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External Product Catalog and Technique Manual 2007

1. 0 12 Chlorhexidine Digluconate solution have been shown to significantly lower the incidence of post implantation infectious complications A preoperative 30 second rinse is recommended followed by twice daily rinses for two weeks following surgery Drilling must be done under a constant stream of sterile irrigation A pumping motion should be employed to prevent over heating the bone Surgical drills and taps should be replaced when they are worn dull corroded or in any way compromised BioHorizons recommends the replacement of drills after 12 to 20 osteotomies A Drill usage Tracking Chart is available from BioHorizons to aid offices in archiving this important information There is a risk of injury to the mandibular nerve associated with surgical drilling in lower posterior regions To minimize the risk of nerve injury it is imperative that the clinician understand the drill depth markings in order to correlate implant length with the actual drilling depth to produce the desired vertical placement of the implant DRILLING amp PLACEMENT OVERVIEW Depth Drill Sequence Width Increasing Crestal Bone Bone Taps Abutment level in average bone density Drill Sequence Drills site specific and Implant level in average bone density site specific Adapters 3 5mm implant body 4 0mm implant body 5 0mm implant body 6 0mm implant body OSTEOTOMY INITIALIZATION Q2 0mm Starter Drill Purpose
2. Bone Profilers are not included in the External Surgical Kit but may be purchased separately see page 10 POST OPERATIVE INSTRUCTIONS Post operative Instructions A period of unloaded healing is often recommended dependent on individual patient healing rates and initial implant stability Each case must be independently evaluated This unloaded healing period allows for integration between the bone and implant surface The patient must be instructed to follow a post surgical regimen including cold packs for 24 hours post implantation The patient s diet should consist of soft foods and possibly liquid dietary supplements Pharmacological therapy should be considered as the patient s condition dictates Ifa removable prosthesis is used during the initial healing phase it is recommended that a soft liner material be used to prevent pressure on the surgical site This soft liner should be relieved over the implant site The patient should be checked periodically to monitor healing of the soft tissues and bone using clinical and radiographic evaluations Ongoing hygiene for the implant patient is vital Hygiene recall appointments at three month intervals are suggested Instruments designed for implant scaling such as Implacare instruments from Hu Friedy should be utilized The stainless steel handles may be fitted with assorted tip designs used for hygiene on natural teeth The Implacare scalers will not damage implant abutments a
3. Used for single unit screw retained provisional restorations Knurled surface for improved mechanical bond with acrylic Packaged with the Abutment Screw 130 300 or 140 300 Titanium Alloy Ti 6AI 4V Titanium Temporary Abutments Non hexed lt 233 214 3 5mm Titanium Temporary Abutment Non hexed 234 214 4 0mm Titanium Temporary Abutment Non hexed 5 0mm Titanium Temporary Abutment Non hexed Used for multiple unit screw retained provisional restorations Knurled surface for improved mechanical bond with acrylic Packaged with the Abutment Screw 130 300 or 140 300 Titanium Alloy Ti 6Al 4V Hexed and Non hexed Titanium Temporary Abutments share identical external geometry Hand tighten with the 050 1 2 5mm Hex Driver I 4 2mm oarts shown not to scale CUSTOM CASTABLE COMPONENTS Custom Castable UCLA Abutments Hexed 3 5mm Gold Plastic Custom Castable Abutment Hexed 5 0mm Gold Plastic Custom Castable Abutment Hexed 234 227 4 0mm Gold Plastic Custom Castable Abutment Hexed 236 227 6 0mm Gold Plastic Custom Castable Abutment Hexed Used for single unit screw retained or custom abutment cement retained restorations Packaged with the Abutment Screw 130 300 or 140 300 Recommended final torque 30 Ncm Gold alloy base 60 Gold 20 Palladium 19 Platinum 1 Iridium with Delrin burn out sleeve Dimensions shown below 3 5mm Plastic Custom Castable
4. 204 303 93 5mm x 3mm 204 503 5 0mm x 3mm 204 304 3 5mm x 4 5mm 204 504 5 0mm x 4 5mm 204 306 3 5mm x 6mm 204 506 Q5 0mm x 6mm il db 204 603 6 0mm x 3mm 204 404 4 0mm x 4 5mm 204 604 6 0mm x 4 5mm 204 406 4 0mm x 6mm 204 606 6 0mm x 6mm 204 403 4 0mm x 3mm Cover Screws Protects the implants prosthetic platform during submerged surgical healing Included with each implant system Hand tighten with the 050 1 25mm Hex Driver Titanium Alloy Ti 6AI 4V 3 5mm Cover Screw 4 0mm Cover Screw 5 0mm Cover Screw 6 0mm Cover Screw oarts shown not to scale SURGICAL KIT AND COMPONENTS External Surgical Kit 160 500 External Surgical Kit Includes all instruments shown on pages 8 9 160 200 Surgical Tray amp Lid without instruments gr Ermal BIOHORIZ N Tih Individual Surgical Kit Components 122 103 2 0mm Starter Drill 122 100 144 100 Straight Parallel Pins 4 per kit Drill Extender 144 200 20 Angled Parallel Pins 2 per kit 122 12509 2 5 x 9mm Depth Drill 122 125105 2 5 x 10 5mm Depth Drill 122 12512 2 5 x 12mm Depth Drill 122 12515 2 5 x 15mm Depth Drill 122 225 2 5mm Depth Drill without Depth Stop 122 230 3 0mm Width Increasing Drill 122 232 3 4mm Width Increasing Drill 122 237 3 9mm Width Increasing Drill 122 242 4 4mm Width Increasing Drill 122 247 4 9mm Width Increasing Drill 122 252 5 4mm Width Increasing
5. Hand Used to retain bars or prostheses fabricated from the tighten with 050 1 25mm Hex Driver Titanium Plastic Copings for Aoutment for Screw Utilizes the Alloy Ti 6AI 4V 050 1 2 5mm Hex Driver Final torque 30 Ncm 26 oarts shown not to scale Titanium Alloy Ti 6Al 4V ABUTMENT FOR SCREW Direct Pick up Coping Abutment for Screw 244 311 3 5 4 0mm Direct Pick up Coping Abutment for Screw 5 0mm Direct Pick up Coping Abutment for Screw Used to make a direct pick up impression open tray at the abutment level Packaged with the Long Bar Retention Coping Screw Abutment for Screw 222 111 Used only with the Abutment for Screw Titanium Alloy Ti 6Al 4V Indirect Transfer Coping Abutment for Screw 254 200 3 5 4 0mm Indirect Transfer Coping Abutment for Screw 2 5 0mm Indirect Transfer Coping Abutment for Screw Used to make an indirect transfer closed tray impression at the abutment level Used only with the Abutment for Screw Titanium Alloy Ti 6Al 4V Analog Abutment for Screw 254 600 3 5 4 0mm Analog Abutment for Screw 5 0mm Analog Abutment for Screw Used to represent the Abutment for Screw Implant assembly in the working cast Not for use with implant level impressions Titanium Alloy Ti 6AI 4V Screw long Abutment for Screw 222 111 Long Bar Retention Coping Screw Abutment for Screw 5 pack Used in the lab when a longer screw is desired Used only
6. Abutment Hexed 4 0mm Plastic Custom Castable Abutment Hexed 5 0mm Plastic Custom Castable Abutment Hexed 6 0mm Plastic Custom Castable Abutment Hexed Used for single unit screw retained or custom abutment cement retained restorations Packaged with the Abutment Screw 130 300 or 140 300 Recommended final torque 30 Ncm Delrin burn out sleeve Dimensions shown on opposite page Hexed and Non hexed Gold Plastic Custom Castable Abutments share identical external geometry 5mm top of alloy base 6 75mm gt 20 oarts shown not to scale CUSTOM CASTABLE COMPONENTS Custom Castable UCLA Abutments Non hexed 3 5mm Gold Plastic Custom Castable Abutment Non hexed 4 0mm Gold Plastic Custom Castable Abutment Non hexed 5 0mm Gold Plastic Custom Castable Abutment Non hexed 236 228 6 0mm Gold Plastic Custom Castable Abutment Non hexed Used for multiple unit screw retained or custom cast abutment cement retained restorations Packaged with the Abutment Screw 130 300 or 140 300 Recommended final torque 30 Ncm Gold alloy base 60 Gold 20 Palladium 19 Platinum 1 Iridium with Delrin burn out sleeve Dimensions shown on opposite page 3 5mm Plastic Custom Castable Abutment Non hexed 4 0mm Plastic Custom Castable Abutment Non hexed 5 0mm Plastic Custom Castable Abutment Non hexed 6 0mm Plastic Custom Castable Abutment Non hex
7. Abutments for Cement retained Restorations Hexed 223 312 3 5mm Profile Abutment 224 312 4 0mm Profile Abutment 225 312 5 0mm Profile Abutment Packaged with Abutment Screw 130 300 or 140 300 Recommended final torque 30 Ncm Used to fabricate cement retained single or multiple unit prostheses Titanium Alloy Ti 6AI 4V 058mm gt lt 068mm gt oarts shown not to scale STRAIGHT AND ONE PIECE ABUTMENTS Straight Abutments for Cement retained Restorations Hexed 3 5mm Straight Abutment 4 0mm Straight Abutment 5 0mm Straight Abutment Used to fabricate cement retained single or multiple unit prostheses Packaged with Abutment Screw 130 300 or 140 300 Recommended final torque 30 Nem Titanium Alloy Ti 6Al 4V 4 2mm lt 3 5mm Abutment for Cement Non hexed 4 0mm Abutment for Cement Non hexed 5 0mm Abutment for Cement Non hexed One piece pre tapered abutment Non hex engaging multiple unit restorations only Best suited for restorations requiring only minor intra oral modification Recommended final torque 30 Nem Titanium Alloy Ti 6Al 4V oarts shown not to scale TITANIUM TEMPORARY ABUTMENTS Titanium Temporary Abutments Hexed 233 215 3 5mm Titanium Temporary Abutment Hexed 234 215 4 0mm Titanium Temporary Abutment Hexed 5 0mm Titanium Temporary Abutment Hexed
8. Drill G parts shown not to scale SURGICAL COMPONENTS 3 5mm Crestal Bone Drill 3 5mm D3 Bone Tap 4 0mm Crestal Bone Drill 4 0mm D3 Bone Tap 5 0mm Crestal Bone Drill 5 0mm D3 Bone Tap 6 0mm Crestal Bone Drill 6 0mm D3 Bone Tap 3 5mm Handpiece Adapter 135 100 100 4 0 5 0 6 0mm Handpiece Adapter 303 200 3 5mm Ratchet Adapter 345 200 4 0 5 0 6 0mm Ratchet Adapter 155 000 5 0 6 0mm Implant level Insertion Tool 3 5mm Implant level Insertion Tool 4 0mm Implant level Insertion Tool 135 351 050 1 25mm Hex Driver 130 000 Ratchet 300 400 Hand Wrench 144 300 Implant Spacer Depth Probe 300 205 Ratchet amp Hand Wrench Extender oarts shown not to scale ANCILLARY INSTRUMENTS AND LITERATURE Surgical Driver ES 150 000 Surgical Driver Used to place implants in the osteotomy particularly useful in the anterior The Driver holds the Ratchet Adapters 303 200 and 345 200 that interface with the 3inOne Abutment Also used with the 050 1 25mm Hex Drivers 300 350 and 300 351 as well as the Bone laps and Insertion Tools Radiographic Templates manon Sternal re Radiographic Implant Template tasmoaren L0250 BioHorizons External Radiographic Implant Template overlay Radiographic Ball i Designed to aid the clinician in the preoperative determination of options for implant length and diameter The clear overlay temp
9. RBT HA Symbol descriptions for product labeling LOT Lot batch number Manufacture date REF Reference article number Single use only STERILE R Sterilization by gamma irradiation Refer to Instructions for Use NON STERILE Non sterile Use before expiration date a gt B Caution Federal USA law restricts Rx Only these devices by or on the order of a BioHorizons products carry the CE dentist or physician C mark and fulfill the requirements of the Medical Devices Directive 93 42 EEC Disclaimer of Liability BioHorizons dental implants may only be used in conjunction with the associated original components and instruments according to BioHorizons Instructions for Use Use of any non BioHorizons products in conjunction with BioHorizons implants will void any warranty or any other obligation expressed or implied of BioHorizons This literature serves as a reference for BioHorizons External implants prosthetics and instrumentation It is not intended to describe the methods or procedures for diagnosis treatment planning or placement of implants nor does it replace clinical training or a clinician s best judgment regarding the needs of each patient BioHorizons recommends appropriate training as a prerequisite for the placement of implants and associated treatment Validity Upon its release this literature supersedes all previously published versions Availability Not all products shown or described in this li
10. Single Use Spray Tubes 10 pack Set of Spray Tube Clamps 10 pack Pump Tube with Connectors 65mm Replacement Pump Tubes 65mm 5 pack ElcoMed 100 Motor Cable 1 8 meter ImplantMed 110 Motor Cable 1 8 meter Set of Spray Tube Clamps 5 pack Pump Tube 85mm with Connectors Replacement Pump Tubes 85mm 3 pack Irrigation Spike Assembly with Roller Clamp Flow Regulating Roller Clamp Irrigation Spike Assembly autoclavable Irrigation Tubing w o Spike autoclavable MD 400 Service Oil F 1 Oil Spray Cap Sterilization Plug for Motor Cable All W amp H Motors ElcoMed 100 amp 200 ElcoMed 100 ElcoMed 100 ElcoMed 100 ImplantMed 110 ImplantMed 110 amp 915 ImplantMed 110 amp 915 ImplantMed 110 amp 915 ImplantMed 110 amp 915 ImplantMed 110 amp 915 All W amp H Motors All W amp H Motors All W amp H Motors All W amp H Motors All W amp H Motors oarts shown not to scale W amp H HANDPIECES amp ACCESSORIES IMPORTANT NOTE W amp H motors and handpieces are distinguished by their precision craftsmanship and reliability and are covered by a 1 year manufacturers warranty Instructions for required cleaning and maintenance are outlined in each products user manual and adherence to these procedures is essential for proper function and longevity of the products BioHonzons assumes no liability for the failure of or damage to motors and handpieces that are not properly maintained or used contrary to the
11. b Icon Legend 2 Section 1 Product Catalog External System Overview 4 5 Implants 6 Healing Abutments and Cover Screws yi Surgical Kit and Components 8 9 Ancillary Instruments and Literature 10 11 W amp H Surgical Motors and Handpieces 12 13 Abutment Overview 14 Cement retained 3inOne and PEEK Temporary Abutments 15 Angled Abutments 16 Profile Aoutments 17 Straight and One piece Abutments 18 Titanium Temporary Abutments 19 Custom castable UCLA Restorations 20 21 Impression Component Overview 22 Indirect Transfer Copings 23 Direct Impression Copings 24 Implant Analogs and Screws 25 Abutment for Screw Restorations 26 27 Ball Abutment Restorations 28 29 Prosthetic Instrumentation 30 31 Patient Education and Practice Marketing 32 Section 2 Surgical Manual Implant Dimensions 33 Introduction Treatment and Surgical Protocols 34 35 Implant Spacing Intraoral Measurements 36 37 Radiographic Template 38 Surgical Kit Layout 39 Drill and Placement Overview 40 41 Osteotomy Initialization and Verification 42 43 Depth and Width Increasing Drills 44 45 Crestal Bone Drills and Bone Taps 46 47 Implant Packaging 48 49 Implant Placement 50 51 Cover Screws and Healing Abutments 52 Bone Profilers 53 Post operative Instructions Surgical Kit Cleaning 94 55 Drill Instructions for Use 56 57 References 57 ICON LEGEND Implant diameter surface treatment 3 5mm Implant RBT 4 0mm Implant RBT HA 5 0mm Implant RBT HA 6 0mm Implant
12. bacterial growth within the implant body during the healing phase Following placement of the Cover Screw the surgical site should be irrigated and the soft tissue adapted in a normal surgical fashion Take precautions to prevent the Cover Screw from being aspirated by the patient Healing Abutments Purpose Transmucosal element for single stage surgical protocol ee or for soft tissue healing period following second stage uncovery e Select Healing Abutment by desired height and emergence profile e Hand tighten 10 15 Ncm utilizing 050 1 25mm Hex Driver e Color coded by implant body diameter e Encoded for easy intraoral identification for example 4 x 4 5 4 0mm implant diameter x 4 5mm high Healing Abutment Healing Abutments are placed after uncovery in a two stage surgical protocol or in lieu of a Cover Screw in a single stage non submerged protocol External Healing Aoutments are specific to each of the four implant body diameters and come in three heights 3mm 4 5mm and 6mm with the choice of straight or flared emergence profiles The height should be chosen so that it extends approximately 1mm through the soft tissue An antibacterial paste may be placed on the screw portion to help seal the Healing Abutment with the implant body and decrease the risk of bacterial growth within the implant body during the healing phase Following seating irrigate the surgical site and adapt the soft tissue in normal surgical fashio
13. to the standard placement depths of the implants as well as one without a depth stop Depth Stop Option Fixed circular rings act as stops to prevent surgeons from drilling beyond the pre determined depth 9mm 10 5mm 12mm or 15mm These drills should not be used when subcrestal placement of the implant s prosthetic platform Cover Screw is planned Preparation to the full length permitted by a depth stop allows placement of the corresponding implant as shown above For added reference these drills have standard depth markings below the stop No Depth Stop Option This drill has depth marks ranging from 7mm to 15mm see page 40 The clinician must manually Stop the drill at the planned depth based on the depth marks on the shaft This drill should be used if all or part of the implant s prosthetic platform Cover Screw will be placed subcrestal OSTEOTOMY PREPARATION Q3 0 5 4mm Width Increasing Drills Purpose Incrementally widens the osteotomy without creating excessive heat e 850 2 500 rpm drill speed with steady sterile irrigation e Depth marked for reference Non end cutting geometry for added safety e Efficient cutting geometry collects bone for autografting e Color coded by the smallest diameter implant body with which it is used e Be certain that the 3 0mm Width Increasing Drill reaches the desired depth before moving on in the sequence Return to 2 5mm Depth Drill if deeper osteotomy is required Ex
14. with the Abutment for Screw Hand tighten or torque to 30Ncm depending on application Titanium Alloy Ti 6Al 4V Hex Adapter Abutment for Screw 304 210 3 5 4 0mm Hex Adapter Abutment for Screw 5 0mm Hex Adapter Abutment for Screw Required for placement of Abutment for Screw May be driven by either Hand Wrench Torque Wrench or AS123 Hand Unit oarts shown not to scale BALL ABUTMENTS Ball Abutments 3 5mm Ball Abutment 2mm Collar 3 5mm Ball Abutment 4mm Collar 3 5mm Ball Abutment 6mm Collar 4 0mm Ball Abutment 2mm Collar 4 0mm Ball Abutment 4mm Collar 4 0mm Ball Abutment 6mm Collar 5 0mm Ball Abutment 2mm Collar 5 0mm Ball Abutment 4mm Collar 5 0mm Ball Abutment 6mm Collar Ball Aoutments are used for retention of tissue supported overdentures They are recommended for relatively parallel implants See below and on the facing page for attachment options Ball Aoutments may be used as indirect transfer copings for production of a working cast Titanium Alloy Ti 6AI 4V 5 9mm la 2 6mm i y acem N O Ring Attachment System Standard O ring attachment 260 300 O Ring Encapsulator Female receptacle processed into denture Titanium 2 per package 260 100 O Ring Attachment Set O Ring encapsulator 2 Processing O rings 260 220 Processing O Ring 2 Clinical O rings Used for lab processing applications Bun
15. 2 12012 and 122 12015 and therefore they have been removed from the drilling sequence BioHorizons recommends against intra operative commingling of the previous and new drill designs as doing so may result in an inaccurate osteotomy depth However clinician judgment as related to any specific case or the use of any instrument always Supersedes any recommendations made in this or any other BioHorizons literature Previous and New Design Drills may be differentiated by comparison of the cutting flutes The flutes on the previous design stop below the depth marks New Design Drills have cutting flutes that extend through the Depth Marks see Diagram A Please consult your BioHorizons Product Support Specialist or Customer Care if you are uncertain of which design drills you have Previous design Cutting Flutes extend through the Depth Marks Cutting Flutes end below the Depth Marks 20 Diagram Differentiating between drill designs NEW DRILL DESIGN Drill Design Comparison Previous New Previous Previous New Previous New Previous New design design design design design design design design design Starter Drill 2 0mm Depth Drill 2 5mm Depth Drill 2 5mm Depth Drill with Stops Width Increasing Drills 122 103 Series 122 275 122 12509 122 230 122 242 Made Obsolete by 122 12512 122 232 122 247 New Starter Drill 122 12515 122 237 122 252 References 1 Heat production by 3 implant drill systems after repeated dr
16. Handpiece WD 79 Not included in Starter Kit 2 1 speed reducing ratio Used with ImplantMed 915 for mechanical root canal preparation Maximum motor speed is 40 000 rpm The motor comes with the WI 75MB 20 1 handpiece bur testing gauge 3 disposable irrigation assemblies WH ITC915 order replacements above and service oil The starter kit has factory programmed settings for endodontic functions when used with the W amp H Endo Contra angle 2 1 Handpiece sold separately above ref WD 79M W amp H ElcoMed SA 200 r WH 200 W amp H ElcoMed SA 200 Professional Kit i ERON Re order items a WH 200PTWC Pump Tube 190mm with Connectors WH 200RPT 3 PK Replacement Pump Tubes 190mm 3 pack WH 200INI INI Cards 3 pack WH 200DOC DOC Cards 3 pack WH 200MC ElcoMed 200 Motor Cable 1 8 meter Maximum motor speed is 50 000 rpm The SA 200 permits the storage of torque characteristics of a treatment stage which can then be saved on a DOC card for archiving purposes The kit also includes the WS 75 20 1 handpiece 10 disposable spray tubes ref WH ST order replacements below bur testing gauge irrigation spike and service oil Universal and Legacy Re order Items Motor Compatibility Ref Code Description WH ST 10 PK WH CLP 10 PK WH 100PTWC WH 100RPT 5 PK WH 100MC WH 110MC WH 110CLP 5 PK WH 110PTWC WH 110RPT 3 PK WH 110ISAWRC WH 110RC WH ISA WH ITWOS WH MD400 WH OSC WH SP Green
17. Initiates osteotomy e 850 2 500 rpm drill speed with steady sterile irrigation e Chisel tip design eliminates skating on osseous crest Initiates osteotomy to planned depth e Prepares site for Paralleling Pins e Externally irrigated Drill Extender Purpose Extends length of latch type drills and burs e Adds 16 millimeters to overall length of drills and burs e Provides access between long crowns e Internal geometry engages drills latch geometry e Compatible with latch type handpieces burs and drills POSITION VERIFICATION Paralleling Pins Purpose Evaluation of osteotomy position and angle e Provided straight or with a 20 angle e Used after 2 0mm Starter Drill and 2 5mm Depth Drills e 9mm shank for radiographic evaluation of proximity to adjacent anatomy e Hub diameter is 4 0mm 2 0mm Example the shank measures 10 5mm on the radiograph versus its Known actual length of 9 0mm Dividing the measured length from the radiograph by the known actual length determines the radiographic magnification factor equal to 116 in this example O2 5mm Paralleling Pins may be used following the 2 0mm Starter Drill to evaluate any changes needed to improve implant angulation and position The Paralleling Pins are provided both straight or with a 20 angle The large end of the Paralleling Pin may be used after the osteotomy is enlarged to 2 5mm Radiographic evaluation of the osteoto
18. Instructions for Use Please contact your Product Support Specialist or Customer Care at 888 246 8338 866 468 8338 in Canada if you need additional information W amp H Surgical Handpieces WI 75MB W amp H 20 1 Contra Angle Handpiece WI 75MB Contra Angle Handpiece with speed reduction ratio of 20 1 2 000 rpm maximum with ImplantMed 915 Equipped for both internal cooling amp external cooling Push button bur release Monoblock construction External Spray Clip WH IC detaches for easy cleaning Uses latch type surgical drills and burs WS 75 W amp H 20 1 Contra Angle Handpiece WS 75 Contra Angle Handpiece with speed reduction ratio of 20 1 2 500 rom maximum Equipped for both internal cooling amp external cooling Push button bur release Uses latch type surgical drills and burs WS 92 W amp H 1 2 7 Contra Angle Speed Increasing Handpiece 1 2 7 speed increasing ratio 135 000 rpm maximum Contra Angle Handpiece suitable for high speed preparation and tissue augmentation procedures External irrigation port Uses friction grip burs O1 6mm S 11 W amp H 1 1 Straight Surgical Handpiece 1 1 ratio 50 000 rom maximum Suitable for bone harvesting third molar extractions and osteoplasty Easily dismantled for cleaning Uses 45mm long friction grip surgical burs 2 35mm S 12 W amp H 1 2 Contra Angle Surgical Handpiece 1 2 speed increasing ratio 80 000 rom maximum Suitable for surgical procedures such
19. a 12 per package 260 210 Clinical O Ring Used for clinical applications Silicone 12 per package 28 oarts shown not to scale BALL ABUTMENTS Ball Attachment System The Ball Attachment system offers several advantages over traditional O ring attachments It requires less mesial distal buccal lingual space and offers four 4 different levels of retention The retention inserts can be easily changed chairside e ts 2 BCAS Ball Attachment Set Includes 1 Titanium Housing 3 Female Nylon Inserts white more retention pink less retention black lab processing and 1 Protective Disk z tissue protector for impression taking and chair side denture pick up BCAHT Attachment Housings Titanium BCCBP Castable Ball Pattern Burn out component for fabrication of a custom bar with ball attachments Not recommended for use with O Ring Attachments 2 balls per pattern BCIB Black Nylon Insert mfa ml Lab Processing and Chair side Denture Pick up 2 per package For Resin pickup or Soldering 2 per package BCIST Insert Seating Tool Used to seat nylon inserts in attachment housings Elastic Retention Clinical use 2 per package Extra Soft Retention 141b 525g BCR Reamer BCIG Green Nylon Insert Clinical use 2 per package OW Q lt Used to adjust retention of nylon inserts BCIP Pink Nylon Insert Clinical use 2 per package Soft Retention 2 3lo 875g BCIW White Ny
20. as bone smoothing third molar extractions and osteotomy site drilling High precision bearings ensure that the unit runs vibration free Uses friction grip surgical burs at least 65mm long 2 35mm Hex Drivers for Latch Type Reduction Handpieces 134 350 050 1 25mm Handpiece Hex Driver 134 450 050 1 25mm Handpiece Hex Driver Long For installation and removal of Cover Screws Healing Abutments and Aoutment Screws Use with latch type contra angle handpieces WS 75 or WI 75MB or similar 134 450 is 5mm longer than the 134 350 Bur Testing Gauge WH BTG Bur Testing Gauge Used to verify the condition of latch type burs Burs in proper condition will fit into larger diameter hole but will not fit into the smaller hole marked red Burs that fail either of these criteria are unfit for use and may cause damage to the handpiece if used oarts shown not to scale ABUTMENT OVERVIEW Cement retained Single or Multiple unit Cement retained Multiple unit di Esthetic Profile Abutments Abutments page 17 page 17 3inOne Abutments page 15 Angled Esthetic Abutments page 16 Angled Abutments page 16 Straight Abutments page 18 Abutments for Cement Non hexed page 18 Cement or Screw retained Provisional Screw retained Implant level Screw retained Hybrid or Bar retained Implant level Single unit Multiple unit Single or Multiple unit PEEK Titanium Temporar
21. bed below Insertion Tools Implant level Purpose Engages external hex allowing implant s position to be adjusted in the osteotomy e May be used following removal of the sinOne Abutment e Offers a narrower path of insertion and better clearance than the 3inOne Abutment Abutment level Adapter option e Square drive shaft interfaces with the Ratchet and Hand Wrench The rotational position hex flat orientation or the placement level of External implants can be adjusted with the Insertion Tools following removal of the 3inOne Abutment Mate the appropriate Insertion Tool with the external hex of the implant and lightly screw into place Engage the Insertion Tool with either the Ratchet or Hand Wrench and rotate the implant to the required position COVER SCREWS amp HEALING ABUTMENTS Cover Screws Purpose Protects prosthetic platform in two stage submerged surgical protocols e Packaged with each implant in the sterile inner vial e Hand tighten 10 15 Ncm utilizing 050 1 25mm Hex Driver e Color coded by implant body diameter Remove the 3inOne Abutment and thoroughly irrigate the inside of the implant to remove blood and other debris Unscrew the Cover Screw included in each implant vial from its holder and screw it into the implant using the 050 1 25mm Hex Driver An antibacterial paste may be placed on the end of the Cover Screw to help seal it with the implant body and decrease the risk of
22. d External Product Catalog and lechnique Manual 2007 ORDERING amp WARRANTY INFORMATION Product Support Specialist Cell phone Fax BioHorizons USA Customer Care Servicio al Cliente 888 246 8338 205 967 7880 BioHorizons Canada Customer Care Service la Client le 866 468 8338 905 944 1700 BioHorizons Ib rica Atenci n al Cliente 34 91 713 10 84 BioHorizons GmbH Kunden Service 49 7661 909989 0 BioHorizons UK Customer Care 44 8700 620 550 BioHorizons No Exceptions Lifetime Warranty on Implants and Prosthetics BioHorizons implants and prosthetic components carry a Lifetime Warranty We will replace any BioHorizons implant or prosthetic component if removal of that product due to failure excluding normal wear to overdenture attachments is required for any reason at any time Warranties on Instruments Surgical Drills Taps and Torque Wrenches BioHorizons warranties instruments surgical drills and taps and torque wrenches for the period specified for each in 1 amp 2 below During the specified warranty period we will replace or repair any product with a defect in material or workmanship 1 Instruments The warranty on BioHorizons instruments extends for a period of one 1 year from the date of initial invoice This includes drivers sinus lift components implant site dilators and other BioHorizons tools used in the placement or restoration of our implants with the exception of surgical dri
23. e splinted together Splinting implants together can offer a significant biomechanical advantage over individual unsplinted crowns Clinicians must evaluate the mitigating patient factors in each case to determine whether immediate function is appropriate Cover Screw in a submerged surgical protocol Healing Abutment as a transmucosal element Ar ta lt cp PE et H 5 a Splinted prosthesis in immediate function IMPLANT SPACING Spacing considerations for BioHorizons External implants e Proper spacing is essential for esthetics bone maintenance and hygiene considerations e Maintain a minimum of 1 5mm from adjacent teeth contact at crest to the edge of implant e Maintain 3 0mm edge to edge spacing between adjacent implants e Watch for tooth roots tipped or angled beyond the contact region of the crown e Minimum spacing guidelines are illustrated below figures rounded up to the next 0 1mm The osteotomy centerpoint required to maintain a 1 5mm implant to tooth spacing is derived using the following calculation 12 implant body diameter 1 5mm The measurements for the four External implant body diameters are shown below Osteotomy center Osteotomy center 3 3mm from 3 5mm from 4 0mm from 4 5mm from adjacent tooth adjacent tooth adjacent tooth adjacent tooth The osteotomy center to center measurement required to maintain a 3 0mm edge to edge spacing between External implants is derived using the following calcu
24. ed Used for multiple unit screw retained or custom cast abutment cement retained restorations Packaged with the Abutment Screw 130 300 or 140 300 Recommended final torque 30 Ncm Delrin burn out sleeve Dimensions shown below Hexed and Non hexed Plastic Custom Castable Abutments share identical external geometry 04 75mm 575mm ss 6 75mm parts shown not to scale IMPRESSION COMPONENT OVERVIEW Single or Multiple unit Implant level Cement or Screw retained prostheses to Ball top Screw with 3inOne Abutment Indirect hexed Direct Pick up page 23 Coping Hexed page 24 Implant Analog s page 25 Multiple unit Abutment level Hybrid or Bar retained prostheses Direct Pick up Coping Indirect Transfer Coping Abutment for Screw Abutment for Screw page 27 page 27 Analogs Aoutment for Screw page 27 Multiple unit Implant level Non hexed Screw retained prostheses Direct Pick up Coping Indirect Transfer Coping Non hexed Non hexed page 24 page 23 Implant Analogs page 25 Multiple unit Ball Abutment Overdenture Tissue supported prostheses Ball Abutments used as transfer coping page 28 Ball Aoutment Analogs page 29 oarts shown not to scale INDIRECT IMPRESSION COMPONENTS Ball top Screw for Indirect Transfer Closed Tray Hexed 213 235 3 5mm Ball top Screw 214 235 4 0 5 0 6 0mm Ball top Screw Used wit
25. ended to place implants in a fashion that leaves surface treated areas RBI HA exposed to the oral cavity IMPLANT PLACEMENT 3inOne Abutment Removal To remove the 3 nOne Abutment engage the Abutment Screw with the 050 1 25mm F Hex Driver Apply firm apical pressure to the Hex Driver and rotate counter clockwise until the screw is completely disengaged from the implant body The 3inOne Abutment may then be removed In soft bone or when the implant lacks initial stability an Abutment Clamp ref IMPAH sold separately should be used to grasp the outside of the abutment to provide counter torque during loosening of the Abutment Screw The 3inOne Abutment and Abutment Screw should be retained with the patient s chart as it can later be used in the impression making procedure and as a temporary or final abutment for cement retention External Hex Orientation The longest flat surface on the external aspect of the sinOne Abutment is indexed to one of the six flats of the implant s external hexagon In most cases one of the hex flats should be oriented to the facial aspect as it allows for angulation correction with stock angled abutments Placing the long flat of the 3inOne Abutment to the facial also leaves more room for porcelain in that area on the final prosthesis removal of the 3inOne Abutment using the Implant level The implant s rotational position can be adjusted following Insertions Tools as descri
26. er Care Servicio al Cliente 888 246 8338 or 205 967 7880 BioHorizons Canada 21 Amber Street Unit 7 Markham Ontario L3R 473 Customer Care Service la Client le 866 468 8338 or ou 905 944 1700 BioHorizons lb rica Bocangel 38 28028 Madrid Espa a Atencion al Cliente 34 91 713 10 84 BioHorizons GmbH Germany Marktplatz 3 TOO N Kunden Service 49 7661 909989 0 BioHorizons UK 180 Dukes Ride Crowthorne Berkshire RG45 6DS Customer Care 44 8700 620 550 BioHorizons products are cleared for sale in the European Union under the EU Medical Device Directive 93 42 EEC We are proud to be registered to ISO 13485 2003 the international quality management system standard for medical devices which supports and maintains our product licences with Health Canada and in other markets around the globe 2007 BioHorizons Implant Systems Inc All Rights Reserved LO129 Rev A JUN 2007 www biohorizons com
27. field Hold the inner vial in an upright fashion and carefully remove the cap Select the desired Adapter either Handpiece or Ratchet and engage the abutment as Shown below The implant can then be removed from the vial for transport to the osteotomy Do not touch the implant surface during the transfer The peel and stick label on the outer vial should be placed in the patients chart as a record of the device used Abutment level Adapters engage the 3inOne Abutment s external square The dimple on the Adapters align with any of the four external flats on the abutment IMPLANT PLACEMENT Handpiece and Ratchet Adapters Abutment level Purpose Engages the 3inOne Abutment allowing the implant to be driven into the osteotomy e Premounted 3inOne Abutment serves as the surgical drive mount e Adapters interface with the external square of the 3inOne Abutment e O ring secures implant while it is carried to osteotomy e Electric handpiece or manual insertion options e 30 rpm or less Handpiece and Ratchet Adapters engage External implants via the square on the coronal aspect of the pre mounted 3 nOne abutment Remove the cap from the inner vial and seat the chosen Adapter Remove the implant from the vial and carry it to the osteotomy on the Adapter taking precautions not to touch the implant surface during the transfer Place the apex of the implant into the osteotomy apply firm apical pressure and begin rotati
28. for implant threads Used ONLY with BioHorizons External implants e Site Specific Not typically used in soft D3 D4 bone 15mm e 30 rpm or less irs e Final osteotomy preparation instrument prior to implant placement 13mm e Square drive shaft interfaces with Ratchet and Hand Wrench 12mm N mm 10mm 9mm Detail of Bone Tap depth marks Figure 1 Handpiece Ratchet amp Extender Bone Taps he osteotomy should be tapped in dense bone to prepare the site to accept the implant s threads without creating excessive pressure The use of a Bone Tap may also be indicated in less dense bone when one or more sides of the osteotomy is in contact with a lateral plate of cortical bone The Bone Taps may be driven with either a Handpiece Fig 1 Ratchet Hand Wrench or by the BioHorizons Surgical Driver purchased separately ref 150 000 The Ratchet and Hand Wrench Extender Fig 2 may be used when additional length is needed Place the tip of the Bone lap into the osteotomy apply firm apical pressure and begin rotating slowly in a clockwise direction 30 rom or less is recommended When the threads engage allow the tap to feed without excessive pressure To remove rotate the Bone lap in a counter clockwise direction allowing it to back out of the osteotomy Do not pull on the Bone Tap to remove it From the site D3 and DA Clinicians placing previously purchased D2 threadform implants in sites requiring tapping must use the cor
29. gh impression making techniques and prosthetic lab procedures with the BioHorizons External impression components BIOHORIZONS M4XIM External 4x Patient Education Model This 4 times scale model includes the Implant Abutment Abutment Screw Ball top Screw Healing Abutment Cover Screw Implant Driver and Hex Driver Excellent for demonstrating implant components to the patient Call for availability oarts shown not to scale PATIENT EDUCATION Patient Education Materials MLO131 Patient Education Dental Implants the tooth replacement solution This high quality flipbook helps the implant candidate understand the rationale and the advantages of implant therapy compared to traditional treatment methods The message focuses on the positives of implants and their ability to stop the bone loss associated with edentulism Many treatment options are detailed to aid the clinician in describing a procedure 9 x 6 23cm x 16cm MLO128 Patient Education Tooth Replacement with Dental Implants poster This 2 sided laminated poster visually outlines the advantages of implant therapy compared to traditional treatment methods One side focuses on tooth replacement options while the opposite side contains information on bone loss and how dental implants can help preserve bone 24 x 36 61cm x 91cm MLO103 Patient Education If you have missing teeth This brochure helps the i
30. h the 3inOne Abutment to form an impression coping for closed tray hexed timed transfers Screws for 3 5mm implants 213 235 are color coded anodized yellow Screws for 4 5 6mm implants 214 235 are silver un anodized Hand tighten manually or with the 050 1 25mm Hex Driver Titanium Alloy Ti 6AI 4V The Ball top Screw MUST be used with a 3inOne Abutment to serve as an indirect transfer coping Indirect Transfer Copings Closed Tray Non hexed 3 5mm Indirect Transfer Coping Non hexed 4 0mm Indirect Transfer Coping Non hexed 5 0mm Indirect Transfer Coping Non hexed One piece impression coping used for closed tray non hexed transfers Only used when the final restoration is to be a multiple unit non hex engaging screw retained prosthesis or for making impressions for fabrication of a custom impression tray Hand tighten manually or with the 050 1 25mm Hex Driver Titanium Alloy Ti 6Al 4V oarts shown not to scale DIRECT IMPRESSION COMPONENTS Direct Pick up Copings Open Tray Hexed 3 5mm Direct Pick up Coping Hexed 4 0mm Direct Pick up Coping Hexed 5 0mm Direct Pick up Coping Hexed 6 0mm Direct Pick up Coping Hexed Used to make an open tray implant level hexed timed impression Packaged with the extended Direct Coping Screw 243 320 or 244 320 Titanium Alloy Ti 6Al 4V Direct Pick up Copings Open Tray Non hexed 3 5m
31. ider that a margin of safety of at least 1mm should be factored into treatment plans adjacent to any vital anatomic structure SURGICAL KIT Surgical Kit Layout The External Surgical Kit uses an intuitive layout to guide the surgeon through the instrument sequence The sequence begins in the upper left hand corner and works left to right and then down Color coded lines instruments and grommets further aid in instrument selection and identification Prior to use clean and sterilize the surgical tray and instruments per instructions and study the Surgical Kit layout color coding and iconography Surgical assistants should also be thoroughly familiar with all instruments and their uses BIOHORIZONS external External Implant Color code 3 5mm 4 0mm 5 0mm 6 0mm implant body implant body implant body implant body SURGICAL DRILLS The descriptions of the Drills in this literature are specific to the External Surgical Kits and Drills purchased after June 30 2007 If you are in possession of any previous BioHorizons Surgical Kits or Drills please refer to important Instructions for Use on pages 56 57 Drill Depth Markings The depth marks below represent the Starter Drill Depth Drills and Width Increasing Drills The thick bands are each one millimeter wide Thin lines are used to mark 7mm and 11mm See page 47 for Bone Tap depth marks Important Drilling Considerations Peri operative oral rinses with
32. illing and sterilization Chacon GE Bower DL Larsen PE McGlumphy EA Beck FM J Oral Maxillofac Surg 2006 Feb 64 2 265 9 2 A Prospective Multicenter Clinical Investigation of a Bone Quality Based Implant System Kline R Hoar J Beck G Hazen R Resnik R and Crawford E Implant Dentistry 224 234 Vol 11 No 3 2002 3 Five Year Prospective Study of Immediate Early Loading of Fixed Prostheses in Completely Edentulous Jaws with a Bone Quality Based Implant System Misch CE and Degidi M Clinical Implant Dentistry and Related Research 17 27 Vol 5 No 1 2003 4 Immediate Functional and Non Functional Loading of Dental Implants a 2 to 60 Month Follow Up Study of 646 Titanium Implants Degidi M and Piattelli A J Periodontology February 2003 5 Non Functional Immediate Teeth in Partially Edentulous Patients A Pilot Study of 10 Consecutive Cases Using the Maestro Dental Implant System Misch CE Compendium Special Issue 25 36 1998 6 Effects of Implant Thread Geometry on Percentage of Osseointegration and Resistance to Reverse Torque in the Tibia of Rabbits Steigenga J Al Shammari K Misch C Nociti F and Wang H L J Periodontology September 2004 7 The Influence of 0 12 Chlorhexidine Digluconate Rinses on the Incidence of Infectious Complications and Implant Success Lambert P Morris H and Shigeru O J Oral Maxillofac Surg 1997 55 25 30 Suppl 5 BioHorizons USA One Perimeter Park South Birmingham AL 35243 Custom
33. ingle stage procedure The Suture Groove allows the surgeon to apically position the soft tissue flap and retain it in this position for improved esthetic results Hand tighten with the 050 1 25mm Hex Driver Titanium Alloy Ti 6AI A4V Flared Emergence Profile Healing Abutment Flared Emergence Profile Healing Abutments should be used whenever mesial distal space permits and use of an abutment with a flared margin is planned The margin profile contours the tissue away from the implant platform and allows easier seating of flared abutments on the implant prosthetic platform Approximately 1mm wider than the prosthetic platform of the corresponding implant 212 303 O3 5mm x 3mm 212 503 5 0mm x 3mm 212 304 3 5mm x 4 5mm 212 504 5 0mm x 4 5mm 212 306 3 5mm x 6mm 212 506 95 0mm x 6mm 212 603 6 0mm x 3mm 4 0 3 du ss 212 604 6 0mm x 4 5mm 4 0 4 5 ie 212 606 6 0mm x 6mm 212 406 4 0mm x 6mm Straight Emergence Healing Abutment Straight Emergence Healing Abutments have the same diameter as the corresponding implant platform Proper seating of the 3inOne Abutment and other flared emergence abutments may be difficult if the Straight Emergence Healing Abutment is used In these cases the 3inOne Abutment should not be used as an impression coping All other BioHorizons impression copings will work for these cases Be sure that the coping used is appropriate for the specific case hexed or non hexed
34. late shows all sizes of BioHorizons External implants in J g Radiographic Ball 100 and 125 scale amh amp comp come at com come em G 122 20 3 5 4 0mm Tissue Punch 5 0mm Tissue Punch 122 203 6 0mm Tissue Punch BioHorizons Tissue Punches are used in a latch type handpiece to remove the soft tissue from the crest of the ridge prior to osteotomy preparation in a flapless surgical procedure Available in 3 diameters 3 5mm Bone Profiling Bur 4 0mm Bone Profiling Bur 5 0mm Bone Profiling Bur 6 0mm Bone Profiling Bur Used at implant uncovery to contour crestal bone to accommodate abutments when the implant is subcrestal For use in latch type reduction handpieces The Profller s internal geometry matches the geometry of the surgical Cover Screw which aligns the Profiler for precise removal of tissue surrounding the platform Diameters correspond to the 4 External implant diameters oarts shown not to scale ANCILLARY INSTRUMENTS AND LITERATURE 122 110 2 0mm Lindemann Bone Cutter Side cutting drill used to correct eccentric osteotomy preparations Clean out Tap Tools 123 001 3 5mm Implant Clean out Tap Tool 124 001 4 0 5 0 6 0mm Implant Clean out Tap Tool 122 170 Abutment for Screw Clean out Tap Tool Used to re thread External implants or Abutments for Screw where the internal threads have become damaged Requires a sta
35. lation 12 sum of 2 implant body diameters 3 0mm The table below lists the permutations body diameter 75mm Measurement is dependent on the two implant body diameters INTRAORAL MEASUREMENTS Implant Spacer Depth Probe Purpose Multi function instrument for intraoral measurements e 2 0mm probe tip measures osteotomy depth in millimeter increments Five centimeter graduated ruler on shaft e End measures implant to implant spacing mesial distal and buccal lingual e Aids implant placement adjacent to an existing tooth 15mm 13mm 11mm 9mm 7mm The rectangular end of the tool provides intraoral Probe tip measures measurements of buccal lingual and mesial distal space osteotomy depth Center to center implant spacing Useful for marking center to center implant spacing on the Using the rectangular end as shown against ridge prior to multiple implant placement an existing crown centers the osteotomy approximately 4 25mm from the contact RADIOGRAPHIC OVERLAY TEMPLATES Radiographic Templates Purpose Aids clinician in preoperative determination of options for implant length and diameter The template has several unique features L0250 BIDHORIZONS external e All implants are shown at 100 scale and 125 scale for BioHorizons Tmplant Systems Ine Radiographic Implant Template panoramic radiography Be aware that panoramic
36. lls and taps see below Torque wrenches require recalibration every 12 months BioHorizons Customer Care can provide information on where to send your wrenches for recalibration and service 2 Surgical Drills and Taps Surgical drills and taps are covered by warranty for a period of 90 days from the date of initial invoice Surgical drills and taps should be replaced when they are worn dull corroded or in any way compromised BioHorizons recommends the replacement of drills after 12 to 20 osteotomies Return Policy Instructions for initiating returns can be found on the reverse side of the invoice that was shipped with the product Please contact Customer Care if you need a copy of the instructions or if you have additional questions or requests BioHorizons strongly recommends completion of postgraduate dental implant education and strict adherence to the Instructions for Use IFU that accompany our products Treatment planning and use of the products are solely your responsibility BioHorizons is not responsible for incidental or consequential damages or liability relating to use of our products alone or in combination with other products other than replacement or repair under our warranties BioHorizons continually strives to improve its products and therefore reserves the right to improve modify change specifications or discontinue products at any time TABLE OF CONTENTS Ordering and Warranty Information page
37. lon Insert Clinical use 2 per package Standard Retention 3 3lb 1250 BCPT Paralleling Tool A laboratory tool used on a surveyor to position and wax castable balls on a bar BCDR Directional Rings Used for obtaining parallelism BCS Set of 3 pools 0 7 and 14 rings Set of 3 Insert Seating Tool Reamer and Paralleling Tool Ball Abutment Analogs 260 40 3 5 4 0mm Ball Abutment Analog 000 lt ee O 5 0mm Ball Abutment Analog Used to represent the Ball Aoutment Implant assembly in the working cast Only used in conjunction with Ball Abutments Titanium Alloy Ti 6AI 4V 2 parts shown not to scale PROSTHETIC INSTRUMENTATION Prosthetic Instrumentation System 320 000 Complete Prosthetic Instrumentation System Includes AS123 Hand Unit Hand Wrench 30 Necm Torque Wrench 050 1 25mm Hex Driver Regular 050 1 2 53mm Hex Driver Long Hex Adapters for Abutment for Screw Ratchet Extender Sterilization Tray 300 070 Prosthetic Sterilization Tray Autoclavable tray for prosthetic instrumentation included with the 320 000 300 100 AS123 Hand Unit Provides improved vision and easy access to prosthetic components in posterior regions of the mouth Hand Wrench and Drivers must be purchased separately May also be purchased as part of the 320 000 Complete Prosthetic Instrumentation System see above 300 430 30 Ncm Torque Wrench Used to deliver torque
38. m Direct Pick up Coping Non hexed 4 0mm Direct Pick up Coping Non hexed 5 0mm Direct Pick up Coping Non hexed 6 0mm Direct Pick up Coping Non hexed Used to make an open tray implant level non hexed impression Packaged with the extended Direct Coping Screw 243 320 or 244 320 Titanium Alloy Ti 6Al 4V 3 7mm a oarts shown not to scale IMPLANT ANALOGS AND SCREWS Implant Analogs 3 5mm Implant Analog 4 0mm Implant Analog 5 0mm Implant Analog 6 0mm Implant Analog Represents the External implant in a laboratory fabricated implant level stone model Titanium Alloy Ti 6Al 4V Abutment Screws 130 300 3 5mm Abutment Screw 140 300 4 0 5 0 6 0mm Abutment Screw Low profile screw head Packaged with all two piece abutments Screws for 3 5mm implants 130 300 are color coded anodized yellow Screws for 4 5 6mm implants 140 300 are silver un anodized Utilizes the 050 1 25mm Hex Driver Titanium Alloy Ti 6AI 4V Direct Coping Screws 243 320 3 5mm Direct Pick up Screw 244 320 4 0 5 0 6 0mm Direct Pick up Screw Packaged with all Direct Pick up Copings Screws for 3 5mm implants 243 320 are color coded anodized yellow Screws for 4 5 6mm implants 244 320 are silver un anodized May also be used in place of the Abutment Screw when extra length is needed or to maintain screw access hole during fabrication of scre
39. ment allowing the case to be completed with fewer appointments and less chair time IMPLANTS BioHorizons External Implants Each implant is packaged with the 3inOne Abutment Cover Screw and Abutment Screw Choice of RBT or HA surface treatment except 3 5mm RBT only Order by length and diameter Titanium Alloy Ti 6AI 4V All External Implants have a 0 5mm machined collar between the implant abutment interface and the top of the RBT or HA surface treatment Resorbable Blast Texturing RBT Pure TiO surface 60u Ra RBT Surface 3509D3 35105D3 3512D3 3515D3 RBT Surface 4009D3 40105D3 4012D3 4015D3 RBT Surface 5009D3 50105D3 5012D3 5015D3 RBT Surface 6009D3 60105D3 6012D3 6015D3 Diameter x Length 3 5mm x 9mm 3 5mm x 10 5mm 3 5mm x 12mm 3 5mm x 15mm Diameter x Length 4 0mm x 9mm 4 0mm x 10 5mm 4 0mm x 12mm 4 0mm x 15mm Diameter x Length 5 0mm x 9mm 5 0mm x 10 5mm 5 0mm x 12mm 5 0mm x 15mm Diameter x Length 6 0mm x 9mm 6 0mm x 10 5mm 6 0mm x 12mm 6 0mm x 15mm HA Surface 4009D4 40105D4 4012D4 4015D4 HA Surface 5009D4 50105D4 5012D4 5015D4 HA Surface 6009D4 60105D4 6012D4 6015D4 Hydroxylapatite Coating HA High density crystalline coating oarts shown not to scale HEALING ABUTMENTS AND COVER SCREWS Used for tissue healing at second stage uncovery or as the transmucosal element for a s
40. mplant candidate understand the rationale and the advantages of implant therapy compared to traditional treatment methods The message focuses on the positives of implants and their ability to stop the bone loss associated with edentulism 8 5 x 3 5 27cm x 3 7m RioHORLZC NS MLO129 Patient Education Rebuilding and maintaining bone This brochure explains the benefits and basic science of bone regeneration and its relationship to implant therapy 8 5 x 3 5 21 5cm x 8 7cm BCR LACS MLO114 Patient Education Secure dentures bring back your smile This brochure helps the denture wearer understand the rationale and the advantages denture stabilization with implants 8 5 x 3 5 21 5cm x 8 cm BOOTS 6G parts shown not to scale Section 2 Surgical Manual Surgical Specifications e Two stage or single stage protocols e Machined collar 0 5mm high e Body diameters 3 5mm 4 0mm 5 0mm 6 0mm e Implant lengths 9mm 10 5mm 12mm 15mm e Prosthetic platforms 0 2mm wider than implant body e Choice of RBT or HA surface HA not offered on 3 5mm implants Titanium Alloy Ti 6AI 4V Hex Flat to Flat distance 24mm Diana 3 0mm 2 0mm Body Diameter 3 5mm 4 0mm 5 0mm 6 0mm Apical Diameter 2 0mm 2 Jagan 2 lan Si Slane Minimum Ridge Width 5 5mm 6 0mm 7Omm 8 0mm Minimum Mesial Distal Space 6 5mm 7Omm 8 0mm 9 0mm 9mm 9mm 9mm 9mm OFS natn OSS Nan 10 Smm O Sia
41. my s proximity to adjacent anatomy can be made using the Pins as reference however the level of radiographic magnification must be taken into account Divide the features apparent length on the image by the known actual length to calculate the magnification factor apparent length actual length magnification factor By example if the shank measures 10 5mm on the radiograph the magnification factor is 10 5 9 1 16 or 116 Therefore if the Parallel Pin appears on the radiograph to be 4 0mm away from a structure the actual distance is 4 0mm 1 16 or 3 4mm OSTEOTOMY PREPARATION O2 5mm Depth Drills Purpose Increases osteotomy depth and width following use of the 2 0mm Starter Drill e 850 2 500 rpm drill speed with steady sterile irrigation Efficient cutting geometry collects bone for autografting e Offered with and without length specific stops e Use Drill without depth stop when counter sinking implant Externally irrigated 2 5mm Drill 12mm long 2 5x 12mm without Stop External Stop Drill Implant 2 5mm Depth Drills Designed to increase and or set the depth and width of the osteotomy following use of the 2 0mm Starter Drill They may also be the first drills used to set the osteotomy depth for implant placement in an extraction socket The stated length is the actual length and corresponds to the implant body length as illustrated above There are four 2 5mm Depth Drills with fixed Depth Stops corresponding
42. n Implant Cnm Jinan Ln 12mm Lengths 15mm 15mm 15mm 15mm A All spacing recommendations given within this literature are general guidelines Clinicians must apply their best judgement as to whether these guidelines are appropriate for individual patient presentations INTRODUCTION TREATMENT PLANNING Introduction This Surgical Manual serves as a reference for using the BioHorizons External implants and surgical instruments It is intended solely to provide instructions on the use of BioHorizons products It is not intended to describe the methods or procedures for diagnosis treatment planning or placement of implants nor does it replace clinical training or a clinician s best judgment regarding the needs of each patient BioHorizons strongly recommends appropriate training as a prerequisite for the placement of implants and associated treatment The procedures illustrated and described within this manual reflect idealized patient presentations with adequate bone and soft tissue to accommodate implant placement No attempt has been made to cover the wide range of actual patient conditions that may adversely affect surgical and prosthetic outcomes Clinician judgment as related to any specific case must always supersede any recommendations made in this or any BioHorizons literature Before beginning any implant surgical procedure with BioHorizons implants e Design a surgical treatment plan to satisfy the prosthetic requiremen
43. n A gingivectomy or apically positioned flap technique may be used to reduce the soft tissue thickness and to decrease sulcular depth around the implant The suture groove on the Healing Abutment may be used to apically position the soft tissue flap Take precautions to prevent the Healing Abutment from being aspirated by the patient BONE PROFILERS Bone Profilers Purpose Remove and contour excess bone and soft tissue from the area of the prosthetic platform Used ONLY with BioHorizons External implants e Compatible with latch type speed reducing handpieces e 850 2 500 rom drill speed with steady sterile irrigation e Bone Profiler cuts away excess bone and soft tissue e Color coded by specific implant body diameter Bone Profilers remove and contour excess bone and soft tissue from the area of the prosthetic platform prior to the seating of a healing or prosthetic abutment There is a specific Bone Profiler for each of the four implant body diameters 3 5mm 4 0mm and 5 0mm and 6 0mm The surgical Cover Screw aligns the Bone Profiler and protects the implant from damage The Profiler is used in a latch type reduction handpiece under copious amounts of sterile irrigation Following removal of the excess bone and soft tissue unscrew the Cover Screw from the implant and seat the chosen prosthetic component A Do not use the Bone Profiler without the Cover Screw in place to protect the implant body and prosthetic platform
44. nd contain no glass or graphite fillers that can scratch titanium implant abutments CLEANING BUR TESTING GAUGE BioHorizons Surgical Kits are provided non sterile and must be cleaned and sterilized prior to use following the accompanying Instructions for Use Remove instruments from the package and discard packing materials prior to sterilization Double check instruments to ensure their Functionality prior to surgery Verify the dimensional accuracy of drill shanks using a Bur Testing Gauge below It is recommended to have back up sterile drills available prior to any surgical procedure BIOHORIZONS external The use of hydrogen peroxide or other oxidizing agents will damage the surface of instruments Towel or air dry all instruments before sterilizing Drills and taps should be replaced when wear is noticed such as a decrease in cutting efficiency or when signs of discoloration appear BioHorizons recommends replacing drills after approximately 12 to 20 osteotomy cycles depending on the bone density Proper testing cleaning and calibration of sterilization equipment must be done at regular intervals to ensure that units are in proper working order Equipment operating conditions vary and it is the responsibility of each dental office to ensure that proper sterilization technique for instrumentation is followed Prior to surgery clinicians may opt to lay out instruments in the sterile field in the order of use to help as
45. ndard surgical Ratchet 130 000 or Hand Wrench 300 400 as a drive mechanism Related Literature MLO203 BioHorizons Regeneration Product Catalog Ordering information on AlloDerm GraFTOoN DBM MINEROss the Bone Fixation Screw Kit and AutoTac Titanium tacking system Also shown are a wide array of bone and soft tissue grafting instruments BOHORIZONS L0130 BioHorizons External Surgical Kit Wall Chart j ee 11 x 17 28cm x 43cm wall chart details the location of instruments in the External Surgical Kit ref 160 500 as well as the reference numbers to assist re ordering Packaged with each new surgical kit but also available upon request d4 itt j e ja ja ae sm fe me z L0131 BioHorizons External Depth Mark and Drill Sequence Chart xr M 11 x 17 28cm x 43cm wall chart details the Drill Depth Marks and recommended sequence of use for the instruments found in the External Surgical Kit ref 160 500 Packaged with each new surgical kit but also available on request Oat amd poo oarts shown not to scale W amp H MOTORS amp ACCESSORIES W amp H ImplantMed 915 WH 915 W amp H ImplantMed 915 Starter Kit Re order items WH ITC915 WH 915 One piece Disposable Irrigation Set 6 pack WH IC Irrigation Clip for WI 75MB Handpiece WH 915MC ImplantMed 915 Motor Cable 1 8 meter WD 79M W amp H Endo Contra Angle 2 1
46. ng in a clockwise direction 30 rpm or less After the apical threads engage the bone allow the implant to feed without excessive pressure Overtightening the implantin the osteotomy may cause osseous microfracture or pressure induced necrosis of the adjacent bone Manual seating via the Adapter for Ratchet may be desired to gain a tactile sense of final implant placement If too much resistance is felt during insertion remove the implant and revise the osteotomy with the appropriate Crestal Bone Drill or Bone Tap as deemed necessary to reduce insertion torque Implant Placement The stated length of BioHorizons External implants is measured from the apex of the implant to the top of the prosthetic platform see page 4 The placement level should be driven by the prosthetic necessities of each case Contributing factors include available inter occlusal space soft tissue thickness and planned prosthesis type Preparing the osteotomy to the stated implant length e g 10 5mm deep for an implant that is 10 5mm long allows placement of the prosthetic platform level with the crest shown at right If the prosthetic platform is to be countersunk below the crest a corresponding Increase of the osteotomy depth is required Clinicians may opt to leave a portion of the 0 5mm machined collar and or crest module supracrestal if doing so does not compromise the implant s initial stability and adequate soft tissue coverage exists It is not recomm
47. on e Rounded non cutting hub centers drill in osteotomy e Used following the final Width Increasing Drill for each implant e Externally irrigated Level 1 Non cutting hub Detail of cutting levels ACTE 124 r A We LA i 174 n A n AR x of ND sdk aN Example 1 Preparation Prosthetic platform level with to cutting level 1 the osseous crest LL WP rAd x a 4 0 y WN gt i gt Cg se a LA i a i A M be Y Q Mae A Vas Top of Cover Screw level with the Example 2 Preparation to OSSEOUS Crest cutting level 3 Crestal Bone Drills prepare dense crestal bone to receive the implant s flared crest module The crest module is the area beneath the prosthetic platform and above the implant threads This drill is optional in sites lacking dense cortical bone at the crest There are three significant cutting levels on the Crestal Bone Drills see top right e Preparing to Level 1 allows placement of the prosthetic platform level with the crest Example 1 e Preparing to Level 2 allows placement with the top of the external hex level with the crest provided A the osteotomy has been prepared to accommodate the additional depth not shown e Preparing to Level 3 allows placement of the Cover Screw level with the crest provided the osteotomy has been prepared to accommodate the additional depth Example 2 OSTEOTOMY THREAD TAPPING Purpose Prepares dense cortical bone
48. one year follow up was extremely low 0 06mm and actually turned into bone gain at later follow up intervals Radiographs of External implants in function for more than 6 years Note that the crestal bone levels are maintained above the level of the first thread Radiographs courtesy of Dr Carl E Misch Increased surface area for immediate loading success Bone is strongest in compressive loading weakest in shear External s modified square thread design imparts 10 times less destructive stresses at the implant bone interface than conventional v thread designs while maximizing compressive load transfer and providing excellent primary stability These attributes have become increasingly important with the emergence of early and immediate load protocols The square thread design provides up to 154 greater surface area than conventional v thread designs A comparative study of thread designs square thread v thread and buttress thread concluded that the square thread design exhibited significantly higher reverse torque values and bone to implant contact than the other thread designs Conventional v thread BioHorizons square thread More production with less chair time The sinOne Abutment may be used with the Ball top Screw to make an indirect impression at the time of surgical placement or at second stage uncovery This permits the lab to prepare the abutment and fabricate a provisional crown in advance of the next appoint
49. ons Two stage Surgery was the original protocol developed for placing modern dental implants The implant is placed below the soft tissue and protected from occlusal function and other forces during osseointegration A low profile Cover Screw is placed on the implant to protect it from the ingress of soft tissue Following osseointegration a second surgery exposes the implant and a transmucosal Healing Abutment is placed to allow for soft tissue healing and development of a sulcus Prosthetic restoration begins after soft tissue healing Single stage Surgery leaves the implant abutment connection exposed to the oral cavity via a removable Healing Abutment This eliminates the need for a second surgery to expose the implant Although the implant is not in occlusal function some forces can be transmitted to it through the exposed transmucosal element Prosthetic restoration begins following osseointegration of the implant and soft tissue healing Single stage Surgery with Non functional Immediate Teeth provides the patient a non occlusal provisional prosthesis early in the treatment plan An abutment is placed on the implant at or shortly after surgery and a provisional restoration is secured to it with temporary cement The provisional can help contour the soft tissue profile during healing Single stage Surgery with Immediate Function may be possible in good quality bone where multiple implants exhibiting excellent initial stability can b
50. rEtherKetone Plastic vo O4 75mm Temporary Only Screw retained or Cement retained oarts shown not to scale ANGLED ABUTMENTS Angled Esthetic Abutments for Cement retained Restorations Hexed 3 5mm Angled Esthetic Abutment 4 0mm Angled Esthetic Abutment 5 0mm Angled Esthetic Abutment Packaged with Abutment Screw 130 300 or 140 300 Recommended final torque 30 Ncm Used to fabricate cement retained single or multiple unit prostheses Gold colored TiN coating for tissue esthetics Titanium Alloy Ti 6Al 4V 5 8mm gt 3 5mm Angled Abutment 4 0mm Angled Abutment 5 0mm Angled Abutment Packaged with Abutment Screw 130 300 or 140 300 Recommended final torque 30 Nem Used to fabricate cement retained single or multiple unit prostheses Titanium Alloy Ti 6Al 4V parts shown not to scale PROFILE ABUTMENTS Straight Esthetic Abutments for Cement retained Restorations Hexed 3 5mm Straight Esthetic Abutment 4 0mm Straight Esthetic Abutment 5 0mm Straight Esthetic Abutment Packaged with Abutment Screw 130 300 or 140 300 Recommended final torque 30 Ncm Used to fabricate cement retained single or multiple unit prostheses Gold colored TiN coating for tissue esthetics Titanium Alloy Ti 6Al 4V 5 9mm gt Profile
51. radiography ae varies in magnification from 15 to 35 1 888 BIO TEETH 1 888 246 8338 e 5mm circular representations are shown at 100 and 125 for the radiographic ball technique This technique uses radiographic marking balls embedded in a plastic template eal prior to radiographic examination of the patient These a marking balls will be visible on the radiographic image e Measurements can be taken to determine the magnification factor of the radiograph and help the practitioner accurately determine the amount of available bone for implant placement The following example shows the calculation of a magnification factor and the subsequent determination of available bone 125 Scale Radiographic Ball Step 1 The radiographic marking ball has a known diameter of 5mm Step 2 A direct measurement of the marking ball appears on the radiograph to have a diameter of 6mm Step 3 The magnification factor is calculated as 6 5 External Radiographic Template 1 2 or 120 REF LO250 Actual size 8 5 x 11 21 5cm x 28cm Step 4 Assume that the distance between the crest of the ridge and the superior aspect of the mandibular nerve canal appears on the radiograph to have a length of 15mm Step 5 The actual distance between the crest of the ridge and the mandibular canal would be calculated as 15mm 1 2 12 5mm Always cons
52. responding D2 Bone Taps available through BioHorizons Customer Care The Bone Taps provided in the External Surgical Kit ref 160 500 marked D3 MAY be used to prepare sites for D4 Prior to publication of this literature BioHorizons External Implants were offered in multiple thread pitches D2 A implants as well as D3 implants However D3 Bone Taps MAY NOT be used to prepare sites for D2 implants IMPLANT PACKAGING Implant Packaging BioHorizons External implants are provided in double vial packaging see below An outer vial protects a sterile inner vial containing the implant with the premounted 3inOne Abutment and the Cover Screw Only the sterile inner vial should be introduced into the surgical field The outer vial has a peel and stick label for affixing to the patient s chart Inner vial Inner vial cap a Outer vial Implant and abutment Outer vial cap oe BIOHORIZONS IMPLANT SYSTEMS INC BIRMINGHAM AL35243 Do not See instructions e 0473 re use for use Reference Number ll ll 4012D3 4012D3 Rx Only MA D3 Implant System PEt an 4mm x 12mm Lot Number 0406015 30406015 Expiration Date Sterility Validation 2011 04 STERILE R STERILE IR IMPLANT PACKAGING Implant Packaging and Pick up When the lid of the outer vial is removed the inner vial is exposed and may then be placed in the sterile
53. sure correct progression through the surgical sequence Bur Testing Gauge Also called a Go No Go Gauge the Bur Testing Gauge is used to verify the dimensional accuracy of drill shanks of latch type burs Burs in proper condition WILL fit into the larger diameter hole but WILL NOT fit into the smaller hole marked red Burs that fail either of these criteria are unfit for use and may become stuck in the handpiece if used The gauge is included with all W amp H starter packages and may also be ordered from page 13 NEW DRILL DESIGN Important Information for clinicians with External Surgical Kits 160 500 Concurrent with the publication of this literature BioHorizons is introducing a new surgical drill design in the External Surgical Kit ref 160 500 Henceforth replacement drills for the External Surgical Kit will also be of the new drill design The following information applies only to clinicians with earlier External Surgical Kits which were provided with the previous design drills It is important that clinicians be able to distinguish between previous and new drill designs Affected drills include Starter Drill Ref 122 103 2 5mm Depth Drills RER 122 225 122 12509 12212312 and 12212515 Width Increasing Drills Ref 122 230 122 232 122 237 122 242 122 247 and 122 252 The design and diameter 2mm of the new Starter Drill obviates the need for 2 0mm Depth Drill Series 122 220 122 12009 12
54. terature are available in all countries SURGICAL Section 1 Product Catalog System Overview Q Implants and Healing Abutments Surgical Kit and Motors Prosthetic Components tananan BIDHORIZONS external Why pay for a prepable gold hued esthetic abutment IF you dont have to Most implant companies make you pay extra for a prepable esthetic abutment Using the pre mounted 3inOne Abutment keeps inventory and overhead costs to a minimum and minimizes the chance of not having the correct components to complete the case We p p Gold hued TiN coating for soft Low profile tissue esthetics Abutment Screw allows for extremely low clearance Prosthetic platform 0 2mm wider than implant body Industry standard O50 hex LS Stable 1mm high external hex Y Spiralock ae 0 5mm technology F machined T virtually _ collar eliminates SS screw amp lt loosening E Stated implant L length TE LA Patented Guide Pin saves time and eliminates cross threading Implant body diameter Crestal bone maintenance leads to success A prospective multicenter trial showed a 5 year cumulative success rate of 99 5 for 495 External implants in 151 patients There were no significant differences in the results by center implant type bone density area of the mouth or prosthesis type Crestal bone loss from prosthesis delivery to
55. ternally irrigated 3 0mm 3 4mm 3 9mm O44mm 4 9mm 54mm Width Increasing Drills Used to widen the diameter of the osteotomy in roughly 0 5mm increments after the depth has been established with a 2 5mm Depth Drill The gradual removal of bone reduces heat generation in the surrounding tissue The cutting flutes extend the length of the drill body and collect bone that may be saved for intraoperative grafting procedures The Width Increasing Drills feature a highly efficient cutting geometry The drills lack end cutting geometry thereby creating a built in stop in dense bone that can assist the surgeon by preventing osteotomy preparation beyond the planned depth Variations in bone density or possible voids require surgeons to observe the drill s depth markings as the primary determinant of drilling depth rather than relying exclusively on the non end cutting geometry to stop the drill IF a Width Increasing Drill fails to reach the planned depth as shown by the depth marks use the 2 5mm Depth Drill to re establish the depth and recommence the Width Increasing Sequence with the 3 0mm Width Increasing Drill CRESTAL BONE MODIFICATION Crestal Bone Drills Purpose Prepares dense osseous crest to facilitate pressure free seating of the flared crest module Used ONLY with BioHorizons External implants e Site Specific Indicated when dense cortical bone is present at crest e 850 2 500 rpm with steady sterile irrigati
56. to prosthetic components See the accompanying Instructions for Use for periodic recalibration requirements 300 350 050 1 25mm Hex Driver Regular 300 351 050 1 25mm Hex Driver Long Used to drive all surgical and prosthetic components with the exception of the 6 25mm Abutment for Screw 304 210 3 5 4 0mm Hex Adapter Abutment for Screw 5 0mm Hex Adapter Abutment for Screw Required for placement of Abutment for Screw May be driven by either Hand Wrench Torque Wrench or AS123 Hand Unit 300 400 Hand Wrench Used on drive end of AS123 Hand Unit Also fits individual Hex Drivers Adapters and Bone laps oarts shown not to scale PROSTHETIC INSTRUMENTATION Abutment Clamp IMPAH Abutment Clamp Used to apply counter torque during the delivery and tightening of the Abutment Screw shielding the bone implant interface from potentially damaging stresses Implant Analog Handles 293 100 3 5mm Implant Analog Handle 4 0mm Implant Analog Handle 295 100 5 0 6 0mm Implant Analog Handle Used to hold External abutments for chairside or laboratory preparation these handles mimic the implant analog hex geometry Aoutments are secured to the handle with the standard Abutment Screw 130 300 or 140 300 Comes in three platform sizes 3 5 4 0mm and 5 0 6 0mm Collateral Marketing MLO207 BioHorizons External Impression Technique Guide Guides the clinician and laboratory throu
57. ts of the case e Read and understand the Instructions for Use that accompany the products e Clean and sterilize the surgical tray and instruments per instructions e Become thoroughly familiar with all instruments and their uses e Study Surgical Kit layout color coding scheme and iconography Treatment Planning For ideal results in implant dentistry the treatment team should be in agreement and in communication throughout all stages of therapy The patient the restorative and surgical doctors as well as the dental laboratory should understand and agree upon the treatment plan The treatment plan should determine the design number and position of the implants Diagnostic Casts Mounted study casts and a diagnostic wax up are the foundation for determining implant position Surgical Guide Templates Once the diagnostic wax up is finalized the restorative doctor or dental laboratory fabricates the surgical guide template This guide indicates to the surgeon the implant position that offers the best support for the prosthesis as well as optimal esthetics and hygiene requirements The surgical guide also provides information about the tooth and supporting structures that have been lost Laboratory Guide Templates A matrix of the diagnostic wax up may also be utilized by the laboratory when developing the final prosthesis The matrix acts as a guide for position and contour of the prosthesis SURGICAL PROTOCOLS Surgical Opti
58. w retained provisional prostheses Utilizes the 050 1 2 5mm Hex Driver Hand tighten or torque to 30Ncm depending on application Titanium Alloy Ti 6AI 4V oarts shown not to scale ABUTMENT FOR SCREW Abutment for Screw 3 5mm Abutment for Screw 3mm collar 3 5mm Abutment for Screw 4mm collar ALL LI 3 5mm Abutment for Screw 5mm collar 4 0mm Abutment for Screw 3mm collar 4 0mm Abutment for Screw 4mm collar 4 0mm Abutment for Screw 5mm collar 5 0mm Abutment for Screw 3mm collar 5 0mm Abutment for Screw 4mm collar 5 0mm Abutment for Screw 5mm collar Used for multiple unit restorations including screw retained restorations at the abutment level cast alloy bars for overdentures and fixed detachable hybrid restorations Comes packaged with the Cover Cap 224 500 Titanium Alloy Ti 6AI AV kK i 224 500 2 7mm high 5 2mm lt 254 120 255 120 3 4 or 5mm I lt O4 2mm Plastic Coping Abutment for Screw 254 120 3 5 4 0mm Plastic Coping Abutment for Screw 5 pack 5 0mm Plastic Coping Abutment for Screw 5 pack May be trimmed for height Coping Screws must be purchased separately below Delrin Screw short Abutment for Screw Cover Screw Abutment for Screw 224 500 Cover Cap Abutment for Screw 222 110 Short Bar Retention Coping Screw Abutment for Screw 5 pack Packaged with all Abutments for Screw
59. y Temporary Abutments Abutments page 15 page 19 Custom Cast UCLA Abutments Non hexed page 21 Custom Cast UCLA Abutments Hexed page 20 Hybrid or Bar retained Abutment level Abutment retained Tissue supported Overdenture Ball Abutments page 28 Abutments for Screw page 26 oarts shown not to scale 3inOne amp PEEK TEMPORARY ABUTMENTS 3inOne Abutments for Cement retained Restorations Hexed 3 5mm 3inOne Abutment 4 0mm 3inOne Abutment 5 0mm 3inOne Abutment 6 0mm 3inOne Abutment Packaged with Abutment Screw 130 300 or 140 300 Recommended final torque 30 Ncm Also used with Ball top Screw as a closed tray hexed timed impression coping Gold colored Titanium Nitride coating for tissue esthetics Titanium Alloy Ti 6AI 4V Premounted on each External implant system gt 045mm gt 5 25Mm 6 25mm lt 3 5mm PEEK Temporary Abutment 4 0mm PEEK Temporary Abutment 5 0mm PEEK Temporary Abutment 6 0mm PEEK Temporary Abutment Packaged with Abutment Screw 130 300 or 140 300 Hand tighten with the 050 1 2 5mm Hex Driver Easily modified for fabrication of cement or screw retained provisional restorations up to 30 days A Direct Coping Screw 243 320 or 244 320 purchased separately may be used to maintain screw access hole during fabrication of screw retained provisional prostheses PEEK PolyEthe

External Product Catalog and Technique Manual 2007

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