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INDIAN DENTAL ACADEMY
Leader in continuing Dental Education
Implant Categories - General Shape and
Placement Method
1. Endosseous Root Form Implants
2. Endosseous Blade Implants
3. Sub Periosteal Implants
4. Trans-Osseous Implants
5. Mini (Transitional) Implants
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Endosseous Root Form Implants
• Description
These are the implants that were originally designed by Dr. P. I.
Brånemark and his fellow researchers in Sweden.
• Surgical Advantages:-
-basically cylinders
-require a cylindrical osteotome.
-These implants may be straight sided or tapered.
• Surgical Disadvantages:-
The surgery requires fairly strict observance of the Brånemark
protocol for implant placement and a sophisticated approach
towards manipulating bone and soft tissues.
• Prosthetic Advantages
-The basic cylindrical shape is also very conducive to attaching a
single tooth restoration
-for the placement of bridges and overdenture restorations in
multiple situations.
• Prosthetic Disadvantages
Placement of implants in poor position relative to the tooth location
will be difficult to correct
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Endosseous Blade Implants
• Description:-
They are long flat pieces of metal that are inserted into a trough in
the bone. They have many different shapes
• Surgical Advantages:-
-They require only a thin amount of bone bucco-lingually in order to
place the successfully.
-They can be bent and shaped to fit variations in anatomy
• Surgical Disadvantages:-
-The mesio-distal (width) dimensions are almost always greater
than the maximum mesio-distal width of the tooth and this can
sometimes cause a problem in tooth placement.
• Prosthetic Advantages: None
• Prosthetic Disadvantages:
-Prosthetic abutments are very limited and abutments may not be in
the position that we would want for ideal tooth placement.
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Sub Periosteal Implants
• Description
-These are implants that are made to fit over and around the jaw
bone.
-They can be used in the upper or the lower jaw.
• Surgical Advantages
-Proponents of these implants say that they can be used in areas
where there is not enough bone to use root form implants.
• Surgical Disadvantages
-The surgical technique is difficult and demanding and often causes
damage to critical structures.
-they do have a very high failure rate
-Implants must be custom constructed for each patient.
• Prosthetic Advantages None
• Prosthetic Disadvantages
-Prosthetic abutments are very limited and abutments may not be in
the position that we would want for ideal tooth placement
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Trans-Osseous Implants
• Description
-A series of screws go through the bottom of the front part of the
jaw. The screws attach to a plate on the top of the jaw bone and two
attachments protrude above the gum for stabilization of a
prosthesis.
• Surgical Advantages
-Provide excellent stability through bicortical stabilization
• Surgical Disadvantages
-Only indicated for anterior mandible.
-Requires an extra-oral approach
• Prosthetic Advantages None
• Prosthetic Disadvantages
-Prosthetic abutments are very limited and abutments may not be in
the position that we would want for ideal tooth placement.
-Only useful for mandibular overdentures.
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Mini (Transitional) Implants
• Description
-Mini, or transitional dental implants are a narrow diameter implant
usually around 2mm in diameter
-They were initially designed as temporary implants to hold a
restoration in place while normal implants were healing.
• Surgical Advantages
-They can be easily placed, usually without the necessity of raising
a flap
• Surgical Disadvantages
-Best indicated for anterior mandible, but may be used in any areas
of the mouth where there is sufficient bone height (10mm or more).
• Prosthetic Advantages
-Offer some advantage in the stabilization of mandibular
overdentures
-in areas of tooth replacement that are too narrow for conventional
endosseous implants.
• Prosthetic Disadvantages
-Limited prosthetic application and the inability to modify future
restorations.
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Implant Types - Prosthetic Attachment
1. External Hex
2. Internal Hex
3. Internal Taper
4. Spline
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External Hex
• Description
-The external hex is the original prosthetic
connection for the dental implants
-designed by Dr. Brånemark.
-Actually the hex itself was only on the implant to
enable the operator to screw the implant into the
bone, subsequently became important as a
prosthetic connection as various forms of
prosthetic restoration evolved.
• Prosthetic Advantages
-Most common type of prosthetic attachment.
• Prosthetic Disadvantages
-Poor technique will allow for loosening of this
attachment and premature wear of the hex.
There has also been reports of broken screws.
• Economics
-The ubiquity of this attachment interface makes
it the most economical
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Internal Hex
• Description
-The internal hex was marketed as a more
stable and retentive alternative to the
external hex.
-This attachment provides a recessed
portion in the top of the implant.
• Prosthetic Advantages
-A fairly common attachment although
patent rights are constantly being argued.
-It is very stable and retentive
• Prosthetic Disadvantages
-Possible fracture of the head of the
implant.
• Economics
-More expensive than external hex
prosthetics but within reason.
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Internal Taper
• Description
-Internal tapered attachments for
implants allow for an abutment to be
friction seated into the head of the
implant.
-Screws are optional
• Prosthetic Advantages
-Some manufacturers tout these types
of prosthetic attachments as being
simpler to use because there are no
screws involved.
• Prosthetic Disadvantages
-There is no way to accurately re-seat an
abutment that has come loose or has
been removed for any reason.
-Limited Prosthetic options.
• Economics
-Vary greatly from manufacturers to
manufacturer.
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Spline
• Description
-The head of the implant has
projections which stick up. The
abutment is keyed to fit into these
projections.
-idea is to prevent rotation and
loosening.
• Prosthetic Advantages
-this attachment is more stable than
any others.
-stable in terms of anti-rotation, but not
in terms of lateral forces.
• Prosthetic Disadvantages
-Splines can fracture and lateral forces
can be a problem.
• Economics
-Expensive
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Implant Surfaces - Speeding Integration
• Basic Implant Design:
1. Threaded
2. Non-Threaded (Cylinders)
• Specific Micro-Surface Design:
3. Machined
4. Acid Etch
5. Shot Blasted
6. Titanium Plasma Spray
7. Hydroxyl Apatite (HA) Plasma Spray
8. Porous Sintered Surfaces
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Threaded
• Description
-The threaded implant is the most common
type of implant design today
-different configurations are available
• Advantages
1. They stabilize the implant when it is
initially placed.
2. They increase surface area.
3. They provide a great means of
proprioception for the dentist placing the
implant giving lots of information about the
implant site.
• Disadvantages
-Require pre-tapping for placement into
very dense bone.
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Non-Threaded (Cylinders)
• Description
-Non threaded implants are basically know
as implant cylinders
-have less surface area than threaded
implants so they require a coating to
increase surface area.
-placed by drilling a hole slightly smaller
than the diameter of the implant and then
tapping in the implant with a mallet.
• Advantages
-They are very easy and quick to insert.
• Disadvantages
-Initial stabilization and proprioception are
much less than threaded implants.
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Machined
• Description When an implant is manufactured, a long rod of titanium
is fed into a machine which turns the titanium into the cylinder or
screw. The surface that results is a "Machined" surface. Screw type
implants may be left in this machined state, but cylinders must be
coated to achieve a sufficient surface area.
•
• Advantages Although Dr. Brånemark originally thought that the
secret of success of his dental implant design was in the machined
surface, it has been shown time and time again that this is just not
important. It works just fine at this point in time and although there
are lots of claims that modifications improve characteristics, there is
no evidence to support this.
• Disadvantages None
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Acid Etch
• Description
-An acid wash is used to roughen the machined surface
with the goal of improving osseointegration
-Chemical etching may be used in combination with grit-
blasting.
• Advantages
-Perceived advantage is a microscopic increase in
surface area which may be attractive to osteoblastic
activity.
-There may be a resultant increase in mechanical
locking of the implant in the bone
• Disadvantages
-None, except for the possibility of contamination
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Shot Blasted
• Description
-A machined implant is blasted with a material that can
then be removed by washing the implant in a specific
solvent. This will create an irregular, roughened surface
that might be more conducive to osseointegration. Grit
blasting may be combined with chemical etching.
• Advantages
-an increase in surface roughness may promote
ossteoblastic activity and get a faster/stronger level of
osseointegration
• Disadvantages
-None, except for the possibility of contamination
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Titanium Plasma Spray
• Description
-Molten titanium is sprayed onto the surface of a machined implant
to increase the surface area of the implant promoting initial stability
and osseointegration.
• Advantages
-Increased surface area and roughness definitely adds to
mechanical stabilization of the implant and may ultimately improve
osseointegration.
• Disadvantages
-There may be a high degree of variability in the process.
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Hydroxyl Apatite (HA) Plasma Spray
• Description
-Hydroxyl Apetite is sprayed onto the surface of a machined
implant to produce a rougher surface configuration.
• Advantages
-The HA increases the surface area and it also provides an
accelerated bio-integration
-definite advantage to using HA on dental implants because it is
osteoconductive and promotes rapid and more complete
osseointegration.
• Disadvantages
-HA is soluble in oral fluids and if the HA is exposed, it will cause
implant failure with accelerated bone loss
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Porous Sintered Surfaces
• Description
-Sintering Titanium Alloy powders to a
machined titanium surface using a high
temperature and controlled
atmospheric pressure produces a
uniform porous surface that greatly
increases surface area.
• Advantages
-The surface is said to induce rapid
bone in growth and more complete
osseointegration.
• Disadvantages
-None
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Noble biocare system
• The Brånemark System consists of various
implant
-Standard, MK II, Conical Mk II, Mk III, Mk
IV, and Special Fixtures.
-lengths vary-7.0 mm to 18mm The implant
are produced in widths
-3.3 mm, 3.75 mm, 4.0 mm, 5.0 mm and
5.5 mm.
-The Brånemark implants are organized
according to a “platform concept.
-The Regular Platform (RP) has been the
design used with this implant system since
its origin.
-The Narrow Platform (NP)-limited inter-
dental space or a narrow alveolar crest.
-The Wide Platform (WP) is used in
difficulty or complex circumstances where
additional loading can be expected, or
whenever a wider diameter
implant/abutment interface is considered
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Nobel replace tapered groovy
Fastest growing implant on the
market
8mm implant option
TiUnite® 'all the way up'
Grooves on threads and collars
Standardized easy drilling protocol
Completely color-coded
Always high initial stability due to
root shape
For narrow spaces between
remaining roots
Internal connection
Original root-shaped implant
system
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Nobel direct
NOBELDIRECT® Groovy
User and patient friendly
Minimally invasive flapless surgery
Enables variability in vertical placement
Immediate Function
NOBELDIRECT® Oval
The Coronal part preprepared
Less grinding
Less chair time so higher profitability
No new instruments needed
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• NOBELDIRECT® Posterior
• Inbuilt ease of use in posterior areas
• Built-in Snappy abutments
• Less chair time
• Immediate Function™
• Simplified and faster impressions
• NOBELDIRECT® 3.0
• The first implant for narrow places
• Solves tight spacing problems
• Offers fast and easy flapless procedure
• Straightforward new drill protocol with drills for soft
and hard bone
• Designed for replacements of laterals in the
maxilla and incisors in the mandible
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• NOBELPERFECT®
• Scalloped design makes natural soft
tissue contours possible
• Minimally invasive surgery
• Immediate Function™
• Beautiful esthetics, no "black
triangles"
• One-stage surgery reduces visits
• TiUnite® 'all the way up'
• Grooves on threads and coronal part
of the implant
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• NOBELREPLACE™ Straight
• Complete implant assortment including
diameter 4
• Optimal ease-of-use internal abutment
connection
• TiUnite® all the way up
• Grooves on threads and collars
• Color-coded all the way through the
system
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• Brånemark System® Mk III Groovy
• Shorter, simpler drilling protocol
• Improved New Depth Measurement System
• Threads higher on the implant body
• Increased Cutting Ability
• TiUnite® all the way up
• Immediate Function™
• Brånemark System® Shorty
• Shortest implant on the market – just 5.5mm
• Immediate Function™
• Brånemark System® Zygoma
• TiUnite® all the way
• Grooves on the threads
• Abutment hole eliminated
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Bio-lock implant system
External hex connection
MICRO-LOK IMPLANT
• External hex that provides a 1 degree taper on
the abutment side to prevent rotation and to
help support the abutment
• Available in 3.45mm, 4.0mm (2 styles) and
5.0mm platform sizes
• Self-tapping
• Patented reverse buttress thread design
improves load transfer and increases primary
stability
• 1mm machined collar
• Osseo-Lok® surface. A proven type of
Resorbable Blast Media surface treatment
• 15 percent greater surface area than "V"
thread implants
• Large selection of implant body/platform
diameters and lengths
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• SILHOUETTE IMPLANT
•External Hex System that provides a 1 degree
tapered on the abutment to prevent rotation and
to help support the abutment
• •Available in platform sizes 3.45mm, 4.0mm,
5.0mm and 6.5mm
• •Silhouette tapered design. Apical 6mm tapered
with coronal straight wall
• Patented reverse buttress thread design
improves load transfer and increase primary
stability
• •Self-tapping (tapping recommended in dense
bone areas only)
• •1mm machined collar
• Osseo-Lok® surface. A proven type of
Resorbable Blast Media surface treatment •
• Ideal design for immediate placement post
extraction and for tapering alveolar ridges, sites
with concavities, or between teeth with
converging roots.
• Better axial placement possible in anterior
maxilla
• 15 percent greater surface area than “V” thread
implants
• Large selection of implant body/platform
diameters and lengths
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• SILHOUETTE LASER-LOK IMPLANT
• Laser Micro-Machined Bio-Affinity
Collar: 0.5mm with machined surface,
0.7mm zone of 8 micron grooves to
stop vertical epithelial cell migration
and generate soft tissue attachment
and 0.8mm zone of 12 micron grooves
to generate directional
osseoconduction, improve load
transfer, and prevent crestal bone
lose. •
• Ideal design for immediate placement
post extraction and for tapering
alveolar ridges, sites with concavities,
or between teeth with converging roots
• Better axial placement possible in
anterior maxilla• 15 percent greater
surface area than the “V” thread
implants• Large selection of implant
body/platform diameters and lengths
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Internal hex
• SILHOUETTE IC IMPLANT
•Internal connection that provides high rotational
torque resistance without damage to implant if over
torqued
• •Available in platform sizes 3.45mm, 4.0mm, 5.0mm
and 6.5mm
• •Silhouette IC tapered design. Apical 6mm tapered
with coronal straight wall
• •Patented reverse buttress thread design improve
load transfer and increases primary stability
• •Self-tapping (tapping recommended in dense bone
areas only)
• 2mm collar (1mm roughened with Osseo-Lok® and
1mm machined surfaced). Standard protocol is to
seat implant 1mm above crest of bone •
• Osseo-Lok® surface. A proven type of Resorbable
Blast Media surface treatment •
• Ideal design for immediate placement, post extraction
and tapering alveolar ridges, sites with concavities, or
between teeth with converging roots •
• 15 percent greater surface area than “V” thread
implants •
• Large selection of implant body/platform diameters
and lengths
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• SILHOUETTE IC LASER-LOK IMPLANT
•Laser Micro-Machined Bio-Affinity
Collar: 0.5mm with machined surface,
0.7mm zone of 8 micron grooves to stop
vertical epithelial cell migration and
generate soft tissue attachment and
0.8mm zone of 12 micron grooves to
generate directional osseoconduction,
improve load transfer, and prevent
crestal bone lose.
• Ideal design for immediate placement
post extraction and for tapering alveolar
ridges, sites with concavities, or between
teeth with converging roots
• Better axial placement possible in
anterior maxilla
• 15 percent greater surface area than the
“V” thread implants
• Large selection of implant body/platform
diameters and lengths
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Biocon
implants
2 types
5.0 x 6.0mm Short Implants
6.0 x 5.7mm Short Implants
-Titanium Alloy (Ti 6Al-4V ELI)
-1.5° locking taper
-Fin or plateau root form design
-Sloping shoulder
-Grit blasted, acid-etched, and
passivated
-Solid titanium alloy abutments
-Three surfaces: HA, TPS, and
Integra-Ti(grit-blasted acid-
etched)
-Angled abutments
-Shouldered abutments
-Non-shouldered abutment
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TiUnite
• TiUnite® is a biomaterial
which actively participates in
its integration with human
bone. This enhanced surface
has been proven to interact
with the biological
environment and dramatically
promote osseointegration
• Studies show that the structure of
soft tissue around TiUnite®
implants resembles that around
natural teeth; namely an
attachment of the junctional
epithelium to the implant surface
and firm adherence of the
underlying connective tissue.
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Imtec implant
systems
Endure Internal Hex Implant
ENDURE is a biomechanically engineered
internal hex implant. The simplicity of the
ENDURE system offers clinical
advantages to the clinician and patient.
Note these features:
Unique Triple Micro Threading
Enhanced Surface Treatment
Serialized Implants
Mount Free Concept
Simplified Surgical Prosthetic Protocols
Variable Positioning
Anatomical Design
Cost Effective
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Zimmer implant
systems
• Advent implant
• The tapered body of the AdVent implant is designed to
increase initial stability in soft bone.
When the tapered implant is inserted into a straight,
undersized osteotomy, bone is compressed resulting in
enhanced initial stability. The tapered body also facilitates
implant placement between convergent roots, in areas
with labial concavities and in immediate extraction sites.
• MTX™ Microtextured Titanium Surface
• AdVent implants with the MTX surface are grit-blasted
with a soluble, biocompatible medium. The implant is then
cleansed with a mild acid wash that removes any residual
microblast powder. The MTX process produces a uniform
1-2 micron surface roughness that exhibits 44% more
surface area than machined titanium. The roughened
surface is proven to enhance bone attachment.¹
• The MTX process does not weaken the titanium implant
body, ensuring that the strength of the implant is
maintained. Furthermore, implant threads are not rounded
by the MTX process, and cutting grooves remain intact for
efficient self-tapping.
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• Self-Tapping Design & Triple Lead Threads
• The AdVent implant features a self-tapping
design that eliminates the need to pre-tap
the surgical site, resulting in reduced chair
time.
• Additionally, three independent, external
threads start 120 degrees apart and spiral
around the implant body at a steeper angle
than conventional implant threads. While
providing the same surface area, each 360-
degree turn seats the implant 1.8mm
instead of the 0.6mm of standard threads.
This allows for full seating of an implant in a
third of the time.
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• Tapered screw vent implant
• The Tapered Screw-Vent implant is designed to
exceed your expectations in every implant case.
Time saving features like the patented Fixture
Mount/Transfer minimize valuable chairtime, while
the internal hex connection with friction-fit
abutments assures a reliable restoration. The
tapered body enhances initial stability while
allowing placement in even the most challenging
locations.
• MP-1® HA Dual Transition Selective Surface
• Tapered Screw-Vent implants with MP-1 HA
coating include 2mm of MTX microtextured
titanium between the smooth machined neck and
the HA coated midsection for soft tissue
maintenance. The apical 3mm of the implant also
features the MTX surface for efficient self-tapping.
• The MP-1 HA coating is designed specifically to
allow for secure bone apposition. MP-1 HA coated
implants exhibit more than twice the removal
torque values as compared to uncoated implants.²
• Zimmer Dental's MP-1 process creates a stable HA
coating that is proven to outlast competitive HA
coatings
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• Internal Hex with Friction-Fit
Abutments
• The patented interface of the
Tapered Screw-Vent implant
assures a reliable restoration
every time.
• When fully assembled, the
abutment forms a virtual "cold
weld" with the implant. Forces
are distributed deeper within
the implant, which shields the
abutment screw from
excessive loading and virtually
eliminates rotational and
tipping micromovements - the
leading causes of screw
loosening.
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Tapered swiss plus
Tapered SwissPlus is the single-stage implant that simplifies your implant
cases while providing valuable timesavings. That's because the Tapered
SwissPlus implant is packaged with an all-in-one Fixture Mount/Transfer
that can be used for insertion, impression taking and as a customized final
abutment. The self-tapping flutes eliminate a step in the placement process,
while the double lead threads provide faster implant insertion. It all adds up
to increased productivity and more profits for your practice.
The exceptional design features of the Tapered SwissPlus implant provide a
solution for every single-stage case. The tapered body increases initial
stability in soft bone, and a narrow diameter platform allows for use in tight
interdental spaces. The full assortment of SwissPlus prosthetics supports
all possible restorative needs
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• Straight screw vent implant
• When fully assembled, the abutment helps form
a virtual "cold weld" with the implant. Forces are
distributed deeper within the implant, which
shields the abutment screw from excessive
loading and virtually eliminates rotational and
tipping micromovements - the leading causes of
screw loosening.
• Fixture Mount/Transfer Packaging
• The multi-functional Fixture Mount also functions
as an impression post and prepable temporary
abutment, minimizing chair time and financial
investment.
• MTX® Selective Surface
• The MTX microtextured surface of the Screw-
Vent implant enhances bone apposition, while
3.0mm of machined titanium at the apex
facilitates efficient self-tapping.
• HA Selective Surface
• The HA-coated midsection of the implant
enhances bone apposition, while 1.5mm of
machined titanium at the coronal aspect
promotes soft-tissue health, and 3.0mm of
machined titanium at the apex facilitates efficient
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Spline twist
Spline Implant Connection
The interdigitating projections and slots allow the Spline
implant and the abutment to form a precise lock,
reducing joint failure.
Self-Tapping
The Spline Twist® implant's three spiral flutes reduce
surgical time and direct bone chips up and away from
the cutting edge for greater implant stability and
decreased lateral play.
Snap® Delivery System
With the SNAP delivery system, the implant goes directly
from the packaging to the patient's mouth for simple,
convenient, and sterile insertion.
MTX™ Surface
The MTX process, which utilizes grit blasting with a soluble,
biocompatible medium and a mild acid wash to remove
any residual microblast powder, creates a 1-2 micron
uniform roughened surface that is proven to enhance
bone apposition.
MP-1® HA Surface
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Spline reliance
Spline Reliance™ HA Cylinder
Spline Implant Connection
The interdigitating projections and
slots allow the Spline implant
and the abutment to form a
precise lock, reducing joint
failure.
MP-1® HA Surface
The MP-1 process creates an HA
coating that provides a scaffold
for bone growth and allows for
secure bone apposition. MP-1
HA is proven more stable than
competitive HA coatings.
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IMZ SYSTEM
 clinically used since 1974
 elastic component b/w
osseointegrated implant & the
prosthetic superstructure
 consists of 2 parts
 elastic component-role of Pdl
ligament
 also prevent overloading of osseous
bed during function & parafunction
 Ti insert to lengthen implant beyond
gingiva after uncovering/ 2- 4mm
 practical advantage of IME is for
compensation of minor imprecision of
metal prosthesis
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 2 diameter 3.3 & 4mm
 8, 10, 13 & 15mm
 2 surface coating
-frios Ti plasma flame sprayed
coating
-frios apatite coating
 Ti core coated with
polyoximethylene
 Elastic component changed
annually
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Straumann implant system
Standard implant
-2.8 mm smooth neck section
First microgap clearly above bone
level to take the biologic width into
account. Optimized tulip shape for
transgingival one-stage surgical
protocol.
-diameters 3.3 mm, 4.1 mm, and 4.8
mm
-Standard Implant Ø 3.3 mm RN:
Limited alveolar ridge width
-Standard Implant Ø 4.1 mm and Ø 4.8
mm RN:
All indications
-Standard Implant Ø 4.8 mm WN:
Crowns and bridges in the molar
region
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Standard Plus Implant
Standard Plus Implants, with the reduced
neck height of 1.8 mm, offer additional
options in implant insertion taking into
account the biologic width
Standard Plus Implants with a Ø 4.8 mm
Regular Neck (RN)
6.5 mm Wide Neck (WN) have a Morse taper
abutment-to-implant connection with an
internal octagon.
1)1.8 mm smooth neck section -For optimal
flexible tissue management, particularly
when esthetic demands are high
2)Morse taper connection -For uniform load
distribution and reliable stable implant-
to-abutment joints with prevention of
rotation
3)Internal octagon -Offers the greatest
possible flexibility and ensures accurate
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Standard Plus Implant Narrow Neck
Indicated for the upper lateral incisors
and lower lateral and central incisors,
the Standard Plus Implant Narrow
Neck with a prosthetic diameter of 3.5
mm
1)Built-in octa abutment -Optimal stability
through one-piece construction
(abutment integrated in the implant)
2)1.8 mm smooth neck section -For
optimal flexible tissue management,
particularly when esthetic demands are
high
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Tapered Effect Implant
Through its special anatomical shape, the
Tapered Effect implant combines the
advantages of a cylindrical implant with
those of a conical shape
indicated particularly for immediate
implantation (on the same day of extraction)
and early implantation (after 6-8 weeks)
1)Anatomical implant shape-Enables optimal fit
in the extraction alveolus and reliable
primary stability
2)1.8 mm smooth neck section-For optimal
flexible tissue management, particularly
when esthetic demands are high taking the
biologic width into account
3)Specific TE thread design-Self-tapping
geometry with low thread pitch
www.indiandentalacademy.com
Monotype Implant 8° Cone
The one-piece Monotype Implant with
8° cone (endosteal diameter 4.1
mm) is specially designed for
immediate loading with a bar
denture.
Because of the self-tapping thread,
tapping is not necessary with this
implant type.
1)One-piece taper design-Insertion of
an abutment not necessary,
optimal conditions for immediate
loading with a bar suprastructure
2)Specific Monotype 8° thread design
Effective self-tapping geometry for
simple screw insertion through the
cortex
www.indiandentalacademy.com
LEDERMANN SCREW SYSTEM
 1977,TPS screw type implant
was introduced
 advantages:
1) histopathological
advantage
-self tapping
-implant surface is
roughened by combination
of sand blasting & acid
etching
2) hygienic advantage
- elimination of grooves
- NLS has precision fit screws
www.indiandentalacademy.com
ITI IMPLANTS
 developed in 1974 & TPS
screw implant in 1977
 essential characteristics of
constructional designs
-good physiological
loadability
-precise preparation of
implant site
-small volume of implant
anchoring element
-large bone surfaces
www.indiandentalacademy.com
DIFFERENT ITI SYSTEMS
HOLLOW CYLINDER IMPLANTS
(HC TYPE)
 Basic design of classic type F
implant
 Diameter 3.5mm
 Anchoring surface coated with
titanium plasma
 Perforations up to 4mm below
the bone crest

www.indiandentalacademy.com

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Imz system/cosmetic dentistry courses

  • 2. Implant Categories - General Shape and Placement Method 1. Endosseous Root Form Implants 2. Endosseous Blade Implants 3. Sub Periosteal Implants 4. Trans-Osseous Implants 5. Mini (Transitional) Implants www.indiandentalacademy.com
  • 3. Endosseous Root Form Implants • Description These are the implants that were originally designed by Dr. P. I. Brånemark and his fellow researchers in Sweden. • Surgical Advantages:- -basically cylinders -require a cylindrical osteotome. -These implants may be straight sided or tapered. • Surgical Disadvantages:- The surgery requires fairly strict observance of the Brånemark protocol for implant placement and a sophisticated approach towards manipulating bone and soft tissues. • Prosthetic Advantages -The basic cylindrical shape is also very conducive to attaching a single tooth restoration -for the placement of bridges and overdenture restorations in multiple situations. • Prosthetic Disadvantages Placement of implants in poor position relative to the tooth location will be difficult to correct www.indiandentalacademy.com
  • 4. Endosseous Blade Implants • Description:- They are long flat pieces of metal that are inserted into a trough in the bone. They have many different shapes • Surgical Advantages:- -They require only a thin amount of bone bucco-lingually in order to place the successfully. -They can be bent and shaped to fit variations in anatomy • Surgical Disadvantages:- -The mesio-distal (width) dimensions are almost always greater than the maximum mesio-distal width of the tooth and this can sometimes cause a problem in tooth placement. • Prosthetic Advantages: None • Prosthetic Disadvantages: -Prosthetic abutments are very limited and abutments may not be in the position that we would want for ideal tooth placement. www.indiandentalacademy.com
  • 5. Sub Periosteal Implants • Description -These are implants that are made to fit over and around the jaw bone. -They can be used in the upper or the lower jaw. • Surgical Advantages -Proponents of these implants say that they can be used in areas where there is not enough bone to use root form implants. • Surgical Disadvantages -The surgical technique is difficult and demanding and often causes damage to critical structures. -they do have a very high failure rate -Implants must be custom constructed for each patient. • Prosthetic Advantages None • Prosthetic Disadvantages -Prosthetic abutments are very limited and abutments may not be in the position that we would want for ideal tooth placement www.indiandentalacademy.com
  • 6. Trans-Osseous Implants • Description -A series of screws go through the bottom of the front part of the jaw. The screws attach to a plate on the top of the jaw bone and two attachments protrude above the gum for stabilization of a prosthesis. • Surgical Advantages -Provide excellent stability through bicortical stabilization • Surgical Disadvantages -Only indicated for anterior mandible. -Requires an extra-oral approach • Prosthetic Advantages None • Prosthetic Disadvantages -Prosthetic abutments are very limited and abutments may not be in the position that we would want for ideal tooth placement. -Only useful for mandibular overdentures. www.indiandentalacademy.com
  • 7. Mini (Transitional) Implants • Description -Mini, or transitional dental implants are a narrow diameter implant usually around 2mm in diameter -They were initially designed as temporary implants to hold a restoration in place while normal implants were healing. • Surgical Advantages -They can be easily placed, usually without the necessity of raising a flap • Surgical Disadvantages -Best indicated for anterior mandible, but may be used in any areas of the mouth where there is sufficient bone height (10mm or more). • Prosthetic Advantages -Offer some advantage in the stabilization of mandibular overdentures -in areas of tooth replacement that are too narrow for conventional endosseous implants. • Prosthetic Disadvantages -Limited prosthetic application and the inability to modify future restorations. www.indiandentalacademy.com
  • 8. Implant Types - Prosthetic Attachment 1. External Hex 2. Internal Hex 3. Internal Taper 4. Spline www.indiandentalacademy.com
  • 9. External Hex • Description -The external hex is the original prosthetic connection for the dental implants -designed by Dr. Brånemark. -Actually the hex itself was only on the implant to enable the operator to screw the implant into the bone, subsequently became important as a prosthetic connection as various forms of prosthetic restoration evolved. • Prosthetic Advantages -Most common type of prosthetic attachment. • Prosthetic Disadvantages -Poor technique will allow for loosening of this attachment and premature wear of the hex. There has also been reports of broken screws. • Economics -The ubiquity of this attachment interface makes it the most economical www.indiandentalacademy.com
  • 10. Internal Hex • Description -The internal hex was marketed as a more stable and retentive alternative to the external hex. -This attachment provides a recessed portion in the top of the implant. • Prosthetic Advantages -A fairly common attachment although patent rights are constantly being argued. -It is very stable and retentive • Prosthetic Disadvantages -Possible fracture of the head of the implant. • Economics -More expensive than external hex prosthetics but within reason. www.indiandentalacademy.com
  • 11. Internal Taper • Description -Internal tapered attachments for implants allow for an abutment to be friction seated into the head of the implant. -Screws are optional • Prosthetic Advantages -Some manufacturers tout these types of prosthetic attachments as being simpler to use because there are no screws involved. • Prosthetic Disadvantages -There is no way to accurately re-seat an abutment that has come loose or has been removed for any reason. -Limited Prosthetic options. • Economics -Vary greatly from manufacturers to manufacturer. www.indiandentalacademy.com
  • 12. Spline • Description -The head of the implant has projections which stick up. The abutment is keyed to fit into these projections. -idea is to prevent rotation and loosening. • Prosthetic Advantages -this attachment is more stable than any others. -stable in terms of anti-rotation, but not in terms of lateral forces. • Prosthetic Disadvantages -Splines can fracture and lateral forces can be a problem. • Economics -Expensive www.indiandentalacademy.com
  • 13. Implant Surfaces - Speeding Integration • Basic Implant Design: 1. Threaded 2. Non-Threaded (Cylinders) • Specific Micro-Surface Design: 3. Machined 4. Acid Etch 5. Shot Blasted 6. Titanium Plasma Spray 7. Hydroxyl Apatite (HA) Plasma Spray 8. Porous Sintered Surfaces www.indiandentalacademy.com
  • 14. Threaded • Description -The threaded implant is the most common type of implant design today -different configurations are available • Advantages 1. They stabilize the implant when it is initially placed. 2. They increase surface area. 3. They provide a great means of proprioception for the dentist placing the implant giving lots of information about the implant site. • Disadvantages -Require pre-tapping for placement into very dense bone. www.indiandentalacademy.com
  • 15. Non-Threaded (Cylinders) • Description -Non threaded implants are basically know as implant cylinders -have less surface area than threaded implants so they require a coating to increase surface area. -placed by drilling a hole slightly smaller than the diameter of the implant and then tapping in the implant with a mallet. • Advantages -They are very easy and quick to insert. • Disadvantages -Initial stabilization and proprioception are much less than threaded implants. www.indiandentalacademy.com
  • 16. Machined • Description When an implant is manufactured, a long rod of titanium is fed into a machine which turns the titanium into the cylinder or screw. The surface that results is a "Machined" surface. Screw type implants may be left in this machined state, but cylinders must be coated to achieve a sufficient surface area. • • Advantages Although Dr. Brånemark originally thought that the secret of success of his dental implant design was in the machined surface, it has been shown time and time again that this is just not important. It works just fine at this point in time and although there are lots of claims that modifications improve characteristics, there is no evidence to support this. • Disadvantages None www.indiandentalacademy.com
  • 17. Acid Etch • Description -An acid wash is used to roughen the machined surface with the goal of improving osseointegration -Chemical etching may be used in combination with grit- blasting. • Advantages -Perceived advantage is a microscopic increase in surface area which may be attractive to osteoblastic activity. -There may be a resultant increase in mechanical locking of the implant in the bone • Disadvantages -None, except for the possibility of contamination www.indiandentalacademy.com
  • 18. Shot Blasted • Description -A machined implant is blasted with a material that can then be removed by washing the implant in a specific solvent. This will create an irregular, roughened surface that might be more conducive to osseointegration. Grit blasting may be combined with chemical etching. • Advantages -an increase in surface roughness may promote ossteoblastic activity and get a faster/stronger level of osseointegration • Disadvantages -None, except for the possibility of contamination www.indiandentalacademy.com
  • 19. Titanium Plasma Spray • Description -Molten titanium is sprayed onto the surface of a machined implant to increase the surface area of the implant promoting initial stability and osseointegration. • Advantages -Increased surface area and roughness definitely adds to mechanical stabilization of the implant and may ultimately improve osseointegration. • Disadvantages -There may be a high degree of variability in the process. www.indiandentalacademy.com
  • 20. Hydroxyl Apatite (HA) Plasma Spray • Description -Hydroxyl Apetite is sprayed onto the surface of a machined implant to produce a rougher surface configuration. • Advantages -The HA increases the surface area and it also provides an accelerated bio-integration -definite advantage to using HA on dental implants because it is osteoconductive and promotes rapid and more complete osseointegration. • Disadvantages -HA is soluble in oral fluids and if the HA is exposed, it will cause implant failure with accelerated bone loss www.indiandentalacademy.com
  • 21. Porous Sintered Surfaces • Description -Sintering Titanium Alloy powders to a machined titanium surface using a high temperature and controlled atmospheric pressure produces a uniform porous surface that greatly increases surface area. • Advantages -The surface is said to induce rapid bone in growth and more complete osseointegration. • Disadvantages -None www.indiandentalacademy.com
  • 22. Noble biocare system • The Brånemark System consists of various implant -Standard, MK II, Conical Mk II, Mk III, Mk IV, and Special Fixtures. -lengths vary-7.0 mm to 18mm The implant are produced in widths -3.3 mm, 3.75 mm, 4.0 mm, 5.0 mm and 5.5 mm. -The Brånemark implants are organized according to a “platform concept. -The Regular Platform (RP) has been the design used with this implant system since its origin. -The Narrow Platform (NP)-limited inter- dental space or a narrow alveolar crest. -The Wide Platform (WP) is used in difficulty or complex circumstances where additional loading can be expected, or whenever a wider diameter implant/abutment interface is considered preferable. www.indiandentalacademy.com
  • 23. Nobel replace tapered groovy Fastest growing implant on the market 8mm implant option TiUnite® 'all the way up' Grooves on threads and collars Standardized easy drilling protocol Completely color-coded Always high initial stability due to root shape For narrow spaces between remaining roots Internal connection Original root-shaped implant system www.indiandentalacademy.com
  • 24. Nobel direct NOBELDIRECT® Groovy User and patient friendly Minimally invasive flapless surgery Enables variability in vertical placement Immediate Function NOBELDIRECT® Oval The Coronal part preprepared Less grinding Less chair time so higher profitability No new instruments needed www.indiandentalacademy.com
  • 25. • NOBELDIRECT® Posterior • Inbuilt ease of use in posterior areas • Built-in Snappy abutments • Less chair time • Immediate Function™ • Simplified and faster impressions • NOBELDIRECT® 3.0 • The first implant for narrow places • Solves tight spacing problems • Offers fast and easy flapless procedure • Straightforward new drill protocol with drills for soft and hard bone • Designed for replacements of laterals in the maxilla and incisors in the mandible www.indiandentalacademy.com
  • 26. • NOBELPERFECT® • Scalloped design makes natural soft tissue contours possible • Minimally invasive surgery • Immediate Function™ • Beautiful esthetics, no "black triangles" • One-stage surgery reduces visits • TiUnite® 'all the way up' • Grooves on threads and coronal part of the implant www.indiandentalacademy.com
  • 27. • NOBELREPLACE™ Straight • Complete implant assortment including diameter 4 • Optimal ease-of-use internal abutment connection • TiUnite® all the way up • Grooves on threads and collars • Color-coded all the way through the system www.indiandentalacademy.com
  • 28. • Brånemark System® Mk III Groovy • Shorter, simpler drilling protocol • Improved New Depth Measurement System • Threads higher on the implant body • Increased Cutting Ability • TiUnite® all the way up • Immediate Function™ • Brånemark System® Shorty • Shortest implant on the market – just 5.5mm • Immediate Function™ • Brånemark System® Zygoma • TiUnite® all the way • Grooves on the threads • Abutment hole eliminated www.indiandentalacademy.com
  • 29. Bio-lock implant system External hex connection MICRO-LOK IMPLANT • External hex that provides a 1 degree taper on the abutment side to prevent rotation and to help support the abutment • Available in 3.45mm, 4.0mm (2 styles) and 5.0mm platform sizes • Self-tapping • Patented reverse buttress thread design improves load transfer and increases primary stability • 1mm machined collar • Osseo-Lok® surface. A proven type of Resorbable Blast Media surface treatment • 15 percent greater surface area than "V" thread implants • Large selection of implant body/platform diameters and lengths www.indiandentalacademy.com
  • 30. • SILHOUETTE IMPLANT •External Hex System that provides a 1 degree tapered on the abutment to prevent rotation and to help support the abutment • •Available in platform sizes 3.45mm, 4.0mm, 5.0mm and 6.5mm • •Silhouette tapered design. Apical 6mm tapered with coronal straight wall • Patented reverse buttress thread design improves load transfer and increase primary stability • •Self-tapping (tapping recommended in dense bone areas only) • •1mm machined collar • Osseo-Lok® surface. A proven type of Resorbable Blast Media surface treatment • • Ideal design for immediate placement post extraction and for tapering alveolar ridges, sites with concavities, or between teeth with converging roots. • Better axial placement possible in anterior maxilla • 15 percent greater surface area than “V” thread implants • Large selection of implant body/platform diameters and lengths www.indiandentalacademy.com
  • 31. • SILHOUETTE LASER-LOK IMPLANT • Laser Micro-Machined Bio-Affinity Collar: 0.5mm with machined surface, 0.7mm zone of 8 micron grooves to stop vertical epithelial cell migration and generate soft tissue attachment and 0.8mm zone of 12 micron grooves to generate directional osseoconduction, improve load transfer, and prevent crestal bone lose. • • Ideal design for immediate placement post extraction and for tapering alveolar ridges, sites with concavities, or between teeth with converging roots • Better axial placement possible in anterior maxilla• 15 percent greater surface area than the “V” thread implants• Large selection of implant body/platform diameters and lengths www.indiandentalacademy.com
  • 32. Internal hex • SILHOUETTE IC IMPLANT •Internal connection that provides high rotational torque resistance without damage to implant if over torqued • •Available in platform sizes 3.45mm, 4.0mm, 5.0mm and 6.5mm • •Silhouette IC tapered design. Apical 6mm tapered with coronal straight wall • •Patented reverse buttress thread design improve load transfer and increases primary stability • •Self-tapping (tapping recommended in dense bone areas only) • 2mm collar (1mm roughened with Osseo-Lok® and 1mm machined surfaced). Standard protocol is to seat implant 1mm above crest of bone • • Osseo-Lok® surface. A proven type of Resorbable Blast Media surface treatment • • Ideal design for immediate placement, post extraction and tapering alveolar ridges, sites with concavities, or between teeth with converging roots • • 15 percent greater surface area than “V” thread implants • • Large selection of implant body/platform diameters and lengths www.indiandentalacademy.com
  • 33. • SILHOUETTE IC LASER-LOK IMPLANT •Laser Micro-Machined Bio-Affinity Collar: 0.5mm with machined surface, 0.7mm zone of 8 micron grooves to stop vertical epithelial cell migration and generate soft tissue attachment and 0.8mm zone of 12 micron grooves to generate directional osseoconduction, improve load transfer, and prevent crestal bone lose. • Ideal design for immediate placement post extraction and for tapering alveolar ridges, sites with concavities, or between teeth with converging roots • Better axial placement possible in anterior maxilla • 15 percent greater surface area than the “V” thread implants • Large selection of implant body/platform diameters and lengths www.indiandentalacademy.com
  • 34. Biocon implants 2 types 5.0 x 6.0mm Short Implants 6.0 x 5.7mm Short Implants -Titanium Alloy (Ti 6Al-4V ELI) -1.5° locking taper -Fin or plateau root form design -Sloping shoulder -Grit blasted, acid-etched, and passivated -Solid titanium alloy abutments -Three surfaces: HA, TPS, and Integra-Ti(grit-blasted acid- etched) -Angled abutments -Shouldered abutments -Non-shouldered abutment www.indiandentalacademy.com
  • 35. TiUnite • TiUnite® is a biomaterial which actively participates in its integration with human bone. This enhanced surface has been proven to interact with the biological environment and dramatically promote osseointegration • Studies show that the structure of soft tissue around TiUnite® implants resembles that around natural teeth; namely an attachment of the junctional epithelium to the implant surface and firm adherence of the underlying connective tissue. www.indiandentalacademy.com
  • 36. Imtec implant systems Endure Internal Hex Implant ENDURE is a biomechanically engineered internal hex implant. The simplicity of the ENDURE system offers clinical advantages to the clinician and patient. Note these features: Unique Triple Micro Threading Enhanced Surface Treatment Serialized Implants Mount Free Concept Simplified Surgical Prosthetic Protocols Variable Positioning Anatomical Design Cost Effective www.indiandentalacademy.com
  • 37. Zimmer implant systems • Advent implant • The tapered body of the AdVent implant is designed to increase initial stability in soft bone. When the tapered implant is inserted into a straight, undersized osteotomy, bone is compressed resulting in enhanced initial stability. The tapered body also facilitates implant placement between convergent roots, in areas with labial concavities and in immediate extraction sites. • MTX™ Microtextured Titanium Surface • AdVent implants with the MTX surface are grit-blasted with a soluble, biocompatible medium. The implant is then cleansed with a mild acid wash that removes any residual microblast powder. The MTX process produces a uniform 1-2 micron surface roughness that exhibits 44% more surface area than machined titanium. The roughened surface is proven to enhance bone attachment.¹ • The MTX process does not weaken the titanium implant body, ensuring that the strength of the implant is maintained. Furthermore, implant threads are not rounded by the MTX process, and cutting grooves remain intact for efficient self-tapping. www.indiandentalacademy.com
  • 38. • Self-Tapping Design & Triple Lead Threads • The AdVent implant features a self-tapping design that eliminates the need to pre-tap the surgical site, resulting in reduced chair time. • Additionally, three independent, external threads start 120 degrees apart and spiral around the implant body at a steeper angle than conventional implant threads. While providing the same surface area, each 360- degree turn seats the implant 1.8mm instead of the 0.6mm of standard threads. This allows for full seating of an implant in a third of the time. www.indiandentalacademy.com
  • 39. • Tapered screw vent implant • The Tapered Screw-Vent implant is designed to exceed your expectations in every implant case. Time saving features like the patented Fixture Mount/Transfer minimize valuable chairtime, while the internal hex connection with friction-fit abutments assures a reliable restoration. The tapered body enhances initial stability while allowing placement in even the most challenging locations. • MP-1® HA Dual Transition Selective Surface • Tapered Screw-Vent implants with MP-1 HA coating include 2mm of MTX microtextured titanium between the smooth machined neck and the HA coated midsection for soft tissue maintenance. The apical 3mm of the implant also features the MTX surface for efficient self-tapping. • The MP-1 HA coating is designed specifically to allow for secure bone apposition. MP-1 HA coated implants exhibit more than twice the removal torque values as compared to uncoated implants.² • Zimmer Dental's MP-1 process creates a stable HA coating that is proven to outlast competitive HA coatings www.indiandentalacademy.com
  • 40. • Internal Hex with Friction-Fit Abutments • The patented interface of the Tapered Screw-Vent implant assures a reliable restoration every time. • When fully assembled, the abutment forms a virtual "cold weld" with the implant. Forces are distributed deeper within the implant, which shields the abutment screw from excessive loading and virtually eliminates rotational and tipping micromovements - the leading causes of screw loosening. www.indiandentalacademy.com
  • 41. Tapered swiss plus Tapered SwissPlus is the single-stage implant that simplifies your implant cases while providing valuable timesavings. That's because the Tapered SwissPlus implant is packaged with an all-in-one Fixture Mount/Transfer that can be used for insertion, impression taking and as a customized final abutment. The self-tapping flutes eliminate a step in the placement process, while the double lead threads provide faster implant insertion. It all adds up to increased productivity and more profits for your practice. The exceptional design features of the Tapered SwissPlus implant provide a solution for every single-stage case. The tapered body increases initial stability in soft bone, and a narrow diameter platform allows for use in tight interdental spaces. The full assortment of SwissPlus prosthetics supports all possible restorative needs www.indiandentalacademy.com
  • 42. • Straight screw vent implant • When fully assembled, the abutment helps form a virtual "cold weld" with the implant. Forces are distributed deeper within the implant, which shields the abutment screw from excessive loading and virtually eliminates rotational and tipping micromovements - the leading causes of screw loosening. • Fixture Mount/Transfer Packaging • The multi-functional Fixture Mount also functions as an impression post and prepable temporary abutment, minimizing chair time and financial investment. • MTX® Selective Surface • The MTX microtextured surface of the Screw- Vent implant enhances bone apposition, while 3.0mm of machined titanium at the apex facilitates efficient self-tapping. • HA Selective Surface • The HA-coated midsection of the implant enhances bone apposition, while 1.5mm of machined titanium at the coronal aspect promotes soft-tissue health, and 3.0mm of machined titanium at the apex facilitates efficient www.indiandentalacademy.com
  • 43. Spline twist Spline Implant Connection The interdigitating projections and slots allow the Spline implant and the abutment to form a precise lock, reducing joint failure. Self-Tapping The Spline Twist® implant's three spiral flutes reduce surgical time and direct bone chips up and away from the cutting edge for greater implant stability and decreased lateral play. Snap® Delivery System With the SNAP delivery system, the implant goes directly from the packaging to the patient's mouth for simple, convenient, and sterile insertion. MTX™ Surface The MTX process, which utilizes grit blasting with a soluble, biocompatible medium and a mild acid wash to remove any residual microblast powder, creates a 1-2 micron uniform roughened surface that is proven to enhance bone apposition. MP-1® HA Surface www.indiandentalacademy.com
  • 44. Spline reliance Spline Reliance™ HA Cylinder Spline Implant Connection The interdigitating projections and slots allow the Spline implant and the abutment to form a precise lock, reducing joint failure. MP-1® HA Surface The MP-1 process creates an HA coating that provides a scaffold for bone growth and allows for secure bone apposition. MP-1 HA is proven more stable than competitive HA coatings. www.indiandentalacademy.com
  • 45. IMZ SYSTEM  clinically used since 1974  elastic component b/w osseointegrated implant & the prosthetic superstructure  consists of 2 parts  elastic component-role of Pdl ligament  also prevent overloading of osseous bed during function & parafunction  Ti insert to lengthen implant beyond gingiva after uncovering/ 2- 4mm  practical advantage of IME is for compensation of minor imprecision of metal prosthesis www.indiandentalacademy.com
  • 46.  2 diameter 3.3 & 4mm  8, 10, 13 & 15mm  2 surface coating -frios Ti plasma flame sprayed coating -frios apatite coating  Ti core coated with polyoximethylene  Elastic component changed annually www.indiandentalacademy.com
  • 47. Straumann implant system Standard implant -2.8 mm smooth neck section First microgap clearly above bone level to take the biologic width into account. Optimized tulip shape for transgingival one-stage surgical protocol. -diameters 3.3 mm, 4.1 mm, and 4.8 mm -Standard Implant Ø 3.3 mm RN: Limited alveolar ridge width -Standard Implant Ø 4.1 mm and Ø 4.8 mm RN: All indications -Standard Implant Ø 4.8 mm WN: Crowns and bridges in the molar region www.indiandentalacademy.com
  • 48. Standard Plus Implant Standard Plus Implants, with the reduced neck height of 1.8 mm, offer additional options in implant insertion taking into account the biologic width Standard Plus Implants with a Ø 4.8 mm Regular Neck (RN) 6.5 mm Wide Neck (WN) have a Morse taper abutment-to-implant connection with an internal octagon. 1)1.8 mm smooth neck section -For optimal flexible tissue management, particularly when esthetic demands are high 2)Morse taper connection -For uniform load distribution and reliable stable implant- to-abutment joints with prevention of rotation 3)Internal octagon -Offers the greatest possible flexibility and ensures accurate repositioning of the prosthesiswww.indiandentalacademy.com
  • 49. Standard Plus Implant Narrow Neck Indicated for the upper lateral incisors and lower lateral and central incisors, the Standard Plus Implant Narrow Neck with a prosthetic diameter of 3.5 mm 1)Built-in octa abutment -Optimal stability through one-piece construction (abutment integrated in the implant) 2)1.8 mm smooth neck section -For optimal flexible tissue management, particularly when esthetic demands are high www.indiandentalacademy.com
  • 50. Tapered Effect Implant Through its special anatomical shape, the Tapered Effect implant combines the advantages of a cylindrical implant with those of a conical shape indicated particularly for immediate implantation (on the same day of extraction) and early implantation (after 6-8 weeks) 1)Anatomical implant shape-Enables optimal fit in the extraction alveolus and reliable primary stability 2)1.8 mm smooth neck section-For optimal flexible tissue management, particularly when esthetic demands are high taking the biologic width into account 3)Specific TE thread design-Self-tapping geometry with low thread pitch www.indiandentalacademy.com
  • 51. Monotype Implant 8° Cone The one-piece Monotype Implant with 8° cone (endosteal diameter 4.1 mm) is specially designed for immediate loading with a bar denture. Because of the self-tapping thread, tapping is not necessary with this implant type. 1)One-piece taper design-Insertion of an abutment not necessary, optimal conditions for immediate loading with a bar suprastructure 2)Specific Monotype 8° thread design Effective self-tapping geometry for simple screw insertion through the cortex www.indiandentalacademy.com
  • 52. LEDERMANN SCREW SYSTEM  1977,TPS screw type implant was introduced  advantages: 1) histopathological advantage -self tapping -implant surface is roughened by combination of sand blasting & acid etching 2) hygienic advantage - elimination of grooves - NLS has precision fit screws www.indiandentalacademy.com
  • 53. ITI IMPLANTS  developed in 1974 & TPS screw implant in 1977  essential characteristics of constructional designs -good physiological loadability -precise preparation of implant site -small volume of implant anchoring element -large bone surfaces www.indiandentalacademy.com
  • 54. DIFFERENT ITI SYSTEMS HOLLOW CYLINDER IMPLANTS (HC TYPE)  Basic design of classic type F implant  Diameter 3.5mm  Anchoring surface coated with titanium plasma  Perforations up to 4mm below the bone crest  www.indiandentalacademy.com