PiezoImplant System

Narrow ridges? Problem solved

Why should you be forced to use round implants when other

shapes would better fit your patients' anatomy?

SCREW IMPLANT

3

A new shape in implantology: introducing wedge PiezoImplants

WEDGE IMPLANT

WEDGE IMPLANT

Advantages of Wedge Implants • Rectangular cross-section for a smart insertion in narrow ridges • No need for bone augmentation procedures • Implant site preparation with PIEZOSURGERY favors healing and osseointegration • Simple surgical protocol for standard implant surgery • Mechanically as strong as standard screw implants

4

Clinical rationale in implantologyThe minimum crestal bone width for traditional implant placement depends on the size of the implant but, in general, requires at least 1mm of bone buccally and lingually. [2]

6mm 6mm6mm

4.0

What happens when the crestal width is less than 6mm?

Bone augmentation proceduresare required, thus increasing:

• surgical risk • clinical complications [3] • timing and cost [4,5]

• patient morbidity [5]

5

Reshaping implantologyREX PiezoImplants have a unique rectangular cross-section that mimics the anatomy of the residual crest, preserving vascular supply even in atrophic ridges. This allows clinicians to spare bone in narrow ridges and avoid regenerative procedures.

REX PiezoImplants allows you to treat narrow ridges with the ease of

routine implant surgery. [6]

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Characteristics of the REX PiezoImplant TLREX PiezoImplants TL (tissue level) have a unique shape aimed at correcting horizontal defects in a minimally invasive way. PiezoImplants are 5mm wide and available in maximum thicknesses of 1.8mm and 2.9mm, and four lengths (9mm, 11mm, 13mm, 15mm).

Patented Design: US 956613BZT, EP 25095301BI, IT1397334, JP5814255

Macro Grooves to promote cancellous osseointegration [12-14]

Machined Transcortical Surface to help prevent crestal bone resorption and peri-implantitis [7-11]

Sagittal Finfor improved press-fit and initial stability

Identification Port for verifying osseointegration

radiographically

A unique press-fit implant that respects bone structural integrity during insertion.

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Resorbable Blast Media (RBM) Surface TreatmentREX PiezoImplants TL are grit-blasted with hydroxylapatite and acid-passivated to increase the roughness of the implant and promote osseointegration. [15-17]

2mm25x magnification

1mm50x magnification

200µm400x magnification

Micro Grooves to promote cortical osseointegration [14]

Standard Prosthetic Connection for ease of restoration

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The science behind PiezoImplantsREX Piezoimplants are the first implants designed to be placed exclusively with ultrasonic implant site preparation (UISP).

UISP allows clinicians to create implant osteology of any shape, thus optimizing the use of the residual crestal anatomy. [13] Additionally, UISP promotes faster osseointegration process increasing peri-implant bone density as shown in literature. [27-30]

Thin but strongOur patented implant designs incorporate the best concepts of modern implantology in a new, innovative shape.

Thinnest Section, Maximum Performance The unique geometry of our REX TL PiezoImplants makes them mechanically more robust than conventional implants used for treating narrow ridges.

Lim

it of

ISO

148

01 F

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ue S

treng

th (N

)

REX TL IMPLANTS: Fatigue Strength [18]

50

0

100

150

200

250

300

350

232

184

156

128

60

350

Strau

mann BL 4

.1 [1

9]

Strau

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2]

NobelRep

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2]

Biohorizons L

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[24]

Swed

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Zimmer

TSV 4.5 w

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Zimmer

TSV 3.5 w

ith Countour C

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bt [21]

3M ESPE

MDI 2

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5]

Dentsp

ly XIVE 3

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4]

3M ESPE

MDI 1

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4]

Strau

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lid) [

22]

NobelActi

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ON 1 TI

NP Abt [

23]

NobelActi

ve RP 3

.0 [2

2]

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Radiographic resultsOver the past decade, building on the unique features of UISP, we worked on identifying the implant design and shapes characterized by the best performance. Our research culminated in a pilot clinical study that has shown that REX TL PiezoImplants' unique shape allows clinicians to treat narrow ridges in a single stage surgery, reliably and with success rates comparable to those implants placed in ample native bone. [6]

Incredible Bone-Implant Contact SurfaceThe combination of our patented surface features and RBM surface treatment dramatically increases our implants’ surface area, for a bone-implant contact that exceeds that of conventional implants used for treating narrow ridges.

Intraoral rx, with comparison Time 0 and 6 years after surgery

Endo

sseo

us S

urfa

ce A

rea

(mm

2 )

Bone - Contacting Surface Area [31-33]

50

100

150

200

250

REX TL 1.8 H

11

Osseotite

XP 3/4 M

iniplant 3

.25 x 10mm

Nobel Rep

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Tapere

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10mm

Branem

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10mm

Dentsp

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9.5mm

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9.5mm

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Dentsp

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8mm

Strau

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Implan

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ZImmer

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.7 x 8mm

REX TL 2.9 H

9

REX TL 1.8 H

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10mm

10

Easy restoration with standard connection.

Restorative versatilityOur REX PiezoImplants TL combine an innovative intraosseous design with standard prosthetic connections, thus allowing for an easy, hassle-free restoration even of severely atrophic edentulous crests.

Internal Hex restorative platform, ø3.5mm connection.

Internal Hexagon: 2.45 mm Platform: 3.5 mmD

External Hex restorative platform.

External Hexagon: 2.7 mm Platform: 4.1 mmD

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It is time to offer patients a less invasive treatment for narrow ridges.

References

Experience REX PiezoImplants Clinical expertise, didactic exposition, and organization allow each surgeon to experience in detail and through hands-on practice how REX PiezoImplants simplify the surgical management of horizontal crest defects.

1 Schropp et al. 2003. Int J Periodontics Restorative Dent. 23:313-23. 2 Fu and Wang. 2011. Int J Periodontics Restorative Dent. 31:429-36. 3 Diotallevi.et al. 2014. J. Osseointegration 6:11–14. 4 Dal Carlo et al. 2013. Ann. Oral Maxillofac. Surg. 1(4):33. 5 Hughes, R. 2013. Transcript of the FDA Dental Products Devices Panel on the Classification of Blade-Form Endosseous Dental Implants. doi:10.4324/9781410610348 6 Internal data. 94% survival rate at 3 years post-implantation. 7 Abrahamsson and Berglundh. 2009. Clin. Oral Implants Res. 20:207-15 8 Berglundh, et al. 2007. Clin. Oral Implants Res. 18:655–61. 9 Ibañez et al. 2016. Int. J. Oral Maxillofac. Implants 31:398–405. 10 Romeo et al. 2005. Clin. Oral Implants Res. 16:9–18. 11 Romeo et al. 2007. Clin. Oral Implants Res. 18:179–87. 12 Roberts, R.A., 1996. Types, uses, and evaluation of the plate-form implant. J. Oral Implantol. 22: 111–18. 13 Vercellotti and Stacchi. 2016. in: Cullum, D.R., Deporter, D. (Eds.), Minimally Invasive Dental Implant Surgery. Wiley & Sons, Inc., pp. 227–237. 14 Golab et al. 2016. Connect. Tissue Res. 57:10–19. 15 Jemat et al. 2015. Biomed Res. Int. Article ID 791725 16 Gansukh et al. 2016. Biomed Res. Int. 2016:1–9. 17 Todisco and Trisi. 2006.. J. Oral Implantol. 32:153–66. 18 Internal data. EN ISO 14801 Fatigue Testing. 19 Straumann USA, 2009. Bone Level Implant Scientific Overview. USLIT 302 12/09. 20 Marchetti et al. 2014. Implant Dent. 23:665–71. 21 Joo, W., 2008. Zimmer ® Contour Ceramic Abutments, A985, Rev 1/08. 22 LASAK Ltd., 2016. Bioniq Product catalog 2016/2017. 23 Fuchs et al. 2017. IADR General Session. Poster 335. 24 Biohorizons, 2017. Website. URL http://www.biohorizons.com/laserlok30.aspx (accessed 6.15.17). 25 3M ESPE. 2012. 3M ESPE MDI Technical Data Sheet. 26 Intra-Lock System Europa, Spa. 2012. Intra-Lock Milo 3.0 Catalog. S4EN-15-01 27 Vercellotti et al. 2005. Int. J. Periodontics Restorative Dent. 25:543–49. 28 Vercellotti, T. 2009. Essentials in piezosurgery : clinical advantages in dentistry. Quintessence Publishing. 29 Preti, G. Et al. 2007. J. Periodontol. 78:716–22. 30 Da Silva Neto et al. 2014. Br. J. Oral Maxillofac. Surg. 52:149–53. 31 Internal data. 32 Schicho et al. 2007. Clin. Oral Implants Res. 18: 459–64. 33 Gottlow and Sennerby. 2010. Academy of Osseointegration 25th Anniversary Meeting. Abs P193.

Rex Implants Inc.850 Michigan AvenueColumbus, Ohio43215, USAwww.reximplants.com

mectron s.p.a., via Loreto 15/A, Carasco (Ge), Italytel +39 0185 35361 fax +39 0185 351374

Manufactured by: Distributed in Italy by:

RI0011902

PiezoImplant System

Narrow ridges? Problem solvedFor the past several years we have been working to develop an innovative concept that builds on Piezosurgery®’s unique features to simplify narrow

ridge treatment.

We are excited to announce that our research and development has culminated in the creation of a revolutionary product line to address the

problem of narrow ridges.

We think you will appreciate the REX PiezoImplant solution, committed to simplifying the treatment of reduced anatomy, and developed according to

the highest quality and performance standards.

© Rex Imp lants , Inc . The ind ica t ions that appear in th i s manua l a re not b ind ing and can be mod i f i ed w i thout fo re -not i ce . Tex t s , images , and graph ic s o f th i s manua l a re p roper ty o f Rex Imp lants , Inc . , Co lumbus , OH, USA. A l l r ight s rese rved . The contents cannot be cop i -ed , d i s t r ibuted , changed, o r made ava i l ab le to th i rd par t i e s w i thout the wr i t ten approva l o f Rex Imp lants , Inc .