taper internal catalog
DESCRIPTION
Taper Internal CatalogTRANSCRIPT
Tapered Internal Catalog & Surgical Manual
�
Company Overview
Implant Overview
Section 1: Surgical Product Catalog
Implants
SurgicalInstruments
AncillaryInstruments
W&HMotors&Accessories
Section 2: Restorative Product Catalog
AbutmentOverview
ImpressionComponentOverview
HealingAbutments&CoverCaps
SimpleSolutionsKits
IndividualAbutments
ImpressionComponents
SimpleSolutionsComponents
AbutmentforScrewComponents
LocatorAbutmentComponents
BallAbutmentComponents
ProstheticInstrumentation
Collaterals
Section 3: Surgical Manual
InstructionsForUse-Disclaimer
SurgicalProtocols
ImplantSpacing
SurgicalKitLayout
ImplantPlacementLevel
DrillOverview
OsteotomyInitialization
OsteotomyPosition&Modification
FinalBonePreparation
ImplantPackaging
Abutment-levelPlacement
Implant-levelPlacement&Orientation
HealingProtocols
Provisionalization&Post-operativeInstructions
Miscellaneous
Icon Legend & References
Ordering & Warranty Information
1
2
3
4-5
6-7
8-9
10
11
12
13
14-15
16-17
18-19
20-21
22-23
24-25
26-27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
TABLE OF CONTENTS
1
Game-changing Innovation
Unparalleled Service
Science-based products
Ourhighlyadvancedimplanttechnologies,Restoration-to-ImplantLifetimeWarranty,hardandsofttissueregenerationproducts,andcutting-edgedigitaldentistryandVirtualImplantPlacement(VIP)treatmentplanningsoftwarehaveplacedBioHorizonsattheforefrontofimplantdentistry.Fromsurgicalplanningandsitedevelopmenttofinalrestoration,BioHorizonsisuniquelypositionedtostreamlinetheimplantandrestorativeprocesses,enablingclinicianstocreateamoreefficientcontinuumofcare.
Happypatientsarethedrivingforceofsuccessfuldentalpractices,andcliniciansknowtheydon’twantimplants;theywantteeth.RestorationsmadeonBioHorizonsimplantsatselectlaboratoriesusinganapprovedtreatmentplanareguaranteedforlife.Iftheprosthesisfails,wecoverthecostofthere-workwithnoredtapeorfineprint.
BioHorizonsisknownforusingscienceandinnovationtocreateuniqueimplantswithprovensurgicalandestheticresults.Laser-Lokmicrochannelsexemplifyourdedicationtoevidence-basedresearchanddevelopment.
TheeffectivenessofLaser-Lokhasbeenprovenwithover15yearsofin vitro,animal,andhumanstudiesatleadinguniversities.1Thispatentedprecisionlasersurfacetreatmentisuniquewithintheindustryastheonlysurfacetreatmentshowntoattractaphysicalconnectivetissueattachmenttoapredeterminedzoneontheimplantwhileinhibitingepithelialdowngrowthandpreservingthecoronallevelofbone;longterm.2
2
products shown not to scale
• Proprietary Laser-Lok® microchannels†
• Anatomically tapered implant body
• Patented reverse buttress threads‡
• Proven internal hex connection
Laser-Lokshowntohavefunctionally-orientedconnectivetissueattachment.
ReverseButtressthreadshaveawide,flatleadingedgeforincreasedfunctionalsurfacearea,improvedaxialloaddistributionandprimarystability.
Supportedbyacomprehensivelineofinternallyhexedprosthetics.
†Laser-Lokdesignpatent#6,454,569and6,419,491‡ReverseButtressthreaddesignpatent#5,964,766
Laser-LokSurface
�one
Collagen fibers
Tapered Internal
3
TLR3809
TLR3810
TLR3812
TLR3815
TLR5807
TLR5809
TLR5810
TLR5812
TLR5815
Ø5.8mm x 7.5mm
Ø5.8mm x 9mm
Ø5.8mm x 10.5mm
Ø5.8mm x 12mm
Ø5.8mm x 15mm
Ø3.8mm x 9mm
Ø3.8mm x 10.5mm
Ø3.8mm x 12mm
Ø3.8mm x 15mm
TLR4607
TLR4609
TLR4610
TLR4612
TLR4615
Ø4.6mm x 7.5mm
Ø4.6mm x 9mm
Ø4.6mm x 10.5mm
Ø4.6mm x 12mm
Ø4.6mm x 15mm
Implants
TAPERED INTERNAL IMPLANTS
Surgical Specifications:
•3Bodydiameters
•5Implantlengths
•3Prostheticplatformdiameters
•TitaniumAlloy(Ti-6Al-4V)
Apical Diameter
PlatformDiameter
�ody Diameter
Minimum Ridge Width
Minimum Mesial / Distal Space
3.8mm 4.6mm 5.8mm
3.5mm 4.5mm 5.7mm
5.8mm 6.6mm 7.8mm
6.8mm 7.6mm 8.8mm
2.8mm 3.1mm 3.9mm
Machined Collar Height 0.3mm 0.3mm 0.3mm
Laser-Lok Zone Height 1.5mm 1.5mm 1.5mm
Bodydiameter
Apicaldiameter
Prostheticplatform
Implantlength
MachinedcollarheightLaser-Lok
zoneheight
Ordering Information
3.8mm Implants 4.6mm Implants 5.8mm Implants
products shown not to scaleNot all products are available in all markets.
4
products shown not to scale
TSK2021Tapered Internal Surgical Kit (complete)Includesallinstrumentsshownonpages4&5.
TSD20202.0mm Starter Drill
122-100Drill Extender
144-100
Straight Parallel Pins (2perkit)
144-200
20° Angled Parallel Pins (2perkit)
TSD2032
TSD2037
TSD2041
TSD2047
TSD2054
3.2mm Width Increasing Drill
3.7mm Width Increasing Drill
4.1mm Width Increasing Drill
4.7mm Width Increasing Drill
5.4mm Width Increasing Drill
3.8mm Crestal �one Drill
4.6mm Crestal �one Drill
5.8mm Crestal �one Drill
3.8mm �one Tap
4.6mm �one Tap
5.8mm �one Tap
TST2038
TST2046
TST2058
TSC2038
TSC2046
TSC2058
TSK2011Tapered Internal Tray & Lid (without instruments)
Individual Kit Components
TSD20252.5mm Depth Drill
Tapered Internal Surgical Kit
SURGICAL INSTRUMENTS
(adds 16mm to length of drill)
5
products shown not to scale
135-351.050” (1.25mm) Hex Driver
3.8mm Depth Gauge
4.6mm Depth Gauge
5.8mm Depth Gauge
TDG2038
TDG2046
TDG2058
Abutment-level Driver, Handpiece
Abutment-level Driver, Ratchet
PHA
PRA
3.5/4.5mm Implant-level Driver, Handpiece
5.7mm Implant-level Driver, Handpiece
SYGIDH
S � I D H
Hand Wrench
300-400Ratchet & Hand Wrench Extender
300-205
Implant Spacer / Depth Probe144-300
Ratchet130-000
Individual Kit Components
3.5/4.5mm Implant-level Driver, Ratchet
5.7mm Implant-level Driver, Ratchet
SYGIDR
S � I D R
SURGICAL INSTRUMENTS
6
products shown not to scale
122-110 Ø2.0mm Lindemann �one Cutter
Side-cuttingdrillusedtocorrecteccentricosteotomypreparations.
ExtendedShankDrillsare8mmlongerthanourstandarddrills.Theyhavethesamedepthmarksandcuttinggeometryasourstandarddrills.
2.0mm Ext. Shank Starter Drill
2.5mm Ext. Shank Depth Drill
3.2mm Ext. Shank W.I. Drill
3.7mm Ext. Shank W.I. Drill
4.1mm Ext. Shank W.I. Drill
4.7mm Ext. Shank W.I. Drill
5.4mm Ext. Shank W.I. Drill
TSD4020
TSD4025
TSD4032
TSD4037
TSD4041
TSD4047
TSD4054
2.5mm Tapered Depth Drills with stops
Extended Shank Drills
Stops are set to same length as each implant for crestal placement.Laser-etchedlineset1mmshorterforsupracrestalplacement
2.5mm Tapered Depth Drill, 7.5mm Stop
2.5mm Tapered Depth Drill, 9mm Stop
2.5mm Tapered Depth Drill, 10.5mm Stop
2.5mm Tapered Depth Drill, 12mm Stop
2.5mm Tapered Depth Drill, 15mm Stop
TSD202507
TSD202509
TSD202510
TSD202512
TSD202515
Lindemann Bone Cutter
*Please call for availability
ANCILLARY INSTRUMENTS
Handpiece Hex Drivers
ForinstallationandremovalofCoverScrews,HealingAbutmentsandAbutmentScrews.TheHandpieceHexDriversareusedwithlatch-typecontra-anglehandpieces.TheHandpieceHexDriver,Long(134-450)is5mmlongerthanthestandardversion(134-350).
134-350
134-450
.050” (1.25mm) Handpiece Hex Driver
.050” (1.25mm) Handpiece Hex Driver, Long
11.5mm6.5mm
7
products shown not to scale
3.5mm Tissue Punch
4.5mm Tissue Punch
5.7mm Tissue Punch
3.5mm �one Profiling �ur & Guide
4.5mm �one Profiling �ur & Guide
5.7mm �one Profiling �ur & Guide
BioHorizonsTissuePunchesareusedinalatch-typehandpiecetoremovethesofttissuefromthecrestoftheridgepriortoosteotomypreparationinaflaplesssurgicalprocedure.Availablein3platformdiameters.
Used at implant uncovery to contour crestal bone for abutments when the implant issubcrestal. For use in latch-type reduction handpieces. The Profiler’s internal geometrymatchesthegeometryoftheincludedProfilerGuide.TheGuideisscrewedintotheimplantandthenalignstheProfilerforpreciseremovaloftissuesurroundingtheplatform.ComesinthreesizescorrespondingtothethreeTaperedInternalprostheticplatforms.
150-000 Surgical Driver
Usedtodriveimplantsintotheosteotomy,particularlyintheanteriorregion.ThedriverholdstheAbutment-levelDriver,Ratchetwhichinterfaceswiththe3inOneAbutment.Alsointerfaceswiththe.050”(1.25mm)HexDriversaswellasBoneTapsandtheImplant-levelDrivers,Ratchet.
PY�P
PG�P
P��P
PYTP
PGTP
P�TP
Surgical Driver
Hex-chuck Abutment-level Driver
Bone Profiling Burs
Internal Abutment-level Driver, Hex-chuck Handpiece
Abutment-levelDriver(alternativetoPHA,page5)withanintegratedhex-chuckthatwhenusedwithcompatibleW&HHexagonChuckingSystemHandpiecespreventsdeformationoftheISOshanklatchconnectioninhigh-torqueapplications.
PADHH
Tissue Punches
ANCILLARY INSTRUMENTS
8
products shown not to scale
WH-ITC915
WH-915MCWH-915 One-piece Disposable Irrigation Set (6 pack)
ImplantMed 915 Motor Cable - 1.8 meter
Re-order items:
WH-915 W&H ImplantMed 915 Starter Kit
WH 200 W&H ElcoMed SA-200 Professional Kit
Re-order items:
Maximummotorspeedis40,000rpm.ThemotorcomeswiththeWS-7520:1handpiece,burtestinggauge,(3)disposableirrigationassemblies,andserviceoil(shippedseparately).
Maximummotorspeedis50,000rpm.TheSA-200permitsthestorageoftorquecharacteristicsofatreatmentstage, which can then be saved on a DOC card for archiving purposes. The kit includes the WS-75 20:1handpiece,(10)disposablespraytubes,burtestinggauge,irrigationspikeandserviceoil(shippedseparately).
WH-200PTWC
WH-200RPT (3 PK)
WH-200INI
WH-200DOC
WH-200MC
Pump Tube (190mm) with Connectors
Replacement Pump Tubes (190mm) (3 pack)
INI Cards (3 pack)
DOC Cards (3 pack)
ElcoMed 200 Motor Cable -1.8 meter
WH-ST (10 PK)
WH-CLP (10 PK)
WH-100PTWC
WH-100RPT (5 PK)
WH-100MC
WH-110MC
WH-110CLP (5 PK)
WH-110PTWC
WH-110RPT
WH-110ISAWRC
WH-110RC
WH-ISA
WH-ITWOS
WH-MD400
WH-OSC
WH-SP
GreenSingle-UseSprayTubes(10pack)
SetofSprayTubeClamps(10pack)
PumpTubewithConnectors(65mm)
ReplacementPumpTubes(65mm)(5pack)
ElcoMed100MotorCable-1.8meter
ImplantMed110MotorCable-1.8meter
SetofSprayTubeClamps(5pack)
PumpTube(85mm)withConnectors
ReplacementPumpTubes(85mm)(3pack)
IrrigationSpikeAssemblywithRollerClamp
FlowRegulatingRollerClamp
IrrigationSpikeAssembly(autoclavable)
IrrigationTubingw/oSpike(autoclavable)
MD-400ServiceOil-F1
OilSprayCap
SterilizationPlugforMotorCable
AllW&HMotors
ElcoMed100&200
ElcoMed100
ElcoMed100
ElcoMed100
ImplantMed110
ImplantMed110&915
ImplantMed110&915
ImplantMed110&915
ImplantMed110&915
ImplantMed110&915
AllW&HMotors
AllW&HMotors
AllW&HMotors
AllW&HMotors
AllW&HMotors
Ref. Code Description Motor Compatibility
W&H ImplantMed 915
W&H ElcoMed SA-200
Universal and Legacy Re-order Items
W&H MOTORS AND ACCESSORIES
9
products shown not to scale
W&H 1:2.7 Contra-angle Speed Increasing Handpiece 1:2.7speed-increasingratio-135,000rpmmaximum.Contra-angleHandpiecesuitableforhighspeedpreparationandtissueaugmentationprocedures.Externalirrigationport.Usesfriction-gripburs(Ø1.6mm).
W&H 20:1 Contra-angle Handpiece WS-75 E/KMContra-angleHandpiecewithspeedreductionratioof20:1(2,500rpmmaximum).Equipped for both internal cooling & external cooling. Push-button bur release.Useslatch-typesurgicaldrillsandburs.
W&H 1:1 Straight Surgical Handpiece 1:1 ratio - 50,000 rpm maximum. Suitable for bone harvesting, third molarextractions and osteoplasty. Easily dismantled for cleaning. Uses 45mmfriction-gripsurgicalburs(Ø2.35mm).
S-11
WS-75
WS-92
W&H 1:2 Contra-angle Surgical Handpiece1:2 speed increasing ratio - 80,000 rpm maximum. Suitable for surgicalprocedures such as bone smoothing, third molar extractions and osteotomysitedrilling.Highprecisionbearingsensurethattheunitrunsvibrationfree.Usesfriction-gripsurgicalbursatleast65mmlong(Ø2.35mm).
S-12
Usedtoverifytheconditionoflatch-typeburs.Bursinproperconditionwillfitintolargerdiameterhole,butwillnotfitintothesmallerhole(markedred).Bursthatfaileitherofthesecriteriaareunfitforuse,andmaycausedamagetothehandpieceifused.
WH-�TG �ur Testing Gauge
IMPORTANT NOTE: W&H motors and handpieces are distinguished by their precision craftsmanship and reliability and are
covered by a 1-year manufacturer’s warranty. Instructions for required cleaning and maintenance are outlined in each product’s
user manual, and adherence to these procedures is essential for proper function and longevity of the products. BioHorizons
assumes no liability for the failure of, or damage to, motors and handpieces that are not properly maintained or used contrary
to the instructions for use. Please contact your Product Support Specialist or Customer Care if you need additional information.
W&H ElcoMed Surgical Handpieces
Bur Testing Gauge
W&H MOTORS AND ACCESSORIES
10
products shown not to scale
Cement-retained
Custom Cast (UCLA) Screw-retained or Cement-retained custom fabricated abutments
Implant-level Cast �ar or Hybrid (Fixed-detachable)
Abutment for Screw level Cast �ar or Hybrid (Fixed-detachable)
BallAbutmentspages 24-25
LocatorAbutmentspages 22-23
Abutment-retained Overdenture, Tissue-supported
Simple Solutions Cement-retained
Implant-level Laser Welded �ar
DirectPick-upCoping,Non-hexedpage 17
AbutmentsforScrewpages 20-21
Provisional Restorations
Note: Simple Solutions Abutments remain in the mouth during prosthesis fabrication, thereby serving as the provisional and final abutment.
All stock abutments may be modified by the dental laboratory or chair-side by the clinician.
Gold-base with burn-out plastic sleeve. Non-hex-engaging abutments are only for multiple-unit prostheses.
Abutmentspages 14-15
SimpleSolutionsAbutmentspage 18
CustomCastableAbutmentspage 15
CustomCastableAbutments,Non-hexedpage 15
PEEKAbutmentspage 14
May be cement- or screw-retained.
REMOVABLE AND HYBRID PROSTHETICS OVERVIEW
IMPLANT-LEVEL FIXED PROSTHETICS OVERVIEW
11
products shown not to scale
LocatorImpressionComponentspages 22-23
Impression Cap is pick-up in the impression tray. A Simple Solutions Replica is indexed into Cap within the impression.
Impression coping remains in mouth when impression tray is removed. Coping is transferred from the patient and indexed into the impression after assembly with an Implant Analog.
Impression coping is picked-up in the impression. An implant analog is attached to the incorporated coping before the stone model is created.
IndirectTransferCopingspage 16
SimpleSolutionsComponentspages 13 & 18-19
DirectPick-upCopingspage 17
AbutmentforScrew-levelIndirectTransferCopingspages 20-21
Impression copings remain in mouth when the tray is removed. Copings are transferred from the patient and indexed into the impression after assembly with Abutment for Screw Analogs.
Impression copings are picked-up in the impression. Abutment for Screw Analogs are attached to the incorporated copings and a stone model is poured.
Impression copings are picked-up from the seated Locator Abutments which remain in place when the tray is removed. Locator Analogs are indexed into the impression and a stone model is poured.
A crown & bridge impression is made of a seated abutment and a stone model is created. The abutment remains in place during laboratory fabrication of the final prosthesis.
An impression is made of the seated Ball Abutments which remain in place when the tray is removed. Ball Abutment Analogs are indexed into the impression and a stone model is poured.
AbutmentforScrew-levelDirectPick-upCopingspages 20-21
Abutmentsforcement-retentionpages 14-15
BallAbutmentImpressionComponentspages 24-25
IMPRESSION COMPONENTS FOR ABUTMENT-LEVEL RESTORATIONS
Implant-level Closed-tray Transfer
Implant-level Open-tray Pick-up
Abutment for Screw-level Closed-tray Transfer Abutment for Screw-level Open-tray Pick-up
Simple Solutions SnapCap Pick-up
Locator Abutment Closed-tray Pick-up �all Abutment Closed-tray Transfer
Direct Abutment Impression (Crown & Bridge-type)
IMPRESSION COMPONENTS FOR IMPLANT-LEVEL RESTORATIONS
12
products shown not to scale
HEALING ABUTMENTS & COVER CAPS
Hand-tightenwiththe.050”(1.25mm)HexDriver.TitaniumAlloy[Ti-6Al-4V].
3.5mm Regular Healing Abutment
4.5mm Regular Healing Abutment
5.7mm Regular Healing Abutment
PYRHA3
PGRHA3
P�RHA3
PYRHA5
PGRHA5
P�RHA5
3mm high 5mm high
Hand-tightenwiththe.050”(1.25mm)HexDriver.TitaniumAlloy[Ti-6Al-4V].
3.5mm Narrow Healing Abutment
4.5mm Narrow Healing Abutment
5.7mm Narrow Healing Abutment
PYNHA1
PGNHA1
P�NHA1
3.5mm Wide Healing Abutment
4.5mm Wide Healing Abutment
PYWHA3
PGWHA3
PYWHA5
PGWHA5
Hand-tightenwiththe.050”(1.25mm)HexDriver.TitaniumAlloy[Ti-6Al-4V].
Wide Emergence Healing Abutments
PYNHA3
PGNHA3
P�NHA3
PYNHA5
PGNHA5
P�NHA5
Narrow Emergence Healing Abutments
3.5mm Cover Cap
4.5mm Cover Cap
5.7mm Cover Cap
PYCC
PGCC
P�CC
Foruseduringsubmergedsurgicalhealing.Hand-tightenwiththe.050”(1.25mm)HexDriver.TitaniumAlloy[Ti-6Al-4V].Included with implant but can also be ordered separately.
Regular Emergence Healing Abutments
Surgical Cover Cap
3mm high 5mm high
3mm high 5mm high1mm high
Abutment height(1,3or5mm)
Abutment height(3or5mm)
Abutment height(3or5mm)
3.8mm
4.7mm
5.9mm
5.8mm
6.8mm
4.5mm
5.5mm
6.6mm
3.5mm
4.5mm
5.7mm
Platformdiameter
Abutmentdiameter
3.5mm
4.5mm
Platformdiameter
Abutmentdiameter
3.5mm
4.5mm
5.7mm
Platformdiameter
Abutmentdiameter
13
products shown not to scale
Collar height(0.8,1.8or2.8mm)
0.8mm collar 1.8mm collar 2.8mm collarProsthetic platform / Abutment height
3.5mm Kit, 4.0mm Height
3.5mm Kit, 5.5mm Height
4.5mm Kit, 4.0mm Height
4.5mm Kit, 5.5mm Height
5.7mm Kit, 4.0mm Height
5.7mm Kit, 5.5mm Height
K-PY4008
K-PY5508
K-PG4008
K-PG5508
K-P�4008
K-P�5508
K-PY4018
K-PY5518
K-PG4018
K-PG5518
K-P�4018
K-P�5518
K-PY4028
K-PY5528
K-PG4028
K-PG5528
K-P�4028
K-P�5528
OrderSimpleSolutionsHealingAbutmenttomatchtheappropriateemergenceanddiameteroftheSimpleSolutionsAbutment.Hand-tightenwitha.050”(1.25mm)HexDriver.TitaniumAlloy[Ti-6Al-4V].
3.5mm Healing Abutment
4.5mm Healing Abutment
5.7mm Healing Abutment
SPYHA08
SPGHA08
SP�HA08
SPYHA18
SPGHA18
SP�HA18
SPYHA28
SPGHA28
SP�HA28
Simple Solutions™ SimpleSolutionsrestorativeprotocolsonTaperedInternalimplantsallowclinicianstoprovidetheirpatientswithcement-retainedrestorationsinaminimalnumberofofficevisits.Thepre-taperedabutmentsaredesignedtoberestoredwithoutadditionalpreparation.Aftertheimpressionhasbeenmade,patientscanwearatooth-coloredHealingCapovertheabutmentwhilethelaboratoryfabricatesthefinalprosthesis.AcryliccanbeaddedtotheHealingCapasneededtohelpcreateamorenatural-appearingprovisional.PleaserefertotheSimpleSolutionsProstheticTechniqueManual(ref.ML0142)fordetailedInstructionsforUse.
SimpleSolutionsKitIncludes:Abutment,AbutmentScrew,HealingCap,ImpressionCap,WaxingSleeveforCrown,WaxingSleeveforBridgeandReplica.Individualcomponentsavailablefororderonpages18-19.
Simple Solutions Healing Abutments
Simple Solutions Restorative Kits
0.8mm collar 1.8mm collar 2.8mm collarProsthetic platform / Abutment height
SIMPLE SOLUTIONS KITS
Platformdiameter
Abutmentdiameter
OrderSimpleSolutionsRestorativeKitsbyprostheticplatform,abutmentheightandcollarheight.
5.0mm
6.0mm
7.1mm
3.5mm
4.5mm
5.7mm
14
products shown not to scale
Usedtofabricatecement-retained,single-ormultiple-unitprostheses.PackagedwithAbutmentScrew(PXAS).Yttria-stabilizedZirconia.Finaltorque:30Ncm.Callforavailability.
3.5mm 3inOne Abutment (Regular Emergence)
4.5mm 3inOne Abutment (Regular Emergence)
5.7mm 3inOne Abutment (Regular Emergence)
3.5mm Plastic Temporary Abutment (Regular Emergence)
4.5mm Plastic Temporary Abutment (Regular Emergence)
5.7mm Plastic Temporary Abutment (Regular Emergence)
Forfabricationofcement-orscrew-retainedprovisionalrestorations(upto30days).ADirectCopingScrew(PXDCS,purchasedseparately)maybeusedtomaintainscrewaccessholeduringfabricationofscrew-retainedprovisionalprostheses.PackagedwithAbutmentScrew(PXAS).Finaltorque:30Ncm.PEEK®(PolyEtherEtherKetone).
PYREA
PGREA
P�REA
PYRTA
PGRTA
P�RTA
Usedtofabricatecement-retained,single-ormultiple-unitprostheses.AlsousedwithBall-topScrewasaclosed-tray,hexed-timedimpressioncoping.PackagedwithAbutmentScrew(PXAS).TitaniumAlloy[Ti-6Al-4V].TiNcoated.Finaltorque:30Ncm.
INDIVIDUAL ABUTMENTS
3.5mm Ceramic Abutment (Regular Emergence)
4.5mm Ceramic Abutment (Regular Emergence)
5.7mm Ceramic Abutment (Regular Emergence)
PYRCA
PGRCA
P�RCA
3inOne Abutments for Cement-retained Restorations
Ceramic Abutments for Cement-retained Restorations
PEEK® Temporary Abutments
3.5mm Wide Emergence Profile Abutment
4.5mm Wide Emergence Profile Abutment
3.5mm Straight Esthetic Abutment (Wide Emergence)
4.5mm Straight Esthetic Abutment (Wide Emergence)
5.7mm Straight Esthetic Abutment (Regular Emergence)
Usedtofabricatecement-retained,single-ormultiple-unitprostheses.PackagedwithAbutmentScrew(PXAS).TitaniumAlloy[Ti-6Al-4V].TiNcoated.Finaltorque:30Ncm.
Usedtofabricatecement-retained,single-ormultiple-unitprostheses.PackagedwithAbutmentScrew(PXAS).TitaniumAlloy[Ti-6Al-4V].TiNcoated.Finaltorque:30Ncm.
PYSEA
PGSEA
P�SEA
PYWEA
PGWEA
Esthetic Abutments for Cement-retained Restorations
Profile Abutments for Cement-retained Restorations
8mm
1.5mm
1.5mm
5mm8mm
2.3mm
7mm
3mm
9mm
1mm
2mm
10mm
15
products shown not to scale
Usedtofabricatecement-retained,single-ormultiple-unitprostheses.PackagedwithAbutmentScrew(PXAS).TitaniumAlloy[Ti-6Al-4V].TiNcoated.Finaltorque:30Ncm.
3.5mm Angled Abutment (Regular Emergence)
4.5mm Angled Abutment (Regular Emergence)
5.7mm Angled Abutment (Regular Emergence)
PYRAA
PGRAA
P�RAA
INDIVIDUAL ABUTMENTS
Angled Abutments for Cement-retained Restorations
Usedtofabricatecement-retained,single-ormultiple-unitprostheses.PackagedwithAbutmentScrew(PXAS).TitaniumAlloy[Ti-6Al-4V].TiNcoated.Finaltorque:30Ncm.
3.5mm Narrow Emergence Abutment
4.5mm Narrow Emergence Abutment
5.7mm Narrow Emergence Abutment
PYNEA
PGNEA
P�NEA
3.5mm Angled Esthetic Abutment (Wide Emergence)
4.5mm Angled Esthetic Abutment (Wide Emergence)
5.7mm Angled Esthetic Abutment (Regular Emergence)
Usedtofabricatecement-retained,single-ormultiple-unitprostheses.PackagedwithAbutmentScrew(PXAS).TitaniumAlloy[Ti-6Al-4V].TiNcoated.Finaltorque:30Ncm.
PYAEA
PGAEA
P�AEA
Angled Esthetic Abutments for Cement-retained Restorations
Narrow Abutments for Cement-retained Restorations
Usedforsingle-unitscrew-retainedorcustomabutmentcement-retainedrestorations.PackagedwiththeAbutmentScrew(PXAS).GoldAlloybasewithDelrin®sleeve.Finaltorque:30Ncm.
3.5mm Custom Cast Abutment, Hexed
4.5mm Custom Cast Abutment, Hexed
5.7mm Custom Cast Abutment, Hexed
3.5mm Custom Cast Abutment, Non-hexed
4.5mm Custom Cast Abutment, Non-hexed
5.7mm Custom Cast Abutment, Non-hexed
Usedformultiple-unit,screw-retainedrestorations.PackagedwiththeAbutmentScrew(PXAS).GoldAlloybasewithDelrin®sleeve.Finaltorque:30Ncm.
PYCAH
PGCAH
P�CAH
PYCAN
PGCAN
P�CAN
Custom Castable (UCLA) Abutments - Hexed
Custom Castable (UCLA) Abutments - Non-hexed
20°
10mm
3mm
9mm
1mm
15°
4.5mm
10mm
10mm
2.5mmto top of screw
10mm
2.5mmto top of screw
16
products shown not to scale
3.5mm Narrow Indirect Transfer Coping
3.5mm Regular Indirect Transfer Coping
3.5mm Wide Indirect Transfer Coping
4.5mm Narrow Indirect Transfer Coping
4.5mm Regular Indirect Transfer Coping
4.5mm Wide Indirect Transfer Coping
5.7mm Narrow Indirect Transfer Coping
5.7mm Regular Indirect Transfer Coping
PX�T
Usedtomakeaclosed-tray,implant-level,hexed-timedimpression.PackagedwiththeAbutmentScrew(PXAS).TitaniumAlloy[Ti-6Al-4V].
Fitsallprostheticplatforms.Usedwiththe3inOneAbutmenttoformanimpressioncopingforclosed-tray,hexed-timedtransfers.MaybeusedtoincreaseheightofIndirectTransferCopingsby3mm.Hand-tighten.TitaniumAlloy[Ti-6Al-4V].
�all-top Screw for Indirect Transfer
PYNIC
PYRIC
PYWIC
PGNIC
PGRIC
PGWIC
P�NIC
P�RIC
Indirect Transfer Copings (Closed Tray) - Hexed
Ball-top Screw for Indirect Transfer
3.5mm Narrow Direct Pick-up Coping, Hexed
3.5mm Regular Direct Pick-up Coping, Hexed
3.5mm Wide Direct Pick-up Coping, Hexed
4.5mm Narrow Direct Pick-up Coping, Hexed
4.5mm Regular Direct Pick-up Coping, Hexed
4.5mm Wide Direct Pick-up Coping, Hexed
5.7mm Narrow Direct Pick-up Coping, Hexed
5.7mm Regular Direct Pick-up Coping, Hexed
Usedtomakeanopen-tray,implant-level,hexed-timedimpression.PackagedwiththeDirectCopingScrew(PXDCS).TitaniumAlloy[Ti-6Al-4V].
PYNDC
PYRDC
PYWDC
PGNDC
PGRDC
PGWDC
P�NDC
P�RDC
Direct Pick-up Copings (Open Tray) - Hexed
8mm
3mm
11mm
Ball-top Screw (PXBT) pictured sold separately
3mm
8mm
9mm
7mm
16mm
5mm
IMPRESSION COMPONENTS
17
products shown not to scale
Fitsallimplantprostheticplatforms.Lowprofilescrewhead.Packagedwithalltwo-pieceabutments.Utilizesthe.050”(1.25mm)HexDriver.Finaltorque:30Ncm.TitaniumAlloy[Ti-6Al-4V].
PXAS
PXDCS
Abutment Screw
Direct Coping Screw
Fitsallimplantprostheticplatforms.PackagedwithallDirectPick-upCopings.MayalsobeusedinplaceoftheAbutmentScrew(PXAS)whenextralengthisneeded,ortomaintainthescrewaccessholeduringfabricationofscrew-retainedprovisionalprostheses.Upto7mmcanberemovedfromthescrewwithoutlosingthehexengagement.Utilizesthe.050”(1.25mm)HexDriver.Finaltorque:30Ncm.TitaniumAlloy[Ti-6Al-4V].
Abutment Screw
Direct Coping Screw
3.5mm Implant Analog
4.5mm Implant Analog
5.7mm Implant Analog
Representstheimplantinalaboratory-fabricated,implant-levelstonemodel.NotintendedforusewithSimpleSolutionscomponents.TitaniumAlloy[Ti-6Al-4V].
PYIA
PGIA
P�IA
Implant Analogs
3.5mm Narrow Direct Pick-up Coping, Non-hexed
4.5mm Narrow Direct Pick-up Coping, Non-hexed
5.7mm Narrow Direct Pick-up Coping, Non-hexed
Usedtomakeanopen-tray,implant-level,non-hexedimpression.PackagedwiththeextendedDirectCopingScrew(PXDCS).Mayalsobeusedtofabricatemultiple-unitlaserweldedbars;seetheInternalProstheticTechniqueManual(ref.ML0118)foradditionalinformation.TitaniumAlloy[Ti-6Al-4V].
PYNDCN
PGNDCN
P�NDCN
Direct Pick-up Copings (Open Tray) - Non-hexed
9mm
7mm
16mm
5mm
IMPRESSION COMPONENTS
7mm
18
products shown not to scale
Simple Solutions 3.5mm Healing Cap, 4.0mm
Simple Solutions 3.5mm Healing Cap, 5.5mm
Simple Solutions 4.5mm Healing Cap, 4.0mm
Simple Solutions 4.5mm Healing Cap, 5.5mm
Simple Solutions 5.7mm Healing Cap, 4.0mm
Simple Solutions 5.7mm Healing Cap, 5.5mm
Usedas-isorasacopingforfabricationofprovisionalrestorations(upto30days).Securewithtemporarycement.Orderbyplatformdiameterandabutmentheight.PEEK®(PolyEtherEtherKetone).
Simple Solutions 3.5mm Replica, 4.0mm
Simple Solutions 3.5mm Replica, 5.5mm
Simple Solutions 4.5mm Replica, 4.0mm
Simple Solutions 4.5mm Replica, 5.5mm
Simple Solutions 5.7mm Replica, 4.0mm
Simple Solutions 5.7mm Replica, 5.5mm
Orderbyplatformdiameterandabutmentheight.TitaniumAlloy[Ti-6Al-4V].
SYR40
SYR55
SGR40
SGR55
S�R40
S�R55
SYPHC40
SYPHC55
SGPHC40
SGPHC55
S�PHC40
S�PHC55
Simple Solutions 3.5mm Impression Cap, 4.0mm
Simple Solutions 3.5mm Impression Cap, 5.5mm
Simple Solutions 4.5mm Impression Cap, 4.0mm
Simple Solutions 4.5mm Impression Cap, 5.5mm
Simple Solutions 5.7mm Impression Cap, 4.0mm
Simple Solutions 5.7mm Impression Cap, 5.5mm
Orderbyplatformdiameterandabutmentheight.
SYPIC40
SYPIC55
SGPIC40
SGPIC55
S�PIC40
S�PIC55
Simple Solutions Healing Caps
Simple Solutions Replicas & Replica Lab Tools
SIMPLE SOLUTIONS INDIVIDUAL COMPONENTS
Simple Solutions Impression Caps
Collar height(0.8,1.8or2.8mm)
SPY4008
SPY5508
SPG4008
SPG5508
SP�4008
SP�5508
SPY4018
SPY5518
SPG4018
SPG5518
SP�4018
SP�5518
SPY4028
SPY5528
SPG4028
SPG5528
SP�4028
SP�5528
3.5mm Abutment, 4.0mm
3.5mm Abutment, 5.5mm
4.5mm Abutment, 4.0mm
4.5mm Abutment, 5.5mm
5.7mm Abutment, 4.0mm
5.7mm Abutment, 5.5mm
SimpleSolutionscrownsfinishontherestorativeshoulderoftheabutment.Therearethreeoptionsfortransmucosalcollarheight:0.8mm/1.8mm/2.8mm.Selectthecollarheightthatpositionstherestorativeshoulderascloseaspossibletothedesiredpositionofthecrownmargin.PackagedwithAbutmentScrew(PXAS).TitaniumAlloy[Ti-6Al-4V].Finaltorque:30Ncm.
Abutment height(4.0or5.5mm)
0.8mm collar 1.8mm collar 2.8mm collarProsthetic platform / Abutment height
Simple Solutions Abutments
19
products shown not to scale
SIMPLE SOLUTIONS INDIVIDUAL COMPONENTS
Simple Solutions 3.5mm Waxing Sleeve, �ridge (multiple units)
Simple Solutions 4.5mm Waxing Sleeve, �ridge (multiple units)
Simple Solutions 5.7mm Waxing Sleeve, �ridge (multiple units)
Simple Solutions 3.5mm Waxing Sleeve, Crown (single unit)
Simple Solutions 4.5mm Waxing Sleeve, Crown (single unit)
Simple Solutions 5.7mm Waxing Sleeve, Crown (single unit)
WaxingSleevesforCrownhaveinternalanti-rotationflatstoengagetheabutment/replicaflats.TheWaxingSleevesforBridgehavenoanti-rotationalfeatureandmayonlybeusedformultipleunits.Orderbyplatformdiameter.Trimforheight.Burn-outplastic.
SYPWSC
SGPWSC
S�PWSC
SYPWS�
SGPWS�
S�PWS�
UsedtoremovethesnapfeaturefrommetalcastingsfabricatedwithSimpleSolutionsWaxingSleeves. Do not use on non-precious alloys.Orderbyplatformdiameter.
Simple Solutions 3.5mm Casting Reamer
Simple Solutions 4.5mm Casting Reamer
Simple Solutions 5.7mm Casting Reamer
SYCR
SGCR
S�CR
Usedtocreateburn-outcopingswithoutuseoftheWaxingSleeves.Thedouble-endedtools(4.0mm/5.5mmabutmentheight)mimicthegeometryofSimpleSolutionsReplicasincludingtheanti-rotationflats,butWITHOUTtheretentivesnapfeature.CastingsmadefromcopingsfabricatedontheReplicaLabToolsdonotrequireuseoftheCastingReamers(below).
Simple Solutions 3.5mm Replica Lab Tool
Simple Solutions 4.5mm Replica Lab Tool
Simple Solutions 5.7mm Replica Lab Tool
SYRLT
SGRLT
S�RLT
Simple Solutions Casting Reamers
Simple Solutions Replica Lab Tools
Simple Solutions Waxing Sleeves
20
products shown not to scale
3.5mm Abutment for Screw, 1mm collar
3.5mm Abutment for Screw, 3mm collar
3.5mm Abutment for Screw, 5mm collar
4.5mm Abutment for Screw, 1mm collar
4.5mm Abutment for Screw, 3mm collar
4.5mm Abutment for Screw, 5mm collar
5.7mm Abutment for Screw, 1mm collar
5.7mm Abutment for Screw, 3mm collar
PackagedwithallAbutmentsforScrew.Hand-tightenwith.050”(1.25mm)HexDriver.TitaniumAlloy[Ti-6Al-4V].
PXA�CC
Maybetrimmedforheight.PackagedwithoneScrew(regular),AbutmentforScrew(seePXABS).GoldAlloybasewithDelrin®sleeve.
PXA�GC PXA�PCGold Coping, Abutment for Screw Plastic Coping, Abutment for Screw
Cover Cap, Abutment for Screw
Maybetrimmedforheight.PackagedwithoneScrew(regular),AbutmentforScrew(seePXABS).Delrin®sleeve.
Usedformultiple-unitrestorationsincluding:screw-retainedrestorationsattheabutmentlevel,castalloybarsforoverdenturesandfixed/detachable(hybrid)restorations.ComespackagedwiththeCoverCap(PXABCC).TitaniumAlloy[Ti-6Al-4V].
PYAFS1
PYAFS3
PYAFS5
PGAFS1
PGAFS3
PGAFS5
P�AFS1
P�AFS3
ABUTMENT FOR SCREW COMPONENTS
Gold & Plastic Copings, Abutment for Screw
Abutment for Screw
Cover Cap, Abutment for Screw
Instant Fixed Overdenture Abutment
PXIFOInstant Fixed Overdenture Abutment
UsedwithAbutmentsforScrewforfabricationofimmediateprovisionaloverdentures.PackagedwithoneScrew(regular),AbutmentforScrew(seePXABS).Abutmentheightis9mm.Finaltorque:30Ncm.TitaniumAlloy[Ti-6Al-4V}
ComespackagedwiththeCoverCap(PXABCC)andAbutmentScrew(PXAS).Finaltorque:30Ncm.TitaniumAlloy[Ti-6Al-4V].
Angled Abutment , Abutment for Screw
1mm
1,3 or 5mm
3.5mm Angled Abutment for Screw, 17 Degree
4.5mm Angled Abutment for Screw, 15 Degree
4.5mm Angled Abutment for Screw, 25 Degree
5.7mm Angled Abutment for Screw, 15 Degree
PYAFS17
PGAFS15
PGAFS25
P�AFS15
15, 17 or 25°
5mm
12mm
3.8mmto top of screw
12mm
3.8mmto top of screw
21
products shown not to scale
Usedinthelabwhenalongerscrewisdesired.UsedonlywiththeAbutmentforScrew.Upto7mmcanberemovedfromthescrewwithoutlosingthehexengagement.Hand-tightenortorqueto30Ncmdependingonapplication.TitaniumAlloy[Ti-6Al-4V].
PXA�SLScrew (long), Abutment for Screw (5 pack)
PXA�DC
Usedtomakeadirectpick-upimpression(open-tray)attheabutmentlevel.PackagedwiththeScrew(long),AbutmentforScrew(PXABSL).UsedonlywithAbutmentforScrew.TitaniumAlloy[Ti-6Al-4V].
PXA�A
UsedtorepresenttheAbutmentforScrew/Implantassemblyintheworkingcast.Notforusewithimplant-levelimpressions.TitaniumAlloy[Ti-6Al-4V].
Direct Pick-up Coping, Abutment for Screw
Analog, Abutment for Screw
UsedtoretainbarsorprosthesesfabricatedwiththeAbutmentforScrewCopings.Utilizesthe.050”(1.25mm)HexDriver.Finaltorque:30Ncm.TitaniumAlloy[Ti-6Al-4V].
PXA�SScrew (regular), Abutment for Screw (5 pack)
PXA�IC
Usedtomakeanindirecttransfer(closed-tray)impressionattheabutmentlevel.UsedonlywithAbutmentforScrew.TitaniumAlloy[Ti-6Al-4V].
Indirect Transfer Coping, Abutment for Screw
Direct Pick-up Coping, Abutment for Screw
Analog, Abutment for Screw
ABUTMENT FOR SCREW COMPONENTS
RequiredforplacementofAbutmentforScrew.MaybedrivenbyeitherHandWrench,TorqueWrenchorAS123HandUnit.
PXHAHex Adapter, Abutment for Screw
Hex Adapter, Abutment for Screw
Indirect Transfer Coping, Abutment for Screw
Screw (regular or long), Abutment for Screw
11mm
5.6mm
10mm
7mm
22
products shown not to scale
LOCATOR ABUTMENT COMPONENTS
4.5mm Locator Abutment, 0mm Cuff Height
4.5mm Locator Abutment, 1.0mm Cuff Height
4.5mm Locator Abutment, 2.0mm Cuff Height
4.5mm Locator Abutment, 3.0mm Cuff Height
4.5mm Locator Abutment, 4.0mm Cuff Height
4.5mm Locator Abutment, 5.0mm Cuff Height
4.5mm Locator Abutment, 6.0mm Cuff Height
5.7mm Locator Abutment, 1.0mm Cuff Height
5.7mm Locator Abutment, 2.0mm Cuff Height
5.7mm Locator Abutment, 3.0mm Cuff Height
5.7mm Locator Abutment, 4.0mm Cuff Height
5.7mm Locator Abutment, 5.0mm Cuff Height
5.7mm Locator Abutment, 6.0mm Cuff Height
3.5mm Locator Abutment, 0mm Cuff Height
3.5mm Locator Abutment, 1.0mm Cuff Height
3.5mm Locator Abutment, 2.0mm Cuff Height
3.5mm Locator Abutment, 3.0mm Cuff Height
3.5mm Locator Abutment, 4.0mm Cuff Height
3.5mm Locator Abutment, 5.0mm Cuff Height
3.5mm Locator Abutment, 6.0mm Cuff Height
OrderbyCuffHeighttomatchtheheightofthegingivaltissue.Thefemaleportionoftheabutmentadds1.5mmtothestatedheight.Theabutmentneedstoextendabovethetissueby1.5mmtoallowtheLocatorMaletoseatcompletely.OrderoneLocatorMaleProcessingSetforeachLocatorAbutment(soldinpacksof2or10).LocatorAbutmentsaremadefromTitaniumAlloy[Ti-6Al-4V].
TheMaleProcessingPackageprovides3choicesofretention(seeoppositepage).TheReplacementMales(clear,pinkandblue)areusedtorestoreimplantswithupto10°ofdivergence(20°betweenimplants).TheExtendedRangeReplacementMales(greenandred)accommodatedivergencesfrom10°and20°(40°betweenimplants),andmaybepurchasedseparately.
PYLA0PYLA1PYLA2PYLA3PYLA4PYLA5PYLA6
PGLA0PGLA1PGLA2PGLA3PGLA4PGLA5PGLA6
P�LA1P�LA2P�LA3P�LA4P�LA5P�LA6
Locator Abutments
LCT Locator Core ToolMulti-purposetoolservesashanddriverforseatingLocatorAbutmentsontotheimplants,seatingtoolfornylonmaleinsertsandinsertremovaltool.
LMPP-2 Locator Male Processing Package (2 pack)Includes:(2)DentureCapswith(2)BlackProcessingMales;(2)WhiteBlock-outSpacers;(2)Clear,(2)Pinkand(2)BlueNylonMales.
LMPP-10 Locator Male Processing Package (10 pack)Includes: (10) Denture Caps with (10) Black Processing Males; (10) WhiteBlock-outSpacers;(10)Clear,(10)Pinkand(10)BlueNylonMales.
Locator Components
0 to 6mm Cuff Height
Ø3.5mm
2.5mm
Ø5.5mm
23
products shown not to scale
LIC Locator Impression Coping (4 pack)
LFA-4MMLFA-5MM Locator Female Analog Ø5mm (4 pack)
Locator Female Analog Ø4mm (4 pack)
LRM-R Locator Extended Range Extra Light Retention Rep. Male (red) (4 pack)Retention:1.5lbs/680g
LRM-G Locator Extended Range Replacement Male (green) (4 pack)Retention:3-4lbs/1361-1814g
LRM-� Locator Extra Light Retention Replacement Male (blue) (4 pack)Retention:1.5lb/680g
LRM-P Locator Light Retention Replacement Male (pink) (4 pack)Retention:3lb/1361g
LRM-C Locator Replacement Male (clear) (4 pack)Retention:5lb/2268g
LSDT-15MM
LSDT-21MM
Locator Square Drive Tool (15mm)UsedwithatorquewrenchtoseatLocatorAbutments.15mminlength.
Locator Square Drive Tool (21mm)UsedwithatorquewrenchtoseatLocatorAbutments.21mminlength.
LAMG Locator Angle Measurement Guide
L�PRM Locator �lack Processing Replacement Male (4 pack)
LPP Locator Parallel Post (4 pack)
LOCATOR ABUTMENT COMPONENTS
Locator Impression Coping
Locator Female Analog
Locator Male Replacements
Locator Parallel Post
Locator Measurement Guide
Locator Square Drive Tool
24
products shown not to scale
Ø5.9mm
3.5mm �all Abutment, 1mm Collar
3.5mm �all Abutment, 3mm Collar
3.5mm �all Abutment, 5mm Collar
4.5mm �all Abutment, 1mm Collar
4.5mm �all Abutment, 3mm Collar
4.5mm �all Abutment, 5mm Collar
5.7mm �all Abutment, 1mm Collar
5.7mm �all Abutment, 3mm Collar
BallAbutmentsareusedforretentionoftissue-supportedoverdentures.Theyarerecommendedforrelativelyparallelimplants.Seebelowandonthefacingpageforattachmentoptions.BallAbutmentsmaybeusedasindirecttransferimpression.BallAbutmentAnalogsonfacingpageareusedfortheproductionofaworkingcast.
PY�A1
PY�A3
PY�A5
PG�A1
PG�A3
PG�A5
P��A1
P��A3
BALL ABUTMENT COMPONENTS
O-ring Attachment Set260-100
StandardO-ringattachmentforprocessingintodenture.
O-ring Encapsulator Femalereceptacleprocessedintodenture.Titanium.2perpackage.
260-300
Clinical O-ringUsedforclinicalapplications.Silicone.12perpackage.
260-210
Processing O-ringUsedforlabprocessingapplications.Buna.12perpackage.
260-220
Ball Abutments
O-ring Attachment Set
1,3 or 5mm
Ø2.5mm
3.5mm
2.6mm5mm
3.2mm
Ø5.5mm
Includes:(1)O-ringencapsulator,(2)ProcessingO-ringsand(2)ClinicalO-rings.
O-ring Individual Components
25
products shown not to scale
�CIST ReamerUsedtoadjustretentionofnyloninserts.
�CRInsert Seating ToolUsedtoseatnyloninsertsinattachmenthousings.
BALL ABUTMENT COMPONENTS
TheBallAttachmentsystemoffersseveraladvantagesovertraditionalO-ringattachments.Itrequireslessmesial/distal/buccal/lingualspaceandoffersfourdifferentlevelsofretention.Thenylonretentioninsertscanbechangedchairside.
Pink Nylon Insert Clinicaluse.2perpackage.SoftRetention:800-950g
White Nylon Insert Clinicaluse.2perpackage.StandardRetention:1200-1300g
Yellow Nylon Insert Clinicaluse.2perpackage.ExtraSoftRetention:500-550g
�lack Nylon Insert LabProcessingandChair-sideDenturePick-up.2perpackage.
Green Nylon Insert Clinicaluse.2perpackage.ElasticRetention.
�CIG
�CI�
�CIY
�CIW
�CIP
�CAHT
Includes:(1)TitaniumHousing,(3)FemaleNylonInserts-white(moreretention),pink(lessretention),black(labprocessing)and(1)ProtectiveDisk(ref.BCPD,protectstissueduringimpressionmakingordenturepick-up)
�CAS �all Attachment Set
Attachment Housings - TitaniumForResinpickuporSoldering.2perpackage.
PYG�AA
P��AA
3.5/4.5mm �all Abutment Analog
5.7mm �all Abutment Analog
UsedtorepresenttheBallAbutment/Implantassemblyintheworkingcast.OnlyusedinconjunctionwithBallAbutments.TitaniumAlloy[Ti-6Al-4V].
Ball Attachment Set
Ball Abutment Components
Ball Abutment Analogs
Directional Rings Usedforobtainingparallelism.0°,7°and14°rings.Setof3.
�CDR
26
products shown not to scale
PROSTHETIC INSTRUMENTATION
Hand WrenchUsedondriveendofAS123HandUnit.AlsofitsindividualHexDrivers/AdaptersandBoneTaps.
300-400
30 Ncm Torque WrenchUsedtodelivertorquetoprostheticcomponents.
300-070
300-100 AS123 Hand UnitProvidesimprovedvisionandeasyaccesstoprostheticcom-ponentsinposteriorregionsofthemouth.HandWrenchandDriversmustbepurchasedseparately.
Mayalsobepurchasedaspartofthe320-000CompleteProstheticInstrumentationSystem(seeabove).
Prosthetic Sterilization Tray (not shown)Autoclavabletrayforprostheticinstrumentation(includedwiththe320-000and320-101).
Complete Prosthetic Instrumentation System (shown)Includes:AS123HandUnit/HandWrench/30NcmTorqueWrench/.050”(1.25mm)HexDriver,Regular/.050”(1.25mm)HexDriver,Long/HexAdaptersforAbutmentforScrew/RatchetExtender/SterilizationTray.
320-000
.050” (1.25mm) Hex Driver Regular or LongUsedtodriveallsurgicalandprostheticcomponentswiththeexceptionoftheAbutmentforScrew.
300-350 (regular)
300-351 (long)6.25mm
12.5mm
320-101�asic Prosthetic Instrumentation Kit (not shown)Includes:HandWrench/30NcmTorqueWrench/.050”(1.25mm)HexDriver,Regular/.050”(1.25mm)HexDriver,Long/RatchetExtender/SterilizationTray.
Prosthetic Instrumentation System
RequiredforplacementofAbutmentforScrew.MaybedrivenbyeitherHandWrench,TorqueWrenchorAS123HandUnit.
304-210
305-210
3.5/4.0mm Hex Adapter, Abutment for Screw
5.0mm Hex Adapter, Abutment for Screw
300-430
27
products shown not to scale
PROSTHETIC INSTRUMENTATION
PYGAH
P�AH
Ø3.5/4.5mm Platform Analog Handle
Ø5.7mm Platform Analog Handle
Usedtoholdabutmentsforchairsideorlaboratorypreparation,thesehandlesmimictheimplant/analoghexgeometry.AbutmentsaresecuredtothehandlewiththestandardAbutmentScrew(PXAS).Comesintwoplatformsizes:Ø3.5/4.5mmandØ5.7mm.
Internal Implant Analog Handles
IMPAH Abutment Clamp
Usedtoholdtwo-pieceabutmentsduringdeliveryandtighteningoftheAbutmentScrew.
ForinstallationandremovalofCoverScrews,HealingAbutmentsandAbutmentScrews.TheHandpieceHexDriversareusedwithlatch-typecontra-anglehandpieces.TheHandpieceHexDriver,Long(134-450)is5mmlongerthanthestandardversion(134-350).
135-351
134-350
134-450
.050” (1.25mm) One-piece Hex Driver
.050” (1.25mm) Handpiece Hex Driver
.050” (1.25mm) Handpiece Hex Driver, Long
Implant Clean-out Tap Tool
Abutment for Screw Clean-out Tap Tool
Usedtore-threadTaperedInternalorAbutmentsforScrewwheretheinternalthreadshavebecomedamaged.RequiresastandardsurgicalRatchet(130-000)orHandWrench(300-400)asadrivemechanism.
PXCT
122-170
Abutment Clamp
Hex Drivers
Clean-out Tap Tools
11.5mm
28
products shown not to scale
ML0131
Tapered Internal 4x Patient Education ModelThis4-timesscalemodelincludestheImplant,Abutment,AbutmentScrew,Ball-topScrew,HealingAbutment,CoverCap,ImplantDriverandHexDriver.Excellentfordemonstratingimplantcomponentstothepatient.Callforavailability.
TI4XIM
MLD101
ML0129
ML0114 Patient Education – Stabilizing dentures using dental implants
Patient Education – Rebuilding and maintaining bone
Patient Education – Soft tissue grafting with AlloDerm
ML0103 Patient Education – Tooth replacement with dental implants
Five Implant Acrylic ModelThis life-sized model allows the clinician to illustrate implant placement ofBioHorizonsimplants.Clearacrylicallowstheimplantstobeviewedinrelationtoadjacentteeth.Callforavailability.
MPSA
L0602 Tapered Internal Depth Mark and Drill Sequence Chart
L0601 Tapered Internal Surgical Kit Wall Chart
L0135 Tapered Internal Radiographic Implant Template (overlay)Designedtoaidtheclinician inthepreoperativedeterminationofoptionsforimplant length and diameter. The clear overlay template shows all sizes ofBioHorizonsTaperedInternalimplantsin100%and125%scale.
Patient Education – Dental Implants - the tooth replacement solutionThishigh-qualityflipbookhelpstheimplantcandidateunderstandtherationaleand the advantages of implant therapy compared to traditional treatmentmethods.9”x6”(23cmx16cm).
COLLATERALS
Internal Prosthetic ManualML0118
Simple Solutions Prosthetic Technique ManualML0142
Internal Prosthetic Technique Manual
Simple Solutions Prosthetic Technique Manual
29
products shown not to scale
ThisSurgicalManualservesasareferenceforusingtheTaperedInternalimplantsandsurgicalinstruments.Itisintended
solelytoprovideinstructionsontheuseofBioHorizonsproducts.Itisnotintendedtodescribethemethodsorprocedures
for diagnosis, treatment planning, or placement of implants, nor does it replace clinical training or a clinician’s best
judgmentregardingtheneedsofeachpatient.BioHorizonsstronglyrecommendsappropriatetrainingasaprerequisite
fortheplacementofimplantsandassociatedtreatment.
Theproceduresillustratedanddescribedwithinthismanualreflectidealizedpatientpresentationswithadequatebone
andsofttissuetoaccommodateimplantplacement.Noattempthasbeenmadetocoverthewiderangeofactualpatient
conditions thatmayadverselyaffectsurgicalandprostheticoutcomes.Clinician judgment as related to any specific
case must 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 appropriate Instructions for Use.
• Become thoroughly familiar with all instruments and their uses.
• Study Surgical Kit layout, color-coding scheme and iconography.
• Design a surgical treatment plan to satisfy the prosthetic requirements of the case.
Treatment Planning
For idealresults in implantdentistry,thetreatmentteamshouldbe inagreementandincommunicationthroughoutall
stagesoftherapy.Thepatient,therestorativeandsurgicaldoctors,aswellasthedentallaboratoryshouldunderstandand
agreeuponthetreatmentplan.Thetreatmentplanshoulddeterminethedesign,numberandpositionoftheimplants.
Placement of small diameter implants or the use of angled abutments
is not recommended in the posterior region of the mouth.
Diagnostic Casts
Mountedstudycastsandadiagnosticwax-uparethefoundationfordeterminingimplantlocation. Surgical Guide Templates
Oncethediagnosticwax-upisfinalized,therestorativedoctorordentallaboratoryfabricatesthesurgicalguidetemplate.
Thisguidedirectsthesurgeontotheimplantlocationthatoffersthebestsupportfortheprosthesis,aswellasoptimal
esthetics and hygiene requirements. The surgical guide also provides information about the tooth and supporting
structuresthathavebeenlost.
Laboratory Guide Templates
Amatrixofthediagnosticwax-upmayalsobeutilizedbythelaboratorywhendevelopingthefinalprosthesis.Thematrix
actsasaguideforpositionandcontouroftheprosthesis.
INSTRUCTIONS FOR USE
Disclaimer
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Two-stage surgery was the original protocol developed for placingmodern dental implants. In this type of surgery, the implant is placedbelow the soft tissue and protected from occlusal function and otherforcesduringosseointegration.Alow-profileCoverCapisplacedontheimplanttoprotectitfromtheingressofsofttissue.
Followingosseointegration,asecondsurgeryexposestheimplantandatransmucosalHealingAbutmentisplacedtoallowforsofttissuehealingand development of a sulcus. Prosthetic restoration begins after softtissuehealing.
Single-stage surgery may be accomplished with the Tapered Internalimplant by placing a healing abutment at the time of initial implantsurgery. This eliminates the need for a second surgery to expose theimplant. Although the implant is not in occlusal function, some forcescanbetransmittedtoitthroughtheexposedtransmucosalelement.
Prostheticrestorationbeginsfollowingosseointegrationoftheimplantandsofttissuehealing.
Single-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 orshortlyaftersurgery,andaprovisionalrestorationissecuredtoitwithtemporary cement. The provisional can help contour the soft tissueprofileduringhealing.
Single-stagesurgerywithimmediatefunctionispossibleingoodqualitybone where multiple implants exhibiting excellent initial stability canbesplintedtogether.Splinting implantstogethercanofferasignificantbiomechanicaladvantageoverindividual,unsplintedprostheses.
TaperedInternalimplantwithCoverCapinatwo-stageprotocol.
TaperedInternalimplantswithasplintedprosthesisinimmediatefunction.
TaperedInternalimplantwithremovableHealingAbutmentinasingle-stageprotocol.
TaperedInternalimplantrestoredwithanon-functionalprovisionalprosthesis.
SURGICAL PROTOCOLS
Two-stage Protocol
Single-stage Protocol
Non-functional Immediate Restoration
Immediate Function Restoration
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Spacing considerations for BioHorizons Tapered Internal implants (measurementsaretakenattheosseouscrest):
Theosteotomycenter-to-centermeasurementrequiredtomaintaina3.0mmedge-to-edgespacing(generallyaccepted)betweenTaperedInternalimplantsis½ [sum of 2 implant body diameters] + 3.0mm.
1.5mm
3.8mm
Osteotomy center 3.8mm from adjacent tooth
3.0mm
8.2mm
1.5mm
Measurement is dependent on the two implant body diameters.
Theosteotomycenterpointrequiredtomaintaina1.5mmimplant-to-toothspacing(generallyaccepted)is½ [implant body diameter] + 1.5mm.
During implant placement, clinicians must apply their best judgment as to the appropriate spacing for individual patient conditions.
3.8mm
4.6mm
5.8mm
3.8mm
4.6mm
5.8mm
3.4mm
4.4mm
3.8mm
bodydiameter Ø5.8mmØ4.6mmØ3.8mm
8.8mm8.2mm
7.6mm
6.8mm
7.8mm
7.2mm
bodydiameter
IMPLANT SPACING
Implant Spacer / Depth ProbePurpose: Multi-function instrument for intraoral measurements.
Therectangularendofthetoolprovidesintraoral
measurements.
Usefulformarkingcenter-to-centerimplantspacing
ontheridge.
Therectangularendagainstanexistingcrownplacestheosteotomy
~4.25mmfromthecontact.
~4.25mm
Probetipmeasuresosteotomydepth.
7mm
9mm
11mm
13mm
15mm
10mm
12mm
14mm
16mm
osteotomy center from adjacent tooth
Implant center to center
•Fivecentimetergraduatedruleronshaft
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TheTaperedInternalSurgicalKitusesanintuitivelayouttoguidethesurgeonthroughtheinstrumentsequence.Thesequencebeginsintheupperlefthandcornerandworksleft-to-rightandthendown.Color-codedlines,instrumentsandgrommetsarematchedwitheachimplantandfurtheraidininstrumentselectionandidentification.
Priortouse,cleanandsterilizethesurgicaltrayandinstrumentsperappropriateInstructionsforUseandstudytheSurgicalKitlayout,color-codingandiconography.Surgicalassistantsshouldalsobethoroughlyfamiliarwithallinstrumentsandtheiruses.
SURGICAL KIT LAYOUT
Depth Drill Sequence Crestal �one Drills
�one Taps
Width IncreasingDrill Sequence
Abutment-level and/or Implant-
level Drivers
Depth Gauges
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products shown not to scale
SupracrestalplacementputsthemachinedportionofthecollarandaportionoftheLaser-Lokzoneincontactwiththesofttissueandpromotessofttissueattachment. To do so, reduce your osteotomy depth by 1mm using theappropriate length indicatoronthedrills.Priortoclosure,verifythe implanthasinitialstabilityandthesofttissuecoverageisadequate.
When placing the Tapered Internal implant in an uneven ridge, prepare theosteotomy and place the implant so that the bone/soft-tissue junction iswithinthe1.5mmLaser-Loktransitionzone.Ifthediscrepancyismorethan1.5mm,levelingtheridgecanbeconsidered.
Toplace the implant levelwith thecrest,drill to the length indicatoron thedrillsthatcorrespondtotheselectedimplantlength.
Crestal placement is the recommended protocol for RBT-collarTapered Internal implants (nonLaser-Lok).ContactCustomerCareforavailabilityofthisproductinyourmarket.
Supracrestal placement is not recommended for 7.5mm lengthTaperedInternalImplants.
SupracrestalplacementisnotrecommendedforRBT-collarTaperedInternal implants (non Laser-Lok). Contact Customer Care foravailabilityofthisproductinyourmarket.
IMPLANT PLACEMENT LEVEL
Crestal Placement
Supracrestal Placement
Placement in Uneven Ridges
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The Starter Drill, Depth Drills, Width Increasing Drills and Bone Taps are marked with 1mm silver bands to aid in both supracrestal and crestal implant placement. Drilling to the lead edge of a silver band places the implant supracrestal and puts the machined collar and a portion of the Laser-Lok zone (1mm total) in contact with the soft tissue encouraging soft tissue attachment. Drilling to the trailing edge of a silver band places the implant at bone level (i.e. crestal).
• Peri-operative oral rinses with a 0.12% Chlorhexidine Digluconate solution have been shown to significantly lower theincidenceofpost-implantation infectiouscomplications.4Apreoperative30-secondrinse isrecommended, followedbytwicedailyrinsesfortwoweeksfollowingsurgery.
•Drillingmustbedoneunderaconstantstreamofsterileirrigation.Apumpingmotionshouldbeemployedtopreventover-heatingthebone.Surgicaldrillsandtapsshouldbereplacedwhentheyareworn,dull,corrodedorinanywaycompromised.BioHorizonsrecommendsreplacingdrillsafter12to20osteotomies.5ADrill-usageTrackingChartisavailabletorecordthisimportantinformation.
•Thereisariskofinjurytothemandibularnerveassociatedwithsurgicaldrillinginposteriormandibularregions.Tominimizetheriskofnerveinjury,itisimperativethattheclinicianunderstandsthedrilldepthmarkingsastheyrelatetotheimplantlengthtoproducethedesiredverticalplacementoftheimplant.
All surgical drills included with this system are externally irrigated and designed to be used at drill speeds of 850-2500 rpm3 with steady sterile irrigation. Reduced drill speed may be indicated in softer bone or as drill diameter increases.
Note: Supracrestal placement reduces the implant length in bone by 1mm. Care should be taken to ensure initial implant stability is obtained.
DRILL OVERVIEW
Drill Markings
Important Considerations
15.0mm
Crestalplacement
12.0mm
10.5mm
9.0mm
7.5mm
Supracrestalplacement
14.0mm
11.0mm
9.5mm
8.0mm
6.5mm
12mm implant
10.5mm implant
9mm implant
7.5mm implant
15mm implant
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products shown not to scale
•Efficientcuttingdrilldesigncollectsbonefor
autografting
Purpose: Sets osteotomy depth following use of the Ø2.0mm Starter Drill.
•Chisel-tipdesigneliminates“skating”onosseouscrest
•Initiatesosteotomytodesireddepth
•PreparessiteforParallelingPins
Purpose: Initiates osteotomy.
OSTEOTOMY INITIALIZATION
The Ø2.0mm and Ø2.5mm depth drills are designed toincreaseand/orsetthedepthoftheosteotomy.Thesedrillsaredesignedforplacingthe implant1mmsupracrestaloratthecrest.
Crestal (drill to trailing edge)
Supracrestal (drill to leading edge)
Ø2.5mm Depth Drill with Stop
Purpose: Sets osteotomy depth following use of the Ø2.0mm Starter Drill.
•Fixedcircularringactsasadefinitivedrillstop
•Onedrilllengthforeachimplantlength(7.5,9,10.5,12and15mm)
•1mmlaser-etchedlineguidessupracrestalimplantplacement
•BioHorizonsSurgicalKitincludesspareslotsforDepthDrillswithStops
•Pleasecallforavailability
Ø2.5mm Depth DrillØ2.0mm Starter Drill
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•Depth-markedforreference
•Efficientcuttingdrilldesigncollectsboneforautografting
•Thedrilltipisdesignedforlimitedendcutting.However,theosteotomy
depthcanbeincreasedwiththesedrillsasneeded.
Purpose: Incrementally widens the osteotomy to reduce heat generation.
Seepage6forExtendedShankDrills.
OSTEOTOMY POSITION & MODIFICATION
Ø3.2 - 5.4mm Width Increasing Drills
•Depth-markedforreference.
•UsedfollowingthefinalWidthIncreasingDrillforeachimplant
•Placethedepthgaugeintotheosteotomysite.Adjustosteotomydepthasnecessary.
Purpose: Verifies that osteotomy has been prepared
to required depth.
Tapered Internal Depth Gauges
12mm Implant with Laser-Lok
Depth GaugeWidth Increasing
Drill
10.5mm implant
9mm implant
7.5mm implant
12mm implant
15mm implant
•Providedstraightorwitha20°angle
•UsedafterØ2.0mmStarterDrillandØ2.5mmDepthDrill
•9mmshankforradiographicevaluationofproximitytoadjacentanatomy
•Hubdiameteris4.0mm
Purpose: Evaluation of osteotomy position and angle.
Paralleling Pins
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products shown not to scale
•SiteSpecific.Indicatedwhendensecorticalboneispresentatcrest
•Roundednon-endcuttinghubcentersdrillinosteotomy
•UsedfollowingthefinalWidthIncreasingDrillforeachimplant
Implant level with osseous crest.
1mm left above osseous crest.
Donotfullyseatthedrillifalloraportionofthecollaristobeleftsupracrestal(Example 1).Fullyseatingthedrillallowstheimplanttobeplacedwiththeprostheticplatformlevelwiththecrestalridge(Example 2).
Purpose: Removes cortical bone at ridge crest to facilitate pressure-free seating of the implant collar
Example 2. (Crestal) Fully seat drill.
Example 1. (Supracrestal ) Partially seat drill.
FINAL BONE PREPARATION
Tapered Internal Crestal Bone Drills
•Sitespecific
•30rpmorless6
•Finalinstrumentpriortoimplantplacement
•SquaredriveshaftinterfaceswithHandpiece,Ratchet,HandWrench
•TheRatchetandHandWrenchExtendermaybeusedwhenadditional
lengthisneeded
PlacethetipoftheBoneTapintotheosteotomy,applyfirmapicalpressureand begin rotating slowly in a clockwise direction (30 rpm or less isrecommended)6.Whenthethreadsengage,allowthetaptofeedwithoutexcessivepressure.Toremove,rotatetheBoneTapinacounter-clockwisedirection,allowingittobackoutoftheosteotomy.Do not pull on the Bone Tap to remove it from the site.
Purpose: Prepares dense cortical bone for implant threads.
Bone Taps
38
products shown not to scale
TaperedInternalimplantsareprovidedinablisterpackwithmultiplepeel-and-sticklabelsforaffixingtothepatient’schart.Whenthelidoftheblistertrayisremoved,thesterileimplantvial isexposedandmaythenbeplacedinthesterilefield.Whileholdingthevialinanuprightfashion,removethecapbyrotatingitinacounter-clockwisedirection.
IMPLANT PACKAGING
The stated length of BioHorizons Tapered Internal implants is measured from the apex of the implant to the top oftheprostheticplatform(seepage3).Theplacementlevelshouldbedrivenbytheprostheticnecessitiesofeachcase.Contributingfactorsinclude:availableinter-occlusalspace,softtissuethicknessandplannedprosthesistype.
Placement Options
Implant Transfer
The Cover Cap for a two-stage surgical protocol is mounted on a plastic base and packaged in the vial underneath the implant
Surgical mount
Implant
Cover Cap
39
products shown not to scale
•Pre-mounted3inOneAbutmentservesasthesurgicaldrivemount
•Driversinterfacewiththeinternalsquareofthe3inOneAbutment
•PEEKplasticsnapringsecuresimplanttobecarriedtoosteotomy
•Electrichandpieceormanualinsertionoptions
•30rpmorless6
Purpose: Engagesthe3inOneAbutmentallowingtheimplant
tobedrivenintotheosteotomy.
If the driver’s square does not engage the abutment’s square during pick-up, the plastic snap ring WILL secure the implant for transport to the osteotomy. The square will automatically engage when the driver is slowly rotated under apical pressure.
Place the apex of the implant into the osteotomy, apply firm apical pressure and begin rotating slowly (30 rpm or less is
recommended)6.Whenthethreadsengage,allowtheimplanttofeedwithoutexcessivepressure.
Manualseatingvia theAbutment-levelDriver forRatchetmaybedesired togaina tactilesenseof final implantplacement.However,overtighteningtheimplantintheosteotomymaycauseosseousmicrofractureorbonesplitting.Iftoomuchresistanceisfeltduringinsertion,removetheimplantandrevisetheosteotomywiththeappropriateCrestalBoneDrillorBoneTapasdeemednecessarytoreduceinsertiontorque.
To avoid bone damage, the 3inOne abutment is designed to yield prior to the implant. This yield or break point can occur at insertion torque levels above 120 Ncm. If an abutment yield occurs, placement can be completed at the implant level and a new 3inOne Abutment can be used for impression making.
ABUTMENT-LEVEL PLACEMENT
Abutment-Level Placement
PEEK snap ring securely holds implant during
transport even if drive square fails to initially engage.
Abutment-level Driver engages the 3inOne Abutment’s Internal
square.
40
products shown not to scale
Toremovethe3inOneAbutment,engagetheAbutmentScrewwith the .050” (1.25mm)HexDriver.ApplyfirmapicalpressuretotheHexDriverandrotatecounter-clockwiseuntilthescrewiscompletelydisengagedfromtheimplantbody.
Insoftbone,orwhentheimplantlacksinitialstability,anAbutmentClamp(ref.IMPAH,soldseparately)shouldbeusedtograsptheoutsideoftheabutmenttoprovidecounter-torqueduringthelooseningoftheAbutmentScrew.
The3inOneAbutmentandtheAbutmentScrewshouldberetainedwiththepatient’schart.They can later be used in the impression making procedure and as a temporary or finalabutmentforcementretention.
Theflatsurfaceontheexternalaspectofthe3inOneAbutmentsisindexedtooneofthesixflatsoftheimplant’sinternalhexagon.Inmostcases,oneofthehexflatsshouldbeorientedtothefacialaspectasitallowsforangulationcorrectionwithstockangledabutments.Italsoallowstheflatofthe3inOne Abutmenttobeplacedtothefacialwhichleavesmoreroomforporcelaininthatareaonthefinalprosthesiswithminimalabutmentpreparation.
The implant’s rotational position can be adjusted following removal of the 3inOne Abutment using the Implant-level Drivers.
IMPLANT-LEVEL PLACEMENT & ORIENTATION
Internal Hex Orientation
Difficulty removing the 3inOne Abutment may indicate that the yield point of the abutment has been exceeded. It is possible that this can create up to a 10º rotational impression error if the lab uses a substitute 3inOne Abutment when creating the stone model. If this occurs, a new impression with a new 3inOne Abutment must be made.
•Maybeusedfollowingremovalofthe3inOneAbutment
•Offersanarrowerpathofinsertionandbetterclearancethanthe
3inOneAbutment/Abutment-levelDriveroption
•Handpieceormanualinsertionoptions
•30rpmorless6
The rotational position (hex flat orientation) or the placement level of theimplantscanbeadjustedwiththeImplant-levelDriversfollowingremovalofthe3inOneAbutment.Engagetheimplant’sinternalhexwiththeappropriatedriverandrotate to thedesiredposition.Thedimple foundon Implant-levelDriversisindexedtooneoftheinternalhexflatsandcanbeusedtohelpachievethedesiredhexorientation.
Purpose: Engagesimplant’sinternalhexallowingitspositiontobeadjustedin
theosteotomy.
Implant-level Drivers
41
products shown not to scale
• Irrigateimplanttoremovebloodandotherdebris
• RemoveCoverCapfromimplantvialwith.050”(1.25mm)HexDriver
• Threadclockwiseintoimplantbody
•Hand-tighten(10-15Ncm)utilizing.050”(1.25mm)HexDriver
• Color-codedbyprostheticplatform
Purpose: Protectsprostheticplatformintwo-stage(submerged)surgicalprotocols.
AnantibacterialpastemaybeplacedontheendoftheCoverCaptohelpdecreasetheriskofbacterialgrowthwithintheimplantbodyduringthehealingphase.FollowingplacementoftheCoverCap,thesurgicalsiteshouldbeirrigatedandthesofttissueadaptedinanormalsurgicalfashion.TakeprecautionstopreventtheCoverCapfrombeingaspiratedbythepatient.
Cover Caps for two-stage protocol
HEALING PROTOCOLS
• Availableinthreeemergenceprofilestomatchfinalabutments
• SimpleSolutionshealingabutmentsareselectedbyprosthetic
platformanddesiredcollarheight
•Hand-tighten(10-15Ncm)utilizing.050”(1.25mm)HexDriver
• Color-codedbyprostheticplatform
• Encodedforeasyintraoralidentification,forexample:
GR3 = Green(4.5mm)platform / Reg.Emerg. / 3mmHigh
GS1.8 = Green(4.5mm)platform / Simp.Sol./ 1.8mmcollar
Purpose: Transmucosalelementfordevelopingsofttissueemergence
withNarrow,Regular,WideEmergenceorSimpleSolutions
Internalsystemprostheticcomponents.
HealingAbutmentsareplacedafteruncoveryinatwo-stagesurgicalprotocol,orinlieuofaCoverCapinasingle-stage(non-submerged)protocol.PriortoseatingtheHealingAbutment,thoroughlyirrigatetheinsideoftheimplanttoremovebloodandotherdebris.Anantibacterialpastemaybeplacedonthescrewportion todecrease theriskofbacterialgrowthwithin theimplantbodyduringthehealingphase.Followingseating,irrigatethesurgicalsiteandadaptthesofttissueinnormalsurgicalfashion.Agingivectomyorapicallypositionedflaptechniquemaybeusedtoreducethesofttissuethicknessandtodecreasesulculardeptharoundtheimplant.ThesuturegrooveontheHealingAbutmentmaybeusedtoapicallypositionthesofttissueflap.TakeprecautionstopreventtheHealingAbutmentfrombeingaspiratedbythepatient.
Healing Abutments for single-stage protocol
42
products shown not to scale
PROVISIONALIZATION & POST-OPERATIVE INSTRUCTIONS
Immediate Provisional Restorative Options
BioHorizonsTaperedInternalImplantsmayberestoredimmediatelywithatemporaryprosthesisthatisnotinfunctionalocclusionorwhensplintedtogetherformultipletoothreplacementorwhenstabilizedwithanoverdenturesupportedbymultipleimplants.Generallyacceptedcriteriaforimmediateprovisionalrestorationsare:
•InitialImplantStability–differentbonequalitiesandquantitiesaswellaspreparationtechniquesinfluencetheinitial stabilityofanimplant.Theimplantshouldrequireaminimumof35to45Ncmoftighteningtorqueatplacementto insureadequatestabilityforimmediatefunction
•Controlledocclusalload,minimalcantileversandsplintedimplantsreducepotentialoverloadfactors •Goodperiodontalhealthandnopathologyattheimplantsite •Compliantpatient
Aperiodofunloadedhealingtimeisoftenrecommended.Thisisdependentonindividualpatienthealingratesandbonequalityoftheimplantsite.Eachcasemustbeindependentlyevaluated.Thisunloadedhealingperiodallowsforintegrationbetweentheboneandimplantsurface.
The patient must be instructed to follow a post-surgical regimen including cold packs for 24 hours post-implantation. Thepatient’sdietshouldconsistofsoftfoodsandpossiblydietarysupplements.Pharmacologicaltherapyshouldbeconsideredasthepatient’sconditiondictates.
Ifaremovableprosthesisisusedduringtheinitialhealingphase,itisrecommendedthatasoftlinermaterialbeusedtopreventpressureonthesurgicalsite.Theprosthesisshouldberevievedovertheimplantsitepriortothesoftlinerapplication.Thepatientshouldbecheckedperiodicallytomonitorhealingofthesofttissuesandboneusingclinicalandradiographicevaluations.
Ongoinghygienefortheimplantpatientisvital.Hygienerecallappointmentsatthreemonthintervalsaresuggested.Instrumentsdesignedforimplantabutmentscaling,suchasImplacare®instrumentsfromHu-Friedy®shouldbeutilized.Thestainlesssteelhandlesmaybefittedwithassortedtipdesignsusedforhygieneonnaturalteeth.TheImplacare®scalerscontainnoglassorgraphitefillersthatcanscratchtitaniumimplantabutments.
Post-Operative Instructions
PEEK Plastic Temporary AbutmentsPurpose: Easilymodifiedforfabricationofcementorscrew-retainedprovisionalrestorations(30
days).ADirectCopingScrew(PXDCS,purchasedseparately)maybeusedtomaintainascrewaccessholeduringthefabricationofascrew-retainedprovisionalprosthesis.
Simple Solutions Restorative KitPurpose:Thepre-preparedabutmentsarerestoredwithaminimalnumberofofficeappointments.
Thepackagedtooth-coloredHealingCapmaybeusedasacopingforanimmediateprovisionalrestoration.ThekitprovidestheAbutment,AbutmentScrew,HealingCap,ImpressionCap,ReplicaandWaxingSleeves.TheSimpleSolutionsKitsareavailableinabutmentheightsof4.0mmand5.5mm,eachwiththreeoptionsfortransmucosalcollarheightsof0.8mm,1.8mmand2.8mm.
43
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Purpose: Removeandcontourexcessboneandsofttissuefromtheareaoftheprostheticplatform.
MISCELLANEOUS
Bone Profilers
Do not use the Profiler without the Guide in place.
AllBioHorizonsSurgicalKitsareprovidednon-sterileandmustbecleanedandsterilizedpriortousefollowingtheassociatedInstructions for Use.Always remove instruments from packaging prior to sterilization, and remove and discard packagingmaterialsusedtostabilizeandsecurekitsduringshipment.Double-checkallsurgicalinstrumentstoensuretheirfunctionalitypriortosurgery.Backupsteriledrillsarealsorecommended.
Caution: The use of hydrogen peroxide or other oxidizing agents will cause damage to the surface of the instruments. Towel- or air-dry all instrumentation before sterilizing. Drills and taps should be replaced when wear is noticed, such as a decrease in cutting efficiency or when signs of discoloration appear. Drills should be replaced after approximately 12 to 20 osteotomy cycles, depending on the bone density.5
Propertesting,cleaningandcalibrationofsterilizationequipmentshouldoccurfrequentlytoassurethattheunitsareinproperworkingorder.Equipmentoperatingconditionsvaryanditistheresponsibilityofeachdentalofficetoensurethatthepropersterilizationtechniqueforinstrumentationisfollowed.
Surgical Kit Cleaning
Alsocalleda“Go/No-GoGauge,”theBurTestingGaugeisusedtoverifythedimensionalaccuracyofdrill shanksof latch-typeburs.Burs inproperconditionWILLfit into thelargerdiameterhole,butWILL NOT fitintothesmallerhole(markedred).
Burs that fail either of these criteria are unfit for use and may become stuck in thehandpieceifused.ThegaugeisincludedwithallW&Hstarterpackages,andmayalsobeorderedseparately.
Bur Testing Gauge
•Compatiblewithlatch-type,speed-reducinghandpieces
•850-2,500rpmdrillspeedwithsteadysterileirrigation3
•ProfilerGuideprotectsimplantplatform
•BoneProfilercutsawayexcessboneandsofttissue
• Color-codedbyspecificprostheticplatform
Touse,removethesurgicalCoverCapfromtheimplantandplacetheProfilerGuide[bothusethe.050”(1.25mm)HexDriver].The Guide aligns the Bone Profiler and protects the implant from damage. The Profiler is used in a latch-type, reductionhandpieceundercopiousamountsofsterileirrigation.Followingremovaloftheexcessboneandsofttissue,unscrewtheGuidefromtheimplantandseatthedesiredprostheticelement.
44
birmingham, alabama 35244
0473
LOT
REF
RSTERILE
Tapered Internal Implant4.6 x 12mm, RBT+Laser-Lok
TLR4612 Rx Only
YYXXXXX
YYYY-MM
ICON LEGEND & REFERENCES
5.74.53.5
Reference/articlenumber
Singleuseonly
RefertoInstructionsforUse
Usebeforeexpirationdate(YYYY-MM)
REF
Lot/batchnumberLOT
Prosthetic platform
Ø3.5mm Prosthetic Platform Ø4.5mm Prosthetic Platform Ø5.7mm Prosthetic Platform
Manufacturedate(YYYY-MM)
1. ReferencesAvailable.2.HumanHistologicEvidenceofaConnectiveTissueAttachmenttoaDentalImplant. MNevins,MLNevins,MCamelo,JLBoyesen,DMKim. International Journal of Periodontics & Restorative Dentistry. Vol. 28, No. 2, 2008 3. DensityofBone:EffectonSurgicalApproachandHealing.CEMisch. Contemporary Implant Dentistry. Second Edition. Mosby: St. Louis, 1999. 371-384.4. Theinfluenceof0.12percentchlorhexidinedigluconaterinsesontheincidenceofinfectiouscomplicationsandimplantsuccess.
LambertPM,MorrisHF,OchiS. J Oral Maxillofac Surg 1997;55(12 supplement 5):25-30.5. Heatproductionby3implantdrillsystemsafterrepeateddrillingandsterilization. ChaconGE,BowerDL,LarsenPE,McGlumphyEA,BeckFM. J Oral Maxillofac Surg. 2006 Feb;64(2):265-96. RootFormSurgeryintheEdentulousMandible:StageIImplantInsertion.CEMisch. Contemporary Implant Dentistry. Second Edition. Mosby: St. Louis, 1999. 347-369.
References
Symbol Descriptions for Product Labeling
Sterilebygammairradiation
Non-sterile
Caution:Federal(USA)lawrestrictsthesedevicesby,orontheorderof,adentistorphysician.
BioHorizonsproductscarrytheCEmarkandfulfilltherequirementsoftheMedicalDevicesDirective93/42/EEC
Rx Only
NON-STERILE
RSTERILE
0473
EU Authorised Representative QualityFirstInternationalLondonE70QYUnitedKingdomTel.&Fax:+44-208-522-1937
45
Product Support Specialist:
Cell phone:
Fax:
�ioHorizons No Exceptions Lifetime Warranty on Implants and Prosthetics:BioHorizons implantsandprostheticcomponentscarryaLifetimeWarranty. Wewill replaceanyBioHorizons implantorprosthetic component if removal of that product due to failure (excluding normal wear to overdenture attachments) isrequiredforanyreason,atanytime.
Warranties on Instruments, Surgical Drills, Taps and Torque Wrenches:BioHorizonswarrantiesinstruments,surgicaldrills,tapsandtorquewrenchesfortheperiodspecifiedforeachin(1)&(2)below.Duringthespecifiedwarrantyperiodwewillreplaceorrepairanyproductwithadefectinmaterialorworkmanship.
(1)Instruments:ThewarrantyonBioHorizonsinstrumentsextendsforaperiodofone(1)yearfromthedateofinitialinvoice.This includes drivers, sinus lift components, implant site dilators and other BioHorizons tools used in the placement orrestorationofourimplants,withtheexceptionofsurgicaldrillsandtaps(seebelow).
(2)SurgicalDrillsandTaps:Surgicaldrillsandtapsarewarrantied foraperiodof90days fromthedateof initial invoice.Surgicaldrillsandtapsshouldbereplacedwhentheyareworn,dull,corrodedor inanywaycompromised.BioHorizonsrecommendsthereplacementofdrillsafter12to20osteotomies.5
Return Policy:Instructionsforinitiatingreturnscanbefoundonthereversesideoftheinvoicethatwasshippedwiththeproduct.PleasecontactCustomerCareifyouneedacopyoftheinstructionsorifyouhaveadditionalquestionsorrequests.
Disclaimer of Liability BioHorizons dental implants may only be used in conjunction with the associated original components and instrumentsaccordingtoBioHorizonsInstructionsforUse.Useofanynon-BioHorizonsproductsinconjunctionwithBioHorizonsimplantswillvoidanywarrantyoranyotherobligation,expressedorimplied,ofBioHorizons.
This literature serves as a reference for BioHorizons Tapered Internal implants, prosthetics and instrumentation. It is notintended to describe the methods or procedures for diagnosis, treatment planning, or placement of implants, nor doesit replace clinical training or a clinician’s best judgment regarding the needs of each patient. BioHorizons recommendsappropriatetrainingasaprerequisitefortheplacementofimplantsandassociatedtreatment.
Validity Uponitsrelease,thisliteraturesupersedesallpreviouslypublishedversions.
Availability Notallproductsshownordescribedinthisliteratureareavailableinallcountries.
BioHorizons strongly recommends completion of postgraduate dental implant education and strict adherence to theInstructions for Use (IFU) that accompany our products. Treatment planning and use of the products are solely yourresponsibility. BioHorizons is not responsible for incidental or consequential damages or liability relating to use of ourproductsaloneorincombinationwithotherproducts,otherthanreplacementorrepairunderourwarranties.BioHorizonscontinually strives to improve its products and therefore reserves the right to improve, modify, change specifications ordiscontinueproductsatanytime.
ORDERING & WARRANTY INFORMATION
w w w . b i o h o r i z o n s . c o m
BioHorizonsproductsareclearedforsaleintheEuropeanUnionundertheEUMedicalDeviceDirective93/42/EEC.Weareproudtoberegisteredto
ISO13485:2003,theinternationalqualitymanagementsystemstandardformedicaldevices,whichsupportsandmaintainsourproductlicenceswith
HealthCanadaandinothermarketsaroundtheglobe.
OriginallanguageisEnglish. ©2008BioHorizonsImplantSystems,Inc.AllRightsReserved.L0603REVCDEC2008
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