Anthogyr guiding system user procedures
Contents
1. implant tap implant tap implant tap implant tap implant tap implant tap 2 0x 21 mm 2 0x 25mm 0 2 0 2 4 0 2 0 2 4 2 4 3 0 0 2 4 3 0 0 3 0 3 6 0 3 0 3 6 0 3 6 4 2 0 3 6 4 2 3 4 x 21 mm 0 3 4 x 25 mm 04 0 21 mm 0 4 0x 25 mm 4 6x 21 mm 0 4 6 25mm OO o0 00 00 0 06042 0 06052 OPFES20210 OPFES20250 OPFES24210 OPFES24250 OPFES30210 OPFES30250 OPFES36210 OPFES36250 OPFES42210 OPFES42250 OPTAS34210 OPTAS34250 OPTAS40210 OPTAS40250 OPTAS46210 OPTAS46250 The components must be disposed of according to the local directives concerning medical waste To return components Anthogyr will refuse any component that might present a risk of infection Only return compo nents that have been sterilised with proof of sterility 21 REFERENCES IMPLANT TIGHTENING MANDREL Medical grade stainless steel 0 4 2 mm 5042 0 5 2 mm OPMAS052 CENTERING WRENCH Medical grade stainless steel 4 2 5 2 wrench for 0 2 0 mm drill OPCUSO001 4 2 5 2 wrench for 2 0 2 4 mm drill OPCUS24 CENTERING RINGS Medical grade stainless steel Slide block 0 4 2 mm 542 Slide block 0 5 2 mm OPCOS52 GUIDED SURGERY KIT ANTHOGYR Guiding System for axiom C963 Medical grade radel and silicone Full IN MOD OPG2 EVOLUTION KIT Includes the following references Medical grade stainless steel OPFES24210 OPFES24250 KTAGSUP1 OPMAS042 OPMAS052 OPCUS24 Medi2. If the mandrel does not break when the screw is in place insert the torque wrench on the screw head and restart the motor until breaking is initiated by torsion 16 E 4 Initial drill and green drill Assemble the 2mm or 2 4mm diameter drill refer to the drilling sequence 5 Ensure that it is secured on the contra angle by apply ing mild traction to the tool Adjust the drill stop to the notch that corresponds with the implant Length Ensure that the drill stop is secured Choose the centering wrench that is adapted to the diameter of the drill see E 1 Insert the centering wrench in the guide until it blocks Insert the drill in the wrench and then start the drill rotation 17 Drill at 1 200 rpm with abundant irrigation in a back and forth motion until blocking occurs Stop the drill rotation then release it from the wrench Drilling should be done with abundant irrigation It is important to remove the bone shavings after drilling Do not insert or remove the drill from the centering wrench while it is rotating gt There is a risk of damaging the tip of the drill and or the centering wrench and or the guiding tube which could result in blocking E 5 Red yellow and white drills Choose the centering ring that is adapted to the diame ter of the guiding tube see E 1 and assemble it on the drill 18 Fit the drill into the contra angle Adjust the
3. ding tube the implant 0 2 0 drills 0 2 0 2 4 drills 0 3 4 4 2 4 2 22 0 siz 024 mi 0 4 0 4 6 052 052 Cees 92 9 gt E 2 Cutting the tissue flapless protocol Choose the tissue cutter that corresponds with the diame ter of the surgical guide tube see 8 1 Assemble the tissue cutter on the contra angle and move the contra angle drill stop to the high position Ensure that it is secured on the contra angle by applying mild traction to the tool Visual limit of depth Controlling the stopping depth is done visually with the depth mark on the mandrel Manually place the guide in position and hold in place Through the guide progressively move the tissue cutter downwards to the depth mark Rotation speed 50 rpm Remove the guide and the gum discs Repeat for each gingival cut T9 gt Placement of the surgical guide using fixation screws Fit the fixation screw in the contra angle Screw in at 25 rpm until blockage occurs on the guide In case of a thick bone drill the cortex with 02 0 drill through the fixation screw guiding tube Drilling at 1 200 rpm with abundant irrigation The mandrel part breaks automatically when the torque reaches approximately 15 N cm If the mandrel part of the screw breaks before screwing is completed finish screwing with the manual screw driver by inserting the three pins in the notches located on the screw head
4. drill stop to the mark that corresponds with the implant length Insert the assembly drill slide bar in the guide and then start the drill rotation Drill at 800 rom with abundant irrigation in a back and forth motion until blocking occurs Stop the drill rotation then remove the guide assembly drill slide bar Drilling should be done with abundant irrigation It is important to remove the bone shavings after drilling Do not insert or remove the drill from the centering ring while it is rotating gt There is a risk of damaging the tip of the drill and or the centering ring and or the guiding tube which could result in blocking 19 gt E 6 Tapping Optional and only for axiom implants Choose the centering ring that is adapted to the diame ter of the guiding tube see 8 1 and assemble it on the tap Fit the tap in the contra angle Raise the contra angle drill stop to the highest position Tap at 25 rpm to the visual depth mark corresponding to the length of the implant Once the mark is reached remove the guide tap in the reverse mode It is important not to use the drill stop due to the risk of blockage occurring on the guide and deteriorating the threading made by the tap by its rotation on the spot 20 gt E 7 Transporting the implant into the mouth Aspirate to remove the bone shavings under the guide at the level of the implant shafts The presence of bone shavings c
5. precise anticipated placement of the implant orientation at the end of rotation The implant orientation phase is decisive It predefines the final orientation of prosthetic components After osteointegra tion and bone maturation the prosthetic orientation is definitive It is therefore essential to establish the prosthetic treat ment plan prior to surgery especially when the use of prosthetic components that enable angulation is envisaged The implant is finally oriented according to the prosthetic solution envisioned and is specific to the component used 22 gt IMPLANT ORIENTATION Screwing mandrels have 3 surfaces each one with a visual line mark that corre sponds with the implant indexing When screwing or unscrewing the implant orient as close as possible one of the marks on the surfaces of the instrument in the appropriate direction according to the desired prosthetic restoration and the patient s mouth The mark that is chosen will define the main prosthetic orientation of the compo nents When orienting the implant it is important to choose the mark that is closest to the final orientation in order to preserve the apico coronal positioning RECOMMENDATION FOR TRI LOBE POSITIONING In order to be able to effectively lift the implant axis during the prosthetic phase the flat surface of the tri Lobe should be placed in the implant emergence axis E 9 Optional fixation screw on a stable im
6. 26 G 2 In the operating theater Screw the implant in the implant shaft to the visual depth mark on the mandrel When using planning for indexed components align one of the marks on the mandrel with the mark on the guide 27 gt H CLEANING AND STERILISATION Please refer to the axiom manual gt DISMANTLING ASSEMBLY Please refer to the axiom GBI manual gt J axiom GBI IMPLANT REWORKING Please refer to the axiom GBI manual REFERENCES THE GUIDE FIXATION SCREWS Medical grade titanium Length 15 mm OPVGS015 Length 18 mm OPVGS018 Length 21 mm OPVGS021 FIXATION SCREWS ON A STABLE IMPLANT Medical grade titanium OPFG042 OPFG052 SCREWDRIVER Medical grade stainless steel INGF004 FIXATION SCREW MANDREL Medical grade stainless steel Long mandrel INGF001 Short mandrel INGF002 FIXATION SCREW TORQUE WRENCH Medical grade stainless steel 28 gt B ANTHOGYR Guiding System INSTRUMENTS FOR axiom C9G3 REFERENCES TISSUE CUTTERS Medical grade stainless steel INITIAL HELICOIDAL DRILLS Medical grade stainless steel Helicoidal drill Helicoidal drill HELICOIDAL STEP DRILLS Medical grade stainless steel Short AGS drill Long AGS drill Short AGS drill Long AGS drill Short AGS drill Long AGS drill Short AGS drill Long AGS drill TAPS for axiom only Medical grade stainless steel 0 3 4 mm 3 4 mm 4 0 mm 4 0 mm 4 6 mm 4 6 mm
7. IDE REMOVAL B ANTHOGYR Guiding System INSTRUMENTS FOR axiom B 27 27 27 27 28 Explanation of the symbols and pictograms y 7 a 3 8 3 C C on the labels Device sterilised by Gamma Ray Serial number of the device Sales reference number of the device Manufacturing date of the device Expiration date of the device Warning please comply with the instructions for use Non sterile device Autoclave sterilisation without packaging Do not sterilise by autoclave Do no reuse This device is for single use only Protect from light Do not use if the packaging is damaged Keep dry at a humidity level between 30 and 70 Temperature limit between 15 C and 30 C Manufacturer Class or Il medical device in compliance with European directive 93 42 CEE amended by Directive 2007 47 EEC gt A THE GUIDED SURGERY APPROACH In order to use the ANTHOGYR Guiding System device for axiom practitioners should have SIMPLANT Pro software by DENTSPLY and the patient s computed tomography data Training in the use of the implant planning software and the ANTHOGYR Guiding System kit for axiom E323 is essential Implant planning that takes advantage of computed tomography or CT scan enables practitioners to determine the location of anatomical structures with greater precision Three types of guides are available bone support mucosal support and dental suppo
8. LET US GUIDE YOU ANTHOGYR Guiding System ANTHOGYR Guiding System 0 407a ai FES PX User manual 11 ntha PRIME MOVER IN IMPLANTOLOGY N Thank you for trusting and choosing to use the ANTHOGYR Guiding System implant solution for axiom 888 For your safety and comfort our products have been designed exclusively on the basis of data acquired through science and clinical practice This document which is specifically for the ANTHOGYR Guiding System for axiom G9G3 is a complement to the axiom 63 manual It is therefore important to read the infor mation concerning the surgical protocol for the axiom implant system beforehand This document contains the basic information required to use the ANTHOGYR Guiding System for axiom 363 with the complete list of components through surgical protocols specific to the system The document contains a complete list of components ans few key points for proper use are included as a reminder The practitioner should received training provided by DENTSPLY for the SIMPLANT Pro software Please read the entire axiom GBI manual and this document prior to use of the system Success is mutual Our business network and our team of experts are entirely at your service to provide any additional information that you might need The entire Anthogyr team O DENTSPLY IMPLANT NV Technologielaan 15 3001 Leuven Belgique 32 16 39 66 11 Simplant is a regist
9. a man drel part enabling direct hold in the contra angle Available in 3 lengths 15 18 and 21 mm they are self drilling self breaking and adaptable on contra angles During the planning phase it is important to place the screw as perpendicularly to the bone as possible To obtain good stability of the screw plan a 5 mm anchoring in the bone 1 Self breaking screw mounted on the mandrel ACCESSIBILITY The screw is machined in a single block with its grip mandrel which Breaking zone is self breaking Mounted directly on the contra angle it enables difficult areas to be accessed without the risk of falling in the mouth Mandrel Length of the FLEXIBILITY E threaded part Screwing can be entirely carried out with the contra angle or can be completed manually with the screwdriver ref INGF004 The torque wrench ref INGF005 makes it possible to initiate the breaking of the mandrel READY FOR USE The screws are delivered sterile and are for single use 2 Screw head 3 Breaking groove When planning be sure to take into account the direction of the fixation screw so that placement in the oral cavity is possible 13 gt D THE MONT BLANC CONTROL GUIDE SURGERY CONTRA ANGLE The ANTHOGYR Guiding System for axiom PX has been specifically designed to function with the Mont Blanc Control contra angle equipped with the ANTHOGYR Guiding System drill stop laser mark The ANTHOGYR Guiding Sy
10. an compromise the placement of the implant Fit the mandrel in the contra angle Raise the drill stop to the highest position Controlling the stopping depth is done visually using the depth mark on the mandrel All manipulations are carried out in such a way that direct contact with the external surface of the implant is avoided Systematically secure the transfer of the implant against the risk of falling in the mouth Pick up the implant directly with the contra angle 21 E 8 Insertion of the implant Set the exit speed of the contra angle Screw the implant on the contra angle in the implant shaft to the visual depth mark on the mandrel Recommended screwing speed axiom G 25 rpm axiom G 15 rpm Frequently verify the screwing torque in order not to surpass Do not hesitate to loosen and re screw to reduce tightening strain It is important not to use the 11101014 Guiding System drill stop due to the risk of blockage occuring the guide and deteriorating the threading made by the tap by rotation of the implant It is also possible for the implant to become de tached from the mandrel and to continue to advance beyond the intended depth The indexed connection of the implant authorises 3 possible orientations for prosthetic components making it possible to reduce the manipulation periods and the risks of confusion during dental restoration Tri lobe connection on the other hand requires
11. atible with the ANTHOGYR Guiding System for axiom 63 axiom G3 EET 0 3 4 MM 4 0 MM 0 4 6 MM 0 3 4 MM 4 0 MM 0 4 6 MM Color identification code for the implant sizes repeated on the packaging 10 Sales reference 060 080 Implant code e LL 100 Implant length OP axiom 120 PX axiom amp 3 NE 2 implant B 4 Drilling depths During the planning phase it is recommended to proceed with a subcrestal positioning of the implant This positioning enable better aesthetic management of soft tissues The surface of the implant ledge is BCP treated to stimulate peripheral bone healing at this level When the implant is being selected take into account over drilling of 1 mm by the drill tips in addition to the subcrestal positio ning of 0 5 mm Over drilling provides for the storage of bone chips from the self tapping of the implant and prevents any apical over compression The use of the drill stop and visual depth marks on the different ancillary instruments ensures the preparation of the implant site and the predefined positioning of the implant in conformance with the plan made on the Simplant Pro software DRILLING DEPTH IMPLANT LENGTH 1mm SUBCRESTAL POSITIONING 0 5mm 14 0 Implant 12 0 length 10 0 mm 8 0 6 5 amp b s w amp amp amp Sy oe reer ee et de 4mm height of the surgical
12. cal grade radel and silicone 4 inserts MONT BLANC CONTROL CONTRA ANGLE FOR GUIDED SURGERY Medical grade stainless steel Complete contra angle 10403X ANTHOGYR Guiding System drill stop 10418 SAFE IMPLANT ANALOG POSITIONERS Medical grade V titanium OPAP042 OPAP052 21 E 7E Ed E gt gt m S 11111111 TW Wa Oa Ca Sa SI SUIS 063GUIDESYSR PX_NOT_GB_ 2015 03 Photo credits Anthogyr All rights reserved Non contractual pictures Medical devices are intended for use by dentists Not reimbursed by Social Security Class Ilb CE0459 Organism notified LNE G MED Manufacturer Anthogyr SAS Please read the instructions in notices and user manuals carefully Antho PRIME MOVER IN IMPLANTOLOGY Anthogyr SAS 2 237 Avenue Andr Lasquin 74700 Sallanches France T l 33 0 4 50 58 02 37 Fax 33 0 4 50 93 78 60 www anthogyr fr
13. current protocols in hospitals and clinics The organisation of the room the preparation of the operating personnel and the preparation of the patient pre medication anaesthesia etc should be carried out according to the current protocols and under the practi tioner s responsibility Under no circumstances can Anthogyr be held responsible for any damage that might be the result of improper manipulation or use To avoid swallowing or inhaling small components it is recommended to secure them outside the mouth with a suture thread Whenever an instru ment is changed ensure that it is properly secured in the contra angle or the wrench by applying gentle traction and that each element is secured on the transport units outside the oral cavity STORAGE We pay careful attention to the development of our products and ensure control of the fabrication of all products to be sold To guarantee their integrity it is recommended to store them in their original packaging at an ambient temperature between 15 C and 30 C away from moisture and direct sunlight Protect the packaging from dust and do not store in the same room as solvents and or paint containing solvents or chemical products The device should be used before the expiration date indicted on the traceability label In case of damage to the packaging blister pack with seal cover pouch or obvious defect when the product is opened use of the device is forbidden and the distributor or Anthogy
14. ered trademark of DENTSPLY IMPLANT NV gt Scope The ANTHOGYR Guiding System for axiom is exclusively intended for guided surgery It enables the placement of one or more implants with the use of a surgical guide Warnings and recommendations These are the detailed instructions for the different phases of the surgical procedure and prosthetic restoration to be followed with the axiony system A few general aspects specific to the placement of implants will be reviewed for information purposes only Under no circumstances is this document on implant and prosthesis related practice exhaustive and may not give rise to any claim whatsoever TRAINING The placement of axiom components concerns only practitioners who have prior training in implant and prosthetic techniques and who are equipped for these types of procedures Good knowledge of surgical prosthetic techniques is required for the use of this system Specific training is provided and delivered at Anthogyr The axiom surgical and prosthetic system is intended exclusively for use with the original components and instruments according to the manufacturer s recommendations Anthogyr refuses any responsibility for placements that do not conform with this manual or the use of implants and prosthetic devices and instruments that are foreign to the system Parts are not interchangeable with other implant systems Clinical assessment of the patient and the choice of treatment s
15. guide titanium tube Theoretical crestal ridge Subcrestal position 0 5mm uana c c ee ee 04 0 x 10mm Over drilling ofthedrill 1 0 tip 0 0 11 B 5 Drilling sequences Before the first use and after each procedure it is essential that all the components are meticulously disinfected cleaned decontaminated dried and sterilised according to the manufacturer s recommendations Several uses are possible For good viewing of the laser depth marks good performance and maximum clinical results we recommend limiting use to 10 times for all cutting instruments cutters drills reamers taps etc Drills cutters reamers and taps should be used with external irrigation gt axiom G DRILLING SEQUENCES Forets 02 0 02 4 3 0 03 0 3 6 03 6 4 2 03 04 0 04 6 Implants Axiom REG Optional tapping 0 3 4 mm Recommended for D1 bone type Axiom REG 0 4 0 mm Axiom REG 0 4 6 mm gt axiom DRILLING SEQUENCES Forets 02 0 02 3 0 03 0 3 6 03 6 4 2 y Implants i Axiom PX 3 4 mm Axiom PX 0 4 0 mm Axiom PX 503 4 6 Do not use the taps when placing axiom G3 implants 12 gt C THE GUIDE FIXATION SCREWS Anthogyr fixation screws made of medical grade titanium alloy The head is 3 5 mm in diameter the guiding part 2 mm in diameter and the threaded cone shaped part a maximum diameter of 1 6 mm under the head The screws have
16. olution are solely the responsibility of the practitioner The choice of diameter and length of the implant is up to the practitioner s judgement according to the clinical situation By the same token the patient should be informed of the potential risks involved in the placement of such a device oedema hematoma hemorrhage periodontal complications tran sitory or permanent nerve damage local or systemic infections and inflammation bone fracture loosening or fracture of the implant dehis cence aesthetic issues inhaling or swallowing the device iatrogenic trauma etc APPARATUS Practitioners who use the system are responsible for the monitoring and maintenance required to detect and treat complications and for ensuring proper functioning and safety of the device at an appropriate frequency The references and batch numbers of all components im planted temporarily or permanently should be noted in the patient s medical record Monitoring and maintenance are a part of the knowledge that trained practitioners have in the placement of dental implants It is also the practitioner s responsibility to define the different settings of his equipment rotational speed irrigation flow rate etc according to each clinical case and to ensure that it is in good condition before each procedure Multiple use instruments should be cleaned decontaminated dried and sterilised prior to every procedure even with the first use in con formance with the
17. plant The fixation screws on an implant make it possible to fix the surgical guide on osteointegrated axiom 8 axiom implants or when stability is considered to be inadequate by the practitioner Manually screw the fixation screws on the implants through the guide and without surpassing 15 N cm The user should ensure beforehand that the stability of the implant as a support is adequate The guide fixation screws are delivered non sterilised They should be cleaned decontaminated and autoclave sterilised prior to use E 10 Removal of the surgical guide Unscrew the fixation screws and or the fixation screws on the implant and then remove the guide E 11 Closing implants Please refer to the axiom GBI manual 23 24 F ANTHOGYR Guiding System KIT FOR axiom GBs Before the first procedure and after each subsequent procedure it is imperative to disinfect clean decontaminate dry and sterilise all the instruments and ancillary instruments according to a precise protocol Ref 542 Ref OPCOS52 Ref OPCS100 Ref OPFES24210 kef OPFES24250 kef OPFES30210 Ref OPFES30250 Ref OPFES36210 Ref OPFES36250 Ref 542210 kef OPFESA2250 Ref 5042 Ref 5052 Ref OPDGO42 Ref OPDG052 Ret OPFES20210 Ref OPFES20250 Ref OPTAS34210 Ref OPTAS34250 Ref OPTAS40210 Ret OPTAS40250 Ref 546210 kef OPTAS46250 Emplacements dis
18. ponibles Ref 5001 Ref OPCUS24 TECHNICAL SPECIFICATIONS The kit is designed with medical grade materials that enable it to withstand thermal disinfection and autoclave sterilisa tion Adjustable protective covers make it possible to change the positioning of the kit in order to optimise the accessibility of the instruments 25 gt OPTIONAL Prosthesis and surgical protocol with the fabrication of a temporary prosthesis prior to surgery Implant analog positioner The analog positioner enables the fabrication prior to surgery of a master model using the surgical guide with mucosal or dental support This master model can be used to make a temporary prosthesis prior to surgery 6 1 In the laboratory Assembling analogs Choose the analog positioner adapted to the diameter of the guiding tubes of the guide 04 2 or 5 2 The visual indexation mark on the analog positioner corresponds with the implant analog indexing The mark that is chosen will therefore define the orienta tion of the implant and the indexed prosthetic compo nents Indexation Optional When planning for indexed components use a small reamer or a surgical marker to mark the guide Lubricate the interior of the guide to facilitate unmoulding Cast the false gum and then the plaster Unmould the master model from the surgical guide Disassemble the analog positioners and then clean the guide
19. r should be notified of the type of defect and the references and batch numbers of the defective com ponents The technical specifications in these instructions are provided as an indication and cannot lead to any claim The axiom device is not intended to be used on animals Single use devices should not be reused or re sterilised risk of contamination and risk of alteration in functional surfaces The following instructions for use can only be copied or distributed with prior authorisation from Anthogyr Anthogyr reserves the right to modify the technical features of the products and to provide developments or improvements to the axiom system without prior notice The axiom system is not compatible with the other Anthogyr or competing systems In case of doubt the user is responsible for contacting Anthogyr This publication of the manual cancels and replaces all prior versions TABLE OF CONTENT 1 Protocols for guided surgery Explanation of the symbols and pictograms A THE GUIDED SURGERY APPROACH B SURGICAL PROTOCOLS C THE GUIDE FIXATION SCREWS D MONT BLANC CONTROL GUIDED SURGERY CONTRA ANGLE E STEP BY STEP SURGICAL PROTOCOLS F ANTHOGYR Guiding System axiom BA KIT G PROSTHESIS AND SURGICAL PROTOCOL WITH THE FABRICATION OF A TEMPORARY PROSTHESIS PRIOR TO SURGERY H CLEANING AND STERILISATION 7 DISMANTLING ASSEMBLY J axiom 63 IMPLANT REWORKING 2 Component references A FIXATION INSTRUMENT AND GU
20. rt They enable the practitioner to place axiom and axiom PX implants at predetermined locations and in the right directions and depths The result ob tained is more secure and predictable and can contribute to immediate prosthetic placement Key steps It is essential to read the SIMPLANT Pro procedure available at www dentsply fr gt B SURGICAL PROTOCOLS The ANTHOGYR Guiding System for axiom provides simple surgical protocols It ensures rapid and effective familiarisation with the device with perfect control of the implantation In addition when com bined with the axiom and axiom PX ranges of implants it enables an exhaustive coverage of treatment indications The axiom 63 implant system provides a comprehensive range of components enabling perfect adaptation to the differ ent needs related to clinical temporisation in implant practice It is recommended to have an axiom PX surgical kit in the operatory theatre B 1 Flap surgery PLACEMENT OF THE SURGICAL GUIDE Tightening the guide fixation screws DRILLING Initial drilling 02 0 mm 1 500 rpm TAPPING axiom G3 Optional D1 BONE 20 25 rpm DRILLING Drilling sequence 1 000 rpm REMOVAL OF THE OPTIONAL Fixation of the SCREWING SURGICAL GUIDE surgical guide Placement of implants Placement of fixation screws axiom a
21. stem drill stop has 5 positions that correspond to the 5 heights of the implants that can be used in guided surgery 6 5 8 10 12 and 14 mm The use of the drill stop is essential for drilling and reaming The drill stop should not be used for tapping and screwing the implant use the visual depth mark that corresponds with the implant TO ADJUST THE DRILL STOP Push the lateral slide bar A backwards until the drill stop is released Move the drill stop upwards or downwards to the notch adapted to the drilling length Release the lateral slide bar A Ensure that the drill stop is secured by applying mild traction 6 5mm 10mm 14mm EXAMPLE On the drawing the drill stop is set at the 10 mm mark This configuration is therefore adapted for the placement of an axiom or axiom G3 implant that is 10mm long 8mm 12mm Before using the Mont Blanc control please read the Mont Blanc control contra angle instructions for use 14 gt STEP BY STEP SURGICAL PROTOCOLS E 1 Identification of guiding tubes Tubes with various diameters are used with the surgical guide 04 2 05 2 tubes to which the ancillary instrument required for preparing the implant site and placing the implant can be fitted gt 02 0 tubes can accommodate surgical guide fixation screws and if necessary the initial 02 0 drill Diameter of the gui Centering ring Centering wrench Diameter of
22. xiom G3 on stable implants 15 rpm v I E I l o 8 8 2 SURGERY IN 2 STEPS SURGERY IN 1 STEP IMMEDIATE FUNCTIONING 1 Placement of the cap screw Placement of an abutment Placement of the 5 10 N cm healing cap 5 10 N cm or 1 or 2 Placement of the healing cap Standard Multi Unit Abutment Temporar 5 10 N cm standard angulated PLACEMENT OF THE SURGICAL GUIDE Hold in position manually TAPPING 20 25 tr min SCREWING Placement of implants axiom axiom G3 25 rpm 15 rpm ELI ul SURGERY IN 2 STEPS 1 Placement of the cap screw 5 10 N cm 2 Placement of the healing cap 5 10 Optional 01 BONE SURGERY IN 1 STEP REMOVAL OF THE PLACEMENT THE SURGICAL GUIDE SURGICAL GUIDE Tightening the guide fixation screws DRILLING DRILLING Drilling sequence Initial drilling 22 0 mm 1 000 rpm 1 500 rpm See OPTIONAL Fixation of the surgical guide Placement of fixation screws on stable implants REMOVAL THE SURGICAL GUIDE we IMMEDIATE FUNCTIONING Placement of an abutment Placement of the healing cap at tes Standard Multi Unit Abutment Temporar standard angulated B 3 Range of implants that are comp
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