MiNiTM. Easy and Strong Solution for Narrow Ridge. Volume MiNi C4.0

Transcription

1 01/01 MiNiTM Easy and Strong Solution for Narrow Ridge. Volume MiNi C4.0

2 Contents MiNi TM Features 04 MiNi TM Fixture Product - Fixture 05 - Cover Screw & Healing Abutment 06 MiNi TM Abutment Options - Fixture level prosthesis 07 - Overdenture prosthesis / Meg-Rhein System 12 MiNi TM Surgical Kit 16 - Fixture Length and Drill Marking 18 - Surgical Drilling Sequence 18 Extra Option Product - i-gen kit 21 Clinical Report 26

3 02/03 MiNi TM MiNi TM was designed for your convenience with better reliability. Ca 2+ ions are incorporated onto the S-L-A surface through a unique hydrothermal treatment. This treated surface activates the osteoblasts in living organisms creating a secure bone matrix layer that is combined with PO4 3- ions. XPEED provides a fast and secure osteointegration over the entire surface of the fixture.

4 MiNi TM Features MiNi TM, but mighty - When compared with the company A, fixture has similar compressive strength, but Ø3.25 fixture shows much higher value of strength on the thin wall area of the fixture. [Compressive Strength] Load (N) MiNi TM MiNi TM Ø3.25 Company A [Wall Thickness] Ø3.4 A A A B B B 11 connection M1.4 Abutment Screw 1.7mm Hex MiNi TM Parallel wall thickness MiNi TM Ø3 MiNi TM Ø3.25 MiNi TM Ø3.25 Mechanical test using universal testing machine in accordance with ISO 14801, -R&D center in MegaGen Implant Co.,Ltd.(2013)- Company A (unit : mm) Company A Ø3 A B XPEED Surface treatment Knife thread

5 04/05 MiNi TM Fixture Product 1) Fixture Length(mm) - Cover Screw included 8.5 MIIF3008C 10.0 MIIF3010C 11.5 MIIF3011C 13.0 MIIF3013C 15.0 MIIF3015C L Ø Cover Screw included Length(mm) 8.5 MIIF3308C Ø MIIF3310C Ø MIIF3311C L 13.0 MIIF3313C Ø MIIF3315C Platform diameter of Ø3.25 fixture is wider than reference diameter.

6 MiNi TM Fixture Product 2) Cover Screw & Healing Abutment Cover Screw Height(mm) MICS2505 Top view Recommended torque - Manual (5~10 N cm) Healing Abutment Profile Cuff Height(mm) 1.0 MIHA MIHA3030 Ø3 2.5 MIHA MIHA MIHA3060 Profile Cuff Height(mm) 1.0 MIHA MIHA3530 Ø MIHA MIHA MIHA3560 Recommended torque - Manual (5~10 N cm)

7 06/07 MiNi TM Abutment Options 1) Fixture level prosthesis EZ Post Milling Abutment Angled Abutment Temporary Abutment Fuse Abutment Lab Analog Closed tray Open tray Impression Coping (Transfer) Impression Coping (Pick-up) Cover Screw Healing Abutment Ø3.25

8 MiNi TM Abutment Options 1) Fixture level prosthesis EZ Post Profile Post Height(mm) Cuff Height (mm) - Abutment Screw(MIAS14) included 1.0 MIEP3505HT 1.5 MIEP3515HT Ø MIEP3525HT MIEP3535HT 4.5 MIEP3545HT Ø3.5 Recommended torque - 15 N cm Profile Post Height(mm) Cuff Height (mm) 1.0 MIEP3507HT Ø MIEP3517HT 2.5 MIEP3527HT MIEP3537HT 4.5 MIEP3547HT Ø3.5 Profile Post Cuff Height Height(mm) (mm) 1.0 MIEP3509HT Ø MIEP3519HT 2.5 MIEP3529HT MIEP3539HT 4.5 MIEP3549HT Ø3.5

9 08/09 Milling Abutment Profile Post Height(mm) Cuff Height (mm) - Abutment Screw(MIAS14) included 1.0 MIMA3005HT MIMA3015HT 2.5 MIMA3025HT 5 Recommended torque - 15 N cm 3.5 MIMA3035HT 4.5 MIMA3045HT Profile Post Cuff Height Height(mm) (mm) 1.0 MIMA3007HT MIMA3017HT 2.5 MIMA3027HT MIMA3037HT 4.5 MIMA3047HT Profile Post Cuff Height Height(mm) (mm) 1.0 MIMA3009HT MIMA3019HT 2.5 MIMA3029HT MIMA3039HT 4.5 MIMA3049HT Angled Abutment - Abutment Screw(MIAS14) included Profile Cuff Height (mm) 2.5 Type Angle MIAA3215HT Hex MIAA3315HT Ø MIAA3415HT MIAA3215ET 3.5 Hex-E MIAA3315ET Ø3.5 Ø MIAA3415ET Recommended torque - 15 N cm Hex Hex-E

10 MiNi TM Abutment Options 1) Fixture level prosthesis Temporary Abutment - Abutment Screw(MIAS14) included Profile Length(mm) 12 MITA3012HT Recommended torque - 10~15 N cm 12 Fuse Abutment Labiolingual Mesiodistal (mm) P.H (mm) Type - Abutment Screw(MIAS14) + Fuse Cap included Ø5.0 Ø Straight Angled(15 ) Recommended torque - 10~15 N cm MFAP3535P MFAA3315P 15 P.H Labio-lingual Mesio-distal Mesio-distal Labio-lingual Transfer type Pick-up type Impression Coping - Guide Pin included Profile Ø3.5 Length(mm) Guide Pin Transfer type - MIGPT16 Pick-up type - MIGPP16 Type 14 Transfer MIIT3516HT 16 Pick-up MIIP3516HT Ø3.5 Ø3.5 Lab Analog Length(mm) 12 MILA300H 12

11 10/11 Fuse Abutment Design concept of Fuse Abutment Similar to a customized abutment for excellent esthetics! Various Angle : Straight Temporary Crown Fuse Abutment Cap Perfect margin fitness with a prosthetic cap Scalloped outline Fuse Abutment Post Fuse Abutment Base S-line Mesio-distal Labio-lingual Elliptical Occlusal view like a natural tooth Displacement(mm) Micro-movement test of implant Fuse Abutment area D1 D2 D3 D Force(N) Performed compressive strength test to evaluate the micro-movement for bone density using universal testing machine -R&D center in Megagen Implant Co.,Ltd.(2012)- Compressive strength(n) Rationale of Fuse Abutment Compressive strength test of Fuse Abutment 150 Average < 180N 100 Specimen 1 Specimen 2 50 Specimen 3 Specimen 4 Specimen Displacement(mm) Performed compressive strength test to evaluate the yield strength for Fuse Abutment using universal testing machine -R&D center in Megagen Implant Co.,Ltd.(2012)- In 1992, Brunski JB. reported that an implant may have higher possibility of fibrous-intergration than osseo-integration between bone and implant surface when movements more than100um occurs on the fixture during osseointegration period. (John B. Brunski, Biomechanical factors affecting the bone-dental implant interface. Clinical Materials, Vol. 10, ) Therefore, the implant is needed to be protected not to move when immediate loading is carried out. However, it is not easy to manage loading on the fixture, even when we use a resin temporary with a titanium cylinder. It was thought that it s partly because of the metal component of temporary cylinder, which can deliver excessive forces to the fixture. This is one of the reasons which make clinicians hesitate the immediate loading procedure. So it is necessary to develop a special temporary cylinder. It should be broken under the force which can lead fibrointegration or failure of osseointegration to protect the fixture. and it will be preferred if it is easy to make a temporary crown on this particular temporary cylinder. We tried to measure the force causing movement of 100μm on a fixture which was placed securely into adequate density of bone without defect. First, Any- Ridge implants were placed into the internationally recognized standard bone block with more 40Ncm torque force and an abutment was connected on each implant. Instron was used to measure the force to move a fixture 100μm. The average force was 220N (22.4 kgf). Therefore, If the new temporary abutment can be fractured under this force, it may protect the fixture from movement or failure. From this experiment, we could developed a special temporary abutment which has lower fracture threshold of less than 200 N (20.4 kgf). It was named as Fuse Abutment. Also it has an anatomic profiles to make temporary prosthetics more esthetic.

12 MiNi TM Abutment Options 2) Overdenture prosthesis : Meg-Rhein Overdenture System Retentive Cap Set Lab Analog Impression Coping Meg-Rhein Abutment Ø3.25

13 12/13 Meg-Rhein Meg-Rhein Package Cuff Height (mm) - 1 Meg-Rhein Abutment - 1 Plastic Carrier - 1 Stainless Steel Housing - 3 Retentive Caps (Black, Yellow, Pink) 0 MDR00 1 MDR01 2 MDR MDR03 4 MDR04 5 MDR05 6 MDR06 Perfect compatibility with the Rhein83 from Italy. Recommend torque : 15Ncm. Meg-Rhein Option 4 Retentive Caps (White) 140CET White cap(1.8kg) - For refill (4ea/pack) 4 Retentive Caps (Violet) 140CEV Violet cap(2.7kg) - For refill (4ea/pack) 2 Stainless Steel Housings 2ea/pack 141CAE

14 Meg-Rhein Option Insertion Tool 085IAC Removal Tool 091EC 90 Stainless Impression Coping (Pick-up) 044CAIN 2ea/pack Italy - Rhein83 products. For accurate (pick-up type) impression. Metal with groove design to prevent from swaying. 5.5 Lab Analog To make denture model. PLA

15 14/15 Overdenture System Meg-Rhein Package * A plastic carrier can be used as an impression coping. Meg-Rhein Abutment with a Plastic Carrier Black Cap(0kg) Stainless Steel Housing Yellow Cap(0.6kg) Pink Cap(1.2kg) Advantage 1. Small & Easy-to-use Housing System 2. Tilting Angle & Various Retentive Caps for the Meg-Rhein 3. Low Reduction Rate & Uniform Variance of Retentive Force 2.1mm 4.4mm Meg-Rhein 30º Before After (1,000cycles) 27% 38% 49% % mm mm Product K & L 0 Meg-Rhein Product K Product L Product P 2.3mm 5.2mm Product P *Smaller & more convenient than others, with a proven Italian technology. Yellow (0.6kg) Pink (1.2kg) White (1.8kg) Violet (2.7kg) * Seperate purchase available upon request Retentive force (kg) R 2 =0.85 1,000 Cycles R 2 (Coefficient of determination) becomes more reliable when it is close to 1.

16 MiNi TM Surgical Kit All instruments of the MiNi Internal system are already is contained in the AnyRidge & AnyOne surgical kit. MiNi Ø2.0 / Ø2.9 Ø3.3 / Ø4.8 PATH FINDER TORQUE WRENCH DIRECTION INDICATOR LANCE DRILL Ø2.5 Ø2.8 Ø2.0 Ø3.3 Ø3.8 Ø4.3 Ø4.8 Ø5.4 Ø5.9 Ø3.3 / Ø3.8 Ø4.1 / Ø4.4 Ø5.7 / Ø6.0 CORTICAL BONE DRILL Ø3.25 Ø3.5 Ø4.0 Ø4.5 Ø5.0 Ø5.5 Ø6.0 Ø6.5 Ø7.0 Ø7.5 Ø8.0 S REMOVAL DRIVER Shaping Drill L DRILL EXT. HANDPIECE CONNECTOR RATCHET CONNECTOR HAND DRIVER OPTION AnyRidge Surgical Kit (KARIN 3003) Handpiece Connector Ratchet Connector AnyOne Surgical Kit (KAOIN 3003)

17 16/17 Surgical Components Handpiece Connector Hex Size(mm) Type 1.7 Short Long HCS17 HCL17 Ratchet Connector Hex Size(mm) Length(mm) 1.7 Short Long RCS17 RCL17 Shaping Drill Length(mm) Ø2.5 SD2518S 33 Ø2.8 SD2818S Our customers can experience MiNi internal system at any time by purchasing of the instrument even for the customers currently not in use of AnyRidge & AnyOne Internal system.

18 Fixture Length and Drill Marking 3mm 0.5mm The platform line of the Handpiece Connector or the Ratchet Connector must be flush with the fixture platform. When using the Ratchet Wrench, do not use an excessive torque as it can lead to a failure of internal structural damage to the fixtures. It is not recommended to exceed the maximum torque of 75N cm. 15.0mm 13.0mm 11.5mm 10.0mm 8.5mm 8.0mm 9.5mm 11.0mm 12.5mm 14.5mm 0.5mm The actual lengths of MiNi TM internal fixture is 0.5mm shorter than the depth markings of a Shaping Drill. Therefore, the fixture will be placed 0.5mm under the crest naturally. 0.5mm Subcrestal Fixture length 9.5mm Y value 0.5mm Actual drilling depth 10.5mm = 0.5mm subcrestal + 9.5mm actual fixture length + 0.5mm Y value * Fixture (Y value = 0.5mm), Ø3.25 (Y value = 0.6mm) Surgical Drilling Sequence Initial Drill Ø2.0 Ø mm 9.5mm 10.0mm Actual drilling depth 10.5mm = 0.5mm subcrestal + 9.5mm actual fixture length + 0.5mm Y value Initial Drill Ø2.0 Ø2.5 Ø mm Ø mm 10.0mm Actual drilling depth 10.6mm = 0.5mm subcrestal + 9.5mm actual fixture length + 0.6mm Y value

19 18/19 Extra Option Products 1) i-gen i-gen Screw Type Cuff Height (mm) - Use Hand Driver(1.6 Hex) 1.5 IA1415 M IA IA1430 MegaGen (MiNi) Astra (Osseospeed) : Ø3.5S Dentsply-Frident (XiVE) : Recommended torque-manual(10-15n. cm) i-gen Cover Screw - Use Hand Driver(1.2 Hex) Type Height (mm) Hex ICS3510 MegaGen (MiNi) Astra (Osseospeed) : Ø3.5S Dentsply-Frident (XiVE) : Recommended torque-manual(5-10n. cm) 1.0 i-gen Membrane Type PL Proximal Length BW Buccal Width BL Buccal Length BD Buccal Distance LW Lingual Width LL Lingual Length A IG1W4509 A IG1W5510 A1 B1 C1 A IG1W6511 B IG2W0918 B IG2W1120 A2 B2 C2 B IG2W1323 C IG3W0921 C IG3W1125 C IG3W1328 A3 B3 C3 BD LL BW PL LW BL

20 i-gen (Removable Ti Membrane) Design concept of the i-gen Compatible with other implant brands also! Lingual Extension should be considered for a large defect. Need to have at least 1mm of space above the platform of a fixture: Make this space with a pre-existing abutment, eg, i-gen Screw. 2mm >2.5mm horizontal extension needed to make >2mm labial bone after remodeling. >100 blunt angle with bevel should be made to avoid soft tissue irritation. 0.5~1.0mm shrinkage will occur after removal of membrane. Apical skirt should be adapted to the bone. Ideal regeneration line Ideal + Regeneration membrane i-gen membrane 1. Place an implant into the recipient site. 2. Connect a i-gen Screw to the implant and bone grafting. Usually 1 mm cuff height is good enough for vertical space, but 2 or 3 mm cuff height of i-gen Screw can be chosen according to situation. The amount of graft material should be enough to fill the space between i-gen and the fixture. 3. Selection of i-gen and placement. According to the size and shape of bone defect, an i-gen can be chosen from 9 different shapes. Match the hole of i-gen with the screw hole of i-gen Screw. 4. Fixate i-gen with a i-gen Screw. Choose a i-gen Cover Screw to fix i-gen membrane depend on the need of one or two stage surgery. And tight adaptation of soft tissue flap is recommended

21 20/21 2) 911kit (KPSCS3000) It s a must-to-have for every implantologist! Hex Hex Fixture Removal kit (KPSFS3000)

22 911kit Components Fixture Remover Applied Fixture ~Ø3.6 Length(mm) 15 FSS FSL3035 Ø3.7~Ø4.6 Ø4.7~Ø FSS FSL FSS FSL4555 L Ø5.7~Ø FSS FSL6080 To remove the broken fixture. When selecting a Fixture Remover, consider the outer diameter of a fixture. In case of AnyRidge Internal Fixture that the thread is formed under platform, select a Fixture Remover according to platform size Fixture Remover Screw Applied Fixture Thread M1.4(MiNi) M1.6(EZ Plus, ExFeel Ø3.3) M1.8(AnyRidge) M2.0(AnyOne, MegaFix, EZ Plus, ExFeel) FSS14 FSS16 FSS18 FSS20 M2.5(Rescue) FSS25 To connect fixture and Fixture Remover. Recommended tightening torque FSS14, FSS16 : 40~50 Ncm FSS18, FSS20, FSS25 : 70~80 Ncm. Torx Driver Length (mm) 5 TD05 15 TD15 20 TD20 To connect fixture to Fixture Remover Screw L Torque Wrench Type 300Ncm TW500 70Ncm TW70 TW500 : To check torque force when removing fixture. TW70 : To check torque force when tightening Fixture Remover Screw.

23 22/23 Abutment Remover Length (mm) 22 ASS 27 ASL On fractured abutment. Use screw size M1.8 & M2.0. L Screw Remover Length (mm) 30 SSS 45 SSL To remove fractured screw. Use screw size M1.8 & M2.0. L Screw Remover Guide Applied Fixture Internal Length(mm) 10 SSIG10 16 SSIG16 22 SSIG22 22 SSIG22W External Hex 2.4 Hex 2.7 SSEG24 SSEG27 Hex 3.3 SSEG33 To secure the Screw Remover from moving side to side when removing the screw. Screw Remover Guide Holder SSGH Tool to supporting the Screw Remover Guide. Hex Remover Length (mm) 22 HSS 27 HSL To remove hex-damaged Abutment Screw, Cover Screw or Healing Abutment. L

24 911kit Fixture Remover Fixture Remover Screw: Single use only Do not use in case of a gap in Fixture Remover Remove the prosthesis of the fi xture to be removed, and the surrounding bone. Select a Fixture Remover Screw of the same size as the fixture internal screw. Use the Torx Driver to turn the screw clockwise (40Ncm~70Ncm) to place in the fixture. (Use of torque less than 40Ncm for M1.6, and 60Ncm for other products may lead to loosening) Select a Fixture Remover that fits the fixture diameter. Turn the fixed Fixture Remover Screw counterclockwise until it touches the fixture. (For a torque of greater than 300Ncm, it is recommended to use a Trephine bur) Fixture and Fixture Remover are tightly connected as rising force and descending force are combined. (Suction is needed; debris may happen on removal of a fixture) Using Torque Wrench, turn counterclockwise and pull out fixture and Fixture Remover. (No more than maximum torque per fixture) Removed fixture can be pulled out, turning Fixture Remover and fixture clockwise, holding onto vice plier. Abutment Remover Can use for abutments that use M1.8 & M2.0 screws. Cannot use for abutment that use M1.6 and M2.5 Insert the Abutment Remover in the fractured abutment hole. Use the Ratchet Wrench to turn clockwise in order to join the abutment and the Abutment Remover as one body. (Ratchet Wrench is included in surgical kit) Move the Abutment Remover sideways while pulling up to remove it. (Use of excessive force may traumatize the fixture or the bone) Secure the separated abutment in a vice or vice pliers. Use the Ratchet Wrench to turn counterclockwise to separate the abutment with the Abutment Remover.

25 24/25 Screw Remover Remove the broken Abutment Screw and the abutment. Select the correct Screw Remover Guide that fits the fixture connection to join. Secure the Screw Remover Guide and insert the Screw Holder in the Screw Remover Guide hole. Push the Screw Remover downwards while rotating counter clockwise to separate it from the fixture internal screw. (rpm:30~50, Torque : 30Ncm) Remove the pieces of broken screw from the fixture internal screw using forceps. When separating the holder from the guide, push in the direction of the arrow to separate. Hex Remover In case Abutment Screw, Cover Screw or Healing Abutment s hex is fractured. Use the Ratchet Wrench to turn counterclockwise to join the abutment with the Abutment Remover as one body. (Use a torque of less than 40Ncm., Ratchet Wrench is included in surgical kit.) Place the removed abutment in the vice. Use the Ratchet Wrench to turn clockwise to separate the abutment with the Hex Remover.

26 Clinical Report Fig 1. Preoperative panoramic radiograph and intraoral photos. The ridge was atrophied due to long-term absence of teeth. Fig 2. Flap was elevated and two osteotomy sockets were made for 3.0mm MiNi TM internal fixtures. There was enough bone left in labio-lingual area for slim fixture. Fig 3. Two x 15.0 mm MiNi TM internal fixtures were placed with excellent stability. GBR was not required. Fig 4. Two EZ Posts were connected to make temporary prosthetics for immediate provisionalization. Fig 5. Flap was sutured and EZ Posts were milled for the better path. Fig 6. Provisional restoration was made at the chair side. Due to the smaller diameter of fixture and abutment, the prosthetics could have a nice emergence profile. Fig 7. Clinical photo and intraoral radiograph at once after surgery. Fig 8. Clinical photo and intraoral radiograph 1 month after radiograph after final restoration. Fig 9. Clinical photo and intraoral surgery.

27 26 MiNi TM Gangnam Office 5F MegaGen Tower, 607 Seolleung-ro, Gangnam-gu, Seoul, Korea T Head Office & Factory 472 Hanjanggun-ro, Jain-myeon, Gyeongsan, Gyeongbuk, Korea T