Osteoconductive S.L.A. Surface. Fantastic surface, Bioseal, and Perfect achievement of CMI f ixation.

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Transcription:

Fantastic surface, Bioseal, and Perfect achievement of CMI f ixation. Osteoconductive S.L.A. Surface No residual acid and cytotoxicity were observed in the surface examination.

IS-II active Product Catalog Contents S.L.A. Surface of IS-II active Features of IS-II active IS-II active Line up Prosthetic Flow Chart IS Full Kit IS Full Kit Components IS-II active Drilling Sequence 4 6 8 10 12 13 15

S.L.A. Surface of IS-II active S.L.A. (Sandblasting with Large grit and Acid etching) IS-II active Surface Macropore & Micropore Macropores and micropores formed by S.L.A. surface treatment increase B.I.C.(Bone-Implant Contact) and allow better blood flow on the implant surface. S.L.A. Surface S.L.A. S.L.A. surface is formed by undergoing the process of sandblasting with smaller than 50 HA (Hydroxy Apatite) particles to roughen the machined surface and to form many macropores. After sandblastingand acid etching is done to increase B.I.C. and promote cell s activity. With this process, the typical treatment period can be shortened and the patients will be more satisfied with the result. S.L.A. Surface Treatment Process Miling Sand Blasting Acid Etching HA Powder Machined 4 R.B.M. S.L.A.

S.L.A. Surface of IS-II active Roughness of IS-II active Regular roughness / R.A. 2.0 (Roughness Average) 1,960 RA( ) 2,020 RA( ) Other company s S.L.A. Surface Neobiotech s S.L.A. Surface Cell adhesion capability of S.L.A. Surface It is observed that S.L.A. surface has the capability of attaching more cells on the titanium surface than the machined or R.B.M. surfaces. Machined R.B.M. S.L.A. Measured distance of newly formed bone Measured distance of newly formed bone is approved to be longer in S.L.A. surface compared to R.B.M. surface. R.B.M. Distance of newly formed bone Left : 1.976mm/ Right : 2.35mm F : Fixture / BM : Bone Marrow / NB : New Bone S.L.A. Distance of newly formed bone Left : 2.460mm Right : 2.41mm F : Fixture / BM : Bone Marrow / NB : New Bone 5

Features of IS-II active Based on the accumulated clinical cases and studies over 10 years, IS-II active has been continuously developed for the improvement. IS-II active has an internal submerged type design with S.L.A. surface that allows faster and stronger osseointegration. BioSeal(0.5mm) BioSeal is a curved S shape placed at the top of the fixture broadens the surface and increases the attachment of the soft tissue, therefore minimizes the bone loss. Coronal Macro Thread (Thread pitch 0.8mm) Coronal Macro thread gains better primary stability at the cortical bone that helps to achieve better fixation in immediate placement. Straight Taper Body helps implant to be drilled and inserted smoothly and also self-compaction is easily achieved in the soft bone. Magic Thread Magic Thread helps to achieve strong and stable initial fixation and also the inverted triangular threads enables to endure vertical and lateral forces. Apex Apex is powerful in drilling and due to this selfcompactable and tapered apex design, initial fixation is easily achieved. It works great in both immediate placement and immediate loading. S.L.A. Surface S.L.A. Surface has no impurities on the implant surface (No residual acid or cell toxicity is observed in the material examination). Also it has an appropriate rough average that can have the excellent osteoconductivity. BioSeal BioSeal has a curved S shape with the application of 0.5mm micro grooves on the machined surface. This design is invented to minimize the bone loss by maximizing soft tissue sealing. Coronal Macro Thread Coronal macro threads helps to achieve excellent primary stability at the cortical bone and initial fixation at the apex is excellent, therefore IS-II active works great in both immediate placement and immediate loading. Magic Thread Magic Thread with the inverted triangular shaped powerful deep thread helps to achieve strong and stable initial f ixation and also this special design allows to endure vertical and lateral forces effectively. 6

Features of IS-II active Connection of IS-II active Conical Sealing & Internal Hex Structure 22 22 0.4mm - Group A : IS-II active all Narrow, Regular, Wide 7.3mm Fixture - Group B : IS-II active Regular, Wide 8.5, 10.0, 11.5, 13.0mm Fixture Group A (Gray) Group B (White) IS-II active Fixture is compatible with all abutments of IS system. * In order to increase the strength of fixture body, Internal hex of Group A is designed 0.4mm higher than Group B. Fixture Placement Procedure Take the fixture out from the box Remove the package surrounding the f ixture Take of the back seal Take out the holder carefully Connect the fixture to the driver Take the f ixture out from the holder 7

IS-II active Fixture Line Up Narrow Ø 3.5 Actual Size Ø 3.5 (mm) Product 8.5 BIS3508A 10.0 BIS3510A 11.5 BIS3511A 13.0 BIS3513A Ø 3.5 Regular Ø 4.0 Actual Size Ø 3.7 Ø 4.0 (mm) Product 7.3 BIS4007A 8.5 BIS4008A 10.0 BIS4010A 11.5 BIS4011A 13.0 BIS4013A Regular Ø 4.5 Actual Size Ø 3.9 Ø 4.5 (mm) Product 7.3 BIS4507A 8.5 BIS4508A 10.0 BIS4510A 11.5 BIS4511A 13.0 BIS4513A Wide Ø 5.0 Actual Size Ø 4.4 Ø 5.0 (mm) Product 7.3 BIS5007A 8.5 BIS5008A 10.0 BIS5010A 11. 5 BIS5011A 13.0 BIS5013A 8

IS-II active Fixture Line Up S-wide Platform Diameter (Ø) Platform (Ø) (mm) 7.3 BIS5507A 5.5 4.4 8.5 BIS5508A 10.0 BIS5510A 11.5 BIS5511A Diameter 13.0 BIS5513A 7.3 BIS6007A* 8.5 BIS6008A* 6.0 4.9 10.0 BIS6010A* 11.5 BIS6011A* 13.0 BIS6013A* 7.3 BIS7007A* 8.5 BIS7008A* 7.0 5.8 10.0 BIS7010A* 11.5 BIS7011A* 13.0 BIS7013A* Short Platform Diameter (Ø) Platform (Ø) (mm) Product 7.3mm 5.0 4.4 5.0 BIS5005A 6.0 BIS5006A 5.5 4.5 5.0 BIS5505A* 6.0 BIS5506A* Diameter S-wide Kit * S-Wide Kit is necessary to place S-wide Fixture and Ø 5.5 Short Fixture 9

Prosthetic Flow Chart Solid Abutment Plastic coping Lab analog Impression cap 1.2 Hex driver Solid abutment Protective cap Healing abutment Cover screw 1.2 Hex driver IS-II active 10

Prosthetic Flow Chart Cement & Screw Abutment Straight Gold Hex R SCRP multi Angled Non-hex Abutment positioner Hex SCRP R multi CCM Non-hex Plastic coping Hex Non-hex Hex Shapable SCRP R multi Plastic Non-hex Lab analog Hex R SCRP multi Non-hex Hex Non-hex Impression cap Lab analog Hex R SCRP multi Non-hex Abutment positioner Pick up 1.2 Hex driver Transfer Impression coping positioner Healing abutment Cover screw 1.2 Hex driver IS-II active 11

IS Full Kit This kit can be used to perform implant surgery for IS-II active, IS-II and IS (Ø3.5 ~ 5.5). For S-wide (Ø6.0 ~ 7.0) implant surgery, S-wide kit is additionally required. Point Lindemann drill Countersink Profile Tap Surgical Drill Drill Extension Ver.4 Stopper Connector Direction Pin Parallel Pin Hex Driver Fixture Driver Product ISFKIT IS Full Kit User Manual 1. Follow the guidelines marked in different colors on the kit tray when placing the fixture. Drill sequentially in order to place the implant properly. Ex) When placing Ø4.5 Implant Ø2.3/LD Drill >> Ø2.2 Drill >> Ø2.9 Drill >> Ø3.4 Drill >> Ø3.9 Drill 2. Counter sinking for IS or profile tapping for IS-II Fixture in the D1 / D2 dense bone is recommended selectively but the operator may skip the procedure when it is determined not necessary. Ex) When placing IS Ø4.5 Implant Ø2.3/LD Drill >> Ø2.2 Drill >> Ø2.9 Drill >> Ø3.4 Drill >> Ø3.9 Drill >> Ø4.5 Counter Sink IS Full kit is used for placing IS, IS-II and IS-II active fixtures. IS IS - II IS - II active *S-wide kit is necessary when placing IS S-wide or IS-II S-wide fixtures. 12

IS Full Kit Components Direction Pin Surgical Drill Diameter Diameter Point Lindemann LDS23 Ø5.0 DPI50 Initial Drill Ø2.2 TSD22F Ø6.0 DPI60 Ø2.9 TSD29F Ø3.4 TSD34F Ø3.9 TSD39F Ø4.4 TSD44F Ø4.9 TSD49F Ratchet Connector Type Short (10mm) RC10 Long (15mm) RC15 IS Fixture Driver Stopper Type Contra Angle ISFD05C 3.0 mm DS030F Ratchet (Short) ISFD10R 4.0 mm DS040F Ratchet (Long) ISFD15R 5.0 mm DS050F 6.0 mm DS060F 7.0 mm DS070F 8.5 mm DS085F 10.0 mm DS100F 7.0 mm PP07F 11.5 mm DS115F 8.5 mm PP08F 13.0 mm DS130F 10.0 mm PP10F HD1215 DE01 TW60 MG00 DH01 Parallel Pin Hex Driver Counter sink Diameter Ø3.5 ISCS35F Ø4.0 ISCS40F Ø4.5 ISCS45F Ø5.0 ISCS50F Ø5.5 ISCS55F Diameter Ø3.5 PTAP35F Ø4.0 PTAP40F Ø4.5 PTAP45F Ø5.0 PTAP50F Ø5.5 PTAP55F Profile Tap Drill Extension Torque Ratchet Depth Gauge Driver Holder 13

IS Full Kit Components Surgical Drill 13.0 11.5 10.0 8.5 7.0 0.0 1.3 Point Lindemann Ø2.3 Initial Drill Ø2.2 Ø2.9 Ø3.4 Ø3.9 Ø4.4 Ø4.9 >> * Function of Point Lindemann Drill 1. Point Drilling - Marking drilling position (Drill 4~5mm) 2. Cutting Side Controlling path while drilling the extraction site All drills are coated with black color in order to make operator easy when checking the drilling depth. Twist drills have specially designed round tip. * The actual drilling depth of Point Lindemann Drill and Ø 2.2 Initial Drill are 1.3mm longer than the marked length. Stopper Stopper 3.0mm 4.0mm 5.0mm 6.0mm 7.0mm 8.5mm 10.0mm 11.5mm 13.0mm Drilling 3.0mm 4.0mm 5.0mm 6.0mm 8.1mm 9.3mm 10.8mm 12.3mm 13.8mm Drilling The actual length of drill is longer than the indicated length. (Tip length of Lindermann, Initial drill : 1.3mm, Ø2.9 drill : 1.0mm, Ø3.4~Ø4.9 : 0.8mm) Countersink C (Super Hard Bone) B (Hard Bone) A (Soft Bone) Countersink is usually used for IS fixtures when the cortical bone density is high, however it also can be used for IS-II in some clinical cases when it is necessary. >> The drilling depth for the countersink drill depends on the patient s bone den- sity and the line A B C are divided according to the bone density. If the patient s crestal bone is super hard with high density, drill up to C, for hard crestal bone drill up to B and lastly, for the soft bone drill only up to A line. Ø3.5 Ø4.0 Ø4.5 Ø5.0 Ø5.5 Profile Tap >> Profile tap is usually used for IS-II and IS-II active fixtures and it helps to achieve initial stability and to be inserted smoothly since the thick and hard cortical bone is pre tapped. >> Used with contra angle and with four blades, tapping is done easily 9mm 8mm Ø3.5 14 Ø4.0 Ø4.5 Ø5.0 Ø5.5 Pretap the cortical bone located around the top of the fixture, drill up to the marked line on the profile tap drill. Profile Tap : 50 R.P.M / 50Ncm 10mm Fixture

IS-II active Drilling Sequence IS-II active Fixture Ø3.5 X 10mm (D1/D2 bone) Point Lindemann Ø2.3 Initial Drill Ø2.2 Ø2.9 Profile Tap Ø3.5 * Drilling Speed & Torque Point Lindemann, Initial Drill, : 1,200 R.P.M / 30 ~ 45 Ncm Profile Tap : 50 R.P.M / 50Ncm D1 10mm D2 Tip 1 mm If the bone density is low and soft, drilling 10mm with Ø 2.3 Lindemann drill and then place the fixture. IS-II active Fixture Ø4.0 X 10mm (D1/D2 bone) Point Lindemann Ø2.3 Initial Drill Ø2.2 Ø2.9 Ø3.4 Profile Tap Ø4.0 D1 10mm D2 Tip 1 mm If the bone density is low and soft, drill 10mm up to Ø 2.9 Twist drill and then place the fixture. IS-II active Fixture Ø4.5 X 10mm (D1/D2 bone) Point Lindemann Ø2.3 Initial Drill Ø2.2 Ø2.9 Ø3.4 Ø3.9 Profile Tap Ø4.5 D1 10mm D2 Tip 1 mm If the bone density is low and soft, drill 10mm up to Ø 3.4 Twist drill and then place the fixture. IS-II active Fixture Ø5.0 X 10mm (D1/D2 bone) Point Lindemann Ø2.3 Initial Drill Ø2.2 Ø2.9 Ø3.4 Ø3.9 Ø4.4 Profile Tap Ø5.0 D1 10mm D2 Tip 1 mm If the bone density is low and soft, drill 10mm up to Ø 3.9 Twist drill and then place the fixture. IS-II active Fixture Ø5.5 X 10mm (D1/D2 bone) Point Lindemann Ø2.3 Initial Drill Ø2.2 Ø2.9 Ø3.4 Ø3.9 Ø4.4 Ø4.9 Profile Tap Ø5.5 D1 10mm Tip 1 mm D2 If the bone density is low and soft, drill 10mm up to Ø 4.4 Twist drill and then place the fixture. 15

2012.09.20 Ver.1 Neobiotech Co., Ltd. E-Space #1010, 212-26, Guro-dong, Guro-gu, Seoul, Koea 152-789 Tel : +82-2-582-2885 Fax : +82-2- 864-2894 Email : info@neobiotech.co.kr