Myanmar Society of Oral Implantology collaborates with Dental Implant system using in Myanmar and celebrates Two days seminar. At this event, as the President of MSOI, I present this topic on Astra Tech Dental Implant System. It was sponsored by Biosys Company.

1. MYANMAR DENTAL ASSOCIATION
Collaboration of MDA ,Mandalay Division
&
MSOI (Myanmar Society of Oral Implantology)
ASTRA Tech Dental Implant Seminar
Supported by BioSys

2. Astra
Professor Dr. Kyaw Tint
B.D.S.(IDM), M.D.Sc.(UDM), Ph.D(TMDU)
Dip.Med.Ed (UOPH) ,Cert. in Higher Education(IIE,USA)
Attached to IADR, JBI, PFA
29th September 2018, Mandalay

3. Desirable criteria of Dental Implant Systems
• Simple and reliable
• Minimum components with maximum flexibility
• Can use for all indications and all positions of
mouth
• Ideal for one-stage and two-stage surgery
• Suitable for immediate and early loading
• The restorative options cover cement-, screw-
and attachment- retained solutions

4. OsseoSpeed
Microthread
Conical Seal Design
Connective Contour

5. Evolution through science –
ASTRA TECH Implant System™ EV
• OsseoSpeed — more bone more rapidly
• MicroThread — biomechanical bone stimulation
• Conical Seal Design — a strong and stable fit
• Connective Contour — increased soft tissue
contact zone and volume
EV & TX

6. Design- ISO 14801:2007
• ASTRA TECH Implant System EV is based on
the natural dentition utilizing a site-specific,
crown-down approach
• are designed to meet the requirements for
mechanical integrity, bone quantity, load
carrying capacity and biological response

7. Material selection ,design considerations
• produced from commercially pure
titanium (Grade 4) according to
requirements for dental implants (ISO
ASTM 67) for ensuring biocompatibility
• Then, the material is cold worked

8. The fatigue testing method consists of applying
a 30° off-axis load to an implant-abutment pillar
Each implant diameter survives five million load cycles

9. • the fatigue of the implant abutment and
abutment-cylinder interface, uses a 90° off-axis
load application.
• The strength index is based on the survival load
at 100,000 cycles using a Wöhler diagram
Methods for mechanical integrity testing

10. • Test setup per ISO 14801:2007.
The OsseoSpeed Profile EV
implant – abutment
assemblies were tested at a
30° angle with the implant
embedded to a level 3 mm
below the implant shoulder
(i.e., nominal bone level).
• A hemispherical test cap
(C) was placed on top of
the abutment to ensure
proper load (F) distribution.

11. Leakage testing of Conical Seal Design
NaCl Solution, drill hole at the bottom of
the implant. Fluid leakage can be detected
through a rise of the fluid column “X’

13. Straight Implant Design
ASTRA OsseoSpeed TX

14. OsseoSpeed TX Titanium, Sterile
TiO2- Blasted fluoride-modified surface
Color Diameter Length Internal
Thread
Yellow 3.0 S 11.13.15 M1.6
Aqua 3.5/4.0 S 8.9.11.13.15.17 M1.6
Lilac 4.5/5.0
(Microthread Neck)
5.0 S
9.11.13.15.17
9.11.13.15.17
M2
M2

17. Temporary Abutment

18. Cement-retained
Impression
Castable

19. Cement-retained Direct Abutment

20. Impression and Lab Components for
Cement Retained

21. Components for
screw-retained restorations

22. Attachment-retained restorations

25. Surgery

29. Osteotome kit
Round Straight
Concave, Bayonet

30. Single Patient Drill

31. • Implant Unit
• Handpiece
Mantled/Dismantled
• Irrigation tube
• Suction tube
• Bone trap
• Mucosal Punch

32. Prosthetic

34. Retrieval and Repair

36. Torque Guide
Product Pictures Yellow Aqua Lilac
Cover Screw
Healing Abut
ProHead Cap
Healing Cap
Manual
(5-10 N)
Temp Design
Temp Abut:
20/45 Uniabut
Bridge Screws
15 N

37. Torque Guide
Product Pictures Yellow Aqua Lilac
Atlantis®
abutment
ZirDesign™
TiDesign™
CastDesign™
Angled
Abutment
15 20 25
Direct
Abutment™
Ball Abutment
Locator™
Abutment
- 25 25

38. Radiographic Implant Guides

39. Research
• Collaborations with other famous University
• Focus on-
Limited spaces and sloped ridge
Marginal bone loss
Long term clinical success

40. Collaboration with High Rank Universities
Source: U.S. National Library of Medicine: ClinicalTrials.gov
Title Conditions Interventions Locations
Immediate Loading
in Extracted Sockets
Dental
Implants
Procedure:
Immediate implants
University of Hospital Ghent
Ghent, Belgium
Short Dental
Implant
Tooth Loss Device: Osseospeed
in Upper Post of 20
patients
University of Iowa College of
Dentistry
Iowa City, Iowa, United States
Marginal Bone Loss
in 2 implant
Systems
Jaw,
Edentulous,
Partially
Device: Astra:
4.5x9,11,13
3i Osseotite:
4.0x8.5,10,13
- Dept. of Implant Dentistry,
New York University
-Dept. of Prosthodontics, School
of Dentistry, University of North
Carolina
Fixed Rehab: of
Fully edentulous
Mandible
Edentulous
Jaw
Device: Short and
Long: 4x6.0, 4x11
-Clinics in US?

41. Title Condition Intervention Location
Mucosa
Thickness on
Soft and Hard
Tissue Change
Post-
osseointegration
Biological Failure of
Dental Implant
Alveolar Bone Loss
Device: Dentsply
Astra Tech Implant
System EV
Cukurova University
Faculty of Dentistry
Adana, Turkey
Maxilla with
One-stage
Surgery and
Early Loading
Jaw, Edentulous,
Partially
Device: Astra Tech
Fixture ST
Dept. of Prosthodontics,
Dept. of Periodontology,
Dept of Veterans Affairs
Medical Center,New York
Implant
Placement
Dental Implant
Failure: No
Procedure: Guide
& Non-guided
with Astra TX
-
Multicenter Soft
Tissue
Maintenance
Study
-Inclined Atrophy of
the distal mandible
- Socket Like Atrophy
of the Aesthetic Zone
- Department of Oral and
Maxillofacial Surgery,
University Mainz, Medical
Center
Mainz, Rheinland-Pfalz,
Germany + 25 more

42. A: Solutions for limited spaces and
sloped ridges

43. Implants of 6 mm vs. 11 mm lengths in the
posterior maxilla and mandible: a 1-year
multicenter randomized controlled trial
Authors: Gulje F, Abrahamsson I, Chen S, et al.
Published in: Clin Oral Implants Res 2013;24(12):1325-31.
• 95 patients, OsseoSpeed ,1-Stage surgery
• 4 x6 mm (49 pat, 107), 4 x 11mm (46pat, 101)
• Loading- 48 days , 20 H UniAbutments
• Follow-up- 1, 6, 12 months
• Assessment- Plaque occurance, probing depths,
bleeding on probing, peri-implant bone changes,
crown height and adverse events

44. Results 6mm 11mm
1yr Survival 97% 99%
Marginal bone gain 0.06mm 0.02mm
Bleeding, Plaque,
Probing depth
No significant different
Adverse events 6 abut screw, 4 healing cap loose, 2# pro:
crown, 3 fixed restorations loose
Conclusion 6 mm long implants is as favorable as when
treating patients with 11 mm long implants in
the posterior region when there is a sufficient
bone height

45. Clinical and radiographic evaluation of early loaded
narrow-diameter implants: 3 years follow-up
Authors: Maiorana C, King P, Quaas S, et al.
Published in: Clin Oral Implants Res 2015;26(1):77-82.
• 3.0mm in Upper Lateral and lower incisal positions
• One-stage and early loading
• OsseoSpeed TX = 3.0x 11 &15mm, 69 pats, 97 implants
• 6-10 weeks, individual modified TiDesign Abut, Metal-
Ceramic or all- ceramic single crown
• Follow up - 6, 12, 36 months
• Check- PPD, BoP, Gingival Zenith Score ( Mid incisal
edge to buccal gingiva), Intra-oral X ray, Marginal Bone
Level changes- Implant mean value was calculated….

46. Result 11 mm 15 mm
3yrs survival 95.5% 100%
Marginal bone
gain
Mean: O.33 mm
Bleeding, Plaque,
Probing depth
No significant different
Adverse event 4 lost in early healing phase,
(early loading)
Conclusion OsseoSpeed TX 3.0S is a safe and
predictable treatment option where
space is limited in the anterior

47. Soft and hard tissue alterations around
implants placed in an alveolar ridge with a
sloped configuration
Authors: Noelken R, Donati M, Fiorellini J, et al.
Published in: Clin Oral Implants Res 2014;25(1):3-9.
• Healing around OsseoSpeed Profile implants
resulted in only small hard and soft tissue
alterations
• Moreover, the discrepancy between the
lingual and buccal bone levels were preserved

48. Randomized controlled multi-centre study
comparing short dental implants (6 mm) versus
longer dental implants (11–15 mm) in combination
with sinus floor elevation procedures.
Part 1: Demographics and patient- reported
outcomes at 1 year of loading
are viable treatments, rendering high implant survival
rates. Short implants may however be considered as
the more favorable treatment option with less short-
term patient morbidity, shorter treatment time as well
as lower cost

49. B: Marginal bone maintenance

50. A multifactorial analysis to identity
predictors of implant failure and peri-
implant bone loss
Vervaeke S, Collaert B, Cosyn J. et al.
NOV 2004 to DEC 2007

52. C: Long-term clinical results

53. Immediate provisionalization of dental implants
placed in healed alveolar ridges and extraction
sockets: a 5-year prospective evaluation
A Cooper LF, Reside GJ, Raes F, et al.

54. A 10-year prospective study of single tooth
implants placed in the anterior maxilla
Gotfredsen K.
Visual Analogue Scale

55. A split-mouth comparative study up to 16 years
of two screw-shaped titanium implant systems
Jacobs R, Pittayapat P, van Steenberghe D, et al.
No significant difference in bone loss between the systems

56. Early and immediate loading of titanium implants
with fluoride-modified surfaces:
results of 5-year prospective study
Authors: Mertens C. and Steveling HG.

57. Effect of surface topography of screw-shaped
titanium
implants in humans on clinical and radiographic
parameters: a 12-year prospective study
Vroom MG, Sipos P, de Lange GL, et al.
1Marginal
Bone
Level

58. Publication List .. 2000..
• Implant Systems
- Ankylos 271, Astra Tech 874
- Xive 246 , Frialit 193
• Digital Implant Solutions
- Atlantis 86 , Simplant 269
• Regenerative products 145

59. Checklist for critical reading of clinical
documentation and scientific articles
• Purpose
• Type
• No. of clinics involved
• No. of patients
• Inclusion and
exclusion criteria
• No. of implants
• Follow-up
• Indication
• Loading
• Implants lost
• Success Criteria
• Other important
parameters
• Statistical analysis of
success and failure rates
• Complication
• Conclusion

60. • At UDMM implant training course…
• I noticed 14 symbols on one suture pack…..

61. Symbols on labels & Instructions for use
Date of
manufacture.
Caution: Federal
(USA) law restricts
this product to sale
by or on a order of
a dentist
Legal manufacturer Do not re-use,
Single use only.
Expired date Do not re-sterilize
Sterilized using
irradiation.
GOST is the valid
quality
certification system
in Russian
Federation

62. Symbols on labels & Instructions for use
Astra Tech Implant System® products carry
the CE mark and fulfill the requirements of
the Medical Devices Directive
Do not use if package
is damaged. LOT/BATCH number.
Consult instructions
for use.*
Article number.
Consult instructions for
use.
Contains article
number (GTIN
number), lot
number and
quantity.

63. Biosys…..a big key in Myanmar Dental Field

64. Yangon - BKK - Doha – Frankfurt -
Gotenberg – Paris – Doha - Yangon
Sweden Oct 14 - 22…2016

65. Gotenberg

66. Biosys & Astra
Sweden Oct 14 to 22, 2016

72. Astra Tech Implant System Product
• Introduction
• Product overview 3.0
• Product overview 3.5/4.0
• Product overview 4.5/5.0
• Surgical components
• Cement-retained restorations
• Screw-retained restorations
• Attachment-retained restorations

73. Astra Tech Implant System Product
• Surgical instruments
• Drills
• Drilling equipment & accessories
• Restorative instruments
• Repair and retrieval instruments
• Torque guide
• Symbols on labels

74. Astra Tech fulfills all desirable criteria
• Color- Yellow, Aqua, Lilac,
• Abutment- Indexed, Non-indexed
• Implant, Cover screws, Healing Abutment
• Cement- Temporary Abut, Abutment
• Screw- Abutment, Healing Cap
• Attachment- Abutment, Abutment impressions

75. Implant impressions
• Implant Pick-up
• Implant Transfer
• Lab abutment screws
• Guide pins

76. Abutment Impressions
• 20/45 UniAbutment- Pick-up, Transfer
• Angled Abutment- Pick-up
• Replicas, Lab abutment screws angled
• Guide pins, Bridge screws, Lab bridge screws
• Temporary cylinders- 20/45/angle
• Cylinders- Semi/ Burn out cylinder- Titanium
20/45/Angle
• Replica/ attachment components