FOR INTERNAL REFERNCE ONLY

Transcription

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2 TX to EV Transition Possibilities and Challenges

3 TX to EV Transition Why?

4 ASTRA TECH Implant System BioManagement Complex OsseoSpeed - more bone, more rapidly MicroThread - biomechanical bone stimulation Conical Seal Design - a strong and stable fit Connective Contour - increased soft tissue contact zone and volume

5 Publication list More than articles in scientific journals

6 ASTRA TECH Implant System - OsseoSpeed implants Clinical studies show: No dip in implant stability quotient 1 Good esthetics 2 and high patient satisfaction 3 Survival rate from 94.5% 100% including advanced protocols: immediate loading 4 atrophic edentulous maxilla 5 extraction sockets 6 sinus lifted/grafted posterior sites 7 Majority of studies report a mean marginal bone loss of 0.3 mm or less after 1-5 years in function 8,9 1. Geckili O, et al. A 24-week prospective study comparing the stability of titanium dioxide grit-blasted dental implants with and without fluoride treatment. Int J Oral Maxillofac Implants 2009;24(4): Noelken R, Neffe BA, Kunkel M, Wagner W. Maintenance of marginal bone support and soft tissue esthetics at immediately provisionalized OsseoSpeed implants placed into extraction sites: 2-year results. Clin Oral Implants Res 2013;E-pub Jan Erkapers M, Ekstrand K, Baer RA, Toljanic JA, Thor A. Patient satisfaction following dental implant treatment with immediate loading in the edentulous atrophic maxilla. Int J Oral Maxillofac Implants 2011;26(2): Collaert B, Wijnen L, De Bruyn H. A 2-year prospective study on immediate loading with fluoride-modified implants in the edentulous mandible. Clin Oral Implants Res 2011;E-pub, Jan Toljanic JA, Baer RA, Ekstrand K, Thor A. Implant rehabilitation of the atrophic edentulous maxilla including immediate fixed provisional restoration without the use of bone grafting: a review of 1-year outcome data from a long-term prospective clinical trial. Int J Oral Maxillofac Implants 2009;24(3): Lops D, et al. Incidence of inter-proximal papilla between a tooth and an adjacent immediate implant placed into a fresh extraction socket: 1-year prospective study. Clin Oral Implants Res 2008;19(11): de Vicente JC, Hernandez-Vallejo G, Brana-Abascal P, Pena I. Maxillary sinus augmentation with autologous bone harvested from the lateral maxillary wall combined with bovine-derived hydroxyapatite: clinical and histologic observations. Clin Oral Implants Res 2010;21(4): Schliephake H, Rodiger M, Phillips K, McGlumphy EA, Chacon GE, Larsen P. Early loading of surface modified implants in the posterior mandible - 5 year results of an open prospective non-controlled study. J Clin Periodontol 2012;39 (2): Mertens C, Steveling HG. Early and immediate loading of titanium implants with fluoride-modified surfaces: results of 5-year prospective study. Clin Oral Implants Res 2011;22(12):

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8 Development Limitations

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11 Evolution based on customer feedback Improve surgical simplicity and flexibility Possibility to achieve higher primary stability Restorative ease System logics Increased robustness Maintain ASTRA TECH Implant System BioManagement Complex intact securing relevance of available clinical documentation OsseoSpeed - more bone more rapidly MicroThread - biomechanical bone stimulation Conical Seal Design - a strong and stable fit Connective contour - increased soft tissue contact zone and volume

12 TX to EV Transition Possibilities

13 Simplicity without compromise Surgical simplicity and flexibility Primary stability Restorative ease System logics Robustness OsseoSpeed - more bone more rapidly MicroThread - biomechanical bone stimulation Conical Seal Design - a strong and stable fit Connective Contour - increased soft tissue contact zone and volume

14 TX to EV Transition Challenges

15 EV Challenges What do we want to accomplish today? Identify and understand the challenges Discuss causes and solutions Discuss strategies regarding how to communicate challenges and solutions

16 EV Challenges Identify and understand the challenges Clinical/technical issues Surgical, restorative, lab Treatment/handling, components, instruments Communication issues

17 EV Challenges Discuss causes and solutions

18 Already registered challanges - surgery Driver malfunction Implant installation problems Post surgery symptoms Early implant failures

19 Already registered challanges - surgery Driver malfunction Implant installation problems Post surgery symptoms Early implant failures

20 Design change New Implant Drivers EV Updated pick-up function Stronger ISO connection Compatible with all ISO connections with hex. Extra laser symbol to separate new and current version New Material Improved strength Better resistance against corrosion. Scheduled for June 2016

21 Design change New Implant Drivers EV Updated pick-up function Stronger ISO connection Compatible with all ISO connections with hex. Extra laser symbol to separate new and current version New Material Improved strength Better resistance against corrosion. Scheduled for June 2016

22 EV Drilling Protocol - results Different outcomes Very good most are very pleased Not so good few (but loudly outspoken) High installation torque Pain Pressure necrosis Early implant failures

23 ASTRA TECH Implant System EV Drilling Protocol Flexible drilling protocol for your preferred primary implant stability

24 Spongious bone preparation ASTRA TECH Implant System EV Osteotomy Preparation Cortical bone preparation Spongious bone preparation

25 -0.5 mm 3.7/3.1

26 A Cortical A Cortical -0.3 mm < 2 mm

27 B Cortical B Cortical ± 0.0 mm 2 mm

28 Per protocol preparation Vertical under preparation 0.5 mm Vertical under preparation 1.0 mm Vertical over preparation 1.0 mm Vertical under preparation 1.0 V-Drill mm Cut volume increase: 53%

29 mm Dense bone e.g. mandible front B Cortical: ± 0.0 mm X Drill : mm

30 Spongious bone preparation ASTRA TECH Implant System EV Osteotomy Preparation Cortical bone preparation Spongious bone preparation Mandatory For Flexibility

31 TX ASTRA TECH Implant System EV Osteotomy Preparation For flexibility EV No apical support Flexibility for w/wo apical support

32 ASTRA TECH Implant System EV Drilling Protocol

33 ASTRA TECH Implant System EV Drilling Protocol

34 ASTRA TECH Implant System EV Drilling Protocol Secure correct drilling depth Rather over-prep than under-prep The and drills are not recommended in soft bone situations when a higher installation torque is preferred In dense bone, the drill is recommended

35 ASTRA TECH Implant System EV Drilling Protocol for previous OsseoSpeed TX users

36 Already registered challanges - restorative Restorative push back Lab push back

37 HealDesign EV line extension 23 new sizes

38 HealDesign EV line extension Additional diameters/heights - 23 REF, scheduled for April 2016 (Oct-CAN)

39 Adjustments - Uni Abutment EV line Uni Heal Cap (April 2016-US, October-CAN) 2 additional shorter healing caps for improved functionality Uni Transfer (July 2016) Changed internal geometry for a more stable fit on the abutment Uni Pick-up (July 2016) Improved retention/deeper grooves 2 additional shorter pick-ups for improved functionality

40 Implant level Pick-up 3.0 & 3.6 Reduced diameter for improved functionality Scheduled for July 2016

41 Implant level Pick-up Design Short Short version for a more versatile use 4 REF ( ) Scheduled for July 2016

42 EV Challenges Discuss strategies how to communicate challenges and solutions

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