review of implant systems
TRANSCRIPT
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Review Of Implant SystemsReview Of Implant Systems
Implant Designs and ComponentsImplant Designs and Components
Nomenclature and TerminologyNomenclature and Terminology
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Titanium Threaded Titanium Threaded Root Form ImplantsRoot Form Implants
Nobel/Branemark3 ILife CoreOsteo-Implant
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Three Prosthetic TablesThree Prosthetic Tables
Regular Diameter Wide DiameterSmall Diameter
The SD implant connection provides surgical and restorative
flexibility due to its non-flared profile. The SD’s 1.0mm tall
external hex provides increased stability. Lifecore SD implants
are compatible with Steri-Oss® HL 3.25mm Prosthetics.
RD implants use the “universal” hex connection and are compatible with:
•Nobel Biocare® - 3.75, 4.0mm
•3i® - 3.75, 4.0mm
•Steri-Oss® HL - 3.8mm, 4.5mm
•CenterPulse Taper-Lock ® - 3.75mm
The WD implant connection offers surgical and restorative advantages,
including increased prosthetic stability and torsional strength. The WD’s wide
prosthetic table enables improved emergence profile. Lifecore WD
implants are only compatible with Lifecore WD prosthetic components.
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500x SEM of Titanium 500x SEM of Titanium SurfaceSurface
50x SEM of Titanium Surface
Titanium Threaded ImplantsTitanium Threaded ImplantsMachined SurfaceMachined Surface
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HA Threaded HA Threaded ImplantsImplants
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3.3mm 3.75mm 4.0mm 5.0mm
Hydroxylapatite (HA) Threaded Hydroxylapatite (HA) Threaded ImplantsImplants
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Selective Surfaces Selective Surfaces Threaded Implants Threaded Implants
3 ILife CoreBiolok
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Measurement of Rotational PlayMeasurement of Rotational Play
Passive Abutment/ImplantHex Connection
Action During AbutmentRotation
Note: “Gap G” is the space between the implant’s external hex and the abutment’s internal hex. “A” represents the rotational freedom encountered during 1/2 of the rotational movement.
Rotational freedom
recorded with the needle
Gap G
Implant hex(external)
Abutment hex(internal)
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Abutment Screw DesignAbutment Screw Design
Increased screw shank length provides greater screw resiliency and improved torque retention under repeated loads.
UCLA Abutment Assembly
New ScrewOld Screw
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External vs Internal Connections External vs Internal Connections
External Hex Implant System External Hex
Implant System Internal Hex
Implant System Internal Hex
Implant System
ZimmerReplace/NobelLife CoreITIFriadent3 I Certain
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Internal Hex Prosthetic ConnectionInternal Hex Prosthetic Connection
Internal Hex Prosthetic ConnectionInternal Hex Prosthetic Connection
Beveled interface helps maximize prosthetic stability and evenly transfer occlusal loads to the implant
Beveled interface helps maximize prosthetic stability and evenly transfer occlusal loads to the implant
Deep internal hex provides superior strength and resistance to rotational forces…virtually eliminates abutment screw loosening
Deep internal hex provides superior strength and resistance to rotational forces…virtually eliminates abutment screw loosening
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Circumferential grooves at neck region promote bone interlock and even transfer
of stress to surrounding bone
Circumferential grooves at neck region promote bone interlock and even transfer
of stress to surrounding bone
Root-form, tapered design enables placement flexibility near convergent
roots or ridge concavities
Root-form, tapered design enables placement flexibility near convergent
roots or ridge concavitiesGro
oves P
arallelT
apered
Tapered Implants Design Features
Tapered Implants Design Features
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500x
SEM
2000x
SEM
Single StageSingle StageAnd Surface TechnologyAnd Surface Technology
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Morse Taper connection provides superior strength and prosthetic stability
Virtually eliminates screw loosening
Automatically centers abutment during placement
Internal Locking Morse Taper Internal Locking Morse Taper Prosthetic ConnectionProsthetic Connection
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Implant
Abutment
Internal Morse Taper Locking Prosthetic Connection
Internal Locking Morse Taper Internal Locking Morse Taper Prosthetic ConnectionProsthetic Connection
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STAGE-1 ImplantsSTAGE-1 Implants
Wide Diameter (WDS) 6.5mm Prosthetic Connection
Regular Diameter (RDS) 4.8mm Prosthetic Connection
3.3mm 4.1mm 4.8mm 4.8mm 5.5mm 6.3mm
ITIZimmerLife Core
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Implant placed with smooth implant collar extending above the bone crest
Placement with STAGE-1Placement with STAGE-1
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Cement-Retained RestorationsCement-Retained Restorations
Straight COC
Abutment
15° Angled COC
Abutment
25° Angled COC
Abutment
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For hand-driven placement of anterior implants
Carries implant from packaging to the site
Available for external hex and STAGE-1 implants
InstrumentationInstrumentation
Color-coded for easy identification
Large knurling for excellent tactile feel and easy cleaning
Swivel Head DriversSwivel Head Drivers
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Cement-on Crown (COC) Abutment Cement-on Crown (COC) Abutment SystemSystem
Abutment Screws
Cement-on CrownAbutments
Implants
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Cement-on Crown (COC) Abutment Cement-on Crown (COC) Abutment SystemSystem
COC abutments seated on theImplants.
Restoration seated on the COC Abutments.
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Prosthetics for Screw-Retained Prosthetics for Screw-Retained RestorationsRestorations
UCLA Abutment
Standard Abutment
Fixed Detachable Abutment
Conical Abutment
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UCLA Abutment SystemUCLA Abutment System
Abutment Screw
UCLA Abutment
Implant
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UCLA Abutment SystemUCLA Abutment System
UCLA abutments fabricated intothe bridge.
Restoration seated on the implants.
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Fixed Detachable Abutment SystemFixed Detachable Abutment System
Coping Screw
Gold Cylinder
Fixed DetachableAbutment
Implant
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Fixed Detachable Abutment SystemFixed Detachable Abutment System
Fixed detachable abutments seatedon the implants.
Restoration seated on the fixeddetachable abutments.
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Prosthetics for Overdenture Prosthetics for Overdenture RestorationsRestorations
O-Ring Abutment
Snap Abutment
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O-Ring Abutment SystemO-Ring Abutment System
O-Ring/Keeper
O-Ring Abutment
Implant
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O-Ring Abutment SystemO-Ring Abutment System
O-Ring abutments seated onto the implants.
Overdenture seated onto theO-Ring abutments.
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Snap Abutment SystemSnap Abutment System
Female Socket with Retention Ring
Snap Abutment
Implant
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Snap Abutment SystemSnap Abutment System
Overdenture seated onto thesnap abutments.
Snap abutments seated ontothe implants.
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Overdenture Abutment DriversOverdenture Abutment Drivers
Hand Driver
Accu-Torque Driver
Latch Driver
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Accu-Torque WrenchesAccu-Torque Wrenches
Calibrated torquing devices are mandatory for proper screw tightening.*
Studies have found Accu-Torque Wrenches to be highly accurate and reliable.*
*The International Journal of Oral and Maxillofacial Implants, Volume 17, Number 2, 2002 and Volume 9, Number 2, 1994
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Accu-Torque Wrench OperationAccu-Torque Wrench Operation