Status

3i implants restorative manual

LINK 1 ENTER SITE >>> Download PDF
LINK 2 ENTER SITE >>> Download PDF

File Name:3i implants restorative manual.pdf
Size: 4048 KB
Type: PDF, ePub, eBook

Category: Book
Uploaded: 20 May 2019, 21:12 PM
Rating: 4.6/5 from 562 votes.

Status: AVAILABLE

Last checked: 2 Minutes ago!

In order to read or download 3i implants restorative manual ebook, you need to create a FREE account.

Download Now!

eBook includes PDF, ePub and Kindle version

✔ Register a free 1 month Trial Account.

✔ Download as many books as you like (Personal use)

✔ Cancel the membership at any time if not satisfied.

✔ Join Over 80000 Happy Readers

3i implants restorative manualThese are intended for useto support single and multiple tooth prostheses, in the mandible or prostheses can be screw or cement-retained to the Abutment Posts and Temporary Cylinders are intended for use as anaccessory to endosseous dental implants to support a prosthetic device in apartially or fully edentulous patient. These are intended for use to support singleand multiple unit prostheses in the mandible or maxilla for up to 180 days duringendosseous and gingival healing and are for nonocclusal loading of single andmultiple unit provisional restorations. These Temporary Posts and Cylinders require aminimum interarch space of 6mm and a maximum angulation of 15. 4 These alsoallow for occlusal loading of single and multiple unit restorations of integratedimplants for guided soft tissue QuickBridge Provisional Components are intended to be mated with BIOMET3iConical Abutments for use as an accessory to endosseous dental implants tosupport a prosthetic device in a partially or fully edentulous patient. TheQuickBridge Provisional Components are intended to support multiple unitprostheses in the mandible or maxilla for up to 180 days during endosseous andgingival:Placement of dental implants may be precluded by patientconditions that are contraindications for surgery. BIOMET3iDental Implantsshould not be placed in patients where the remaining jaw bone is too diminishedto provide adequate implant and Handling:Devices should be stored at room temperature. Improper technique can lead to implant failure, loss ofsupporting bone, restoration fracture, screw loosening and:All dental implants and some abutments are supplied sterile and aresterilized by an appropriate validated method. Refer to individual Product labelsfor sterilization information; all sterile products are labeled STERILE. Allproducts sold sterile are for single use before the expiration date printed on theproduct label. Do not use sterile products if the packaging has been damaged orpreviously opened.http://cribpointonline.org/cribpointonline/userimages/3m-965-manual.xml

Tags:
• 3i implant restorative manual, biomet 3i implant restorative manual, 3i implants restorative manual, 3i implant restorative manual.

Do not re-sterilize or autoclave except where instructions todo so are provided on the Product label, in the Surgical Manual, in theRestorative Manual or in any additional marketing literature for that provided nonsterile must be cleaned and sterilized according to thedirections found inART630or the Surgical Manual prior to Precautions, Surgery:For a detailed explanation of the proceduralprecautions refer to the Surgical the planning phase, it isimportant to determine the vertical dimension, the actual space available betweenthe alveolar crest and the opposing dentition, in order to confirm that theavailable space will accommodate the proposed abutment and the final crownrestoration. 7 This information varies with each patient and abutment; therefore itshould be carefully evaluated before placing any dental implant. The finalprosthesis should be designed prior to the placement of the dental continuous irrigation with a cool, sterile irrigating solution to avoidexcessive damage to the surrounding tissue and to prevent compromisingosseointegration. This is mandatory during all procedures. Avoid excessivepressure during preparation of the bone site. As the drilling speed varies basedon the instrument and the surgical procedure, recommendations for speed canbe found in the Surgical Manual. Only sharp instruments of the highest qualityshould be used for any surgical procedure involving bone. Minimizing trauma tothe bone and surrounding tissue enhances the potential for successfulosseointegration. The clinicianbelieved his patientsdeserved better fitting andlooking implant restorationsthan could be accomplishedwith available implantsystems. 10 In 1999, Biomet,Inc., a leading manufacturerof orthopedic components, order to have greater consistency in the use of the3iBrand, increase global awareness and recognitionof the parent company and leverage the synergy ofconsistent imaging among all Biomet Subsidiaries,3iProducts began selling under the BIOMET3iNameworldwide in 2007.http://hospitalityroyal.com/upload_files/3m-963-manual.xml This has greatly enhancedBIOMET3i s Research and Development resourcesand potential for, BIOMET3ioffers one of implant dentistry smost comprehensive lines of implants andabutments, augmented by a growing line of sitepreparation and regenerative products. BIOMET3ipioneered the development of biologically drivenimplants, winning worldwide acclaim for themicrotextured surface and superior clinical successrates of the OSSEOTITE in Palm Beach Gardens, Florida, withoperations throughout the world, BIOMET3iis one ofthe leading companies in the oral reconstructionmarket. Show more. Please try again later.Please try again.The information is used by the lab to design the final prosthesis. A healthy intact mucosa is essential for teeth and oral health. 3 Dental implants require an intact peri-implant mucosa for successful integration and maintenance. 4 Adherent peri-abutment mucosa is credited with reducing and limiting both microbial and oral cavity content through the sulcus to the implant microgap region. 4 This reduces the need for multiple abutment removals, preserving the peri-abutment mucosal sulcus interface and maintaining the sealing function. Eur J Oral Implantol. 2010 Winter;3(4):285-96. Unless otherwise indicated, as referenced herein, all trademarks are the property of Zimmer Biomet; and all products are manufactured, distributed and marketed by Zimmer Biomet Dental (and, in the case of distribution and marketing, its authorized marketing partners). Please check with a Zimmer Biomet Dental representative for product availability and additional information. Zimmer Dental products and Biomet 3i products may not be cross-compatible. Please refer to individual product labeling for compatibility information. If you forgot your password to our BIOMET 3i online store, please click here to visit shopbiomet3i.com C - Nov 2019 They do not contain the current important product information and should not be used.http://www.drupalitalia.org/node/66451 Please refer to the “Indications for Use and Patient Risk Information” tab for the current important product information. Each guide pin is precisely machined from titanium alloy, and is specific to the system or the restorative platform of the seated implant. The occlusal surface of the guide pin contains a female instrumentation port compatible with the restorative driver recommended by the implant manufacturer. Guide pins are reserved for provisional applications, to attach prosthetic components to an implant analog captured in a working model during laboratory fabrication processes, or, after sterilization, to attach an Inclusive Open Tray Transfer Coping to an endosseous dental implant during an open-tray (direct) impression procedure. Accessories None Contraindications Inclusive Guide Pins are not intended for use in the oral environment, except to temporarily attach an Inclusive Open Tray Transfer Coping to an endosseous dental implant during an open-tray (direct) impression procedure. Sterility Inclusive Guide Pins are packaged NON-STERILE. Presented at the European Association for Osseointegration, 20th Annual Scientific Meeting; October 2012; Copenhagen, Denmark. Please note: this will not be 100 correct translation and Dental Campus can not take responsibilities for any failures.Bitte versuchen Sie es spater erneut. Danke fur Ihre Geduld. Due to the current covid-19 pandemic we are unable to offer collections and deliveries for our local surgeries. Our drivers will be back in the future, the date of their return is to be confirmed. Our implants are manufactured at a facility certified to ISO 13485:2016. Two surface options. Concave profile components for esthetic areas and designed to enable subcrestal placement with reduced hard tissue manipulation. Learn more about the broad range of Legacy implant diameters and prosthetics can help dental implant practices grow.ATHENSTAXITOURS365.COM/images/3jh3e-manual.pdf Charles, Illinois - 40w155 Campton Crossing Drive 60175 In addition, implants restore functionality to the jaw, making speaking, eating, and chewing easier. Most implants are comprised of a screw that is embedded into the bone and a post to which the prosthesis is attached. This means that implants can be placed in areas with low bone density, sparing the patient the mess and misery of wearing poorly fitting dentures. Additionally, the bone-bonding component means quicker recovery time after the implant is placed. Almost 98 of 3i implants are fitted successfully and last for a lifetime. 3i implants contain a unique feature, which is embedded in the surface of the screw. Implant screws made by other companies are sprayed with calcium phosphate to enhance the bone integration process. However, 3i screws actually contain calcium phosphate, which means that delamination is less likely to occur. It is usually performed in two short visits, the first visit being typically an hour in length and the second taking around thirty minutes. This procedure will be performed under local anesthetic, unless another type of sedation is preferred. The temporary stop-cap will be removed and a small post or abutment will be attached to the implant. A tiny screw will be used to secure the prosthesis onto the abutment. Any necessary adjustments will be made to ensure the prosthesis is comfortable, and the 3i dental implant will be secure for a lifetime. A Radford Heath Guide 1.In no way is it intended to replace advice given to you by a dental professional. You use this content at your own risk and assume full responsibility to judge whether or not it is accurate or complete before using it for whatever purpose. In no event shall Radford Heath Dental Ceramics be liable for any consequential, incidental or direct damages suffered in the course of using the content from this document. Always consult your local dentist if you have any questions regarding your dental health. Well, there is a plethora of information available on the internet from the various manufacturers of implants which should be researched if you plan to work with them or opt to have them by way of dental treatment. But with so many manufacturers and parts, what if you want a more general overview of what implants are and how they are made. Well we hope to address these questions in this simple guide. Basic Parts The basic parts of a dental implant A Radford Heath Guide 4 Crown Oxford dictionary definition: 1 The part of a tooth projecting from the gum. 2 An artificial replacement or covering for this. Crowns are the top part of a restoration and are the part that we see in the mouth. They replicate the original teeth to provide a biting surface and aesthetic appearance. They are hand made by the technician. The supporting substructure for the crown may be hand made or machined (onsite or offsite). The completed crown is either cemented or screwed onto an abutment. Nobel Biocare Procera Crowns Material Used: Porcelains (metal supported or metal free) or metal (normally gold) Considerations: Bite, wear, material choice (due to greater forces applied) and aesthetics. A Radford Heath Guide 5 Abutment Oxford dictionary definition: 1 The lateral supporting structure of a bridge, arch, etc. 2 The point of junction between such a support and the thing supported. An abutment provides support for the crown (or several crowns i.e. a bridge). It is also the interface between the crown and the implant. Rotation (twist) is controlled by lugs shaped on the abutments stem. These lugs restrict the abutments rotational placement to set incremental steps. Different manufactures use different systems with more or less adjustments. A 3i Osseotite Certain implant Nobel Biocare Replace Select Abutments Older style abutments use external loading with the newer styles tending towards the stronger internal loading fitment. Numerous designs are available from many companies. Nobel Biocare’s internal and external loading designs A Radford Heath Guide 6 Abutments come preformed at set angulations from manufacturers in different platform sizes (interface diameter) and materials, or they may be custom cast by specialist manufacturers e.g. Nobel Biocare (offsite). They are shaped (milled) by the technician using special tools to provide a bespoke fit for the crown. The prepared abutment is eventually screwed (with a torque wrench) to the implant using its locators to guide it into position. TL: Nobel Biocare angled abutments TR: Nobel Biocare custom abutment BL: Milling Nobel Biocare abutments Materials Used: Titanium. Considerations: Shape, angle, length, and platform size. A Radford Heath Guide 7 Implant or Fixture Oxford dictionary definition: 1 An insert (tissue, a substance, a device, etc.) into the body. An implant provides the anchor or foundation for a restoration. It is screwed into the bone of the jaw providing a fixed platform on which an abutment can be screwed. Bone tissue can grow around the implant regenerating and strengthening the jaw reducing the bone loss which occurs when natural teeth are lost. Straumann implants Implants come in many different lengths, shapes (e.g. tapered), and widths (or platform size). Each manufacturer has their own implant designs which have unique features. These unique features require both dentist and technician to adhere strictly to the individual manufacturer’s procedures and guidelines when placing and constructing implant borne prosthetics. Manufacturers provide certified training courses where this information is obtained. Materials Used: Titanium. Considerations: Mostly medical including bone suitability and spacing issues. A consultation with a dental professional is required. A Radford Heath Guide 8 Impression Coping Impression copings are used by the dentist to replicate the position of the implant in the patient’s mouth. The dentist screws the impression coping to the real implant and then, using a specific impression technique, takes an impression of the dentition. The impression technique can be “open” or “closed”: Open tray technique allows the dentist to remove the impression complete with impression coping(s) from the patient’s mouth by allowing external access to the copings retaining screw(s) i.e. the impression coping(s) remain fixed in the impression material. The dentist is then required to add the analogue(s) prior to dispatching to the lab. Closed tray technique requires that the dentist first removes the impression the patient’s mouth then unscrews the impression coping(s) to remove them from the implant. The impression coping(s) are then placed back into position by the dentist in the impression material and the analogues are added prior to despatch. 3i Impression Copings in an impression Nobel Biocare Narrow Platform implant set Materials Used: Titanium, plastic, and anodized aluminium Considerations: Correct placement (to prevent impression material creeping between surfaces and to ensure correct location for abutment). Ensure all parts are dispatched (impression, coping(s), screws, and analogues). A Radford Heath Guide 9 Analogue or Implant Replica Analogues are used by laboratory technicians to replicate implants and their position in a patient’s mouth. A model of the patient’s dentition is cast using an impression. The analogue, screwed onto the impression coping, is set into the plaster model during casting. 3i implant coping with analogue attached They provide an exact fixed reference platform (a replica of the position of the implant) from which the technician can place and shape the abutment and build the crown or bridge. 3i implant analogues Materials Used: Stainless steel (sometimes brass) Considerations: Ensuring all parts are dispatched (impression, coping(s), screws, and analogues). Once the anchor abutments are screwed into the implants, they provide support for a full or a partial denture (which are clipped on). This provides a very stable platform and prevents unwanted movement of the prosthesis. A Radford Heath Guide 13 Bar Retainers Constructed by laboratory technicians, bar retainers mount directly onto implants (screwed). A clip mechanism then secures a denture to the screw retained bar. These bars provide a strong support option for retaining dentures. A Radford Heath Guide 15 References Biomet 3i Nobel Biocare Straumann All images used in this document are courtesy of the respective manufacturers listed by them. A Radford Heath Guide 16 We are a non-profit group that run this service to share documents. We need your help to maintenance and improve this website. Improper use of the prosthetic screw can have deleterious effects on the implant components, surrounding bone, and final restoration. Prosthetic screws are available in different shapes, sizes, and materials depending on the manufacturer. Despite our best efforts, prosthetic failures occasionally occur, and this chapter will also discuss methods for the retrieval of fractured and stripped prosthetic screws. In implant dentistry, this is colloquially referred to as the “tightness” at which the prosthetic screw is secured. Electronic or mechanical torque measuring devices are available to indicate magnitude of torque applied to the prosthetic screw. Preload is measured in Newtons (N). As the prosthetic screw is tightened, the torque applied is transferred to the threads of the prosthetic screw and internal threads of the implant ( Figure 3.2 ). This force clamps the abutment to the implant body. Preload is determined by three factors: To date no “ideal” preload value has been determined for all prosthetic screws. Because preload is determined by so many different factors, it is recommended to follow each manufacturer’s guidelines for each specific screw. Screw loosening is one of the most common complications encountered in implant dentistry (Ekfeldt et al. 1994). Loose screws are at a significantly higher risk of screw fracture. Binon and McHugh ( 1996) suggest multiple reasons for screw loosening: Unlike screw loosening, the prosthetic screw does not “unscrew.” The frictional forces between the components are decreased as a result of creep and stress relaxation, which eventually will cause a decrease in preload. This is a normal occurrence which should be anticipated and corrected by retorqueing the prosthetic screw to the recommended moment force after a period of time. It is recommended that the prosthetic screws be retorqued 10 minutes after initial placement and periodically thereafter (Winkler et al. 2003; Cantwell and Hobkirk 2004). Torque loss will also occur over longer periods of time. It is recommended to retorque the prosthetic screw at each recall visit. This has not been shown to have any harmful effects on the implant joint stability (Delben et al. 2011). Although a seemingly small and simple piece, the mechanics of the prosthetic screw are fairly complex. Literally, this piece holds the implant system together and thus it requires sophisticated engineering to provide the best possible prosthetic results. Various driver fitting site types are available, including slot (flat-head), Phillips, Robertson (square), hex, and star. By far, the most common type used in implant dentistry is the hex type. It is critically important to use the appropriate corresponding driver to prevent screw head stripping.It is variable in length depending on the geometry of the components that are being held together.This portion of the screw engages the internal threads of the implant and provides the surfaces onto which force is transmitted and converted to preload. The internal threads of the implant and those of the prosthetic retaining screw must be 100 compatible. Materials science has focused on decreasing the amount of friction to allow greater preload values for the amount of toque applied. After applying desirable torque, commercially pure titanium prosthetic screws only undergo elastic (reversible) deformation, and can thus be used multiple times. These screws are appropriate for use with temporary restorations and laboratory procedures. They are not recommended for use with final restorations. Titanium treated in such a way to include different chemicals is called titanium alloy. These alloys are expensive to manufacture, but have very high tensile strength and toughness. In general, coated and treated prosthetic screws are able to provide higher preload than non-pure titanium prosthetic screws, and are more capable of maintaining preload after cyclical loading. This allows increased rotation and elongation of the screw for a given torque, and thus a greater preload. These screws are least likely to loosen over time. However, gold screws, especially those of high carat, are subject to plastic (irreversible) deformation, and thus are only indicated for single use. It is recommended that before final delivery of the abutment and prosthesis, the clinician use titanium screws and to only use gold screws during final delivery. Thus, it is always recommended using the same company for implant, abutment, screw driver, and prosthetic screw. Table 3.1 lists the screw materials that are currently available from major implant companies. Log In or Register to continue. San Angel CP: 01000, Ciudad de Mexico, Alvaro Obregon, CDMX The Tapered Internal implant achieves these benefits from its anatomically tapered dental implant body, aggressive buttress threads and advanced Laser-Lok surface technology. The deep 1.5mm internal hex connection with a lead-in tapered bevel create a rigid connection and a stable biologic seal. Purchase Please visit store.biohorizons.com for full availability.M Nevins, ML Nevins, M Camelo, JL Boyesen, DM Kim.M Nevins, DDS, DM Kim, DDS, DMSc, SH Jun, DDS, MS, K Guze, DMD, P Schupbach, PhD, ML Nevins, DMD, MMSc. Accepted for publication: IJPRD, Vol 30, No. 3, 2010.Privacy Policy. Branemark System implants have been in clinical use since 1965. It's the most scientifically documented implant system in the world. 1 Its implant design is based on the original Branemark System with parallel walls and three cutting chambers. The implant is designed to achieve optimal implant stability in all bone qualities. The shallow cutting edges on its threads are specifically designed for soft bone indications. It's available either with machined or TiUnite collar. It offers unmatched prosthetic versatility with a choice of six to twelve abutment positions and a short crown-to-first-thread distance. This is ideal for use with thin marginal soft tissue. Try Replace Select Straight and NobelReplace Straight in medium to dense bone. This maintains high stability during healing through faster bone formation and ensures long-term success. Immediate placement of two NobelSpeedy Groovy and two Branemark System Zygoma implants, followed by a provisional restoration with Immediate Function. A screw-retained NobelProcera Implant Bridge Titanium framework was chosen as the final restoration. The dentures were made six years prior. As a final restoration, a NobelProcera Implant Bridge Titanium with acrylic teeth was chosen. As a final prosthesis, fixed precision-milled NobelProcera Implant Bridges were chosen for both the maxilla and the mandible. Restorative solution using a NobelProcera Titanium Abutment and a screw-retained crown. Log in to your personal My account portal to access additional literature, handling instructions and guidelines in My Library. Department of Buccofacial Prosthetics, Faculty of Medicine and Dentistry. Department of Mechanical and Material Engineering. Polytechnic University of Valencia, Spain Corresponding author.This article has been cited by other articles in PMC. Abstract Objective: To evaluate the vertical misfit between different brands of dental implants and prosthetic abutments, with or without mechanical torque, and to study their possible combination. Image analysis was performed using NIS-Elements software (Nikon Instruments Europe B.V.). The Nobel implant and Nobel abutment, 3i-3i and BTI-BTI and the combination of 3i implant with BTI or Nobel abutment provided the best vertical fit when mechanical torque was applied. Conclusions: The vertical fits obtained were within the limits considered clinically acceptable. The application of mechanical torque improved outcomes. There is compatibility between implants and abutments of different brand and so their combination is a clinical possibility.Introduction Restorative dentists tend to work with the products of one particular brand of implant system or another. However, there is an increasing demand for prosthodontic treatment from patients who already have unloaded maxillary implants. If the first option is chosen, then the dentist will have to purchase the components and learn how to handle them, which will increase economic cost and treatment time. The second option is only possible if there is compatibility between implant and abutment. There is a great deal of information on the clinical consequences of a bad fit between implant and prosthetic abutment ( 1 - 4 ). Discrepancies greater than 10 microns can have biological effects (bacterial microfiltration) ( 1, 2 ) and produce inadequate mechanics (loosening and rotating screws) ( 3 ), which may lead to complete treatment failure. Values of 10 microns or less do not seem to have consequences for hard or soft tissues ( 4 ). The relationship between prosthetic abutments and the implants which support them has been studied for machined titanium and zirconia abutments, and for cast and premachined abutments ( 5 ). Nevertheless there is little published research on the combination of elements from different manufacturers ( 6 ). The aim of this study was to analyze the vertical misfit (microgap) between implant external hexagons and prosthetic abutments of different brands, with and without the application of mechanical torque, and, if possible, their combination in clinical practice. The null hypothesis was that there is compatibility and the possibility of combining, without a loss of treatment quality, the five different brands of implants included in the present study (implants with standard 4.1 mm heads and external hexagons) and their respective machined prosthetic abutments. Both implants and abutments were standard products freely available on the market and belonged to the same product batches. Abutments were fitted onto implants of the same brand and onto implants from different manufacturers, examining microgaps or the degree of vertical misfit at the abutment-to-implant union. The systems were first assembled manually and evaluated, then evaluated a second time after applying a mechanical torque of 32Ncm. Microgap measurements were performed using a scanning electron microscope (SEM), JEOL JSM 6300 (Tokyo, Japan). In this way four images were obtained of each union. All values obtained underwent statistical analysis using the Mann-Whitney U test for two independent samples (combinations of similar quality) and box plots were produced to represent the distribution of continuous variables; the significance level was taken as 5 (p Results -Results without torque. Implants and abutments were assembled manually without applying torque. Open in a separate window Figure 2 Combinations of all implants and all abutments without application of mechanical torque. Open in a separate window The BIOFIT implant in combination with any abutment and the BIOFIT abutment in combination with any implant produced the worst quality fit. The Mann-Whitney non-parametric test was applied to each pairing of combinations, in which the variable measured is distributed so that it is statistically equivalent; this determined that the three best combinations were: 3iBiomet-BIONER, 3i-BTI and NOBEL-BTI. The remaining combinations, all good, were positioned on a second level. -Results with torque. In this second test, implants and abutments were assembled applying a mechanical torque of 32Ncm as recommended by the manufacturers. This data is shown in Table 2. The BIONER-BIOFIT and BTI-3i combinations produced the lowest quality fit. When combinations of implants and abutments of the same brand were analyzed, the best results were achieved by Nobel B-Nobel B, with 100 of measurements less than 2 microns; the worst combination was BIOFIT-BIOFIT that showed 50 of measurements higher than 6 microns. Open in a separate window When the Mann-Whitney non-parametric test was applied to each combination pair with p-values greater than 0.05, in other words, those which follow similar distributions, it was found that BTI-BTI, 3i Biomet-3i Biomet and Noble B-Nobel B showed a statistically equivalent distribution. Discussion Hypothesis was confirmed, as there is compatibility and possibility of combining the different brands of implants and their respective machined prosthetic abutments without a loss of treatment quality. There is a good deal of published research on fit and precision in implant and abutment manufacturing, whether machined or cast, but there is little to be found among the literature which examines the possibility and convenience of combining implants from one manufacturer with abutments from another. There is clear agreement among authors that the exactitude of hexagon machining is crucial and significant differences have been detected between different manufacturers ( 7 - 9 ). The fabrication of implants and their related components should present a high degree of homogeneity.