Tapered Internal - BioHorizons

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taperedinternalimplant systemhigh-end esthetic performanceand excellent primary stability

taperedimplant familyThe Tapered Internal family of dental implants provideexcellent primary stability, maximum bone maintenanceand soft tissue attachment for predictable results. Allimplants can be placed with the same instrument kitproviding you surgical convenience and flexibility tochoose the ideal implants for each patient’s needs.restorative easeuniversal surgical kitconical internal hex connection iscolor-coded for quick identificationand component matchingintuitive color-codedinstrumentation used to place allBioHorizons tapered implantsconnective tissue attachmentuniquely creates a physicalconnective tissue attachmentbone attachmentLaser-Lok microchannelsachieve superior osseointegrationshop online at www.biohorizons.com

table of contentstapered internal overview2implants3surgical kits4surgical instruments5-6ancillary instruments7-8w&h motors and instruments9-10healing abutments & cover caps11-12surgical manual introduction13surgical protocols14implant placement level & spacing15surgical kit & drill sequence16drill overview17osteotomy initialization18osteotomy modification19final bone preparation & drivers20implant transfer21healing protocols22appendix23icon legend & references24ordering & warranty information251shop online at www.biohorizons.com

tapered internalTapered Internal dental implants feature an anatomically tapered dental implant body, aggressivebuttress threads and advanced Laser-Lok surface technology. The deep 1.5mm internal hexconnection with a 45 tapered bevel create a rigid connection and a stable biologic seal. excellent primary stability from anatomically tapered body compressive bone loading from proprietary buttress threads stable soft tissue seal and flexible implant placement from Laser-Lok microchannelsLaser-Lok zonecreates a connective tissueseal and maintainscrestal boneLaserLoksurfacecollagenfibersboneoptimized threadformbuttress thread engineeredfor superior stability overmicrothreaded implantsrestorative choicescomprehensive line of internally hexedprosthetics for a wide variety of siteconditions and restorative protocols* histologic images are courtesy of Myron Nevins, DDS, and Peter Schupbach, PhDshop online at www.biohorizons.com2

Dental Implants with Laser-LokMount-free Tapered Internal Implants with Laser-LokPackaged mount-free for quick placement and maximum site visibility. Expanded Laser-Lok zone withno smooth, machined area. Includes a Cover Cap.prostheticconnection3.0mm3.5mm4.5mm5.7mmbody diameter3.0mm3.8mm4.6mm5.8mmLaser-Lok zone2.1mm1.8mm1.8mm1.8mm7.5mm length——TLX4607TLX58079.0mm length—TLX3809TLX4609TLX580910.5mm lengthTLX3010TLX3810TLX4610TLX581012.0mm lengthTLX3012TLX3812TLX4612TLX581215.0mm lengthTLX3015TLX3815TLX4615TLX5815Tapered Internal Implants with Laser-LokLaser-Lok collar with Resorbable Blast Texturing (RBT) on implant body. Comes packaged with Cover Cap, Abutment Screw and pre-mounted3inOne esthetic abutment that serves as a fixture mount, closed-tray transfer (when used with a ball-top screw) and final abutment.Titanium Alloy.prostheticconnection3.5mm4.5mm5.7mmbody diameter3.8mm4.6mm5.8mmLaser-Lok zone1.5mm1.5mm1.5mm7.5mm length—TLR4607TLR58079.0mm lengthTLR3809TLR4609TLR580910.5mm lengthTLR3810TLR4610TLR581012.0mm lengthTLR3812TLR4612TLR581215.0mm lengthTLR3815TLR4615TLR5815Short Tapered Internal Implants with Laser-Lok CompleteLaser-Lok surface technology across the entire implant body with no machined collar for faster osseointegration1 and higher boneto implant contact. Ideal for anatomically challenging conditions. Packaged with Cover Cap. Mount-free delivery. Titanium Alloy.Histology of a buttress threadwith Laser-Lok showingexceptional bone attachment.prostheticconnection4.5mm5.7mmbody diameter4.6mm5.8mm7.5mm lengthTL4607TL58079.0mm lengthTL4609TL5809* histologic image is courtesy of Myron Nevins, DDS, and Peter Schupbach, PhD3shop online at www.biohorizons.com

SURGICAL KITSUniversal Surgical KitTSK3000*Universal Surgical KitIncludes the instrumentation required to place:Tapered Internal, Tapered 3.0, Tapered Plus and Laser-Lok 3.0TSK2500*Surgical Tray & Lid (without instruments)features: versatile, removable, hinged lid 40% smaller and 40% lighter than other kits easy to disassemble and assemble during cleaning implant staging area for implant vials during surgery use to place Tapered Internal, Tapered 3.0, Tapered Plus and Laser-Lok 3.0 empty spare slots for other instrumentation such as stop drills or extended shank drillsTapered Internal Surgical KitTSK2021Tapered Internal Surgical KitIncludes the instrumentation to place 3.8/4.6/5.8mm TaperedInternal implants ONLY. Tapered 3.0 instrumentation sold separately.TSK2011Tapered Internal Tray & Lid (without instruments)* not available in all marketsshop online at www.biohorizons.com4

SURGICAL INSTRUMENTSIndividual ComponentsTSD20202.0mm Starter Drill (matte finish)122-100144-100(adds 16mm tolength of drill)144-200Drill ExtenderTSD2025Straight Parallel Pin20 Angled Parallel Pin2.5mm Depth Drill (matte finish)TSD20323.2mm Width Increasing Drill (matte finish)TSD20373.7mm Width Increasing Drill (matte finish)TSD20414.1mm Width Increasing Drill (matte finish)TSD20474.7mm Width Increasing Drill (matte finish)TSD20545.4mm Width Increasing Drill (matte finish)TP3CBD*3.0mm Crestal Bone Drill122-900*3.0mm Bone TapTSC20383.8mm Crestal Bone DrillTST20383.8mm Bone TapTSC20464.6mm Crestal Bone DrillTST20464.6mm Bone TapTSC20585.8mm Crestal Bone DrillTST20585.8mm Bone TapImportant Note about drillsTDG2030*3.0mm Depth GaugeTDG20383.8mm Depth GaugeTDG20464.6mm Depth GaugeTDG20585.8mm Depth GaugeDrills, taps and depth gauges are color codedby implant body diameter: 3.0mm body - no color indicator 3.8mm body - yellow 4.6mm body - green 5.8mm body - blue* specific 3.0 instruments are only included in the TSK3000, not the TSK20215shop online at www.biohorizons.com

SURGICAL INSTRUMENTSIndividual Components300-400Hand Wrench, 4mm Square300-206135-3514mm Square Drive Extender130-000.050” (1.25mm) Hex DriverPHAAbutment-level Driver, HandpiecePRAAbutment-level Driver, RatchetRatchetTP3IDHR*3.0mm Implant-level Driver, Regular, HandpieceSYGIDH3.5/4.5mm Implant-level Driver, HandpieceTP3IDRR*3.0mm Implant-level Driver, Regular, 4mm SquareSYGIDR3.5/4.5mm Implant-level Driver, 4mm SquareImportant Note about driversDrivers are color coded by prosthetic connection: 3.0mm platform - no color indicator 3.5mm platform - yellow 4.5mm platform - greenSBIDH5.7mm Implant-level Driver, HandpieceSBIDR5.7mm Implant-level Driver, 4mm Square 5.7mm platform - blue* Specific 3.0 instruments are only included in the TSK3000, not the TSK2021. The 3.0mm implant-level drivers are available in longer versions.shop online at www.biohorizons.com6

ANCILLARY INSTRUMENTS2.5mm Tapered Depth Drills with stopsTSD2025072.5mm Tapered Depth Drill, 7.5mm StopTSD2025092.5mm Tapered Depth Drill, 9mm StopTSD2025102.5mm Tapered Depth Drill, 10.5mm StopTSD2025122.5mm Tapered Depth Drill, 12mm StopTSD2025152.5mm Tapered Depth Drill, 15mm StopStops are set to same length as each implant for crestal placement.Laser-etched line set 1mm shorter for supracrestal placement.Extended Shank DrillsTSD40202.0mm Ext. Shank Starter DrillTSD40252.5mm Ext. Shank Depth DrillTSD40323.2mm Ext. Shank Width Increasing DrillTSD40373.7mm Ext. Shank Width Increasing DrillTSD40414.1mm Ext. Shank Width Increasing DrillTSD40474.7mm Ext. Shank Width Increasing DrillTSD40545.4mm Ext. Shank Width Increasing DrillExtended Shank Drills are 8mm longer than our standard drills.Burs122-1102.0mm Lindemann Bone CutterSide-cutting drill used to correct eccentric osteotomy preparations.122-106#6 Round BurTP3BP3.0mm Bone Profiling Bur & GuidePYBP3.5mm Bone Profiling Bur & GuidePGBP4.5mm Bone Profiling Bur & GuidePBBP5.7mm Bone Profiling Bur & GuideBone Profiling BursUse at implant uncovery to remove excess crestal bone for proper abutment seating.Screw the guide into the implant and align the profiling bur for precise bone removal.Match profiler & guide color to prosthetic connection.7shop online at www.biohorizons.com

ANCILLARY INSTRUMENTSTissue Punches122-2003.0mm Tissue Punch (for a 3.3mm incision)PYTP3.5mm Tissue Punch (for a 3.9mm incision)PGTP4.5mm Tissue Punch (for a 4.7mm incision)PBTP5.7mm Tissue Punch (for a 6.1mm incision)Use in flapless surgical procedures to remove a minimal amount of the soft tissue fromthe crest of the ridge prior to osteotomy preparation or during implant uncovery.Handpiece Hex Drivers11.5mm6.5mm134-350.050” (1.25mm) Handpiece Hex Driver134-450.050” (1.25mm) Handpiece Hex Driver, LongFor installation and removal of cover screws, healing abutments and abutmentscrews. The handpiece hex drivers are used with latch-type contra-anglehandpieces. The Handpiece Hex Driver, Long (134-450) is 5mm longer thanthe standard version (134-350).Adjustable Torque WrenchesEL-C12374ATWElos Adjustable Torque WrenchLightweight titanium design is easy to use as a ratchet or adjustabletorque wrench with visual indicators for 30, 40, 50, 60, 70, 80 and90 Ncm. Comes packaged with a 4mm square adaptor. Quicklydisassembles for cleaning. No calibration required.Surgical Driver150-000Surgical DriverUse to drive implants into the osteotomy, particularly in the anterior region.Holds the 4mm Square implant-level drivers and the bone taps.shop online at www.biohorizons.comITL Precise Adjustable Torque WrenchPlace both implants and abutments with 9 distinct torque settings(15, 20, 25, 30, 35, 40, 45, 50 and 60 Ncm). A simple twist of thehandle locks in precision-engineered torque values and guaranteesaccuracy and repeatability. Fits any 4mm square component.Implant Spacer / Depth Probe144-300Implant Spacer / Depth ProbeUse to provide intraoral measurements. Multi-functional tool for markingimplant spacing on the ridge and probing osteotomy depth. Included inthe TSK2021. Must be purchased separately for the TSK3000.8

W&H MOTORS AND ACCESSORIESW&H Motor KitsMotor Kits include: console, handheld motor with cable, foot pedal, (3) disposable irrigation tubes, handpiece,bur testing gauge, service oil, and oil spray cap.WH-310LElcomed SA-310 Professional Kit with LEDIncludes WS-75 LED handpiece (WH-10207530)WH-310Elcomed SA-310 Professional KitIncludes WS-75 handpiece (WH-10207510)WH-915LImplantmed SI-915 Starter Kit with LEDIncludes WI-75 LED handpiece (WH-10207560)WH-915Implantmed SI-915 Starter KitIncludes WI-75 handpiece (WH-10207550)W&H Ancillary ItemsWH-04363600Disposable Irrigation Tubing, 2.2m (box of 6)(Implantmed and Elcomed SA-310)WH-04757100Irrigation Spray Clip for External and Internal Irrigation (set of 3)WH-10940011MD-400 Service-Oil F1WH-02139800Bur Testing GaugeUse to verify latch-end instruments (drills, taps, drivers) meetdimensional specifications prior to use.WH-16934000IA-400 Prosthodontic ScrewdriverWH-06338400Irrigation Spike w/ Roller ClampWH-04013900Pump Tube Complete (Implantmed and Elcomed SA-310)WH-04014000Spare Pump Tubes (Implantmed and Elcomed SA-310) (set of 3)WH-00929300Spray Tubes (box of 10)WH-04019000Tube Clamps (Implantmed) (set of 5)9shop online at www.biohorizons.com

W&H MOTORS AND ACCESSORIESContra-Angle Surgical HandpiecesWH-10205601WS-56 E Surgical Handpiece 1:1 Contra-Angle, Fully DismantleableWH-10207510WS-75 E/KM Surgical Handpiece 20:1 Contra-Angle, Fully DismantleableWH-10207530WS-75 E/KM LED G Surgical Handpiece 20:1 Contra-Angle, Fully DismantleableWH-10207550WI-75 E/KM Surgical Handpiece 20:1 Contra-Angle, Mono BlockWH-10207560WI-75 E/KM LED G Surgical Handpiece 20:1 Contra-Angle, Mono BlockWH-10209201WS-92 E/3 Surgical Handpiece 1:2.7 Contra-Angle, Speed-Increasing, Fully DismantleableWH-12227901EB-79 ENDO NiTi Handpiece 2:1 Contra-AngleAngled Surgical HandpiecesWH-10100900S-9 Surgical Handpiece 1:1 AngledWH-10101000S-10 Surgical Handpiece 1:1 Angled, SlimWH-10101200S-12 Surgical Handpiece 1:2 Angled, Speed-Increasing, SlimStraight Surgical HandpiecesWH-00001100S-11 Surgical Handpiece 1:1 StraightWH-00001101SL-11 Surgical Handpiece 1:1 Straight, LongWH-00001120SI-11 LED G Surgical Handpiece 1:1 Straight, Mono BlockWH-00001130S-11 LED G Surgical Handpiece 1:1 StraightBioHorizons proudly distributes W&H implant motors, handpieces and accessories.Additional W&H products and re-order items are available. For more information, contactyour BioHorizons representative or visit the online catalog (www.biohorizons.com).shop online at www.biohorizons.com10

LASER-LOK HEALING ABUTMENTSLaser-Lok Healing e Laser-Lok healing abutments when a Laser-Lok abutment restorationis planned to inhibit epithelial downgrowth, establish a soft tissue seal andprotect the bone. After removing a Laser-Lok healing abutments to make animpression, use a new Laser-Lok abutment (healing, temporary or final) toestablish the soft tissue connection again.abutmentdiameter3mm height5mm height3.5mm platform, Laser-Lok3.8mmPYNHA3LPYNHA5L4.5mm platform, Laser-Lok4.7mmPGNHA3LPGNHA5L5.7mm platform, Laser-Lok5.9mmPBNHA3LPBNHA5L3.0mm platform, Laser-Lok3.5mmTP3HA3LTP3HA5L3.5mm platform, Laser-Lok4.5mmPYRHA3LPYRHA5L4.5mm platform, Laser-Lok5.5mmPGRHA3LPGRHA5L5.7mm platform, Laser-Lok6.6mmPBRHA3LPBRHA5L3.0mm platform, Laser-Lok4.2mmTP3WHA3LTP3WHA5L3.5mm platform, Laser-Lok5.8mmPYWHA3LPYWHA5L4.5mm platform, Laser-Lok6.8mmPGWHA3LPGWHA5LNarrow EmergenceRegular EmergenceWide EmergenceSimple Solutions with Laser-Lok Healing llarheightUse Laser-Lok Simple Solutions healing abutments when a Simple Solutionsabutment restoration is planned to inhibit epithelial downgrowth, establish asoft tissue seal and protect the bone. A Simple Solutions restoration avoidshaving to remove and replace the abutment to take an impression becausethe snap cap closed tray impression transfer connects to the final abutment.See L01017 or L02007 for more information.abutmentdiameter2mm height(0.8mm collar)3mm height(1.8mm collar)3.5mm height(2.8mm collar)3.5mm platform, Laser-Lok5.0mmPYHA08LPYHA18LPYHA28L4.5mm platform, Laser-Lok6.0mmPGHA08LPGHA18LPGHA28L5.7mm platform, Laser-Lok7.0mmPBHA08LPBHA18LPBHA28L11shop online at www.biohorizons.com

STANDARD HEALING ABUTMENTS & COVER CAPSHealing AbutmentsabutmentheightHand-tighten with the .050” (1.25mm) Hex Driver. Titanium Alloy.The 3.5, 4.5 and 5.7mm healing abutments are laser marked for easyintraoral identification of the prosthetic platform, emergence and height:Y Yellow (3.5mm) platformG Green (4.5mm) platformB Blue (5.7mm) platformN, R or W Narrow, Regular or Wide emergence1, 3 or 5 1mm, 3mm or 5mm abutment height3.0 healing abutments are not laser marked due to their small size.abutmentdiameter1mm height3mm height5mm height3.5mm platform3.8mmPYNHA1PYNHA3PYNHA54.5mm platform4.7mmPGNHA1PGNHA3PGNHA55.7mm platform5.9mmPBNHA1PBNHA3PBNHA53.0mm platform3.5mm-TP3HA3TP3HA53.5mm platform4.5mm-PYRHA3PYRHA54.5mm platform5.5mm-PGRHA3PGRHA55.7mm platform6.6mm-PBRHA3PBRHA53.0mm platform4.2mm-TP3WHA3TP3WHA53.5mm platform5.8mm-PYWHA3PYWHA54.5mm platform6.8mm-PGWHA3PGWHA5Narrow EmergenceRegular EmergenceWide EmergenceCover CapsTP3CC3.0mm Cover CapPYCC3.5mm Cover CapPGCC4.5mm Cover CapPBCC5.7mm Cover CapUse during submerged surgical healing. Hand-tighten with the .050” (1.25mm) Hex Driver.Titanium Alloy. Included with implant but can also be ordered separately.shop online at www.biohorizons.com12

INSTRUCTIONS FOR USEThis surgical manual serves as a reference for using the Tapered Internal and Tapered Internal 3.0 implants and surgicalinstruments. It is intended solely to provide instructions on the use of BioHorizons products. It is not intended to describe themethods or procedures for diagnosis, treatment planning, or placement of implants, nor does it replace clinical training ora clinician’s best judgment regarding the needs of each patient. BioHorizons strongly recommends appropriate training as aprerequisite for the placement of implants and associated treatment.The procedures illustrated and described within this manual reflect idealized patient presentations with adequate boneand soft tissue to accommodate implant placement. No attempt has been made to cover the wide range of actual patientconditions that may adversely affect surgical and prosthetic outcomes. Clinician judgment as related to any specific casemust always supersede any recommendations made in this or any BioHorizons literature.Before beginning any implant surgical procedure with BioHorizons implants: Read and understand the Instructions for Use that accompany the products. Clean and sterilize the surgical tray and instruments per Instructions for Use. Become thoroughly familiar with all instruments and their uses. Study surgical kit layout and iconography. Design a surgical treatment plan to satisfy the prosthetic requirements of the case.Small diameter implants and angled abutments are intended for the anterior region of the mouthand are not intended for the posterior region of the mouth due to possible failure of the implant.IndicationsTapered Internal Implants are intended for use in the mandible or maxilla as an artificial root structure for single toothreplacement or for fixed bridgework and dental retention. The implants may be restored immediately:1) with a temporary prosthesis that is not in functional occlusion or2) when splinted together for multiple tooth replacement or when stabilized with an overdenture supported bymultiple implants.Tapered Internal 3.0 Implants may be used as an artificial root structure for single tooth replacement of mandibular centraland lateral incisors and maxillary lateral incisors. The implants may be restored immediately:(1) with a temporary prosthesis that is not in functional occlusion,(2) when splinted together as an artificial root structure for multiple tooth replacement of mandibular incisors, or(3) for denture stabilization using multiple implants in the anterior mandible and maxilla.The implants may be placed in immediate function when good primary stability has been achieved and with appropriateocclusal loading.13shop online at www.biohorizons.com

SURGICAL PROTOCOLSTwo-Stage ProtocolIn a two-stage surgery, the implant is placed below the soft tissueand protected from occlusal function and other forces duringosseointegration. A low-profile cover cap is placed on the implant toprotect it from the ingress of soft tissue.Following osseointegration, a second procedure exposes the implantand a transmucosal healing abutment is placed to allow for softtissue healing and development of a sulcus. Prosthetic restorationbegins after soft tissue healing.Implant with cover cap ina two-stage protocol.Single-Stage ProtocolSingle-stage surgery may be accomplished by placing a healingabutment at the time of implant surgery. This eliminates the needfor a second procedure. Although the implant is not in occlusalfunction, some forces can be transmitted to it through the exposedtransmucosal element.Implant with removable healingabutment in a single-stage protocol.Prosthetic restoration begins following osseointegration of theimplant and soft tissue healing.Non-functional Immediate RestorationSingle-stage surgery with non-functional immediate provisionalizationprovides the patient a non-functioning provisional prosthesis earlyin the treatment plan. An abutment is placed on the implant at orshortly after surgery, and a provisional restoration is secured usingtemporary cement. The provisional can help contour the soft tissueprofile during healing.Implant restored with a nonfunctional provisional prosthesis.Immediate Function RestorationSingle-stage surgery with immediate function is possible in goodquality bone where multiple implants exhibiting excellent initialstability can be splinted together. Splinting implants

Tapered Internal dental implants feature an anatomically tapered dental implant body, aggressive buttress threads and advanced Laser-Lok surface technology. The deep 1.5mm internal hex . connection with a 45 tapered bevel

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