On the Cutting Edge of Digital Implant Dentistry

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Opal Doyle
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1 On the Cutting Edge of Digital Implant Dentistry

2 TABLE OF CONTENTS. P. 4-5 P P P P. 40 P. 41

3 INTRODUCTION MSOFT - VIRTUAL IMPLANT PLANNING SOFTWARE MGUIDE - 3D PRINTED TEMPLATE & SURGICAL SET MLAB (CAD/CAM) - PROSTHETIC SOLUTIONS WEBINARS ENHANCED EXPERIENCE MIS Warranty: MIS exercises great care and effort in maintaining the superior quality of its products. All MIS products are guaranteed to be free from defects in material and workmanship. However, should a customer find fault with any MIS product after using it according to the directions, the defective product will be replaced. Warning: Products should be used by licensed dentists only.

4 More than ever before, doctors are taking advantage of virtual implant planning and guided surgery in their everyday practices. MIS MCENTER facilities offer a wide range of quality digital dentistry services to assist doctors around the world in increasing both the efficacy and quality of the treatments they can offer their patients.

6 SOFTWARE. The MSOFT program creates a highly accurate preliminary implant placement plan, taking all aspects of the patient anatomy into consideration. A precision guided surgical template is then designed right in the software. Flexible prosthetic-driven planning can be done either by the clinician, using our simplified MSOFT program, or through our worldwide network of MCENTERs, providing technical support and guidance. MSOFT also acts as an online information hub connecting all software users; doctors, dental labs, periodontists, prosthodontists and the MCENTER in order to share cases and take part in demonstrations, discussions or consultations. The MSOFT virtual planning process is documented and stored on the Cloud for future reference.

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8 8. 3D PLANNING. DIAGNOSTICS Using MSOFT, the clinician is able to see through bone to detect structures or flaws, which may impact drilling and implant placement. Implants may be more accurately placed according to depth, position and angulation in relation to the desired prosthetic solution. The software enables the clinician to determine the most suitable abutment type according to gingival and prosthetic heights, as well as angulation of the abutment. IMPLANT POSITIONING The MSOFT program generates multi-level, 2D planning views and 3D composite representations of the patient s anatomy, in order to create the perfect placement and surgical plan. This same high precision technology is used to print the open-frame drilling template that allows quicker, more accurate implant placement for the benefit of the dentist and patient alike. PATIENT COMMUNICATION When a surgeon or dentist can refer to measurable values rather than subjective judgments alone as the basis for decision-making, it is easier to explain treatment choices to patients.

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10 ADVANTAGES. Placing implants exactly as planned and in the ideal location allows for faster more efficient surgical procedures, predicable outcomes and better esthetic results.

11 11 MORE ACCURATE A more extensive, precise plan, leads to a far safer and more accurate procedure, with fewer visits to the dentist and a speedier recovery. LESS CHAIR-TIME From start to finish, the MGUIDE system is shaped by precision state-of-the-art equipment, to help create the perfect plan and flawless template. This ensures a smooth guided implant planning and placement procedure, cutting down on patient visits and ultimately saving valuable chair-time. FEWER ADJUSTMENTS OR REPAIRS Virtual planning minimizes the risk of costly surgical errors because patient anatomy, nerves, sinus and bone are clearly visible before placement surgery has even begun.

12 PLANNING METHODS. Method 1 Planning by the dentist with MCENTER assistance Flat fee paid for annual software license allows: Case creation (DICOM upload) Implant planning Shared cases (server upload/download) Saved cases

13 13 Method 2 Planning by MCENTER - full support with the Dentist s approval MCENTER provides an entire matrix of services to doctors and clinicians, from the CT scan onwards; professional workflow and quick turnaround times in the creation of 2D and 3D implant placement plans, 3D printing of the open wire-frame surgical template and temporary restorations.

14 PROFESSIONAL WORKFLOW & QUICK TURNAROUND. MCENTER protocol begins by processing the doctor's work order which includes a stone model, wax-up and additional case information such as implant positions, sinus lifts, edentulous or tooth supported and overall case assessment. The MCENTER then creates a 3D image for a preliminary implant placement plan according to strict procedures, with subsequent review and approval by the clinician Single patient Cone Beam CT scan is needed to start the process, along with a stone model.stl file and a waxup.stl file. Upload of the DICOM data for 3D evaluations. 3D image created for the preliminary implant placement plan.

16 SURGICAL EQUIPMENT. Extremely accurate, user friendly 3D printers provided by the world s most experienced name in 3D printing machines, produce the MGUIDE surgical templates. The MGUIDE surgical set is comprised of tools and instruments specially engineered to optimize the guided implant placement procedure.

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all angles without removing the template. With a fully customized MGUIDE design, a raised-flap procedure may be preformed.

18 ADVANTAGES. The open frame design of the MGUIDE template allows an open field of view during surgery, where irrigation and anesthesia are accessible from all angles without removing the template. With a fully customized MGUIDE design, a raised-flap procedure may be preformed. The template is constructed from a strong, durable and biocompatible material. The 3D CAD/CAM design ensures the highest level of accuracy. The lightweight template design is an added benefit for patient comfort as well. Scan the QR code to read scientific publications about the MCENTER.

19 19 MORE ACCURATE The MGUIDE system incorporates a number of procedures synchronized to deliver accurate implant planning schematics and optimized guided surgery templates, for a more accurate surgical procedure. LESS CHAIR-TIME From start to finish, the MGUIDE system is shaped by precision state-of-the-art equipment, to help create the perfect plan and flawless template. This ensures a smooth guided implant planning and placement procedure, cutting down on patient visits and ultimately saving valuable chair-time. TEMPLATE SAFETY Fewer complications, less tissue damage and faster recovery. Protects against possible damage to nerves and blood vessels in the jaw. Sleeve helps prevent damage to roots of adjacent teeth.

20 MGUIDE SURGICAL KITS. The MGUIDE surgical kits simplify the implantation process by eliminating the need for traditional guidance keys. Specially designed sleeves and drills stop at the precise position and depth planned, freeing-up hands and saving valuable time. ADVANTAGES All the tools you need in one surgical set. Keyless system for a quicker, easier procedure. Optimal drill lengths for use in posterior areas. Ability to change implant length and diameter during surgery due to anatomical considerations. Special drill designed for bone harvesting. FEATURES Color-coded layout for easy identification of drill diameters. Special guidelines for hard or soft bone procedures. Built-in stoppers and laser marks on drills. Drills allow irrigation to penetrate through sleeve during drilling. Drill measuring gauge.

21 21 Conical Connection Drill Kit Conical Connection Tool Kit

22 (MG-K004) MGUIDE SURGICAL SET, CONICAL CONNECTION Drill Kit

23 23 Kit Contents: MG-TP055 MGUIDE tissue punch, Ø5.5mm CG-D1033 MGUIDE drill for Ø mm length implant CG-D1043 MGUIDE drill for Ø4.20 and Ø mm length implants 2 3 MG-BM047 MGUIDE bone mill, Ø4.7mm 11 CG-D1133 MGUIDE drill for Ø mm length implant 19 CG-D1143 MGUIDE drill for Ø4.20 and Ø mm length implants MG-BM055 MGUIDE bone mill, Ø5.5mm MG-D0624 MGUIDE pilot drill for 6mm length implants, Ø2.40mm 13 CG-D1333 MGUIDE drill for Ø mm length implant 21 CG-D1343 MGUIDE drill for Ø4.20 and Ø mm length implants 5 MG-D0824 MGUIDE pilot drill for 8mm length implant s, Ø2.40mm 14 CG-D0839 MGUIDE drill for Ø3.75 and Ø3.90 8mm length implants 22 CG-D0850 MGUIDE drill for Ø5 8mm length implants 6 7 MG-D1024 MGUIDE pilot drill for 10mm length implants, Ø2.40mm MG-D1124 MGUIDE pilot drill for 11.5mm length implants, Ø2.40mm 15 CG-D1039 MGUIDE drill for Ø3.75 and Ø mm length implants CG-D1139 MGUIDE drill for Ø3.75 and Ø mm length implants 23 CG-D1050 MGUIDE drill for Ø5 10mm length implants CG-D1150 MGUIDE drill for Ø5 11.5mm length implants 8 MG-D1324 MGUIDE pilot drill for 13mm length implants, Ø2.40mm 16 CG-D1339 MGUIDE drill for Ø3.75 and Ø mm length implants 24 CG-D1350 MGUIDE drill for Ø5 13mm length implants 9 CG-D0833 MGUIDE drill for Ø3.30 8mm length implant 17 CG-D0843 MGUIDE drill for Ø4.20 and Ø4.30 8mm length implants 25 MG-DLG55 MGUIDE drill length gauge, Ø5.5mm

24 { { (MG-K004) MGUIDE SURGICAL SET, CONICAL CONNECTION Tool Kit { { {

25 Kit Contents: V3/C1 STANDARD PLATFORM 7 C1 NARROW PLATFORM CG-GRS01 MGUIDE V3/C1 direct ratchet insertion tool, conical connection, SP 1 CG-GRN01 MGUIDE C1 direct ratchet insertion tool, conical

2 CG-GMN10 MGUIDE C1 motor insertion tool, conical connection, NP 9 CG-GRS10 MGUIDE C1 ratchet insertion tool, conical connection, SP 15 MG-DFP20 MGUIDE drill for fixation pin, Ø2mm 3 10 16 CG-GRN10

25 25 Kit Contents: V3/C1 STANDARD PLATFORM 7 C1 NARROW PLATFORM CG-GRS01 MGUIDE V3/C1 direct ratchet insertion tool, conical connection, SP 1 CG-GRN01 MGUIDE C1 direct ratchet insertion tool, conical connection, NP 8 CG-GMS10 MGUIDE V3/C1 motor insertion tool, conical connection, SP 14 MT-RDL30 Long driver for 0.05 inch hex. 2 CG-GMN10 MGUIDE C1 motor insertion tool, conical connection, NP 9 CG-GRS10 MGUIDE C1 ratchet insertion tool, conical connection, SP 15 MG-DFP20 MGUIDE drill for fixation pin, Ø2mm CG-GRN10 MGUIDE C1 ratchet insertion tool, conical connection, NP VG-GRS10 MGUIDE V3 ratchet insertion tool, conical connection, SP MG-FP020 MGUIDE fixation pin, Ø2mm V3 NARROW PLATFORM C1 WIDE PLATFORM 17 4 VG-GRN01 MGUIDE V3 direct ratchet insertion tool, conical connection, NP 11 CG-GRW01 MGUIDE C1direct ratchet insertion tool, conical connection, WP 18 CG-TAS55 MGUIDE template anchoring screw, conical connection, SP 5 VG-GMN10 MGUIDE V3 motor insertion tool, conical connection, NP 12 CG-GMW10 MGUIDE C1 motor insertion tool, conical connection, WP MT-RI030 Monoblock ratchet Additional Tool: 6 13 VG-GRN10 MGUIDE V3 ratchet insertion tool, conical connection, NP CG-GRW10 MGUIDE C1 ratchet insertion tool, conical connection, WP MG-TAS56 MGUIDE flat template anchoring screw, Ø5.50mm (not included in the kit)

26 (MG-K001) MGUIDE SURGICAL SET, SEVEN IMPLANT Drill Kit

27 27 Kit Contents: MG-D0633 MGUIDE conical drill for Ø3.30 6mm length implants, Ø mm MG-D0642 MGUIDE conical drill for Ø4.20, 6mm length implants, Ø mm 1 MG-TP047 MGUIDE tissue punch, Ø4.7mm 11 MG-D0833 MGUIDE conical drill for Ø3.30 8mm length implants, Ø mm 21 MG-D0842 MGUIDE conical drill for Ø4.20, 8mm length implants, Ø mm 2 3 MG-TP055 MGUIDE tissue punch, Ø5.5mm 12 MG-D1033 MGUIDE conical drill for Ø mm length implants, Ø mm MG-D1042 MGUIDE conical drill for Ø4.20, 10mm length implants, Ø mm MG-BM047 MGUIDE bone mill, Ø4.7mm MG-BM055 MGUIDE bone mill, Ø5.5mm MG-D0624 MGUIDE pilot drill for 6mm length implants, Ø2.40mm MG-D0824 MGUIDE pilot drill for 8mm length implants, Ø2.40mm MG-D1024 MGUIDE pilot drill for 10mm length implants, Ø2.40mm MG-D1124 MGUIDE pilot drill for 11.5mm length implants, Ø2.40mm MG-D1133 MGUIDE conical drill for Ø mm length implants, Ø mm MG-D1333 MGUIDE conical drill for Ø mm length implants, Ø mm MG-D0637 MGUIDE conical drill for Ø3.75, 6mm length implants, Ø mm MG-D0837 MGUIDE conical drill for Ø3.75, 8mm length implants, Ø mm MG-D1037 MGUIDE conical drill for Ø3.75, 10mm length implants, Ø mm MG-D1137 MGUIDE conical drill for Ø3.75, 11.5mm length implants, Ø mm MG-D1142 MGUIDE conical drill for Ø4.20, 11.5mm length implants, Ø mm MG-D1342 MGUIDE conical drill for Ø4.20, 13mm length implants, Ø mm MG-D0650 MGUIDE conical drill for Ø5, 6mm length implants, Ø mm MG-D0850 MGUIDE conical drill for Ø5, 8mm length implants, Ø mm MG-D1050 MGUIDE conical drill for Ø5, 10mm length implants, Ø mm MG-D1150 MGUIDE conical drill for Ø5, 11.5mm length implants, Ø mm MG-D1350 MGUIDE conical drill for Ø5, 13mm length implants, Ø mm 9 MG-D1324 MGUIDE pilot drill for 13mm length implants, Ø2.40mm 19 MG-D1337 MGUIDE conical drill for Ø3.75, 13mm length implants, Ø mm 30 MG-DLG55 MGUIDE drill length gauge Ø5.5mm

28 (MG-K001) MGUIDE SURGICAL SET, SEVEN IMPLANT Tool Kit FIXATION DRILL ø2 FIXATION PINS TEMPLATE ANCHORING SCREWS 9 2 NP HAN D SCR EW DRIVE R 4{ 5 NP FIXATION & ANCHORING TOOLS { INTERNAL HEXAGON TOOLS 8 RATCH ET INSE RT. TO OL 1 { 3 6 EXTRACTORS SPARE M OTOR INSE RT. TO OL DIR ECT INSE RT. TO OLS 4 3

29 Kit Contents: 1 5 9 MG-GRI01 MGUIDE direct ratchet insertion tool, internal hex. MT-RDL30 Long driver for 0.05 inch hex.

, NP MG-IE172 MGUIDE insertion tool extractor, internal hex. MG-FP020 MGUIDE fixation pin, Ø2mm 3 7 11 MG-GMI10 MGUIDE motor insertion tool, internal hex.

29 29 Kit Contents: MG-GRI01 MGUIDE direct ratchet insertion tool, internal hex. MT-RDL30 Long driver for 0.05 inch hex. MG-DFP20 MGUIDE drill for fixation pin, Ø2mm MG-GRN01 MGUIDE direct ratchet insertion tool, internal hex., NP MG-IE172 MGUIDE insertion tool extractor, internal hex. MG-FP020 MGUIDE fixation pin, Ø2mm MG-GMI10 MGUIDE motor insertion tool, internal hex. MG-IE160 MGUIDE insertion tool extractor, internal hex., NP MG-TAS55 MGUIDE template anchoring screw, Ø5.5mm Additional Tool: 4 MG-GRI10 MGUIDE ratchet insertion tool, internal hex. 8 MT-RI030 Monoblock ratchet MG-TAS56 MGUIDE flat template anchoring screw, Ø5.50mm (not included in the kit)

30 WORK PROCESS. All necessary quality checks of the template are performed by the MCENTER after which the template is packaged and sent by courier or express mail to the dentist. Using MIS products throughout the entire process ensures 100% component compatibility for optimum accuracy, reliability and fit. MCENTERs with an in-house laboratory can provide immediate temporary custom healing caps, abutments and screw retained crowns and bridges D printed open wire-frame surgical template: open field of view, easy irrigation and delivery of anesthesia. MGUIDE Surgical Set for a quicker, easier surgical procedure. 3 Restorations and immediate provisional prosthetic solutions.

32 CAD/CAM TECHNOLOGY. CAD/CAM, Computer-Aided Design and Computer-Aided Manufacturing in dentistry, utilizes digital technology to design and produce a range of highly accurate dental restorations.

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temporary custom healing caps, abutments and screw retained

Additionally, permanent custom abutments and copings are

34 CAD/CAM SYSTEM. Advanced CAD/CAM capabilities are a strength we re developing to serve all our customers. MCENTERs with an in-house laboratory can provide immediate temporary custom healing caps, abutments and screw retained crowns and bridges from PMMA. Additionally, permanent custom abutments and copings are available in Zirconia and Titanium. Custom Abutment Titanium One Piece Custom Abutment Temp Custom Abutment Zirconia Detailed information for all types can be found in the catalog or on the company website.

for CAD/CAM systems, allowing the production of

individualized solutions and greater compatibility to

Ti-Base abutments are available for internal hex.

multiple-unit restorations; for standard, narrow and

35 35 TI-BASE ABUTMENTS. MIS Ti-Base abutments are Titanium base connections for CAD/CAM systems, allowing the production of custom ceramic abutments for a wide range of individualized solutions and greater compatibility to specific site requirements. Ti-Base abutments are available for internal hex. and conical connection implants; for single and multiple-unit restorations; for standard, narrow and wide platforms. Ti-Base, Conical Connection Available platforms: NP, SP, WP Ti-Base, Internal Hexagon Available platforms: NP, SP, WP

scanning, including virtual implant planning, placement and digital restoration printing.

in a 3D printed model. That leads to accurate restoration planning and simulation.

36 DIGITAL ANALOG. The Digital Analog for a printed model is used in a fully digital procedure using intra-oral scanning, including virtual implant planning, placement and digital restoration printing. Designed with geometry which provides optimal precision, the analog ensures exact positioning in a 3D printed model. That leads to accurate restoration planning and simulation. CN-MAN10 Model implant analog, NP for C1 VN-MAN10 Model implant analog, NP for V3 CS-MAN10 Model implant analog, SP for V3/C1 CW-MAN10 Model implant analog, WP for C1 MU-MAN10 Multi-Unit Analog

offer excellent surface quality, allowing easy

Well-defined flat surfaces for easy placement and

37 37 SCAN POSTS. Scan Posts, with patent pending design features, offer excellent surface quality, allowing easy scanning and unique geometry. Well-defined flat surfaces for easy placement and optimum accuracy. No spraying or pre-scanning needed. Suitable for both Intra Oral and desktop scanning. Conical Connection Internal Hex. Connection Scan Post kit, conical connection Scan Post kit, internal hex.

38 EZ-BASE ABUTMENTS. The MIS EZ-Base system features a unique Ti-Base, designed with a highly accessible screw channel (up to 20 ) for extreme angulation, making the process of anterior or posterior restorations simpler and more convenient. CN-EZB15 VN-EZB15 CS-EZB15 CW-EZB15 CN-LEZ15 VN-LEZ15 CS-LEZ15 CW-LEZ15 MT-ELR10 MT-ESR10 MT-ELM10 MT-ESM10

39 39 MLAB SERVICES. In order to design and manufacture customized abutments using MIS implants and Ti-Base abutments, the MIS library (data-base) must first be embeded into the software of the CAD/CAM provider. Currently, our libraries are in use with several major CAD/CAM providers such as 3Shape, Exocad, Dental Wings and more. This way, it's simple to plan and produce a restoration, based on MIS implant prosthetic products. Download the libraries for 3SHAPE, EXOCAD & DENTAL WINGS at: CAD/CAM Libraries: 3SHAPE EXOCAD CEREC DENTAL WINGS DELCAM VATECH HERAUS KULZER ZFX DENTAL CARESTREAM ZIRCONZHAN EUROTEKNIKA PLANMECA ALKOM DIGITAL AMMAN GIRRBACH

40 WEBINARS. Our online webinars allow busy clinicians the ability to gain a wide spectrum of practical instruction about using the MGUIDE system right in the comfort of their own home or clinic. The webinars provide intensive one-on-one training presented by an MCENTER technical expert, and cover every phase of the MGUIDE system in an easy to follow step-by-step process. From pre-planning to template design, webinar sessions are broken down into logical topics for highly focused training. To participate in any or all of the MGUIDE webinar courses currently available, simply register on the website.

41 41 ENHANCED EXPERIENCE. Root Copying The MCENTER has the capability to fabricate custom-made prosthetics while utilizing the patient's CT information as a referance. This allowes for a seemless transition from extraction and onto final prosthesis CT information is used to plan healing cap profile. CAD software is used to overlay and design components. CAM fabrication ensures production accuracy

43 The MIS Quality System complies with international quality standards: ISO 13485: Quality Management System for Medical Devices, ISO 9001: 2008-Quality Management System and Medical Device Directive 93/42/EEC. MIS products are CE marked.

44 MC-MGPRM Rev.4 Open Frame Design Access for Irrigation and Anesthesia Single Handed Procedure MAKE IT SIMPLE. WE KNOW HOW! The innovative design of the MIS MGUIDE and its surgical kits simplifies digital dentistry. The use of CAD/CAM, allows for a prosthetically driven, safe and accurate procedure. To learn more about the MIS MGUIDE, go to P A R T O F T H E M C E N T E R G R O U P

On the Cutting Edge of Digital Implant Dentistry MAKE IT SIMPLE

On the Cutting Edge of Digital Implant Dentistry MAKE IT SIMPLE P. 4-5 P. 6-15 P. 17-27 P. 28-35 P. 36-37 MIS Warranty: MIS exercises great care and effort in maintaining the superior quality of its products.