TISS implant benifits

1. TISS Implant Benefits
By – Vikram Sachan
128/04/2020

2. Outline
1. AS and FS type.
2. Design Concept.
2.1. External Design.
2.2. Internal Design.
3. Sand Blast (SLA).
4. Clinical Proof.
5. Size Availability.
6. Overview.

3. Two Completely Different Designs Availability
Arc System “AS” Flat System “FS”
Grade 4 Titanium
(ASTM F76)

4. • Platform switching, also known as platform
shifting, is whenever an abutment is used that is
smaller in diameter than the implant platform.
• Advantages –
• Prevents crestal bone loss.
• Best for the implant’s long-term success and
stability.
• Increases soft tissue volume.
• Help to improve esthetic end result.
Platform Switch Design
AS-FS type system Design Concept

5. AS-FS type system Design Concept
• After 3 years of functional study, Less bone loss was recorded
around the implants having micro-threads.
• Increases axial stiffness of the implant.
• Decreases shearing stresses in the cortical bone.
• Improves bone formation and stress distribution.
• Removes tension from the cortical bone and prevent marginal
bone and it’s resorption.
Micro-threads &
Coronal back tapered
Micro-threads &
Coronal back tapered

6. AS-FS type system Design Concept
Triple Thread
Single Thread
• Time saving thread design.
• Fast insertion rate with no adverse effects on
bone.
• Double threaded micro-threads insert inside
2 times faster than the single threaded
implant in one full revolution.
• Triple threaded portion insertion rate will be
3 times faster than the single threaded
implant during a single revolution.
• Double threaded screws have a better
fixation even in low quality bones.
Triple Thread
Double Thread

7. AS-FS type system Design Concept
• Reverse Flute Design is very suitable for the implant
locking in the bone after placement.
• Easy to remove, if needed.
Reverse Flute Design Reverse Flute Design

8. AS-FS type system Design Concept
• Cylindrical implant
is suitable to use
where bone quality
is compromised and
need to achieve
high stability in
worst bone type like
D3 & D4.
Cylindrical Shape Tapered Shape
Tapered implant is
suitable to use in hard
bone type where it is
hard to place implant.
Best suitable bone type
is D1 & D2.

9. AS type system Design Concept
• Arched Apex design helps
to achieve bone
condensation by
increasing bone density
by compressing it.
• Best choice for D3 and
D4 type of bone type.
Arched Apex
• Flat- self cutting Apex
design is best to easily
insert in hard bone.
• Easy to adjust orientation.
• Best choice for D1 and D2
type of bone type.
Flat Apex

10. AS type system Design Concept
• Increases the load transfer to the more flexible cancellous
bone instead of crestal cortical bone.
• Less cortical bone resorption and improved bone
condensation.
• Instead of cutting, the thread design helps to increase
week bone (D4) density by compressing it.
• Best choice for D3 & D4 bone types.
• Efficient cutting tip design facilitates timesaving surgical
technique.
Cylindrical Threads

11. FS type system Design Concept
• Self Cutting thread design had more new bone formation thus
indicating that V-shaped threads are better bone initial
stimulators and has more BIC (Bone to implant contact).
• Can cut through hard bone easily.
• Efficient cutting tip design facilitates time saving surgical
technique
Self Cutting
thread design

12. AS-FS type system Design Concept
• Internal conical connection / Morse
taper is best choice for plague
reduction.
• Least bacterial invasion.
• Improved implant life.
• Least micro-gap size.
• Better abutment fit.
• Better stability.
Morse Taper Morse Taper

13. AS-FS type system Surface Treatment
• SLA implant used in this study showed an excellent survival rate (98.7%).
• The SLA surface showed good biocompatibility with both in vitro cell
response and in vivo animal study.
• The failure rate and Crestal bone loss for SLA implants was lower than that
for TPS implants.
Alumina SLA Alumina SLA

14. Clinical Trial was conducted at Kaohsiung Medical University
- 20 implants install in 12 patients.
Project No. CZ-07-07-17-105
Clinical Trial
Implant stability
by IT&RFA
Gender Age
Implant
position
Bone
density
Implant
length
Implant
diameter
- survival rate reaches 100% and the implant crowns are completed.
The mean IT was 44.50±4.56 Ncm
while the mean ISQ was 77.48±5.03.

15. Project No. CZ-07-07-17-105
Tracking Time
ISQValue
​​for Three Different Bone density
• 8 cases for D2
• 8 cases for D3
• 4 cases for D4
Regular Tracking of ISQ values

16. 50 years old or older Under 50 years old
Regular Tracking of ISQ values
​​for Different Age Groups

17. Project No. CZ-07-07-17-105
Tracking Time
The implant sizes are as followed:
• Diameter for 4, 4.5 and 5.5mm
Regular Tracking of ISQ values
​​for Various Diameters

18. Project No. CZ-07-07-17-105
Tracking Time
The implant Length are as followed:
• Length for 11, 12.5 and 14mm
Regular Tracking of ISQ values
​​for Various Lengths

19. The Tracking Situations
a. The Day for Implantation
b. After 3 Months after Implantation
c. After 8 Months after Implantation
Project No. CZ-07-07-17-105

20. “TISS” Dental Implant Size Availability
7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13 13.5 14 15 16 17
3.25 ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✖ ✖ ✖
3.5 ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
4 ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
4.5 ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
5.5 ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
6 ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
6.5 ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
7 ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
Diameter(mm)
Length (mm)
Available Not -Available✖✔

21. D3.25/L8.0mm
D3.25/L9.5mm
D3.25/L11mm
D3.25/L14mm
D3.5/L8.0mm
D3.5/L9.5mm
D3.5/L11mm
D3.5/L14mm
D4.0/L8.0mm
D4.0/L9.5mm
D4.0/L11mm
D4.0/L14mm
D4.0/L7.0mm
D4.5/L8.0mm
D4.5/L9.5mm
D4.5/L11mm
D4.5/L14mm
D4.5/L7.0mm
D5.5/L8.0mm
D5.5/L9.5mm
D5.5/L11mm
D5.5/L14mm
D5.5/L7.0mm
“TISS” General Size Availability

22. Advantage – “TISS” Prosthetics

23. Platform Switch Design
 Prevents crestal bone loss.
 Increased soft tissue volume.
 Long term success & stability.
Cylindrical Thread Design
 Less cortical bone resorption.
 Increased bone condensation.
 Increases soft bone density.
Arched Apex
 Increases Bone
Density (D3 & D4).
Triple thread design
 3 times faster and
1/3 time reduction
Double thread design
 2 times faster and
1/2 time reduction
Reverse Spiral Flute
design
 Increased Implant
locking ability
 Easy Removal.
Alumina Sand Blast
 Excellent survival rate
in all bone type.
 Good Biocompatibility.
Micro-thread design
 High Axial Stiffness.
 Reduced shearing stress.
 Improved bone formation
Morse Taper Design
 Best for bacterial and
plague reduction.
 Better Abutment fit.
 Improved Implant life.
V-Shaped Thread
 Easy insertion even in
hard bone.
 High BIC after insertion.
Flat Apex design
 Easy to adjust Orientation.

24. 2428/04/2020