Transcript
Tapered Internal Product Catalog
ORDERING & WARRANTY INFORMATION Product Support Specialist: Cell phone: Fax:
BioHorizons USA
Customer Care/Servicio al Cliente:
888-246-8338 / 205-967-7880
BioHorizons Canada
Customer Care/Service à la Clientèle:
866-468-8338 / 905-944-1700
BioHorizons Ibérica
Atención al Cliente:
+34 91 713 10 84
BioHorizons UK
Customer Care:
+44 8700 620 550
BioHorizons GmbH
Kunden Service:
+49 7661-909989-0
BioHorizons Australia
Customer Service:
+61 2 8399 1520
BioHorizons Mexico
Servicio al Cliente:
+52 55 5545 1297
BioHorizons Chile
Atención al Cliente:
+56 2 475 7230
BioHorizons No Exceptions Lifetime Warranty on Implants and Prosthetics: BioHorizons implants and prosthetic components carry a Lifetime Warranty. We will replace any BioHorizons implant or prosthetic component if removal of that product due to failure (excluding normal wear to overdenture attachments) is required for any reason, at any time.
Warranties on Instruments, Surgical Drills, Taps and Torque Wrenches: BioHorizons warranties instruments, surgical drills and taps and torque wrenches for the period specified for each in (1) & (2) below. During the specified warranty period we will replace or repair any product with a defect in material or workmanship. (1) Instruments: The warranty on BioHorizons instruments extends for a period of one (1) year from the date of initial invoice. This includes drivers, sinus lift components, implant site dilators and other BioHorizons tools used in the placement or restoration of our implants, with the exception of surgical drills and taps (see below). (2) Surgical Drills and Taps: Surgical drills and taps are warrantied for a period of 90 days from the date of initial invoice. Surgical drills and taps should be replaced when they are worn, dull, corroded or in any way compromised. BioHorizons recommends the replacement of drills after 12 to 20 osteotomies.1
Return Policy: Instructions for initiating returns can be found on the reverse side of the invoice that was shipped with the product. Please contact Customer Care if you need a copy of the instructions or if you have additional questions or requests.
BioHorizons strongly recommends completion of postgraduate dental implant education and strict adherence to the Instructions for Use (IFU) that accompany our products. Treatment planning and use of the products are solely your responsibility. BioHorizons is not responsible for incidental or consequential damages or liability relating to use of our products alone or in combination with other products, other than replacement or repair under our warranties. BioHorizons continually strives to improve its products and therefore reserves the right to improve, modify, change specifications or discontinue products at any time.
TABLE OF CONTENTS
Ordering & Warranty Information Icon Legend Implant Overview Laser-Lok® Overview
inside cover 3 5 6
Section 1: Surgical Implants Packaging/Cover Caps Healing Abutments Surgical Kit/Individual Components Template, Manuals & Catalogs
7 8 9-10 11-13 14 15-16 17
W&H Motors & Accessories Ancillary Instruments
Section 2: Restorative Simple Solutions Kits & Components Individual Abutment Selection Impression Component Selection Individual Abutments 3inOne & Temporary Abutments Angled Abutments Profile Abutments Narrow & Ceramic Abutments Custom Castable Abutments Implant Analogs & Screws Impression Components Indirect Transfer Copings Direct Pick-up Copings
19-22 23 24 25 26 27 28 29 30 31 32
Overdenture Components Abutment for Screw Abutment for Screw Components Locator Abutments Locator Components Ball Abutments / O-rings Ball Abutment Components Prosthetic Instrumentation Patient Education Materials References
33 34 35 36 37 38 39-40 41 42
I CO N L E G E N D Symbol descriptions for product labeling LOT
Lot/batch number
REF
Reference/article number
STERILE R
Prosthetic platform 3.5
Ø3.5mm Prosthetic Platform
4.5
Ø4.5mm Prosthetic Platform
5.7
Ø5.7mm Prosthetic Platform
Sterile by gamma irradiation
NON-STERILE Non-sterile
Rx Only
Caution: Federal (USA) law restricts these devices by, or on the order of, a dentist or physician.
Implant diameter : surface treatment Single use only
Ø3.8
Ø3.8mm Implant: RBT
Refer to Instructions for Use
Ø4.6
Use before expiration date (YYYY-MM) Manufacture date (YYYY-MM)
Ø5.8
Ø4.6mm Implant: RBT
Ø5.8mm Implant: RBT
BioHorizons products carry the CE mark and fulfill the requirements of the Medical Devices Directive 93/42/EEC
Disclaimer of Liability BioHorizons dental implants may only be used in conjunction with the associated original components and instruments according to BioHorizons Instructions for Use. Use of any non-BioHorizons products in conjunction with BioHorizons implants will void any warranty or any other obligation, expressed or implied, of BioHorizons. This literature serves as a reference for BioHorizons Tapered Internal implants, prosthetics and instrumentation. It is not intended to describe the methods or procedures for diagnosis, treatment planning, or placement of implants, nor does it replace clinical training or a clinician’s best judgment regarding the needs of each patient. BioHorizons recommends appropriate training as a prerequisite for the placement of implants and associated treatment.
Validity Upon its release, this literature supersedes all previously published versions.
Availability Not all products shown or described in this literature are available in all countries.
SECTION 1: SURGICAL
Implants
Healing Abutments
Surgical Kit & Components
Surgical Motors
IMPL ANT OVERVIEW BioHorizons Tapered Internal features • Proprietary Laser-Lok® microchannels* • Anatomically tapered implant body • Patented reverse buttress threads** • Proven internal hex connection
Laser-Lok 8 micron channels inhibit epithelial downgrowth.
Supported by a comprehensive line of internally hexed prosthetics.
Laser-Lok 12 micron channels attach and retain crestal bone.
Resorbable Blast Texturing (RBT) provides a highly complex surface texture for increased stability and osseointegration.
Reverse Buttress Threads have a wide, flat leading edge for increased surface area and improved axial load distribution.
* Laser-Lok design patent #6,454,569 and 6,419,491. ** Reverse Buttress thread design patent #5,964,766.
L A S E R- LO K ® OV E R V I E W BioHorizons Laser-Lok Technology Laser-Lok microchannels are a series of 8 micron and 12 micron grooves that are engineered onto the collar of our Tapered Internal Implants. This precision laser surface is patented and unique within the industry as the only surface treatment shown to inhibit epithelial downgrowth, attach and retain crestal bone and engineer a biological width5 and tissue attachment.
Microchannels viewed using scanning electron microscopy (SEM) at 1000X
Laser-Lok microchannels are the result of over 15 years of research and documented studies at leading Universities. As part of the research, numerous in-vitro and in-vivo studies were conducted to (1) understand how bone and soft tissue cells react to various types of surface geometries and (2) evaluate how specific surface microgeometries affect crestal bone and the biologic width around dental implants.
In-vitro Research Cellular activity was studied on a variety of surface finishes including smooth, roughened and specifically engineered microgeometries. The engineered microgeometries were designed in a variety of repeating patterns and in a number of different sizes. Through various cell model designs, it was shown that a linear grooved pattern in the range of 8 to 12 microns was optimal for inhibiting cell growth,2 maximizing cellular contact guidance3 and providing a directed tissue response.4
Fibroblasts on a 12 micron channeled surface4
Fibroblasts on a smooth surface4
In-vivo Validation A series of animal studies (rabbit and canine) were conducted in both an implantable chamber model (intended to assess biologic response) and a dental model to assess the differences in tissue response to an engineered microgeometry versus a machined surface (control). Through these studies, it was shown that a microchannel pattern of 8 and 12 microns improved soft tissue integration,5 controlled cell ingrowth,6 increased bone and tissue attachment7 and reduced bone loss.8 Light photomicrograph showing connective tissue attachment to the laser-machined surface7
SEM showing bone integration of the implant body
Clinical Evidence To evaluate how dental implants treated with the Laser-Lok microchannels benefit patients, a series of human histologic case studies and prospective controlled studies have been conducted. In a prospective, controlled multi-center study conducted by the Group for Implant Research in Italy, it was shown that, at 37 months post-op, the mean crestal bone loss for implants with Laser-Lok microchannels was only 0.59mm versus 1.94mm for the control implant.9 Similarly, a prospective, randomized study has been initiated comparing an implant with Laser-Lok microchannels to the 3i Osseotite® NT implant and the Nobel-Biocare Select. This study is evaluating the peri-implant bone and soft tissue complex in patients at 6, 12, 24 and 36 months post-restoration.
Histologic slides showing bone remodeling near the implant surface and no resorption areas at the tips of the threads10.
IMPLANTS BioHorizons Tapered Internal Implants Each implant includes a 3inOne Abutment, Cover Cap and Abutment Screw. . Order by length and diameter. Titanium Alloy [Ti-6Al-4V].
0.3mm machined collar 1.5mm Laser-Lok surface
Tapered Internal Implants have a 0.3mm machined collar between the implant/abutment interface and the top of the Laser-Lok surface treatment.
Ø3.5mm prosthetic platform
RBT Surface with Laser-Lok
Body Diameter x Length
TLR3809
Ø3.8mm x 9mm
TLR3810
Ø3.8mm x 10.5mm
TLR3812
Ø3.8mm x 12mm
TLR3815
Ø3.8mm x 15mm
length
body diameter Ø3.8mm
Ø4.5mm prosthetic platform
RBT Surface with Laser-Lok
Body Diameter x Length
TLR4607
Ø4.6mm x 7.5mm
TLR4609
Ø4.6mm x 9mm
TLR4610
Ø4.6mm x 10.5mm
TLR4612
Ø4.6mm x 12mm
TLR4615
Ø4.6mm x 15mm
length
body diameter Ø4.6mm
RBT Surface with Laser-Lok
Ø5.7mm prosthetic platform
Body Diameter x Length
TLR5807
Ø5.8mm x 7.5mm
TLR5809
Ø5.8mm x 9mm
TLR5810
Ø5.8mm x 10.5mm
TLR5812
Ø5.8mm x 12mm
TLR5815
Ø5.8mm x 15mm
length
body diameter Ø5.8mm
PACKAGING | COVER CAPS Implant Packaging
REF TLR4612
REF TLR4612
Tapered Internal Implant RBT, Laser-Lok Ø4.6 x 12mm, 4.5 Platform LOT S1208242
do not re-use
STERILE R Rx Only gamma irradiated
2008 -12
R R
4.5 4.5
Implant Diameter / Surface
2013 -12
expires
R
2008 -12
manufacture date
gamma irradiated
L0127 Rev B BioHorizons Implant Systems, Inc. Birmingham, AL 35243 USA
0473 do not re-use
STERILE R Rx Only
2013 -12
expires
Tapered Internal Implant RBT, Laser-Lok Ø4.6 x 12mm, 4.5 Platform L0127 Rev B S1208242 BioHorizons Implant Systems, Inc. Birmingham, LOT AL 35243 USA 2008 -12
manufacture date
gamma irradiated
expires
2013 -12
do not re-use
STERILE R Rx OnlyREF0473 TLR4612
Tapered Internal Implant RBT, Laser-Lok Ø4.6 x 12mm, 4.5 Platform LOT S1208242
Part Number
0473
manufacture date
Ø4.6
Prosthetic Platform Implant Diameter / Surface Prosthetic Platform Implant Diameter / Surface Prosthetic Platform Implant Diameter / Surface
R
Prosthetic Platform
4.5
Tapered Internal RBT, LL Internal Implant, Tapered Tapered Internal Implant, RBT, Implant, LL RBT, LL 4.5 x 12mm, 4.5 Platform Ø4.6 xØ4.6 12mm, 4.5 Platform Ø4.6 x 12mm, 4.5 Platform
Tapered Internal Implant, RBT, LL
L0127 Rev B BioHorizons Implant Systems, Inc. Birmingham, AL 35243 USA
Ø4.6 Ø4.6
Surgical Cover Cap
Tapered Internal Implant Implant surface treatment RBT, Laser-Lok REFdimensions TLR4612 and Ø4.6 x 12mm, 4.5 Platform Tapered LOT S1208242 Internal Implant REF TLR4612 RBT, Laser-Lok Ø4.6 x 12mm, 4.5Implant Platform Tapered Internal REF TLR4612 2013 -12 LOT S1208242 expires RBT, Laser-Lok do not re-use Tapered Internal Implant x 12mm, STERILE Lot RØ4.6 Number 04734.5 Platform Rx Only gamma irradiatedRBT, Laser-Lok LOT2013 S1208242 Ø4.6 x -12 12mm, 4.5 Platform 2008 -12 expires manufacture date
do not re-use
LOT S1208242 STERILE R Rx Only
0473 2013 -12 Expiration Date expires L0127 Rev B do not re-use 2008 -12 BioHorizons Implant Systems, Inc. Birmingham, AL 35243 USA manufacture STERILE 2013 -12R date 0473 Rx Only
Ø4.6
See Instructions for Use Inside
Ø4.6 x 12mm, 4.5 Platform Tapered Internal Tapered Internal Tapered Internal Implant System Implant System Implant System Instructions for Use Inside See See Instructions Use Inside See Instructions for Usefor Inside
See Instructions for Use Inside
See Instructions for Use Inside
Ø4.6
Tapered Internal Implant System
Implant Diameter / Surface
Ø4.6
Body diameter and surface treatment icon
Implant Diameter / Surface
Ø4.6 R
R
4.5
Prosthetic Platform
Implant Diameter / Surface 4.5
4.5
Prosthetic Platform
See Instructions for Use Inside
Prosthetic Platform Tapered Internal R Implant System LL
Tapered Internal Implant, RBT, LL Ø4.6 x 12mm, 4.5 Platform
Prosthetic platform icon
Tapered Internal Implant, RBT, LL Ø4.6 x 12mm, 4.5 Platform
Tapered Internal Implant System
REF TLR4612
BioHorizons Tapered Internal implants are provided in double-layer packaging (as depicted below). A cardboard sleeve protects a blister pack that contains the implant in a sterile inner vial. Only the sterile inner vial should be introduced into the sterile surgical field. The blister tray lid has multiple peel-and-stick labels for affixing to the patient’s chart.
gamma irradiated
expires gamma irradiated
do not re-use
STERILE R Rx Only 0473 2008 -12 L0127 Rev B gamma irradiated date manufacture BioHorizons Implant Systems, Inc. Birmingham, AL 35243 USA 2008 -12 manufacture date L0127 Rev B BioHorizons Implant Systems, Inc. Birmingham, AL 35243 USA L0127 Rev B BioHorizons Implant Systems, Inc. Birmingham, AL 35243 USA
For use during submerged surgical healing. Hand-tighten with the .050” (1.25mm) Hex Driver. Titanium Alloy [Ti-6Al-4V]. Included with implant but can also be ordered separately.
P YC C
PGCC
PBCC
3.5mm Cover Cap
4.5mm Cover Cap
5.7mm Cover Cap
HEALING ABUTMENTS Emergence Profile Healing Abutments are used for tissue healing at second-stage uncovery, or as the transmucosal element for a single-stage procedure. Three factors should be considered when ordering Healing Abutments: 1) The Diameter must be the same as the prosthetic platform width of the corresponding implant, either Ø3.5mm, Ø4.5mm or Ø5.7mm. 2) The Height of the Healing Abutment is typically chosen based upon the soft tissue thickness. Available heights are 1mm, 3mm and 5mm. 3) The Emergence Profile (Narrow, Regular or Wide) should be chosen to match the desired emergence of the final restoration. For example: if the final restoration calls for a Wide Emergence Profile Abutment, the Healing Abutment and Impression Coping used should also be Wide Emergence. Following this protocol will make the seating of prosthetic components much easier by contouring the soft tissue away from the prosthetic platform. Note: Custom Cast Abutments do not specify an emergence since the emergence will be determined by the contour of the custom restoration.
Narrow
N 4.5
Regular
R 4.5
Wide
W 4.5
HEALING ABUTMENTS Healing Abutments Available in three heights to accommodate various tissue thickness: 1mm, 3mm and 5mm. Emergence (Narrow, Regular or Wide) should be chosen based upon the desired emergence of the final restoration. Hand-tighten with the .050” (1.25mm) Hex Driver. Titanium Alloy [Ti-6Al-4V].
1mm
3mm
5mm PYNHA1
3.5mm Narrow Healing Abutment, 1mm Height
PYNHA3
3.5mm Narrow Healing Abutment, 3mm Height
PYNHA5
3.5mm Narrow Healing Abutment, 5mm Height
R
PYRHA3
3.5mm Regular Healing Abutment, 3mm Height
3.5
PYRHA5
3.5mm Regular Healing Abutment, 5mm Height
PYWHA3
3.5mm Wide Healing Abutment, 3mm Height
PYWHA5
3.5mm Wide Healing Abutment, 5mm Height
PGNHA1
4.5mm Narrow Healing Abutment, 1mm Height
PGNHA3
4.5mm Narrow Healing Abutment, 3mm Height
PGNHA5
4.5mm Narrow Healing Abutment, 5mm Height
R
PGRHA3
4.5mm Regular Healing Abutment, 3mm Height
4.5
PGRHA5
4.5mm Regular Healing Abutment, 5mm Height
W
PGWHA3
4.5mm Wide Healing Abutment, 3mm Height
PGWHA5
4.5mm Wide Healing Abutment, 5mm Height
PBNHA1
5.7mm Narrow Healing Abutment, 1mm Height
PBNHA3
5.7mm Narrow Healing Abutment, 3mm Height
PBNHA5
5.7mm Narrow Healing Abutment, 5mm Height
R
PBRHA3
5.7mm Regular Healing Abutment, 3mm Height
5.7
PBRHA5
5.7mm Regular Healing Abutment, 5mm Height
N 3.5
W 3.5
1mm
3mm
5mm
N 4.5
4.5
1mm
3mm
5mm
N 5.7
10
SURGICAL KIT | INDIVIDUAL COMPONENTS Tapered Internal Surgical Kit TSK2021
Tapered Internal Surgical Kit (complete) Includes all instruments shown on pages 11-13.
TSK2011
Tapered Internal Tray & Lid (without instruments)
Individual Surgical Kit Instruments
TSD2020
2.0mm Starter Drill
TSD2025
2.5mm Depth Drill
122-100
Drill Extender (adds 16mm of length)
144-100
Straight Parallel Pins (2 per kit)
144-200
20° Angled Parallel Pins (2 per kit)
TSD2032
3.2mm Width Increasing Drill
TSD2037
3.7mm Width Increasing Drill
TSD2041
4.1mm Width Increasing Drill
TSD2047
4.7mm Width Increasing Drill
TSD2054
5.4mm Width Increasing Drill
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SURGICAL KIT | INDIVIDUAL COMPONENTS Individual Surgical Kit Instruments
TSC2038
3.8mm Crestal Bone Drill
TSC2046
4.6mm Crestal Bone Drill
TSC2058
5.8mm Crestal Bone Drill
TST2038
3.8mm Bone Tap
TST2046
4.6mm Bone Tap
TST2058
5.8mm Bone Tap
TDG2038
3.8mm Depth Gauge
TDG2046
4.6mm Depth Gauge
TDG2058
5.8mm Depth Gauge
PHA
Abutment-level Driver, Handpiece
PRA
Abutment-level Driver, Ratchet
SYGIDH
3.5/4.5mm Implant-level Driver, Handpiece
SBIDH
5.7mm Implant-level Driver, Handpiece
SYGIDR
3.5/4.5mm Implant-level Driver, Ratchet
SBIDR
5.7mm Implant-level Driver, Ratchet
12
SURGICAL KIT | INDIVIDUAL COMPONENTS Individual Surgical Kit Instruments
135-351
.050” (1.25mm) Hex Driver
300-400
Hand Wrench
300-205
Ratchet & Hand Wrench Extender
130-000
Ratchet
144-300
Implant Spacer / Depth Probe
13
TEMPLATE, MANUALS & CATALOGS Radiographic Template L0135
Tapered Internal Radiographic Implant Template (overlay) Designed to aid the clinician in the preoperative determination of options for implant length and diameter. The clear overlay template shows all sizes of BioHorizons Tapered Internal implants in 100% and 125% scale. Please refer to the BioHorizons Tapered Internal Surgical Manual (L0603, see below) for detailed instructions for use.
Technical Manuals & Catalogs
L0603
Tapered Internal Surgical Manual Describes surgical protocols and instruments used with the BioHorizons Tapered Internal System. Step-by-step written instructions are coupled with detailed graphics to illustrate implant placement.
ML0142
Simple Solutions Prosthetic Technique Manual Guides the clinician and laboratory through impression making techniques and prosthetic/lab procedures with the BioHorizons Simple Solutions components.
ML0118
Internal Prosthetic Technique Manual Detailed information on prosthetic/lab procedures with the BioHorizons Internal System components, compatible with Tapered Internal system implants. Step-by-step written instructions are coupled with detailed graphics to illustrate procedures.
ML0203
Regeneration Product Catalog Ordering information on AlloDerm®, Grafton DBM®, MinerOss®, the Bone Fixation Screw Kit and AutoTac® Titanium tacking system. Also shown are a wide array of bone and soft-tissue grafting instruments.
14
W&H MOTORS & ACCESSORIES W&H ImplantMed 915 WH-915
W&H ImplantMed 915 Starter Kit
Re-order items: WH-ITC915 WH-IC WH-915MC WD-79M
WH-915 One-piece Disposable Irrigation Set (6 pack) Irrigation Clip for WI-75MB Handpiece ImplantMed 915 Motor Cable - 1.8 meter W&H Endo Contra-Angle 2:1 Handpiece WD-79 Not included in Starter Kit. 2:1 speed-reducing ratio. Used with ImplantMed 915 for mechanical root canal preparation.
Maximum motor speed is 40,000 rpm. The motor comes with the WI-75MB 20:1 handpiece, bur testing gauge, (3) disposable irrigation assemblies, and service oil (shipped separately). The starter kit has factory-programmed settings for endodontic functions when used with the W&H Endo Contra-angle 2:1 Handpiece.
W&H ElcoMed SA-200 WH 200
W&H ElcoMed SA-200 Professional Kit
Re-order items: WH-200PTWC WH-200RPT (3 PK) WH-200INI WH-200DOC WH-200MC
Pump Tube (190mm) with Connectors Replacement Pump Tubes (190mm) (3 pack) INI Cards (3 pack) DOC Cards (3 pack) ElcoMed 200 Motor Cable -1.8 meter
Maximum motor speed is 50,000 rpm. The SA-200 permits the storage of torque characteristics of a treatment stage, which can then be saved on a DOC card for archiving purposes. The kit also includes the WS-75 20:1 handpiece, (10) disposable spray tubes, bur testing gauge, irrigation spike and service oil (shipped separately).
Universal and Legacy Re-order Items Ref. Code
Description
Motor Compatibility
WH-ST (10 PK)
Green Single-Use Spray Tubes (10 pack)
All W&H Motors
WH-CLP (10 PK) WH-100PTWC WH-100RPT (5 PK) WH-100MC WH-110MC WH-110CLP (5 PK) WH-110PTWC WH-110RPT (3 PK) WH-110ISAWRC WH-110RC WH-ISA WH-ITWOS WH-MD400 WH-OSC WH-SP
Set of Spray Tube Clamps (10 pack) Pump Tube with Connectors (65mm) Replacement Pump Tubes (65mm) (5 pack) ElcoMed 100 Motor Cable -1.8 meter ImplantMed 110 Motor Cable -1.8 meter Set of Spray Tube Clamps (5 pack) Pump Tube (85mm) with Connectors Replacement Pump Tubes (85mm) (3 pack) Irrigation Spike Assembly with Roller Clamp Flow Regulating Roller Clamp Irrigation Spike Assembly (autoclavable) Irrigation Tubing w/o Spike (autoclavable)
ElcoMed 100 & 200 ElcoMed 100 ElcoMed 100 ElcoMed 100 ImplantMed 110 ImplantMed 110 & 915 ImplantMed 110 & 915 ImplantMed 110 & 915 ImplantMed 110 & 915 ImplantMed 110 & 915 All W&H Motors All W&H Motors All W&H Motors All W&H Motors All W&H Motors
MD-400 Service Oil-F1 Oil Spray Cap Sterilization Plug for Motor Cable
15
W&H MOTORS & ACCESSORIES IMPORTANT NOTE: W&H motors and handpieces are distinguished by their precision craftsmanship and reliability and are covered by a 1-year manufacturer’s warranty. Instructions for required cleaning and maintenance are outlined in each product’s user manual, and adherence to these procedures is essential for proper function and longevity of the products. BioHorizons assumes no liability for the failure of, or damage to, motors and handpieces that are not properly maintained or used contrary to the instructions for use. Please contact your Product Support Specialist or Customer Care if you need additional information.
W&H ElcoMed Surgical Handpieces WI-75MB
W&H 20:1 Contra-Angle Handpiece WI-75MB Contra-Angle Handpiece with speed reduction ratio of 20:1 (2,000 rpm maximum with ImplantMed 915). Equipped for both internal cooling & external cooling. Push-button bur release. Monoblock construction. External Spray Clip (WH-IC) detaches for easy cleaning. Uses latch-type surgical drills and burs.
WS-75
W&H 20:1 Contra-Angle Handpiece WS-75 Contra-Angle Handpiece with speed reduction ratio of 20:1 (2,500 rpm maximum). Equipped for both internal cooling & external cooling. Push-button bur release. Uses latch-type surgical drills and burs.
WS-92
W&H 1:2.7 Contra-Angle Speed Increasing Handpiece 1:2.7 speed-increasing ratio - 135,000 rpm maximum. Contra-Angle Handpiece suitable for high speed preparation and tissue augmentation procedures. External irrigation port. Uses friction-grip burs (Ø1.6mm).
S-11
W&H 1:1 Straight Surgical Handpiece 1:1 ratio - 50,000 rpm maximum. Suitable for bone harvesting, third molar extractions and osteoplasty. Easily dismantled for cleaning. Uses 45mm friction-grip surgical burs (Ø2.35mm).
S-12
W&H 1:2 Contra-Angle Surgical Handpiece 1:2 speed increasing ratio - 80,000 rpm maximum. Suitable for surgical procedures such as bone smoothing, third molar extractions and osteotomy site drilling. High precision bearings ensure that the unit runs vibration free. Uses friction-grip surgical burs at least 65mm long (Ø2.35mm).
Hex Drivers for Latch-Type Reduction Handpieces 134-350 134-450
.050” (1.25mm) Handpiece Hex Driver .050” (1.25mm) Handpiece Hex Driver, Long
For installation and removal of Cover Caps, Healing Abutments and Abutment Screws. Use with latchtype contra-angle handpieces: WS-75 or WI-75MB, or similar. 134-450 is 5mm longer than the 134-350.
Bur Testing Gauge WH-BTG Bur Testing Gauge Used to verify the condition of latch-type burs. Burs in proper condition will fit into larger diameter hole, but will not fit into the smaller hole (marked red). Burs that fail either of these criteria are unfit for use, and may cause damage to the handpiece if used.
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ANCILLARY INSTRUMENTS Surgical Driver
150-000 Surgical Driver Used to drive implants into the osteotomy, particularly in the anterior region. The driver holds the Abutment-level Driver, Ratchet which interfaces with the 3inOne Abutment. Also interfaces with the .050” (1.25mm) Hex Drivers as well as Bone Taps and the Implant-level Drivers, Ratchet.
Extended Shank Drills
Tissue Punches
TSD4020
2.0mm Ext. Shank Starter Drill
PYTP
3.5mm Tissue Punch
TSD4025
2.5mm Ext. Shank Depth Drill
PGTP
4.5mm Tissue Punch
TSD4032
3.2mm Ext. Shank W.I. Drill
PBTP
5.7mm Tissue Punch
TSD4037
3.7mm Ext. Shank W.I. Drill
TSD4041
4.1mm Ext. Shank W.I. Drill
TSD4047
4.7mm Ext. Shank W.I. Drill
TSD4054
5.4mm Ext. Shank W.I. Drill
BioHorizons Tissue Punches are used in a latch-type handpiece to remove the soft tissue from the crest of the ridge prior to osteotomy preparation in a flapless surgical procedure. Available in 3 platform diameters.
Extended Shank Drills are 8mm longer than our standard drills. They have the same depth marks and cutting geometry as our standard drills.
2.0mm Lindemann Bone Cutter
Clean-out Tap Tool
122-110
PXCT
Ø2.0mm Lindemann Bone Cutter
Implant Clean-out Tap Tool
Side-cutting drill used to correct eccentric osteotomy preparations.
Used to re-thread implants where the internal threads have become damaged. Requires a standard surgical Ratchet (130-000) or Hand Wrench (300-400) as a drive mechanism.
Bone Profiling Burs PYBP
3.5mm Bone Profiling Bur & Guide
PGBP
4.5mm Bone Profiling Bur & Guide
PBBP
5.7mm Bone Profiling Bur & Guide
Used at implant uncovery to contour crestal bone to accommodate abutments when the implant is subcrestal. For use in latch-type reduction handpieces. The Profiler’s internal geometry matches the geometry of the included Profiler Guide. The Guide is screwed into the implant and then aligns the Profiler for precise removal of tissue surrounding the platform. Comes in three sizes corresponding to the three Tapered Internal prosthetic platforms.
17
SECTION 2: RESTORATIVE
Simple Solutions
Abutment Options
Prosthetic Instrumentation
18
SIMPLE SOLUTIONS KITS & COMPONENTS Simple Solutions™ Simple Solutions restorative protocols on Tapered Internal implants allow clinicians to provide their patients with cement-retained restorations in a minimal number of office visits. The pre-tapered abutments are designed to be restored without additional preparation. After the impression has been made, patients can wear a tooth-colored Healing Cap over the abutment while the laboratory fabricates the final prosthesis. Acrylic can be added to the Healing Cap as needed to help create a more natural provisional. Please refer to the Simple Solutions Prosthetic Technique Manual (ref. ML0142) for detailed Instructions for Use.
1. Seat Simple Solutions Abutment
2. Make closed-tray, pick-up impression
3. Seat Final Restoration
Internal Simple Solutions Healing Abutments
Prosthetic platform
0.8mm collar
1.8mm collar
2.8mm collar
Internal 3.5mm Simple Solutions Healing Abutment
SPYHA08
SPYHA18
SPYHA28
Internal 4.5mm Simple Solutions Healing Abutment
SPGHA08
SPGHA18
SPGHA28
Internal 5.7mm Simple Solutions Healing Abutment
SPBHA08
SPBHA18
SPBHA28
Available in three collar heights to match each corresponding Simple Solutions Abutment (see page 21). Hand-tighten with a .050” (1.25mm) Hex Driver. Titanium Alloy [Ti-6Al-4V].
19
SIMPLE SOLUTIONS KITS & COMPONENTS
Abutment Screw
Simple Solutions Abutment
Waxing Sleeve for Bridge
Waxing Sleeve for Crown
Healing Cap Simple Solutions Replica
Plastic Impression Cap
Simple Solutions Restorative Kits are available for the three Tapered Internal prosthetic platforms with two options for abutment height (4.0mm and 5.5mm), as well as three options for collar height (0.8mm, 1.8mm and 2.8mm). The kit provides the abutment, abutment screw, impression cap, replica and laboratory waxing sleeves. The packaging is designed with three separate compartments that are opened as needed during the restorative stages.
Prosthetic platform / Abutment height
0.8mm collar
1.8mm collar
2.8mm collar
Internal 3.5mm Simple Solutions Kit, 4.0mm Height
K-PY4008
K - P Y 4 018
K-PY4028
Internal 3.5mm Simple Solutions Kit, 5.5mm Height
K-PY5508
K - P Y 5 518
K-PY5528
Internal 4.5mm Simple Solutions Kit, 4.0mm Height
K-PG4008
K - P G 4 018
K-PG4028
Internal 4.5mm Simple Solutions Kit, 5.5mm Height
K-PG5508
K - P G 5 518
K-PG5528
Internal 5.7mm Simple Solutions Kit, 4.0mm Height
K-PB4008
K - P B 4 018
K-PB4028
Internal 5.7mm Simple Solutions Kit, 5.5mm Height
K-PB5508
K - P B 5 518
K-PB5528
Order by prosthetic platform, abutment height, and collar height.
20
SIMPLE SOLUTIONS KITS & COMPONENTS Simple Solutions Abutments
0.8mm collar
1.8mm collar
2.8mm collar
Internal 3.5mm Simple Solutions Abutment, 4.0mm
SPY4008
SPY4018
SPY4028
Internal 3.5mm Simple Solutions Abutment, 5.5mm
SPY5508
SPY5518
SPY5528
Internal 4.5mm Simple Solutions Abutment, 4.0mm
SPG4008
SPG4018
SPG4028
Internal 4.5mm Simple Solutions Abutment, 5.5mm
SPG5508
SPG5518
SPG5528
Internal 5.7mm Simple Solutions Abutment, 4.0mm
SPB4008
SPB4018
SPB4028
Internal 5.7mm Simple Solutions Abutment, 5.5mm
SPB5508
SPB5518
SPB5528
Prosthetic platform / Abutment height
Order by platform diameter, collar height and abutment height. Titanium Alloy [Ti-6Al-4V].
2.3°
4.6°
8.1°
Abutment Height
Collar height
Assembly
Ø5.5mm
Ø4.5mm
Ø6.7mm
Simple Solutions Healing Caps SYPHC40
Simple Solutions 3.5mm Healing Cap, 4.0mm
SYPHC55
Simple Solutions 3.5mm Healing Cap, 5.5mm
SGPHC40
Simple Solutions 4.5mm Healing Cap, 4.0mm
SGPHC55
Simple Solutions 4.5mm Healing Cap, 5.5mm
SBPHC40
Simple Solutions 5.7mm Healing Cap, 4.0mm
SBPHC55
Simple Solutions 5.7mm Healing Cap, 5.5mm
Used as-is or as a coping for fabrication of provisional restorations (up to 30 days). Secure with temporary cement. Order by platform diameter and abutment height. PEEK® (PolyEtherEtherKetone) Plastic.
21
SIMPLE SOLUTIONS KITS & COMPONENTS Simple Solutions Impression Caps SYPIC40
Simple Solutions 3.5mm Impression Cap, 4.0mm
SYPIC55
Simple Solutions 3.5mm Impression Cap, 5.5mm
SGPIC40
Simple Solutions 4.5mm Impression Cap, 4.0mm
SGPIC55
Simple Solutions 4.5mm Impression Cap, 5.5mm
SBPIC40
Simple Solutions 5.7mm Impression Cap, 4.0mm
SBPIC55
Simple Solutions 5.7mm Impression Cap, 5.5mm
Order by platform diameter and abutment height.
Simple Solutions Replicas SYR40
Simple Solutions 3.5mm Replica, 4.0mm
SYR55
Simple Solutions 3.5mm Replica, 5.5mm
SGR40
Simple Solutions 4.5mm Replica, 4.0mm
SGR55
Simple Solutions 4.5mm Replica, 5.5mm
SBR40
Simple Solutions 5.7mm Replica, 4.0mm
SBR55
Simple Solutions 5.7mm Replica, 5.5mm
Order by platform diameter and abutment height. Titanium Alloy [Ti-6Al-4V].
Simple Solutions Waxing Sleeves SYPWSC
Simple Solutions 3.5mm Waxing Sleeve, Crown (single unit)
SGPWSC
Simple Solutions 4.5mm Waxing Sleeve, Crown (single unit)
SBPWSC
Simple Solutions 5.7mm Waxing Sleeve, Crown (single unit)
SYPWSB
Simple Solutions 3.5mm Waxing Sleeve, Bridge (multiple units)
SGPWSB
Simple Solutions 4.5mm Waxing Sleeve, Bridge (multiple units)
SBPWSB
Simple Solutions 5.7mm Waxing Sleeve, Bridge (multiple units)
Order by platform diameter. Trim for height. Burn-out plastic.
Simple Solutions Casting Reamers SYCR
Simple Solutions 3.5mm Casting Reamer
SGCR
Simple Solutions 4.5mm Casting Reamer
SBCR
Simple Solutions 5.7mm Casting Reamer
Used to remove the snap feature from metal castings fabricated with Simple Solutions Waxing Sleeves. Do not use on non-precious alloys. Order by platform diameter.
22
INDIVIDUAL ABUTMENT SELECTION Laboratory-milled, Custom Cast and Overdenture Abutment Selection In addition to the Simple Solutions components shown earlier, a comprehensive selection of esthetic titanium, ceramic, custom castable and overdenture abutments is available for Tapered Internal implants. The chart below shows the various abutment options, as well as their recommended uses. Please refer to the BioHorizons Internal Prosthetic Technique Manual (ref. ML0118) for detailed Instructions for Use.
Cement-retained Single- or Multiple-unit
Angled Esthetic Abutments page 26
3inOne Abutments page 25
Angled Abutments page 26
Screw-retained Single-unit
Custom Castable (UCLA) Abutments (Hexed) page 29
Multiple-unit
Custom Castable (UCLA) Abutments (Non-hexed) page 29
Esthetic Abutments page 27
Profile Abutments page 27
Narrow Abutments page 28
Ceramic Abutments page 28
Hybrid or Bar-retained Implant-level
Cement- or Screwretained Provisional
Overdenture
Single- or Multiple-Unit
Custom Castable (UCLA) Abutments (Non-hexed) page 29
Hybrid or Bar-retained Abutment-level
PEEK Plastic Temporary Abutments page 25
Abutment-retained Tissue-supported
Overdenture
Overdenture
Abutment for Screw page 33
Locator Abutments page 35
23
Ball Abutments page 37
IMPRESSION COMPONENT SELECTION Indirect and Direct Implant-level, Abutment-level and Overdenture Impression Components Laboratory preparation/fabrication of the abutments shown on the facing page requires a working stone model be made from an intraoral impression of the patient. The chart below shows the various component options used to make the impression, as well as their suggested uses. Please refer to the BioHorizons Internal Prosthetic Technique Manual (ref. ML0118) for detailed Instructions for Use.
Single- or Multiple-unit Implant-level
Multiple-unit Implant-level (Non-hexed)
Cement or Screw-retained prostheses
Screw-retained prostheses
Direct Pick-up Copings (Non-hexed) page 32 Ball-top Screw used with 3inOne Abutment (Indirect, hexed) page 31
Indirect Transfer Copings (Hexed) page 31
Direct Pick-up Copings (Hexed) page 32
Implant Analogs page 30
Implant Analogs page 30
Multiple-unit Abutment-level Hybrid or Bar-retained prostheses
Multiple-unit Ball Abutment Overdenture Tissue-supported prostheses
Ball Abutments (used as transfer coping) page 37
Direct Pick-up Coping, Abutment for Screw page 34
Indirect Transfer Coping, Abutment for Screw page 34
Ball Abutment Analogs page 38
Analog, Abutment for Screw page 34
products shown not to scale
24
3inONE & TEMPORARY ABUTMENTS 3inOne Abutments for Cement-retained Restorations
PYREA
3.5mm 3inOne Abutment (Regular Emergence)
PGREA
4.5mm 3inOne Abutment (Regular Emergence)
PBREA
5.7mm 3inOne Abutment (Regular Emergence)
Packaged with each Tapered Internal implant with Abutment Screw. Also used with Ball-top Screw as a closed-tray, hexed-timed impression coping. Titanium Alloy [Ti-6Al-4V].
Ø3.7mm
Ø3.5mm
Ø3.9mm 5°
2°
8° 4mm
8mm
R
1.5mm
Ø4.2mm
Regular Emergence
Ø6.3mm
Ø5.3mm
PEEK Plastic Temporary Abutments
P Y R TA
3.5mm Plastic Temporary Abutment (Regular Emergence)
P G R TA
4.5mm Plastic Temporary Abutment (Regular Emergence)
P B R TA
5.7mm Plastic Temporary Abutment (Regular Emergence)
Packaged with Abutment Screw (PXAS). Hand-tighten with the .050” (1.25mm) Hex Driver. Easily modified for fabrication of cement- or screwretained provisional restorations (up to 30 days). A Direct Coping Screw (PXDCS, purchased separately) may be used to maintain screw access hole during fabrication of screw-retained provisional prostheses. PEEK® (PolyEtherEtherKetone) Plastic. Ø3.8mm
Ø3.2mm
Temporary Only (Screw-retained or Cement-retained)
5°
Ø4.3mm 5°
5° 5mm
8mm
1.5mm
R Regular Emergence
Ø4.5mm
Ø5.5mm
25
Ø6.6mm
ANGLED ABUTMENTS Angled Esthetic Abutments Cement-retained Restorations Indirect Transferfor Copings
PYAEA
3.5mm Angled Esthetic Abutment (Wide Emergence)
PGAEA
4.5mm Angled Esthetic Abutment (Wide Emergence)
PBAEA
5.7mm Angled Esthetic Abutment (Regular Emergence)
Packaged with Abutment Screw (PXAS). Used to fabricate cement-retained, single- or multiple-unit prostheses. Titanium Alloy [Ti-6Al-4V]. 15°
15°
15°
9mm
3mm 1mm
3.5mm /4.5mm - Wide Emergence 5.7mm - Regular Emergence
Ø5.6mm
Ø6.2mm
Ø7.0mm
Angled Abutments for Cement-retained Restorations
PYRAA
3.5mm Angled Abutment (Regular Emergence)
PGRAA
4.5mm Angled Abutment (Regular Emergence)
PBRAA
5.7mm Angled Abutment (Regular Emergence)
Packaged with Abutment Screw (PXAS). Used to fabricate cement-retained, single- or multiple-unit prostheses. Titanium Alloy [Ti-6Al-4V]. 20°
20°
20°
10mm
R Regular Emergence
5.7mm
4.6mm
3.8mm
Ø3.8mm
Ø4.6mm
26
Ø5.7mm
PROFILE ABUTMENTS Esthetic Abutments for Cement-retained Restorations
PYSEA
3.5mm Straight Esthetic Abutment (Wide Emergence)
PGSEA
4.5mm Straight Esthetic Abutment (Wide Emergence)
PBSEA
5.7mm Straight Esthetic Abutment (Regular Emergence)
Packaged with Abutment Screw (PXAS). Used to fabricate cement-retained, single- or multiple-unit prostheses. Titanium Alloy [Ti-6Al-4V]. Ø3.7mm
Ø4.1mm
Ø3.9mm
9mm
3mm 1mm
3.5mm /4.5mm - Wide Emergence 5.7mm - Regular Emergence
Ø5.6mm
Ø6.2mm
Ø7.0mm
Profile Abutments for Cement-retained Restorations
PYWEA
3.5mm Wide Emergence Profile Abutment
PGWEA
4.5mm Wide Emergence Profile Abutment
Packaged with Abutment Screw (PXAS). Used to fabricate cement-retained, single- or multiple-unit prostheses. Titanium Alloy [Ti-6Al-4V]. Ø3.4mm
Ø3.8mm 5°
5°
10mm
W Wide Emergence
Ø2.0mm
Ø5.5mm
27
Ø6.5mm
NARROW & CERAMIC ABUTMENTS Narrow Abutments for Cement-retained Restorations
PYNEA
3.5mm Narrow Emergence Abutment
PGNEA
4.5mm Narrow Emergence Abutment
PBNEA
5.7mm Narrow Emergence Abutment
Packaged with Abutment Screw (PXAS). Used to fabricate cement-retained, single- or multiple-unit prostheses. Titanium Alloy [Ti-6Al-4V]. Ø3.0mm
Ø4.7mm
Ø3.5mm 2.4°
5°
5°
10mm Ø4.2mm
N Narrow Emergence
Ø4.5mm
Ø3.5mm
Ø5.7mm
Ceramic Abutments for Cement-retained Restorations
PGRCA
4.5mm Ceramic Abutment (Regular Emergence)
PBRCA
5.7mm Ceramic Abutment (Regular Emergence)
Not available in all markets. Call for availability. Packaged with Abutment Screw (PXAS). Used to fabricate cement-retained, single- or multiple-unit prostheses. Yttria-stabilized Zirconia. Ø3.5mm
Ø3.9mm 8°
5°
10mm
R Regular Emergence
2.1mm
Ø5.5mm
28
Ø6.6mm
CUSTOM CASTABLE ABUTMENTS Custom Castable (UCLA) Abutments - Hexed
P YC A H
3.5mm Custom Cast Abutment, Hexed
PGCAH
4.5mm Custom Cast Abutment, Hexed
PBCAH
5.7mm Custom Cast Abutment, Hexed
Indicated for single-unit screw-retained or custom abutment cement-retained restorations. All two-piece abutments are packaged with the Abutment Screw (PXAS). Gold Alloy base with Delrin® sleeve. Ø4.1mm
Ø5.7mm
Ø4.5mm
10mm
10.5mm 3.6mm (top of alloy coping)
0.75mm Ø3.5mm
Ø4.5mm
Ø5.7mm
Custom Castable (UCLA) Abutments - Non-hexed
PYC AN
3.5mm Custom Cast Abutment, Non-hexed
PGCAN
4.5mm Custom Cast Abutment, Non-hexed
PBCAN
5.7mm Custom Cast Abutment, Non-hexed
Indicated for multiple-unit, screw-retained restorations. All two-piece abutments are packaged with the Abutment Screw (PXAS). Gold Alloy base with Delrin® sleeve. Ø4.1mm
Ø5.7mm
Ø4.5mm
10mm
10.5mm 3.6mm (top of alloy coping)
0.75mm Ø3.5mm
Ø4.5mm
29
Ø5.7mm
IMPLANT ANALOGS & SCREWS Implant Analogs PYIA
3.5mm Implant Analog
PGIA
4.5mm Implant Analog
PBIA
5.7mm Implant Analog
Represents the Tapered Internal implant in a laboratoryfabricated, implant-level stone model. Not intended for use with Simple Solutions components. Titanium Alloy [Ti-6Al-4V].
Abutment Screw PXAS Abutment Screw Fits all prosthetic platforms. Low profile screw head. Packaged with all two-piece abutments. Utilizes the .050” (1.25mm) Hex Driver. Final torque: 30 Ncm. Titanium Alloy [Ti-6Al-4V].
Direct Coping Screw
PXDCS Direct Coping Screw Fits all prosthetic platforms. Packaged with all Direct Pick-up Copings. May also be used in place of the Abutment Screw (PXAS) when extra length is needed, or to maintain the screw access hole during fabrication of screw-retained provisional prostheses. Utilizes the .050” (1.25mm) Hex Driver. Hand-tighten or torque to 30Ncm depending on application. Titanium Alloy [Ti-6Al-4V].
30
INDIRECT TRANSFER COPINGS Indirect Transfer Copings (Closed Tray) - Hexed PYNIC
3.5mm Narrow Indirect Transfer Coping
PYRIC
3.5mm Regular Indirect Transfer Coping
PYWIC
3.5mm Wide Indirect Transfer Coping
PGNIC
4.5mm Narrow Indirect Transfer Coping
PGRIC
4.5mm Regular Indirect Transfer Coping
PGWIC
4.5mm Wide Indirect Transfer Coping
PBNIC
5.7mm Narrow Indirect Transfer Coping
PBRIC
5.7mm Regular Indirect Transfer Coping
Used to make a closed-tray, implant-level, hexed-timed impression. Packaged with the Abutment Screw (PXAS). Titanium Alloy [Ti-6Al-4V].
Ball-top Screw for Indirect Transfer
PXBT Ball-top Screw Fits all prosthetic platforms. Used with the 3inOne Abutment to form an impression coping for closed-tray, hexed-timed transfers. May be used to increase height of Indirect Transfer Copings by 3mm. Hand-tighten. Titanium Alloy [Ti-6Al-4V].
Ø3.8mm
Indirect Transfer Copings are packaged with the Abutment Screw (PXAS)
3mm
11mm 8mm 3mm The Ball-top Screw MUST be used with a 3inOne Abutment or an Indirect Transfer Coping
Narrow Emergence
Regular Emergence
31
Regular Emergence
Wide Emergence
DIRECT PICK-UP COPINGS Direct Pick-up Copings (Open Tray) - Hexed PYNDC
3.5mm Narrow Direct Pick-up Coping, Hexed
PYRDC
3.5mm Regular Direct Pick-up Coping, Hexed
PYWDC
3.5mm Wide Direct Pick-up Coping, Hexed
PGNDC
4.5mm Narrow Direct Pick-up Coping, Hexed
PGRDC
4.5mm Regular Direct Pick-up Coping, Hexed
PGWDC
4.5mm Wide Direct Pick-up Coping, Hexed
PBNDC
5.7mm Narrow Direct Pick-up Coping, Hexed
PBRDC
5.7mm Regular Direct Pick-up Coping, Hexed
Used to make an open-tray, implant-level, hexed-timed impression. Packaged with the extended Direct Coping Screw (PXDCS). Titanium Alloy [Ti-6Al-4V].
Direct Pick-up Copings (Open Tray) - Non-hexed PYNDCN
3.5mm Narrow Direct Pick-up Coping, Non-hexed
PGNDCN
4.5mm Narrow Direct Pick-up Coping, Non-hexed
PBNDCN
5.7mm Narrow Direct Pick-up Coping, Non-hexed
Used to make an open-tray, implant-level, non-hexed impression. Packaged with the extended Direct Coping Screw (PXDCS). Titanium Alloy [Ti-6Al-4V].
8.5mm
17.5mm
9mm 5mm
Narrow Emergence (Non-hexed)
Narrow Emergence (Hexed)
32
Regular Emergence
Wide Emergence
ABUTMENT FOR SCREW Abutment for Screw PYAFS1
3.5mm Abutment for Screw, 1mm collar
PYAFS3
3.5mm Abutment for Screw, 3mm collar
PYAFS5
3.5mm Abutment for Screw, 5mm collar
PGAFS1
4.5mm Abutment for Screw, 1mm collar
PGAFS3
4.5mm Abutment for Screw, 3mm collar
PGAFS5
4.5mm Abutment for Screw, 5mm collar
PBAFS1
5.7mm Abutment for Screw, 1mm collar
PBAFS3
5.7mm Abutment for Screw, 3mm collar
Indicated for multiple-unit restorations including: screw-retained restorations at the abutment level, cast alloy bars for overdentures and fixed/detachable (hybrid) restorations. Comes packaged with the Cover Cap (PXABCC). Titanium Alloy [Ti-6Al-4V].
PXABCC (2.7mm high) Ø4.25mm
Ø4.25mm
Ø4.25mm
1mm
12mm 1, 3 or 5mm
N Narrow Emergence
Ø4.25mm
Ø4.5mm
Ø5.7mm
Gold Coping, Abutment for Screw
Ø4.25mm
Ø4.25mm
PXABGC
PXABPC
Plastic Coping, Abutment for Screw
PXABGC
PXABPC
Gold Coping, Abutment for Screw
Plastic Coping, Abutment for Screw
May be trimmed for height. Packaged with the Screw (regular), Abutment for Screw (PXABS). Gold Alloy base with Delrin® sleeve.
May be trimmed for height. Packaged with the Screw (regular), Abutment for Screw (PXABS). Delrin® sleeve.
Cover Cap, Abutment for Screw
Screw (regular), Abutment for Screw PXABS
PXABCC
Screw (regular), Abutment for Screw (5 pack)
Cover Cap, Abutment for Screw
Used to retain bars or prostheses fabricated with the Abutment for Screw Copings. Utilizes the .050” (1.25mm) Hex Driver. Final torque: 30 Ncm. Titanium Alloy [Ti-6Al-4V].
Packaged with all Abutments for Screw. Handtighten with .050” (1.25mm) Hex Driver. Titanium Alloy [Ti-6Al-4V].
33
ABUTMENT FOR SCREW COMPONENTS Direct Pick-up Coping, Abutment for Screw PXABDC Direct Pick-up Coping, Abutment for Screw Used to make a direct pick-up impression (open-tray) at the abutment level. Packaged with the Screw (long), Abutment for Screw (PXABSL). Used only with Abutment for Screw. Titanium Alloy [Ti-6Al-4V].
Indirect Transfer Coping, Abutment for Screw PXABIC Indirect Transfer Coping, Abutment for Screw Used to make an indirect transfer (closed-tray) impression at the abutment level. Used only with Abutment for Screw. Titanium Alloy [Ti-6Al-4V].
Analog, Abutment for Screw PXABA Analog, Abutment for Screw Used to represent the Abutment for Screw/Implant assembly in the working cast. Not for use with implant-level impressions. Titanium Alloy [Ti-6Al-4V].
Screw (long), Abutment for Screw PXABSL Screw (long), Abutment for Screw (5 pack) Used in the lab when a longer screw is desired. Used only with the Abutment for Screw. Hand-tighten or torque to 30Ncm depending on application. Titanium Alloy [Ti-6Al-4V].
Hex Adapter, Abutment for Screw PXHA Hex Adapter, Abutment for Screw Required for placement of Abutment for Screw. May be driven by either Hand Wrench, Torque Wrench or AS123 Hand Unit.
products shown not to scale
34
LOCATOR® ABUTMENTS
N 3.5
N 4.5
N 5.7
PYLA0 PYLA1 PYLA2 PYLA3 PYLA4 PYLA5 PYLA6
3.5mm Locator Abutment, 0mm Cuff Height
PGLA0 PGLA1 PGLA2 PGLA3 PGLA4 PGLA5 PGLA6
4.5mm Locator Abutment, 0mm Cuff Height
PBLA1 PBLA2 PBLA3 PBLA4 PBLA5 PBLA6
5.7mm Locator Abutment, 1.0mm Cuff Height
3.5mm Locator Abutment, 1.0mm Cuff Height 3.5mm Locator Abutment, 2.0mm Cuff Height 3.5mm Locator Abutment, 3.0mm Cuff Height 3.5mm Locator Abutment, 4.0mm Cuff Height 3.5mm Locator Abutment, 5.0mm Cuff Height 3.5mm Locator Abutment, 6.0mm Cuff Height
4.5mm Locator Abutment, 1.0mm Cuff Height 4.5mm Locator Abutment, 2.0mm Cuff Height 4.5mm Locator Abutment, 3.0mm Cuff Height 4.5mm Locator Abutment, 4.0mm Cuff Height 4.5mm Locator Abutment, 5.0mm Cuff Height 4.5mm Locator Abutment, 6.0mm Cuff Height
5.7mm Locator Abutment, 2.0mm Cuff Height 5.7mm Locator Abutment, 3.0mm Cuff Height 5.7mm Locator Abutment, 4.0mm Cuff Height 5.7mm Locator Abutment, 5.0mm Cuff Height 5.7mm Locator Abutment, 6.0mm Cuff Height
Order by Cuff Height to match the height of the gingival tissue. The female portion of the abutment adds 1.5mm to the stated height (see below). The abutment needs to extend above the tissue by 1.5mm to allow the Locator Male to seat completely. Order one Locator Male Processing Set for each Locator Abutment (sold in packs of 2 or 10: LMPP-2 or LMPP-10). The Male Processing Package provides 3 choices of retention (see opposite page). The Replacement Males (clear, pink and blue) are used to restore implants with up to 10° of divergence (20° between implants). The Extended Range Replacement Males (green and red) accommodate divergences from 10° and 20° (40° between implants), and may be purchased separately. Locator Abutments are made from Titanium Alloy [Ti-6Al-4V].
Ø5.5mm
Ø3.5mm 2.5mm
N
Ø3.5mm
Ø3.5mm
1.5mm Order by stated height in millimeters: 0mm to 6mm
Cutaway view of Denture Cap and Male Nylon Insert
Narrow Emergence
Ø3.5mm
Ø4.5mm
Locator is a registered trademark of Zest Anchors, Inc.
35
Ø5.7mm
LOCATOR COMPONENTS LCT
Locator Core Tool Multi-purpose tool serves as hand driver for seating Locator Abutments onto the implants, seating tool for nylon male inserts and insert removal tool.
LMPP-2
Locator Male Processing Package (2 pack) Includes: (1) Denture Cap with (1) Black Processing Male; (1) White Block-out Spacer; (1) Clear, (1) Pink and (1) Blue Nylon Males.
LMPP-10
Locator Male Processing Package (10 pack) Includes: (1) Denture Cap with (1) Black Processing Male; (1) White Block-out Spacer; (1) Clear, (1) Pink and (1) Blue Nylon Males.
LIC
Locator Impression Coping (4 pack)
LFA-4MM
Locator Female Analog Ø4mm (4 pack)
LFA-5MM
Locator Female Analog Ø5mm (4 pack)
LRM-C
Locator Replacement Male (clear) (4 pack) Retention: 5lb / 2268g
LRM-P
Locator Light Retention Replacement Male (pink) (4 pack) Retention: 3lb / 1361g
LRM-B
Locator Extra Light Retention Replacement Male (blue) (4 pack) Retention: 1.5lb / 680g
LRM-G
Locator Extended Range Replacement Male (green) (4 pack) Retention: 4.5lb / 2041g
LRM-R
Locator Extended Range Extra Light Retention Rep. Male (red) (4 pack) Retention: 1.5lb / 680g
LPP
Locator Parallel Post (4 pack)
LBPRM
Locator Black Processing Replacement Male (4 pack)
LAMG
Locator Angle Measurement Guide
LSDT-15MM
Locator Square Drive Tool (15mm) Used with a torque wrench to seat Locator Abutments. 15mm in length.
LSDT-21MM
Locator Square Drive Tool (21mm) Used with a torque wrench to seat Locator Abutments. 21mm in length.
36
BALL ABUTMENTS / O-RINGS Ball Abutments PYBA1
3.5mm Ball Abutment, 1mm Collar
PYBA3
3.5mm Ball Abutment, 3mm Collar
PYBA5
3.5mm Ball Abutment, 5mm Collar
PGBA1
4.5mm Ball Abutment, 1mm Collar
PGBA3
4.5mm Ball Abutment, 3mm Collar
PGBA5
4.5mm Ball Abutment, 5mm Collar
PBBA1
5.7mm Ball Abutment, 1mm Collar
PBBA3
5.7mm Ball Abutment, 3mm Collar
Ball Abutments are indicated for retention of tissue-supported overdentures. They are recommended for relatively parallel implants. See below and on the facing page for attachment options. Ball Abutments may be used as indirect transfer copings for production of a working cast.
Ø2.5mm
Ø2.5mm
Ø2.5mm
Ø5.5mm
Ø5.9mm 3.2mm
3.5mm
2.6mm
5mm
1, 3 or 5mm
N
Ø3.5mm
Ø4.5mm
Ø5.7mm
Narrow Emergence
O-Ring Attachment System Standard O-ring attachment.
260-100
O-Ring Attachment Set O-Ring encapsulator 2 Processing O-rings 2 Clinical O-rings
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260-210
Clinical O-Ring Used for clinical applications. Silicone. 12 per package.
260-220
Processing O-Ring Used for lab processing applications. Buna. 12 per package.
260-300
O-Ring Encapsulator Female receptacle processed into denture. Titanium. 2 per package.
BALL ABUTMENT COMPONENTS Ball Attachment System The Ball Attachment system offers several advantages over traditional O-ring attachments. It requires less mesial/distal/buccal/lingual space and offers four (4) different levels of retention. The retention inserts can be easily changed chairside.
BCAS
BCAHT
Ball Attachment Set Includes: (1) Titanium Housing, (3) Female Nylon Inserts - white (more retention), pink (less retention), black (lab processing) and (1) Protective Disk (tissue protector for impression taking and chair-side denture pick-up)
Attachment Housings – Titanium
BCCBP
Castable Ball Pattern Burn-out component used by the lab for fabrication of a custom bar with ball attachments. 2 balls per pattern.
BCIST
Insert Seating Tool Used to seat nylon inserts in attachment housings.
BCR
Reamer Used to adjust retention of nylon inserts.
For Resin pickup or Soldering. 2 per package.
BCIB
Black Nylon Insert Lab Processing and Chair-side Denture Pick-up. 2 per package.
BCIG
Green Nylon Insert Clinical use. 2 per package. Elastic Retention.
BCIY
Yellow Nylon Insert Clinical use. 2 per package. Extra Soft Retention: 1.4lb / 525g
BCIP
Pink Nylon Insert Clinical use. 2 per package. Soft Retention: 2.3lb / 875g
BCIW
White Nylon Insert Clinical use. 2 per package. Standard Retention: 3.3lb / 1250g
BCPT
Paralleling Tool A laboratory tool used on a surveyor to position and wax castable balls on a bar.
BCDR
Directional Rings Used for obtaining parallelism. 0°, 7° and 14° rings. Set of 3.
BCS
Set of 3 tools Insert Seating Tool, Reamer and Paralleling Tool.
Ball Abutment Analogs
3.5
4.5
5.7
PYGBAA
3.5/4.5mm Ball Abutment Analog
PBBAA
5.7mm Ball Abutment Analog
Used to represent the Ball Abutment/Implant assembly in the working cast. Only used in conjunction with Ball Abutments. Titanium Alloy [Ti-6Al-4V].
products shown not to scale
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PROSTHETIC INSTRUMENTATION Prosthetic Instrumentation System 320-000
Complete Prosthetic Instrumentation System Includes: AS123 Hand Unit / Hand Wrench / 30 Ncm Torque Wrench / .050” (1.25mm) Hex Driver, Regular/ .050” (1.25mm) Hex Driver, Long / Hex Adapters for Abutment for Screw / Ratchet Extender / Sterilization Tray.
300-070
Prosthetic Sterilization Tray Autoclavable tray for prosthetic instrumentation (included with the 320-000).
300-100
AS123 Hand Unit Provides improved vision and easy access to prosthetic components in posterior regions of the mouth. Hand Wrench and Drivers must be purchased separately. May also be purchased as part of the 320-000 Complete Prosthetic Instrumentation System (see above).
6.25mm
12.5mm
300-430
30 Ncm Torque Wrench Used to deliver torque to prosthetic components.
300-350 regular
.050” (1.25mm) Hex Driver Regular and Long Used to drive all surgical and prosthetic components with the exception of the Abutment for Screw.
300-351 long
PXHA
Hex Adapter, Abutment for Screw Required for placement of Abutment for Screw. May be driven by either Hand Wrench, Torque Wrench or AS123 Hand Unit.
300-400
Hand Wrench Used on drive end of AS123 Hand Unit . Also fits individual Hex Drivers/Adapters and Bone Taps. products shown not to scale.
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PROSTHETIC INSTRUMENTATION Abutment Clamp Used to apply counter-torque during the delivery and tightening of the Abutment Screw, shielding the bone / implant interface from potentially damaging stresses.
IMPAH
Abutment Clamp
Implant Analog Handles Used to hold abutments for chairside or laboratory preparation, these handles mimic the implant/analog hex geometry. Abutments are secured to the handle with the standard Abutment Screw (PXAS). Comes in two platform sizes: Ø3.5/4.5mm and Ø5.7mm.
PYGAH
Ø3.5/4.5mm Platform Analog Handle
PBAH
Ø5.7mm Platform Analog Handle
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PATIENT EDUCATION MATERIALS
TI4XIM
Tapered Internal 4x Patient Education Model This 4-times scale model includes the Implant, Abutment, Abutment Screw, Ball-top Screw, Healing Abutment, Cover Cap, Implant Driver and Hex Driver. Excellent for demonstrating implant components to the patient. Call for availability.
ML0131
Patient Education – Dental Implants - the tooth replacement solution This high-quality flipbook helps the implant candidate understand the rationale and the advantages of implant therapy compared to traditional treatment methods. The message focuses on the positives of implants and their ability to stop the bone loss associated with edentulism. Many treatment options are detailed to aid the clinician in describing a procedure. 9” x 6” (23cm x 16cm).
ML0128
Patient Education – Tooth Replacement with Dental Implants poster This 2-sided laminated poster visually outlines the advantages of implant therapy compared to traditional treatment methods. One side focuses on tooth replacement options, while the opposite side contains information on bone loss and how dental implants can help preserve bone. 24” x 36” (61cm x 91cm).
ML0103
Patient Education – If you have missing teeth... This four-fold brochure helps the implant candidate understand the rationale and the advantages of implant therapy compared to traditional treatment methods. The message focuses on the positives of implants and their ability to stop the bone loss associated with edentulism. 8.5” x 3.5” (21.5cm x 8.7cm).
ML0129
Patient Education – Rebuilding and maintaining bone This brochure explains the benefits and basic science of bone regeneration and its relationship to implant therapy. 8.5” x 3.5” (21.5cm x 8.7cm).
ML0114
Patient Education – Secure dentures bring back your smile This brochure helps the denture wearer understand the rationale and the advantages of denture stabilization with implants. 8.5” x 3.5” (21.5cm x 8.7cm).
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REFERENCES 1. Heat production by 3 implant drill systems after repeated drilling and sterilization.
Chacon GE, Bower DL, Larsen PE, McGlumphy EA, Beck FM. J Oral Maxillofac Surg. 2006 Feb;64(2):265-9 2. Cell Interaction with Microtextured Surfaces
JL Ricci, R Rose, JK Charvet, H Alexander, CS Naiman. Presented at the Fifth World Biomaterials Congress. May 29-June 2, 1996. Toronto, Canada. 3. Interactions between MC3T3-E1 cells and textured Ti6Al4V surfaces
Soboyejo WO, Nemetski B, Allameh S, Marcantonio N, Mercer C, Ricci J. J Biomed Mater Res. 2002 Oct; 62(1):56-72. 4. Cytoskeletal Organization in Three Fibroblast Variants Cultured on Micropatterned Surfaces
JC Grew, JL Ricci. Presented at the Sixth World Biomaterials Congress. Kamuela, HI. May 15-20, 2000. 5. Tissue Response to Transcutaneous Laser Microtextured Implants
CL Ware, JL Simon, JL Ricci. Presented at the 28th Annual Meeting of the Society for Biomaterials. April 24-27, 2002. Tampa, FL. 6. Osseointegration on metallic implant surfaces: effects of microgeometry and growth factor treatment
Frenkel SR, Simon J, Alexander H, Dennis M, Ricci JL. J Biomed Mater Res. 2002;63(6):706-13. 7. The Effects of Laser Microtextured Collars Upon Crestal Bone Levels of Dental Implants
JL Simon, J Heair, Y. Khanna, D. Ehrenberg, J Ricci, B Zweig, S. Weiner. Presented at the 29th Annual Meeting of the Society for Biomaterials, Reno, NV. Submitted for publication. 8. The Influence of Different Neck Designs on Marginal Bone Tissue
Hanna Eun Kyong Bae, Dong Hoo Han. Yonsei University, Graduate School, Department of Dental Science. Submitted for publication. 9. Clinical Evaluation of Laser Microtexturing for Soft Tissue and Bone Attachment to Dental Implants
GE Pecora, R Ceccarelli, M. Bonelli, H. Alexander, JL Ricci. Best Clinical Innovations Presentation Award. Academy of Osseointegration 2004 Annual Meeting. Submitted for Publication. 10. Histologic Evaluation of 3 Retrieved Immediately Loaded Implants After a 4-Month Period
I Giovanna, G Pecora, A Scarano, V Perrotti, A Piattelli. Implant Dentistry. Vol 15, Number 3, 2006.
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BioHorizons products are cleared for sale in the European Union under the EU Medical Device Directive 93/42/EEC. We are proud to be registered to ISO 13485:2003, the international quality management system standard for medical devices, which supports and maintains our product licences with Health Canada and in other markets around the globe. © 2007 BioHorizons Implant Systems, Inc. All Rights Reserved. ML0603 REV A OCT 2007
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