Implant System Overview

Straumann Company Profile••

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Headquarters: Basel, SwitzerlandFounded in 1954, with the introduction of the firstone stage dental implant in 1974“Made in Switzerland”(engineering and implantproduction)More than 35 years of clinical evidence with over 100scientific publications per year that meet the higheststandards of researchThe Straumann group currently employs approximately 3,400 people worldwide and its products and services areavailable in more than 70 countries through its broadnetwork of distribution subsidiaries and partners*Six production sites for implants, biomaterials and CAD/CAM in Europe, the United States and JapanMore than 15 million implants placed worldwide*

Implant Materials

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The Straumann system has two options ofmaterials used:

TitaniumRoxolid

Titanium

• Grade 4 titanium used - Biocompatible in tissues - Adequate physical and mechanical

properties

Roxolid

…a new metallic material for implants…homogenous titanium alloy: composed oftitanium and zirconium

Excellent strength propertiesOutstanding osseointegration especiallywhen combined with SLActive®

Fatigue strength of Roxolid® is very high

Advantages

Confidence when placing small diameter implants

Can use a thinner diamter implant in posterior areas which see higherforce and would traditionally require a larger and stronger Ti implant

Designed to increase patients’ acceptance of implant treatment

More treatment options with smaller implants

Preserves bone and reduces invasive grafting procedures

Less invasive procedures*increases patient acceptance

Roxolid

Surfaces

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SLASLActive

SLA Surface•

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Our SLA® surface was commerciallylaunched in 1998 and is one of the mostdocumented rough surfaces in implantology.The SLA® surface is produced using alarge-grit sandblasting technique thatgenerates a macro-roughness on thetitanium surface.This is followed by acid-etching thatsuperposes a micro-roughness. Theresulting topography offers an idealstructure for cell attachment.

A RELIABLE AND SCIENTIFICALLYWELL-DOCUMENTED SURFACE

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Straumann SLA surface is one of the mostdocumented surfaces in dental implantology.In these long-term studies, survival rates reachedbetween 95% to 99% and even in patients withmoderate or severe periodontal diseases an implantsurvival rate of 97% was reported.SLA surface shows low prevalence of peri-implantitis.More than 100 clinical and preclinical SLA studiespublished in last 20 years5 peer-reviewed publications with 10 years of follow-up data on Straumann implants and prosthetics

SLActive•

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Introduced in 2005, this unique and clinically provendental implant surface is the first to combinechemical activity with hydrophilic properties.SLActive® is designed to improve safety andpredictability even in challenging situations.Besides simplifying treatment, it significantlyreduces the healing period from 6–8 to 3–4 weeks.Safer and faster treatment in 3–4weeks for allindicationsHigher treatment predictability even withchallenging proceduresBroadening treatment potential

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SLActive is a surface that is the same SLsurface but it packed in a clean room withNitrogen gas environment and it doesn’tcome in contact with other gases.This prevents an carbon atoms from beingdeposited onto the implant surface whichis why it has a better osteoinductivecapacityIt is stored in a saline solution and thedoctor removes it from the saline and canuse it within 15 minutes.

Purity of SLActive

Offers a greater accessible surface area

Surface covered withcarbon contaminationsfrom atmosphere

SLA SLActive

Surface not coveredwith carboncontaminations

Hydro-Carbon

Hydrophilicity

SLActive® hydrophilic surface allows blood to covermore of the available surface area of the implant

Straumann

SLA (hydrophobic)

SLActive (hydrophilic)Optimal use of the SLAsurface topography

Blood/water wets deepcavities of the surface

SLActive® / SLA production

Conventional surface treatment

A passive layer (hydrocarbons) formswhen elements from the atmosphere aredeposited onto the implant surface.

Body has to remove thepassive layer forosseointegration

SLActive treatment

The nitrogen atmosphere prevents passivatingelements from coming into contact with theimplant surface. The surface is kept active and hydrophilic.

Body can immediatelyaccess the active surfacefor osseointegration

SLA SLActive

Nitrogen atmosphere

Titanium Oxide Hydrocarbon Sodium Chloride Water

Rinsing with water Chemically active surface (H) Hydrophilic surface properties

Sand blasting & Acid etching SLA topography

Production processes for SLA & SLActive

Saline solution

SLActive: Safer implant treatment

% Protein adsorption andblood coagulation after 10

min 3

 

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Hydrophilic properties of SLActive®No contamination with hydrocarbon

Provide a larger accessible surface area for increased blood protein adsorption

Ideal conditions for fibrin network formation and

Enhanced blood clod stabilization

Accelerated initiation of the healing process

Rupp F, Scheideler L, Olshanska N, de Wild M, Wieland M, Geis-Gerstorfer J. Enhancing surface free energy and hydrophilicitythrough chemical modification of microstructured titanium implant surfaces. Journal of Biomedical Materials Research A,76(2):323-334, 2006.

Fibrin and blood component adsorption (scanning electron microscope at10min)

The Implants

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In India, we have the following implants:Tissue Level: Standard Plus (SP)Bone Level: Bone Level Tapered (BLT)

Tissue Level Implants

Straumann® Implants at Tissue LevelFeatures and Benefits

Features Benefits

145°shoulder

Optimal load distribution andminimal microgap between implantand prosthesis

2Smoothnecksection

Enables flexible tissue managementtaking the biologic width intoaccount

3Morse taperconnection

For uniform load distribution andreliable stable implant-to-abutmentjoints with prevention of rotation

4Internaloctagon

Offers great flexibility and isdesigned to ensure accuraterepositioning of the prosthesis

5SLA® surface

Macro- and microstructuredosseoconductive surface forosseointegration after 6-8 weeks

SLActive® surface

Molecular optimization of the SLA® surface with hydrophilic andchemically active properties for evenfaster osseointegration and highertreatment predictability

The flexible solution for trans-, semi- or subgingival implant placement inthe esthetic region.

Standard Plus – Features and Benefits

Features Benefits

1 1.8 mm smoothneck section

For optimal flexible tissue management,particularly when esthetic demands arehigh

2 Optimizedthread design

Engineered for primary and secondarystability

8/10/12/14 mm 6/8/10/12/14 mm 6/8/10/12/14 mm 6/8/10/12 mm8/10/12/14 mm

Standard Plus Implant - Options

Neckdiameter

Endostealdiameter

Availablelengths

Standard Plus now has a 4mm short implant as well.

Thread Pitch

Internal Morse taper

Prosthetic Options

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Treatments:CrownsBridgesOverdenturesCement-retained restorationsScrew-retained restorationsFixed prostheses

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Straumann® Morse taper connectionFor uniform load distribution and reliable stableimplant-to-abutment connection with prevention ofrotation.

Straumann synOcta® Morse taper connection

The mechanically locking friction fit of the StraumannsynOcta internal connection, with its 8˚ Morse taperconnection, is designed to provide a more secureimplant to abutment connection.

Reliable and Secure Implant-to-Abutment Connection

Scientific Confidence at Tissue Level

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20 years of clinical documentation More than 9 million implants sold Limited Lifetime guarantee

Topic Nr Content Author

Surfaceproperties &early cellresponse

1 Evaluation of surface free energy (SFE) and hydrophilicity of different titanium surfaces F. Rupp et al.

2 Effects of molecular and cellular interactions on various treated titanium surfaces L. Scheideler et al.

3 Comparison of early cellular activity at hydrophilic and hydrophobic surface G. Zhao et al.

4 Proliferation of MG63 and primary cells on various treated titanium surfaces X. Raush-Fan et al.

Early bonehealing

5 Comparison of bone opposition of the surface of SLA® and SLActive implants D.Buser et al.

6 Comparison of biomechanical properties of SLA and SLActive implants SJ. Ferguson et al.

7 Effects of surface hydrophilicity and microtopography on early stages of soft and hard tissue integration Schwarz F. et al.

8 Evaluation of initial and early subepithelial connective tissue attachment to SLA and SLActive implants Schwarz F. et al.

9 Assessment of initial and early osseous integration at SLA and SLActive implants F. Schwarz et al.

10 Influences of implant design and surface properties on osteointegration and implant stability J. Gottlow et al.

11 Comparison of bone apposition around SLA and SLActive implants M. Bornstein et al.

12 Bone regeneration with SLActive in dehiscence-type defects F. Schwarz et al.

13 Comparison of bone apposition around SLA and SLActive implants at sites with coronal circumferential defects Lai H-Cet al.

14 Influence of titanium implant surface characteristics on bone regeneration in dehiscence-type defects F. Schwarz et al.

Clinicalstudies

15 Comparison of SLA and SLActive implant stability T.W. Oates et al.

16 Immediate and early loading of SLActive implants in the posterior mandible and maxil J. Ganeles et al.

17 3 weeks loading of SLActive implants in the maxillary molar region M. Roccuzzo/ T.G. Wilson

18 Early loading of non-submerged SLActive implants Bornstein M.M. et al.

19 Early loading at 21 days of non-submerged SLActive implants Bornstein M.M. et al.

20 Early loading after 21 days of healing of non-submerged SLActive implants D. Morton et al.

21 A multicenter prospective ‘non-interventional’ study about Straumann SLActive implants G. Luongo et al.

Straumann® SLActive® - Study Overview

Save Time and Increase Efficiency

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One-stage surgical procedure enabledby a one-piece, transmucosal designSimplified restorative procedures withour streamlined product portfolioBuilt-in soft tissue management dueto polished collarEasy hygiene for patients thanks toheight of polished collarTissue level connection designed tosimplify prosthetic handling

Bone Level Tapered Implants (BLT)

Apically tapered Simplifies placement in underpreparedsites

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Endosteal diameters include ∅ 3.3, ∅ 4.1and ∅ 4.8 mmLength options include 8, 10, 12, 14 and 16mmMaterial and surface options: Roxolid®SLActive® and Titanium SLA®It has a tapered apex with three cuttingnotches, which makes this implantparticularly suitable for situations involvingsoft bone or fresh extraction sockets whereprimary stability is key.

Coronallytapered core(fixed 4mm) Parallel body(variable1-7mm) Tapered apex(fix 5mm)

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Implant characteristics

8mm 10mm 12mm 14mm 16mm

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BLT Ø2.9mm

Implant length [mm]:10-14mm

Safety feature70-80 N

5 mm

1 mm (10mm)3 mm (12mm)5 mm (14mm)

4.00 mm

Ø1.5 mmCutting Flute

Increase primary stability

Ø 3.3 mm

Ø 2.0 mm Ø 2.7 mm

Ø 4.1 mm

Ø 3.2 mm

Ø 4.8 mm

Prosthetic Options

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Single- and multi-unit restorations: screw-or cement-retainedEdentulous treatment: fixed or removableoptionsCost-effective and premium: either withconventional or digital workflow

All implants come with Loxim

Surgical Cassette

One instrument kit for a straightforward, organized workflow*

a single well-designed surgical set with a lean instrument portfolio

Operational ease of use thanks to clear navigation

distinct color-coded workflows

implant line identification

instrument pictograms at each step

all planning aids and auxiliary instruments are readily accessible ina lower tray without obstructing the workflows

Salient Features

Also available is the pro arch solution which is similarto the all on 4 concept

The Novaloc® Retentive System for hybrid dentures offers aninnovative car- bon-based abutment coating (amorphousdiamond-like carbon1) with excel- lent wear resistance,overcoming up to 60° implant divergence. Both a straight and a15° angled abutment, available in various gingiva heights, cover abroad range of clinical implant situations. Together with itsdurable PEEK2 matrices, the Novaloc® Retentive System providesa reliable connection that endures. This results in lowmaintenance and high patient comfort.

Novaloc (similar to Locator)

As the name implies, “amorphous diamond-like carbon” (ADLC) isa class of carbon bonds which displays several of the desirablequalities of a diamond. ADLC coatings are commonly used in themedical device field (e.g. hip joints) and reduce abrasive wearprolonging the lifetime of the medical appliance.

TISSUE LEVEL

STRAIGHT ABUTMENT – CEMENTABLE – KNOWN AS RNSYNOCTA

ABUTMENTS

OPTION OF 15 AND 20 DEGREE IN TYPE A & B

HEIGHT IS 6.7MM

ANGLED ABUTMENT - TL

GOLD (LIKE RESOLVE)

ALSO CAN BE USED FOR LOW OCCLUSAL CLEARANCE OF 5MM

CEMENTED OR SCREW RETAINED

CUSTOM ANGLED ABUTMENT – SINGLE TOOTH

SYNOCTA 1.5

NON PRECIOUS OPTION – SINGLE TOOTH SR

SYNOCTA 1.5

SCREW RETAINED BRIDGE AND BAR

VARIOBASE – CAN BE USED FOR SR CROWN ANDBRIDGE AND BAR

BALL OPTION ONLY AVAILABLE FOR TL

TEMPORARY ABUTMENT

2MM AND 4.5 MM

GINGIVAL FORMER

CLOSURE SCREW

RC CEMENTABLE ABUTMENT – 5.5MM

GH – 1, 2, 3

DIAMETER 5MM

BLT ABUTMENTS

15 DEGREE

2MM AND 3.5 COLLAR

ANGLED CEMENTED ABUTMENT

VARIOBASE

SCREW RETAINED SINGLE TOOTH

NON ENGAGING

SCREW RETAINED BRIDGE / BAR

STRAIGHT AND ANGLED SCREW RETAINED

TEMPORARY

HEALING CAP

CLOSURE CAP