More than an implant. A sense of trust.
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1 Straumann Dental Implant System More than an implant. A sense of trust. 45X.002.indd :36
2 More than an implant. A sense of trust. When patients need a tooth replacement, you want to provide them with the best possible solution and exceed their expectations. The Straumann Dental Implant System is designed to support you in this process by improving treatment outcomes built on a history of pioneering implant dentistry and reliable scientific evidence. Trust based on 60 years of quality and innovations 1954 Founding of the research institute Institut Dr. Ing. R. Straumann AG 1997 SLA Pioneering surface technology cuts healing time in half First dental implants including the world s first one-stage implant are developed at Straumann 2 45X.002.indd :36
3 NUMBER OF STUDY PUBLICATIONS AND PEER-REVIEWED PUBLICATIONS ON STRAUMANN PRODUCTS Preclinical Clinical Peer-reviewed 2009 Roxolid The new DNA of implant materials. Exclusively designed for the use in dental implantology 2005 SLActive surface technology reduces Introducing the full Roxolid portfolio setting new standards by reducing invasiveness reported implant loss rate to 0.6 % X.002.indd :36
4 More than flexible. A new kind of esthetics. For a natural look and feel. The Straumann Bone Level Implant Line provides great flexibility to deliver an esthetically pleasing solution to patients. Optimized crestal bone preservation with Bone Control Design Pleasing esthetic results with Consistent Emergence Profiles Optimizes and simplifies soft tissue management Eases the fabrication of temporary and final restorations Respects the biological distance/width Optimal position of smooth and rough surface interface Microgap control Biomechanical implant design Implant surface osteoconductivity Simplified handling with the CrossFit connection Makes handling easier and provides confidence about component positioning Ensures precision against rotation Offers restorative flexibility and long-term mechanical stability Well-proven new materials Titanium Grade 4 Roxolid : A titanium-zirconium alloy stronger than titanium 6,7 and specifically designed for the use in dental implantology 4 45X.002.indd :36
5 More than efficient. A simple procedure. The Straumann Soft Tissue Level Implants are designed to simplify treatment. The one-stage surgical procedure will allow you to save time and increase efficiency in your practice. Cover a wide range of indications with 3 different implant lines Standard, Standard Plus and Tapered Effect. Flexible and reliable with the synocta connection Innovative surfaces SLA, the reliable and scientifically well-documented surface, with predictable long-term clinical data 3,4 SLActive, the next generation in implant surface technology reduces the critical healing period down to 3 4 weeks 5 and minimizes the potential for early implant failure The internal octagon: Secure and flexible (re)positioning of individual abutments in the implant Morse taper connection: Uniform load distribution and reliable, stable implant-to-abutment joints prevent rotation Take advantage of the easy accessibility to the implant by working at soft tissue level Lean prosthetic portfolio supported by the implant design Simple impression taking and abutment placement thanks to the connection at soft tissue level 5 45X.002.indd :36
6 More than a surface. A new level of confidence. SLActive simply better. Our hydrophilic SLActive surface is designed to deliver: Higher security and faster osseointegration for every indication Reduced healing times from 6 8 weeks down to 3 4 weeks Increased treatment predictability in critical protocols 20 HIGHER PREDICTABILITY 5,21 70 % Most implant failures occur in the critical early period between weeks 2 and Although similar healing patterns were observed for both SLA and SLActive Implants, bone-to-implant contact (BIC) was greater after 2 weeks and significantly greater after 4 weeks New bone on the implant surface 60 % 50 % 40 % 30 % 20 % 10 % for SLActive (p < 0.05) % Healing periods in weeks SLActive SLA PROMOTION OF BONE REGENERATION IN DEHISCENCE-TYPE DEFECTS 24,25 Critical situations such as dehiscence defects are always a challenge and put success at risk. With SLActive, new bone volume and BIC are significantly higher. Preclinical studies in dogs showed that SLActive Implants promote the production of more mature bone than SLA Implants would. This outcome suggests that SLActive may have a high potential for supporting osseointegration in dehicence-type defects. SLActive 80 % BIC after 12 weeks SLA 5 % BIC after 12 weeks 6 45X.002.indd :36
7 More than solid. Less invasive. Roxolid is a groundbreaking material specifically 1000 designed for the use in dental implantology. The titanium-zirconium alloy is stronger than pure titanium 6,7 and has excellent osseointegration properties This combination of properties is unique in the market there is no other metallic alloy which unifies high mechanical strength and osteoconductivity. Tensile strength (MPa) ASTM TiGr4 3 + ~75 % Straumann cold-worked TiGr4 4 + ~20 % Straumann Roxolid 4 MORE TREATMENT OPTIONS WITH SMALLER IMPLANTS Thanks to their outstanding biological and mechanical properties, Roxolid Implants offer more treatment options than conventional small titanium implants. Case treated with Straumann Standard Plus 4 mm Implants PRESERVE BONE AND REDUCE INVASIVE GRAFTING PROCEDURES 11,12 COULD A BONE AUGMENTATION PROCEDURE BE AVOIDED BY USING ROXOLID 3.3 MM IMPLANTS? 11 Roxolid might allow you to choose smaller im- 60 % plants. These implants have the potential to preserve peri-implant structures and avoid invasive bone grafting procedures. 50 % 40 % 30 % 20 % 10 % 54 % 25 % 21 % 0 % YES NO Augmentation had to be performed despite 3.3 mm implant INCREASE PATIENT ACCEPTANCE WITH LESS INVASIVE PROCEDURES 13 Treating patients without invasive grafting procedures offers your patients a less traumatic, faster treatment at lower cost. These advantages have the potential to make dental implant treatments appealing to more patients. 7 45X.002.indd :36
8 More than many possibilities. Just Freedom. MORE OPTIONS. INCREASED PERFORMANCE. ROXOLID SLA MORE FACTS. MORE EXPERIENCE. TITANIUM SLA Long-term reliability supported by scientific evidence Various studies show a high success rate with SLA after 10-year follow up 3,4 Over 100 peer-reviewed papers published Unique access to two implant approaches: the original Soft Tissue Level Implant Line and the innovative Bone Level Implant Line Esthetic cases can be treated with Bone Level Implants Efficient straight forward procedure with the original Soft Tissue Level Implants One surgical kit for all implant lines More treatment options with smaller implants More treatment options thanks to smaller implants with higher material strength 6,7 Confidence thanks to the excellent mechanical and biological performance of Roxolid Preserve bone and reduce invasive grafting procedures 11,12 Wide usage of small implants protects vital structures and vascularization Reduced implant size can eliminate the need of GBR procedures for specific cases Increase patient acceptance with less invasive procedures 13 Reduced invasiveness might increase acceptance of implant treatment as connected with less discomfort, cost and time Increase your business performance Support by Straumann quality and services Highest precision abutment-implant fit with original parts Extensive education program offering new possibilities and generating professional network Comprehensive service program including life-time warranty on implants 8 45X.002.indd :36
9 MORE SECURITY. MORE PEACE OF MIND. ROXOLID SLActive Higher security in all indications Straumann s best material-surface combination Improved treatment predictability Minimize the risk of early implant failures Predictable treatment success even in challenging cases 9,20,25 Promotion of bone regeneration in dehiscencetype defects 24,25 Preclinical study indicating increased bone quality in an osteoporotic model 9 High success rates with immediate loading protocols 20 Practice differentiator offering new treatment possibilities More patient friendly treatment options Vertical space is no longer a limitation with the Standard Plus Short Implant Predictable immediate loading protocols reducing treatment time X.002.indd :36
10 More than a restoration. A perfect fit for all needs. For both Soft Tissue Level and Bone Level Implants, Straumann offers a broad range of standard and CAD- CAM abutments in leading materials and a full application range designed to create the optimal restorative result for virtually any case. For ease of use, you need only one restorative kit for both Soft Tissue Level and Bone Level Implants. This single kit is easy to master, simple to handle and allows for convenient component management. SCREW-RETAINED RESTORATIONS*/** Standard solutions Customized solutions Gold Abutment Multibase synocta 1.5 Variobase Screw-retained Bridges Ceramic Customized Abutment CEMENT-RETAINED*/** HYBRID RESTORATIONS** Standard solutions Customized solutions Cementable Solid Customized Abutments LOCATOR Bar SFI-Anchor Screw-retained Bars * certain solutions can also be used for screw-retained or cement-retained restorations ** only a selection of solution examples is displayed 10 45X.002.indd :36
11 More than just a transfer piece. Easy handling. The Straumann Roxolid Implants are delivered with the new Loxim Transfer Piece, which is connected to the implant with a snap-in mounting. FEATURES BENEFITS Snap-in mounting Blue color Compact dimensions Height markings Pre-determined breaking point for easy handling without counter-maneuvering for high visibility for easy access for correct implant placement for protecting the inner implant configuration 11 45X.002.indd :36
12 100% PROOF-TESTED 100% PROOF-TESTED More than a tooth-colored implant. Unique natural esthetics. Some patients have a thin gingiva biotype, and therefore require a different treatment approach, while other patients express their explicit wish for a metal-free alternative. With the new Straumann PURE Ceramic Implant we offer an esthetic solution that allows you to treat patients with these specific needs and demands. THIS SOLUTION IS BASED ON DECADES OF STRAUMANN S EXPERIENCE AND KNOW-HOW IN IMPLANT DENTISTRY Revolutionary healing patterns comparable to titanium implants thanks to the ZLA TM surface 26,27 Reliable implant strength as every implant is proof-tested before release High end esthetic solution thanks to the ivory-colored material Expand your patient pool with an innovative metal-free solution 12 45X.002.indd :36
13 More than convenience. A simple workflow. The Straumann Surgical Kit and Prosthetic Kit can be used for all implant lines of the Straumann Dental Implant System. SURGICAL KIT PROSTHETIC KIT PROCEDURE SAME FOR ALL TREATMENTS 13 45X.002.indd :36
14 14 45X.002.indd :36
15 REFERENCES 1 Scacchi M. et al., The development of the ITI DENTAL IMPLANT SYSTEM. Part 2: : Steps into the next millennium. Clin Oral Implants Res 2000; 11: Based upon global Straumann SLActive complaint statistics Fischer K., Stenberg T. al Prospective 10-year Cohort Study Based on a Randomized Controlled Trial (RCT) on Implant-Supported Full-Arch Maxillary Prostheses. Part 1: Sandblasted and Acid-Etched Implants and Mucosal Tissue. Clin Implant Dent Relat Research Dec;14(6): Fischer K, Stenberg T. Prospective 10-year cohort study based on a randomized, controlled clinical trial (RCT) on implant-supported full-arch maxillary prostheses. Part II: Prosthetic outcomes and maintenance. Clin Implant Dent Relat Research Aug;15(4): Oates TW. et al. Enhanced implant stability with a chemically modified SLA surface: a randomized pilot study. Int. J. Oral Maxillofac. Implants. 2007;22(5): Norm ASTM F67 (states min. tensile strength of annealed titanium). 7 Data on file for Straumann cold-worked titanium and Roxolid Implants. 8 Gottlow J et al. Evaluation of a new titanium-zirconium dental implant: a biomechanical and histological comparative study in the mini pig. Journal of Clinical Implant Dentistry and Related Research 2012; 14: Wen B et al. The osseointegration behavior of titanium-zirconium implants in ovariectomized rabbits. Clin Oral Implants Res Feb Barter S et al. A pilot study to evaluate the success and survival rate of titanium-zirconium implants in partially edentulous patients: results after 24 months of follow-up. Clin Oral Implants Res Jul;23(7): Freiberger P, Al-Nawas B. Non-interventional Study on Success and Survival of TiZr Implants. EAO 2012 Copenhagen; 305 Posters Implant Therapy Outcomes, Surgical Aspects 12 Benic GI et al. Titanium-zirconium narrow-diameter versus titanium regular-diameter implants for anterior and premolar single crowns: 1-year results of a randomized controlled clinical study. Journal of Clinical Periodontology 2013; [Epub ahead of print] 13 If a GBR procedure can be avoided 14 Buser D. et al. Enhanced bone apposition to a chemically modified SLA titanium surface. J. Dent. Res Jul;83(7): Schwarz F. et al. Histological and immunohistochemical analysis of initial and early osseous integration at chemically modified and conventional SLA titanium implants: Preliminary results of a pilot study in dogs. Clin. Oral Impl. Res. 2007;11(4): Schwarz F, et al. Histological and immunohistochemical analysis of initial and early subepithelial connective tissue attachment at chemically modified and conventional SLA titanium implants. A pilot study in dogs. Clin. Oral Impl. Res. 2007;11(3): Schwarz F, et al. Effects of surface hydrophilicity and microtopography on early stages of soft and hard tissue integration at non-submerged titanium implants: An immunohistochemical study in dogs. J. Periodontol. 2007;78(11): Schwarz F,et al. Bone regeneration in dehiscence-type defects at chemically modified (SLActive) and conventional SLA titanium: A pilot study in dogs. J. Clin. Periodontol. 2007;34(1): Zöllner et al. Immediate and early non-occlusal loading of Straumann implants with a chemically modified surface (SLActive ) in the posterior mandible and maxilla: interim results from a prospective multicentre randomized-controlled study. Clinical Oral Implants Research, 19(5), , Nicolau P. et al. Immediate and early loading of chronically modified implants in posterior jaws: 3-year results from a prospective randomized study Clin Implant Dent Relat Res Aug;15(4): Bornstein mm et al. Early loading at 21 days of non-submerged titanium implants with a chemically modified sandblasted and acid-etched surface: 3-year results of a prospective study in the posterior mandible. J. Periodontol Jun;81 (6): Raghavendra S, et al. Int. J. Oral Maxillofac. Implants May Jun;20(3): Lang, NP., et al. Early osseointegration to hydrophilic and hydrophobic implant surfaces in humans. Clin Oral Implants.Res 22.4 (2011): Schwarz, F., et al., Bone regeneration in dehiscence-type defects at chemically modified (SLActive ) and conventional SLA titanium implants: a pilot study in dogs J Clin.Periodontol (2007): Schwarz, F., et al., Bone regeneration in dehiscence-type defects at non-submerged and submerged chemically modified (SLActive ) and conventional SLA titanium implants: an immunohistochemical study in dogs. J Clin.Periodontol (2008): Gahlert M et al. In vivo performance of zirconia and titanium implants: a histomorphometric study in mini pig maxillae. Clin Oral Implants Res Mar;23(3): Bormann KH et al. Biomechanical evaluation of a microstructured zirconia implant by a removal torque comparison with a standard Ti-SLA implant. Clin Oral Implants Res Oct; 23(10): X.002.indd :36
16 International Headquarters Institut Straumann AG Peter Merian-Weg 12 CH-4002 Basel, Switzerland Phone +41 (0) Fax +41 (0) Institut Straumann AG, All rights reserved. Straumann and/or other trademarks and logos from Straumann mentioned herein are the trademarks or registered trademarks of Straumann Holding AG and/or its affiliates. All rights reserved. Straumann products are CE marked 01/ /A/000 45X.002.indd :36
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