For Threadloc 3.75 (implant discontinued - components available in Branemark section) For Spline SD, RD & WD (only Locator components available)

Transcription

1 Integral Integral Internal Non-Hex (flat-top) Implants The Integral Implant System was developed in the early 1980 s by Calcitek of Carlsbad, C. Calcitek, acquired by Zimmer Dental, was a pioneer and market leader in H (Hydroxalapatite) technology in the dental market. Calcitek offered various modalities of dental implants and was the first company to use advanced computer imaging and milling technology to noninvasively create a three-dimensional model of a patient s jawbone upon which a custom subperiosteal implant could be designed and fabricated. Calcitek Implant System consisted of the Integral, Omniloc, Spline and Threadloc. These implants are no longer available but limited replacement components are available from ttachments International. PRT 2: Integral Internal Non-Hex (flat-top) Connection Integral & non-hex (flat top) (implant discontinued - components available) Omniloc & internal octagon (implant discontinued - components available) For Threadloc 3.75 (implant discontinued - components available in Branemark section) For Spline, RD & WD (only Locator components available) Compatible to the Integral, the discontinued O-butment implant was developed in the late 1980 s by Dr. David D. Dalise and was available since 1989 from the O-Company (currently OCO BioMedical) in lbuquerque, NM. Part 2 Integral & Internal Non-Hex Omniloc Implants Restoratively Compatible To Integral non-hex flat-top (discontinued) O-Butment Integral non-hex flat-top (discontinued) nchor O-Butment Steri-Oss Original 3.8/ non-hex Omniloc & internal octagon (discontinued) none Threadloc 3.75 external hex (discontinued) Branemark, Regular Platform 4.1 Refer to Branemark 3i Miniplant & Standard Osseotite section for compatible IMZ Hex Head 3.3 & components. Innova Entegra & Restore RD & Sustain RD Taper-Lock Spline interdigitating projection connection Locator parts available none Omniloc Internal Octagon (flat-top) Implants ømm *1-72 Thread ømm 2.5mm Thread 2.3mm Threadloc External Hex Implant Branemark RP Compatible *1-72 Thread *1-72 Thread is Integral approximately 1.8mm Integral Internal Non-Hex (Flat Top) Internal Non-Hex (Flat Top) Implant Diameter Implant Diameter 2.5mm Thread ll product names referenced herein are trademarks of their Copyright 2007 ttachments International, Inc., San Mateo, C 293

2 Terminology of Components Integral & Compatible Implant Name Direct To The Implant Indirect Components Page Header Sample Guide Direct To The Implant Restoration Connection Implant nalog UCL butments Components listed on page Restorative Components: For ease in selecting components, the Integral Section is divided by Restoration Connection: Direct To The Implant or Indirect To n Intermediate Component (Tissue Extensions/butments). Overdenture ttachments, Bar Systems, Indirect Individual Parts and Tools are found following in the Indirect Section. The Direct Restorative Components are the elements used to fabricate a restoration that will be connected directly to the implant(s). The Indirect / Intermediate Restorative Components fit to an intermediate tissue extension (abutment) which in turn is connected to the implant(s). Implant Body: The implant body is placed into the bone for approximately 4-6 months to allow for osseointegration. The implants should not be loaded prior to osseointegration. Integral Shouldered butment Tissue Extension: The TE (Tissue Extension) also referred to as the Shouldered butment, is the intermediate connector between the implant and the restoration, it may extend above the tissue. In some instances, a TE extension is subgingival, to provide a more esthetic restoration. INTEGRL UM Compatibility: Implants ll product names referenced herein are trademarks of their Copyright 2007 ttachments International, Inc., San Mateo, C Implant Standardization: The UM tissue extension was developed to standardize the many different implant companies' components and instruments for a more economically controlled inventory and for simplicity of restorative procedures. Its tapered/hexagon fitting surface is identical, regardless of the size or type of implant employed, while its screw-in base or press fit neck is implant specific. 294 Restoratively Compatible To Integral non-hex flat-top (disc.) O-Butment Integral non-hex flat-top (disc.) nchor O-Butment Steri-Oss Original non-hex Omniloc & (discontinued) none Threadloc 3.75 external hex (discontinued) Branemark, Regular Platform 4.1 Refer to Branemark 3i Miniplant & Standard Osseotite section for compatible IMZ Hex Head 3.3 & components. Innova Entegra & Steri-Oss Hex-Loc 3.8 & 4.5 Taper-Lock Spline, RD & WD none

3 & Direct To The Implant Impression Copings nalogs IMPRESSION COPINGS To Fit Implant Impression copings are used to take an impression of the implant body or of the tissue extension, such as the UM, or the Shouldered butment. The Impression copings which fit the implant bodies are made of titanium and transfer the thread trimming. Small Diameter Integral Implant Medium Diameter Integral Implant Description Order # Order # Impression Copings To Fit Implant Impression Copings To Fit Implant () NLOGS To Replicate Implant Brass analogs are used for the fabrication of a master model. They replicate the fitting surface and the internal threads of the implant body or the UM tissue extension. When the UM tissue extension is used instead of the Shouldered butment, the standard line of UM components is indicated. Small Diameter Integral Implant Medium Diameter Integral Implant Description Order # Order # Implant Body nalog, Brass () Integral is a federally registered trademark of Zimmer Dental, Inc., Carlsbad, C ll product names referenced herein are trademarks of their respective companies. Copyright 2007 ttachments International, Inc., San Mateo, C 294

4 & Direct To The Implant UCL, CSP butments Small Diameter Integral Implant Medium Diameter Integral Implant B UCL, CYLINDER, SCREW & PLUG (CSP) The UCL abutment system which fits directly to the implant, is the most widely used restorative concept for screw-retained bridge type restorations. The UCL for Integral allows only bridge and bar type overdenture possibilities. Each UCL abutment includes the castable machined plastic abutment,.050" hex screw, and the patented occlusal plug. The UCL abutment is also referred to as a CSP (Cylinder, Screw and Plug). Description Order # Order # Cylinder, Screw & Plug (CSP) UCL, CSP Non-Hex Cylinder (blue), Hex Screw.050" & Plug () UCL, CSP Non-Hex Cylinder (white), Hex Screw.050" & Plug (B) PRTS UCL, Plastic Cylinder only UCL, Screw only, Titanium.050" Hex USE WITH Impression Coping, Tapered To Fit Implant Implant Body nalog, Brass TOOLS Hex Driver for all.050" Screw, Healing Caps, and Guide Pins Hex Lab.050" Driver Hex DDS Driver12mm, long REMERS Reamer, Integral, blue handle for (no Pin Vise required) Reamer, UCL Micro Carbide (requires Pin Vise ) Pin Vise for Carbide Reamers " INTEGRL Reamer Pin Vise Integral is a federally registered trademark of Zimmer Dental, Inc., Carlsbad, C ll product names referenced herein are trademarks of their respective companies. Copyright 2007 ttachments International, Inc., San Mateo, C 295

5 DIRECT SCREW-IN TITNIUM POSTS The direct titanium abutment post screws into the implant body and may be secured with Teflon tape or thread adhesive. The tapered posts, designed for bridge restorations, can be altered like a preparation. The titanium posts have an internal.050" hex for insertion and removal. Bulk grinding Integral & Small Diameter Integral Implant Medium Diameter Integral Implant Direct To The Implant Direct Titanium Posts on the titanium post should be done outside the oral cavity. Fabricate a soft tissue model whenever preparations are made in the laboratory. If the final restoration is to be retrievable, then consider set screws. Description Dimensions Order # Order # Direct Titanium Posts () Direct Titanium Posts 2.0mm x 12mm N/ Direct Titanium Posts 3.0mm x 12mm N/ USE WITH: Impression Coping Implant Body nalog TOOLS: Bio-Torq Wrench 20 N/CM Bio-Torq Socket Bio-Torq Tip Hex.050" long LT/ R Driver LT/ R Handle LT/ R Tip Hex.050" long INTEGRL Note: Dimensions refer to gingival vertical section before taper begins, overall height is 12mm. ll product names referenced herein are trademarks of their Copyright 2010 ttachments International, Inc., Burlingame, C 301

6 & Indirect Components UM System B C D E F UM COMPONENTS B C Integral is a federally registered trademark of Zimmer Dental, Inc., Carlsbad, C ll product names referenced herein are trademarks of their respective companies. Copyright 2007 ttachments International, Inc., San Mateo, C 297 UM BUTMENT The UM butment (tissue extension), like the Shouldered butment, is an intermediate component made to fit between the implant and the restoration. The UM has a standardized fitting surface, which allows the UM restorative components to be interchangeable regardless of the implant type. The UM Healing Cap protects the UM until the restoration is delivered. The Bridge Tapered UM Impression Coping transfers the UM position while the Hex UM Impression Coping transfers the hex orientation of the UM butment. The UM nalog replicates the UM for the model. The UM Hex or Non-Hex Plastic Cylinders are used to make frameworks for bridges or bars. The UM CL System is used for a passive fit technique. For restorations the fit directly to the implant refer to the Direct UCL System for the specific implant type. Description Dimensions Intended Use Order # Order # UM butment Tissue Extension Height Tissue Extension / butment UM, butment H=2.0mm UM, butment H=3.0mm UM, butment H=mm UM, butment H=5.0mm UM, butment H=6.0mm UM, butment H=7.0mm N/ Components To Fit UM butment / Tissue Extension Healing Cap Tissue Healing / Management One Thread Size Fits ll UMs UM Healing Cap H=2.0mm ø=4.5mm UM Healing Cap H=mm ø=4.5mm UM Healing Cap H=6.0mm ø=4.5mm Impression Coping Impression Taking / Transfer Timing UM Impression Coping Tapered, one piece UM Impression Coping Hex with.050" Hex Guide Pin, two piece nalog Model Fabrication UM nalog, Brass CSP (Cylinder, Screw & Plug) Crown & Bridge / Bar Restorations UM Hex Cylinder (blue), Ti.050" Hex Screw & Occlusal Plug UM Hex Cylinder (blue), Ti Slot Screw & Occlusal Plug UM Non-Hex Cylinder (yellow), Ti.050" Hex Screw & Occlusal Plug UM Non-Hex Cylinder (yellow), Ti Slot Screw & Occlusal Plug CL Cylinder (Passive Fit) Bars / Fixed Detachable UM CL Cylinder, Ti.050" Hex Screw, Waxing Sleeve & Spacer NOTE: Slot Screws (# ) may be ordered separately. PRTS UM.050" Hex Titanium Screw, only UM, Short Bar Cylinder only, Red FOR INDIVIDUL UM PRTS & TOOLS Refer to the UM Section of this Manual. C Healing Cap Impression Coping Impression Coping nalog CSP CSP CL Cylinder Tapered 1 piece Hex 2 piece Brass Hex Cyl, Hex screw Non-Hex Cyl, Hex Screw D E E F INTEGRL

7 SHOULDERED BUTMENT (S) butments (tissue extensions) are intermediate components made to fit between the implant and the restoration. Restorations can be made on the abutment using abutment cylinders. The Impression Coping takes an impression of the abutment and transfers the abutment position. The nalog is a replica of the abutment and is used for fabrication of a master model. The Shouldered butment Cylinder & Screw, SHOULDERED BUTMENT COMPONENTS & B C Indirect Components Shouldered butment System machined plastic cylinder (waxing cylinder) and.050" hex screw (coping screw) will fit the Integral, Integral, Omniloc and Omniloc Shouldered butment only, unlike the UM CSP which fits all implants using the standard UM system. To attach abutment use the Bio-Torq or LT/R tips. For restorations that fit to the implant directly, refer to the Direct UCL system. Impression Coping nalog Cylinder & Screw Tapered 1 piece Stainless Non-Hex Cyl,.050"/1.25mm Hex Screw Description Dimensions Intended Use Order # Components To Fit Shouldered butment / Tissue Extension B C Impression Coping Impression Taking Impression Coping Shouldered butment nalog Model Fabrication Shouldered butment nalog, Stainless Steel Cylinder & Screw Crown & Bridge / Bar Restorations S, Cylinder & Screw Non-Hex Cylinder (blue) & Hex Screw.050"/1.25mm PRTS S, Non-Hex Cylinder only, blue S, Hex Screw.050"/1.25mm only INTEGRL Note: The UM components will not fit on the Shouldered butment. ll product names referenced herein are trademarks of their Copyright 2010 ttachments International, Inc., Burlingame, C 303

8 & Omniloc OVERDENTURE STUD TYPE TTCHMENTS Dalla Bona, ORS & llegro Overdenture ttachments Three types of overdenture attachments are most commonly used to directly screw into the implant the Dalla Bona, the ORS, (O-Ring system) and the Locator. Connectors are made of titanium. Dalla Bona male, ORS male and Locator female are sold separately by tissue height. The DB Female Kit includes 1 adjustable female, 1 spacer and 1 brass analog. The ORS Female Kit includes 1 gold plated retainer ring, 3 white final & 3 red processing O-Rings and 1 brass analog. Locators are listed on a separate page. DB DB ORS ORS Small Implant Diameter Integral & Omniloc Medium Implant Diameter Integral & Omniloc B C C llegro Implant Female Kit lternative for DB Integral & Omniloc & Description Tissue Height Order # Order # Order # Order # Dalla Bona System () Integral Integral Omniloc Omniloc Dalla Bona, male only H=1mm Dalla Bona, male only H=2mm Dalla Bona, male only H=3mm Dalla Bona, male only H=4mm Dalla Bona, male only H=5mm H Dalla Bona, male only H=6mm Dalla Bona, male only H=7mm N/ N/ Dalla Bona, Implant Ti Female Kit includes Female, Spacer & Brass nalog llegro, Implant Female Kit (option for Dalla Bona female) (B) includes Metal Housing, 4 Females, Spacer & Brass nalog ORS, O-Ring System (C) Integral Integral Omniloc Omniloc ORS, male only H=1mm ORS, male only H=2mm ORS, male only H=3mm ORS, male only H=4mm H ORS, male only H=5mm ORS, male only H=6mm ORS, male only H=7mm N/ N/ ORS, Implant Female Kit, includes Retainer Ring, nalog & 3 red & 3 wt. O-Rings PRTS & TOOLS For Dalla Bona, llegro & ORS Parts and Tools refer to next page. For Locators refer to separate page. Note:: Male ball diameter for Dalla Bona and ORS is 2.25mm ll product names referenced herein are trademarks of their Copyright 2010 ttachments International, Inc., Burlingame, C 306

9 Components, Parts & Tools Dalla Bona, ORS & llegro Parts & Tools for Overdenture Stud Type ttachments OVERDENTURE STUD TYPE TTCHMENT PRTS & TOOLS Two types of overdenture attachments are most commonly 1 spacer and 1 brass analog. The llegro Female Kit is used to directly screw into the implant the Dalla Bona and offered as an option for the Dalla Bona System. The ORS the ORS, (O-Ring system). Connectors are made of titanium. Female Kit includes 1 gold plated retainer ring, 3 white final & Dalla Bona males and ORS males are sold separately by tissue height. The DB Female Kit includes 1 adjustable 3 red processing O-Rings and 1 brass analog. female, PRTS Description Dimensions Order # DLL BON FOR IMPLNTS Dalla Bona, Implant Female Kit: includes Female, Spacer & Brass nalog Dalla Bona, Resilient Female, Gold FH=3.1mm Dalla Bona, Resilient Female, Titanium FH=3.4mm Dalla Bona, Resilient Female, Plastic (4) FH=3.5mm Dalla Bona Hex nalog, Brass (2) Dalla Bona Hex Spacer, Brass (2) PVC Ring (6), replacement ring for Dalla Bona female LLEGRO FOR IMPLNTS llegro, Implant Female Kit (option for Dalla Bona female) includes Metal Housing, 4 Females, Implant Spacer & Brass nalog ORS FOR IMPLNTS ORS, Retainer Rings (6) H=2.0mm ø=5.1mm ORS, Combo O-Rings: 6 blue, 6 red (processing), 6 wt, 6 blk Outside ø=4.5mm Inside ø=1.4mm ORS, Implant Female Kit: includes Retainer Ring, Brass nalog and 3 red processing & 3 white final O-Rings O-Ring Hex nalog, Brass (2) TOOLS BIO-TORQ Wrenches, Socket & Driver BIO-TORQ Wrench 10 N/cm BIO-TORQ Wrench 20 N/cm BIO-TORQ Wrench 30 N/cm BIO-TORQ Wrench 35 N/cm BIO-TORQ Socket BIO-TORQ Extension BIO-TORQ ORS / Dalla Bona Tip/Driver LT/R DRIVER LT/R R Hand Driver LT/R R Handle / Socket LT/ R ORS / Dalla Bona Tip Dalla Bona ctivating Tool, Blue Dalla Bona Deactivating Tool, Yellow LLEGRO (for replacement parts see llegro OD section page 99) llegro OD/DE Micro/Regular Insertion Tool Dalla Bona ctivating Tool Dalla Bona Deactivating Tool ll product names referenced herein are trademarks of their Copyright 2010 ttachments International, Inc., Burlingame, C 215

10 & Overdenture ttachments Bar Type IDEL BR RESTORTIONS There are numerous options for implant bar restorations available today. To simplify your search, we have selected the most proven and popular systems on this page. For a complete listing of all bar system components, refer to the Bar and Clip Quick Reference Charts. Most implant bar restorations involve from 2 to 5 implants. The ideal implant bar system incorporates a bar and retentive clips in the anterior section and locking pin attachments distally for support and stability. The Hader-EDS Bar Master kit is the preferred choice. The CM Gold Clips may be used as an alternative. The locking SwissLoc NG is the preferred distal attachment to prevent lift-off and still provide resiliency. The Lew is a viable alternative. For Laser Welding Technique, use only titanium bars and posts. Recommended parts needed for a successful bar restoration: PPM Bar 0 degree SwissLoc ttachments Hader-EDS Clips Hader-EDS Bar Description Order # HDER-EDS BR MSTER KIT Master Kit includes 6 yellow plastic clips, 6 metal housings, 2 seating tools and 2 short plastic bars (50mm) TOOLS: Hader-EDS Bar nalog 50mm, aluminum (1) Hader-EDS Fabricating Rider / Clip (6) Green Hader-EDS Impression Clip (6) Blue CM HDER-EDS BR KIT CM Kit includes 6 CM gold riders (clips) with spacers and 2 short plastic Hader-EDS bars (50mm) TOOLS: CM djusting Tool (can be used with all metal riders / sleeves) CM Bar nalog 50mm (aka Hader-EDS Bar nalog), aluminum PRTS Hader-EDS Combo Clips (18) 6 white, 6 yellow, 6 red and 1 seating instrument Hader-EDS Bar, short plastic (6) Green Hader-EDS Metal Housings (6) Gold SWISSLOC NG TTCHMENT SwissLoc NG mm *L=4.5mm Housingø=3.4mm Plungerø=1.5mm X SwissLoc NG 6.0 mm *L=6.8mm Housingø=3.4mm Plungerø=1.5mm X SwissLoc NG 7.5 mm *L=8.0mm Housingø=3.4mm Plungerø=1.5mm X *Note: SwissLoc NG 7.5 can be reduced to 4mm. Length is measured in closed position from head of plunger to end of housing. TOOLS: SwissLoc NG Screwdriver SwissLoc NG Processing Jigs (2) SwissLoc NG 1.5mm Drill (1) LEW TTCHMENT Lew attachment 7.5mm TOOLS: Lew Processing Jigs (2) Lew 1.5mm Drill / Reamer (1) Hader-EDS Housing INTEGRL PPM PLSTIC BR PTTERNS (50mm) PPM Bar 0 degree (3 short 3.7mm, 3 tall 8.0mm), blue PPM Bar 2 degree (3 short 3.7mm, 3 tall 8.0mm), red PPM Bar 4 degree (3 short 3.7mm, 3 tall 8.0mm), yellow TOOLS: PPM Bar Mandrel 0 degree (for plastic or titanium bar) PPM Bar Mandrel 2 degree (for plastic or titanium bar) PPM Bar Mandrel 4 degree TITNIUM BRS FOR LSER WELDING (50mm) Hader-EDS Titanium Bar, short mm height PPM Titanium Bar, 0 degree 6.4mm height PPM Titanium Bar, 2 degree 6.4mm height Integral is a federally registered trademark of Zimmer Dental, Inc., Carlsbad, C ll product names referenced herein are trademarks of their respective companies. Copyright 2007 ttachments International, Inc., San Mateo, C 301

11 & Insertion Drivers Tools INSERTION DRIVERS The BIO-TORQ (B-T) and LT/ R (Latch Type) Systems were designed to facilitate the insertion of implant components. The BIO-TORQ insertion tips may be utilized with the BIO- TORQ hand held socket or the BIO-TORQ wrenches. The LT/R tips are used with right angle handpiece type drivers. BIO-TORQ LT / R B C D E F Socket Extension Slot Hex UM short UM long C D E Handle Slot Hex UM short Description Order # Order # BIO-TORQ LT/R Driver Hand Held Socket / Handle () BIO-TORQ Extension (B) N/ Slot Tip Short Slot Tip Long (C) Hex Tip Short Hex Tip Long (D) Dalla Bona / ORS Hex Tip Locator Tip, Short Locator Tip, Long UM Tip Short (E) UM Tip Long (F) N/ Note: For Slot Screws do not exceed 10 N/cm of torque. STNDRD DRIVERS, B-T WRENCHES & LT / R DRIVER B C D Description Order # Standard Drivers and FG Drivers DDS.050" Hex Driver () DDS Slot Screwdriver (B) Lab.050" Hex Driver (C) Friction Grip Driver (D) BIO-TORQ Wrenches & LT / R Driver BIO-TORQ Wrench 10 N/cm BIO-TORQ Wrench 20 N/cm BIO-TORQ Wrench 30 N/cm BIO-TORQ Wrench 35 N/cm LT / R Driver Note: For complete line of BIO-TORQ and LT/R drivers see back of Manual. ll product names referenced herein are trademarks of their Copyright 2007 ttachments International, Inc., San Mateo, C 303

12 & Tools uxiliary Parts REMERS The carbide reamers are used to refine the internal access hole of a castable cylinder. They also refine the seat for the head of the screw. Currently, the blue handle reamers are one piece, but the UM and UCL Micro reamer require the Pin Vise (sold separetly). The Pin Vise will fit all carbide reamers. The UM Reamer fits all UM and IMZ IME European new style cylinders.() LPPING TOOLS The Lapping tools are used with diamond polishing paste to refine the fitting surface of the cast cylinder. We recommend that you use it not more than 5-6 times. For superior restorations, you may want to use the 1 micron white diamond lapping paste. (B) Pin Vise Reamer Description Order # Reamer, UCL Micro Carbide (requires Pin Vise ) Reamer, Integral, blue handle for (no Pin Vise required) Reamer, UM butment Carbide.0880" (also fits IMZ & Paragon UCL Cylinders) (requires Pin Vise ) Pin Vise for Carbide Reamers " B Description Order # UCL, Lapping Tool & Guide Pin, UCL, Lapping Tool & Guide Pin, UM, Lapping Tool and Guide Pin INTEGRL UM, POLISHING PROTECTOR CP Polishing protector caps are used to protect the gingival area of the gold or cast cylinder while finishing. The protector caps are fastened to the cylinders with the screw. Screws are sold separately. The UM polishing protector cap must only be used with the UM abutment. (C) C Description Order # UM, Polishing Protector Cap (6) PRTS Uma Slot Screw UM Hex.050" Screw ll product names referenced herein are trademarks of their Copyright 2007 ttachments International, Inc., San Mateo, C 303