USER GUIDE - Axis biodental
Contents
1. E SWISS QUALITY USER GUIDE INNOVATING METAL FREE_ IMPLANTOLOGY AXIS Implant System User Guide SWISS QUALITY 1 Implant System 2 Pre operative Planning A Indications amp Contra indications B Dimensions of Implants amp Abutments C X ray Template 3 Hexalobe Implant s Operating Procedure A Surgical Procedure i Instruments Presentation li Implant Site Preparation iii Implant Insertion iv Soft Tissue Management v Healing B Prosthetic Procedure Impression li Reconstruction iii Rehabilitation 4 Monobloc Implant s Operating Procedure A Surgical Procedure i Instruments Presentation li Implant Site Preparation iii Implant Insertion iv Healing B Prosthetic Procedure Impression li Reconstruction iii Rehabilitation 5 Implantation Follow up 6 Cleaning Sterilizing Storage 7 Technical Support Appendix 1 Rotation Speeds and Torques Appendix 2 Labeling Explanations www axis biodental ch OO A A A NN ND N MO ND NMNM NY NY H HH A Bt db SH SH FSF SF SH O BON H BF a Ono aa KR NYO m OO ONI 26 27 AXIS Implant System User Guide SWISS QUALITY AXIS provides a non metallic dental implant system AXIS implants are available in two different versions a screwed two piece and a one piece implant AXIS Hexalobe Implants This two piece implant is composed of an HIP Y TZP zirconia fixture a high performance polymer abutment and a prosthetic or holis2. Sterilizing Chemical and hot air sterilizing are inappropriate Sterilizing by saturated steam is recommended using the following parameters 134 C during 18 minutes The recommended drying time should be between 20 to 60 minutes For components sterilized at dental practice the validity depends on various factors such as material used for packing storage conditions refer to standard procedure of the dental practice For sterile delivered components an expiration date is indicated on the labelling see Appendix 2 No component must be used beyond the expiration date Storage Store the bags in a clean and dry place What is to be done in case of problem or if you have any question In case of problems or if you have any questions please contact your local representative agent distributor Breaking of the Prosthetic Screw Wrench adapter C1030 Prosthetic screw extraction kit C1122 Point driver 7A LP Pointer 7B g pam Extraction drill driver 2A LP Extraction drill 2B me 7 Helicoidal extractor 3 If the prosthetic screw breaks a part may get stuck inside the implant A Prosthetic screw extraction kit is dedicated to the removal of the rest of the screw without damaging the implant This kit is composed of a point drill a drill an extractor and two guide rings It is available under reference C1122 for titanium screw and under C7766 for holistic scr
3. Tissue punch B1010 Implant Site Preparation Round bur B1011 Point drill 31012 9 2 4 mm Primary Drilling Pilot drill 81013 The Parallelism Control Direction indicator B1022 C W D 2 9 mm Drilling Drill S B1014 CS S 3 4 mm Drilling Drill M B1015 qe Depth Control Depth gauge M B1024 Et ALLL 4 0 mm Tapping Tap M B1082 se 4 5 mm Profile Drilling Profile drill B1170 O gt AXIS Implant System User Guide For accessing the bone it is possible to use a scalpel or the tissue punch proposed by AXIS large round bur can be used to prepare the bone crest Mark the implant site using a round bur The point drill can also be used at this stage 1 4 mm round bur and point drill max 800 rom Drill the implant site to the final depth using the pilot drill Pilot drill max 800 rom Measure the depth of the site and assess its orientation using the direction indicator Widen the implant site using the S drill yellow ring Drill S max 550 rom Widen the implant site using the M drill red ring Drill M max 500 rom Measure the depth of the site using the M depth gauge red ring For class and II bone tap the site using the tap M red ring Tap M max 15 rom and 35 Nem If desired the implant can be inserted deeper into the bone using the profile drill Working depth indicated on the instrumentation are specific for tr
4. 4 A Temporarily remove the soft tissue device Oy After exposing the implant connexion choose either a clipped transfer A or an open tray transfer B to take an impression A Clipped transfer Hexalobe transfer cap D1040 Lo Positioning the transfer cap Position and lock the hexalobe transfer cap on the implant The cap will click when it is locked Taking the impression Put light impression material around the cap and the implant and heavy impression material in the closed tray Place the tray in the mouth let it harden following the manufacturer s recommendations remove the tray Note Polyether or rubber polyvinylsiloxane based material are recommended for making quality impressions Positioning the transfer cap Position the transfer cap and tight it manually with the provided screw Taking the impression Note Be sure that a corresponding perforation is made in the tray and that you can access the screw before the material hardens Put light impression material around the cap and the implant and heavy impression material in the closed tray Place the tray in the mouth let it harden following the manufacturer s recommendations remove the tray Loosen the screw to remove the tray www axis biodental ch ra a ann a 6 7 Appendix Fa 11 AXIS Implant System User Guide AAIS biodental SWISS QUALITY il Reconstruction Making the Model Two options are avail
5. In order to avoid failures the cover screw must be tightened to a maximum torque of 15 Ncm Cover screws are partially made out of PEEK which should not be used more than 180 days in the mouth B Healing abutment Use the screwdriver to tight the screw Suture the gingiva around the implant collar RA Screwdriver C1158 1 n A temporary abutment is available It allows a temporary restoration in aesthetic zone In order to avoid failures the screw must be tightened to a maximum torque of 15 Ncm Gingiva formers are made out of PEEK which should not be used more than 180 days in the mouth C Temporary abutment Prosthetic screw D1149 Use the screwdriver to tight the screw Realize directly a temporary crown Temporary abutment on the temporary abutment accordingly to the case and the standard D1131 method of the clinic HER In order to avoid failures the screw must be tightened to a maximum torque of 15 Nom Temporary abutments are made of PEEK which should not be used more than 180 days in the mouth v Healing The duration of soft tissue healing and osseointegration of AXIS implants vary generally from 2 to 4 months It depends on the general state of health of the patient and the quality of the bone around the implant It is possible to use standard means to control the osseointegration B Prosthetic Procedure i Impression Ry Screener ep Exposing the implant connexion a
6. a single crown Implant Crown Assembly Modification of the Abutment Modification allowed Maximal height 5 mm Modification forbidden Minimal height 3 mm Scanning A ensure a perfect sealing and an optimal mechanical resistance the crown must stands on the implant collar If it is necessary only the green area highlighted on the left hand side figure can be modified Please note that only one abutment height is available Abutments are made out of High performance polymer easily adjustable Such changes are under the responsibility of the practitioner and the prosthetist If the abutment has not been modified a positioning key is not necessary the abutment being multi symetric Most of standard scanning techniques can be used with AXIS implants For further information please refer to manufacturer s instructions www axis biodental ch FA 4 ra PE 6 7 Appendix FA 13 14 AAIS biodental SWISS QUALITY lll Rehabilitation Final Abutment Set Up Prosthetic screw D1149 Bm RA Screwdriver C1158 LS Crown Sealing AXIS Implant System User Guide Disinfection Before rehabilitation neutral disinfectants no chlorine ammonia or aldehyde should be used according to manufacturers recommendations for disinfecting prosthetic parts Unscrew the soft tissue management device Place the abutment on the implant and lock it with a new screw
7. to place AXIS implants is available Torque wrench C1031 zs Wrench adapter a K 7 C1030 Screwdriver Implant Holder Roundbur C1156 2 O N Xe a TD SISTA NN B1021 B1108 Pilot drill Gauge nn mm a EY CD nn cd Attention All instruments must be sterilized before use For sterilizing procedures please refer to Section 6 Cleaning Sterilizing Storage In addition to the content of the surgical kit other instruments are available Tissue punch ref B1010 cD z Profile Drill ref B1170 wo Point drill ref B1012 Co N Handpiece extension ref C1029 mw Three tick marks indicating the working depth 8 10 and 12 mm have been etched on the instruments required for realizing the implant site pa 12mm 1mm 8 mm 0 8 mm Z a ee nn Pilot drill Gauge DrillS Drill M Working depth Lo Important In order to create optimal conditions for the integration of the implant it is imperative to respect the recommended speeds and to apply a reasonable pressure during the site preparation The respect of these rules will prevent over heating which could slow or prevent the osseointegration of the implant due to bone necrosis Ce Appendix E www axis biodental ch 5 AAIS biodental SWISS QUALITY ii Implant Site Preparation Osseous Crest Access
8. 0 rpm in order to prevent bone overheating All items that have been removed are recommended to be placed in a buffer solution containing 10 Neutral Buffered Formalin for proper preservation To perform tests and analysis required please contact your local representative www axis biodental ch F4 a FA Fa 25 AXIS Implant System User Guide AAIS biodental SWISS QUALITY Designation Reference ademas DATES g speed rpm torque Ncm Monobloc implant A1074 1076 RS 5 Oo r 5 5 5 Prosthetic screw D1047 cm Holistic prosthetic screw D1165 Dunes Jeu Jens B1011 B1012 B1021 B1108 26 Implant Label implant M10 G4rmm LiOmEm Qty 1 dental implant 1 healing abutment Mat Zirconia Bastico and PEEK raga 6 Q 6 2016 03 C E 1053 RE A1079 09910 1 Symbol Explanation CE marking Expiration date Instrument Label Pilot bur Qty 1 Mat Stainless steel Max speed 800 rpm STERILE AXIS Biodental sul Les Ros es 5 CH 2336 Les Bois C Rice B1013 00410 3 Batch number LOT Caution Read the instructions for use ouate www axis biodental ch ra 5 6 7 27 S biodental EJ SWISS QUALITY AXIS biodental SA Les Ros es 5 2336 Les Bois Switzerland T l 41 0 32 961 10 90 Fax 41 0 32 961 18 66 mail axis biodental ch www axis biodental ch 11062 EN v 11 13
9. Important For rehabilitation only use a new screw Laboratories screw are green and are not suitable for implantation Comments Before sealing the prosthetic part it is necessary to seal the screw s well with a material like Teflon gutta percha or cotton Do not use resin In order to avoid failures prosthetic screw must be tightened at a maximum torque of 25 Ncm Holistic screw must be tightened at a maximum torque of 15 Ncm Seal the previously disinfected crown on the abutment Ideally use a MDP resin type adhesive Please refer to the instructions provided by the manufacturer A Surgical Procedure i Instruments Presentation A sterilizable implantology kit ref B1085 containing all necessary instruments required to place AXIS implants is available CIE Torque wrench C1031 Wrench adapter K C1030 K Screwdriver Extension Roundbur C1156 C1023 b TapM Depth 1021 B11 Ra Q Pilot drill AAR 4 act Gauge Drill S Drill M Co I Il B1024 B1014 B1011 UL O O0 N B1013 EN Attention All instruments must be sterilized before use For sterilizing procedures please refer to Section 6 Cleaning Sterilizing Storage www axis biodental ch P Appendix a ra 5 15 16 AAIS biodental SWISS QUALITY AXIS Implant System User Guide In addition to the content of the surgical kit other instruments are ava
10. able for the realization of the master model Clipped transfer A Open tray transfer B A Clipped transfer Hexalobe analog D1042 Setting up the analog implant Position and lock the analog in the impression tray The analog implant will click when it is locked Making the master model VEN Make the master model following a standard method 12 Hexalobe analog D1042 4 bes Setting up the analog implant Position the analog in the connexion transfer Tight it manually Plannification Laboratory abutments D1158 D1159 D1160 Ab CAP Laboratory screw D1084 LE Making the Crown Abutments D1154 D1155 D1157 ah Laboratory screwdriver C1028 h Making the master model Make the master model following a standard method To choose the angulation of the restoration straight and angulated 15 version A and B laboratory abutments are available Note on difference between versions A and B abutments Version A Version B Angulation facing Angulation facing the lobe the groove Realize the crown following a standard method Notes To maintain the integrity of the master model it is recommended to manually screw the elements using the AXIS screwdriver ref C1028 Laboratory screws ref D1084 are green and are only dedicated for laboratory use They should not be used by a clinician Attention Each implant must replace a single tooth and support
11. ansgingival implant positioning When using the profile drill the implant site should be 1 5 mm deeper iil Implant Insertion Implant Unpacking Remove the blister from its packaging Each AXIS implant has its own article and batch number To ensure the necessary tracking of products this information must appear on the patient folder For this purpose labels are available on the blister of each implant Remove the lid of the blister and deposit the inlay on a sterile surface Precautions The implant should not be placed in the mouth if the packaging is damaged or if the implant was in contact with a non sterile surface In this situation the product must be replaced Implant resterilizing is not allowed Packaging and sterilizing images Appendix 2 Do not use if packing is damaged Do not reuse Do not resterilize www axis biodental ch F EL ra 6 7 Appendix ra AXIS Implant System User Guide AAIS biodental SWISS QUALITY Gripping and Inserting the Implant Two types of protocols are available using the torque wrench A using a right angle B Important Our Hexalobe implant holder has a mechanical fuse feature that prevents any over torque application or irregular efforts In case of misuse the Hexalobe implant holder may break at the fuse level In order to complete surgery despite an implant holder rupture it is recommended to always have a second Hexalobe i
12. dpiece extension C1029 ie Insertion Depth AXIS Implant System User Guide Connect the implant holder to the right angle If necessary use an handpiece extension Hold the blister horizontally and connect the implant holder to the implant Release the implant from its location by rotating it over its apical end Note A cavity was created on the inlay to deposit if necessary the implant with the implant holder on a sterile surface Screw the implant into the implant site until the end of the thread see paragraph concerning Insertion Depth below Remove the instruments and suture the gum Always keep the best possible alignment between instruments and implants Implants should be screwed to a maximum torque of 35 Ncm and a maximum speed of 15 rpm Monobloc AXIS implants are transgingival The implant s neck should be approximately 1 5 mm above the bone crest They can also be inserted deeper into the bone using the profile drill Working depth indicated on the instrumentation are specific for AN transgingival implant positioning When using the profile drill the implant site should be 1 5 mm deeper iv Healing To avoid loading the implant during osseointegration AXIS biodental recommends achieving temporary rehabilitation in under occlusion mode The duration of soft tissue healing and osseointegration of AXIS implants vary generally from 2 to 4 months It depen
13. ds on the general state of health of the patient and the quality of the bone around the implant It is possible to use standard means for the control of osseointegration B Prosthetic Procedure i Impression Monobloc transfer cap D1036 ls Positioning the transfer cap Position and lock the transfer cap on the implant The cap will click when it is locked Taking the impression Put light impression material around the cap and the implant and heavy impression material in the closed tray Place the tray in the mouth let it harden following the manufacturer s recommendations then remove the tray Note Polyether or rubber polyvinylsiloxane based material are recommended for making quality impressions il Reconstruction Monobloc analog D1037 Cl Rs Setting up the analog implant Position and lock the analog implant in the impression tray The analog implant will click when it is locked Making the master model Make the master model following a standard method www axis biodental ch ra roa a 6 7 Appendix ra a 21 AAIS biodental SWISS QUALITY Making the Crown Modification allowed Maximal height 2 5 mm Modification forbidden Minimal height 2 5 mm Scanning il Rehabilitation Crown Sealing 22 AXIS Implant System User Guide Make the crown following a standard method It is recommended to sandblast the abutme
14. ew Note Before anything else be sure to clean the implant connection and remove any fragments Realization of a drilling point Insert the point driver 1A into the implant connection and insert the pointer 1B with no speed until it is in contact with the screw Put the driver in counterclockwise rotation at 800 rom during approximately 10 seconds while exercising a moderate pressure Remove the driver and the pointer Drilling the screw Insert the extraction drill driver 2A into the implant and introduce the extraction drill 2B with no speed until it is in contact with the screw Put the drill in counterclockwise rotation at 17000 rpm drill up to the stop and remove the instrument always in rotation Remove the driver Note it is possible that the screw comes already out at this stage Screw extraction Assemble the helicoidal extractor 3 and the adapter Place the extractor in the hole previously realized in the screw Then turn manually counterclockwise by exercising a moderate pressure to bind the extractor in the hole Be sure to use all these instruments counterclockwise Always keep the best alignment between instruments and implant even with a guide ring Breaking of the Implant Trephine 04 0mm B1144 Trephine 04 5mm B1143 For removing an osseointegrated implant use the trephine When using the trephine apply moderate pressure and do not exceed 80
15. f each patient After implantation Inform the patient on the post operative procedure in case of any problem Draw the patient s attention to the importance of a good dental hygiene and its influence on the implantation success After rehabilitation 6 months after rehabilitation a follow up visit will ensure the perfect behavior of the implant Inform the patient about the importance of communicating all problems encountered discomfort ache Long term It is recommended to realize an annual X ray More controls could be necessary for high risk patient suffering from parodontitis for example A good follow up ensured by a dentist and or a dental hygienist as well as a good dental hygiene are necessary conditions for the long term success of an implantation As for natural teeth implants are exposed to influences of the buccal cavity dental plaque tartar bacteria In case of insufficient care complications inflammation bleeding can lead to the loss of the implant www axis biodental ch FA ra 6 7 Appendix Fa 23 24 AAIS AXIS Implant System User Guide biodental SWISS QUALITY All devices entering into direct contact with the patient should be sterilized prior to use Exceptions Products clearly identified as sterile implant with the cover screw Abutments and crowns must be decontaminated prior to use with a low or intermediate EPA registered hospital disinfectant S
16. ilable Tissue punch ref B1010 gl yy Rofile drill ref B1170 O gt Point drill ref B1012 Poe Handpiece extension ref C1029 w M Three tick marks indicating the working depth 8 10 and 12 mm have been etched on the instruments required for realizing the implant site g aili Pilot drill Gauge DrillS Drill M Working depth Important In order to create optimal conditions for the integration of the implant it is imperative to respect the recommended speeds and to apply a reasonable pressure during the site preparation The respect of these rules will prevent over heating which could slow or prevent the osseointegration of the implant due to bone necrosis li Implant Site Preparation Osseous Crest Access Tissue punch B1010 Implant Site Preparation Round bur B1011 Point drill 31012 a me 2 4 mm Primary Drilling Pilot drill 81013 T Parallelism Control Direction indicator B1022 HT D 2 9 mm Drilling Drill S B1014 cr TE 3 4 mm Drilling Drill M B1015 qa Depth Control Depth gauge M B1024 oA 4 0 mm Tapping Tap M B1082 VS Mr 4 5 mm Profile Drilling Profile drill 81170 w For accessing the bone it is possible to use a scalpel or the tissue punch proposed by AXIS large round bur can be used to prepare the bone crest Mark the implant
17. mplant holder available A Protocol with the Torque Wrench Hexalobe implant Connect the implant holder to the wrench adapter holder B1021 a Hold the blister horizontally and connect the implant holder to the implant Torq Release the implant from its location by rotating it over its apical end Note A cavity was created on the inlay to deposit if necessary the implant on a sterile surface Start inserting the implant manually Connect the torque wrench to the adapter Screw the implant into the implant site until the end of the thread See the SSS opposite paragraph concerning Insertion Depth Note To avoid any damage to the implant the implant holder breaks in case of improper use Always keep the best possible alignment between instruments and implant Implants should be screwed to a maximum torque of 35 Ncm B Protocol with the right angle Hexalobe implant holder B1021 ee D Handpiece extension C1029 D Insertion Depth AXIS implants are transgingival The implant s neck should be approximately 1 5 mm above the bone crest Note Screw the implant into the implant site until the end of the thread see Connect the implant holder to the right angle If necessary use an handpiece extension Hold the blister horizontally and connect the implant holder to the implant Release the implant from its location by rotating it over i
18. nt in order to increase the adhesion of the crown Attention Each implant must replace a single teeth and support a single crown For mechanical reasons and to ensure the sealing the crown must stands on the implant chamfer AXIS recommends not modifying the abutment However if it is necessary only the green area highlighted on the left hand side figure can be modified The modification of the abutment must be made with a fine diamond bur under irrigation and with moderate pressure in order to avoid heating the material and generating micro cracks Such changes are the responsibility of the practitioner and the prosthetist Most of standard scanning techniques can be used with AXIS implants For further information please refer to manufacturer s instructions Comments Neutral disinfectants no chlorine ammonia or aldehyde should be used according to manufacturers recommendations for disinfecting prosthetic parts Seal the previously disinfected crown on the abutment Many adhesives for the bonding of zirconium oxide are available on the market Ideally sandblast the abutment and use a MDP resin type adhesive Please refer to the instructions provided by the manufacturer To prevent any problems regular clinical follow up is recommended Ideally the tracking should be realized by the clinician in charge of the implantation The follow up proposed here under must be adapted accordingly to the clinical history o
19. olled para functional diseases bruxism clenching or grinding of teeth insufficient bone length or width insufficient inter arc gap intraoral infection insufficient coverage of the soft tissue and disorders that impede the ability of patients to maintain adequate oral hygiene We may add other factors that can negatively influence success rates such as smoking B Dimensions of Implants amp Abutments D4 8 it D 7 4 8 10 12 10 5 12 5 14 5 i C X ray Template Note Dimensions are in millimeters mm D4 5 5 0 Lo om yr N 1 tl os Ol a I I lO N Y T D4 0 An X ray template is available ref 11098 It allows you to select the adequate implant length AXIS biodental Note This X Ray template can be used for one piece implants as well as for two piece implants R5oanno Axis biodental SA All rights eserved 11098 EN 11 2011 www axis biodental ch a PRE a Appendix ae AXIS Implant System User Guide AAIS biodental SWISS QUALITY A Surgical Procedure i Instruments Presentation A sterilizable implantology kit ref B1085 containing all necessary instruments required
20. site using a round bur The point drill can also be used at this stage 1 4 mm round bur and point drill max 800 rom Drill the implant site to the final depth using the pilot drill Pilot drill max 800 rom Measure the depth of the site and assess its orientation using the direction indicator Widen the implant site using the S drill yellow ring Drill S max 550 rom Widen the implant site using the M drill red ring Drill M max 500 rom Measure the depth of the site using the M depth gauge red ring For class and II bone tap the site using the tap M red ring Tap M max 15 rom and 35 Ncm If desired the implant can be inserted deeper into the bone using the profile drill Working depth indicated on the instrumentation are specific for N transgingival implant positioning When using the profile drill the implant site should be 1 5 mm deeper www axis biodental ch ra ra Appendix ye ra 5 17 18 AAIS biodental SWISS QUALITY iil Implant Insertion Implant Unpacking sf AXIS Implant System User Guide Remove the blister from its packaging Each AXIS implant has its own article and batch number To ensure the necessary tracking of products this information must appear on the patient folder For this purpose labels are available on the blister of each implant Remove the lid of the blister and deposit the inlay on a sterile surface Precautions The implant sho
21. tic gold screw Straight 15 angled 15 angled Hexalobe M8 Hexalobe M10 Hexalobe M12 abutment abutment A abutment B ref A1078 ref A1079 ref A1080 ref D1154 ref D1155 ref D1157 AN O N aaa Prosthetic screw Holistic screw ref D1149 ref D1047 tv AXIS Monobloc Implants This one piece implant is made out of HIP Y TZP zirconia Monobloc M8 Monobloc M10 Monobloc M12 ref A1074 ref A1075 ref A1076 gt io L AE TUE S L4 aw 1a www axis biodental ch X TD D Q Q lt A A A A AXIS Implant System User Guide AAIS biodental SWISS QUALITY A Indications amp Contra indications Indications Note The rule for choosing a dental implant is to use the one with the greatest diameter with the resistance of that implant being proportional to the cube of its diameter AXIS implants are especially indicated to replace a single tooth 1 tooth 1 implant Contra indications General Contra indications Contra indication include but are not limited to cardiovascular disease uncontrolled diabetes coagulation disorders including taking anticoagulants metabolic bone disease chemotherapy or radiation treatment chronic inflammation metabolic or systemic disorders associated with lesions and or bone healing the use of pharmaceutical products that block or modify bone healing Absolute Contra indications Contra indication include but are not limited to uncontr
22. trictly follow manufacturer s instructions Non sterile components should be removed from their original packaging prior to sterilizing Cleaning and sterilizing of these components before their first use is under the responsibility of the clinician Sterilizing Steps Decontamination Put the instruments in a disinfectant solution immediately after use Do not let the contaminated instruments dry Cleaning and disinfection Disassemble the instruments that can be taken apart torque wrench Group components according to their composing materials in order to avoid electrolysis and corrosion Submerse them in a disinfectant Cleaning solutions with high chlorine content or oxalic acid are inappropriate for the cleaning of stainless steel instruments risk of corrosion Alkaline products with a pH higher than 9 are inappropriate for cleaning tools made of anodized aluminum risk of deteriorating the surface Cleaning can be done manually or mechanically by ultrasound Be careful to dry the parts with clean compressed air inspection Check for cleanliness and proper function of instruments and components Reassemble the disassembled instruments Replace damaged instruments To ensure optimal performance the rotating equipment should not be used more than 10 times Packaging The instruments can be packaged individually or inserted in their dedicated location in the implantology kit which will be then packed before sterilizing
23. ts apical end A cavity was created on the inlay to deposit if necessary the implant on a sterile surface paragraph concerning Insertion Depth below Note To avoid any damage to the implant the implant holder breaks in case of improper use Always keep the best possible alignment between instruments and implant Implants should be screwed to a maximum torque of 35 Ncm and a maximum speed of 15 rpm They can also be inserted deeper into the bone using the profile drill Working depth indicated on the instrumentation are specific for transgingival implant positioning When using the profile drill the implant site should be 1 5 mm deeper www axis biodental ch ra EN 6 7 Appendix ra 10 AXIS Implant System User Guide AAIS biodental SWISS QUALITY iv Soft Tissue Management Several soft tissue management options are proposed Cover screw A Cover screw B Temporary abutment C A Cover screw A cover screw is provided with each AXIS Hexalobe implant It is located in the cavity of the blister sealed with a transparent lid RA Screwdriver C1156 1 Cover screw D1145 Remove the lid and take the cover screw with the screwdriver Suture the gingiva over the cover screw RA Screwdriver C1158 Depending of the case gingiva formers are available in 2 5 mm or 4mm T height Healing abutments D1050 D1132 O Up Prosthetic screw D1149
24. uld not be placed in the mouth if the packaging is damaged or if the implant was in contact with a non sterile surface n this situation the product must be replaced Implant resterilizing is not allowed Packaging and sterilizing images Appendix 2 Do not use if the packaging is damaged Do not reuse Do not resterilize Gripping and Inserting the Implant Two types of protocols are available using the torque wrench A using a right angle B A Protocol with the Torque Wrench Monobloc Ia ISTE BONE Pile a P Connect the implant holder to the wrench adapter ao B Hold the blister horizontally and connect the implant holder to the implant Release the implant from its location by rotating it over its apical end Note A cavity was created on the inlay to deposit if necessary the implant on a sterile surface Start inserting the implant manually Connect the torque wrench to the adapter s Screw the implant into the implant site until the end of the thread see the ait opposite paragraph concerning Insertion Depth Remove the instruments and suture the gum Always keep the best possible alignement between instruments and implants www axis biodental ch Implants should be screwed to a maximum torque of 35 Ncm 6 7 Appendix FA E 19 20 AAIS biodental SWISS QUALITY B Protocol with the right angle Monobloc implant holder B1108 ae Han
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