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PROSTHETIC MANUAL CONOWELD

1. 10 1111 j 1600 051X 2012 01888 x Covani U Chiappe G Bosco M Orlando B Quaranta A Barone A A 10 year evaluation of implants placed in fresh extraction sockets a prospective cohort study Journal of Periodontology 2012 83 1226 1234 DOI 10 1902 jop 2012 110583 Covani U Ricci M D Ambrosio N Quaranta A Barone A Changes in soft tissues around imme diate full arch rehabilitations a prospective study Clinical Oral Implant Research Early View First Published online on 2012 January 6th DOI 10 1111 j 1600 0501 2011 02394 x Crespi R Cappar P Gherlone E Romanos G Immediate provisionalization of dental implants placed in fresh extraction sockets using a flapless technique The International Journal of Periodon tics amp Restorative Dentistry 2012 32 29 37 Morelli F Rigenerazione ossea orizzontale e verticale peri implantare con mesh in titanio ed osso autologo Numeri Uno 11 2011 7 9 Crespi R Cappar P Gherlone E Electrical mallet provides essential advantages in maxillary bone condensing A prospective clinical study Clinical Implant Dentistry and Related Research Early View First Published online on 2012 January 11th DOI 10 1111 j 1708 8208 2011 00432 x Galli C Macaluso G M Elezi E Ravanetti F Cacchioli A Gualini G Passeri G The Effects of Er YAG Laser Treatment on Titanium Surface Profile and Osteoblastic Cell Activity An In Vitro Study Journal of Periodontology 82 8 1169 1
2. 12th Pefiarrocha Diago M Pellicer Chover H Pefiarrocha Oltra D Rehabilitaci n con pr tesis fija de arco completo maxilary mandibular sobre implantes postextracci n A prop sito de un caso Numeri Uno 11 2012 15 17 Galli C Piemontese M Meikle S T Santin M Macaluso G M Passeri G Biomimetic coating with phosphoserine tethered poly epsilon lysine dendrons on titanium surfaces enhances Wnt and osteoblastic differentiation Clinical Oral Implant Research Early View First Published online on 2012 December 5th DOI 10 1111 j 1600 0501 2011 02227 x Bengazi F Lang N P Canciani E Vigan P Urbizo Velez J Botticelli D Osseointegration of implants with dendrimers surface characteristics installed conventionally or with Piezosurgery A comparative study in the dog Clinical Oral Implant Research Early View First Published online on 2012 December 12th DOI 10 1111 clr 12082 Schweikert M Baffone G Botticelli D Favero G Lavia P P Lang N P Influence of buccal bony crest width on marginal dimensions of peri implant tissues after implant installation in dogs Clinical Oral Implant Research 2012 23 Suppl 7 77 78 DOI 10 1111 clr 12019 2012 23 s7_171 Baffone G M Botticelli D Pereira F P Favero G Schweikert M Lang N P Influence of buccal bony crest width on marginal dimensions of peri implant hard and soft tissues after implant installation An experimental study in dogs Clinical Or
3. On the structure build a temporary prosthesis in resin and then return to the patient in order to position this in the mouth 28 USE PROTOCOLS Creation of final conometric prosthesis Technique for gluing cast structure onto titanium caps Take a precise impression in accordance with the protocol set out on pages 26 27 Position the final titanium caps on the posts gently applying manual pressure Wax the structures interposing a lab spacer in order to passivate the final prosthesis and facilitate the gluing of the caps that is to follow The caps will only be in direct contact with the structure on the flat occlusal surface making a precise reset of the structure possible on the model in the laboratory as well as during the various intraoral tests Cast only the structure made in wax leaving the Conoweld caps on the model Smooth the base of the structure and complete the coating in ceramic Then glue the caps onto the base of the cast structure each one being housed within one of the respective spaces It can help here to spread small layer of primer before cementing IMPORTANT WARNING To obtain the best results in terms of precision and passi vity we advise that the caps be glued intraorally Gluing cannot be carried out before ceramic is applied as the temperatures used in firing the ceramic are incompatible with all cement types 29 30 USE PROTOCOLS Creation of final conometric pros
4. Preliminary radiological results Annals of Anatomy 2012 194 174 478 DOI org 10 1016 j aanat 2012 03 006 Canullo L Micarelli C Clementini M Effect of titanium abutment plasma cleaning on peri implant bone level changes randomized contolled trial preliminary results Poster Winner Prize Martignoni AIOP Congress Bologna 22 24 Novembre 2012 Bastieri A espansione ossea controllata con Drill Bone Expander D B e variabili e polifunzionalit Numeri Uno 15 2013 10 12 Scavia S Studio prospettico sul mantenimento del volume osseo verticale in impianti inseriti con tecnica M 1 S E Numeri Uno 14 2012 14 15 Crespi R Bruschi G B Vantaggi chirurgici nell uso del Magnetic Mallet Numeri Uno 13 2012 16 18 Csonka M Postestrattivo a carico immediato con Tecnica Simple e Platform Switching Numeri Uno 12 2012 8 9 Minenna F De Leo L Riabilitazione implanto protesica con tecnica One Stage e protesi avvitata in materiale composito Numeri Uno 12 2012 12 13 Micarelli C Canullo L Baldissara A Clementini M Abutment screw removal torque values before and after plasma cleaning Clinical Oral Implant Research 2012 23 Suppl 7 72 DOI 10 1111 clr 12019 2012 23 s7_ 162 Micarelli C Canullo L Baldissara P Clementini M Abutment screw reverse torque values before and after plasma cleaning International Journal of Prosthodontics Accepted and Overview Publi shed online on 2012 September
5. amp Martina 2010 Scala A Botticelli D Oliveira J A Okamoto R Garcia Rangel I Jr Lang N P EARLY HEALING AFTER ELEVATION OF THE MAXILLARY SINUS FLOOR APPLYING A LATERAL ACCESS A HISTOLOGI CAL STUDY IN MONKEYS Clinical Oral Implant Research 21 12 1320 6 2010 Silvasan M H TIMING OF DENTAL IMPLANT LOADING A LITERATURE REVIEW Implants Oemus 11 3 06 16 2010 Sbordone L Levin L Guidetti F Sbordone C Glikman A Schwartz Arad D APICAL AND MARGINAL BONE ALTERATIONS AROUND IMPLANTS IN MAXILLARY SINUS AUGMENTATION GRAFTED WITH AUTOGENOUS BONE OR BOVINE BONE MATERIAL AND SIMULTANEOUS OR DELAYED DENTAL IMPLANT POSITIONING Clinical Oral Implants Research 2010 Nov 19 Epub ahead of print Ballini D Attini M Giunta S Mezzanotte E MINI IMPIANTI UN CASE REPORT NumeriUno 5 18 20 2009 Biscaro L Becattelli A Soattin M RIABILITAZIONE IMPLANTO PROTESICA DELLE DUE ARCATE CON CARICO IMMEDIATO PROTOCOLLO DI LAVORO CON L UTILIZZO DELLA TECNICA DEL MODEL LO UNICO E DELLA SISTEMATICA PAD NumeriUno 8 04 05 2009 Briguglio F Briguglio E Sidoti Pinto G A Lapi M Zappia D Briguglio R VALUTAZIONE CLINICA COMPARATIVA SULL UTILIZZO DI UN COPOLIMERO DELL ACIDO POLIGLICOLICO E POLILATTICO NEL SINUS LIFT Implantologia 1 9 14 2009 Bruschi G B Bravi F Di Felice A RIABILITAZIONE PROTESICA SU DENTI E IMPIANTI MEDIANTE TECNICHE CHIRURGICHE DI ESPANSIONE CRESTALE E SOLLEVAMENTO DEL SENO E CHIRURGIA PROTESIC
6. first published online 2010 Dec 9 Caneva M Botticelli D Salata L A Scombatti de Souza S Carvalho Cardoso L Lang N P COLLA GEN MEMBRANES AT IMMEDIATE IMPLANTS A HISTOMORPHOMETRIC STUDY IN DOGS Clinical Oral Implant Research 21 9 891 7 2010 Caneva M Botticelli D Salata L A Scombatti de Souza S L Bressan E Lang N P FLAP VS FLAPLESS SURGICAL APPROACH AT IMMEDIATE IMPLANTS A HISTOMORPHOMETRIC STUDY IN DOGS Clinical Oral Implant Research 21 12 1314 1319 2010 Canullo L Quaranta A Teles R P THE MICROBIOTA ASSOCIATED WITH IMPLANTS RESTORED WITH PLATFORM SWITCHING A PRELIMINARY REPORT Journal of Periodontology 81 403 411 2010 Canullo L Rossi Fedele G lannello G Jepsen S PLATFORM SWITCHING AND MARGINAL BONE LEVEL ALTERATIONS THE RESULTS OF A RANDOMIZEDCONTROLLED TRIAL Clinical Oral Implant Research 21 115 121 2010 BIBLIOGRAPHY ON SWEDEN amp MARTINA IMPLANTS Canullo L Bignozzi l Cocchetto R ONE ABUTMENT ONE TIME OPTIMIZING PLATFORM SWITCHING CONCEPT THREE YEAR CONTROLLED PROSPECTIVE STUDY Clinical Oral Implant Research 21 10 1085 2010 Canullo L CASO CLINICO AGENESIA DELL INCISIVO LATERALE SUPERIORE DESTRO Italian Dental Journal 4 16 2010 Canullo L Cocchetto R Loi PERI IMPLANT TISSUES REMODELING SCIENTIFIC BACKGROUND amp CLINICAL IMPLICATIONS Quintessenza Edizioni S r l 2010 Milano Anteprima Canullo L Sisti A EARLY IMPLANT LOADING AFTER VERTIC
7. 012 0 002 Iron 0 25 0 10 Oxygen 0 13 0 02 Aluminium 5 50 6 50 0 40 Vanadium 3 50 4 50 0 15 Titanium remainder Mechanical properties Maximum allowed values Tensile stress for bar diameters up to 44 45 mm 860 MPa N mm Yield strength 0 2 795 MPa N mm Elongation at yield 10 Section reduction 25 This technical information complies with the express specifications of the regulations in force for the use of grade 5 titanium in implantology PMMA Chemical designation Polymethylmethacrylate Colour Transparent Physical and mechanical properties Density DIN 53479 1 18 g cm Compressive yield strength ISO 527 DIN 53454 110 N mm Elongation at Break DIN 53455 ISO 527 5 5 Flexural strength 115 N mm Modulus of elasticity ISO 527 DIN 53457 3300 N mm Tangent modulus of elasticity at ca Hz DIN 53445 1700 N mm BRINELL HARDNESS BALL FALLING DIN 53456 200 N mm Thermal properties Linear expansion coefficient for 0 50 DIN VDE 0304 01 70 10 1 C Thermal conductivity DIN 52612 0 19 W m C Oven temperature 160 C Regaining temperature gt 80 C Continuous max exercise temperature 18 C VICAT temperature proceeding B DIN 53460 115 C ISO 75 flection resistance 1 80 N mm2 DIN 53461 105 C Heat resistance according Martens DIN 53458 95 C Various data Water a
8. A CLINICAL STUDY OF THE OUTCOMES AND COMPLICATIONS ASSOCIATED WITH MAXILLARY SINUS AUGMENTATION International Journal of Oral Maxillofacial Implants 21 1 81 5 2006 Covani U Barone A Cornelini R Crespi R CLINICAL OUTCOME OF IMPLANTS PLACED IMMEDIA TELY AFTER IMPLANT REMOVAL Journal of Periodontology 77 722 727 2006 Petrillo N CARICO IMMEDIATO POST ESTRATTIVO SU MONOIMPIANTI MASCELLARI Dental Cadmos 8 37 45 2006 Sbordone L Guidetti F Menchini Fabris G B Sbordone C LANGERHANS CELL HISTIOCYTOSIS A CASE REPORT OF AN EOSINOPHILIC GRANULOMA OF THE MANDIBLE TREATED WITH BONE GRAFT SURGERY AND ENDOSSEOUS TITANIUM IMPLANTS International Journal of Oral and Maxillofacial Implants 21 124 130 2006 Seganti P TORONTO IN FIBRA UN ALTERNATIVA MODERNA Quintessenza Odontotecnica 3 30 38 2006 Barone A Crespi R Santini S Cornelini R Covani U RIALZO DEL SENO MASCELLARE IN CASI DI SPLIT MOUTH OSSERVAZIONI ISTOLOGICHE Italian Oral Surgery 2 19 24 2005 Conserva E Tealdo l Acquaviva A Bevilacqua E Volpara G Pera P ANALISI MORFOLOGICA E VALUTAZIONE DELLA PROLIFERAZIONE CELLULARE IN RELAZIONE A DIFFERENTI TRATTAMENTI DI SUPERFICIE IMPLANTARE STUDIO IN VITRO Implantologia 4 303 317 2005 Covani U Barone A Marconcini S Cornelini R IMPIANTI POSTESTRATTIVI A PROTESIZZAZIONE IMMEDIATA STUDIO CLINICO PRELIMINARE Implantologia Orale 5 11 40 45 2005 Pappalardo S Baglio O A Carlino P Gras
9. Implant Research 15 180 186 2004 Cassetta M Dell Aquila D Calasso S Quaranta A LA MODULAZIONE DEI TEMPI DELLA TERAPIA IMPLANTARE ANALISI DELLA FREQUENZA DI RISONANZA AFR Dental Cadmos 1 1 30 2004 Covani U Barone A Cornelini R Crespi R SOFT TISSUE HEALING AROUND IMPLANTS PLACED IMMEDIATELY AFTER TOOTH EXTRACTION WITHOUT INCISION A CLINICAL REPORT The Internatio nal Journal Of Oral and Maxillofacial Implants 19 4 549 553 2004 Covani U Crespi R Cornelini R Barone A IMMEDIATE IMPLANTS SUPPORTING SINGLE CROWN RESTORATION A 4 YEAR PROSPECTIVE STUDY Journal of Periodontology 75 7 982 8 2004 Covani U Bortolaia C Barone A Sbordone L BUCCO LINGUAL CRESTAL BONE CHANGES AFTER IMMEDIATE AND DELAYED IMPLANT PLACEMENT Journal of Periodontology 75 12 1605 12 2004 Morra M Cassinelli C Crespi R Covani U VALUTAZIONE IN VITRO DI UNA NUOVA SUPERFICIE IMPLANTARE CON MORFOLOGIA NANO STRUTTURATA Il Circolo Rivista Periodica di Odontosto matologia 1 27 34 2004 Perrotti V Scarano A lezzi G Piattelli A RISPOSTA OSSEA AD IMPIANTI A SUPERFICIE ANODIZZA TA Il Circolo Rivista Periodica di Odontostomatologia 1 13 20 2004 Postiglione L Di Domenico G Ramaglia L di Lauro A E Di Meglio F Montagnani S DIFFERENT TITANIUM SURFACES MODULATE THE BONE PHENOTYPE OF SAOS 2 OSTEOBLAST LIKE CELLS European Journal of Histochemistry 49 3 213 222 2004 Bellabona G IMPIANTO POST ESTRATTIVO CON INNE
10. Lubricate the spring inside the ratchet handle as shown in the figure Assemble the torque adjustment screw making sure the instrument functions properly Manually activate the wheel pawl adjustment screw Sterilisation in a vacuum autoclave proceeding as follows Temperature 121 124 C with autoclave cycle of at least 20 minutes and drying cycle of 15 minutes This procedure is important in order to preserve the precision of the instrument within a tolerance of 3 5Ncm Operate the torque and insertion mechanism to check their proper functioning Remove any traces of lubricant from the outer surface of the key Place the device in suitable sterilisation bags It is recommended to practise the disassembly and reassembly operations following the instructions 39 40 GENERAL INDICATIONS Responsibility for defective products and warranty terms Optimal patient care and attention to their needs are necessary conditions for the success of implantation procedures and therefore patients must be carefully selected and informed of the associated risks and obligations connected with the treatment and encouraged to cooperate with the odontologist in the interests of the success of the same treatment The patient must therefore maintain good hygiene which should be confirmed during check up appointments guaranteed and recorded and the practitioner s instructions and orders shall be observed The warranty only covers manufacturing defects
11. MASCELLARE UTILIZZANDO PLASMA RICCO DI PIASTRINE E SOLFATO DI CALCIO Doctor OS 6 725 730 2002 Covani U Barone A IMPIANTI IMMEDIATI E PLASMA RICCO DI PIASTRINE CASO CLINICO Dental Cadmos 10 79 85 2002 Cilenti C Grasso G Pinco S Pulvirenti G SISTEMA COMBINATO PER LA CARATTERIZZAZIONE A FATICA DI MATERIALI IMPLANTOLOGICI E PROTESICI Relazione interna Universit di Catania 2001 Conforti A Madini G MONO IMPIANTI REALIZZAZIONI PROTESICHE CON L AUSILIO DI VETROPO LIMERI OCCLUSO FUNZIONALI Rassegna Odontotecnica 9 33 48 2000 43 MP IMP CONOWELD E Rev 03 14 Sweden amp Martina S p A Sweden amp Martina Mediterranea S L H Via Veneto 10 Sorolla Center Oficina 801 sweden amp martina 35020 Due Carrare PD Italy Av da Cortes Valencianas 58 8pl www sweden martina com Tel 39 049 9124300 46015 Valencia Espa a Fax 39 049 9124290 Tel 34 96 3525895 info sweden martina com info es sweden martina com Numero gratuito 900993963 ge E ame abi lt a i Contents up to date at time of publication Check with the company for any subsequent updates
12. STRUMENTAZIONE Dynamometric ratchet CRI5 The surgical kit of the implant system contains a special ratchet CRI5 with its own adjustment key for quickly screwing the torque adjustment ring nut and with gel lubricant for maintenance The ratchet may be used with torque adjustment from 10 to 70 Ncm or in a blocked position without torque control When using as a prosthetic ratchet for fastening the screws refer to the torque values given in the table on the previous page The ratchet key CRI5 is a multi purpose instrument that can be disassembled and is sold unsterile It is included in the Screw Kit and in all surgical kits of Sweden amp Martina Implant Systems It is also available as a replacement eR 3 a a IMPORTANT WARNING All components that are to be tightened at a torque of less than 10 Ncm must be tightened by hand For example Transfer screws to be tightened at 8 Ncm Before each use this instrument must be cleaned and sterilised according to the instructions on pages 38 39 Adequate maintenance performed following in detail all the step by step instructions for the disassembly and correct reassembly of the device during cleaning operations is essential for the correct functioning of the device and for its durability Personnel who use this tool must be suitably trained and they must have read the instructions in this manual prior to handling the device After sterilisation the key is ready for use A test to veri
13. This practice is valid and does not alter the concept of disposable provided the same prosthetic component is always used by the same patient and him her alone In the case of multiple restorations it is important that the same component is always used in the same position and connected to the same implant i e that the components are not switched within the same rehabilitation Failure to comply with these indications may compromise the precision of the work Any reuse in other patients must be considered off label use and in such cases Sweden amp Martina declines all responsibility 37 38 GENERAL INDICATIONS Special warnings When tightening post screws always use the tightening torques indicated below Passing screws for fastening posts to the implants 20 25 Ncm Excessive tightening torques can weaken the screws mechanical structure and compromise restoration stability with potential damage to the implant connection Maintenance Some implant restoration related complications are reported in the literature These complications may lead to a loss of osseointegration and implant failure Correct maintenance by the patient good home dental care and regular sessions with a professional hygienist increase the device s service life Complications such as the pull out of screws that fasten the restoration to the implants can be easily prevented with regular check ups If post or prosthetic connecting screws are needed th
14. handling the devices both during use and during cleaning and sterilisation practitioners should at all times use surgical gloves for personal protection against bacterial contamination Failure to comply with these warnings may lead to cross infection The packaging conforms to European standards Identification of the manufacturer The manufacturer of the prosthetic components and of the instruments described in this manual is Sweden amp Martina Via Veneto 10 35020 Due Carrare Padova Italy Tel 39 049 9124300 Fax 39 049 9124290 e mail info sweden martina com www sweden martina com Risk Classes In accordance with Directive 93 42 EEC adopted in Italy with L D 46 97 of 26 March 1997 Annex IX Sweden amp Martina identifies the prosthetic components and the surgical instruments described in this manual as medical devices and identifies the risk class as shown in the following table Even though they can be used in all patients who have the suitable therapeutic indications all the devices listed must only be used by professional dentists or surgeons with the necessary qualifications and training and by dental technicians in the preparation of the prostheses Device Caps for taking impressions on posts Conoweld posts and the respective locker taping caps both temporary and final Classification Short term invasive surgical components Long term invasive surgical components for use in the oral cavity Packag
15. into extraction sockets of maxillary incisors in dogs Clinical Oral Implant Research 22 2011 430 437 DOI 10 1111 j 1600 0501 2010 02122 x De Santis E Lang N P Scala A Vigan P Salata L A Botticelli D Healing outcomes at implants installed in grafted sites an experimental study in dogs Clinical Oral Implant Research Early View First Published online on 2011 October 3rd DOI 10 1111 j 1600 0501 2011 02326 x Caneva M Botticelli D Morelli F Cesaretti G Beolchini M Lang N P Alveolar process preser vation at implants installed immediately into extraction sockets using deproteinized bovine bone mineral an experimental study in dogs Clinical Oral Implant Research Early View First Published online on 2011 October 21st DOI 10 1111 j 1600 0501 2011 02332 x Caneva M Botticelli D Rossi F Carvalho Cardoso L Pantani F Lang N P Influence of implants with different sizes and configurations installed immediately into extraction sockets on peri implant hard and soft tissues an experimental study in dogs Clinical Oral Implant Research Early View First Published online on 2011 September 29th DOI 10 1111 j 1600 0501 2011 02310 x Vignoletti F De Sanctis M Sanz M Impianti immediati post estrattivi fattori critici per la guarigio ne dei tessuti I Dentista Moderno 9 94 114 2011 Farronato D Santoro G Canullo L Botticelli D Maiorana C Lang N P Establishment of the epithelial attachment and conne
16. on healing and bone regeneration e alcohol abuse smoking and use of drugs e immunosuppressive therapy such as chemotherapy and radiotherapy e infections and inflammations such as periodontitis and gingivitis e poor oral hygiene e inadequate motivation e occlusion and or articulation disorders as well as an inadequate interocclusal space e inadequate alveolar process It is contraindicated to insert implants and prostheses in patients with poor general or oral health those who are unable to monitor their general conditions properly or those who have had organ transplants Psychologically unstable patients and poorly motivated or uncooperative patients should also be considered unsuitable for this kind of treatment Patients with poor periodontal health should first be treated and allowed to recover In the presence of a lack of bone substance or poor quality of the receiving bone such as to compromise the stability of the implant suitable guided tissue regeneration must be performed prior to implant treatment Contraindications also include bruxism allergy to titanium extremely rare acute or chronic infectious diseases sub acute chronic maxillary osteitis systemic diseases endocrine disorders diseases resulting in microvascular disorders pregnancy breastfeeding previous exposure to radiation haemophilia neutropenia steroid use diabetes mellitus kidney failure and fibrous dysplasia The normal contraindications common to al
17. switching versus conventionally restored implants Journal of Clinical Periodontology 2012 39 1097 1113 DOI 10 1111 1600 051X 2012 01930 x Csonka M Switching Platform chirurgico e protesico Italian Dental Journal 2012 08 24 Lang N P Pun L Lau K Y Li K Y Wong M C A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 Clinical Oral Implants Research 2012 23 Suppl 5 39 66 DOI 10 1111 j 1600 0501 2011 02372 x Ortega Martinez J P rez Pascual T Mereque Bueno S Hernandez Alfaro F Ferr s Padro E Immediate Implants following tooth extraction A systematic review Medicina Oral Patologia Oral y Cirug a Bucal 2012 17 251 261 DOI 10 4317 medoral 17469 Vignoletti F Morante Mudarra S Lorenzo Vignau R Oteo P rez A Rodrigo G mez D Implantes immediatos en alveolos posextracci n Factores cr ticos en la cicatrizaci n de los tejidos duros y blandos Maxillaris Ciencia y Actualidad Profesional e Industrial del Sector Dental 2012 XV 155 110 126 Bruschi G Crespi R Cappar P Gherlone E Clinical study of flap design to increase the keratinized gingiva around implants 4 year follow up Journal of Oral Implantology Early View First published online in 2012 November DOI 10 1563 AAID JOI D 11 00236 1 Canullo L Gotz W Peri implant hard tissue response to glow discharged abutments Prospective study
18. titanium caps for intraoral welding at the temporary stage and together with the corresponding permanent caps to achieve rehabilitation with conometric retention both partial and full arch Completing the range is a handy cap in PMMA which can be used for a snap on impression as well as for casting and a laboratory analog that can be easily repositioned not only on the impression but also on the fixed structure PROSTHETIC COMPONENTS Conoweld prosthetics for Premium Kohno and Shelta Implants Conoweld conical posts The grade 5 titanium posts that form part of the Conoweld prosthetic range have been specifically designed to rest securely on the COLLEX collar This makes it possible to have only two posts for the Premium and Kohno platforms one with a hexagon with a 2 30 mm key for platforms with implant diameters of 3 30 mm and 3 80 mm and one with a hexagon with a 2 50 mm key for platforms with implant diameters of 4 25 mm 5 00 mm and 6 00 mm without any difference between straight and SP implant emergences The Shelta implants which share the same connection with a hexagon with a 2 30 key use the same Conoweld post POSTS WITH A 2 30 MM HEXAGON The same Conoweld straight and angled posts with a 2 30 mm hexagon are used on Premium Kohno implants with 3 30 and 3 80 mm and on all diameters of Shelta implants that is 3 80 4 25 and 5 00 mm LALLA 8 SALA Premium 3 30 Premium 3 80 Shelta 3 80 Shelta 4 25 She
19. 011 02271 x Bruschi G B Crespi R TECNICHE DI ESPANSIONE OSSEA IN CHIRURGIA IMPLANTARE Quintes senza Edizioni S r l 2011 Milano Anteprima Avellino W Milan U Delle Rose D SOLUZIONI CLINICHE E TECNICHE PER LA REALIZZAZIONE DI UN PROVVISORIO FULL ARCH SU IMPIANTI CON FUNZIONE IMMEDIATA NumeriUno 7 11 13 2010 Branchi R Vangi D Virga A Guertin G Fazi G RESISTANCE TO WEAR OF FOUR MATRICES WITH BALL ATTACHMENTS FOR IMPLANT OVERDENTURES A FATIGUE STUDY Journal of Prosthodontics 19 8 614 619 2010 Bruschi G B Crespi R Cappar P Gherlone E TRANSCRESTAL SINUS FLOOR ELEVATION A RETROSPECTIVE STUDY OF 46 PATIENTS UP TO 16 YEARS Clinical Implant Dentistry and Related Research 2010 Oct 26 Caneva M Salata L A Scombatti de Souza S Baffone G Lang N P Botticelli D INFLUENCE OF IMPLANT POSITIONING IN EXTRACTION SOCKETS ON OSSEOINTEGRATION HISTOMORPHOME TRIC ANALYSES IN DOGS Clinical Oral Implant Research 21 43 49 2010 Caneva M Salata L A Scombatti de Souza S Bressan E Botticelli D Lang N P HARD TISSUE FORMATION ADJACENT TO IMPLANTS OF VARIOUS SIZE AND CONFIGURATION IMMEDIATELY PLACED INTO EXTRACTION SOCKETS AN EXPERIMENTAL STUDY IN DOGS Clinical Oral Implant Research 21 9 885 90 2010 Caneva M Botticelli D Stellini E Souza S L Salata L A Lang N P MAGNESIUM ENRICHED HYDROXYAPATITE AT IMMEDIATE IMPLANTS A HISTOMORPHOMETRIC STUDY IN DOGS Clinical Oral Implant Research Early View
20. 177 2011 DOI 10 1902 jop 2010 100428 Ramaglia L Postiglione L Di Spigna G Capece G Salzano S Rossi G Sandblasted acid etched titanium surface influences in vitro the biological behavior of Sa0S 2 human osteoblast like cells Dental Material Journal 30 183 192 2011 DOI 10 4012 dmj 2010 107 Scala A Botticelli D Faeda R S Rangel G Jr de Oliveira J A Lang N P Lack of influence of the Schneiderian membrane in forming new bone apical to implants simultaneously installed with sinus floor elevation an experimental study in monkeys Clinical Oral Implant Research Early View First Published online on 2011 June 13th DOI 10 1111 j 1600 0501 2011 02227 x Rossi F Botticelli D Pantani F Pereira F P Salata L A Lang N P Bone healing pattern in surgically created circumferential defects around submerged implants an experimental study in dog Clinical Oral Implant Research Early View First Published online on 2011 March 28th DOI 10 1111 1600 0501 2011 02170 x Caneva M Botticelli D Pantani F Baffone G M Rangel 1 G Jr Lang N P Deproteinized bovine bone mineral in marginal defects at implants installed immediately into extraction sockets an experimental study in dogs Clinical Oral Implant Research Early View First Published online on 2011 May 5th DOI 10 1111 j 1600 0501 2011 02202 x De Santis E Botticelli D Pantani F Pereira F P Beolchini M Lang N P Bone regeneration at implants placed
21. 36 An insertion torque of 65 Ncm was applied Two final conical posts of reduced diameter In the same surgical phase the Conoweld The caps are fixed with intra oral welding for use with the Conoweld conometric system preformed conometric caps were positioned DENT WELD distributed by Sweden amp were positioned on the implants Martina using a titanium bar with a 1 5 mm diameter The result is an extremely precise prosthetic that is removable which means that a temporary prosthesis can be made for immediate loading Br The welded caps are removed in order to check for passivity and to see whether they can be Once the electro welded structure has been incorporated into the prefabricated temporary prosthesis repositioned on the posts direct relining is carried out on the temporary prosthesis in order to incorporate this structure and therefore obtain a reinforced removable prosthesis that will also have the advantage of fixing the implants Removal of the relined temporary prosthesis which will then be finished and polished Application of the temporary prosthesis without cement exploiting the properties of the morse cone X rays which highlight the precision of the components and the switching platform achieved with this type of post Sweden amp Martina Conclusions This case report shows how using this technique a prosthesis for immediate loading can be made that complies with the concepts of platform switchi
22. 8 Milano Crespi R Cappar P Gherlone E Romanos G E IL CARICO IMMEDIATO IN IMPIANTI POSTE STRATTIVI IMMEDIATI Implantologia anno 6 marzo 2008 Crespi R Cappar P Gherlone E Romanos G E IMMEDIATE VERSUS DELAYED LOADING OF DENTAL IMPLANTS PLACED IN FRESH EXTRACTION SOCKETS IN THE MAXILLARY ESTETHIC ZONE A CLINICAL COMPARATIVE STUDY International Journal of Oral Maxillofacial Implants 23 753 758 2008 Lenzi C C LA RIABILTAZIONE IMPLANTOPROTESICA FUNZIONALE ED ESTETICA CON SINUS LIFT MONOLATERALE CASE REPORT Implantologia 4 63 65 2008 Risitano G Franceschini G Cicci M Maiorana C ANALISI PARAMETRICA DELL EFFICIENZA DEL SISTEMA PROTESI TIPO TORONTO XXXVII Convegno Nazionale AIAS Associazione Italiana per l Analisi delle Sollecitazioni 10 13 settembre 2008 Universit di Roma la Sapienza Atti del Congresso Scipioni A Calesini G Micarelli C Coppe S Scipioni L MORPHOGENIC BONE SPLITTING DE SCRIPTION OF AN ORIGINAL TECHNICQUE AND ITS APPLICATION IN AESTHETICALLY SIGNIFICANT AREAS The International Journal of Prosthodontics 21 5 389 397 2008 Tagliani M Morandini E RIABILITAZIONE IMPLANTO PROTESICA BIMASCELLARE DI UN PAZIENTE CON GRAVE ATROFIA OSSEA MEDIANTE TECNICA DI ESPANSIONE CRESTALE ASSOCIATA A CARICO IMMEDIATO NELL ARCATA INFERIORE E A RIALZO DI SENO MASCELLARE LOCALIZZATO CON APPROCCIO CRESTALE NumeriUno 2 10 12 04 06 2008 Covani U Marconcini S Galassini G Cornelini R Santi
23. AL RIDGE AUGMENTATION VRA USING E PTFE TITANIUMREINFORCED MEMBRANE AND NANOSTRUCTURED HYDROXYAPATITE 2 YEAR PROSPECTIVE STUDY European Journal Oral Implantology 3 1 59 69 2010 Canullo L Patacchia O Sisti A Heinemann F IMPLANT RESTORATION 3 MONTHS AFTER ONE STAGE SINUS LIFT SURGERY IN SEVERELY RESORBED MAXILLAE 2 YEAR RESULTS ON A MULTI CENTER PROSPECTIVE CLINICAL STUDY Clinical Implant Dentistry and Related Research Early view Published online in ahead of printing 21 10 2010 Cicci M Risitano G Maiorana C Herford A Oteri G Cicci D TORONTO SCREWED MANDIBULAR OVERDENTURE ON DENTAL IMPLANTS FEM AND VON MISES ANALYSIS OF STRESS DISTRIBUTION The Journal of Implants and Advanced Dentistry 2 9 41 58 2010 Covani U Marconcini S Santini S Cornelini R Barone A IMMEDIATE RESTORATION OF SINGLE IMPLANTS PLACED IMMEDIATELY AFTER IMPLANT REMOVAL A CASE REPORT International Journal of Periodontics amp Restorative Dentistry 30 639 645 2010 Crespi R Cappar P Gherlone E OSTEOTOME SINUS FLOOR ELEVATION AND SIMULTANEOUS IMPLANT PLACEMENT IN GRAFTED BIOMATERIAL SOCKETS 3 YEARS OF FOLLOW UP Journal of Periodontology 81 344 349 2010 Crespi R Cappar P Gherlone E A 4 YEAR EVALUATION OF THE PERI IMPLANT PARAMETERS OF IMMEDIATE LOADED IMPLANTS PLACED IN FRESH EXTRACTION SOCKETS Journal of Periodonto logy 81 11 1629 1634 2010 Crespi R Cappar P Gherlone E IMMEDIATE LOADING OF DENTAL IM
24. AMENTE GUIDATA NumeriUno 5 8 14 2009 Calesini G Micarelli C Coppe S Scipioni A EDENTOLOUS SITE ENHANCEMENT A REGENERATIVE APPROACH TO THE MANAGEMENT OF EDENTULOUS AREAS PART 2 PERI IMPLANT TISSUES International Journal of Periodontics amp Restorative Dentistry 29 1 49 57 2009 Canullo L lurlaro G lannello G DOUBLE BLIND RANDOMIZED CONTROLLED TRIAL STUDY ON POSTEXTRACTION IMMEDIATELY RESTORED IMPLANTS USING THE SWITCHING PLATFORM CONCEPT SOFT TISSUE RESPONSE PRELIMINARY REPORT Clinical Oral Implant Research 20 4 414 420 2009 Canullo L Goglia G lurlaro G and lannello G SHORT TERM BONE LEVEL OBSERVATIONS ASSOCIATED WITH PLATFORM SWITCHING IN IMMEDIATELY PLACED AND RESTORED SINGLE MAXILLARY IMPLANTS A PRELIMINARY REPORT International Journal of Prosthodontics 22 3 277 282 2009 Canullo L lannello G Jepsen S MATRIX METALLOPROTEINASES AND BONE LOSS AT IMPLANTS RESTORED ACCORDING TO THE PLATFORM SWITCHING CONCEPT A RANDOMIZED CONTROLLED TRIAL ON THE INFLUENCE OF DIFFERENT MISMATCHING Clinical Oral Implant Research 20 9 873 874 2009 Canullo L Vozza l Caricato F Dellavia C MAXILLARY SINUS FLOOR AUGMENTATION USING A NANO CRYSTALLINE HYDROXYAPATITE SILICA GEL A PROSPECTIVE STUDY HYSTOLOGICAL RESULTS AFTER 3 MONTHS OF HEALING Implants 2 24 27 2009 Cardelli P Montani M Gallio M Biancolini M Brutti C Barlattani A ABUTMENTS ANGOLATI E TENSIONI PERIMPLANTARI ANALISI F E M Oral I
25. C H F Schneider D Cemented and screw retained implant reconstructions a systematic review of the survival and complication rates Clinical Oral Implant Research 2012 23 Suppl 6 163 201 DOI 10 111 1 j 1600 0501 2012 02538 x Barone A Orlando B Cingano L Marconcini S Derchi G Covani U A randomized clinical trial to evaluate and compare implants placed in augmented vs non augmented extraction sockets A 3 year evaluation Journal of Periodontology 2012 83 836 846 DOI 10 1902 jop 2011 110205 Sisti A Canullo L Mottola M P lannello G Crestal minimally invasive sinus lift on severely resorbed maxillary crest prospective study Biomedizinische Technik Biomedical Engineering 2012 57 ISSN Online 1862 278X ISSN Print 0013 5585 DOI 10 1515 bmt 2011 0038 Crespi C Cappar P Gherlone E Sinus floor elevation by osteotome hand mallet versus electric mallet A prospective clinical study The International Journal of Oral amp Maxillofacial Implants 2012 27 1144 50 DOI 10 111 1 1708 8208 2012 00485 x Al Nsour M Chan H L Wang H L Effect of the platform switching technique on preservation of peri implant marginal bone a systematic review International Journal of Oral and Maxillofacial Implants 2012 27 138 145 Annibali S Bignozzi l Cristalli M P Graziani F La Monaca G Polimeni A Peri implant marginal bone level a systematic rewiew and meta analysis of studies comparing platform
26. EL MANTENIMENTO DELL OSSO PERIMPLANTARE Dental Cadmos 77 9 31 39 2009 Severi G CARICO PRECOCE DI IMPIANTI DENTALI CHE SOSTENGONO UNA PROTESI FISSA NELLA MANDIBOLA POSTERIORE EDENTULA NumeriUno 4 6 8 2009 Barone A Cornelini R Ciaglia R Covani U IMPLANT PLACEMENT IN FRESH EXTRACTION SO CKETS AND SIMULTANEOUS OSTEOTOME SINUS FLOOR ELEVATION A CASE SERIES International Journal of Periodontics Restorative Dentistry 28 3 283 9 2008 Bosisio C CARICO IMMEDIATO MANDIBOLARE NumeriUno 0 7 9 2008 Canullo L Malagnino G lurlaro G RIABILITAZIONE PROTESICA DI IMPIANTI SINGOLI A CARICO IMMEDIATO STUDIO PROSPETTICO Dental Cadmos 76 6 1 8 2008 Canullo L Nuzzoli A Marinotti F TECNICHE DI REALIZZAZIONE DI UN PROVVISORIO SU MO NOIMPIANTO A CARICO IMMEDIATO Implantologia 1 21 29 2008 Canullo L PLATFORM SWITCHING E CARICO IMMEDIATO SUL DENTE SINGOLO IN ZONA ESTETI CA NumeriUno 1 6 7 2008 Cicci M Beretta M Risitano G Maiorana C CEMENTED RETAINED VS SCREW RETAINED IMPLANT RESTORATIONS AN INVESTIGATION ON 1939 DENTAL IMPLANTS Minerva Stomatol 57 4 167 79 2008 Covani U Barone A Cornelini R BUCCAL BONE AUGMENTATION AROUND IMMEDIATE IM PLANTS WITH AND WITHOUT FLAP ELEVATION A MODIFIED APPROACH International Journal Oral and Maxillofacial Implants 23 841 846 2008 Crespi R CARICO IMMEDIATO IN IMPLANTOPROTESI PROTOCOLLI SPERIMENTALI E APPLICAZIONI CLINICHE Quintessenza Edizioni S r l 200
27. Gedrange T Biffar R Kunert Keil C Histological evaluation at different times after augmentation of extraction sites grafted with a magnesium enriched hydro xypatite double blinded randomized controlled trial Clinical Oral Implant Research Early View First Publi shed online on 2013 January 4th DOI 10 111 1 clr 12035 Canullo L Micarelli C Clementini M Carinci F Cleaning procedures on customized abutments microscopical microbiological and chemical analysis Clinical Oral Implant Research 2012 23 Suppl 7 55 56 DOI 10 111 1 clr 12019 2012 23 s7_128 Canullo L Micarelli C Lembo Fazio L lannello G Clementini M Microscopical and microbiologic characterization of customized titanium abutments after different cleaning procedures Clinical Oral Implant Research Early View First Published online on 2012 December 5th DOI 10 1111 clr 12089 Wennstrom J L Derks I Is there a need for keratinized mucosa around implants to maintain health and tissue stability Clinical Oral Implant Research 2012 23 Suppl 6 136 146 DOI 10 1111 1600 0501 2012 0254 x Sisti A Canullo L Mottola M P Covani U Barone A Botticelli D Clinical evaluation of a ridge augmentation procedure for the severely resorbed alveolar socket multicenter randomized controlled trial preliminary results Clinical Oral Implant Research 2012 23 526 535 DOI 10 1111 1600 0501 2011 02386 x Sailer I Muhlemann S Zwahlen M Hammerle
28. ON AT 24 MONTHS Journal of Periodontology 80 10 1616 1621 2009 Figliuzzi M LA TECNICA FLAPLESS INDICAZIONI E LIMITI NumeriUno 3 12 3 2009 04 07 Lenzi C LA RIGENERAZIONE DEI DIFETTI OSSEI NEI SITI POSTESTRATTIVI MEDIANTE OSSO BOVI NO DEPROTEINIZZATO VALUTAZIONE DELLE DIFFERENTI TECNICHE CHIRURGICHE Implantologia 1 51 59 2009 Maiorana C Cicci M Andreoni D Beretta M CARICO IMMEDIATO DI DENTE SINGOLO CASO CLINICO E REVISIONE DELLA LETTERATURA Journal of Osseointegration 2 1 1 10 2009 Maiorana C Cicci M Beretta M Andreoni D RISULTATI DEL TRATTAMENTO CON CARICO FUNZIONALE PRECOCE SU PROTESI TORONTO DOPO IL POSIZIONAMENTO DI IMPIANTI IN SITI POSTESTRATTIVI Journal of Osseointegration 2 1 95 100 2009 Mazzella M Prota V Mazzella A IL PONTIC A CONFORMAZIONE OVOIDALE IN PROTESI IMPIAN TARE NumeriUno 6 6 7 2009 Monguzzi R Pozzi E Franceschini F G PROTESI IN ZIRCONIO SU IMPIANTI ED ELEMENTI NATU RALI NumeriUno 6 04 05 2009 Paniz G L UTILIZZO DELLA TECNOLOGIA CAD CAM ECHO PER IL TRATTAMENTO PROTESICO DI TIPO CEMENTATO DELLE EDENTULIE SINGOLE IN ZONA ESTETICA NumeriUno 4 4 6 04 05 2009 Quaranta A Maida C Scrascia A Campus G Quaranta A ER YAG LASER APPLICATION ON TITANIUM IMPLANT SURFACES CONTAMINATED BY PORPHYROMONAS GINGIVALIS AN HISTO MORPHOMETRIC EVALUATION Minerva Stomatologica 58 317 30 2009 Ricci M Tonelli P Barone A Covani U RUOLO DEL PLATFORM SWITCHING N
29. PLANTS PLACED IN PERIODONTALLY INFECTED AND NON INFECTED SITES IN HUMANS A FOUR YEARS FOLLOW UP CLINICAL STUDY Journal of Periodontology 81 8 1140 1146 2010 Crespi R Cappar P and Gherlone E FRESH SOCKET IMPLANTS IN PERIAPICAL INFECTED SITES IN HUMANS Journal of Periodontology 81 378 383 2010 Galli C Passeri G Piemontese M Lumetti S Manfredi E Carra M C Macaluso G M PHOSPHOSERINE POLY LYSINE COATINGS PROMOTE OSTEOBLASTIC DIFFERENTIATION AND WNT SIGNALING ON TITANIUM SUBSTRATES Clinical Oral Implant Research 21 10 1172 2010 Mantoan G LE CORONE PROVVISORIE IMMEDIATE SU IMPIANTI GLOBAL METODICA CLINICA NumeriUno 7 17 18 2010 Momen A A Hadeel M I Ahmad H A PLATFORM SWITCHING FOR MARGINAL BONE PRESERVA TION AROUND DENTAL IMPLANTS A SYSTEMATIC REVIEW AND META ANALYSIS Journal of Periodontology 81 10 1350 1366 2010 Pantani F Botticelli D Rangel Garcia Jr Salata L A Jayme Borges G Lang N P INFLUENCE OF LATERAL PRESSURE TO THE IMPLANT BED ON OSSEOINTEGRATION AN EXPERIMENTAL STUDY IN DOGS Clinical Oral Implant Research 21 11 1264 70 2010 Passeri G Cacchioli A Ravanetti F Galli C Elezi E Macaluso G M ADHESION PATTERN AND GROWTH OF PRIMARY HUMAN OSTEOBLASTIC CELLS ON FIVE COMMERCIALLY AVAILABLE TITANIUM SURFACES Clinical Oral Implant Research 21 756 765 2010 Raddi F ANALISI COMPARATIVA TEST DI RESISTENZA A FATICA SPERIMENTALI E VIRTUALI Relazio ne interna Sweden
30. Premium Kohno SP implants Shelta implants 3 30 mm 3 80 4 25 5 00 mm 3 80 4 25 5 00 mm 3 80 4 25 5 00 mm The strength properties of the COLLEX connection are also documented by a study carried out by the group of Prof Covani in which this connection was compared with another internal hexagon connection but without the external prosthetic collar the results highlighted values 25 higher in terms of robustness and stability of the prosthetic COLLEX compared to the connection without collar Covani U Ricci M Tonelli P Barone A An evaluation of new designs in implant abutment connections a finite element method assessment Implant Dentistry Volume 22 Number 3 2013 IMPORTANT WARNING With the same implant diameter the implants with Straight emergence and with Switching Platform emergence use the same prosthetic components for this reason no distinction will be made in this manual between the two different emergences Switching Platform The Switching Platform protocol a prosthetic technique widely supported by scientific literature aims to distance the implant post junction from the crestal bone This result may be achieved either by designing ad hoc an enlarged emergence at the level of the neck of the implant or by using posts with a diameter smaller than the implant platform when the geometer of the connection is the same for all the sizes in the range Premium Kohno SP implants are specifically designed for
31. STO DI OSSO AUTOLOGO E MEMBRANA NON RIASSORBIBILE Il Dentista Moderno 7 9 121 126 2003 Biancolini M Brutti C STUDIO COMPARATIVO DEL COMPORTAMENTO MECCANICO DI QUATTRO IMPIANTI Relazione interna Sweden amp Martina 15 gennaio 2003 Cassetta M Vozzolo S V Stasolla A Marini M LA RISONANZA MAGNETICA NELLA VALUTAZIONE PREIMPLANTARE Dental Cadmos 3 19 37 2003 Covani U Cornelini R Barone A BUCCO LINGUAL BONE REMODELING AROUND IMPLANTS PLACED INTO IMMEDIATE EXTRACTION SOCKETS A CASE SERIES Journal of Periodontology 74 2 268 73 2003 Covani U Barone A Cornelini R Gherlone E RADIOGRAPHIC BONE DENSITY AROUND IMME DIATELY LOADED ORAL IMPLANTS Clinical Oral Implant Research nr 14 5 610 615 2003 Marzo G Di Martino S Marchetti E Mummolo S VALUTAZIONE RETROSPETTIVA DELLA METODI CA IMPLANTARE POSTESTRATTIVA 10 ANNI DI OSSERVAZIONE Doctor OS 14 4 366 379 2003 Masolini P IMPIANTO POSTESTRATTIVO IMMEDIATO Il Dentista Moderno 4 115 122 2003 Postiglione L Di Domenico G Ramaglia L Montagnani S Salzano S Di Meglio F Sbordone L Vitale M Rossi G BEHAVIOR OF SAOS 2 CELLS CULTURED ON DIFFERENT TITANIUM SURFACES Journal of Dental Research 82 9 692 696 2003 Scarano A lezzi G Petrone G Quaranta A Piattelli A VALUTAZIONE DELLA DENSIT OSSEA PERIMPLANTARE UNO STUDIO SPERIMENTALE SU CONIGLIO Il Dentista Moderno 5 95 107 2003 Covani U Barone A Cornelini R RIALZO DEL SENO
32. The technique involving the intraoral welding of the temporary caps in titanium is carried out by using equipment specifically designed for the purpose and which melt two pieces of titanium together with a high intensity electric charge being passed through the point of contact but for such a short time a few milliseconds that the surrounding tissues are not heated at all The cap for the temporary stage is welded to a titanium bar in order to create a structure that is solid but can be removed without having to unscrew the posts In addition being passivated in the mouth this can operate as a reliable control key for accurately transferring an impression to the laboratory ZEN The final cap works on the same operating principle as the temporary cap not needing to be of a thickness that is sufficient for the intraoral welding it takes up far less space making it easy to position in the prosthetic The Conoweld post can operate as a temporary as well as a permanent solution Here it has the advantage of eliminating the biological stress linked to screwing unscrewing and replacing the prosthetic components protecting the intimate bond that is created between the mucous tissues and the emergence of the post This system currently available for Premium Kohno and Shelta implants of all diameters includes posts with a conical body that are straight as well as at 5 10 and 15 angles to be used together with the special
33. a Premiu A n N sweden martina PROSTHETIC MANUAL Connection platform 6 Prosthetic components 8 Instruments 14 TABLE UF CONTENTO Use Protocols 18 General indications 34 Bibliography y z 41 Sweden amp Martina develops and manufactures implant systems that offer excellent clinical performance hand in hand with perfect cosmetic results The prosthetic components available reflect the company s updating and development capacity and cover all the requirements of prosthodontists and laboratories The same quality obtained for the production of implants is also guaranteed for the prosthesis from abutments to screws every single part is milled with certified CNC machines and not moulded Training courses continuous refresher courses and extensive assistance distinguish the service and reliability that have made Sweden amp Martina a leader in the Italian implant market NP sweden martina KOHNO SWITCHING PLATFORM Characterised by tapering accentuated by the bevel for the Switching Platform PREMIUM SWITCHING PLATFORM The morphology is the result of clinical findings Premium Konno PREMIUM 3 30 MM Dedicated to intraforaminal sectors and useful with thin bone crests or to replace upper lateral incisors SHORTY IMPLANTS Intended for bone crests with reduced vertical development KOHNO STRAIGHT The same connection combined with a co
34. a temporary prosthesis in resin and then return to the patient in order to position this in the mouth 25 26 USE PROTOCOLS Indirect protocol impression with Conoweld transfer caps in PMMA As an alternative the impression can be taken using the spe cial Conoweld caps in PMMA inserting them on the Cono weld posts and gently applying manual pressure Fix the caps between each other using resin and wire if de sired Take a closed tray impression ensuring that vertically the caps and posts are included in the impression material in their entirety Leave to harden for the amount of time indica ted by the manufacturer Lift the impression tray the PMMA caps will remain securely incorporated in the hardened material Reposition the Conoweld analogs in the caps now incorpo rated into the impression material and send the impression to the laboratory together with the intraorally welded struc ture Cast the model in the usual way IMPORTANT WARNING As the emerging portion of all of the posts is equal there l is one analog only code ANA TS for all the straight and angled posts of any diameter The resulting model can be used to build over it a reinforce ment for the temporary prosthesis which is welded in the laboratory or obtained via traditional techniques using the locker taping components of the system Test the passivity of the structure on the model whether created intraorally or in the laboratory
35. ace between the two materials 2 Welding stage It is extremely important at this stage that pressure is maintained in order to keep the joints coupled to act on contact resistance and to concentrate maximum resistance at the centre It is recommended at this stage not to apply any force that resists the action of the pre load spring in the forceps 3 Cooling stage Having completed the welding pressure must be maintained for a few seconds around five in order to allow the heat that has been generated to dissipate via the electrodes Drivers Connecting screws for all Conoweld posts can be screwed using the following drivers included within all surgical and prosthetic kits for Sweden amp Martina implants They can also be ordered separately as spare parts code description Driver for tap screws and connecting screws digital extra short HSMXS 20 DG ors Driver for tap screws and connecting screws digital short HSM 20 DG Driver for tap screws and connecting screws digital long Driver for connecting screws with connector for dynamometric ratchet or digital connector short Driver for connecting screws with connector for dynamometric ratchet or digital connector long HSML 20 EX Driver for connecting screws with connector for dynamometric ratchet or digital connector extra long HSMXL 20 EX co a Driver for connecting screws with right angle shank HSM 20 CA 16
36. al Implants Research 2013 24 250 254 DOI 10 1111 1600 0501 2012 02512 x Crespi R Cappar P Gherlone E A comparison of manual and electrical mallet in maxillary bone condensing for immediately loaded implants a randomized study Clinical Implant Dentistry and Related Research Early View First Published online on 2012 August 15th DOI 10 1111 j 1708 8208 2012 00485 x Calvo Guirado J L Boquete Castro A Negri B Delgado Ruiz R Gomez Moreno G lezzi G Crestal bone reactions to immediate implants placed at different levels in relation to crestal bone A pilot study in foxhound dogs Clinical Oral Implant Research Early View First Published online on 2013 January 25th DOI 10 111 1 clr 12110 Scala A Lang N P Schweikert M T de Oliveira J A Rangel Garcia Jr Botticelli D Sequential healing of open extraction sockets An experimental study in monkeys Clinical Oral Implant Rese arch Early View First Published online on 2013 April 1st DOI 10 111 1 clr 12148 Rossi F Lang N P Favero G Pantani F Tschon M Botticelli D Bone healing pattern at the surfa ce of titanium implants an experimental study in the dog Clinical Oral Implant Research 2012 23 Suppl 7 76 77 DOI 10 111 1 clr 12019 2012 23 s7_171 Sivolella S Bressan E Salata L A Urrutia Z A Lang N P Botticelli D Osteogenesis at implants without primary bone contact An experimental study in dogs Clinical Oral Implant Re
37. as long as the faulty piece is identified by the article code and batch number and returned within the validity period of the warranty Warning The prosthetic components manufactured by Sweden amp Martina are designed for use with dental implants and prosthetic instruments also manufactured by Sweden amp Martina Use of non original components limits the responsibility of Sweden amp Martina S p A and renders the product warranty void Prosthetic components must be fastened to the implants using dedicated instruments When tightening prosthetic components use original instruments manufactured by Sweden amp Martina Sweden amp Martina declines all responsibility for use of any non original instruments The instruments manufactured by Sweden amp Martina are designed for use with dental implants and prosthetic components also manufactured by Sweden amp Martina Use of the instruments for working with implants other than those manufactured by Sweden amp Martina limits the responsibility of Sweden amp Martina and renders the product warranty void Sweden amp Martina declines all responsibility for use of any non original instruments The devices in this user manual are designed and manufactured in accordance with the most recent directives and harmonised standards regarding the materials used production processes sterilisation information supplied and packaging Marked on each package are the code a description of the content and the ba
38. at value by rescrewing the ring nut in a clockwise direction The ring nut may be screwed and unscrewed by hand but to speed up these operations the kit also contains a driver that allows it to be turned quickly Any deterioration of the screwing insertion and torque mechanisms must be checked by personnel responsible for the use and maintenance of this dental instrument The pieces of this mechanism are not interchangeable one piece from one key cannot be replaced by a piece from another key as each ratchet is calibrated INDIVIDUALLY If a piece is lost please return the instrument to Sweden amp Martina for repair No components for assembling the ratchet can be sold individually Failure to follow the instructions provided may cause problems of maintenance and stability of the prosthesis 17 USE PROTOCOLS Fixing stage endoral welding on Conoweld caps for immediate loading Position the Conoweld posts on the implants accurately as sessing the transgingival height that is the most suitable and the angle that is most appropriate in the case of disparallel implants Tighten the connecting screws using one of the HSM drivers see page 15 for lengths and types available at a torque of no more than 25 30 Ncm Position the temporary Conoweld caps on the abutments gently applying manual pressure Take a titanium bar for in traoral welding of the most suitable thickness and curve it manually in line with the arch to be rehabil
39. bsorption in weight increase after 1 day immersion DIN 53495 0 3 35 36 GENERAL INDICATIONS Clinical indications The modern oral implantoprosthesis with immediate or deterred loading is a well tested and reliable discipline able to solve virtually almost all edentulism problems both functional and cosmetic Restorations can replace a single tooth implant supported crown a group of neighbouring teeth implant supported bridge or an entire arch This manual deals with the use of Conoweld components for making temporary prostheses for immediate loading and final prostheses of the conometric type Implant prosthetic rehabilitation must meet certain fundamental criteria e the presence of a certain amount of bone e the primary stability of the implants after insertion e good periodontal gingival support e no bruxism teeth grinding or serious malocclusion e the presence of good occlusal balance correct masticatory occlusal plane Warnings and contraindications When assessing the patient in addition to his her eligibility as regards implant prosthetic rehabilitation it is usually necessary to consider the contraindications that apply to dental surgery procedures in general These include e clotting disorders anticoagulant therapy e healing or bone regeneration disorders e decompensated diabetes mellitus e metabolic or systemic diseases that compromise tissue regeneration with a particular influence
40. ctive tissue adaptation to implants installed under the concept of platform switching a histologic study in minipigs Clinical Oral Implant Research Early View First Published online on 2011 April 15th DOI 10 1111 j 1600 0501 2011 02196 x Baffone G M Botticelli D Pantani F Cardoso L C Schweikert M T Lang N P Influence of various 41 42 implant platform configurations on peri implant tissue dimensions an experimental study in dog Clinical Oral Implant Research 22 2011 438 444 DOI 10 1111 j 1600 0501 2010 02146 x Canullo L Pellegrini G Allievi C Trombelli L Annibali S Dellavia C Soft tissues around long term platform switching implant restorations a histological human evaluation Preliminary results Journal of Clinical Periodontology 2011 38 86 94 DOI 10 1111 j 1600 051X 2010 01641 x Canullo L lannello G Netuschil L Jepsen S Platform switching and matrix metalloproteinase 8 levels in peri implant sulcular fluid Clinical Oral Implant Research Early View First Published online on 2011 March 28th DOI 10 1111 j 1600 0501 2011 02175 x Della Via C Canullo L Allievi C Lang N P Pellegrini C Soft tissue surrounding switched platform implants an immunohistochemical evaluation Clinical Oral Implant Research Early View First Published online on 2011 September 29th DOI 10 1111 j 1600 0501 2011 02301 x Baffone G M Botticelli D Canullo L Scala A Beolchini M Lang N P Effect of mi
41. dentist will be able to remove the temporary prosthesis at any time but the patient will not be able to remove it himselves This particular feature ot conometric rehabilitation ensures solid splinting throughout the entire osseointegration period limiting the micromovements of the implants even where the bone is only slightly mineralised 23 24 USE PROTOCOLS Indirect protocol impression on the welded structure The structure including the temporary Conoweld caps wel ded onto the titanium bars forms an accurate and reliable impression key The impression can therefore be taken in corporating the entire structure within the material inside the tray As the caps rub against the posts as a result of conometry it is advisable to use hard impression material for edentulism e g SKY IMPLANT ONEMIX ED code SKY08 Push the impression tray onto the welded structure so that despite its fairly rigid consistency the impression material incorporates the bar and the caps welded onto it completely Lift the tray vertically the entire welded structure will remain incorporated in the impression material One by one reposition the analogs in the metallic caps Send the impression to the laboratory Cast the model in the usual Way Release the structure from the impression material taking care not to create distortions and position it on the model in order to check that it is completely passive On the structure build
42. e as follows Temperature 121 124 C with autoclave cycle of at least 20 minutes and drying cycle of 15 minutes c Storage After sterilisation the product must remain in the sterilisation bags The bags should only be opened immediately prior to reuse In normal conditions sterilisation bags maintain the sterility of the contents unless the wrapping is damaged Therefore do not use components if the bags in which they were kept are damaged and resterilise in new bags before using them again The storage time of products sterilised inside the bags should not exceed that recommended by the manufacturer of the bags The product must be stored in a cool dry place away from direct sunlight water and heat sources Cleaning sterilisation and storage of the dynamometric ratchet CRI5 The processes described below must be performed before use and before each subsequent operation Repetition of the processes described in this paragraph has minimal effect on the wear of the device Failure to follow these instructions may lead to cross infections Containers and transport to be used for washing there are no special requirements As soon as possible after each use the key must be placed in a container filled with a disinfecting cleansing solution and covered with a cloth This prevents the desiccation of the contaminating agents coming from the patient and dissolves them thus making cleaning easier and more effective Completely disassemb
43. en amp Martina S p A These processes must also be performed before intraoral use i e before each use for any test phases and in any case before final restoration loading Repetition of the processes described in this paragraph does not alter the characteristics of these devices Failure to follow these instructions may lead to cross infections a Cleaning Containers and transport to be used for washing there are no special requirements When cleaning automatically use an ultrasound bath with a suitable detergent solution Use neutral detergents only Follow the manufacturer s instructions concerning concentrations and washing times Use demineralised water to prevent the formation of stains and marks When draining check the recesses of the devices holes etc to make sure all residues have been completely removed If necessary repeat the cycle or clean manually When cleaning manually use a suitable neutral detergent and follow the manufacturer s user instructions Brush the products with a soft bristled brush under plenty of running water Use the brush to apply the detergent to all surfaces Rinse with distilled water for at least four minutes Make sure plenty of running water passes through any holes After rinsing dry the devices thoroughly and place them inside suitable sterilisation bags Do not exceed 120 C when performing a drying cycle in a washing and disinfection appliance b Sterilisation place in a vacuum autoclave and sterilis
44. erican federal law restricts this device to sale by or on the order of a dental surgeon THE LATEST REVISION DATE OF THIS MANUAL IS MARCH 2014 BIBLIOGRAPHY ON SWEDEN amp MARTINA IMPLANTS v 2 Segura Andr s G Martinez Lage J F Ferreiroa A Faus Lopez J Agustin Panadero R Rehabili taci n prot sica en un maxilar atr fico a consecuencia de un trauma facial Gaceta Dental 2013 244 112 118 Canullo L Micarelli C Clementini M Hard tissue response to argon plasma cleaning treatment on titanium abutments 2 year follow up RCT European Journal of Oral Implantology 6 Suppl Spring 2013 521 522 Rossi F Lang N P De Santis E Morelli F Favero G Botticelli D Bone healing pattern at the surfa ce of titanium implants an experimental study in the dog Clinical Oral Implant Research Early View First Published online on 2013 January 4th DOI 10 1902 jop 2010 100428 Clementini M Canullo L Micarelli C Fibroblast growth on titanium disks treated by argon plasma an in vitro triple blinded study European Journal of Oral Implantology 6 Suppl Spring 2013 529 530 Canullo L Micarelli C lannello G Microscopical and chemical surface characterization of the gin gival portion and connection of an internal hexagon abutment before and after different technical stages of preparation Clinical Oral Implant Research 2013 24 606 611 DOI 10 1111 j 1600 0501 2012 02499 x Canullo L Heinemann F
45. ese operations must be performed by the practitioner using suitable devices with torque tightening control The calibration of these devices should be checked regularly In the event of complications of this kind patients should contact their practitioner as soon as possible so that the restoration can be repaired and functionality restored A delay in contacting the doctor may lead to a fracture of the connecting screw or of the prosthesis in the first case and to implant failure in the second case which could impair the rehabilitative result Practitioners must make this clear to their patients Complications can be of a biological nature loss of integration or mechanical nature fracture of a component due to overloading If there are no complications duration depends on the devices and the whole restoration system depends on mechanical resistance in relation to the fatigue accumulated by the device Sweden amp Martina has conducted 5 000 000 cycle fatigue resistance tests on its implant post connecting screw sets The sets passed the test Fatigue tests are conducted according to applicable standards and further assessed by means of finite element calculations Cleaning Sterilisation Storage of prosthetic components and instruments Attention All the prosthetic components and the instruments for implants are sold NON STERILE Before use such devices must be cleaned disinfected and sterilised according to the procedures validated by Swed
46. fy the correct assembly and functioning of the interventions JE een Ratchet head cover ae an ee Pawl wheel F jive wie wate ed Wheel stop tooth Spring m m Ratchet head Handle Guide pin 85D Nom m key is necessary before any surgical or prosthetic Torque adjustment ring nut Way Hexagonal tip of the torque adjustment screw After sterilization the key is ready to use before any surgical or prosthetic procedure a test to check the correct assembling and functioning of the key is mandatory The torque is adjusted by aligning the marking of the desired torque in the circular opening of the handle The IN arrow legible on the top of the head indicates the screwing position of the key The OUT arrow legible on the top of the head indicates the loosening or unscrewing position An unlimited torque position is obtained by positioning the torque adjustment device up to the line marked R on the handle of the ratchet body IMPORTANT WARNING The torque is adjusted by screwing unscrewing the ring nut located at the bottom of the instrument s handle The torque must always be adjusted on the rise starting screwing from a lower value until the desired torque is reached or unscrewing the ring nut in a clockwise direction To do this if it is necessary to set a torque lower than the last one used you must unscrew the ring nut by two turns below the value of the desired new torque and work up to th
47. ing Disposable non sterile Single use non sterile complete with connec ting screws Disposable non sterile Sold together with the Connecting screws for posts Long term surgical invasive medical device accessories for use in the oral cavity corresponding posts or individually in single or multiple packages Titanium bars for intraoral welding Analogs of Conoweld posts Long term invasive surgical components for use in the oral cavity Non invasive medical device Disposable non sterile Disposable non sterile Reusable surgical instrument for tempo Dynamometric ratchet rary use for less than 60 minutes at a time Reusable non sterile Invasive surgical instrument for temporary Right angle driver use for less than 60 minutes at a time intended to be connected to an active medical device Reusable non sterile Reusable invasive surgical instruments for DRIVERS FOR RATCHET temporary use for less than 60 minutes at a time not intended to be connected to Reusable non sterile Buea rer nex IX 7 2A g 2B 5 2A 8 2B 1 1 6 1 6 2A 6 1 an active medical device Disposable devices The prosthetic components are disposable Disposable means that each individual device may be used just once on a single patient It is common practice for prosthetic components to be tried in the patient s mouth several times and then sent back to the dental technician for final restoration
48. iques for assembly code i Hk Nha description 5 70 CAP TS PRO Temporary cap for intraoral welding Final cap for gluing I f 5 70 Cap for impression i 1 CAP TS IMP 17 00 ANA TS Analog of the Conoweld post DW BARRA1 2 DW BARRA1 5 DW BARRA1 8 Bar in grade 2 titanium L 150 mm 1 20 mm package of 5 Bar in grade 2 titanium L 150 mm 1 50 mm package of 5 Bar in grade 2 titanium L 150 mm 1 80 mm package of 5 14 INSTRUMENTS DENT WELD Endoral welding machine DENT WELD is a high tech endoral welding machine for fixing implants in the event of immediate loading and to maintain maximum stability throughout the entire process of rehabilitation up until osseointegration of the implants Welding is carried out by means of a high intensity electric charge being passed through the point of contact between two pieces of titanium but for such a short time a few milliseconds that the surrounding tissues are not heated at all General features Dent weld is the endoral welding machine with 100 Italian technology and quality and is a medical device manufactured by Swiss amp Wegman S r l via Svezia 8 35020 Ponte San Nicol PD ITALY and distributed in Italy exclusively by Sweden amp Martina S p A e Safe and accurate the welding machine is fitted with a microprocessor that guarantees complete safety in all applications The prac
49. itated Note avoid cutting the bar to measure at the outset as the excess segment makes removal and repositio ning easier to handle until the welding of the caps is complete Line up the first segment of the bar with one of the two distal caps and carry out welding with the special intraoral welding machine following the manufacturer s instructions IMPORTANT WARNING To set the operating parameters for the welding machine and for the relevant information and warnings read and follow the instructions in the manual issued by the manufacturer of the equipment In order to establish that the procedure has been carried out correctly it is advisable to remove the bar and caps that have been fixed up until that point after each welding and before the next This helps to establish that the wall of the cap and the underlying post have not bonded and to be sure that a passive structure is being built Having positioned the first cap back on its post guide the bar round and if necessary remodel it in order to weld it to the next cap along Remove the structure made up of the bar and the first two caps welded to it in order to establish that that the wall of this second cap and the underlying post have not bonded and to establish that the structure is passive 19 20 USE PROTOCOLS Having positioned the first and second caps back on their posts guide the bar round and if necessary remodel it in order to weld it t
50. ium angled at 10 Connecting screw included Conoweld post in grade 5 titanium angled at 15 Connecting screw included A MA15 TS EX230 5 00 2 5 00 3 50 L a F150 A MA15 TS EX250 Spare screws In packages of 10 VM2 180 VM2 180 10 i VM2 200 VM2 200 10 Recommended tightening torque 20 25 Nem All measurements in mm save where otherwise indicated 12 PROSTHETIC COMPONENTS Conoweld conometric caps The Conoweld range includes three different caps which are universal in relation to the diameters of the posts and the implant platforms this is due to the fact that conometric retention is in the most coronal portion of the post which always has the same dimensions The two titanium caps differ in thickness the cap designed for the construction of a welded structure intraorally for the temporary stage is thicker in order to withstand the welding with the titanium bars without bonding with the underlying post while the cap designed to anchor the final prosthesis glued on is thinner in order to reduce the impact on the anatomical morphology of the prosthesis it should not therefore be used for the welding A cap in PMMA is also available which allows a precise impression to be taken even when working without a intraoral welding machine and which can be used for modelling and casting a structure entirely in cobalt chrome or other alloys when the decision has been taken not to use gluing techn
51. ium Implant SP 5 00 Kohno Implant SP 3 80 Kohno Implant SP 4 25 Kohno Implant SP 5 00 PROSTHETIC COMPONENTS Conoweld conometric technique The Conoweld technique embraces the advantages of two protocols already widely established in oral implantoprosthesis intraoral welding and conometric retention Intraoral welding for Conometry for the temporary the temporary stage and final restoration e cement free restoration e removable but only by the dentist e low maintenance for the patient at home stabilizes immediate loaded implants provides an immediate temporary prosthesis that is reinforced makes it possible to take a precise impression ADVANTAGES OF CONOMETRIC REHABILITATION e Extremely reliable hold the connection between the prefabbricated conical cap incorporated in the over structure and the post offers total mechanical stability that can be relied upon Fully reversible the dentist can remove the prosthesis at any time applying the same degree of force Impossible for the prosthesis to move spontaneously the consequent splinting of the implants makes it immediate loading possible and secure Extremely simple to use the posts are standardised and all fit the same caps Low maintenance for the patient who has all the comfort of a fixed prosthesis and easy to access for the dental hygienist Natural passivation of the posts Primary stability ensured with intraoral welding m
52. l oral surgery must also be observed Surgery is not recommended for patients on anti coagulant anti convulsant and immunosuppressant therapies with active inflammatory infective processes of the oral cavity and patients with BUN and creatinine values outside the norm Patients with cardiovascular disease hypertension thyroid or parathyroid diseases malignant tumours found in the 5 years preceding the operation or nodular swellings must also be rejected Chemotherapies reduce or eliminate the ability of osseointegration therefore patients undergoing these treatments must be carefully screened before being rehabilitated with oral implantoprostheses Numerous cases of bisphosphonate associated peri implant osteonecrosis of the mandible have been reported in the literature This problem particularly applies to patients treated intravenously Restoration work must always be planned in advance Restoration planning must be performed in concert with the dental technician The restoration guided insertion of implants facilitates the prosthodontist s work and provides better guarantees in terms of duration It is recommended to collect and file all the clinical radiological and radiographic records Marked on each package are the code a description of the content and the batch number These same details which are also indicated on the labels to be attached to the patient s records must always be provided by the practitioner in any relevant correspondence When
53. le the key as shown below he ia T Completely unscrew the torque adjustment screw and remove the spring inside the handle of the ratchet body Do not separate the spring from the pin that acts as a stop Use the hexagon tip at the bottom of the torque adjustment screw to unscrew and completely remove the connecting screw of the cover from the side marked OUT Exert a light pressure in order to After removing the cover pull out the two components contained inside the ratchet head the toothed pawl wheel and wheel stop tooth avoid damaging the hexagon tip When cleaning manually clean the outer and inner surfaces of the instrument mechanically under hot water with a soft bristled brush Inject hot water using a needleless syringe to wash the hard to access holes of the head and the area around the wheel pawl and wheel stop If necessary proceed in the same way for the inside of the handle and of the torque adjustment device Use a suitable neutral detergent and follow the manufacturer s user instructions Use the brush to apply the detergent to all surfaces Rinse with distilled water for at least four minutes Make sure the running water passes abundantly through the passages When cleaning automatically use an ultrasound bath with a suitable detergent solution Use neutral detergents only Follow the manufacturer s instructions concerning concentrations and washing times Use demineralised water to prevent the formation of
54. lta 5 00 Kohno 3 80 POSTS WITH A 2 50 MM HEXAGON The same Conoweld straight and angled posts with a 2 50 mm hexagon are used on Premium Kohno implants with 4 25 and 5 00 mm and for the Kohno implant 6 00 mm S 5 E Premium 4 25 Premium 5 00 Kohno 6 00 Kohno 4 25 Kohno 5 00 10 9 2 30 mm Premium Kohno 3 30 3 80 mm Shelta 3 80 4 25 5 00 mm Conoweld post in grade 5 titanium straight transgingival height 0 50 mm Connecting screw included Conoweld post in grade 5 titanium straight transgingival height 1 00 mm Connecting screw included 1 00 A MD TS EX230 1 Conoweld post in grade 5 titanium straight transgingival height 2 00 mm Connecting screw included ee 5 00 3 50 2 00 A MD TS EX230 2 5 00 3 50 2 00 A MD TS EX250 2 Conoweld post in grade 5 titanium straight transgingival height 3 00 mm Connecting screw included agg 5 00 dia 3 00 A MD TS EX230 3 2 00 5 00 3 50 3 00 A MD TS EX250 3 Conoweld post in grade 5 titanium straight transgingival height 5 00 mm Connecting screw included Conoweld post in grade 5 titanium angled at 5 Connecting screw included 2 850 5 00 3 50 2 00 A MD TS EX230 5 oo 5 00 3 50 MR 1 50 A MA05 TS EX230 rr 5 00 3 50 po A MD TS EX250 5 so 5 00 Sa lhe 1 50 A MA05 TS EX250 Conoweld post in grade 5 titan
55. mplantology 1 7 14 2009 Carinci F Guidi R Franco M Viscioni A Rigo L De Santis B Tropina E IMPLANTS INSERTED IN FRESH FROZEN BONE A RETROSPECTIVE ANALYSIS OF 88 IMPLANTS LOADED 4 MONTHS AFTER INSERTION Quintessence International 40 5 413 419 2009 Carusi G Sisti A Mottola M P Matera G Veruggio P Gelmi L Bailo A TECNICA DI RIALZO DI SENO MINIMAMENTE INVASIVA NEL TRATTAMENTO IMPLANTARE DEL MASCELLARE EDENTULO Dental Cadmos 77 10 31 40 2009 Ceccherini A De Angelis L Silvestrelli S CHIRURGIA SOFTWARE ASSISTITA CON LA TECNICA MODEL GUIDE PROGETTO 3D POSA DELL IMPIANTO GUIDATA TeamWork 11 6 63 75 2009 Cicci M Risitano G Maiorana C Franceschini G PARAMETRIC ANALYSIS OF THE STRENGTH IN THE TORONTO OSSEOUS PROSTHESIS SYSTEM Minerva Stomatologica 58 1 2 9 23 2009 Covani U VANTAGGI DELL IMPIANTO PREMIUM KOHNO NELLA CHIRURGIA SOSTITUIVA DELL ARCATA DENTARIA Atti del Congresso X Congresso Nazionale di Implantoprotesi Integrata Premium Day 2009 18 20 giugno 2009 Abano Terme pp 14 15 Crespi R Cappar P Gherlone E RADIOGRAPHIC EVALUATION OF MARGINAL BONE LEVELS AROUND PLATFORM SWITCHED AND NON PLATFORM SWITCHED IMPLANTS USED IN AN IMMEDIATE LOADING PROTOCOL The International Journal of Oral and Maxillofacial Implants 24 920 926 2009 Crespi R Cappar P Gherlone E DENTAL IMPLANTS PLACED IN EXTRACTION SITES GRAFTED WITH DIFFERENT BONE SUBSTITUTES RADIOGRAPHIC EVALUATI
56. ng positioning as early as the surgical stage the final post that will now remain in place given the availability of posts with various transgingival heights Use of the conometric caps built in advance means that a high level of precision can be obtained with fixing via electro welding making it possible to stabilize the positioned implants and chair side to make a temporary prosthesis which as well as being extremely resistant can easily be removed by the dentist at any time The fact that this method is standardized and can be adapted to suit the various Sweden amp Martina implant systems makes it easy to use and cost effective 33 34 GENERAL INDICATIONS Maximum allowed GRADE 2 TITANIUM values Tolerance Chemical composition Nitrogen 0 03 0 02 Carbon 0 08 0 02 Hydrogen 0 015 0 002 Iron 0 30 0 10 lt 0 25 0 15 gt 0 25 Oxygen 0 25 0 02 lt 0 20 0 03 gt 0 20 Titanium remainder Mechanical properties Tensile stress 500 MPa N mm Yield strength 0 2 275 MPa N mm Elongation at yield 20 Section reduction 30 This technical information complies with the express specifications of the regulations in force for the use of grade 2 titanium in implantology Maximum allowed GRADE 5 TITANIUM ua Tolerance Chemical composition Nitrogen 0 05 0 02 Carbon 0 08 0 02 Hydrogen 0
57. ni S Barone A CONNECTIVE TISSUE GRAFT USED AS A BIOLOGIC BARRIER TO COVER AN IMMEDIATE IMPLANT Journal of Periodonto logy 78 1644 1649 2007 Covani U Barone A Cornelini R VERTICAL CRESTAL BONE CHANGES AROUND IMPLANTS PLACED INTO FRESH EXTRACTION SOCKETS Journal of Periodontology 78 810 815 2007 Crespi R Cappar P Gherlone E Romanos G E IMMEDIATE OCCLUSAL LOADING OF IMPLANTS PLACED IN FRESH SOCKETS AFTER TOOTH EXTRACTION International Journal of Oral Maxillofacial Implants 22 955 962 2007 Elezi E Galli C Passeri G Lumetti S Manfredi E Bonanini M Macaluso G M IL COMPORTA MENTO DEGLI OSTEOBLASTI UMANI SU SUPERFICI DI TITANIO TRATTATE IN MODO DIVERSO IADR General Session amp Exhibition Abstract Collection 2007 Pappalardo S Milazzo l Nicoletti G Baglio O Blandino G Scalini L Mastrangelo F Tete S DENTAL IMPLANTS WITH LOCKING TAPER CONNECTION VERSUS SCREWED CONNECTION MICROBIOLOGIC AND SCANNING ELECTRON MICROSCOPE STUDY International Journal of Immunopathologic Pharmacology 20 Suppl1 Jan Mar 13 17 2007 Ravasini T Malaguti G Coppi C Bortolini S Consolo U APPLICAZIONE CLINICA DI UN NUOVO IMPIANTO CORTO Dental Cadmos 6 57 62 2007 Barone A Rispoli L Vozza Quaranta A Covani U IMMEDIATE RESTORATION OF SINGLE IMPLANTS PLACED IMMEDIATELY AFTER TOOTH EXTRACTION Journal of Periodontology 77 11 1914 1920 2006 Barone A Santini S Sbordone L Crespi R Covani U
58. nical morphology extends the range of use of the family PREMIUM STRAIGHT The implant with 16 years of clinical history Shelta SHELTA SL The large thread studied to obtain the maximum primary stability SHELTA STANDARD Three different diameters with the same prosthetic connection CONNECTION PLATFORM COLLEX connection The COLLEX connection supported by 16 years ot clinical studies is characterised by a wide internal hexagon synonym of high prosthetic stability guaranteed also by the collar that penetrates the posts giving to the prosthetic structure an excellent and unique strength This interlocking solution gives stability and solidity to the implant prosthesis complex while also aiding the correct distribution of masticatory loads The COLLEX connection performs the same stabilising function regardless of the emergence of the implant which may be straight in the case of Straight implants or bevelled in the case of SP implants Switching Platform The external collar of the COLLEX has the function of guide and engagement of the Easy Insert driver the patented driver for the insertion of Premium implants which guarantees the total preservation of the angles of the internal connection during the surgical procedure very important condition for a correct prosthetic phase ANTLIT COLLEX connection COLLEX connection COLLEX connection COLLEX connection Premium implants Premium Kohno Straight implants
59. o the next cap along Remove the structure made up of the bar and the three caps welded to it in order to establish that that there is no casting between the wall of this third cap and the underlying post and to establish that the structure is passive Having positioned the three caps back on their posts guide the bar round and if necessary remodel it in order to weld it to the next cap along Remove the entire structure made up of the bar and the four caps welded to it in order to establish that that the wall of the last cap and the underlying post have not bonded and to establish that the structure is passive In order to further increase the passive nature of the structure and eliminate any residual stress welding is advisable at a halfway point along each segment of free titanium along the bar 21 22 USE PROTOCOLS If a more rigid structure is required or if titanium bars with a thin diameter are being used an additional bar can be welded onto the caps following the exact same procedu re as for the first bar i e one cap at a time removing the structure after each welding The preferable positioning is the gun barrel style A i e two parallel bars one sitting above the other There are other solutions however such as crossed bars B and bars forming a rail C i e parallel ho rizontally This type of structure is particularly useful where the caps descend 1 5 mm into the sulcus leaving onl
60. ometrica rispetto a impianti a connessione esagonale caso clinico Dental Cadmos 79 7 443 454 2011 DOI 10 1016 j cadmos 2010 1 2 010 Canullo L Bignozzi I Cocchetto R Cristalli M P lannello G Immediate positioning of a definitive abutment versus repeated abutment replacements in post extractive implants 3 year follow up of a randomised multicentre clinical trial European Journal of Oral Implantology 2010 Winter 3 4 285 96 Csonka M Carico Immediato di una Cresta Mandibolare Edentula con Tecnica SIMPLE Italian Dental Journal 2011 Canullo L Baffone G M Botticelli D Pantani F Beolchini M Lang N P Effect of wider implant abutment mismatching an histological study in dogs Clinical Oral Implant Research 22 9 2011 910 DOI 10 1111 j 1600 0501 2011 02271 x Rossi F Botticelli D Salata L Bone healing in animal surgically created circumferential defects around submerged implants Clinical Oral Implant Research 22 9 2011 937 DOI 10 111 1 j 1600 0501 2011 02271 x Ricci M Funel N Orazio V Bobbio A Barone A Covani U Analysis of osteoblastic gene dynamics in the early human mesenchymal cell response to an implant support an in vitro study Clinical Oral Implant Research 22 9 2011 1071 DOI 10 1111 j 1600 0501 2011 02271 x Canullo L Gotz W Cell growth on titanium disks treated by plasma of Argon experimental study Clinical Oral Implant Research 22 9 2011 1082 3 DOI 10 1111 j 1600 0501 2
61. search 2012 23 542 549 DOI 10 1111 1600 0501 2012 02423 x Sivolella S Bressan E Salata L A Qui ones M E Urrutia Z A Lang N P Botticelli D Deprotei nized bovine bone mineral particles and osseointegration of implants without primary bone contact an experimental study in dogs Clinical Oral Implant Research Early View First Published online on 2013 April 8th DOI 10 111 1 clr 12154 Caneva M Botticelli D Vigan P Morelli F Rea M Lang N P Connective tissue grafts in con junction with implants installed immediately into extraction sockets An experimental study in dogs Clinical Oral Implant Research 2013 24 50 56 DOI 10 1111 j 1600 0501 2012 02450 x De Santis E Lang N P Cesaretti G Mainetti T Beolchini M Botticelli D Healing outcomes at implants installed in sites augmented with particulate autologous bone and xenografts An experimental study in dogs Clinical Oral Implants Research 2013 24 77 86 DOI 10 1111 j 1600 0501 2012 02456 x Negri M Lumetti S Manfredi E Galli C Chiacci G Macaluso G M Marginal bone remodelling of Sweden amp Martina Premium implants 2 years clinical results Clinical Oral Implant Research 2012 23 Suppl 7 98 DOI 10 1111 clr 12019 2012 23 s7_218 Cosyn J Hooghe N De Bruyn H A systematic review on the frequency of advanced recession following single Immediate Implant treatment Journal of Clinical Periodontology 2012 Jun 39 582 589 DOI
62. si F R INDAGINE AL MICROSCOPIO ELETTRONICO A SCANSIONE DI DIVERSE SUPERFICI IMPLANTARI STUDIO COMPARATIVO European Journal of Implant Prosthodontics 1 1 25 34 2005 Riley D Bavastrello V Covani U Barone A Nicolini C AN IN VITRO STUDY OF THE STERILIZATION OF TITANIUM DENTAL IMPLANTS USING LOW INTENSITY UV RADIATION Dental materials official publication of the Academy of Dental Materials 21 8 756 60 2005 Barone A Ameri S Santini S Covani U GUARIGIONE OSSEA MARGINALE IN IMPIANTI POSTE STRATTIVI IMMEDIATI Implantologia Orale 5 11 37 40 2004 Barone A Santini S Covani U IMPIANTI POST ESTRATTIVI IMMEDIATI STUDIO LONGITUDINALE A 4 ANNI RISULTATI PRELIMINARI Il Circolo Rivista Periodica di Odontostomatologia 1 7 11 2004 Barone A Ameri S Santini S Covani U IMPIANTI POST ESTRATTIVI SENZA LEMBO CHIRURGICO GUARIGIONE DEI TESSUTI MOLLI DoctorOs 15 3 223 227 2004 Bruschi G B TECNICA DI ESPANSIONE VERTICALE DELLA CRESTA EDENTULA CON DISLOCAMENTO DEL PAVIMENTO DEL SENO MASCELLARE Implantologia Orale 3 5 9 24 2004 Calesini G Scipioni A RITRATTAMENTO IMPLANTARE RIFLESSIONI SU UN CASO CLINICO Il Circolo Rivista Periodica di Odontostomatologia 1 21 26 2004 Carinci F Pezzetti F Volinia S Francioso F Arcelli D Marchesini J Caramelli E Piattelli A ANALYSIS OF MG63 OSTEOBLASTIC CELL RESPONSE TO A NEW NANOPOROUS IMPLANT SURFACE BY MEANS OF A MICROARRAY TECHNOLOGY Clinical Oral
63. smatching abutments on implants with wider platforms an experimental study in dogs Clinical Oral Implant Research Early View First Published online on 2011 November 2nd DOI 10 1111 j 1600 0501 2011 02320 x Canullo L Pace F Coelho P Sciubba E Vozza The Influence of Platform Switching on the Biome chanical Aspects of the Implant Abutment System A Three Dimensional Finite Element Study Med Oral Patol Oral Cir Bucal 2011 Sep 1 16 6 e852 6 DOI 10 4317 medoral 17243 Canullo L lannello G G tz W The influence of individual bone patterns on peri implant bone loss preliminary report from a 3 year randomized clinical and histologic trial in patients treated with im plants restored with matching diameter abutments or the platform switching concept International Journal of Oral and Maxillofacial Implants 2011 May Jun 26 3 618 30 Serrano Sanchez P Calvo Guirado J L Manzanera Pastor E Lorrio Castro C Bretones Lopez P P rez Llanes J A The influence of platform switching in dental implants A literature review Medicina Oral Patologia Oral Cirug a Bucal 2011 May 1 16 3 e400 5 DOI 10 4317 medoral 16 e400 Bruschi G B Crespi R Cappar P Bravi F Bruschi E Gherlone E Localized Management of Sinus Floor Technique for Implant Placement in Fresh Molar Sockets Clinical Implant Dentistry and Related Research 2011 May 20 Epub ahead of print DOI 10 1111 j 1708 8208 2011 00348 x Sisti A Canullo L Mo
64. stains and marks During this cycle avoid contact between the pieces because this causes the machined surfaces to deteriorate and consequently loss of precision of the torque measurement When draining check the recesses of the devices holes etc to make sure all residues have been completely removed If necessary repeat the cycle or clean manually Note Blood residues or other deposits reduce the efficacy of the sterilisation process which is why it is important to clean thoroughly During cleaning avoid sprays or jets of liquid and adopt adequate protections Avoid contact between this instrument and other nickel plated instruments The pieces must be reassembled prior to sterilisation Dry the parts lubricate the functional areas lightly and reassemble the key as shown in the figures below Too much lubrication may cause the surfaces of the instrument to resurface during sterilisation Use only the lubricant supplied no After lubricating the parts shown in the figure insert the two elements of the ratchet head according to the following sequence the toothed pawl wheel and then the wheel stop tooth Lubricate the contact areas between the tooth of the wheel pawl and the pin of the wheel stop tooth la Once parts 2 and 3 have been lubricated and inserted in the head of the ratchet body position the cover and turn the ratchet body from the OUT side Tighten the screw with the hexagon tip of the torque fi
65. tch number These same details which are also indicated on the labels inside the packages must always be provided by the practitioner in any relevant correspondence The prosthetic components and instruments manufactured by Sweden amp Martina do not contain any material of human or animal origin or phthalates Remember to ask patients whether they are allergic to any of the substances used Although very rare titanium allergy is possible Patients should therefore always be asked whether they are allergic to this material before use See pages 34 37 for detailed data sheets for all the materials used to check the relative chemical compositions and the physical and mechanical properties Disposal If removed from the oral cavity due to biological or mechanical failure the prosthetic components must be disposed of as biological waste The instruments are made of small components mostly metal They may be disposed of as such If dirty they must be disposed of as biological waste In general the local regulations apply Key of the symbols used on the packages symbol description Attention See instruction leaflet Batch number Code Non sterile product only prosthetic components and surgical instruments Disposable product do not reuse Manufacturer Consult the instruction leaflet CE conformity marking class 1 products C Evo CE conformity marking class 2a and 2b products Rx Only Am
66. thesis Technique for complete casting with castable caps Position the Conoweld caps in PMMA on the Conoweld plaster analogs gently applying manual pressure If necessary reduce the castable caps appropriately to fit within the silicone mask or with the spaces defined by the articulator Complete a wax up of the final structure that incorporates the Conoweld castable caps Cast the structure made in wax that has the Conoweld ca stable caps inside it Finish the base of the structure and complete the coating in ceramic IMPORTANT WARNING Structures produced by bonding the castable caps may require a minimal quantity of cement in order to be fixed intraorally given its own limitations casting makes it dif ficult to achieve the same fit as with the standard caps for gluing 31 32 USE PROTOCOLS Case report bridge on two elements using the Conoweld technique Upon examination we found that the patient required rehabilitation of the 3 quadrant in region 35 and 36 following the avulsion of the severely damaged element 36 At the patient s request the implants were not positioned immediately following extraction the decision being taken to delay positioning Four months after extraction using the flapless technique two Shelta Sweden amp Martina implants were positioned being respectively 3 80 mm in diameter and 11 5 in length in region 35 and 4 25 mm in diameter and 11 5 in length in region
67. tical titanium bars which come in various diameters to weld to the posts mean that implants can be fixed in the space of only a few seconds with their stability being assured throughout the entire period of osseointegration DENT WELD does not create sparks it does not generate any risk for the patient because the forceps are automatically disconnected from the power supply during the welding phase The heat produced is dispersed through copper electrodes which have greater thermal conductivity than titanium without causing any discomfort to the patient or to the doctor DENT WELD also welds in the presence of saliva or any liquid The pre set programs make it easy to use The forceps are easy to handle fitted with a simple attachment they are easy to sterilise Standard configuration Control unit forceps cable pedal power cable instruction leaflet Technical features Supply voltage 230V AC Frequency 50 Hz Average power absorbed 10W Weight 7 kg Dimensions 33x22x17 cm Classification l BF IPXO See the instruction manuals for the equipment and the electrode forceps aa Ma 5 Li Ei Li Preliminary instructions for welding 1 Coupling stage The coupling stage involves bringing the two materials into direct contact with one another avoiding any stress The pressure applied by the tips must bring the two shapes of the objects to be welded together so that they match perfectly with absolutely no sp
68. ttola M P lannello G A case series on crestal sinus elevation with rotary instruments European Journal of Oral Implantology 2011 Summer 4 2 145 52 Garcia Fajardo Palacios C Sinus Lift Ottimizzazione dei risultati NumeriUno 10 06 2011 04 07 Canullo L RIGENERAZIONE DI UN SITO POST ESTRATTIVO con grave deficit osseo vestibolare con idrossiapatite arrichita di magnesio CASE REPORT CON FOLLOW UP DEL RESTAURO IMPLANTO PROTESICO A 2 ANNI Odontoiatria Rivista degli Amici di Brugg 2 166 167 2011 Becattelli A Biscaro L Ferlin P Soattin M Riabilitazione implanto protesica di entrambe le arcate mediante Toronto Bridge su impianti tiltati a carico immediato NumeriUno 10 06 2011 10 12 Marano G Tomarelli F Carico implantare immediato e condizionamento dei tessuti molli con provvisorio in ceramica NumeriUno 10 06 2011 18 21 Avvanzo P Fabrocini L Avvanzo A Ciavarella D Lo Muzio L De Maio R Use of intra oral welding to stabilize dental implants in augmented sites for immediate provisionalization a case report Journal of Oral Implantology 2010 Oct 8 Epub ahead of print DOI 10 1563 AAID JOI D 10 00047 Dominci A D Solidarizzazione elettronica su impianti a carico immediato un caso clinico in chirur gia flapless Dental Cadmos 79 8 545 550 2011 DOI 1 0 10161j cadmos 2011 03 002 De Paolis G Quaranta A Zappia S Vozza Quaranta M Valutazione clinica e microbiologica di impianti a connessione con
69. use in prosthetic rehabilitations according to the Switching Platform protocol the bevel around the connecting platform distances the prosthetic junction both vertically and horizontally The morphology of the neck of the implant is also very useful for obtaining an excellent primary stability The Switching Platform technique used in these implants is incorporated in the fixture morphology Ground Section of Premium Switching Platform implant 4 months after insertion Image by kind permission of Dr D Botticelli Maximising of soft tissues The decision to simplity the range of Conoweld posts to two sizes is also supported by the excellent clinical results of the Switching Platform protocols reported in the literature With the Premium Kohno system the Conoweld posts that rest on the COLLEX collar result in mismatching being available for a larger amount of gingival tissue which is organised and stabilised in keratinised tissue around the prosthetic crown In addition the implant abutment joint is shifted not only horizontally but also vertically maximising the distance from the soft tissues Conoweld post with Conoweld post with Conoweld post with 2 30 mm hexagon 2 50 mm hexagon 2 50 mm hexagon 4 SERENO II Te te Fifa pa ma ri i 5 crit te m 7 Se ee ee G m T vara Ee 2 r ia RI NERE Pe ai a i aa ne ma i dal al e er GAi Premium Implant SP 3 80 Premium Implant SP 4 25 Prem
70. y 4 mm of wall available for welding This arrangement is however only suggested in the distal sectors where problems are not usually encountered with thickness Whilst the additional bar should not be capable of generating traction here too the free segments can be passivated with a welding point Where the bars are positioned to form a rail welding is car ried out by inclining the forceps vertically in order that only one segment is gripped between the two electrodes Note whilst it is advisable for both bars to have the same thickness usually two bars of 1 50 mm different diameters can also be used IMPORTANT WARNING Do not attempt to passivate both segments at the same time As the welded structure would in any event close the circuit the bars would soften and deform under the pressure of the forceps creating additional stress and weakening the structure instead of passivating it Creation of the temporary prosthesis direct protocol The temporary prosthesis for immediate loading can be made in the laboratory or chair side relining a ready made moul ded prosthesis The resin will incorporate the welded structure entirely which also makes it easier for the patient to clean it at home Once the base of the temporary prosthesis has been smoo thed it can be positioned onto the Conoweld posts imme diately the interaction via conometry between the posts and the Conoweld caps will mean that in terms of retention the

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