSEPITHELIAL INTERNA AND EXTERNA Abutment with two parts, designed to stabilise and retain the partial or complete prosthesis. Screw directly into the implant with the handle MDPT and the tip PTDO at a torque of 20 Ncm. It needs a minimum intermaxillar distance (available in different heights). The impression is made directly to the implant. INDICATIONS For partial or complete removable prostheses, with a maximum divergence of 10. It enables the restoration to emerge even at only 2 mm over the implant. Material: commercially pure titanium. * This component for the Universal and Universal Plus platforms can also be used in Wide Platform Implants (Interna ) as long as they are placed juxta- or subcrestally, to improve the biological space. 64

65 FAMILY AND COMPONENTS DALBO Narrow Universal Universal Plus Wide TINY INTERNA EXTERNA MTDT3 MTDT4 20 Ncm 3 mm 4 mm INMTD2 INMTD3 INMTD4 20 Ncm 2 mm 3 mm 4 mm MTD2 MTD3 MTD4 20 Ncm 2 mm 3 mm 4 mm COMPONENTS Dalbo females Female activator standard Female deactivator standard HTDS (standard) AHTDS (standard) DHTDS (standard) HTDP (plus Activator and deactivator female plus DHTDP (plus) 65

66 TITANMAGNETICS ABUTMENTS INTERNA AND EXTERNA The Titanmagnetics abutments are retention elements for overdentures. The system consists of two magnets: The first is screw-retained into the implant and is presented for Tiny implants and for the Universal platform, for both Interna and Externa connections. The second is incorporated onto the prosthesis. In addition it has a position hose, which is placed on the screw-retained magnet and this enables the second magnet to be seated perfectly upon it, accurately indicating where the prosthesis must be placed. It also works as the insert for the transport and application of torque to the magnet that is fixed to the implant. This maximum recommended torque is 20 Ncm. ADVANTAGES The fixing with magnets is dynamic and simple for the patient to put in and remove; especially for much older patients, thus facilitating hygiene. It is indicated for solutions for basic and economical prosthetic work. 66

67 FAMILY AND COMPONENTS TITANMAGNETICS ABUTMENTS Narrow Universal Universal Plus Wide TINY INTERNA EXTERNA TIXL-4838IT ø mm TIXL-4835IU ø mm TIXL-4835EU TIXL-4850EU ø mm 5 mm X-LINE COMPONENTS Overdenture magnet Position hose Torque wrench insert TIXL-S265 TIXL-MPS TIXL-LLT 67

68 SCREWS INTERNA AND EXTERNA SCREWS in gold: These are manufactured from a precious alloy coated with a layer of pure gold of 4 µm. In titanium, Ti-black: These are manufactured from commercially pure titanium, with a specific surface treatment. Used for the fixation of the provisional and definitive prostheses at 35 Ncm. The gold screws use a square screwdriver and the titanium use a hexagonal one. SMALL-HEADED SCREWS Manufactured from Ti-black, direct-to-implant or on a transepithelial, they have a smaller head to facilitate entry into CAM machined structures with a angle of up to 15º. Both, the direct to implant and on transepithelial are tightened at 20 Ncm. 68

69 NEW TI-BLACK SURFACE TREATMENT Screws TI-BLACK SCREWS These screws incorporate a new tungsten carbide surface treatment that decreases the friction coefficient and improves the glide, which gives them similar properties to gold in terms of preload and resistance to fatigue. ADVANTAGES Greater preload for the same torque. Possibility of the screws coming loose reduced to a minimum. Preload similar to gold, reducing the cost. The lifetime of the screw is extended, as it is more resistant to fatigue. BIOMECHANICAL STUDY The number of cycles of stress and fluctuating deformation that this material can withstand is much higher than that of conventional titanium and is comparable with gold. PRELOAD WITH A TORQUE OF 35Ncm Ti Ti-black Gold Tightening 1 Tightening 2 Tightening 3 Tightening 4 Tightening 5 69

70 FAMILY Direct-to-implant screws Narrow Universal Universal Plus Wide TINY INTERNA EXTERNA Gold (square) Gold (square) Gold (square) TOTC 35 Ncm INTOOC 35 Ncm TOOC 35 Ncm Ti-black (hexagonal) Ti-black (hexagonal) Ti-black (hexagonal) TTTH 35 Ncm INTTUH 35 Ncm TTUH 35 Ncm Ti-black small-headed (hexagonal) Ti-black small-headed (hexagonal) Angles from 0 to 15º Angles from 0 to 15º Ti-black small-headed (hexagonal) Angles from 0 to 15º TTTHR 20 Ncm INTTUHR 20 Ncm TTUHR 20 Ncm Ti-black (hexagonal) Angles from 15 to 30º Ti-black (hexagonal) Angles from 15 to 30º Ti-black (hexagonal) Angles from 15 to 30º TTTH30 20 Ncm NOTE: Hexagon only compatible with PTHB INTTUH30 20 Ncm NOTE: Hexagon only compatible with PTHB TTUH30 20 Ncm NOTE: Hexagon only compatible with PTHB For wax-up For wax-up For wax-up TEIU15 (short) TEIT (long) INTEIU16 (short) INTEIU (long) TEIU15 (short) TEIT (long) 70

71 FAMILY Transepithelial screws and others Narrow Universal Universal Plus Wide TRANSEPITHELIAS MULTI-IM UNIT Ti-black small-headed (hexagonal) MULTI-IM UNIT Ti-black 30º (hexagonal) UNIT Ti-black TTMIR 20 Ncm. TTMI30 20 Ncm. TTMIUPA 20 Ncm. NOTE: Hexagon only compatible with PTHB MULTI-IM For wax-up TEMIR 15 mm. (small diameter) OTHER SCREWS TINY Healing micro-screw (headless) TCITS 10 Ncm EXTERNA Healing micro-screw (headless) TCISC 10 Ncm FOR LABORATORY For laboratory (5 units) INTTLH (hexagonal) Healing screw (optional) TCIPT 10 Ncm For laboratory (5 units) TTLH (hexagonal) 71

72 INSTRUMENTS FOR SURGERY This chapter presents all the necessary devices for the insertion of an implant, from the preparation of the alveolus, with the drills and the platform positioners, to the elements for securing the implant in the site using suitable tools to transmit the final torque. BTI has different surgical kit boxes that gather together the instruments for the implant you wish to insert. Women who are pregnant or breastfeeding: There are no additional precautions other than those generally contemplated in techniques of oral implantology. 72

73 SURGICAL KIT BOXES AND DRILL HOLDER SURGICAL KIT BOXES Kit KCQ1 Can be sterilised in an autoclave. Kit KCQ2 Can be sterilised in an autoclave. Kit KCQ4 Can be sterilised in an autoclave. Complete surgical kit box, including all the components necessary to insert the whole range of implants. Surgical kit box for short implants, containing the components suitable for use with short implants. Surgical kit box for the BTI reduced system: Easy and predictable. DRILL HOLDER SPF No components 73

74 SURGICAL DRILLS INTERNA AND EXTERNA The design of the BTI drills enables you to work at low revolutions (50-75 rpm) without irrigation, which means you can recover all the bone when drilling and use it as an autograft. It is also possible to work with the parameters of conventional drilling, at high revolutions if required. Drilling at low revolutions provides excellent control of the drilling depth and perfect visualisation of the depth marking, reducing the chance of causing damage to significant structures. It also helps to control the direction of drilling on the vertical. With the new drilling technique, as it is more accurate, the neo-alveolus created will house the implant with greater initial stability. At the same time, from a biological point of view, the socket, as it has been made without irrigation, will be in the best condition for revascularisation and the subsequent osseointegration of the implant. The depth marks are at: Short drills 3, 5, 8.5, 10 and 13 mm Long drills 3, 5, 8.5, 10, 13, 15 and 18 mm ADVANTAGES The initial drill has a very active tip and with excellent penetration capacity in the cortical bone. It achieves precise drilling and an exact location of the starting point for the drilling, particularly in narrow alveolar crests, and better directional control. It also enables lateral drilling in case we want to modify the location of the neo-alveolus by half a millimetre. It is the ideal drill to use in immediate post-extraction implants, as it allows us to drill accurately into the wall of the post-extraction alveolus. This drill must always be used with abundant irrigation, either with saline solution or with pyrogen-free sterile water, and at revolutions between 800 and 1,000 rpm. The next drill is 1.8 mm diameter, with an exclusively apical cut. Its special helicoidal design is very good for retaining the bone particles that are cut. This drill is used almost exclusively in narrow alveolar crests. The rest of the drills with larger diameters are used progressively, depending on the diameter of the implant to be placed and on the bone quality. They can all be used without irrigation as long as you work at low revolutions. 74

75 FAMILY Sequence drills Narrow Universal Universal Plus Wide INTERNA AND EXTERNA Initial 1.8 mm ø 1.8 > 2.5 mm ø Drilling depth Drilling depth Drilling depth FICS FIL 8 mm 15 mm F18CS F18LS 13 mm 18 mm F1825CS F1825LS 13 mm 18 mm 2.5 mm ø 3.0 mm ø 3.25 mm ø F25CS F25LS Drilling depth 13 mm 18 mm F30CS F30LS Drilling depth 13 mm 18 mm F32CS F32LS Drilling depth 13 mm 18 mm 3.5 mm ø 3.8 mm ø 4.0 mm ø F35CS F35LS Drilling depth 13 mm 18 mm F38CS F38LS Drilling depth 13 mm 18 mm F40CS F40LS Drilling depth 13 mm 18 mm 4.3 mm ø 4.5 mm ø 4.8 mm ø F43CS F43LS Drilling depth 13 mm 18 mm F45CS F45LS Drilling depth 13 mm 18 mm F48CS F48LS Drilling depth 13 mm 18 mm 5.1 mm ø 5.3 mm ø Countersink (short and long) F51CS Drilling depth 13 mm F53CS Drilling depth 13 mm INFAPUC INFAPSC INFAPAC INFAPUL INFAPSL INFAPAL Drilling depth 5 mm 4.5 mm 4.5 and 5.5 mm 5 mm 4.5 mm 4.5 and 5.5 mm 75

76 FAMILY Surgical drills Narrow Universal Universal Plus Wide INTERNA AND EXTERNA Disposable kits Disposable kits KFD1 (3 units) KFD2 (4 units) Start 15 mm Start 15 mm Pilot mm 18 mm Pilot mm 18 mm Pilot mm 18 mm Pilot mm 18 mm Pilot mm 18 mm The kit is designed for use in conjunction with the BTI implant system, for both external and internal connection in all platforms; nevertheless, for implants with larger diameters, it will be necessary to use wider conventional drills to be able to complete the drilling procedure. With regard to the working lengths, the drills have depth marks at: 3 mm, 5 mm, 8.5 mm, 10 mm, 13 mm, 15 mm and 18 mm. Re-use and/or re-sterilisation of these single-use products may cause risk of infection and/or cross contamination. Profiling drills FPT INFPU INFPA BTI profiling drills are actually profiling screwdrivers, as they must be used with the socket wrench ref. LLEC in order to profile the bone around the implant. Manual use is recommended for greater control and sensitivity. Drill extension Manufactured from surgical stainless steel This adapts the drills, lengthening them by 18 mm, facilitating drilling in areas where access is hindered by long adjacent teeth. EXFRC EXFR 15 mm 18 mm 76

77 FAMILY Surgical and other drills Narrow Universal Universal Plus Wide INTERNA AND EXTERNA Front cutting drill The front cutting drills are designed to achieve maximum settlement for extrashort implants and to work the cortical bone in transalveolar sinus elevations and in proximity to the dental nerve. FCF30L FCF35L FCF45L FCF51L ø (mm.) Drilling depth mm 15 mm 15 mm 15 mm These must be used when the appropriate alveolus for their diameter has been prepared, thus making an apical instrumentation at the base of the sinus and/or allowing further advancement of the extrashort implant, achieving excellent primary stability and avoiding compression. NECK The innovative design means the bone can be preserved. DEPTH MARKS Marks to view the exact working height: 3, 5, 6, 8, 10, 13 mm. APEX Formed by four active blades, which cut the bone without damaging compromised anatomical structures. 77

78 TREPHINE DRILLS Narrow Universal Universal Plus Wide INTERNA AND EXTERNA INTERNA AND EXTERNA Manufactured from stainless steel. FT2-6 ø interior 2 mm exterior 2.55 mm Trephine drill designed for taking biopsies. The diameter is smaller in the first 6 mm: Interior Ø: 2 mm Exterior Ø: 2.55 mm 78

79 KIT Trephine drills Narrow Universal Universal Plus Wide TREPHINE DRILL KIT FTEX37-5 FTEX43-5 FTEX51-5 FTEX57-5 Platform Narrow Universal Universal Plus Wide As a complement to the implant extraction kit, there is an ATRAUMATIC TREPHINE DRILL KIT (KFTEX-5). These drills have different diameters depending on the implant to remove. They enable the release of the area of maximum osseointegration (2-3 mm), preserving the surrounding bone and thus reducing the amount of bone eliminated in the extraction. The residual alveolar crest is respected as much as possible, in addition to reducing the temperatures reached during its use. They have an active limit of 5 mm, which acts as guide for the correct drilling depth. EXPLANTATION TREPHINES ø (mm.) Platform FTEX37 FTEX43 FTEX51 FTEX Narrow Universal Universal Plus Wide Trephine drills that can work up to a depth of 15 mm, as they have a cylindrical body with no step. These have been conceived for the extraction of implants or bone blocks for particulate grafting. Depth marks at 8.5, 10, 13 and 15 mm. Manufactured from stainless steel. ø (interior) Drilling depth FTEX27-6 FTEX mm 3.2 mm 6 mm 6 mm These drills have a smaller diameter in the first 6 mm and are indicated for: Extraction of expander implants of ø 2.5 mm and ø 3 mm. Biopsies with Ø 2.7 mm and ø 3.2 mm. Extraction of Tiny implants ø 2.5 mm and ø 3 mm that have broken in the cylindrical area. 79

80 CENTRING DEVICES Narrow Universal Universal Plus Wide INTERNA AND EXTERNA INTERNA AND EXTERNA Long Short CPE CPU CPUP CPA CPEC CPUC CPUPC CPAC The platform positioners facilitate the selection of the implant platform, as its widest part has the same diameter as the colour of the platform it represents, and to verify the distance between the platforms of the implants or between teeth and implants. Its narrowest end can be positioned after the initial drilling, with an additional use as direction indicators. The widest end is inserted into neoalveolus after the 2.5 mm drill (for the Universal platform) and after the 3.25 mm drill (for the Wide platform). The short centring devices are used in the surgical preparation of the alveolus for extra-short implants, with lengths between 5.5 and 7.5 mm. 80

81 IMPLANT MOUNT CONNECTOR Narrow Universal Universal Plus Wide INTERNA AND EXTERNA INTERNA AND EXTERNA CPI19 (short without hex.) CPI22 (long without hex.) CPI22HEX (long with hex.) CPI30 Indicated for transporting the implants to the alveolus. They are inserted in the counter-angle, programming the motor at low revolutions (between rpm). The long connector is ideal for the anterior area and the short one is adequate in posterior areas. The CPI19 and CPI22HEX connectors incorporate a hexagon, which fits perfectly into the mounting of the counter-angle CA-HEX, which makes it possible to work with torques of Ncm more safely. The CPI22 is used for counter-angles without hexagons with a larger head. 81

82 RATCHET WRENCH EXTENSION Narrow Universal Universal Plus Wide INTERNA AND EXTERNA INTERNA AND EXTERNA Manufactured from surgical stainless steel ELLCAC (short) ELLCAL (long) ELLCAX (extra-long) ELLCAXL (ultra-long) mm The BTI extenders are inserted in the LLMQ wrench for the final application of the insertion torque on any of the BTI implant mounts. Available in three lengths, the long one for anterior areas, the short one for posterior areas that are difficult to access and the extra-long one for significant reabsorption. NOTE It is possible to replace the clear rubber o rings of these items. RJPT 82

83 IMPLANT MOUNT Narrow Universal Universal Plus Wide EXTERNA EXTERNA PITEL PIUL PIAL Designed with extra-long length for each of the platforms, it is indicated for placing implants in the anterior sector, between natural teeth, when the adjacent space is minimal and to finish securing the implant in flapless techniques. Fitted on the implant we transfer it to the alveolus with the connector for the handpiece CPI19 (short), CPI22 (long), CPI22HEX. With the ratchet wrench LLMQ, and the wrench extender ELLCAC (short), ELLCAL (long), we make the final manual adjustments of the implant to ensure its stability. With depth marks at 2 and 4 mm for the placement of implants in flapless techniques. Manufactured from surgical stainless steel and laser marked. 83

84 INTERNA APPLICATOR EXTENSION Narrow Universal Universal Plus Wide INTERNA INTERNA EAIE24 EAIE29 Extenders for the dynamometric surgical wrench, whose function is to finish positioning the Interna implant (supra-juxta-subcrestal) during its surgical insertion. On one end they have a connection to this surgical wrench and on the other the connection shape. Thus, during the implant placement the position of the figure can be corrected by turning it easily without having to screw the implant mount on and unscrew it afterwards. EAI15 EAI24 EAI29 NOTE It is possible to replace the clear rubber o rings of these items. RJPT 84

85 DYNAMOMETRIC SURGICAL WRENCH Narrow Universal Universal Plus Wide INTERNA AND EXTERNA LLMQ Surgical ratchet wrench with torques 20, 30, 40, 50, 60 and 70 Ncm enables you to know the exact insertion torque of the implant in the maxillary bone. In order to decide which torque to apply, BTI's scientific directorate recommends detecting the bone density with density identification tools, such as the implant simulation and diagnosis software based on CT scans, BTI Scan 3. For suitable fitting of the implant with a controlled torque, the surgical motor must be set at Ncm and the implant inserted. Once the preset torque has been reached in the motor (20-25 Ncm), continue the manual insertion with the wrench, setting the desired torque depending on the bone quality and the calibre of the implant; thus, in narrow implants or in cases of wide implants poor quality bone (Type IV-V), the wrench must be positioned at 40 Ncm; otherwise, with wide implants placed in bone type I, II or III, the torque selected shall be 50 Ncm. INSTRUCTIONS FOR USE Rotate the torque range regulator in both directions to achieve the desired torque; the torque is read using the markings on the handle of the wrench: 20, 30, 40, 50, 60, 70 Ncm. Once the torque has been set, fit the adapter of the ratchet wrench and proceed to the insertion of the implant. When the preset torque has been reached, the wrench will turn without applying torque (with a characteristic sound). 85

86 INSTRUMENTS FOR PROSTHODONTICS This chapter presents all the instruments necessary to secure the prosthesis on the implant or transepithelial, as well as the wrenches to apply the minimum torque necessary and the kits to which they are linked. At the end of the chapter there is chart summarising the possible combinations between wrenches and tips to facilitate their use in the clinic and laboratory. Women who are pregnant or breastfeeding: There are no additional precautions other than those generally contemplated in techniques of oral implantology. 86

87 CONNECTIONS Tips and screwdrivers Narrow Universal Universal Plus Wide INTERNA AND EXTERNA All the screwdrivers are manufactured from surgical stainless steel. The tip of these screwdrivers is conical, which enables it to retain the part and transport it to the mouth. SQUARE Details of tip Screwdrivers The square tip secures the gold screws directly to the implant. DC17 DC24 DC36 17 mm 24 mm 36 mm LARGE HEXAGONAL Details of tip Screwdrivers The large hexagonal tip is used for the titanium screws, transepithelial abutment screws, healing abutments, protection covers and implant transporter screws. DHG17 DHG24 DHG36 17 mm 24 mm 36 mm SMALL HEXAGONAL Details of tip Screwdriver The small hexagon tip is used for the headless healing screws. DHP24 24 mm INTERNA AND EXTERNA MULTI-IM Of the occlusal registration indicator (direct technique) For transepithelials DIRO DCE17 DCE24 17 mm 24 mm 87

88 MULTITORQUE WRENCH INTERNA AND EXTERNA LLMTP Multitorque wrench that uses the existing torque tips and screwdriver tips, in the appropriate handles for each. They must be inserted into one of the bodies of the screwdriver supplied. The set can be used as a manual screwdriver. The screwdrivers fit into the multitorque wrench to apply the torque controlled on the scale. The range of torques is: and 35 Ncm. They are used to apply the required torque to the retention screws, abutments and transepithelials. 20 Ncm, for healing abutments, titanium screws for transepithelials, Dalbo and small-headed screws. 30 Ncm, for the Locator abutment. 35 Ncm, for gold square universal screws, direct-to-implant Ti-Black screws and transepithelials. The torque wrench needs cleaning before each use. For each sterilisation it is advisable to use an autoclave or chemiclave. Short-cycle sterilisers are not recommended. They must also be verified after approximately 100 sterilisation processes. 88

89 TORQUE TIPS Narrow Universal Universal Plus Wide INTERNA AND EXTERNA These are necessary to apply the appropriate torque to screw-retained elements. The nitriding treatment gives them a greater hardness, so they experience less wear with use. The design in the connection area enables a more gentle insertion and stronger fitting. NOTE It is possible to replace the clear rubber o rings of these items. RJPT TORQUE TIPS These tips can be converted into manual screwdrivers with the handle MDPT and the MDPT1. Hexagonal Parallel walls Small hexagon Square Parallel walls PTHS16 PTHS22 16 mm. 22 mm. PTHP16 PTHP22 16 mm. 22 mm. PTCS16 PTCS22 16 mm. 22 mm. Attention: only for healing screws for Tiny and headless screws. Multi-Im UNIT Locator Dalbo PTTU16 PTTU22 16 mm. 22 mm. PTTL15 15 mm. PTDO 16 mm. PTTL21 21 mm. NOTE: UNIT TRANSEPITHELIAL WIDE PLATFORM needs a specific torque wrench tip: PTUA16 16 mm. 89

90 TORQUE TIPS ANGLED HEXAGONAL Narrow Universal Universal Plus Wide INTERNA AND EXTERNA Spherical torque tips with 6 faces that enable you to resolve vestibular prosthetic emergences and the inadequate emergences from an occlusal point of view between 15º and 30º, changing them to the aesthetic and functional position required. The maximum torque recommended is 20 Ncm. They come in 2 different sphere diameters: The small one is for angles of up to 15º and is indicated for smallheaded screws. The large one is for angles of 30º, only for use with the TTMI30, TTTH30, INTTUH30 and TTUH30. In addition there are 4 different lengths available. NOTE It is possible to replace the clear rubber o rings of these items. RJPT TORQUE TIPS (CAD-CAM) These tips can be converted into manual screwdrivers with the handle MDPT and the MDPT1. Angled hexagonal Angled hexagonal Angles from 0 to 15º Angles from 15 to 30º PTHA16 PTHA22 PTHA28 PTHA34 16 mm 22 mm 28 mm 34 mm PTHB16 PTHB22 PTHB28 PTHB34 16 mm 22 mm 28 mm 34 mm 90

91 PROSTHETIC KIT INTERNA AND EXTERNA KIT KP1 A kit designed to achieve an adequate torque in each of the elements that need to be screw-retained, for carrying out the prosthetic work. Square screwdriver tip PDC17 PDC24 17 mm 24 mm Large hexagonal screwdriver tip Multitorque wrench for prostheses PHG17 17 mm LLMTP PHG24 24 mm 91

92 RIGHT-ANGLE SCREWDRIVER INTERNA AND EXTERNA DAR (Screwdriver + handle) MDAR (Screwdriver handle) This screwdriver consists of two components: the handpiece with reduction 1.2:1 and the handle that adapts to the handpiece. Turning the handle produces the rotation of the interchangeable screwdriver tips. It can be used for inserting or removing screws or healing abutments. The components of the handpiece are reinforced so that the application of torque does not deteriorate the splines; its special design enables it to be perfectly cleaned, lubricated and sterilised like any surgical handpiece. It enables the application of up to 80 Ncm of torque, so we must monitor the force when tightening screws; otherwise, they shall be an instrument of choice for unscrewing tightened parts with a high torque. It is an essential instrument in both surgery and prosthetics when working in the rear sector, as it provides easy access and prevents the screwdriver accidentally being swallowed or inhaled. It must never be used as a motorised counter-angle. 92

93 FAMILY Screwdriver tips Narrow Universal Universal Plus Wide INTERNA AND EXTERNA Square Hexagonal (large) Hexagonal (small) PDC17 PDC24 PDC30 17 mm 24 mm 30 mm PHG17 PHG24 PHG30 17 mm 24 mm 30 mm PHP24 24 mm Attention: only for healing screws for Tiny and headless screws. Flat Locator PDP24 Attention: exclusively for Interna in Universal, Universal Plus and Wide platforms. 24 mm PTL23 PTL29 23 mm 29 mm SOCKET WRENCHES LLEC LLEC1 With these socket wrenches, the screwdriver tips can be converted into manual screwdrivers. 93

94 SUMMARY OF COMBINATIONS Hexagonal Small hexagon* Parallel walls Hexagon (p.) PTHS16 PTHS22 16 mm. 22 mm. Small hex. PTHP16 PTHP22 16 mm. 22 mm. MDPT *Attention: only for healing screws for Tiny and headless screws. Square Parallel walls Square (p.) PTCS16 PTCS22 16 mm. 22 mm. Angled hexagonal Angles from 0 to 15º (CAD-CAM) Angled hexagonal Angles from 15º to 30º (CAD-CAM) MDPT1 Angle 15º PTHA16 PTHA22 PTHA28 PTHA34 16 mm 22 mm 28 mm 34 mm Angle 30º PTHB16 PTHB22 PTHB28 PTHB34 16 mm 22 mm 28 mm 34 mm For Locator transepithelials Dalbo Locator PTTL15 PTTL21 15 mm. 21 mm. Dalbo PTDO 16 mm. LLMTP For Multi-Im transepithelials ( ) and UNIT ( ) PTTU16 PTTU22 16 mm. 22 mm. NOTE: UNIT TRANSEPITHELIAL WIDE PLATFORM needs a specific torque wrench tip: PTUA16 16 mm. 94

95 Large hexagon Small hexagon Large hex. PHG17 PHG24 PHG30 17 mm 24 mm 30 mm Small hex. PHP24 24 mm DAR Square PDC17 PDC24 PDC30 17 mm 24 mm 30 mm LLEC For Locator transepithelials PTL23 PTL29 23 mm 29 mm LLEC1 Flat PDP24 24 mm LLMTP 95

96 SURGICAL INSTRUMENTS AND KITS This section presents different kits that BTI provides for specific surgical techniques and hand-held surgical instruments with special BTI design features. Women who are pregnant or breastfeeding: There are no additional precautions other than those generally contemplated in techniques of oral implantology. 96

97 SOME TECHNIQUES THAT CAN BE PERFORMED WITH THE BTI KITS CRESTAL EXPANSION IMPLANT EXPLANTATION BLOCK GRAFTS 97

98 EXPANDERS KIT AND COMPACTORS KIT Narrow Universal Universal Plus Wide EXPANDERS KIT REF: JEXP Long expanders Description Ø Apex Ø Body ECO1 ECO2 ECO3 ECO4 ELLCAL CPI22 Expander No mm 2.0 mm 15 mm Expander No mm 2.6 mm 15 mm Expander No mm 3.1 mm 15 mm Expander No mm 3.8 mm 15 mm Long ratchet wrench extension Long implant mount connector Silver metal box The BTI expanders and compactors are indicated for Crestal expansion in the upper and lower maxilla. Also for bone compactation and atraumatic sinus elevation. They can be used jointly with the BTI drills. They can be used with a motor or manually. When used with the motor with the CPI22HEX, they must not exceed a torque of 25 Ncm. Material: commercially pure titanium. INDICATIONS Alveolar crest expansion in bone type I, II and III. In both anterior and posterior areas in the upper maxilla or mandible. Condensation or compaction of the bone to place implants in bone Type IV in posterior areas of the maxilla or mandible. COMPACTORS KIT REF: JCOM Short compactors Description Ø Apex Ø Body COMP1 COMP2 COMP3 COMP4 Compactor No mm 2.0 mm 11.5 mm Compactor No mm 2.6 mm 11.5 mm Compactor No mm 3.1 mm 11.5 mm Compactor No mm 3.8 mm 11.5 mm The short compactors are specific for the treatment of posterior areas of the upper maxilla and they are specially designed for patients with a limited oral opening. They have depth marks at 8.5 mm, 10 mm and 11.5 mm. ELLCAC CPI19 Short ratchet wrench extension Short implant mount connector Red metal box 98

99 KIT OF EXPANDERS COMPACTORS Narrow Universal Universal Plus Wide REF: KEXCO Long expanders + Short compactors FICS JEXP JCOM Description Short initial drill Set of expanders Set of compactors This consists of the long expanders and the four short compactors, with which all bone expansion and compaction needs can be resolved for all types of patients. Sterilisable plastic box 99

100 EXPLANTATION KIT This innovative system enables the safe and traumatic extraction of implants with both internal and external connections of practically any brand of dental implants with prosthetic connection. The extractors are inserted in the connection of the implant and adapted, using an extender, to the special wrench included in the kit. Thus the implants are detached safely by torsion, as bone-implant union is broken. In the event 200 Ncm is reached, the wrench forms an angle and prevents progress. If necessary, it is repositioned using a cylindrical part. INDICATIONS The system is indicated for the extraction of osseointegrated implants when they are no longer functional or are unnecessary in a new prosthetic situation. It enables the safe, atraumatic extraction of implants, in most cases avoiding the use of the traditional protocol of extraction using a trephine drill. Each kit comes equipped with detailed instructions for use. As a complement to the Implant extraction kit, there is an Atraumatic trephine drill kit (KFTEX-5). (Page 75) + More information on the explantation kit in the brochure Implant extraction system. 100

101 COMPONENTS KEXIM KIT Narrow Universal Universal Plus Wide COMPONENTS Countertorque wrench Handle Ncm LLT MDPT Extenders Extractors ELLCAC ELLCAL ELLCAX 11.5 mm 20 mm 25 mm NO. 0 - EXIME Maximum 70 Ncm. NO 1 EXIM NO 2 INEXIML NO 3 INEXIM NO 4 EXIMA Note: These extractors are single-use. KEXIM2 This kit complements the KEXIM. New kit that will be used to extract implants with connections that are complex due to their depth and for the extraction of BTI interna implants with stripped connection. KEXIM2 is composed of: EXIML-A EXIML-B DRL-E 1 unit. Drill for fractured external screw (DRL-E) 2 units. Extractor for complex internal connection implants A (EX- IML-A) 2 units. Extractor for complex internal connection implants B (EX- IML-B) They enable the extraction of internal connections that are very deep Note: These extractors are single-use. and very conical, in those where the EXIM cannot reach, improving the fixation to the implant and increasing its mechanical resistance. ADDITIONAL REFERENCE Exclusively for the Interna connection by BTI. INEXIM2 101

102 RECOVERY KIT FOR FRACTURED SCREWS Narrow Universal Universal Plus Wide INTERNA AND EXTERNA Kit for fractured screws INEQREC (for use in Interna ) EQREC (for use in Externa) This is a kit to use in the event of breakage of the screw between the prosthesis and the implant (TOUC, TOOC, TTUH, TOTC and TTTH). Includes tools for removing the screw body left inside the internal thread of the implant and others for renewing this thread thus enabling the use of a new screw and making the implant functional once more. + More information about this kit and its use on the website: 102

103 RECOVERY KIT FOR STRIPPED SCREWS Narrow Universal Universal Plus Wide INTERNA AND EXTERNA Kit for stripped screws EQRED This is a kit to use when the large hexagon or square head of the universal screw, the healing micro screw, the screw of the transepithelials cylinder (straight, 15º or 30º) or the hexagon head of the transepithelials placed in the implant are stripped. If when one of the aforementioned screws is tightened, a greater torque than recommended is applied, it may end up unusable, preventing it from being tightened or extracted. + More information about this kit and its use on the website: 103

104 ADDITIONAL SURGICAL INSTRUMENTS BTI presents its line of Surgical Instruments with a wide range of products to satisfy all your needs during surgery. Many of the instruments incorporated are exclusively designed by BTI. All the high quality, precision instruments. + More information about surgical instruments in the brochure Surgical instruments. 104

105 COMPONENTS Pincers for microsurgery Microscalpel handle PMC MMC Curved scissors for microsurgery Needle holder for microsurgery TCMC PAMC6 Periosteal rasp Papilla rasp DPZ EPA Pincers for block grafts Surgical compass PIB PIBC COQ Sinus elevation kit Periotomes DMS1 DMS2 DMS3 PER1 PER2 PER3 PER4 105

106 DEVICES This chapter contains the electromedical devices that BTI makes available: BTI Drill-Tech surgical motor and BTI Ultrasonic. Women who are pregnant or breastfeeding: There are no additional precautions other than those generally contemplated in techniques of oral implantology. 106

107 BTI DRILL-TECH SURGICAL MOTOR "BTI Drill-Tech is the motor that BTI Biotechnology Institute markets and recommends for the placement of BTI implants. The handpiece CA-HEX adapts perfectly to the surgical instruments necessary for the BTI implant system. FEATURES Conceived particularly for surgical interventions in implantology, as well as in oral and maxillofacial surgery. Easy to handle. Motor without brushes, friction-free. Strong and powerful rotation moment and precise control of the torque limit. Provides a wide range of rotation speeds (15-50,000 rpm.) depending on the handpiece used: - Straight handles (1:1): speed ,000 rpm. (not supplied by BTI) - Counter-angle CA-HEX (reducer 20:1): speed 15-2,500 rpm. Irrigation pump of 90 ml/min. Programme selected using the pedal P1: indicated for the initial drilling, with irrigation. P2: is the option for the rest of the drilling sequence. P3: is used to insert the implant and for the use of motorised expander-compactors. P4: is suitable for the opposite rotation direction. P5: must be used only with straight handles at high revolutions. + More information about this product in the brochure BTI apparatus for implant surgery. 107

108 BTI ULTRASONIC TIPS KIT Specific tips BASIC KIT UT1 Circular spatula tip at 140º To carry out corticotomies and cortical scraping prior to the reception of a block graft. Power 40 Vibration 80 Irrigation 45 UT4 Straight periotomy tip To extract root fragments and ankylosed teeth. Power 50 Vibration 50/100 Irrigation 45/60 UT5 Spatula tip For corticotomies. Power 48 Vibration 10/80 Irrigation 45/60 SINUS ELEVATION KIT (KES) UT1 Circular spatula tip at 140º To carry out corticotomies and cortical scraping prior to the reception of a block graft. Power 40 Vibration 80 Irrigation 45 UT4A Straight periotomy tip, rotated 90º To extract root fragments and ankylosed teeth. Power 50 Vibration 50/100 Irrigation 45/60 UT1A Mini circular spatula tip at 140º For sinusoidal corticotomies. Power 40 Vibration 80 Irrigation 45 UT4 Straight periotomy tip To extract root fragments and ankylosed teeth. Power 50 Vibration 50/100 Irrigation 45/60 108

109 BTI ULTRASONIC TIPS KIT Specific tips BLOCK GRAFTS KIT (KIB) UT1 Circular spatula tip at 140º To carry out the vertical incisions when extracting a block graft and to carry out corticotomies and cortical scraping prior to the reception of a block graft. Power 40 Vibration 80 Irrigation 45 UT6R Right spatula tip To make the lower longitudinal corticotomies of the block. Useful for the right approach. Power 40 Vibration 80 Irrigation 45 UT5 Spatula tip To make the longitudinal crestal bone incision of the graft. Power 48 Vibration 10/80 Irrigation 45/60 UT6L Left spatula tip To make the lower longitudinal corticotomies of the block. Useful for the left approach. Power 40 Vibration 80 Irrigation 45 CRESTAL SPLIT KIT (KSC) UT1 Circular spatula tip at 140º To carry out corticotomies and cortical scraping prior to the reception of a block graft. Power 40 Vibration 80 Irrigation 45 UT5 Spatula tip For corticotomies. Power 48 Vibration 80 Irrigation 45 UT3 Rounded periotomy tip For crestal splits. Power 50 Vibration 50/100 Irrigation 45/60 UT3A Rounded periotomy tip, rotated 90º For crestal splits. Power 50 Vibration 50/100 Irrigation 45/60 109

110 MICROIMPLANTS FOR ORTHODONTICS Kit: KIO BTI offers microimplants for orthodontics manufactured from Grade 5 Titanium alloy with different diameters and lengths, designed to be the fixed anchor for the different orthodontic movements, used as a complement to natural teeth for this purpose. They are used temporarily while they are needed as an anchor, and are later removed. They are inserted transmucosally on adhered gum. CHARACTERISTICS OF THE HEAD The head of these implants has two crosswise grooves that house the corresponding screwdriver during insertion. Similarly there is a hexagonal area so they can be manipulated with the system connector. CHARACTERISTICS OF THE THREAD The external thread has a self-tapping profile with a sharp tip, so drilling is not performed prior to the insertion of the implant. The thread profile is anti-expulsion, in order to withstand the tractions to which it is subjected. It has a wide thread pitch to avoid breaking the bone. The threads are 0.5 mm deep. Children: They are indicated for this population group for temporary use. Women who are pregnant or breastfeeding: There are no additional preventive measures other than those generally accepted in oral implantology techniques. However, this particular situation should be considered by the clinician before placing the implants. Re-use and/or re-sterilization of implants may cause risk of infection and/or cross contamination. 110

111 MICROIMPLANTS KIT Components MICROIMPLANTS ø (mm) IO IO IO IO mm 10 mm 8.5 mm 10 mm AUXILIARY ELEMENTS Screwdriver tip PPIO21 21 mm With a standardised end for use with the counterangle or alternatively with socket wrench LLEC or LLEC1. It is inserted in the crosswise groove of the microimplants. Connector CPIO CPIO for implant insertion or extraction. Use the hexagonal head of the implant for manipulation. Sterilisable box CIO CIO where the implants can be housed in order of diameter and length, as well as the components PPIO21 and CPIO. In addition, it has a measure to be able to check the measurements of the implants. This box is made of plastic and is resistant to sterilization by autoclave. 111

112 BLOCK GRAFTS KIT Kit: KTO The kit of osteosynthesis screws is designed to secure bone blocks in the recipient area to be grafted in oral and maxillofacial surgery processes. The screws are for single use to guarantee their effectiveness and avoid cross contamination. ADVANTAGES Smaller screw diameter, therefore less invasive. They can secure small grafts with minimum thicknesses. They have a self-tapping apex. 112

113 COMPOSITION OF THE KIT Components Drill 0.8 mm Manufactured from stainless steel Description F0508CS 0.8 mm diameter throughout the whole length. It is used to perforate the block completely, when using the 1 mm screws. Drilling speed: 500 rpm with irrigation. Countersink drill Manufactured from stainless steel Description FIO05 Helps the seating of the screw head. The black mark indicates the maximum depth. Drill 0.7/1 mm Manufactured from stainless steel Description F0710CS The apex has a diameter of 0.7 mm and the rest of the body is 1 mm. It is used to perforate the block completely, when using the 1.2 mm Ø screws. Drilling speed: 500 rpm with irrigation. Screwdriver transporter square tip DCTO Description Square tip screwdriver, self-carrying for the screws. Manufactured from stainless steel. Osteosynthesis screws with Ø 1 mm and different lengths Manufactured from titanium TO1004 TO1006 TO1008 TO mm 6 mm 8 mm 10 mm Osteosynthesis screws with Ø 1.2 mm and different lengths Manufactured from titanium TO1204 TO1206 TO1208 TO mm 6 mm 8 mm 10 mm 113

114 KITS FOR OBTAINING Endoret (PRGF ) Endoret (PRGF ) technology and all its component elements have been specifically designed by the department of R&D&I at Biotechnology Institute (BTI) to obtain Plasma Rich in Growth Factors (Endoret (PRGF )) for its subsequent application to different specialities. BTI offers its users in the field of oral surgery single-use kits with the necessary equipment for the habitual surgical treatment. With these single-use kits we increase the biosafety of the treatment, reducing the working time and avoiding the sterilization of the materials for use. They also comply with the quality standards required by the European health authorities. Children, and pregnant and lactating women: There are no additional preventive measures other than those generally considered for Endoret (PRGF ) technology. However, these particular situations should be considered by the clinician before its application. The reuse and/or resterilization of single-use components that comprise Endoret (PRGF ) technology can cause a risk of infection and/or cross contamination. 114

115 BTI SINGLE-USE KITS ORAL SURGERY Kit START PTD-0 PTD-0 Content KMU15 KIT CD: one digital chronometer unit GT16: a rack for 9 ml tubes 3 RPI50: a container for Ø50 mm grafts All the necessary elements for a new user in oral surgery to start working with Endoret (PRGF ) technology. KMU15 Kit Content of each blister pack: Content of additional blister pack KMU15 4 extraction tubes 8 extraction tubes 2 fractionation tubes 4 fractionation tubes 1 ampoule of activator 2 ampoules of activator 1 activation syringe 1 PTD2 1 winged blood collection set 5 identification labels This new single-use plasma fractionation kit has all the necessary elements for the Endoret (PRGF ) technique in oral and maxillofacial surgery. The KMU15 kit is composed of 10 blister packs for individual treatment. In addition, each KMU15 contains one blister pack of additional material. KMU15 PLUS Kit KMU15 PLUS Content of each blister pack 8 extraction tubes 4 fractioning tubes 2 ampoules of activator 1 activation syringe 1 PTD2 1 winged blood collection set 5 identification labels For surgery with greater demand for material, the KMU15 PLUS Kit is available with 10 blister packs for individual treatment. Kit KMU16 KMU16 Content of each blister pack 4 extraction tubes without anticoagulant 2 fractioning tubes 1 PTD2 1 winged blood collection set 5 identification labels This new single-use plasma fractionation kit has all the necessary elements for the Endoret (PRGF ) technology in alveoluses post-extraction. The KMU16 kit is composed of 15 blister packs for individual treatment. 1. Fast: Without the need for anticoagulant or Ca as an activator, the processing is much faster. 2. Simple: Fewer steps, less material, fewer mistakes. 3. Biological: The formation of the fibrin membrane and the clot is faster and its capacity to retain growth factors is greater. 115

116 SINGLE-USE MATERIAL OF THE KITS BTI protocol Plasma Transfer Device (PTD2) PRGF activator Single-use and disposable system of aspiration and fractioning of Endoret (PRGF ). Individually blistered and sterilised units. Does not need calibration or maintenance. Ergonomic: light and easy to use. 1 ml ampoule of calcium chloride. Steril inside, protected in individual containers. Indicated for activating Endoret (PRGF ), in a biologically controlled way. Extraction tubes Capacity: 9 ml. With an anticoagulant that does not activate the platelets non-specifically. Sterile inside. Tubes approved for the preparation of Endoret (PRGF ) ( Medical device). Fractioning tubes Capacity: 9 ml. Sterile inside. Tubes approved for the preparation of Endoret (PRGF ) ( Medical device). Extraction tube, no additives Capacity: 9 ml. Sterile inside. Tubes approved for the preparation of Endoret (PRGF ) ( Medical device). Blood extraction tube with grey cap, that does not contain any type of anticoagulant, so subsequent activation is not necessary. Activating syringe Syringe intended for the controlled activation of Endoret (PRGF ). 0.5 ml capacity. Sterile, individually blistered and disposable. Winged blood collection set Winged blood collection sets. Sterile, individually blistered. Closed system for blood extraction. 116

117 NECESSARY COMPONENTS Endoret (PRGF ) technology System IV Centrifuge Specific equipment designed and approved by the health authorities for the preparation of Endoret (PRGF ), unlike laboratory centrifuges. Removable and sterilisable tube holder with capacity for 8 tubes of 9 ml. Dimensions: width: 36 cm / height: 27 cm (closed), 36 cm. (open) / depth: 42 cm Weight: 15.4 kg. Plasmaterm H Enables the bio-medical objects to be obtained more quickly and easily (clots, grafts, fibrin membranes). Maintains a constant temperature of 37 ºC +/-1. Capacity for different recipient sizes (racks, dishes, etc.). Sterilisable removable trays. Dimensions: width: 23 cm / height: 17 cm / depth: 20 cm Weight: kg. Rack (GT16) Specially designed to maintain asepsis of the plasma throughout the process. It has nine lateral windows that facilitate viewing the volume. With a protective cover to maintain asepsis during transport from one room to another. Capacity for 8 tubes of 9 ml. Activation recipient (RPI50) To carry out the activation phase. Made with a biocompatible material. With a protective cover to guarantee the aseptic conditions of the Endoret (PRGF ). Available in 50 ml. Autoclavable. + More information on Endoret (PRGF ) technology in the brochure Endoret (PRGF ), Plasma Rich in Growth Factors. Application in oral surgery. 117

118 BTI Scan 3 This section presents the software that BTI has developed to facilitate implant surgery. Children: Permanent implants are not intended for use in children who have not concluded their growth and development stages. Women who are pregnant or breastfeeding: There are no additional precautions than those generally considered in radiology and oral implantology techniques, nevertheless, these states must taken into account by the clinician, before subjecting the patient to a radiology examination (CT) and subsequent use of BTI Scan 3 for diagnosing and planing implant treatment. 118

119 WHAT IS IT? DESCRIPTION BTI Scan 3 is a software application for the diagnosis and digital planning of treatments that allow you to guarantee higher quality and predictability of implantological surgery. After the radiologist performs the scan of the patient, a set of slices are obtained that are sent to the dentist on a CD-ROM, in order to view the case in three dimensions and make the corresponding study using a computer with the software BTI Scan 3. BTI SCAN 3 RED BTI SCAN 3 ACT BTI SCAN 3 ADL Intended for Network Update Additional online licence ADVANTAGES A PRECISE DIAGNOSIS A precise and safe diagnosis deciding the length, width and exact location of the implant. SAFETY AND SUCCESS IN THE OPERATION It allows you to determine the bone density of each point of the alveolar bone, inside and outside the implants to be fitted. In addition, it allows you to completely assess the mouth cavity and its anatomical structures, including those at risk such as the inferior dental nerve, marking it to highlight it visually. COMFORTABLE AND SIMPLE It is a simple and intuitive program. All the information will be quickly within reach. Easy network or single-user installation. CONFIDENCE FOR YOUR PATIENTS BTI Scan 3 technology will help your patients to understand the treatment plan through the 3D simulation and visualisation that this system offers. + More information about this product in the brochure BTI SCAN

120 OPERATION STEPS The patient arrives at your clinic, and after an examination, they will be diagnosed with an absence of teeth or the need to replace existing ones. With a scanner a series of axial sections are obtained which the radiologist stores on a CD-Rom that will be sent immediately to the dentist. BTI Scan 3 reformats the axial sections to show three types of section per screen: axial, panoramic and sectional. BTI Scan 3 allows you to carry out a much quicker, effective and precise analysis of the CT scan, helping to adequately plan the surgery and its long-term predictability. BTI Scan 3 generates panoramic images that show the mandibular foramen, making possible to draw its trajectory, (which can be seen in the panoramic section and in the sectional views) and observe any dental pathology the patient may have. BTI Scan 3 allows you to simulate the placement of the implants, being able to define the length, diameter, angulation and distance between implants and teeth with greater ease. It offers your patients confidence. The 3D simulation and virtualisation of BTI Scan 3 will allow them to feel much safer with the operation. The dentist can print out a final report of the planning, adding their own notes and recommendations for the surgery. With BTI Scan 3 the chances of success with surgery increase considerably. 120

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122 CLEANING AND STERILIZATION All the prosthetic components and surgical instruments are supplied clean and hermetically packaged, but only those where it is marked on the label are sterilised. The device that comes from the factory sterile is subject to the following process: 1. Cleaning and degreasing. 2. Cleaning in clean room and hermetic packaging. 3. Sterilization by gamma rays. For the other devices that are not supplied sterile, all components intended for use in the mouth must be sterilised in autoclave before first use. (See procedure for sterilisation in autoclave) If the instruments are reusable, they must be reprocessed after every use. Reprocessing consists of three stages: 1. Manual or automatic cleaning. 2. Manual or automatic disinfection. 3. Sterilisation in autoclave.

123 TYPES OF LABELS IMPLANT WITH SURFACE Optima INTERNA REF IIPU4011 ø LOT V.11.0 Example of an informative label that appears on all boxes of BTI dental implants with reference numbers and quality icons to be taken into account. IMPLANT WITH SURFACE UnicCa Type of implant Unfolding part FRONT es Implante Interna plataforma universal. en Interna universal platform implant. de Interna Implantat Standard-Plattform. it Impianto Interna piattaforma universale. pt Implante Interna plataforma universal. fr Implant Interna plate-forme universelle. REF: REF: Patient labels and other registry uses Manufacturer's address Symbols according to standard EN 980 and REAR 123

124 TYPES OF LABELS STERILISED MATERIAL INTMIPU30 INTERNA MULTI-IM TRANSEPITHELIAL UNIVERSAL 3 MM Z B.T.I. Biotechnology Institute, S.L. Parque Tecnológico de Álava Leonardo Da Vinci, Miñano (Álava), Spain Tel.: (+34) Fax: (+34) bti.implantes@bti-implant.es UNSTERILISED MATERIAL INTTUH HEXAGONAL TITANIUM SCREW INTERNA A B.T.I. Biotechnology Institute, S.L. Parque Tecnológico de Álava Leonardo Da Vinci, Miñano (Álava), Spain Tel.: (+34) Fax: (+34) bti.implantes@bti-implant.es 124