NEW The SmartFix Concept Prosthetic solution on tilted implants SmartFix
The SmartFix Concept Prosthetic solution on tilted implants The SmartFix Concept is an effective and time-saving technique for immediate restoration with screw-retained restorations on a minimum of 4 implants. To obtain a common insertion direction, the tilted implants are provided with 15 or 30 angled XiVE MP abutments. This allows an axial divergence of up to 45 between two implants to be compensated. Two procedures of fabrication can be selected for prosthetic restorations: Either the conventional fabrication of a superstructure or CAD/CAM-fabricated ISUS implant superstructures by Compartis with a high precision fit. The SmartFix Concept offers the following advantages: 1 Avoiding critical anatomical areas Augmentation and critical anatomical areas can be largely circumvented by using tilted implants. For example, this avoids sinus floor elevation in the maxilla or nerve transposition in the mandible. Dependent on the individual patient situation, restorations with 4 implants in the maxilla are also possible. 2 Stable prosthetic fit The area supporting the prosthesis is extended distally by the angled implant position and the local bone is thus utilized optimally.
Special features of the XiVE SmartFix Concept: 3 The extremely delicate abutment provides optimum freedom of design for the superstructure in terms of height and diameter. 4 Secure handling The abutment components are premounted on a seating instrument. Delivery of the angled MP abutment is facilitated by the short and flexible seating instrument, especially when space is restricted. 5 Utilization of perfect-fit CAD/CAM-fabricated superstructures made of titanium or cobalt chrome. Optimal connection of the angled MP abutments to the ISUS implant superstructures by Compartis. 6 Indexed positioning Integrated hex provides accurate positioning of angled MP abutments. Please note: a marker on the implant driver must point in mesial direction during screw-retention. 7 Platform-Switching shifts the transition between the implant and the abutment in central direction for implants with the diameters 4.5 and 5.5. This enables an easy access of the abutments to the implant and avoids irritation of the peri-implant bone. Collision with the distal bone crest is largely excluded by the extremely narrow angled abutments.
The XiVE SmartFix Concept: Step-by-Step Please note: For easier alignment of the angled implants, leave the TempBase in the just placed implants. The axis of the seating instrument can be aligned along these to provide a common insertion direction. Implant placement Two-piece abutment on seating instrument Screw-retaining of the angled prosthetic abutments Unscrew seating instrument and reverse If necessary, the implants are inserted at an angled axis, whereby one marker on the implant driver must point in mesial direction. Preoperative planning is preferably conducted computer-guided, i.e. with ExpertEase : http://expertease.dentsplyfriadent.com/. Further information is given in the appropriate surgical instruction manuals. The two components of the angled MP abutments are pre-mounted on a seating instrument. The seating instrument is made of PEEK plastic and can be pre-shaped outside the oral cavity, if required, to provide easier placement of the angled MP abutment in the implant. The abutment body of the angled MP abutment is positioned in the implant using the seating instrument. The abutment platform should be parallel to the occlusal plane. A FRIADENT hex screw driver with 1.22 mm width is used for screw retention. The torque required is 24 Ncm. If necessary, post-preparation of the surrounding bone may be required prior to delivery of the abutment. Check the final fit of the abutments via suitable radiographic imaging. Then the seating instrument is unscrewed from the abutment body of the angled MP abutment rotating to the left. Then rotate the seating instrument through 180 to position the insert head.
Insertion of insert head Snap off the seating instrument Screw-tightening of abutment head and wound closure Impression making with the PickUp technique Following final screw retention of the abutment body, the insert head is handtightened into the abutment body using the seating instrument. Then snap off and remove the seating instrument from the abutment. Using the FRIADENT seating instrument for MP insert screw, the insert head is screw-retained at 24 Ncm. Then seal the edges of the wound saliva-proof with monofilament sutures. Transfer of the abutment position is performed employing the PickUp technique using the MP PickUp impression coping in combination with the MP PickUp guide pin. The impression is passed to the dental laboratory.
Notes on using the old prosthesis: Roughen the PassivFit sleeves and fit with retentions, shorten if required Hollow grind the prosthesis adequately Avoid imperfections at the PassivFit sleeves Avoid excessive polymerization shrinkage Protect soft tissue, i.e. using a cofferdam curved incision Mix cold-cure polymer (i.e. Selecta plus, DENTSPLY) bubble-free and viscous Cover PassivFit sleeves completely FRIADENT MP cover screw Model casting Temporary immediate restoration Screw-retention of final superstructure The angled MP abutments remain in the patient s mouth. These are sealed with MP cover screws until delivery of the prosthetic restoration. The FRIADENT MP analogs are screw-retained together using the MP PickUp guide pin and the impression coping fixed in the impression. Then the model is cast in the usual procedure. The existing prosthesis can be modified to provide temporary restoration. To avoid misalignment of the PassivFit sleeves in the prosthesis with resulting changes in occlusion, any transverse and/or vertical displacement of the prosthesis must be avoided during the polymerization process. Extended functional margins can be shortened as far as possible. Clean and disinfect superstructure and screw-connect to the MP abutments using a 1.22 mm Hex screwdriver and a torque of 24 Ncm.
Order No. Article XiVE MP Abutment / A 15 46 2932 D 3.4 / GH 2 46 2933 D 3.4 / GH 3 46 2935 D 3.4 / GH 5 XiVE MP Abutment / A 30 46 3032 D 3.4 / GH 2 46 3033 D 3.4 / GH 3 XiVE MP Abutment / A 15 46 2942 D 3.8 D 5.5 / GH 2 46 2943 D 3.8 D 5.5 / GH 3 46 2945 D 3.8 D 5.5 / GH 5 XiVE MP Abutment / A 30 46 3042 D 3.8 D 5.5 / GH 2 46 3043 D 3.8 D 5.5 / GH 3 46 3100 XiVE MP Insert Head (as spare part) Please refer to the XiVE product catalog for further variants of FRIADENT MP abutments for the restoration of just placed implants under the section XiVE S prosthetic components Multi-Purpose. FRIADENT PassivFit Set (without retaining screw) 45 4830 D 3.4 45 4840 D 3.8 46 4300 FRIADENT MP Screw for Castable Waxing Sleeve D 3.4 D 5.5 FRIADENT MP Cover Screw 46 1430 D 3.4 46 1440 D 3.8 FRIADENT MP Lab Set PickUp Impression 46 8230 D 3.4 46 8240 D 3.8 FRIADENT MP Lab Set Transfer Impression 46 8130 D 3.4 46 8140 D 3.8 FRIADENT MP Lab Set Bridge with Cast-to Waxing Sleeve 46 9530 D 3.4 46 9540 D 3.8 RIADENT MP Lab Set Bridge with Castable Waxing Sleeve 46 9930 D 3.4 46 9940 D 3.8 FRIADENT MP Lab Set Gold Bar Coping 46 9630 D 3.4 46 9640 D 3.8 FRIADENT MP Lab Set Titanium Bar Coping 46 9637 D 3.4 46 9647 D 3.8 FRIADENT MP Lab Set Castable Bar Coping 46 9638 D 3.4 46 9648 D 3.8 For individual items and other items of FRIADENT MP abutments please refer to the XiVE product catalog under the section XiVE S prosthetic components Multi-Purpose. Note: Please only use MP abutment prosthetic components with a diameter of D 3.8 for the XiVE angled MP abutment D 3.8 D 5.5.
Smartphone: Go to the PDF of this folder Order No. 6-702051/003 Some products may not be available in all countries. Please contact your DENTSPLY Implants representative to obtain up to date information on the product range and on availability. Manufacturer: DENTSPLY Implants Manufacturing GmbH P.O. Box 71 01 11 68221 Mannheim/Germany Phone +49 621 4302-1265 Fax +49 621 47 13 06 e-mail: friadent@dentsply.com for Class I Devices 0123 for Class IIa, IIb and II Devices Manufacturer ISUS Implant Superstructures by Compartis : E.S. Healthcare n.v. Research Campus 10 3500 Hasselt/Belgium www.dentsply-friadent.com 0912/2.0/SD