Tapered Screw-Vent Implant System
Tapered Screw-VentImplantSystemSurgical Manual
zimmer surgical manualno one knows bone like zimmerT his Surgical Manual is designedto provide information regardingthe pre-surgical and surgicalprocedures applicable to implants inthe Tapered Screw-Vent Implant System, including Trabecular Metal, AdVent and Zimmer One-Piece Implants.Zimmer Dental provides a comprehensive portfolio ofinnovative implant technologies designed to meet abroad range of clinical needs. For decades, ZimmerDental has gained the trust of thousands of cliniciansworldwide by helping them to deliver successful patientoutcomes. Zimmer continues to be a market leader in thedevelopment of world-class implantology products,practice partnerships and educational programs—allfocused on empowering clinicians and revolutionizingimplant dentistry. Headquartered near San Diego inCarlsbad, California, Zimmer Dental has direct subsidiaryoperations in Australia, Canada, China, France, Germany,Israel, Italy and Spain, with a global network ofdistributors in more than 60 countries worldwide.Zimmer Holdings, Inc. (NYSE and SWX: ZMH), parentcompany of Zimmer Dental Inc., is a worldwide leader inthe design, development, manufacturing and marketingof reconstructive orthopaedic implants, including jointand dental, spinal implants and trauma products, andrelated orthopaedic surgical products. Founded in 1927,Zimmer is headquartered in Warsaw, Indiana, with directoperations in more than 25 countries and productscurrently sold and represented in more than 100 countries.Nearly 8,000 employees worldwide proudly share avision of improving the quality of patients’ lives every day.
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zimmer surgical manualTable of ContentsOVERVIEWGENERAL INFORMATIONPre-Surgical Planning¡ Traditional Surgery ¡ Zimmer Guided Surgery¡ Bone Density ClassificationPAGE3578IMPLANT DESIGN & SPECIFICATIONS¡ Indications for use and General Information¡ Crestal Options¡ TrAbecular Metal Implants¡ Tapered Screw-Vent Implants¡ Zimmer One-Piece Implants¡ AdVent Implants¡ Materials and Surfaces¡ Implant Threads and Microgrooves¡ Implant PlatformS ¡ Platform Plus Technology10111213151617181923IMPLANT SELECTION GUIDELINES¡ IMPLANT CHART¡ Anatomical Criteria2527 ZIMMER INSTRUMENT KIT system¡ System Overview¡ General Surgical Instructions¡ Cleaning & Sterilization Guidelines¡ Color Reference Charts¡ Tapered Screw-Vent Surgical Kit¡ Zimmer Guided Surgery DRILL MODULE¡ Zimmer One-Piece Upgrade¡ Zimmer One-Piece Surgical Kit ¡ Zimmer Drill Stop KitDRILLING SEQUENCE¡ Tapered Screw-Vent, Trabecular Metaland AdVent Implants¡ Zimmer One-Piece ImplantS3132333537383940414445
zimmer surgical manualecular mTrabetalImantplSurgical Procedures5960Zimmer Guided Surgery surgical procedures¡ Overview66Guided Surgery Module and Surgical Drills¡ Tube Adapter Kit¡ Surgical Technique676869¡ER immer One-Piece Surgical Procedures¡ Initial Site Preparation – All Diameters¡ 3.0mmD Implant Procedure and Placement¡ 3.7mmD and 4.7mmD Implant Procedureand Placementered Screw-VenT aptAN TPLAdVent implants¡ Aligning the Implant and Placementof Healing Components¡ Healing Phase475152535457IMTraditional Surgical ProceduresTrabecular Metal, Tapered Screw-Vent AND Advent Implants¡ Site Preparation¡ Soft and Dense Bone Protocols¡ Collar Depth Adjustment¡ Implant Placement¡ One- and Two-Stage Protocols¡ Healing Collar Selection Guide75¡ references77kitpackaging inStructions for use¡ Trabecular Metal, Tapered Screw-Ventand Advent implantsZimmer GuidedERGSURY
overview
overview2general informationTrabecular Metal and Tapered Screw-Vent Implants areThe Zimmer One-Piece Implant is placed transmucosallydesigned to be placed at bone level. The occlusalin a one-stage procedure. The integrated, pre-contouredaspect (platform) of the implant is theabutment receives the prosthetic restorationreceiving area for the prostheticand the MTX Microtextured Surface and acomponent of the restoration.portion of the machined neck areThis area of the implant is placedplaced sub-crestally.level with the crest of the boneThe AdVent Implant is designed towhen following standard implantbe placed transmucosally in a one-placement procedures, althoughstage surgical procedure. The flutedvariations of placement have beenmachined neck functions as theclinically accepted. The implant necktransgingival extension of the implantand body are placed sub-crestally. Thereceiving the prosthetic component of thesub-crestal portion of the implant has therestoration. The MTX Microtextured Surface or MTX Microtextured Surface or an MTX Surface in combination with a Trabecular Metal Material or MP-1HA Surface mid-section. Select implants are offered withand without crestal microgrooves and machined collaror texturing to the top to maximize flexibility in a varietyof clinical conditions.combination MTX and MP-1 HA Surface portion of theimplant (that includes the threaded area)is placed sub-crestally.
3overviewpre-surgical planningTEAM APPROACHSuccessful implant treatment requires the coordinated efforts of several dentalprofessionals – the restorative dentist, the surgeon (prosthodontist, periodontist,oral surgeon or general dentist), the laboratory technician and the dental hygienist.By holding a pre-surgical conference, these individuals are able to develop anappropriate treatment strategy. This provides a balance between esthetic,functional and surgical goals. In addition, the coordinated approach ensuresthat the treatment approach is complete, guarding against omission of importanttechnical considerations such as the use of a surgical guide for implantpositioning, and the biomechanical boundaries of the final prosthesis.Patient evaluation and selection Take a general medical history. Undertake a psycho-social evaluation. Explore indications and contraindications. Determine anatomical landmark considerations relatedto implant positioning. Determine feasible vertical dimensions. Consider biomechanical requirements of final restoration. Discuss treatment objectives and patient’s expectations. Perform various radiographic and scanning evaluations.Pre-surgical planning guidelinesProper stress distribution is essential to the long-term success of both the prosthesis and the implant. Overload isone of the key contributors to implant failure and is especially important in the cuspid and molar regions.To minimize excessive loads, the followingguidelines apply: Decrease occlusal forces transferred to the implant byreducing the occlusal table. Distribute occlusal forces optimally by maximizing thenumber of implants used to support the prosthesis. Place the largest implant possible that meetsanatomical and restorative needs. Position and incline the implants to ensure goodprosthetic design, function, and esthetics. Directforces of occlusion along the long axis of the implant. Strengthen the overall treatment plan in patientswith a heavy muscular profile or whose occlusalanalysis indicates a strong bite by using the largestsize implants, maximizing the number of implantsand abutments, minimizing the use of cantilevers,and placing abutments for the most even distributionof occlusal loads. Take into consideration the opposing dentition in thedesign of the proposed restoration.
pre-surgical planningDia gnostic and surgical guidesImplant dentistry is guided by the restorative aspect of the procedure. Therefore, it is a prerequisite toevaluate the position of the surrounding anatomical landmarks and natural teeth relative to the proposedarea for implant placement.Rule of “P”– Proper Pre-treatment Planning Prevents Prosthetic Problems.Fabricate diagnostic casts with a wax-up of the proposed position of the teeth in the implant prosthesis.The Implant Team will utilize the diagnostic casts to fabricate the following, if required: Diagnostic guide with included markers for a variety of radiological exams – panoramic, periapical, computerizedtomography (CT/CBCT scan), etc. These exams can supply the team with information regarding bone quality andquantity, location of vital structures (mental nerve canal, sinus cavities, labial or lingual bone contour, andsurrounding roots if present), and soft tissue height relative to the occlusal plane (see pages 5-6). A traditional, model-based surgical guide to be utilized at time of surgery for implant osteotomy preparation,taking into consideration mesiodistal and buccolingual angulation and placement of the implants whilemaintaining required distance between the implants. Some surgical guides can be resterilized and used by therestoring clinician to plan the contours of the final prosthesis. The guide may also be used in the decision-makingprocess for abutment selection and preparation and/or recording of the final implant or abutment impressions(see pages 5-6). A software-based surgical guide to be utilized at time of surgery for implant osteotomy preparation. The guideis based on a 3D case plan and fabricated by a treatment planning software supplier or dental laboratory(see page 7).4
5Pre-Surgical Planningtraditional surgeryFabrication of a diagnostic and surgical guiderecording an impressionUse standard impression techniques to record an impression of theedentulous area with surrounding anatomical landmarks and theopposing arch.1) For partially edentulous areas, make inter-occlusal records of theopposing arches in centric relation.2) For fully edentulous areas, follow standard procedures forfabrication of an occlusal registration rim to create a waxdenture try-in.Mounting the diagnostic castsTo determine the distance between edentulous areas and opposingdentition, mount diagnostic casts utilizing theinter-occlusal records.For partially edentulous arches, fabricate a diagnostic wax-up ofthe edentulous area using denture teeth or standard crown andbridge waxing techniques.For fully edentulous arches, use an occlusal registration rim tomake a bite registration, then create a patient-approved waxdenture tooth try-in.Duplicating the diagnostic wax-upDiscuss surgical and restorative component options with theimplant team prior to preparing the cast and wax-up forduplication.Use an impression tray with alginate impression material to makean impression of the cast with incorporated wax-up of teeth andsurrounding lost soft tissue. Fill the impression with stone andallow to harden.Use the cast with diagnostic wax-up to fabricate a diagnostic,radiographic, surgical or alternatively a multi-function guide.Fabricating the clear guideCreate a transparent guide using one of the following procedures:1) A clear plastic 0.5mm thick sheet is vacuum-formed over theduplicate stone cast of the tooth wax-up. Trim the guide accordingto clinical requirements. The vacuform can be used in its hollowversion or using autopolymerizing or light cure acrylic to fill inareas previously occupied by wax and denture teeth.2) Use a denture duplicator to create a clear version of the patient’scurrent or new denture.
Pre-Surgical Planning6Placing the radiographic markersUsing metal radiographic markers when planning for a CT or similartype of scan is not recommended. Dimensionally calibrated metalball bearings or an orthodontic wire will cause a sunburst or scattereffect rendering the scan unreadable.Place material such as gutta percha or a mixture of radiographicpowder (e.g., barium chloride powder) and resin into pre-drilleddiagnostic grooves or holes in the guide. The hole or markersshould be placed inclusive of the incisal, cingulum or occlusalheight of replacement teeth, taking into consideration the vacuformsheet thickness and the point in contact with the soft tissue.Metal markers can be used with standard scan procedures suchas a panoramic or periapical.Seating the clear guidePlace the guide with included radiographic markers into thepatient’s mouth, lock into position by engaging the undercutcreated by the height of contour of the surrounding natural teeth.Make the required scan best suited for the proposed case designto acquire a working knowledge of the anatomical limitations in theareas of proposed implant placement.Making the required measurementsThe scan is used in conjunction with overlay templates of theimplant design to plan the case. Radiographic markers can helpthe clinician determine: Height of the teeth to be replaced. T hickness of the soft tissue (by subtracting the end ofthe marker from the start of the bone). Position of the restorative margin. Number of implants. Length of the implant. Diameter of implant. Inter-implant space.Trimming the clear guideRemove the material from the radiographic/diagnostic guide in thearea that is planned for surgery.The clinician responsible for implant placement determines if theywant vertical holes drilled or sections removed from the originalguide to assist them in implant placement.
7Pre-Surgical Planningguided surgeryFabrication of a diagnostic andsoftware-based surgical guideFabricating the diagnosticguide/scan prosthesisA scan prosthesis is generally a radiopaque duplicate of theprovisional teeth set-up or patient’s existing denture for visibilityof the desired tooth location in the CT images and selected caseplanning software. Follow the software supplier’s general scanninginstructions including fabrication of the scan prosthesis, patientpreparation, positioning, image reconstruction andscanning parameters.Fabricating the surgical guideA software-based, case-specific surgical guide is fabricated by thesoftware supplier or the dental laboratory.For more guided surgery technique information, please referencethe Zimmer Guided Surgery Technique Guide, P/N 1349 and pages64-71 in this manual. For detailed surgical guide instructions for useplease contact your software and/or surgical guide manufacturer.Zimmer Guided Surgery
Pre-Surgical Planning8Bone Density Classificationbone density classificationWhile one method of classifying bone density is shown in the images(left)1, different combinations of cortical and trabecular bone in varyingthicknesses and densities can occur, and these typically differ byjaw location. The clinician is responsible for assessing bone densityof the surgical site and choosing the appropriate protocol.Protocols for Varying Bone DensitiesType 1 (Dense) – Almost entirelyhomogeneous compact boneMany of the protocols in this Surgical Manual include drillingsequences for soft and dense bone. In the soft bone surgicalprotocol, a straight and somewhat undersized osteotomy isprepared to help enhance initial stability of the implant throughlateral bone compression2. The dense bone protocol prepares aslightly larger, stepped osteotomy.Protocol ExampleStep 1: The 3.7mmD Tapered Screw-VentImplant is color-coded in green. Startwith the first green bar on the kit, whichindicates the first drill to be used in thedrilling sequence for this implant size.Type 2 – Thick layer of compact bonesurrounding a core of dense trabecular boneStep 2: Follow the green color bars fromleft to right. In a soft bone protocol, thedotted green bar represents the final drill.For dense bone, skip the dotted greenbar and move on directly to the nextsolid green bar. The last solid bar in thesequence represents the final drill fordense bone.Type 3 – Thin layer of cortical bonesurrounding a core of trabecular boneType 4 (Soft) – Thin layer of cortical bonesurrounding a core of low-density trabecular boneStep 3: When drilling in dense bone, youcan optionally use the 3.7mmD corticalbone tap located in a green grommetdirectly below the last solid green bar inthe sequence.
implant design & specificationsTrabecular Metal MATERIALThe implant’s Trabecular Metal Material mid-section has been designed to be structurallysimilar to cancellous bone.3-6 Zimmer Dental continues to gather data to document the volumeand rate of ingrowth and its effects on secondary stability.Two coronal surface configurations 0 .5mm Machined Titanium (Model TMM, shown in circle, right). M TX Microtexturing to the top (Model TMT, shown in circle, left).The tapered titanium alloy bodyprovides the strength of traditionaldental implants.7-10MTX Surface forbone-to-implant contactThe MTX Microtextured Surface has been documented toachieve high levels of bone-to-implant contact.tual Cold WVirelhedTTapered Implant BodyPlatform Plus TechnologyThe proprietary internal hex connection, utilized withZimmer Dental’s friction-fit abutments, has been documentedto shield crestal bone from concentrated occlusal forces11,12 asdemonstrated in an in-vitro FEA study** Results are not neccessarily predictive of human clinical results.ImplantAbutment
Implant Design and Specificationsindications for useTrabecular Metal Dental Implants are designed for use inthe maxilla or mandible for immediate loading or forloading after a conventional healing period.Implants may be used to replace one ormore missing teeth. Immediate loading isindicated when there is good primary stability and an appropriate occlusal load.The 4.1mmD Trabecular Metal DentalImplants should be splinted to additionalimplants when used in the posterior region.Tapered Screw-Vent and AdVent Implants aredesigned for use in the maxilla or mandible forimmediate loading or for loading after a conventionalhealing period. Implants may be used to replace oneor more missing teeth. Immediate loading is indicatedwhen there is good primary stability and an appropriateocclusal load.Zimmer One-Piece 3.0mmD Implants are indicated forthe support and retention of fixed single-toothand fixed partial denture restorations in themandibular central and lateral incisor andmaxillary lateral incisor regions of partiallyedentulous jaws. The 3.0mmD ZimmerOne-Piece Implant must be splinted iftwo or more are used adjacent to eachother, and may be immediately restoredwith a temporary prosthesis that is not infunctional occlusion.Zimmer One-Piece 3.7mmD and 4.7mmD Implants aredesigned for use in the maxilla or mandible for immediateloading, or for loading after a conventional healing period.Implants may be used to replace one or more missingteeth. Immediate loading is indicated when there is goodprimary stability and an appropriate occlusal load.general implant informationThe implant diameter is the dimension taken from the peak of the widest thread to the same point on the other side ofthe implant, referred to as the outside dimension of the thread. Sufficient alveolar bone width to surround the implantshould be available for placement of the selected diameter (a minimum of 1mm circumferential, or 1.5mm for ZimmerOne-Piece Implants). In addition, 2mm of bone is recommended beyond the apical aspect of the implant.Bone-Level Implants Trabecular Metal Implants available in several body diameters,including: 4.1mmD, 4.7mmD and 6.0mmD. Tapered Screw-Vent Implants available in four bodydiameters: 3.7mmD, 4.1mmD, 4.7mmD and 6.0mmD.Tissue-Level Implant AdVent Implants available in two diameters: 3.7mmD and 4.7mmD.One-Piece Implant Zimmer One-Piece Implants available in three body diameters:3.0mmD, 3.7mmD and 4.7mmD.10
11Implant Design and Specificationscrestal optionsDesigned for flexibilityTrabecular Metal and Tapered Screw-Vent Implants are offered with and without crestal microgrooves and machined collar or texturingto the top to maximize flexibilty in a variety of clinical conditions. Configurations available on select implants are shown below.Trabecular Metal Dental Implant0.5mm Machined0.5mm MTX Surface1.8mm Microgrooves,MTX Surface1.8mm Microgrooves,MTX SurfaceModel: TMMNote: 4.7mmD Trabecular MetalImplant ShownModel: TMTTapered Screw-Vent Implant1mm Machined0.5mm MTX Surface1.5mm MTX Surface1.8mm TexturedMicrogroovesModel: TSVTModel: TSVNote: 4.1mmD Tapered Screw-VentImplant Shown0.5mm Machined1.8mm TexturedMicrogroovesModel: TSVM
Implant Design and Specifications12Trabecular metal dental implants*Trabecular Metal Implants have a 0.5mm machined or MTX microtextured coronal aspect, followed by 1.8mm of the MTX Surfacewith microgrooves. The six microgrooves are circumferential with a depth of 0.06mm and peak-to-peak width of 0.28mm.Triple-lead threads begin 2.5mm** from the top of the implant and continue to the apex with the exception of the Trabecular MetalMaterial mid-section. The degree of body taper varies between 1.5 and 2.0 , depending on implant length, to ensure that theapical diameter is consistent among all 3 implant lengths. Therefore, the shorter the implant, the greater the degree of taper.Trabecular Metal Dental Implant - 0.5mm Machined Collar withMicrogrooves (Model TMM)3.5mmD Platform with a2.5mmD Internal Hex0.5mmMachined Surface4.5mmD Platform with a2.5mmD Internal Hex5.7mmD Platform with a3.0mmD Internal Hex1.8mm Microgrooves,MTX Surface1.9mmLTriple-Lead Thread(1.8mmL Lead),MTX lar Metal3.7mm-6.0mm***2.1mm-2.8mm***Triple-Lead Thread(1.8mmL Lead),MTX Surface4.1mmDModel TMM Implant3.7mmD Apex Diameter4.7mmDModel TMM Implant4.2mmD Apex Diameter6.0mmDModel TMM Implant5.6mmD Apex DiameterTrabecular Metal Dental Implant - Fully Textured with Microgrooves (Model TMT)0.5mmMTX Surface3.5mmD Platform with a2.5mmD Internal Hex4.5mmD Platform with a2.5mmD Internal Hex5.7mmD Platform with a3.0mmD Internal Hex1.8mm Microgrooves,MTX Surface1.9mmLTriple-Lead Thread(1.8mmL Lead),MTX lar Metal3.7mm-6.0mm***2.1mm-2.8mm***Triple-Lead Thread(1.8mmL Lead),MTX Surface4.1mmDModel TMT Implant3.7mmD Apex Diameter4.7mmDModel TMT Implant4.2mmD Apex Diameter* Not available in all countries.** Transitional space not included in the measurements noted in the schematic.*** Dimension varies by implant length.6.0mmDModel TMT Implant5.6mmD Apex Diameter
13Implant Design and SpecificationsTapered Screw-Vent ImplantsTapered Screw-vent IMPLANT - 1.0mm Machined COllar (Model TSV)Tapered Screw-Vent Implant features a 1.0mm machined coronal aspect followed by 1.5mm of MTX Surface. Tapered Screw-VentImplants taper along the length of the implant originating below the first thread, 3.5mm from the coronal aspect of the implant.In the MP-1 HA coated implants (Model TSV) the HA coating begins at the first thread, 2.5mm from the coronal aspect of theimplant. The degree of taper on the implants varies between 1.0 and 4.0, depending on their length, to ensure that the apicaldiameter is consistent among all 5 implant lengths. Therefore the shorter the implant, the greater the degree of taper.3.5mmD Platform with a2.5mmD Internal Hex4.5mmD Platform with a2.5mmD Internal Hex3.5mmD Platform with a2.5mmD Internal Hex5.7mmD Platform with a3.0mmD Internal Hex1mmMachined1.5mmMTX Surface1.8mmL niumSurfaceMP-1 HACoating3mmMTX Surface*3.7mmDModel TSV Implant3.1mmD Apex Diameter4.7mmDModel TSV Implant3.9mmD Apex Diameter4.1mmDModel TSV Implant3.5mmD Apex Diameter6.0mmDModel TSV Implant5.2mmD Apex Diameter* On HA Coated Implants, the 3mmL apex has an MTX surface.Tapered Screw-vent IMPLANT – 0.5mm Machined Collar with Crestal Microgrooves (model TSVM)Tapered Screw-Vent Implants are available with additional coronal features. Tapered Screw-Vent Implants with 0.5mm machinedcollar and crestal microgrooves (Model TSVM) maintains 0.5mm of the same smooth machine texture as the traditional TaperedScrew-Vent Implant while extending the MTX surface texturing to the following 1.8mm of microgrooves. The six microgrooves arecircumferential with a depth of 0.06mm and peak-to-peak width of 0.28mm. Triple lead threads begin 2.5mm from the top of theimplant and continue to the apex. The degree of body taper varies between 1.0 and 4.0, depending on their length, to ensure thatthe apical diameter is consistent among all 5 implant lengths. Therefore the shorter the implant, the greater the degree of taper.0.5mmMachinedSurface1.8mmMicrogroovesMTX Surface1.8mmL Lead(Triple-LeadThread)0.36mmLThreadDepth3.5mmD Platform with a2.5mmD Internal Hex3.5mmD Platform with a2.5mmD Internal 7mmDModel TSVM Implant3.1mmD Apex Diameter4.1mmDModel TSVM Implant3.5mmD Apex Diameter4.5mmD Platform with a2.5mmD Internal Hex5.7mmD Platform with a3.0mmD Internal Hex4.7mmDModel TSVM Implant3.9mmD Apex Diameter6.0mmDModel TSVM Implant5.2mmD Apex DiameterMTXTexturedTitaniumSurface
Implant Design and Specifications14Tapered Screw-Vent ImplantsTapered Screw-vent IMPLANT - Full Texturing and Crestal Microgrooves (model TSVT)Tapered Screw-Vent Implants are available with additional coronal features. Tapered Screw-Vent Implants with full texturing andcrestal microgrooves (Model TSVT) extends the MTX texturing to the coronal aspect, followed by 1.8mm of the MTX Surface withmicrogrooves. The six microgrooves are circumferential with a depth of 0.06mm and peak-to-peak width of 0.28mm. Triple leadthreads begin 2.5mm from the top of the implant and continue to the apex. The degree of body taper varies between 1.0 and 4.0, depending on their length, to ensure that the apical diameter is consistent among all 5 implant lengths. Therefore the shorter theimplant, the greater the degree of taper.3.5mmD Platform with a2.5mmD Internal Hex3.5mmD Platform with a2.5mmD Internal Hex4.5mmD Platform with a2.5mmD Internal Hex5.7mmD Platform with a3.0mmD Internal Hex4.7mmDModel TSVT Implant3.9mmD Apex Diameter6.0mmDModel TSVT Implant5.2mmD Apex Diameter0.5mmMTX Surface1.8mmMicrogroovesMTX Surface1.8mmL 11.5mmL13mmL16mmL(13mmLImplantShown)3.7mmDModel TSVT Implant3.1mmD Apex Diameter4.1mmDModel TSVT Implant3.5mmD Apex DiameterMTXTexturedTitaniumSurface
15Implant Design and SpecificationsZIMMER ONE-PIECE implantsSimilar to the Tapered Screw-Vent Implants, the Zimmer One-Piece Implants are tapered along the length of the implant beginning1mm below the start of the threads, or 3.5mm from the end of the machined implant collar. The degree of taper on the implantsvaries between 1.5 and 2.75 , depending on their length.3.5mmD Emergence Profile withExternal Driving Flats5.75mmBuccal/LabialAbutmentHeight1.2mmCuff mmBuccal/LabialAbutmentHeight1.2mmCuff Height1.2mmL .0mmD Zimmer One-PieceImplant (Straight Shown)2.4mmD Apex Diameter* 16mmL not available in 3.0mmD5.5mmD Emergence Profile witha 1.9mmD Internal Hex4.5mmD Emergence Profilewith a 1.9mmD Internal 13mmLImplantShown)3.7mmD Zimmer One-PieceImplant (Straight Shown)3.1mmD Apex Diameter1.2mmCuff mL Lead(Double-LeadThread)4.7mmD Zimmer One-PieceImplant (Straight Shown)3.9mmD Apex Diameter
Implant Design and Specifications16Advent implantsAdVent Implants take into account the tissue-level design concept and therefore have the taper originating 5mm from the coronal aspectof the implant. In the MP-1 HA coated version of this implant the HA coating begins 2.0mm below the machined implant collar. The degreeof taper on the implants varies, depending on their length, to ensure that the apical diameter is consistent among all implant lengths.4.5mmD Platform with a3.0mmD Internal Hex4.5mmD Platform with a3.0mmD Internal Hex5.7mmD Platform with a3.0mmD Internal Hex1mm Bevel2mm Machined2mmMTX SurfaceMTXTexturedTitaniumSurface1.8mmL Lead(Triple-Lead Thread)MP-1 6mmLThread Depth3mmMTX Surface3.7mmD AdVent Implant3.1mmD Apex Diameter4.7mmD AdVent Implant3.9mmD Apex Diameter4.7mmD AdVent Implant3.9mmD Apex Diameter
17Implant Design and SpecificationsMATERIALStitanium alloytrabecular metal materialTitanium Alloy 2000xTrabecular Metal at 100xTMbiocompatibility and strengthThe best thing next to bone. I mplants in the Tapered Screw-Vent Implant Systemare made of grade 5 titanium alloy chosen for itsbiocompatibility 13 and strength.14-17 T rabecular Metal Material has a three-dimensional cellulararchitecture with up to 80% porosity.3-5, 18-21 The structureof Trabecular Metal Material is similar to cancellous bone.6-18 M inimum tensile and yield strength requirementsfor this material, set by the American Society forTesting and Materials (ASTM) and the InternationalOrganization for Standardization (ISO), are 32% and59% higher respectively than those of the strongestCP titanium available.14-17 T rabecular Metal Material is made of tantalum, a highlybiocompatible and corrosion-resistant metal22-26 used invarious implantable devices for over 60 years.27-31 Z immer has utilized Trabecular Metal Material in implantableorthopaedic devices for over a decade. Z immer Dental specifications require that the grade 5titanium alloy used in Tapered Screw-Vent Implants meetor exceed the combined standards of ASTM and ISO.MTX SurfacesurfaceSMP-1 HA COATINGMTX Surface at 2000xDocumented MTX surface Advantages High degree of bone-to-implant contact (BIC) and11, 13osteoconductive capacity. S uccessful clinical results under conditions of14, 15immediate loading. G reater than 90% BIC as compared to 42-77%BIC achieved by TPS-coated, sandblasted andacid-etched, oxidized and HA-coated surfaces11placed in grafted human sinuses.MP-1 HA Coating at 2000xDocumented MP-1 HA coating Advantages U p to 96% crystallinity, reducing soluble phasesand creating the potential to increase the coating’sstability in vivo compared to HA coatings with lower16, 17crystallinity. H igh degree of in vivo bone-to-implant contact11, 164, 6(BIC) and clinical success rates. H igher osteoconductive capacity in native bone after11early loading compa
The AdVent Implant is designed to be placed transmucosally in a one-stage surgical procedure. The fluted machined neck functions as the transgingival extension of the implant receiving the prosthetic component of the restoration. The MTX Microtextured Surface or combination MTX and Mp-1 HA Surface porti
Aug 28, 2018 · level bars are compatible with all BioHorizons Internal and Tapered Internal implant systems. Implant-level bars are compatible with Zimmer Dental Screw-Vent and Tapered Screw Vent implants with 3.5mm, 4.5mm and 5.7mm internal hex connection mating platform diameters and are intended to be used with straight bar cylinders only.
4 TIMKEN METRIC TAPERED ROLLER BEARINGS BEARING DATA TIMKEN METRIC TAPERED ROLLER BEARINGS Bore Part Number Dimension Series (ISO 355) Bearing Dimensions Bore d O.D. D Width T B Width C mm mm mm mm mm mm 15 30302 2FB 15.000 42.000 14.250 13.000 11.000 17 30203 2DB 17.000 40.000 13.250 12.000 11.000 30303 2FB 17.000 47.000 15.250 14.000 12.000 20 File Size: 279KBPage Count: 20Explore furtherTapered Roller Bearing Catalog Timkenwww.timken.comTimken Tapered Roller Bearing Catalog - TIMKEN - PDF .pdf.directindustry.comTimken Metric Tapered Roller Bearing Catalogwww.timken.comTIMKEN METRIC TAPERED ROLLER BEARINGSwww.timken.comTimken-Tapered Roller Bearing Catalogue - THE TIMKEN .pdf.aeroexpo.onlineRecommended to you b
Dec 10, 2020 · CONTENT - Implants MANUFACTURER IMPLANT LINE 3M ESPE MDI Collared O-Ball MDI Classic O-Ball MDI Collared Square Head MDI Hybrid O-Ball MDI Hybrid Tapered Abutment AB Dental I2 - Screw Type Implant I5 - Conical Implant I10 - Trapeze Implant I15 - Short & Wide Implant I10C - Trapeze I
CONTENT - Implants MANUFACTURER IMPLANT LINE 3M ESPE MDI Collared O-Ball MDI Classic O-Ball MDI Collared Square Head MDI Hybrid O-Ball MDI Hybrid Tapered Abutment AB Dental I2 - Screw Type Implant I5 - Conical Implant I10 - Trapeze Implant I15 - Short & Wide
All implant placements were performed via freehand insertion and in accordance with the implant system protocol [12]. e Straumann φ 4.1 mm (standard plus implant, bone level tapered implant, Basel, Switzerland) implant system was used in this study. All implant sur-geries were performed using the two-stage method, and
3 HR32910J 2 Bearing, Tapered Roller, 50 x 72 x 15mm 4 11610-GB 1 Adapter, Tapered Roller Bearings 5 11615-GB 1 Spacer, Tapered Roller Bearings, .102", White 11620-GB 1 Spacer, Tapered Roller Bearings, .104", Green 11625-GB 1 Spacer, Tapered Roller Bearings, .106", Blue 6 OR568M52 1 O-ring, Pulley / Sprocket Spacer, 52mm .
9. Straumann PURE Ceramic Implant Monotype 35. 9.1 Design 37. 10. Surgical procedure for Straumann PURE Ceramic Implant Monotype 38. 10.1 Preoperative planning 38 10.2 Basic implant bed preparation 42 10.3 Fine implant bed preparation 45 10.4 Implant insertion 46. 11. Prosthetic procedure for Straumann PURE Ceramic Implant Monotype 49
2 NobelReplace Tapered At a glance. NobelReplace Tapered NP 3.5 mm x 8, 10, 13 and 16 mm 3.5 3.5 NobelReplace Tapered RP 4.3 mm x 8, 10, 13 and 16 mm 4.3 4.3 NobelReplace Tapered WP 5.0 mm x 8, 10, 13 and 16 mm NobelReplace Tapered 6.0 . Groovy - Macroscopic grooves on implant threads and collar .
