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OsteoCare™ Implant System

Mini & Midi ImplantsMaxi Implant

Maxi Z ImplantClassic Advanced Implant

Advanced Implant

Clinical Procedures & Product Catalogue

OsteoCare™ Implant System5-7 Colndale Road Poyle Ind. Estate, Colnbrook, Slough, Berkshire SL3 0HQ,United Kingdom.

Tel: +44(0)1753 770006Fax: +44(0)1753 770009Freephone: 0800 281981e-mail: [email protected]: www.osteocare.uk.com

© 2006 OsteoCare™ Implant SystemAll Rights Reserved


Table of Contents- The Company- Introduction- Materials Used- Packaging- Implant Surface- Treatment Planning- Radiographic Examination & Stents- Comp-Ex- Mini implant Surgical Kit- Mini & Midi Implants- Mini & Midi (Post Type) Implants- Mini & Midi (Post Type) Surgical and Prosthetic Protocol- Mini & Midi (Ball Type) Implants- Mini & Midi (Ball Type) Surgical and Prosthetic Protocol- Maxi Implant- Maxi-Z Implant- Universal Surgical Kit- Osteotomy Universal Burs- Trial Abutments- Classic Advanced Implants- Advanced Implants- Prosthetic Parts and Procedures- Internal Hex Connection- Healing Collars- Impression Transfer- Implant Replica- Peek (Healing Collars and Transfer Abutment)- Screw Retained Abutment- Screw Retained Ball Attachment Abutment- Direct Cast Abutment- Socket Formers- Ridge Expanders- Product Index

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OsteoCare™ Implant System Ltd. is a British company founded in 1999 with its Head Office and manufacturing facilities based at Colnbrook, Berkshire, UK. Since this date OsteoCare™, has grown in stature as a company to become one of the world leaders in Dental Implantology and Biotechnology.

OsteoCare™ offers versatile dental implant systems with an extensive product line, addressing all clinical situations faced by our clients. Our company offers implant systems that encompass one-piece, internal connection, single-stage implants and the standard two-stage implants with a variety of restorative options for optimal aesthetic results. As with any successful business continual research and development is essential. OsteoCare™ aims to be at the cutting edge of developments within Implantology. OsteoCare™ Implant System is at the forefront of Dental Implantology and is committed to improving the development of implants to benefit both dentist and patient. Our aim has been to develop unique, user-friendly implants that satisfy the clinical needs of the surgeon and the patient as well as being cost effective.

Superior Quality...In line with our commitment to quality, OsteoCare™ enforces strict design and inspection criteria to ensure that our products exceed the highest standards set by the European Union and other international agencies. OsteoCare™ products are cleared for sale in the European Union under the EU Medical Device Directive 93/42/EEC. OsteoCare™ has earned ISO 9001 and CE certifications. International symbols of quality system assurance and compliance. OsteoCare™ is registered to ISO 13485, the international quality management system standard for medical devices.

OsteoCare™

Training courses to improve and support your Practice…OsteoCare™’s Educational and Technical Services Depart-ment, offers continuing educational Dental Implantology courses, educational seminars as well as clinical and technical support. This department is available to consult with our cli-ents regarding any questions ranging from treatment planning to the delivery of the prosthetics.

© 2006 OsteoCare™ Implant System.

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Wide Range of Products...OsteoCare™ has produced a wide variety of dental implant designs which cover all clinical situations, including the one-piece Mini & Midi (post type & ball type) plus the versatile two-piece implants, including the Maxi, Maxi-Z, Classic Advanced & Advanced. Each implant has unique properties and special advantages that facilitate easy placement and predictable successful results in every situation. Our wide range of products fit each individual case. OsteoCare™ seeks to give clinicians a choice of “implants that fit the patient” rather than choosing a patient to fit the implant. OsteoCare™ is now providing clinicians with more choices than ever before. Our products are designed for specialist and general practitioners.

OsteoCare™ implants are designed to simplify the surgical protocols of placement and to limit the requirment of sophisticated bone grafting and regenerative techniques. Our new concepts & innovations have created a new era of straight forward Dental Implantology. General Practitioners can effectively treate a wider spectrum of patients via our simple and predictable innovations and scientific support. The OsteoCare™ implant system will hope your practice maximise new revenue opportunities and enhance your reputation as a skilled practitioner.

Professional Implantologists will also enjoy using OsteoCare™ dental implants, as they have unique advantages and innovative ideas that no other system can provide. You choose the system that is right for your practice. Together with your professional skills and abilities, OsteoCare™ will raise your practice to a whole new level.

Having a wide range of implant products does not entail high set-up costs as all our dental implants can be placed by one universal surgical kit. All the two-piece dental implants have the same internal hex that allows for the use of the same OsteoCare™ versatile prosthetic parts. Even with all these innovative options, our goals at Osteocare™ remain the same: to help your implant surgical procedures run more smoothly and efficiently, and to aid your practice growth and profitability.

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OsteoCare™ Implant system

Materials used:

• Mini/Midi, Maxi and Maxi Z Implants:

These implants are made from Titanium alloy 6AL-4V ELI (Extra Low Interstitial). The use of this material for surgical implant applications is referred to in ASTM Standard Designation F136-02A.

Classic Advanced and Advanced Implants:

For all sizes, (except 3.0mm ø), Classic Advanced and Advanced Implants are made from Grade II Titanium (ASTB 384). The use of this material for surgical implant applications is referred to in ASTM Standard Designation F1341.

OsteoCare™ Prosthetic Components:

All the metal abutments are made from Titanium 6AL-4V ELI (Extra Low Interstitial). The use of this material for surgical implant applications is referred to in ASTM Standard Designation F136-02A.

OsteoCare™ Peek Prosthetic Components and Carriers:

OsteoCare™ Peek Prosthetic Components such as peek transfer abutments, peek healing abutments and implant carrier (6) are made from Peek material. PEEK polymer, a polyaryletherketone resin, is extensively used in medical applications. Peek material is a very hard, pure, autoclaveable surgical plastic that can be manufactured to very fine tolerances.

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OsteoCare™ Packaging:

All OsteoCare™ dental implants are Gamma-sterilised and double packed, for contact free handling. Within the outer packaging, there is a clear plastic vial containing the implant. Our packaging system meets all the stringent international requirements and regulations. It offers the user complete safety during storage.

Our implants are attached to the new OsteoCare™ Implant carrier system. The carrier forms the cap to the plastic vial and attaches to the implant head via a friction fit. The cover screw is contained within the flat top head of the carrier so that the cover screw and implant are held in one unit until the implant is placed. This Carrier System enables storage without contact between the implant and the vial and is intended to transport the implant to the osteotomy whilst avoiding contact with possible contaminants. This is the “no touch” technique. The carrier is designed to have a minimum number of parts and to be short enough to allow access to confined spaces, whilst still large enough to give a positive grip during initial loading.

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OsteoCare™ (GBA) Implant Surface OsteoCare™ uses technologically advanced methodes of surface treatment to enhance osseointegration of dental implants. OsteoCare™’s automated grit-blasted and acid etched (GBA) implant surface has been in clinical use throughout the world since 1999 and has achieved a high level of clinical acceptance and success.

(GBA) technology produces special implant surface morphology by the subtraction method. All our implant products have OsteoCare™’s (GBA) surface. The micro-retentive GBA surface of the implant is manufactured in four stages: grit-blasting, acid etching, neutralization and cleaning. Grit-blasting produces a defined macro-roughness. Etching with mineral acids further increases the implant surface micro-roughness.

Numerous studies have been conducted to identify an enhanced surface geometry to increase mechanical stability and bone-to-implant contact. This scientific evidence conclusively supports that the roughened titanium implant surface provides significantly improved bone anchoring in comparison to a traditional machined titanium surface. Implant surface micro-roughness accelerates osteoblastic cell response by macro-morphology and micro-morphology. Based on this research, OsteoCare™’s (GBA) implant surface was specifically developed to provide a uniform roughness and enhanced surface for osseointegration.

OsteoCare™’s (GBA) surface offers approximately 240% greater surface area than a traditional machined surface, enabling a substantial increase in mechanical fixation to bone. Higher bone-to-implant contact (osseointegration percentage) with OsteoCare™’s (GBA) implants was observed when compared with a non treated traditional machined surface.

OsteoCare™’s (GBA) Macro- and micro-retentive implant surface stimulates initial adhesion, cell activity and proliferation of osteoblasts. Also, it increases implant primary stability, resulting in reliable osseointegration and ensures long-term success through maximum biocompatibility and analysed distribution of force.

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Treatment PlanningFor the examination and evaluation of the patient, the same clinical measures are applicable as for any implant-based treatment planning. Planning should be made on the following basis in order to produce consistent and correct results:

I) Patient Assessment

The suitability of patients for minor oral surgery must be established prior to implant treatment.

II) Prosthetic Parameters

The form and position of the planned prosthesis must be established to fall within the aesthetic parameters.

III) Optimal Implant Placement, Surgical Protocol

Implants are placed anatomically ensuring that the implant site can be restored as planned. Bone grafts may be required to create the ideal implant site.

IV) Restorative Phase

Accurate and passively fitting restorations should be used to create the required aesthetics and occlusal form based on prosthetic parameters

In order to achieve consistent results, it is necessary for the treatments to be carried out to a well-defined treatment protocol leading to a high degree of predictability and consistency. Thus it is possible to achieve predictable osseointegration and the desired aesthetic outcome.

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Radiographic ExaminationThis can be obtained by conventional means, such as periapical radiographs, panoramic radiographs and lateral cephalographs.Implant templates (overlays) that are 100% actual size or magnified 130%, are supplied for Osteocare™ implants and used in conjunction with radiographic imaging as a guide to select the proper implant size to be used.

Osteocare™ Radiographic Stents (overlays) Code DescriptionRS-MMI Mini & Midi implant radiographic stentRS-MZI Maxi & Maxi Z implant radiographic stentRS-CAI Classic Advanced implant radiographic stentRS-AI Advanced implant radiographic stent

Radiographic overlays are to be used as guides only.

Osteocare™ Implant Sizing Overlays

•Transparent overlays used with radiographs for pre-surgical assessment and implant selection.•Includes: 100% (1:1) for use with periapical radiographs.•Includes: 130% (1:1.3) for panographic radiographs.

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coDiagnostiX®

When additional accurate measurements are required, radiographic techniques such as tomograms and computerized tomographic (CT) scans should be utilized. Additional diagnostic radiographic imaging may be indicated to determine the quality and quantity of alveolar bone or to identify anatomical landmarks.

CT scanning has become the preferred tool for radiographic analysis, particularly in cases of multiple implant placements. Accurate information is provided on width, height, angulation and bone density. By using CT scan enhancement and manipulation software such as coDiagnostiX®, treatment planning becomes highly predictable and accurate, and provides not only a visualisation tool for the surgeon with regards to implant placement, but also allows the patient to fully understand proposed surgical procedures.

Contact Osteocare™ for more information about coDiagnostiX®

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Comp-ExThe Concept of Expansion and Compression

Meeting the Challenge of Bone Atrophy

There are an increasing number of dentists who are relative new comers to the field of Implantology, with varying levels of training and skills to equip them for real life situations. One of the biggest challenges an implantologist will face is the limited availability of suitable quantity and quality of bone following disuse atrophy: (the resorption of bone following tooth loss).

Scientific research shows that after a tooth extraction the surrounding jawbone resorbs by loss of function, eventually losing 40% to 60% of its original height and width within two years.

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The amount of bone loss occurring in the first year after tooth loss is almost 10 times greater than the following years. The posterior mandible resorbs at a rate approximately 4 times faster than the anterior mandible. The changes in the anterior maxillary ridge dimension can be dramatic in height and width (up to 70%), especially when multiple extractions are performed. As a result, it is not uncommon to find residual ridges with widths of less than 3mm. Evidence shows this can create difficulties for a clinician who plans to place an implant of 3mm or more and requires 1.5mm of bone around the implant. Having less than 6mm width of bone means the process of standard drilling the bony site will become restrictive, and the available option will be some form of ridge augmentation or bone manipulation.

Different augmentation procedures, such as hard tissue grafting, guided bone regeneration technique (GBR), distraction osteogenesis…etc., require considerable skill, and can add considerable time, complexity, trauma and cost to the procedure and there is significant resistance to them from the patients themselves. Ridge expansion is another option, introducing a range of instruments (osteotomes) into the bone by use of a mallet of increasing size, thereby displacing the bone outwards to increase its width. Whilst very effective in the right hands, it is a technique which patients can find very unpleasant unless sedated. It is also challenging for the relative novice without appropriate experience.

An alternative technique to the use of Osteotomes, is the simultaneous and automatic expansion and compression of the bone using a tapered self-tapping implant (OsteoCare™ Mini/ Midi, Maxi and Maxi-Z Implants). A process of expansion and compression is thus named ‘Comp-Ex’. The main advantage of this technique is the fact that it is relatively easy to learn, is smooth and progressive, and does not require a mallet. It has found its effectiveness in the maxilla, but more significantly, it has been effective in the mandible; an area considered extremely challenging and avoided by most.

The process simply involves creating a small opening through the cortex to allow insertion of the implant. The critical issue is selection of the appropriate sized implant. The implant is gradually and slowly inserted into the ridge and with each turn will smoothly displace the bone, thereby improving the quality and overall width.

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OsteoCare™ Mini Implant surgical kit The Mini Implant Surgical Kit is a compact unit comprising of all instruments required to place Mini, Midi, Maxi & Maxi Z implants (advanced set-up). The Surgical Kit contains the Initial Perforation Drills, Surgical Ratchet, Torque Wrench, Depth Probe, Implant Drivers, and other accessory components. All the instruments are well organised and located on the top of the tray to provide complete surgical versatility and maximum convenience.

The Mini Implant Surgical Kit is also available with the ‘basic’ instrument set-up for placement of only the Mini and Midi implants. This basic instrument set up reduces the cost of the surgical kit.

Mini Implant surgical kit (Instrument sets)

Components Usage Basic AdvancedLong Mini bur Osteotomy preparation + +Short Mini bur Osteotomy preparation +Trial abutments Determination of abutment angulations +Rotation Tool Alignment of Trial abutment +Ratchet Compatible with all OsteoCare™ Implants drivers + +Torque wrench 30N/cm Checking of initial stability + +Osteotomy probe Measurement of the osteotomy or socket + +Over hex driver 2.4 long Placement of Midi (Ball) implants Ø3.3-4.3mm

Placement of Midi (Post) implants Ø3.8-4.3mm + +

Over hex driver 1.9 long Placement of Mini (Ball) implants Ø2.3-2.8mmPlacement of Mini(Post) implants Ø2.3-3.3mm

+ +

Over hex driver 2.4 short Placement of Midi (Ball) implants Ø3.3-4.3mmPlacement of Midi (Post) implants Ø3.8-4.3mm

+ +

Over hex driver 1.9short Placement of Mini (Ball) implants Ø2.3-2.8mmPlacement of Mini(Post) implants Ø2.3-3.3mm

+ +

Overhex handpiece 2.4 Motorised Placement of Midi implants Ø3.3-4.3mm + +Overhex handpiece 1.9 Motorised Placement of Mini implants Ø2.35-2.8mm + +Driver 1.5 Tightens screws of abutments, healing collars..etc. +Hex driver 2.2 long Placement of Maxi & Maxi Z implants +Hex driver 2.2 short Placement of Maxi & Maxi Z implants +

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Item The Mini, Midi & Maxi surgical kit1 Overhex handpiece 2.42 Overhex handpiece 1.93 Driver 1.54 Osteotomy probe5 Torque wrench6 Ratchet7 Rotation Tool8 Long Mini bur9 Short Mini bur

10 Hex driver 2.2 long11 Over hex driver 2.4 short12 Over hex driver 2.4 long13 Hex driver 2.2 short14 Over hex driver 1.9short15 Over hex driver 1.9 long16 Trial abutments

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OsteoCare™ Implant SystemMini & Midi Dental Implants

Dental Implantology has evolved over the last 10 years to become one of the most predictable forms of treatment currently available to surgeons. OsteoCare™ has been at the forefront of this technology with the introduction of many new and unique products. The Mini & Midi Implant concept is a revolutionary step in the field of Implantology. OsteoCare™ in collaboration with Dr. Tariq Idris and Mr. John Gauld, OsteoCare’s Consultant Engineer, have developed a group of implants that allow the dentist more flexibility in treating patients.

Mini and Midi are one-piece dental implants which have a number of unique points that set them apart from their conventional counterparts. They are affordable for the patient as well as the surgeon, they allow minimally invasive flapless transmucosal placement. Immediate loading is also possible and they are ideal for most types of bone qualities, quantities and for thin atrophic ridges.

OsteoCare™ has produced a new range of Ball and Post types of Mini and Midi one-piece implants. Both types of implant are blasted and acid etched and have a high load “Buttress” thread that has the advantage of allowing for the compression and expansion of the site, achieving high stability in even poor quality bone. The amount of the bone expansion can be finely controlled with varying tapers produced using incremental implant diameters. OsteoCare™ uses a “Hexagon drive system”, which allows for the positive drive of the implant to the intentionally planned position.

The OsteoCare™ Mini/Midi implant system is primarily a one-stage system that requires implant placement followed by immediate loading, should appropriate conditions prevail. OsteoCare™ has also addressed one of the fundamental problems with Mini and Midi Implants, by having a wide range of implant lengths and sizes that enable most anatomical situations to be catered for. The available diameters in both Ball and Post types are: 2.35, 2.80, 3.30, 3.80 & 4.30mm and lengths are: 10, 13 & 16mm.

Advantages of the OsteoCare™ Mini and Midi Implants:

•Quick and simple implant placement due to conical shape.•Maximum primary stability in all types of bone due to the buttress threads design.•Atraumatic implant placement, even in cortical bone.•Bone expansion and compression by rotation is less traumatic to the patient.

Implant Micro-design:

A subtractive surface processing (GBA) is applied to the endosseous section of Mini and Midi implants through automated grit-blasting and acid etching. The subtractive process creates a unique surface morphology. This micro-retentive roughened surface is achieved through grit-blasting, etching, neutralizing and cleaning.

Ball-Type

Post-Type

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Ball-Type

The grit-blasting process produces a defined micro-roughness. This rough surface offers a large contact area with a specific roughness for maximum cell deposition to the implant. The surface microstructure which consists of micro- and macro-irregularities is perfectly imitated by blasting and etching of the implant, thus increasing the number of adhering osteoblasts to enhance the process of osseointegration.

Mini and Midi (Post and Ball types) Implant Diameters and Lengths

The Mini implants are available in the diameter of 2.35 and 2.80mm, while the Midi implants are available in larger diameters: 3.30, 3.80 & 4.30mm. Hence, any implant with a diameter less than 3mm is considered Mini, while implants with diameters over 3mm are considered Midi. The available implant lengths and diameters are designed for the various clinical situations..The availability of various diameters and lengths can make optimum use of the horizontal and vertical bone volume. The wide range of sizes makes it easy to find the right implant to fit the available bone without requiring additional procedures.

Implant Diameter LengthMini 2.35mm 10mm 13mm -Mini 2.8mm 10mm 13mm -Midi 3.3mm 10mm 13mm 16mmMidi 3.8mm 10mm 13mm 16mmMidi 4.3mm 10mm 13mm 16mm

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Mini & Midi one-piece (post type) dental implantsMini & Midi one-piece (post type) dental implants are made for the long-term restoration of missing teeth. Their titanium alloy (6AL- 4V ELI) construction provides maximum strength that allows placement in areas with deficient bone quantity and quality, as well as limited tooth-to-tooth spacing. The special design of the buttress thread form and the blasted and etched surface, have been shown to maximize bone-to-implant contact. This has the advantage of allowing for compression and expansion of the site, thus achieving high stability in even poor bone quality, which results in successful osseointegration.

With the simple one-piece design of the Mini and Midi implants, there are no additional components that must be purchased. Preparation of the abutment portion is done using the regular carbide burs.

Mini and Midi implants are indicated for both single and multiple tooth restorations, where immediate loading is possible in healed bony sites or for the immediate post-extraction approaches.

Mini and Midi one-piece (post type) implants are used in cases where immediate loading is indicated. Patient selection includes satisfactory oral hygiene, favourable occlusal relationship and adequate bone volume that can accommodate the placement of the implant length and diameter. Initial stability of the implants must be checked with the torque wrench and must be over 30 N/cm before loading the implant. Implants that do not have adequate initial stability should not be loaded. Provisional crowns can be placed immediately after the implant insertion with light centric occlusion, while lateral occlusal contacts or discrepancies should be eliminated. As with any procedure, it is the responsibility of the healthcare professional to determine the benefits and risks of immediate function compared with delayed loading for a given patient and implant site.

Mini and Midi (post type) implants should not be used in cases requiring more than 10º to 15º angled abutments to avoid over-reduction of the abutments.

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Mini & Midi one-piece (post type) dental implantsSurgical Protocol (Flapless Transmucosal Technique)

Osteocare™ Mini & Midi Implants are placed in a single-stage transgingival procedure. Implant placement surgery usually involves only minor preparation of the bone (osteotomy) and seating of the implant within this osteotomy.

Site Preparation: Only one perforation profile drill is used for site preparation. The implant is placed with the use of a perforation drill and no flap is raised. The use of saline is paramount when making the perforation. As the drill passes through the mucosa, it will firstly reach the cortical bone then the

cancellous bone. Confirmation of reaching the cancellous bone is achieved via the physical feel, as drilling is harder through the tough cortical plate and becomes far easier when engaging the softer cancellous bone. The surgeon should palpate the area to access the angulations. The implant pilot perforation drill (1.3mm diameter) gives needlepoint accuracy for position, angle and depth. The surgeon should drill to the depth according to the bone density evaluation. The osteotomy depth is established by the laser marked pilot drill. Preparation of the osteotomy should not exceed the implant length as the Mini and Midi implants have a strong self-tapping property.

Implant Placement: Implants are supplied within sterile packaging & should be “dropped” from this onto a surgical tray by peeling the outer envelop to expose the inner vial. The implant is removed from its protective pouch and offered to the site. Care should be taken not to touch the implant at any time. The implant is rotated clockwise for several revolutions or until the plastic carrier can no longer rotate the implant. If placement of a 2.3mm or 2.8mm Mini implant is being undertaken then the 1.9mm hex driver should be used. If the surgeon is placing a 3.3mm, 3.8mm or a 4.3mm Midi implant then the 2.4mm driver with the indented ring should be used.

If access to the osteotomy site with the carrier proves difficult, for example between teeth or in the posterior quadrants, the carrier may be disengaged from the implant and transferred to an alternative instrument for insertion. This must be done in a manner that prevents contamination

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of the implant by disengaging it into a ceramic or titanium vessel and then using the titanium tweezers to mount the implant onto the instrument of choice. The choice of instrument will depend upon the position of the implant site and access to it.

The implant is placed until the thread is below gum level. Once this has been achieved the 30N/cm torque wrench is attached to the implant driver. This will give the surgeon an assessment of the initial stability that has been accomplished by the placement of the implant, an immediate restoration can then be carried out.

Abutment Preparation:Diamond or carbide high speed burs are used to adjust the angulation and height of the abutment, if necessary. The abutment preparation should always be done under a copious stream of irrigation to prevent overheating.

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Impression Making:The prepared abutment(s) should be treated as a normal crown-and bridge case. A full-arch rubber base impression is made using a closed-tray technique. The provisional crown is then fabricated on the stone model.

Provisional Restoration:Once the abutment preparation and impression taking are completed, the temporary crown can be placed on the Mini or Midi implant. Provisional restorations are fabricated either in the laboratory or by the dentist chair-side.

There are different options for fabrication of provisional crowns. As for crown and bridge, temporisation may be performed in many different ways, from use of standard acrylic teeth adjusted at chair-side, to laboratory fabricated teeth. It is important to have a smooth contour of the provisional tooth to avoid irritation of the soft tissueA provisional restoration can also be made by using a thermoform tray which can be made from the diagnostic model.

Finished Crown:The final ceramo-metal crown is delivered after a healing period of between 3-weeks and 3-months, depending on the bone quality and functional occlusion.

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Mini & Midi One-Piece (Ball Type) Dental Implants Mini & Midi one-piece (ball type) dental implants have been specially designed for denture stabilisation. Their unique design was tailored for long-term indications rather than being transitional. They are simple, reliable and cost effective implants that bring secure dentures within the reach of many patients, who are medically or financially compromised. Treatment using conventional implant methods would not have been possible for such patients.

Their titanium alloy (6AL- 4V ELI) construction provides maximum strength that allows placement in areas with deficient bone quantity and quality. The special design of the buttress thread form and the blasted and etched surface, have been shown to maximize bone-to-implant contact, as well as bone expansion and compression which results in successful osseointegration.

Mini & Midi one-piece (ball type) dental implantsSurgical Protocol (Flapless Transmucosal Technique)

Marking of the drilling sites:Using a skin marker, marks are made directly onto the patient’s dried gum/arch to determine the drilling positions of the implants as planned from the diagnostic panoramic radiograph.

Another method, is using the pencil marks made on the radiograph as a guide, mark the dried denture heavily with an indelible pencil. Next, dry the patient’s gum/arch and place the denture into the mouth. The mark from the denture is now transferred onto the gum to assist in the placement of the implant.

Site Preperation:Only one perforation profile drill is used for site preparation. The implant is placed with the use of a profile perforation drill and no flap is raised. The use of saline is paramount when making the perforation. As the drill passes through the mucosa, it will firstly reach the cortical bone then the cancellous bone. Confirmation of reaching the cancellous bone is achieved via the physical feel, as drilling is harder through the tough cortical plate and becomes far easier when engaging the softer cancellous bone. The surgeon should palpate the area to access the angulations.

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The implant pilot perforation drill (1.3mm diameter) gives needlepoint accuracy for position, angle and depth. The surgeon should drill to the depth according to the bone density evaluation. The osteotomy depth is established by the laser marked pilot drill. Preparation of the osteotomy should not exceed the implant length as the Mini and Midi implants have a strong self-tapping property.

Implant Placement:

The implant is removed from its protective pouch and offered to the site. Care should be taken not to touch the implant at any time. The implant is rotated clockwise for approximately three revolutions or until the plastic carrier can no longer rotate the implant. If placement of a 2.3mm or 2.8mm is being undertaken then the 1.9mm hex driver should be used. If the surgeon is placing a 3.3mm, 3.8mm or a 4.3mm implant then the 2.4mm driver with the indented ring should be used.

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Polycarbonate Housing with Rubber ‘O’ Ring

The new Polycarbonate Housings have two features that make them unique in design and application. The first is that being made of Polycarbonate they integrate well with the denture, so the grain boundary within the denture remains intact. The second advantage is being opaque they block out the colour of the black ‘O’ ring, but will not show through into the denture, a problem that is common in metal housings.

Immediate Loading (Same Day Implant Placement)

OsteoCare™ Mini & Midi one-piece (ball type) implants must be carefully evaluated for having initial stability above 30N/cm which is crucial to start loading.If initial stability (fixation) is less than 30N/cm, use of the polycarbonate plastic housing with the rubber ‘O’ ring is not recommended for initial loading. Relief of the denture to avoid contact with the implants (with or without a soft liner material) is recommended during the initial healing phase. It is recommended that the Ball Attachment Housings be processed into the denture only two months post-operatively allowing for the osseointegration of the implants. The least amount of initial loading is accomplished by creating a trough in the denture that allows complete soft tissue

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support with no contact between the denture and the implants. Place a transferable mark on top of each ball-top and seat the denture in the patient’s mouth to determine where the denture needs to be relieved.

Relief of Denture to Accommodate the Housings

Make holes in the denture at the pre-marked locations by using a laboratory bur. Place the plastic housing abutments on the implants making sure that they are securely seated. Try in the denture for full seating.

Pick-up of the Housing (chair-side pick-up procedures)

Once the holes have been drilled and the denture has been checked to see that it is seated correctly. Fill the relieved areas of the denture base with acrylic and place the denture over the housings. As a precaution the exposed implant head should be covered with a small shim to stop excess acrylic engaging any undercuts. The patient should bite gently on the denture to confirm correct seating, whilst the acrylic is setting. Remove the denture and assess the security of the housing inside the denture. If it is loose add some self-cured acrylic. All excess should be removed and the denture trimmed and polished.

Indirect Method:Model Fabrication for Laboratory Processing

Place the polycarbonate plastic housing with the rubber ‘O’ ring on each ball-top of the implant inside the patient’s mouth. Block out any undercuts with any material of your choice. Use a medium or heavy-bodied impression material to make a closed-tray full-arch impression that picks up the housings.

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Insertion of the Ball Type Implant Replicas

After removing the impression, verify that an accurate pick-up of the housings was made. Insert the ball type implant replicas into the housings contained in the impression. Be certain that the implant replicas are fully seated before pouring the stone. After pouring the stone model, the plastic housings are retrieved from the impression and processed within the denture.

Pick-Up of the Polycarbonate Housings

Pick up the Polycarbonate housings in the existing denture, following the same steps used in the chair-side pick-up procedures.

The Polycarbonate housings can be incorporated into a base plate to create a wax occlusal rim to construct a new denture. Standard denture laboratory and clinical procedures should be followed.

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Maxi Dental ImplantWith the success of our Mini and Midi Implants, it became apparent that there was a need to develop an implant with the same advantages i.e. ease of placement and high stability gained by the unique buttress thread application, coupled with the wide variety of angled abutments from the OsteoCare™ conventional system. The Maxi implant is considered an exciting hybrid between conventional and Mini implants.

Maxi implants have been designed to improve the idea of immediate loading as well as to modify the quality of bone to enhance the process of osseointegration. Maxi implants are placed with a minimally invasive flapless procedure and allow for the provision of same day restorations to follow the concept of a tooth in a day. As with the Mini and Midi implants they have buttress form threads with the unique OsteoCare™’s GBA (grit-blasted and acid etched) surface that broaden the indications of their use to include most types of bone qualities and quantities.

Maxi implants have the added flexibility of being made in two parts: the implant and the abutment. This means that the angle of the post can be varied according to the angle of the required teeth with far greater ease. Furthermore, they have more surface area and are therefore suitable for use as bridge abutments even for the posterior teeth. They can also be used to stabilise fixed teeth or overdentures in both the upper and lower jaws.

Advantages:•Maximise the available bone with Auto-Expansion & Auto-Compression (Comp-Ex).•Maximise the speed with immediate loading.•Maximum flexibility with angulated abutments.•Maximise your profits with low set-up costs.

Indications:•One-stage Immediate Functional Loading•One-stage Delayed Function •Two-stage Delayed Function•Immediate post-extraction and late implantation.

In the anterior aesthetic zone:The Maxi implant is placed in a midway position between the submerged and non-submerged position to allow for a better emergence profile.

In the posterior premolar and molar area:The Maxi implant is placed in a non-submerged position, this reduces the need for second stage surgical re-entry.

Several factors affect the choice of the treatment approach which includes, the achievement of primary stability of the implant, the risk of immediate loading and the desire to utilise the implant’s functionality quickly. Other factors to be considered are the skill and experience of the clinician.

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The main advantages of the Maxi Iimplant over conventional implants are:

•Minimal site preparation: less chance of overheating the bone, saving time and potential costs. •Improved primary (rigid) fixation: due to the self-tapping created by the unique buttress thread design and the auto-expansion and compression. •Can be used in thinner bone: as they are tapered and automatically expand the bone. There is less need for grafting materials and therefore savings for patients in terms of time, money and trauma. •Design is tailored for immediate loading.

The OsteoCare™ Maxi implant is a two-piece system with a wide range of implant lengths and sizes that enables most anatomical situations to be catered for. The available diameters are: 3.20, 3.75 & 4.50mm. The available lengths are: 13, 15 & 17mm.Diameter Length3.2mm 13mm 15mm 17mm3.75mm 13mm 15mm 17mm4.5mm 13mm 15mm 17mm

Implant Micro-design Implant Macro-design:

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Step by step surgical protocol of Maxi Implant

Site Preparation(Drilling)

Implant Placement

Fixation of Cover Screw

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Abutment Fixation & Delivery of the Restoration

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Maxi Z Dental ImplantFollowing the great success of our standard Maxi Implant, Dr. Amr Zahran, the Scientific Consultant of OsteoCare™ in collaboration with Mr. John Gauld, OsteoCare™’s Consultant Engineer, have modified the crestal module design of the standard Maxi implant to produce the new Maxi-Z implant.

OsteoCare™’s new Maxi-Z implant has broadened the indications and advantages of the standard Maxi implants. The Maxi-Z implant design has improved the aesthetic outcome in the anterior aesthetic zone by giving a better emergence profile due to its submerged surgical positioning. Its submerged position facilitates placement of abutments that penetrate the soft tissue to allow formation of the mucosal sulcus and support of the peri-implant soft tissue. To achieve an acceptable aesthetic gingival contour and natural emergence profile of the final restoration. It also allows placement of implants in the lower posterior molar area.

As with the standard Maxi implants, the new Maxi-Z implant has buttress form threads with OsteoCare™’s unique GBA (grit-blasted and acid etched) surface. These features give the Maxi Z implant the advantage of allowing for the compression and expansion of the bony site and to achieve high primary stability in even poor quality bone.

Besides having the same advantages of the standard Maxi implant, the Maxi-Z implant design has added the following advantages:

1.The smaller platform of Maxi Z is less traumatic to the soft tissue.2.Its platform design permits positioning of the implant according to the submerged surgical protocol.3.The platform design gives a better aesthetic emergence profile, especially in the anterior aesthetic zone and in cases with atrophic ridges.4.Its crestal module design results in minimal marginal bone resorption due to the protective platform design that decreases the overloading of the crestal bone.5.More convenient for placement in healed bony sites.6.It is suitable to be used in the lower posterior molar area.7.More convenient and familiar for Classic Advanced implant users as it has the same platform.

Indications:

•One-stage Immediate Functional Loading.•One-stage Delayed Function. •Two-stage Delayed Function.•Immediate post-extraction and late implantation.•Suitable for the lower posterior molar area.

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The OsteoCare™ Maxi Z implant is a two-piece system with a wide range of implant lengths and sizes that enables most anatomical situations to be catered for. The available diameters are: 3.75, 4.50 & 5.50mm. The available lengths are: 11, 13, 15 & 17mm.

Diameter Length3.75mm 11mm 13mm 15mm 17mm4.50mm 11mm 13mm 15mm 17mm5.50mm 11mm 13mm 15mm -

Implant Micro-design Implant Macro-design

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Step by step surgical protocol of Maxi Z Implant

Site Preparation(Drilling)

Implant Placement

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Abutment Fixation & Delivery of the Restoration

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Universal Surgical Kit The Universal Surgical Kit was devised to accommodate all of our system’s tools; Mini, Midi & Maxi, as well as our conventional Classic Advanced and Advanced implants. Its concept is to benefit the clinician from an economic and organisational aspect, as all systems can be catered for from one kit, thus keeping the cost low.

The cover and base of the OsteoCare™ surgical tray are manufactured of fine materials that accept sterilization and autoclaving. The instruments are clearly arranged and well-organized in an ergonomic sequence of use to ensure simple surgical procedures. Besides the implant specific drills for preparation of the implant site, the OsteoCare™ surgical tray contains different forms of implant drivers and screwdrivers for the ratchet wrench and hand-piece. OsteoCare™ universal surgical tray also includes the bone taps, trial abutments and all the accessories that the clinician would need.

Components of the OsteoCare™ Universal Surgical Kit

Components UsagePilot drill 2.2 Pilot osteotomy preparationDrill 2.5 Sequential drillingDrill 2.75 Drilling to place Ø 3.00mm Classic Advanced ImplantDrill 3.25 to place Ø 3.75mm Classic Advanced & Advanced

ImplantsDrill 4.00 to place Ø 4.50mm Classic Advanced & Advanced

ImplantsDrill 4.40 Drilling to place Ø 5.50mm Classic Advanced ImplantDrill 4.80 Drilling to place Ø 5.50mm Classic Advanced Implant

(D1)Long Mini bur Osteotomy preparation for Mini, Midi, Maxi & Maxi ZShort Mini bur Osteotomy preparation for Mini, Midi, Maxi & Maxi ZBur extender Add length to drills and any latch-type driversDrill cleaner To clean the internal irrigation holeTrial abutments Determination of abutment angulationsRotation Tool Alignment of Trial abutmentHandle hex driver 2.2 Placement of all OsteoCare™ two-piece implantsHandle hex driver 1.5 To tighten screws of abutments, healing collars..etc.Ratchet Compatible with all OsteoCare™ Implant driversTorque wrench 30N/cm Calibrated wrench, precisely deliver proper torque

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Osteotomy probe Measurement of the osteotomy, socket & dehiscence defects

Tweezer Handling of the implantOver hex driver 2.4 long Placement of Midi Implants Ø3.3-4.3mmOver hex driver 1.9 long Placement of Mini Implants Ø2.35-2.8mmOver hex driver 2.4 short Placement of Midi Implants Ø3.3-4.3mmOver hex driver 1.9short Placement of Mini Implants Ø2.35-2.8mmOverhex handpiece 2.4 Motorised Placement of Mini/Midi Implants with white

carriersOverhex handpiece 1.9 Motorised Placement of Mini/Midi Implants with black

carriersTorque Wrench Connector Long To tighten screws of abutments at 30N/cmTorque Wrench Connector Short To tighten screws of abutments at 30N/cmHex driver 2.2 long Placement of all OsteoCare™ two-piece implantsHex driver 2.2 short Placement of all OsteoCare™ two-piece implantsSingle Tap 3, 3.75, 4.5, 5 Tapping in dense bone for single start threaded im-

plantsTwin tap 3.75, 4.5 Tapping in dense bone for twin threaded implants

The universal surgical kit has three different instrument configurations according to the clinicians needs and expertise, the nature of the implant procedures and the types of OsteoCare™ implants that the clinician intends to use. The components contained within the basic surgical kit enable the clinician to take the first steps towards a career in Implantology. The set-up of the advanced kit, will enable the existing implantologist to conduct the full range of treatment options. Whilst the set-up of the professional kit, covers all clinical scenarios, that implantologists may face.

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# Item Basic surgical kit Advanced kit Professional Kit7 Pilot drill 2.2 + + +6 Drill 2.75 + + +5 Drill 3.25 + + +4 Drill 3.75 + + +3 Drill 4.00 + + +2 Drill 4.40 + +1 Drill 4.80 + +8 Long Mini bur + + +9 Short Mini bur + +

10 Drill cleaner + + +11 Bur extender + +12 Trial abutments + +13 Rotation tool + +14 Tweezer + + +15 Long Handle hex driver 2.2mm +16 Long Handle hex driver 1.5mm + +17 Ratchet + + +18 Torque wrench + +19 Osteotomy probe + +20 Over hex driver 1.9 long + + +21 Over hex driver 2.4 long + + +22 Over hex driver 1.9 short + +23 Over hex driver 2.4 short + +24 Overhex handpiece 1.9 +25 Overhex handpiece 2.4 +26 Torque connector 1.5 short +27 Torque Wrench Connector Long +28 Driver 1.5 + + +29 Hex driver 2.2 long + + +30 Hex driver 2.2 short + +31 Single Pilot Tap 3, 3.75, 4.5, 5 +32 Twin Pilot tap 3.75, 4.5mm + +

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Osteotomy Universal BursRotary preparation of the implant osteotomy site:

OsteoCare™ has produced a unique system of sequential osteotomy universal burs (drills) with high cutting efficiency. These osteotomy burs were designed by Dr. Barry Edwards, and are internally irrigated and triple fluted, allowing for balanced and cool drilling. The burs are made from titanium alloy (6ALV4) and allow smooth precise bone drilling of the implant site with high cutting efficiency. All burs are colour coded to facilitate easy identification of the diameter. These come in seven diameters 2.20 (White), 2.50 (Red), 2.75 (Yellow), 3.25 (Blue), 4.00 (Green), 4.40 (Green/Purple) 4.80 (Purple). From the tip to the first marking is 6.0mm and then at 1mm increments. The first space denotes 10mm and a further 4 markings are to 15mm.Drilling speed should be kept low (never exceeding 2000 rpm) and intermittent pressure applied where bone is dense. Preparation of the site starts with the white 2.20mm pilot osteotomy bur and continues sequentially through the colour coded burs until the bur corresponding to the planned implant is reached.

Osteotomy Universal BurDiameter Length Implant diameter Recommended max. cutting speed2.20mm 18mm - 2000 rpm2.50mm 18mm - 1750 rpm2.75mm 18mm 3.00mm 1530 rpm3.25mm 18mm 3.75mm 1175 rpm4.00mm 18mm 4.5mm 950 rpm4.40mm 18mm 5.5mm 850 rpm4.80mm 18mm 5.5mm in Dense bone 800 rpm

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Trial AbutmentsThis series of 10 components is matched to the range of Bio-zone definitive abutments, a range of 10 abutments covering angles from 0º-45º in 5º increments, and supplied in universal diameters. Manufactured from Titanium alloy with a 1.8mm alignment rod and 2.2mm hex on the base, the trial abutments may be introduced into any OsteoCare™ two-piece dental implant, allowing that implant to be turned using the Rotation Tool. The parallel-sided alignment rod gives a visual appreciation of the direction of the abutment.

Use of trial abutments ensures that a restorative option is available, which fits within the intended prosthetic envelope and allows definitive abutment selection at the first surgical stage.

Additional uses are to position the implant to a specific depth and to rotate the implant to the required position mesio-distally. Trial abutments may also be used at the second surgical stage to confirm measurements made earlier. At this time, the only change that can be made is the selection of a different angle of abutment, as the implant will have undergone osseointegration.

Trial abutments are employed following implant placement. The zero degrees trial abutment, is inserted until the internal hex of the implant is engaged. This gives an indication of any angular correction, that is required. The trial abutment that produces the best alignment is selected and inserted into the implant to engage the hex. The implant is rotated if subtle alterations are required. A diagnostic template is used to ensure that the trial abutment is correctly positioned within the prosthetic envelope i.e. the space intended for restoration.

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OsteoCare™ Classic Advanced ImplantThe OsteoCare™ Classic Advanced Implant system consists of straight two-piece threaded straight implants with an internal hex connection. Our hugely successful Classic Advanced Implant system has been in existence for eight years, however its roots can be traced further back in history. Two of the pioneers of Implantology, Dr. Hilt Tatum (USA) and Dr. Barry Edwards (Australia), had ingenious and innovative ideas that were the basis of the OsteoCare™ Classic Advanced Implant.

The Classic Advanced Implant is considered the most scientifically documented and original implant design system from OsteoCare™. It is a straight parallel walled implant with a standard shaped Branemark type threads which has been shown to provide greater bone surface contact. The new design of the Classic Advanced Implant incorporates twin-start threads that provide faster implant insertion and higher initial stability.

All the sizes of Classic Advanced Implants (except 3.0mm ø), are made from Grade II Titanium (ASTB 384). The 3.0mm diameter Classic Advanced Implant is made from Titanium alloy 6AL-4V ELI (Extra Low Interstitial).

As with all OsteoCare™ implant products, the Classic Advanced Implant has a GBA surface treatment which reflects the future trends and scientific advances of surface treatment that allow faster and stronger osseointegration.

The Classic Advanced Implant is one of the most versatile systems which OsteoCare™ has provided to ensure safety and reliability in all situations. The objective of the Classic Advanced Implant is to replace missing teeth and associated supporting structures by providing a stable foundation for functional and aesthetic dental restorations.

The Classic Advanced Implant’s internal hex design, features an inward bevel in the coronal aspect of the implant, which further enhances greater abutment stability.

With the Osteocare™ Classic Advanced system, three broad categories of restorations are possible:

•Cement-retained restoration: the Screw Retained Abutment (SRA) is screwed into the implant and the restoration is cemented to the abutment. •Screw retained restoration: the restoration is retained by screws, directly to an abutment or directly to an implant. •Overdenture restorations: the restoration is retained with a Screw Retained Ball AttachmentAbutment (SRBA). Additionally, there are a wide range of overdenture solutions to aid the treatment of the fully edentulous patient.

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Implant Size & Length Options

Classic Advanced Implants are available in a wide range of sizes and lengths. There are 4 different diameters (3.00mm, 3.75mm, 4.50mm and 5.50mm) with a wide range of lengths of one millimetre increments starting from 8mm - 18mm. This diversity of lengths is the widest on the market that can cater to all professional preferences and to each single clinical case.

Diameter Length3.00mm 10-16mm3.75mm 08-18mm4.50mm 08-16mm5.50mm 08-14mm

Implant Macro-design & Micro-design :

The OsteoCare™ Classic Advanced Implant design geometry was created to allow simple and quick placement, whilst providing maximum initial stability and atraumatic insertion in all types of bone. The implant macro-design of the Classic Advanced Implant is optimised to meet the various clinical requirements, with the final goal of making easier and more predictable implant treatment outcomes.

Classic Advanced Implants have been designed to allow submerged healing. However if all the biomechanical requirements are met, they can be immediately loaded after placement. All these versatile treatment options have been made available due to the straight parallel-walled implant design as well as the standard shape Branemark type threads. All these implant design features have been shown to provide greater bone surface contact and higher rigid fixation.

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Step by step surgical protocol of Classic Advanced Implant

Soft Tissue Punching

Implant Placement & Site Preparation (Drilling)

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Implant Placement

Fixation of The Cover Screw

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Classic Advanced Implant Drilling Sequence

3.00mm Ø Implant

2.20mmDrill

2.50mmDrill

2.75mmDrill

BoneTap

3.00mmImplant

2.20mmDrill

2.50mmDrill

2.75mmDrill

BoneTap

3.75mmImplant

3.75mm Ø Implant

3.25mmDrill

2.20mmDrill

2.50mmDrill

2.75mmDrill

BoneTap

4.50mmImplant

3.25mmDrill

4.00mmDrill

4.50mm Ø Implant

2.20mmDrill

2.50mmDrill

2.75mmDrill

4.80mmDrill

3.25mmDrill

4.00mmDrill

BoneTap

5.50mmImplant

4.80mmDrill

5.50mm Ø Implant

N.B: Bone tapping is an optional step to be used in cases with hard (D1) bone.

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Advanced ImplantOsteoCare™ has introduced to its implant range the new ‘Advanced’ Implant, incorporating many of the current clinical developments seen in implantology today. The fundamental design and features of the OsteoCare™ Advanced Implant, allow and improve the surgical approach of immediate post-extraction implantation. It simplifies implant placement into extraction sites aids and facilitates gaining of immediate retention within the socket.

The introduction of a tapered wide neck has several advantages:•Increased implant-to-bone contact enhances primary stability when used as an ‘Immediate post-extraction Implant’ (at the time of extraction). •Reduces the need for using bone grafts to fill the gap between the crestal part of the extraction socket and the implant.•Flaring of the implant towards the abutment allows optimal emergence profile and enhanced aesthetics.

•Having micro-threads at the flared neck reduces the possibility of crestal bone resorption and improves the possibility of osseointegration at the flared crestal part of the implant. Micro-threads and grooves enhance and attract more osteoblasts to lay down bone. •The wide neck improves contact with cortical bone reducing the risk of inadvertent displacement into the maxillary sinus.

OsteoCare™ Advanced implants are made from Grade II Titanium (ASTB 384). The use of this material for surgical implant applications is referred to in ASTM Standard Designation F1341.

As with all OsteoCare™ implant products, the Advanced Implant has a GBA surface treatment. Our special GBA (grit-blasted and acid etched) roughened surface morphology creates a larger surface area for stronger and earlier osseointegration.

A Twin-Start-Thread is provided on the Advanced Implant with the advantage that it allows the implant to be placed in poor quality bone, the thread radically enhances primary stability. In type II or type III bone the opportunity to immediately or early load is maximised. Insertion is at double the speed in comparison to single threaded implant designs, thus facilitating easier implant placement.

The grooving and acid etching of the tapered neck give a micro-roughened surface. This allows for prevention of marginal bone loss via shear forces, but is smooth enough to minimise bacterial loading in the event of soft tissue breakdown.

The Advanced OsteoCare™ Implant has the familiar internal hex that facilitates easy abutment attachment with the current range of angled abutments. This implant has shown a high success rate over an extended period of time. Research indicates that certain modifications can improve outcomes in situations where poor quality bone is assessed and where early loading is anticipated and can prove to be beneficial in the long term. The introduction of the Advanced Implant means that the surgeon can now confidently tackle a wider range of surgical scenarios.

The Advanced Implant utilises standard OsteoCare™ instrumentation (Universal surgical Kit). No investment in new instrumentation is required, staying inline with OsteoCare’s philosophy of keeping implantology affordable.

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With the expertise provided by Dr. John Murray and Mr. John Gauld, OsteoCare’s Consultant Engineer, the Advanced Implant was designed and produced. Since then, needless to say the Advanced Implant was an immediate success and quickly became the best selling implant that the company had produced.

Implant Diameters & LengthsAdvanced implants are available in two diameters with wide range of lengths. The two diameters are 3.75mm and 4.50mm, while lengths are of one millimetre increments starting from 8mm, up to 18mm.

Diameter Length3.75mm 08-18mm4.50mm 08-16mm

Implant Macro-design & Micro-design :

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Step by step surgical protocol of Advanced Implant

Extraction & Site Preparation(Drilling)

Implant Placement

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Implant Placement & Fixation of The Cover Screw

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Advanced Implant Drilling Sequence & Immediate Post-Extraction Placement

2.20mmDrill

2.50mmDrill

2.75mmDrill

3.25mmDrill

Hand Placment

RatchetWrench

3.75mmImplant

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OsteoCare™ Prosthetics Parts

OsteoCare™ prosthetic parts, which are compatible and match the same diameter of all two-piece implant lines, provides professionals with one of the widest range of options in the market, for every kind of restoration (single, multiple and overdenture) and for all techniques (single or two stages).

From the prosthetic platform up, all OsteoCare™ two-piece implants are identical. So the prosthetic procedure is similar with all the types of implants.

OsteoCare™ Implant-Abutment Internal Hex Connection System

Surgical versatility with unlimited prosthetic flexibility is provided through the universal internal hex connection of all OsteoCare™ two-piece implants. With more than 100 abutment options (standard, angled, direct cast abutments and ball attachments for overdenture), OsteoCare™ offers one of the widest possibilities of prosthetic choice in the international scene.

The OsteoCare™ implant-abutment internal hex connection system was created by an alliance of implantologists, technicians and engineers. This kind of original internal hex connection between the implant and the abutment allows better tightening and better distribution of masticatory forces. Micro-movements are reduced to the minimum level. The OsteoCare™ deep internal hex distributes forces deeper within the implant, shielding the retention screw from excessive loading.

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OsteoCare™ gives importance to the precise matching between implant and abutment, without exceeding neither profiles nor gaps. This high precision avoids any fluid infiltration or stagnation of bacterial plaque and firmly contributes to maintain a healthy peri-implant sulcular condition.

Advantages of the OsteoCare™ Implant-Abutment Internal Hex Connection:

•Anti-rotational element and high mechanical stability of the connection.•Improves ability to seat the abutment easily and correctly.•Simple abutment positioning in 6 rotational directions.•Increases tightening between implant and abutment, providing stability and strength to the implant and avoiding high stress on the tightened screw.•Deep internal hex with parallel walls which is more favourable for immediate functional loading due to its superior biomechanical characteristics.•Reduces screw loosening which means less time spent on adjustments and remakes.•No fluid or bacteria penetration which maintains the peri-implant health condition.•Decreased crestal bone resorption over time.

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Procedure with Submerged HealingSecond Surgical Stage (Re-entry Procedure)

Healing Collar

OsteoCare™ Healing Collars are perfectly designed for contouring the soft tissue after the second stage re-entry of osseointegrated implants. They are made of pure titanium with a machine-polished surface. They are available in short and long lengths as well as 3 diameters (3.75mm, 4.50mm and 5.00mm). They match the implant diameters 3.0 – 5.5mm and flare to meet the prosthetic diameters of the crown abutments. There is a 1.5 mm internal hex in the centre of the top surface that accommodates the 1.5 hex driver.

OsteoCare™ Healing Collars ensures a symmetrical moulding of the peri-implant mucosa due to a favourable attachment of the soft tissue to the machine-polished surface.

Fixation of The Healing Collar

Soft Tissue Punching

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Impression Transfer

Precise impression taking at the implant crestal module level can be reproduced with the OsteoCare™ impression transfers. This technique is used for exact reproduction of the vertical and horizontal implant position and orientation of the internal hex.

OsteoCare™ impression transfers are designed to transfer the soft tissue profile as well as the implant’s position. Indirect impression transfers remain attached to the implants when the closed-tray impression is removed from the mouth. The impression transfer is then retrieved from the implant, matched to the corresponding implant replica, and placed into its corresponding impression site. To fabricate a working cast containing a replica of the implant in the patient’s mouth, the impression is poured in dental stone.

The OsteoCare™ impression transfers are made from aluminium and are available in three diameters 3.75mm, 4.50mm and 5.50mm . They have retention grooves and flat surfaces for stable positioning in the impression material. There are three parts to this component: the Retaining Screw, the Slip-Hex and the Outer Sleeve. The Slip-Hex has a hex at the working end and is round at the non-working end.

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The OsteoCare™ Implant Replica for Laboratory Use.Exact and precise replica of all OsteoCare™ Implant products.

The OsteoCare™ Implant Replica transfers the implant working base for the dental technician when impressions are made at the implant crestal module level. The top of the implant replica in

the master cast matches the platform of the implant in the patient’s mouth.

The OsteoCare™ Implant Replica is manufactured of stainless steel for diameters of 3.75mm, 4.50mm and 5.50 mm. They have the identical precise internal hex and connection geometry of the exact implant.

OsteoCare™ also offers ball attachment replicas to replicate the ball type Mini & Midi implants as well as the ball connections attached to two-piece implants. The ball attachment replicas are available in two sizes, to replicate the 1.8mm ball with 1.9mm hex and the 1.8mm ball with 2.4mm hex. To replicate 2.0mm and 2.3mm ball types, an implant replica is used in conjunction with the one- piece or two-piece ball attachment.

The external surface of the implant replica has retentive knurled grooves to prevent its rotation inside the master cast. There is also a circular groove for additional horizontal stabilization.

The OsteoCare™ Implant Replica transfers all relevant information from the clinical implant position in the patient’s oral cavity to the master cast. Its retentive external geometry ensures absolute stable anchoring in the model. The position of the internal hex, the implant axis and the relation to the soft tissue crest are exactly transferred.

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OsteoCare™ Peek Prosthetic Products

Peek Healing Collars

In this age of soft tissue management, it is an advantage to have straight or angled abutments and healing collars. OsteoCare™ is the only system on the market to match all its angled components with the same angled Healing Collars, thus enhancing the soft tissue contour.

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Peek Transfer Abutment Peek is a very hard, autoclaveable plastic that can be manufactured to very fine tolerances. Once the implant has been exposed and is ready for restoring, a peek abutment of the appropriate angle is chosen. Peek Transfer Abutments are available in all angles from 0º to 45º. They can be inserted into each implant and retained using an abutment retaining screw. A conventional addition/condensation cured silicone or polyether impression is taken. The peek abutment is removed, attached to an implant replica, and then inserted into the impression. With the laboratory implant replica attached, the exact reproduction of the vertical and horizontal implant position can be achieved on the master cast.

OsteoCare™ Peek Transfer Abutments can be used as a temporary abutment that can support a provisional single or multiple unit restoration. After implantation, the provisional abutment is fixed in the implant and the form of the surrounding mucosa is marked on the abutment. The abutment is then modified accordingly and polished in the Laboratory. After re-insertion in the mouth, the screw is covered with wax and a prefabricated temporary crown is relined to fit, or a chair-side temporary is made. The crown is placed with temporary cement.

The advantages of the Peek Transfer System are:

• It is comparatively inexpensive compared to similar implant systems.• It can be used on single or multiple cases and the abutments can be used a number of times.• Autoclaveable, so it can be used repeatedly for six cases.• It can be used as a temporary abutment (no longer than 30 days).• Cost effective.

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OsteoCare™ Abutments

Screw Retained Abutments (SRA)

The OsteoCare™ SRA abutments are used to connect single or multi-unit restorations to the implant, such as fixed crowns or bridges. In addition to their function as a base for the restoration, they also transfer occlusal forces to the implant via the restoration. The OsteoCare™ abutment is made of titanium alloy (Ti/6Al/4V) and can be prepared if necessary. The diameters of the abutments are 3.75mm, 4.50mm and 5.10mm and they have 2.2mm wide external hex for anti-rotational telescopic fixation to the implant internal hex.

Dr. Barry Edwards, the pioneer of screw-retained angled abutments, was influential in the development of the OsteoCare™ range of angled abutments, from 0º- 45º. SRA abutments are available in increments of 5º angles that give the clinician a choice of ten different angulations.

SRA abutments can be prepared by diamond or carbide burs, then a direct impression is taken using conventional crown and bridge techniques. Alternatively, an impression transfer can be used for an indirect impression taking of the implant, allowing the laboratory to prepare the abutment and fabricate the restoration.

At the stage of restoration delivery, the SRA abutment is seated and fixed to the implant internal hex by a retaining screw. The screw has a 1.5mm hex and it is compatible with the 1.5mm hex drivers and handle drivers. The screw is tightened intra-orally to 30N/cm and checked by the torque wrench.

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One-Piece and Screw Retained Ball Attachment Abutments (SRBA)

The Ball Attachment is designed to retain overdentures to implants placed at angles from 0° to 45°. The one-piece component is used to accommodate implant angulations from 0° to 15°. The two-piece SRBA is already angulated from 15° to 45°. The SRBAs are manufactured from Titanium alloy (Ti/6Al/4V). The two-piece SRBA is dimensionally the same as the Screw Retained Abutments (SRA), with the addition of a 2mm or 2.3mm ball on the coronal end of the attachment. The 2mm ball allows connection to the OsteoCare™ Standard connection while the 2.3mm ball allows connection to a Dalbo retentive anchor.

The one-piece SRBA is seated and fixed to the implant directly while the two-piece SRBA abutment is seated and fixed to the implant internal hex by retaining screw, then they are processed into the denture base either chair-side or at the dental laboratory.

The impression is taken by the indirect impression technique using the impression transfers. The one-piece or two-piece SRBA with the implant replica is used in the laboratory to assist in processing the desired retentive anchor into the denture. The laboratory processes the ‘O’ ring housing or the Dalbo retentive anchorage into the denture.

At the stage of overdenture delivery, the SRBA abutments are seated and fixed to the implant internal hex directly if the one-piece component is used, or by retaining screws if the two-piece component is used. The screw is tightened intra-orally to 30N/cm and checked by the torque wrench.

The ball anchors of the Dalbo female parts, which have a diameter of 2.3mm, have been optimally adapted to meet the biomechanical and volumetric requirements of an implant-retained removable full denture. This type of anchor has numerous advantages: minimum space requirement, biocompatibility, easy activation and de-activation, quick replacement, easy maintenance and adequate retention.

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Direct Cast Abutment (DCA)(For Laboratory Use)

Direct Cast Abutments (DCA) are used for the fabrication of custom made abutments and screw retained restorations, using a wax-up and cast-on technique, to facilitate the fabrication of screw retained prosthesis. The DCA is also available with gold interface for precise implant abutment connection. The DCA is made of Delrin, this is a plastic which will burn out whilst leaving no residue within the matrix. It can be cut to the exact length and wax added to the required dimension, whether it is for a Crown, Bridge or Overdenture.

Advantages:•Used for Single, Partial or full mouth restorations.•Suitable for all positions in the mouth.•Can be customised to soft tissue contours to ensure the ideal emergence profile.•Able to compensate for angulation and misalignment of implants.•Porcelain modifications can be made around the margin to satisfy patient expectations in the aesthetic zone.•Excellent aesthetic results.

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OsteoCare™ Surgical Accessories

Socket Formers

This kit of seven instruments is intended as an alternative to/or for use in conjunction with osteotomy burs to prepare implant sites in the maxilla. The site marker and the pilot socket former are comprised of inserts manufactured from stainless steel with titanium alloy handles. The remaining five instruments are exclusively made of titanium alloy.

Use is in sequence of increasing diameter, commencing with the pilot socket former, followed if required by a pilot osteotomy bur. Specific application is in preparation of an implant osteotomy in low-density bone, or (where expansion of a narrow alveolar ridge is required) in conjunction with ridge expanders. An additional use of socket formers is for internal sinus floor elevation. The instruments are round in cross section and are calibrated in 2mm intervals commencing 10mm from the tip. The first 10mm of the instruments are tapered and the calibrated portions are parallel sided.

Socket formers are used in a sequence of increasing diameters, where the taper on one instrument assists seating of the next, provided each is placed to a depth of at least 10mm. The instruments are colour coded and correspond to osteotomy burs and implant diameter.

Instrument Table

Code Instrument Material ColourSM Site Marker Titanium Alloy/Hardened St. BlackPSF Pilot Socket Former Titanium Alloy/Hardened St. WhiteISF 275 Implant Socket Former Titanium Alloy RedISF 300 Implant Socket Former Titanium Alloy YellowISF 375 Implant Socket Former Titanium Alloy BlueISF 450 Implant Socket Former Titanium Alloy GreenISF 550 Implant Socket Former Titanium Alloy Purple

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Ridge Expanders

The four Ridge Expanders are manufactured from hardened stainless steel and sharpened for precise separation of cortical plates. They are ‘D’ shaped or parabolic in cross section, supplied in four widths and calibrated from the working tips at 10mm, 15mm, 20mm. The instrument size can be identified by circumferential grooves on the handle. Intended use is expansion of the maxillary ridge, to create adequate width for implant placement and to recontour the labial plate. The ‘D’ shape prevents buccal fracture by extending the expansion over a great distance. Use is with the flat side toward the palate and the convex side to the labial. Ridge expanders may be used in conjunction with socket formers and osteotomy burs if simultaneous placement of implants is under-taken, and they can also be used for separation of the cortical plates for inter-positional grafting.

The Graft Fixation Screws

The Graft Fixation Screws are manufactured from Titanium alloy (Ti/6Al/4V) and are available in 3 lengths: 9, 11, and 13mm. The screws are comprised of a head that is 3mm wide and 0.8mm high. The head is serrated and has a hexagonal recess of 1.5mm to enable it to be engaged by the Abutment Driver, Bur or Hand Tool. Graft Fixation Screws are intended for the fixing of autogenous cortico-cancellous or cortical bone blocks. The screws are used to fix the bone graft to the host bone. The graft is allowed to heal for a period of 4 - 6 months and once incorporated the screws are removed prior to the insertion of the implants.

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OsteoCare™ Implant SystemProduct Index

Mini/Midi Implants- Ball TypeCode Diameter LengthIM-MBT235-100 2.35mm 10mmIM-MBT235-130 2.35mm 13mmIM-MBT280-100 2.80mm 10mmIM-MBT280-130 2.80mm 13mmIM-MBT330-100 3.30mm 10mmIM-MBT330-130 3.30mm 13mmIM-MBT330-160 3.30mm 16mmIM-MBT380-100 3.80mm 10mmIM-MBT380-130 3.80mm 13mmIM-MBT380-160 3.80mm 16mmIM-MBT430-100 4.30mm 10mmIM-MBT430-130 4.30mm 13mmIM-MBT430-160 4.30mm 16mm

‘O’ Ring Housing Polycarbonate – (Ball Type)Code DescriptionCO-HMI-180

Mini/Midi Implants – Post TypeCode Diameter LengthIM-MNP235-100 2.35mm 10mmIM-MNP235-130 2.35mm 13mmIM-MNP280-100 2.80mm 10mmIM-MNP280-130 2.80mm 13mmIM-MNP330-100 3.30mm 10mmIM-MNP330-130 3.30mm 13mmIM-MNP330-160 3.30mm 16mmIM-MNP380-100 3.80mm 10mmIM-MNP380-130 3.80mm 13mmIM-MNP380-160 3.80mm 16mmIM-MNP430-100 4.30mm 10mmIM-MNP430-130 4.30mm 13mmIM-MNP430-160 4.30mm 16mm

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Maxi Implants Code Diameter LengthIM-MAX320-130 3.20mm 13mmIM-MAX320-150 3.20mm 15mmIM-MAX320-170 3.20mm 17mmIM-MAX375-130 3.75mm 13mmIM-MAX375-150 3.75mm 15mmIM-MAX375-170 3.75mm 17mmIM-MAX450-130 4.50mm 13mmIM-MAX450-150 4.50mm 15mmIM-MAX450-170 4.50mm 17mm

Maxi-Z Implants Code Diameter LengthIM-MAXZ375-110 3.75mm 11mmIM-MAXZ375-130 3.75mm 13mmIM-MAXZ375-150 3.75mm 15mmIM-MAXZ375-170 3.75mm 17mmIM-MAXZ450-110 4.50mm 11mmIM-MAXZ450-130 4.50mm 13mmIM-MAXZ450-150 4.50mm 15mmIM-MAXZ450-170 4.50mm 17mmIM-MAXZ550-110 5.50mm 11mmIM-MAXZ550-130 5.50mm 13mmIM-MAXZ550-150 5.50mm 15mm

Classic Advanced ImplantsCode Diameter LengthIM-CA300-010-016 3.00mm 10-16mmIM-CA375-008-018 3.75mm 08-18mmIM-CA450-008-016 4.50mm 08-16mmIM-CA550-008-014 5.50mm 08-14mm

Advanced ImplantsCode Diameter LengthIM-A375-008-018 3.75mm 08-18mm IM-A450-008-016 4.50mm 08-16mm

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Abutments, Angled, Screw Retained (Titanium)Code Diameter AngleCO-SRA3-000-045 3.75mm 0º- 45ºCO-SRA4-000-045 4.50mm 0º- 45ºCO-SRA5-000-030 5.10mm 0º- 30º

(Including screw)

Abutment Fastening Screws (Titanium)Code Diameter LengthCO-AFS-01L 1.5mm Hex LongCO-AFS-01S 1.5mm Hex Short

Ball Atachments (One-Piece) 2.0mm ballCode Diameter DescriptionCO-BA3OP-00S 3.75mm 2.00mm Ball Attachment 0º Short CO-BA3OP-00L 3.75mm 2.00mm Ball Attachment 0º LongCO-BA4OP-00S 4.50mm 2.00mm Ball Attachment 0º ShortCO-BA4OP-00L 4.50mm 2.00mm Ball Attachment 0º LongCO-BA5OP-00S 5.00mm 2.00mm Ball Attachment 0º ShortCO-BA5OP-00L 5.00mm 2.00mm Ball Attachment 0º Long

Ball Attachments (One-Piece) 2.3mm ball (Dalbo)Code Diameter DescriptionCO-BA3DP-00L 3.75mm 2.30mm Ball Attachment 0º LongCO-BA3DP-00S 3.75mm 2.30mm Ball Attachment 0º ShortCO-BA4DP-00L 4.50mm 2.30mm Ball Attachment 0º LongCO-BA4DP-00S 4.50mm 2.30mm Ball Attachment 0º ShortCO-BA5DP-00L 5.00mm 2.30mm Ball Attachment 0º LongCO-BA5DP-00S 5.00mm 2.30mm Ball Attachment 0º Short

Ball Attachments, Screw Retained (Two-Piece) 2.0mm ballCode Diameter DescriptionCO-BA4O-15 4.50mm 2.00mm Ball Attachment 15ºCO-BA4O-20 4.50mm 2.00mm Ball Attachment 20ºCO-BA4O-25 4.50mm 2.00mm Ball Attachment 25ºCO-BA4O-30 4.50mm 2.00mm Ball Attachment 30ºCO-BA4O-35 4.50mm 2.00mm Ball Attachment 35ºCO-BA4O-40 4.50mm 2.00mm Ball Attachment 40ºCO-BA4O-45 4.50mm 2.00mm Ball Attachment 45º

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Ball Attachments, Screw Retained (Two-Piece) 2.3mm ball (Dalbo)Code Diameter DescriptionCO-BA4D-15 4.50mm 2.30mm Ball Attachment 15ºCO-BA4D-20 4.50mm 2.30mm Ball Attachment 20ºCO-BA4D-25 4.50mm 2.30mm Ball Attachment 25ºCO-BA4D-30 4.50mm 2.30mm Ball Attachment 30ºCO-BA4D-35 4.50mm 2.30mm Ball Attachment 35ºCO-BA4D-40 4.50mm 2.30mm Ball Attachment 40ºCO-BA4D-45 4.50mm 2.30mm Ball Attachment 45º

Ball Attachments, AccessoriesCode DescriptionCO-BAR-001 Ball Attachment ReplicaCO-ROS-200 Rubber ‘O’ Ring and SleeveCO-RO4-200 Rubber ‘O’ Ring and Pack of 4CO-DPD-001 Dalbo Plus S-Driver/ ActivatorCO-DRA-001 Dalbo Retentive Anchor

Direct Cast AbutmentsCode DescriptionCO-BCG-450 DCA Gold Interface (Bridge) RoundCO-DCA-450 Direct Cast Abutment (with Hex)CO-DCG-450 DCA Gold Interface (with Hex)CO-SCA-450 Swiss Direct Cast AbutmentCO-SCG-450 Swiss DCA Gold Interface

Healing Collars, TitaniumCode Diameter LengthCO-HCL-375 3.75mm LongCO-HCS-375 3.75mm ShortCO-HCL-450 4.50mm LongCO-HCS-450 4.50mm ShortCO-HCL-500 5.00mm LongCO-HCX-500 5.00mm Extra LongCO-HCS-500 5.00mm Short

Peek Impression Transfer and (Temporary Abutment)Code Diameter AngleCO-TAP4-000-045 4.50mm 0°- 45°CO-TAP5-000-030 5.00mm 0°- 30°

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Peek Plastic Angled Healing Collars, Long and ShortCode Diameter LengthCO-HAL4-000-045 4.50mm LongCO-HAL5-000-030 5.00mm LongCO-HAS4-000-045 4.50mm ShortCO-HAS5-000-030 5.00mm Short

Impression TransferCode DescriptionCO-IMT-375 Impression Transfer 3.75 (complete)CO-IMT-450 Impression Transfer 4.50 (complete)CO-IMT-550 Impression Transfer 5.50 (complete)CO-IMT-SL3 Transfer Outer Sleeve 3.75CO-IMT-SL4 Transfer Outer Sleeve 4.50CO-IMT-SL5 Transfer Outer Sleeve 5.50

Miscellaneous ComponentsCode DescriptionCO-OAR-001 Overdenture Abutment ReplicaCO-OAS-001 Overdenture Screw Ret Abutment 0CO-OGC-001 Overdenture Gold CopingCO-TGT-001 Titanium Guide Tubes

Implant ReplicasCode DiameterCO-IRP-300 3.00mmCO-IRP-375 3.75mmCO-IRP-450 4.50mmCO-IRP-550 5.50mmCO-MIRP-190 Replicates the 1.8mm ball with a 1.9mm hexCO-MIRP-240 Replicates the 1.8mm ball with a 2.4mm hex

Surgical KitsCode DescriptionIN-MSKB-SET Mini / Midi surgical kit (Basic)IN-MSKA-SET Mini / Midi surgical kit (Advanced)IN-USKB-SET Universal surgical kit (Basic)IN-USKA-SET Universal surgical kit (Advanced)IN-USKP-SET Universal surgical kit (Professional)

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Dentatus Profile DrillsCode DiameterIN-DPD-01S (Short) 1.3mm IN-DPD-01L (Long) 1.3mm

Osteotomy Universal BurCode Diameter LengthIN-UBR-220 2.20mm 18mmIN-UBR-250 2.50mm 18mmIN-UBR-275 2.75mm 18mmIN-UBR-325 3.25mm 18mmIN-UBR-400 4.00mm 18mmIN-UBR-440 4.40mm 18mmIN-UBR-480 4.80mm 18mm

Bur Cleaner & Bur ExtenderCode DescriptionIN-BRC-001 Bur CleanerIN-BRE-001 Bur Extender

Bone Taps (Single Thread)Code DiameterIN-SBTP-300 3.00mmIN-SBTP-375 3.75mmIN-SBTP-450 4.50mmIN-SBTP-550 5.50mm

Advanced Bone Taps (Twin Thread)Code Diameter DescriptionIN-ABP-375 3.75mm PilotIN-ABP-450 4.50mm Pilot

Trial Abutment Set (Complete)Code DescriptionIN-TAS-SET Trial Abutment Complete Pin Set. Includes 10

angled pins and a rotation tool

Handle Drivers, LongCode DescriptionIN-LHD-150 Long Handle Driver 1.5mm HexIN-LHD-220 Long Handle Driver 2.2mm Hex

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Ratchet and ConnectorsCode DescriptionIN-RAT-220 Ratchet 2.2mm HexIN-RTE-001 Ratchet ExtenderIN-RCD-150 Ratchet Connected Hand Driver 1.5mmIN-RCD-220 Ratchet Connected Hand Driver 2.2mm

Drivers, ShortCode DescriptionIN-SHD-150 Short Hand Driver 1.5mm HexIN-OHD-190 Over Hex Driver 1.9mm HexIN-OHD-240 Over Hex Driver 2.4mm HexIN-OHDS-190 Over Hex Driver Short 1.9mm HexIN-OHDS-240 Over Hex Driver Short 2.4mm HexIN-BPD-150 Bur Hand Piece Driver 1.5mm HexIN-BPD-220 Bur Hand Piece Driver 2.2mm HexIN-BPO-190 Bur Hand Piece Over Hex 1.9mm HexIN-BPO-240 Bur Hand Piece Over Hex 2.4mm Hex

Torque Wrench & ConnectorsCode DescriptionIN-TRW-001 Torque Wrench 30NcmIN-TRC-01S Torque Wrench Connector ShortIN-TRC-01L Torque Wrench Connector Long

Radiographic Stents (overlays)Code DescriptionRS-MMI Mini & Midi implant radiographic stentRS-MZI Maxi & Maxi Z implant radiographic stentRS-CAI Classic Advanced implant radiographic stentRS-AI Advanced implant radiographic stent

Instruments, MiscellaneousCode DescriptionIN-OSP-001 Osteotomy ProbeIN-TTW-001 Titanium TweezersIN-PRE-400 Periosteal Elevator 1IN-PRE-440 Periosteal Elevator 2IN-SLS-001 Sinus Lift Set

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Socket FormersCode DescriptionIN-ISF-SET Socket Former SetIN-ISF-SM1 Site MarkerIN-ISF-PSF Pilot Socket FormerIN-ISF-275 Socket Former 2.75mmIN-ISF-300 Socket Former 3.00mmIN-ISF-375 Socket Former 3.75mmIN-ISF-450 Socket Former 4.50mmIN-ISF-550 Socket Former 5.50mm

Ridge ExpandersCode DescriptionIN-RES-SET Ridge Expander SetIN-RDE-001 Ridge Expander Size 1IN-RDE-002 Ridge Expander Size 2IN-RDE-003 Ridge Expander Size 3IN-RDE-004 Ridge Expander Size 4IN-SMA-001 Surgical Mallet

Graft Fixation ScrewsCode DescriptionCO-GFS-009 Graft Fixation Screw 9mmCO-GFS-011 Graft Fixation Screw 11mmCO-GFS-013 Graft Fixation Screw 13mm

*OsteoCare™ endeavours to be at the cutting edge of developments for its products; and therefore, reserves all rights to change, modify and improve specifications of, or discontinue products at any time.

NB: Some products may not be available in all markets.

To Order:OsteoCare™ Implant System5-7 Colndale Road Poyle Ind. Estate, Colnbrook, Slough, Berkshire, SL3 0HQ.

Tel: +44(0)1753 770006Fax: +44(0)1753 770009Freephone: 0800 281981e-mail: [email protected]: www.osteocare.uk.com

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Notes:

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Editors:

John GauldDirector AMB Engineering Ltd.

and Consultant Engineer for OsteoCare™

Amr Zahran, D.D.S, M.Sc., Ph.DAssociate Professor of Periodontology,

Cairo University. Scientific Consultant for OsteoCare™

www.dramrzahran.com

To Order:

OsteoCare™ Implant System5-7 Colndale Road Poyle Ind. Estate, Colnbrook,

Slough, Berkshire SL3 0HQ,United Kingdom.

Tel: +44(0)1753 770006Fax: +44(0)1753 770009Freephone: 0800 281981

e-mail: [email protected]: www.osteocare.uk.com

© 2006 OsteoCare™ Implant SystemAll Rights Reserved

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