Manual And Product Catalog OsseoSpeed TX Profile

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Astra Tech Implant System Manual and product catalogOsseoSpeed TX Profile

Adapting with natureOsseoSpeed TX Profile – anatomicallydesigned implants for sloped ridgesImagine being able to achieve 360 bone preservation aroundthe implant, even in cases with sloped ridges. Now you can.With O sseoSpeed TX P rofile – a uniquely shaped, patentedimplant, specifically designed for sloped ridge situations –you no longer have to choose between buccal and lingualmarginal bone preservation and esthetics, you can have it all– 360 around the implant.

Astra Tech Implant System CONTENTSIntroduction4Implant overviewIntended useOsseoSpeed TX Profile assortment555Clinical considerationsPre-operative proceduresImplant positioning666Surgical overviewOsseoSpeed TX Profile – surgical handlingOsseoSpeed TX Profile – dimensions Step-by-step procedures7778Restorative overviewStep-by-step proceduresCement-retained restorationsScrew-retained restorations12121414Torque guide15Explanation of the symbols on labels and instructions for use15Product catalog16Index22This manual is designed for dental professionals who have experience with dental implant treatmentand as a complement to the surgical and restorative manuals for the Astra Tech Implant System.It highlights and emphasizes the special considerations needed when planning and performingtreatment with OsseoSpeed TX Profile implants.To improve readability for our customers, Dentsply Sirona does not use or in body copy.However, Dentsply Sirona does not waive any right to the trademark and nothing herein shall beinterpreted to the contrary.3

IntroductionIntroductionThe applications of osseointegration and dental implanttherapy have developed over the last 30 years. Todaywe can provide predictable and reliable treatmentresults when replacing missing teeth with dentalimplants. Research and development have improvedimplant design and surface properties and effectiveand secure treatment protocols have been established.For over twenty-five years, we have been committed todeveloping implant features that work in harmony withnature. Long-term documentation on the Astra TechImplant System proves our success, not only in implantsurvival, but also in predictable peri-implant marginalbone stability.However, how well the implantadapts to the profile of the alveolarridge, is an area that has beenoverlooked. With today’s implantdesign, an optimal bone/implantrelation is only possible when theperi-implant bone is at the samelevel around the implant neck.Compromised implant placement with asloped alveolar ridgeAn implant placed in level withthe buccal bone margin leaves thelingual/palatal and proximal bonecoronal to the implant withoutbiomechanical support. We canforesee remodeling and loss of boneand soft tissue height, resulting inless than optimal esthetic results.4An implant placed in level with thepalatal/lingual bone margin leavesthe implant protruding out of thebone on the buccal side. This canresult in discoloration of the buccalsoft tissue margin or, in a worst-casescenario, a soft tissue dehiscence,causing compromised esthetics.Neither of these alternatives are optimal.OsseoSpeed TX ProfileThe optimal solution in a slopedridge situation is to have a slopedimplant that is designed to be inharmony with the ridge profile,preserves the marginal bone andsupports the soft tissue all aroundthe implant.The Astra Tech Implant System, with its BioManagementComplex, is documented to provide marginal bone levelmaintenance. The OsseoSpeed TX Profile is a result of asmall modification to the OsseoSpeed TX implant designthat makes a big difference for providing long-termesthetic results in sloped ridge situations.

Implant overviewImplant overviewOsseoSpeed TX Profile implants are based on thedocumented key features and benefits of the Astra TechImplant System BioManagement Complex; OsseoSpeed,MicroThread, Conical Seal Design and ConnectiveContour.Intended useThe intended use for OsseoSpeed TX Profile is the sameas for OsseoSpeed TX. In addition, the OsseoSpeed TXProfile is specially designed to be used in situations witha sloped ridge profile in:healed alveolar ridges extraction sockets (immediate installation)IndicationsOsseoSpeed TX Profile 4.55.05.0 S4.5 mm5.0 mm5.0 mm1.9 mm2.4 mm3.2 mmIn all positions inthe jaws.In all positions inthe jaws.Single tooth tofull arch.Single tooth tofull arch.In all positions inthe jaws. Especiallyindicated for wideridges and largeedentulous spaces.OsseoSpeed TX Profile assortmentComponents specifically designed for use withOsseoSpeed TX Profile implants are presented inthis manual/product catalog. Do not interchangecomponents designed for the OsseoSpeed TXProfile and OsseoSpeed TX, with the exception ofthe Healing Abutment and Healing Abutment Uniassortments for OsseoSpeed TX 4.5/5.0, which areverified products also for the OsseoSpeed TX Profile.OsseoSpeed TX Profile products and packaging arenot color-coded and therefore, labels are white.This manual only addresses the additional informationneeded to work with the OsseoSpeed TX Profile andoptimize the final outcome when using this implant.For all other instructions and/or a full descriptionof the Astra Tech Implant System implantplacement, restorative procedures and allinstruments and components needed, please referto the Surgical procedure manual, Cement-retainedrestorations manual and the Product catalog.If you are not familiar with Atlantis abutments, pleasecontact your laboratory and/or your local representative.For more information visit www.atlantisabutment.com.Single tooth tofull arch.AstraTechImplantSystem Cement-reAstra Tech Implant System SurgicalmanuaOsseoSpleed TXAstra Tech Implant System tainedClinicalrestoratanOsseoS d laboratoryionspeed manualTXProduct catalogOsseoSpeed TX5

Clinical considerationsClinical considerationTo take full advantage of all the benefits of theOsseoSpeed TX Profile, please note the importantsteps in the treatment process, including pre-operativeprocedures and implant positioning.Pre-operative proceduresTransparent Radiographic Implant Guides forOsseoSpeed TX Profile that present the implants indifferent magnifications, are available for preoperativeplanning. A sagital tomographic radiograph showingan appropriate view of the ridge profile could be usefulfor planning the optimal implant position and direction.Computer guided implant treatment software, suchas Facilitate, can also be helpful in ensuring accurateplanning for optimal implant position.6Implant positioningOnly one position of the implant slope is optimal i.e.correct vertical and rotational position in relation tothe buccal bone. Therefore, careful drilling and implantplacement procedures, particularly for the OsseoSpeedTX Profile 4.5 and 5.0 (conical) implants are required.Over-torquing may jeopardize marginal bone integritydue to unfavorable stress generation. Place the implantin line with the buccal bone level to provide support ofthe marginal bone around the implant. It is important tonote that a full 360 turn is equal to a 0.6 mm change invertical position.

Surgical overviewSurgical overviewOsseoSpeed TX Profile – surgical handlingThe same handling procedure as for the OsseoSpeed TXimplants applies. However, steps such as preparation andmeasuring of the osteotomy and the implant placementrequire more specific protocols.From a mechanical strength point of view, it isrecommended to always place as wide an implant aspossible. This is particularly important in the posteriorregions of the jaws where loading forces are high andconsiderable bending moments could be generated.Astra TechImplantSystem SurgicalmanualOsseoSpeed TXImplant slope varianceAs a result of the sloped neck design, the height of thelingual/palatal side as compared to the buccal side of theimplant has a variance of 1.5 –1.7 mm depending on theimplant diameter, as illustrated below:Ø 5.0Ø 4.51.5 mmØ 5.0 S1.6 mm1.7 mmDrill depth requirementsIn relation to the buccal wall of the prepared site, therequired drill depth should be no more than 1.5 mmshorter than the implant length (i.e.: for a 13 mm implant,a drill depth minimum of 11.5 mm on the buccal wall isnecessary.)Note: A full 360 turn of the implant is equal to a0.6 mm change in vertical position.7

Surgical overviewStep-by-step drilling procedure forOsseoSpeed TX Profile 5.0, 13 mm– standard drilling protocol*Guide Drill Twist Drill Ø 2.0The starting point should beapproximately 3 mm buccallyto the most coronal point ofthe ridge.*For soft and dense bone drilling protocols, see Surgical procedures manual.8Twist Drill Ø 3.2Twist Drill Ø 3.7

Surgical overview arddStanImplant Depth Gauge palatal Make sure there is enough depthprovided for the entire implant.For the 5.0,13 mm implant, the buccaldepth should be at least 11.5 mm. If the depth is less than 11.5 mm,additional drilling with a twist drill isrequired, and may be followed by theconical drill depending on the clinicalsituation. If the depth for the 5.0,13 mm implant, ismore than 11.5 mm, make sure to stop theimplant installation at or slightly apical tothe buccal margin.Conical Drill Ø 3.7/5.0 For standard drilling protocol,drill to the beginning of thedepth indication line.Place the Depth Gauge against the palataland the buccal walls of the osteotomy toverify the drilling depth.Implant Depth Gauge buccal9

Surgical overviewStep-by-step implant placement procedure forOsseoSpeed TX Profile Ø 5.0 mm, 13 mm2 mm3 mm4 mm5 mmPick-up Attach the Implant Driver Profile to theContra Angle. Align the black/flat marking on ImplantDriver Profile with the most apical pointof the implant slope. Make sure that thedriver is properly seated. 10Pick up the implant from the innercontainer.InstallationPositioning Install the implant with a contra angleat low speed (25 rpm) under profuseirrigation. The Ratchet Wrench, in combination withthe Driver Handle, may be used for thefinal manual seating of the implant. Set the maximum torque to 35 Ncm.Let the implant work its way intothe osteotomy and avoid applyingunnecessary pressure. Position the marking on the driverbuccally to facilitate optimal placementof the implant. Keep in mind the position of the buccalside of the implant before removingthe driver.The driver must be properly seated tobe used for measuring purposes. It is important to realize that a full 360 turn is equal to a 0.6 mm change invertical position. Release the Implant Driver Profile bylifting it gently from the implant.

Surgical overviewOne-stage procedureHealing Abutment ProfileOsseoSpeed TX ProfileTwo-stage procedureCover Screw Profile Healing Abutment Profile and Cover Screw Profile have timedthreading to ensure correct alignment with the implant slope. Use finger force (5–10 Ncm) to seat the healing abutment orcover screw with a Hex Screwdriver. When placing the healing abutment or cover screw, be sure notto use a torque that might create further rotation of the implant.11

Restorative overviewStep-by-step implant-level impression procedurefor OsseoSpeed TX ProfileTop view of Implant Pick-up Profilewith correct position of the sleeveImplant impression – open traytechnique12 Align the flat surface of the ImplantPick-up sleeve with the most apicalpoint of the implant slope. Keep the sleeve in position and tightenthe pin using finger force.ConfirmationCorrectionThe correct rotational position of thesleeve is verified by the flat surface ofthe pin aligned within the area of theflat surface on the sleeve. In case of misalignment between theflat surfaces of the sleeve and pin, therotational position of the sleeve is notcorrect.Note: It is important that the cliniciancommunicates the information about theplaced OsseoSpeed TX Profile implant tothe dental technician for correct implantreplica and appropriate abutment. The flat surface of the pin indicates themost apical point of the implant slope. Untighten the impression pin. Lift and rotate the sleeve. Keep the sleeve in position and tightenthe pin using finger force.

Restorative overviewTop view of Implant Pick-up Profilewith correct position of the sleeveLab procedure Pull back the pin before seating theImplant Pick-up Profile on the ImplantReplica Profile. Align the most apical point of thereplica slope with the black markedarea of the hexagon on the pick-up. Hold the replica in a firm grip duringtightening of the pin with the HexScrewdriver.Important The flat surface on the pin may notalign with the flat surface on the sleevewhen the Implant Pick-up Profile ismounted in the Implant Replica Profile.Prosthetic restoration The pin included in the Implant Pick-upProfile works only assembled with thesleeve. During laboratory work use a separateImplant Guide Pin or LaboratoryAbutment Screw when securing theabutment. Specific abutments are used forOsseoSpeed TX Profile.13

Restorative overviewCement-retained restorationsThe same handling procedures apply as for theOsseoSpeed TX implants. The following cement-retainedrestorative options are available for OsseoSpeed TX Profile.AstraTechImplantSystem Cement-retainedClinicalrestoratanOsseoS d laboratoryionspeed manualTXAbutments designed forimplant-level impressionClinical applicationFeatures and benefitsAtlantis Abutment* Single, partial and fully e dentulous situationsTitanium All positions in the mouth P atient-specific abutment designed fromthe final tooth shapeTiDesign Profile Single, partial and fully e dentulous situations Pre-designed and for easy adjustmentTitanium All positions in the mouth Straight and angled versions availableAbutment for TemporizationClinical applicationFeatures and benefitsTemporary Abutment Profile Single, partial and fully e dentulous situations Ideal for long-term temporizationTitanium All positions in the mouthGold-shaded titanium C ement- and screw-retained temporaryrestorations*For the available options, please refer to the most current Atlantis Implant compatibility chart.Laboratory Abutment ScrewTo ensure that an uncompromised screw is used in theclinical situation, use the Laboratory Abutment Screw forlaboratory procedures.Implant-level impressionUse the Implant Pick-up Profile (open-tray technique) forimplant-level impressions. For the working model use theImplant Replica Profile.In cases where an open-tray impression technique is notpossible, an Implant Transfer Profile is available. Rotatethe sleeve until it drops down and is seated in the correctposition. Keep the sleeve down while tightening the pin.Following removal of impression, unscrew the ImplantTransfer Profile. Connect the Implant Replica Profile tothe Implant Transfer Profile with the two sloped surfacesaligned and reposition the assembly in the impression.14

Restorative overviewTorque guide for OsseoSpeed TX Profile assortmentType of productTorque – NcmCover Screw ProfileOnly finger force (5–10 Ncm)using a manual screwdriver.Healing Abutment Profile15Temporary Abutment ProfileAtlantis Abutment25TiDesign ProfileExplanation of the symbols on labelsand instructions for useSymbolTextDate of manufacture.Legal manufacturerExpired date.STERILE RSymbolTextAstra Tech Implant System products carrythe CE mark and fulfill the requirements ofthe Medical Devices Directive.Do not use if package is damaged.Consult instructionsfor use.*Sterilized using irradiation.Consult instructions for use.Caution: Federal (USA) lawrestricts this product to sale byor on a order of a dentist.Do not re-use,Single use only.2STERILIZEDo not re-sterilize.GOST is the valid qualitycertification system in RussianFederation.LOT/BATCH number.Article number.Contains article number (GTIN number),lot number and quantity.*T o read PDF files you will need Adobe Reader.Download free of charge at get.abobe.com/reader.15

Product catalogOsseoSpeed TX ProfileComponents specifically designed for use with OsseoSpeed TX Profileimplants are presented in this manual/product catalog. Do notinterchange components designed for the OsseoSpeed TX Profileand OsseoSpeed TX, with the exception of the Healing A butmentand Healing Abutment Uni assortments for OsseoSpeed TX 4.5/5.0,which are verified products also for the OsseoSpeed TX Profile.Products and packaging for OsseoSpeed TX Profile are notcolor-coded and therefore, labels are white.If you need drills and other instruments, please refer to theProduct catalog for Astra Tech I mplant S ystem. If you are notfamiliar with Atlantis abutments, please contact your laboratoryand/or your local representative.For more information visit www.atlantisabutment.com.16Astra TechImplantSystem Product catalogOsseoSpeed TX

Product overviewOsseoSpeed TX ProfileImplantsOsseoSpeed TX Profile ign ProfileAtlantis Abutments*Temporary AbutmentProfile911131517mmmmmmmmmm25029250302 5 03 12503225033Ø 5.3 1.5 mm 25052OsseoSpeed TX Profile �ØØØ5.55.56.56.56.2 15 Implant impressionsGuide pinsImplant Pick-upProfileImplant Guide Pin4.5/5.0OsseoSpeed TX Profile 5.0 S911131517mmmmmmmmmm25039250402504 12504225043Cover screwsShort 24966Long 24967Short 24986Long 24985ReplicasLab abutment screwsImplant Replica ProfileLab Abutment Screw Design4.5/5.02504724858Cover Screw Profile0 mm 25044Healing abutmentsHealing Abutment Profile* For the available options, please refer to the mostcurrent Atlantis Implant compatibility chart.Ø 6.0 2 mm 25045Ø 6.0 4 mm 25046Note: Healing Abutment and Healing Abutment Uniassortments for OsseoSpeed TX 4.5/5.0 can be usedwith OsseoSpeed TX Profile implants.17

Product catalogSurgiacal componentsOsseoSpeed TX Profile 4.5Titanium, SterileOsseoSpeed TXProfile 4.5OsseoSpeed , with a TiO2-blastedfluoride-modified surface.MicroThread neck.Conical Seal Design connection.Internal hexagon.Ø 4.5/3.5 mmInternal thread M2OsseoSpeed TX Profile 5.0Titanium, SterileLength mmOrder no.9111315172502925030250312503225033OsseoSpeed TXProfile 5.0OsseoSpeed , with a TiO2-blastedfluoride-modified surface.MicroThread neck.Conical Seal Design connection.Internal hexagon.Ø 5.0/4.0 mmInternal thread M2OsseoSpeed TX Profile 5.0 STitanium, SterileLength mmOrder 925040250412504225043OsseoSpeed TXProfile 5.0 SOsseoSpeed , with a TiO2-blastedfluoride-modified surface.MicroThread neck.Conical Seal Design connection.Internal hexagon.Ø 5.0 mmInternal thread M2Radiographic Implant Guides ProfileLength mmOrder no.Radiographic ImplantGuides ProfileOrder no.Implant Driver ProfileUsed to engage and place implants.Short drivers are ideal for the posteriorregion.Implant DriverProfileShortLength mmOrder no.1825062Long24322505925058

Product catalogCover Screw ProfileCover Screw ProfileTitanium, SterileØ mmHeight mmOrder no.Used to cover the implant connectionduring healing.3.80MeasurementsØ mm25044Height mmShort factsThe Cover Screw Profile has timedthreading to ensure correct alignmentwith the implant slope.Recommended torque – Manual.Only light finger force (5–10 Ncm)using a manual screwdriver.Healing AbutmentProfileØ mmHealing Abutment ProfileTitanium, Sterile6.06.0Height A mm24Height B mm3.55.52504525046Order no.Note: Healing Abutment andHealing Abutment Uni assortments forOsseoSpeed TX 4.5/5.0 can be usedwith OsseoSpeed TX Profile implants.MeasurementsØ mmHeight AmmHeight BmmShort factsThe Healing Abutment Profile hastimed threading to ensure correctalignment with the implant slope.Recommended torque – Manual.Only light finger force (5–10 Ncm)using a manual screwdriver.Marked with a ”P” to identifyProfile abutment. Marked withdigits to identify diameter (Ø)and height.Temporary AbutmentProfileTemporary Abutment ProfileTitaniumIncludes Abutment Screw Design4.5/5.0 – M2, REF 24209 (Titanium)Ø mm5.3Height bucc A mm1.5Height ling B mm1.5Vert

This manual is designed for dental professionals who have experience with dental implant treatment and as a complement to the surgical and restorative manuals for the Astra Tech Implant System. It highlights and emphasizes the special considerations needed when planning and performing treatment with OsseoSpeed TX Profile implants.File Size: 1MB

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