ITALIA - Innovazionecile...Moreover TIXOS implant line has obtained also the prestigious and severe...

RL E A D EI T A L I A

LEADER ITALIA s.r.l.Via Aquileja, 43/C - 20092 Cinisello Balsamo (MI) ITALY

ph. +39 02 618651 - fax +39 02 61290676

www.leaderitalia.it - [email protected]

Implantology Catalog


l i n e

ZL-C

IMPT

13EN

2013

Certifications

The care dedicated to the production process, which matches the highest standards in implantology, has earned LEADER ITALIA the certifications ISO 9001 and ISO 13485, as well as the CE0434 mark for medical devices, that guarantee the high quality of its products.

Moreover TIXOS implant line has obtained also the prestigious and severe U.S. FDA Clearance.

*For further information visit our web site www.leaderitalia.it

LEADER ITALIA srl was founded in 1996 to manufacture components for implantology; then, on the basis of the acquired experience on implants, methods and, above all, on the implant peculiar physical problems, LEADER ITALIA has widened its production range, starting the manufacture of its own implant line. In the last few years, the Company has committed itself to scientific and technological research to project and design surfaces suited to enhance and accelerate the osseointegration process, exploring possibilities far from those offered since now by the traditional systems.

Fundamental for this achievement is the cooperation with several international Universities:

III University of Naples: Prof. G. Papaccio

University of Chieti: Prof. A. Piattelli

University of Varese: Prof. A. Macchi, Prof. C. Mangano, Prof. M. Raspanti

Universidade Guarulhos, S. Paolo: Prof. J. Shibli

University of Birmingham: Prof. R. Sammons

University of Johannesburg: Prof. U. Ripamonti.

These years of research have yielded interesting results concerning surface geometry and implant manufacturing and the several published and in press scientific articles demonstrate the revolutionary innovative solutions offered by the new engineering and manufacturing technologies applied.

A special thanks to Prof. Carlo Mangano who has been dedicated himself with passion to this extraordinary challenge in experimental researches on the new laser technology.

For their cooperation with scientific studies and researches, we thank particularly:II University of Naples - Italy (Prof. G. Papaccio), •University of Chieti - Italy (Prof. A. Piattelli), •University of Varese - Italy (Prof. A. Macchi, Prof. C. Mangano, Prof. M. Raspanti), •Universidade Guarulhos in S. Paolo - Brazil (Prof. J. Shibli), •University of Birmingham - UK (Prof. R. Sammons).•University of Johannesburg - South Africa (Prof. U. Ripamonti).•


Implantology Catalog TiXos line © 2013 Leader Italia srl

Editing:Mariaelena Costantin, Marco Iezzi, Marco Parazzini, Patrizia Sossi, Fabio Spiniella, Elena Talpo

Graphic project:ARPe s.a.s. - Milano

Computerized images:Federico Rizzi

Printing:Arti Grafiche Torri s.r.l. - Cologno Monzese (MI)

28. Rapani M, Mangano F, Mangano C, Shibli J.A, Perrotti V, Ricci M, Piattelli A, Di Gregorio G. A prospective multicenter study on the immediate loading of mandibular overdentures supported by 4 one-piece unsplinted direct laser metal forming (DLMF) implants. Results from a 1-year follow-up report on 96 implants. Congresso Nazionale Dei Docenti Di Discipline Odontostoma-tologiche Firenze-Siena 2011

29. Mangano C, Piattelli A, Raspanti M, Mangano F, Cassoni A, Iezzi G, Shibli JA. Scanning electron microscopy (SEM) and X‐ray dispersive spectrometry evaluation of direct laser metal sintering surface and human bone interface: a case series. Lasers Medical Science 2011; 26:133–138

30. Trisi P, Carlesi T, Colagiovanni M, Perfetti G. Implant Stability Quotient (ISQ) vs direct in vitro measurement of primary stability (micromotion): effect of bone density and insertion torque.Jou. of Osteology and Biomaterials 2010; 1 (3):141‐151

31. Mangano F, Mangano C, Macchi A, Perrotti V, Iezzi G, Piattelli A. La topografia della superficie implantare nella moderna implantologia. Parte I: superfici lisce e microrugose.Italian Oral Surgery 2010; 9 n. 4:201-214

32. Mangano F, Mangano C, Macchi A, Perrotti V, Iezzi G, Piattelli A. La topografia della superficie implantare nella moderna implantologia. Parte II: superfici nanostrutturate e DLF. Italian Oral Surgery 2010; 9 n. 5: 261-262, 265-275

33. Mangano C, Piattelli A, D’Avila S, Iezzi G, Mangano F, Onuma T, Shibli JA. Early human bone response to laser metal sintering surface topography: a histologic report. Journal of Oral Implantology 2010; Vol. 36 n. 2:91-96

34. Shibli JA, Mangano C, D’Avila S, Piattelli A, Pecora GE, Mangano F, Onuma T, Cardoso LA, Ferrari Sanchez D, Aguiar KC, Iezzi G. Influence of direct laser fabrication implant topography on Type IV bone. Journal of Biomedical Materials Research Part A 2010; Vol. 93:607-614

35. Mangano C, De Rosa A, Desiderio V, d’Aquino R, Piattelli A, De Francesco F, Tirino V, Mangano F, Papaccio G. The osteoblastic differentiation of dental pulp stem cells and bone formation on different titanium surface textures.Biomaterials 2010; n. 31:3543‐3551

36. Mangano C, Shibli JA, Mangano F, Sammons RL, Macchi A. Dental implants from laser fusion of titanium microparticles. Journal of Osseointegration 2009; Vol. 1 n. 1:9-22

37. Mangano C, Raspanti M, Traini T, Sammons RL, Piattelli A. Stereo imaging and cytocompatibility of a model dental implant surface formed by direct laser fabrication. Journal of Biomedical Materials Research Part A 2009; Vol. 88A n. 3:823-831

38. Mangano C, Piattelli A, Mangano F, Perrotti V, Iezzi G. Immediate loading of modified acid etched dental implants in post-extraction sockets. Implant Dentistry 2009; Vol. 18 n. 2:142-150

39. Macchi A, Taubert Pozzi S, Zecca PA. Direct metal laser‐sintering per la produzione di impianti “custom made”.DoctorOS 2009; Anno XX n. 8:1086‐1087

40. Shibli J A, Mangano C, Mangano F, Iezzi G, Cordoso L, Onuma T, Ferrari D, Piattelli A. Early human bone response to laser metal sintering surface topography: a histologic evaluation.Clinical Oral Implant Research 2009; Vol. 20 n. 9 - 1036

41. Macchi A, Mangano C, Mangano F. Direct Titanium laser forming implants.Ceramics, Cells and Tissues 12° Annual seminar & Meeting Faenza 2009; 59

42. De Benedictis S, Berardi D, Malagola C, Trisi P, Perfetti G. Histomorphometric and torque out evaluation of new laser treated implant surfaces: an in vivo study on ovine iliac crest.Clinical Oral Implant Research 2009; Vol. 20 n. 9

43. Mangano C, Perrotti V, Iezzi G, Scarano A, Mangano F, Piattelli A. Bone response to a new modified titanium surface implants. Journal of Oral Implantology 2008; Vol. 34 n. 1:17-24 44. Traini T, Mangano C, Sammons RL, Mangano F, Macchi A, Piattelli A. Direct laser metal sintering as a new approach to fabrication of an isoelastic functionally graded material. Dental Materials 2008; 24:1525-1533

45. Iezzi G, Scarano A, Mangano C, Cirotti B, Piattelli A. Histologic results from a human implant retrieved due to fracture 5 years after insertion. Journal of Periodontology 2008; Vol. 79, n. 1:192-198

46. Mangano F, Sammons RL, Mangano C, Montini S, Piattelli A. Biological investigation of an experimental laser sintered titanium implant surface. Clinical Oral Implant Research 2007; Vol. 18, n. 5:333

47. Raspanti M, Mangano C, Macchi A, Mangano F, Piattelli A, Traini T. Morphological investigation of an experimental laser sintered titanium implant. European Journal of Implant Prosthodontics 2007; Vol. 1, n. 3:28

48. Mangano C, Traini T, Piattelli A, Macchi A, Mangano F, Montini S, Mangano A. Producing dental implants by Direct Laser Forming. Italian Oral Surgery 2006; 4:7-12

49. Mangano C, Macchi A, Mangano A. A new modified titanium implant surface: histological evaluation in non human primates and humans. Dental Horizon 2006; Vol. 4, n. 2:313-317

50. Mangano F, Mangano C, Piattelli A, Iezzi G, Perrotti V. Histologic evaluation of immediately loaded titanium implants.Clinical Oral Implant Research 2006; Vol. 17, n. 4 - 158

51. Iezzi G, Traini T, Mangano C, Piattelli A. Surface microstructure and fibrine extension on titanium laser sintered specimens. Journal of Clinical Periodontology 2006; 73-80 52. Iezzi G, Traini T, Mangano C, Sammons RL, Piattelli A. FESEM and microanalysis investigation of an experimental sintered titanium alloy implant. Academy of Osseointegration 21st Annual meeting, March 2006; 78

The fi rst and unique implant in the world manufactured through Direct Laser Metal Forming technique by microfusion of titanium particles

Tixos is the result of clinical researches,

of experience in implantology and of a

unique manufacturing process - laser

microfused titanium powder - that

produces a porous revolutionary surface.

II III

Until now, dental implants currently available on the market have been produced by machining titanium rods, with subsequent post-fabrication processing and application of surface treatments or coatings, with the aim to promote osseointegration, accelerating the bone healing processes.

In the last years, considerable progress has been made in the development of rapid prototyping (RP) methods, including Direct Laser Metal Forming (DLMF).

DLMF is a timesaving metal forming procedure in which an high power laser beam is directed on a metal powder bed and programmed to fuse particles according to a CAD file, thus generating a thin metal layer. Apposition of subsequent layers gives shape to a desired 3D form with the need of minimal post-processing requirements. With DLMF, it is now possible to fabricate dental implants with different shapes and textures, directly from CAD models.

TiXos implant, manufactured through this laser forming methods is a functionally graded fixture, possessing a gradient of porosity perpendicular to the long axis, with a relatively high porosity at the surface and an high density in the core. Around a very compact core an isoelastic surface is created, which replicates the bone spongy geometry; such a structure - impossible to obtain through the traditional treating surface processes - is highly mimetic, thus accelerating bone healing and enhancing faster osseointegration, as demonstrated by different in vitro and in vivo human studies*. The mechanical characteristics of TiXos implants are

excellent, while the surface morphology promotes bone healing, enhancing 3D organization of fibrin network, cell adhesion and migration, fluids and nutritional elements exchanges and the development of proper vascularization aiming to the organization of bone matrix. The tridimensional geometry constituted by micro and macro-cavities of well defined sizes and form, interconnected by micro-pores, promotes bone formation. The concavities, with size 2 to 200 microns, penetrate deep inside the implant body down to 250 microns, creating interconnected pits and pores that are colonized by bone cells.

The manufacturing process The tridimentional porous structure

Direct Laser Metal Forming (DLMF) Technique surface

*References at page 74

TiXos is the first dental implant in the world manufactured by Direct Laser Metal Forming technique.

Implant is computer designed in 3D.The desired model is produced by fusion of the metal powder nano-particles through a focused laser beam.

Tixos surfaces - at different magnifications - features interconnected cavities and pores.

Implant is computer designed in 3D.

Tixos surfaces - at different magnifications - features interconnected cavities and pores. Tixos surfaces - at different magnifications - features interconnected cavities and pores.

Isoelastic structure

Young's modulus of elasticity of compact core and porous region of the specimens compared to ASTM

values and values of cortical bone.

p = 0.009p = 0.017

p = 0.050

p = 0.010p = 0.025

p = 0.013

ASTM

Youn

g’s

mo

dul

us o

f el

astic

ity (G

Pa)

compacttitanium

poroustitanium

corticalbone**

140-

120-

100-

80-

60-

40-

20-

0-

Another extraordinary feature, demonstrated by the studies carried out by Prof. R. Sammons at the University of Birmingham*, is the isoelasticity of the surface, that has a Young module very similar to the bone one, while the implant core maintains the characteristic Young module of titanium, as for ASTM standards.

The isoelasticity gives the implant a structure very close to the bone, more similar than any other implant on the market.

VIV

In vitro and in vivo studies

Scientific evidences

Fibrin clot adheres to the surface.

Osteoblast cells colonized the implant surface.

In vitro researches

The biological response to the TIXOS implant surface has been investigated in different in vitro studies, in which human fibrin clot formation and the behaviour of human osteoblast and mesenchymal stem cells have been analyzed.

Implant retrieved after 8 weeks shows new bone ingrowth inside the surface cavities.

In vivo researches

Histological studies on human have demonstrated the rapid growth of newly-formed bone inside the interconnected cavities of the microfused titanium surface ...

... and the perfect adherence between the implant neck and soft tissues.

In vitro studies carried out by Prof. R. Sammons at the University of Birmingham (UK) and by Prof. G. Papaccio at the II University of Naples (Italy), the researches carried out by the Universities of Varese and Chieti (Italy) and clinical-histological trials carried out on animals and humans by Prof. J.A. Shibli at the University of Guarulhos, Sao Paulo (Brazil), have

demonstrated the capability of these implants to accelerate bone healing, thus improving a faster osseointegration compared with the traditional surfaces on the market, and allowing bone formation (down to 200 microns) inside the isoelastic porous structure.

*References on page 74

The connectival fibers get perpendicularly on the TiXos surface

The label on the vial and those contained in the package depict all necessary data to trace back the inserted implant.It is recommended to attach the labels on the patient clinical folder and on the patient card, so as to ensure complete product traceability.

Labels

Each implant package contains also the patient card which is destined to the attachment of the labels which depicts the inserted implant description and collect all the operating data.It is recommended to fill in the patient card completely and hand it to the patient, informing him/her to take it at each follow-up session.

Patients Card

Identification of Leader implants

VI

0 4 3 4LOTABC123

STERILE R

Batch code Symbol of conformity to CEE n° 93/42 related to Medical Devices

Do not reuse (single use) Sterilized using irradiation

Use by

Do not use if the product sterilization barrier or its packaging

is compromised

Consult instructions for use

Caution

Tixos CYLiNDRiCAL Implants 2

Internal hex 2

External hex 8

TiXos Short 14

Surgical instruments and accessories 20

Boxes and instruments sets 28

Prosthetic components and accessories 31

Tixos NANo Implants 58

NANO for fi x prosthesis 58

NANO for removable prosthesis 60



Prosthetic accessories for overdenture for TIXOS CYLINDRICAL and TIXOS NANO 67

Tixos s-TYPE Implants 68

Transmucous 68



Custom-made applications 73

References 74

2 3

Ø Length Code

3,5

45

Pla

tfo

rm

6

Length Code

3,3 8,0 09IT3308 10,0 09IT3310 11,5 09IT3311 13,0 09IT3313 16,0 09IT3316

3,75 8,0 09IT3708 10,0 09IT3710 11,5 09IT3711 13,0 09IT3713 16,0 09IT3716

4,5 8,0 09IT4508 10,0 09IT4510 11,5 09IT4511 13,0 09IT4513 16,0 09IT4516

5,5 8,0 09IT5508 10,0 09IT5510 11,5 09IT5511 13,0 09IT5513

• Fixture in titanium, Grade 5

• Microfused, porous, isoelastic surface

• Interconnected cavities: 2-200 microns

• Active porous surface thickness: about 250 microns

• All implants are packaged with a colour coded multi-functional tool named Mount-transfer (in titanium, Grade 5).

• High adherence to bone structure

• Great resistance to horizontal stresses

• Round apex: minimum trauma during insertion

Internal hex

Mount-transferTixos implants are equipped with a transport tool that allows the surgeon to transport and position the implant in conditions of absolute sterility.

The mount-transfer is screwed on the implant through a passing screw (M 1,8) to be discarded after the insertion of the implant.

The upper part of the transfer has an hex ES 2.43

When using a custom tray, the long passing screw code PSTL has to be ordered separately.

Packaging- Packaging in compliance with ISO 11607-1 and 2.- Sterilization by gamma rays 25 kGy- Sterility guaranteed for 5 years by waterproof double packaging in airtight sealed glass vial and blister- The packaging contains: Implant held by a titanium mount- transfer, Surgical screw.

The mount-transfer is a multi-function mechanical instrument used as:

• instrument to transport the fixture from the glass vial to the implant site

• impression transfer

• temporary abutment

• permanent abutment.

The mount-transfer is colour coded to identify the relative implant platform diameter.

CYLINDRICAL

Por

ous

surf

ace

The cover colour identifies the platform diameter.

0,4 mm

Impl

ant

leng

th

Thre

ad p

itch

: 1

,25

mm

4 5

Tixos cYLINDRIcAL INTERNAL HEX SURGIcAL PROTOcOLTixos cYLINDRIcAL INTERNAL HEX SURGIcAL PROTOcOL

Ø 3,3Ø 3,3 - 3,75 - 4,5 - 5,5

Recommended First preparation

Ø 3,75

8,010,011,513,016,0

8,010,011,513,016,0

09IT330809IT331009IT331109IT331309IT3316

09IT370809IT371009IT371109IT371309IT3716

Length

Length

Code

Code

Recommended drill sequence Final drillin soft bone In dense bone

Bone Tap(2)

Ø 3,3CTCAT33

Max. 15-18 rpm

(1) (2) see NOTE page. 12

Platform: Ø 4,0 mm Internal hex: h 2,1 mm Core: Ø 3,0 mm Apex: Ø 2,3 mm


Round drillØ 1,9

DS19SMax. 1.000 rpm

Cortical drillØ 1,8 DSP18

Max. 800 rpm

NOTE

Once the implant site has

been exposed, use a round

drill to smooth and level the

bone crest - in order to avoid

the implant neck exposure

after the implant insertion -

followed by a cortical drill to

mark the center position of

the implant site.

Paralleling PinØ 2/3,2 PN2/4

Pilot DrillØ 2,0

DSS20S/LMax. 800 rpm

Step drill - optional - Ø 2,0/2,6DSP2026

Max. 500 rpm

Twist Drill UNICAØ 2,6


Recommended drill sequence Final drillin soft bone Extended sequence in dense bone








Countersink(1)

Ø 4,0CST40

Max. 250 rpm

Bone Tap(2)

Ø 3,7CTCAT37

Max. 15-18 rpm

Pilot DrillØ 2,0


(1) (2) NOTES on page 12


Max. 500 rpm


Max. 500 rpm

6 7

Ø 4,5

Ø 5,5

8,010,011,513,016,0

8,010,011,513,0

09IT450809IT451009IT451109IT451309IT4516

09IT550809IT551009IT551109IT5513

Length

Length

Code

Code






Max. 500 rpm


Max. 500 rpm


Max. 500 rpm










Countersink(1)

Ø 5,0CST50

Max. 250 rpm

Bone tap(2)

Ø 4,5CTCAT45

Max. 15-18 rpm

Pilot DrillØ 2,0



Max. 500 rpm


Max. 500 rpm


Max. 500 rpm

Recommended drill sequence Final drillin soft bone

Extended sequence in dense bone











DSS45SMax. 400 rpm



Countersink(1)

Ø 6,0CST60

Max. 250 rpm

Pilot DrillØ 2,0



Tixos cYLINDRIcAL INTERNAL HEX SURGIcAL PROTOcOLTixos cYLINDRIcAL INTERNAL HEX SURGIcAL PROTOcOL

8 9

Ø Length Code

4,1

4,1

5

Pla

tfo

rm

Length Code

3,3 10,0 09ITX3310 11,5 09ITX3311 13,0 09ITX3313 16,0 09ITX3316

3,75 8,0 09ITX3708 10,0 09ITX3710 11,5 09ITX3711 13,0 09ITX3713 16,0 09ITX3716

5,0 8,0 09ITX5008 10,0 09ITX5010 11,5 09ITX5011 13,0 09ITX5013

External hex


The mount-transfer is screwed on the implant through a passing screw (M 2) to be discarded after the insertion of the implant.


When using a custom tray, the long passing screw code PSXTL has to be ordered separately.

Impl

ant

leng

th

0,7 mm

0,7 mm

The cover colour identifies the platform diameter.

Por

ous

surf

ace






• High adherence to bone structure

• Great resistance to vertical stresses

• Round apex: minimum trauma during insertion

CYLINDRICAL








Thre

ad p

itch

: 1

,25

mm

Thre

ad p

itch

: 1

,25

mm

10 11

Tixos cYLINDRIcAL EXTERNAL HEX SURGIcAL PROTOcOL

Ø 3,3 - 3,75 - 5,0


8,010,011,513,016,0

09ITX370809ITX371009ITX371109ITX371309ITX3716

Length Code

Tixos cYLINDRIcAL EXTERNAL HEX SURGIcAL PROTOcOL

Ø 3,3

Length Code

Recommended drill sequenceExtended sequence in dense bone

Platform: Ø 4,1 mm External hex: h 0,7 mm Core: Ø 2,6 mm Apex: Ø 1,8 mm

10,011,513,016,0

09ITX331009ITX331109ITX331309ITX3316




Countersink(1)

Ø 4,0CSXT33

Max. 250 rpm

Bone Tap(2)

Ø 3,3CTCAT33

Max. 15-18 rpm

Pilot DrillØ 2,0



Round drillØ 1,9

DS19SMax. 1.000 rpm


Max. 800 rpm

NOTE









the implant site.

Ø 3,75 Platform: Ø 4,1 mm External hex: h 0,7 mm Core: Ø 3,0 mm Apex: Ø 2,3 mm









Countersink(1)

Ø 4,0CSXT40

Max. 250 rpm

Bone Tap(2)

Ø 3,7CTCAT37

Max. 15-18 rpm

Pilot DrillØ 2,0




Max. 500 rpm


Max. 500 rpm


Max. 500 rpm

12 13

Ø 5,0

8,010,011,513,0

09ITX550809ITX551009ITX551109ITX5513

Length Code

Recommended drill sequence

Platform: Ø 5,0 mm External hex: h 0,7 mm Core: Ø 4,0 mm Apex: Ø 3,45 mm


Max. 500 rpm


Max. 500 rpm


Max. 500 rpm










Pilot DrillØ 2,0


In case of • bone quality D1-D2, the use of countersink is compulsory to enhance the housing of the implant neck, avoiding the compression of the cortical bone. In case of • bone quality D3, the use of countersink is up to the dental surgeon (it is compulsory for external hex implant with Ø 3,3 mm).In case of • poor bone quality (D4) the countersink is not to be used because it could remove the marginal crestal bone available, increasing the gap between the interface bone-implant.

The technical suggestions reported in this catalogue can under no circumstances substitute the clinical evaluations and therapeutic indications that are of exclusive competence of the Dentist.

As the implant insertion in the surgical site is very easy, the manual screwing is recommended, placing the fixture slightly under bone crest (0.2/0.3 mm).

In case of bone quality D1, insert the bone tap down to its • total length into the prepared site.In case of bone quality D2, insert the bone tap only down to • 60% of its length

Before palnning and starting implantology surgery, it is recommended to perform a careful check and prophylaxis treatment of the patient.

A check of the implant stability is recommended, at least once a year, together with the annual maintenance.

(1) USING THE COUNTERSINK GENERAL NOTES(2) USING THE BONE TAP

Tixos cYLINDRIcAL EXTERNAL HEX SURGIcAL PROTOcOL Tixos cYLINDRIcAL EXTERNAL HEX SURGIcAL PROTOcOL

14 15



External Hex


The mount-transfer is screwed on the implant through a passing screw (M 2) to be discarded after the insertion of the implant.


When using a custom tray, the long passing screw code PSXTL has to be ordered separately.

The cover colour identifies the pla-tform diameter.

SHORT








Impl

ant

leng

th

Impl

ant

leng

th

0,7 mm 0,7 mm

0,7 mm 0,7 mm

Thre

ad p

itch

: 0

,9 m

m

Thre

ad p

itch

: 0

,9 m

m

Por

ous

surf

ace

Por

ous

surf

ace

Ø Length Code

4,1

Plat

form

Length Code

3,75 5,0 09ITX3705

5,0 5,0 09ITX5005






Ideal in particular case of poor bone quality with short • vertical bone space in the posterior area of the upper jaw

Allows to avoid advanced surgical operations such as • sinus lift

Time and cost saving•

16 17

5,0 09ITX3705

Height Code

Tixos SHORT EXTERNAL HEX SURGIcAL PROTOcOLTixos SHORT EXTERNAL HEX SURGIcAL PROTOcOL

Ø 3,75 - 5,0


Ø 3,75 Platform: Ø 4,1 mm External hex: h 0,7 mm Core: Ø 3,0 mm Height 5,0 mm

Round drillØ 1,9

DS19SMax. 1.000 rpm


Max. 800 rpm

NOTE









the implant site.









Countersink(1)

Ø 3,7CSXTS37

Max. 250 rpm

Bone Tap(2)

Ø 3,75CTCATS37

Max. 15-18 rpm

Pilot DrillØ 2,0




Max. 500 rpm


Max. 500 rpm

18 19

Tixos SHORT EXTERNAL HEX SURGIcAL PROTOcOLTixos SHORT EXTERNAL HEX SURGIcAL PROTOcOL

In case of • bone quality D1-D2, the use of countersink is compulsory to enhance the housing of the implant neck, avoiding the compression of the cortical bone. In case of • bone quality D3, the use of countersink is up to the dental surgeon).In case of • poor bone quality (D4) the countersink is not to be used because it could remove the marginal crestal bone available, increasing the gap between the interface bone-implant.

The technical suggestions reported in this catalogue can under no circumstances substitute the clinical evaluations and therapeutic indications that are of exclusive competence of the Dentist.

The insertion is usually operated using a contra-angle.

In case of bone quality D1, insert the bone tap down to its • total length into the prepared site.In case of bone quality D2, insert the bone tap only down to • 60% of its length

Before palnning and starting implantology surgery, it is recommended to perform a careful check and prophylaxis treatment of the patient.

A check of the implant stability is recommended, at least once a year, together with the annual maintenance.

(1) USING THE COUNTERSINK GENERAL NOTES(2) USING THE BONE TAP

5,0 09ITX5005

Height Code

Ø 5,0 Platform: Ø 4,1 mm External hex: h 0,7 mm Core: Ø 4,0 mm Height 5,0 mm



Max. 500 rpm


Max. 500 rpm


Max. 500 rpm










Bone Tap(2)

Ø 5,0CTCATS50

Max. 15-18 rpm

Pilot DrillØ 2,0


20 21

Surgical instruments for TIXOS implants Surgical instruments for TIXOS implants

Surgical steel, TiN coated. Working length: 16.5 mm. Max. use: 10 site preparations.Use of Twist drills with stopsThey are used with the stops applied at the desired length, matching the implant one. They are also laser marked, so that they can be used also without stops.

Calibrated stops

For drills with ØHeight

5 mm

8 mm

10 mm

11,5 mm

13 mm

In gr 5 titanium. They are applied on the drill to reach the desired working length.They are very useful when working near sensible areas such as lower alveolar site and upper sinus.Note: the stops height is referred to the lowest surface of the bone crest.

Preparation drills

“Unica” Twist drill, in surgical steel with stops Short 34,5 mm Long 40,5 mm

1,8 - 2,0 - 2,3

05STP18200505STP18200805STP18201005STP18201105STP182013

2,6 - 2,8 - 3,0 - 3,2


3,5 - 3,8 - 4,2


Calibrated stop kit

Pkg. 4 pcs: h 8-10-11,5-13 mm

Pkg. 3 pcs: h 5 mm for Tixos Short

For drills with Ø

For drills with Ø

1,8 - 2,0 - 2,3

05STPK1

1,8 to 4,2

05STPK4

2,6 - 2,8 - 3,0 - 3,2

05STPK2

3,5 - 3,8 - 4,2

05STPK3

Ø 4,5 mm

05DSS45S

Ø 4,2 mm

05DSS42S05DSS42L

Ø 2,8 mm

05DSS28S05DSS28L

Ø 4,8 mm

05DSS48S05DSS48L

Ø 2,3 mm

05DSS23S05DSS23L

Ø 3,8 mm

05DSS38S05DSS38L

Ø 3,5 mm

05DSS35S05DSS35L

Length

34,5 mm

40,5 mm

34,5 mm

40,5 mm

34,5 mm

40,5 mmUse without stopUse without stop

Ø 2,0 mm (pilot)

05DSS20S05DSS20L

Ø 1,8 mm

05DSS18S05DSS18L

Ø 3,0 mm

05DSS30S05DSS30L

Ø 3,2 mm

05DSS32S05DSS32L

Ø 2,6 mm

05DSS26S05DSS26L

The “Unica” drill can be used for the whole range of Leader Italia

implants.

Step drills

Surgical steel, TiN coated.They are designed to facilitate the transition of the Twist Drills from the smaller diameter to the next one.Working length: 7,0 mm.

Ø 2,0/2,6 mm

05DSP2026

Ø 2,6/3,2 mm

05DSP2632

Ø 3,2/3,8 mm

05DSP3238

Ø 1,8 mm

05DSP18

Ø 2,3 mm

05DSP

Ø 1,9 mm

11DS19S

Tissue Punches Round drill

Gr 5 titanium. Surgical steel.

Cortical Drill

Surgical steel. Used to precisely drill the cortical bone.

Ø 4,5 mm

01MTCA45

Ø 6,0 mm

01MTCA60

NOTE We recommend to replace the o-rings frequently, since they are susceptible to wear due to frequent sterilization cycles.

22 23

Gr 5 titanium. Used to facilitate the screwing of the implant in compact bone (see notes at pag. 12).

Bone taps Max. speed 15-18 rpm

Ø 3,7 mm

01CTCAT37

Ø 3,3 mm

01CTCAT33

Ø 4,5 mm

01CTCAT45

Ø 5,0 mm

01CTCATS50

For TiXos Short

Ø 3,7 mm

01CTCATS37

For TiXos Short

Acessories for bone taps

Connections Gr 5 titanium

01TCM01TCMS

standard

short

Accessories for all drills

Extension tool

01TEXT

Countersink Max. speed 250 rpm

Ø 5,0 mm

01CST50Ø 4,5

Ø 3,75 mm

01CSXTS37For Tixos Short

Ø 4,0 mm

01CST40Ø 3,75

01CSXT33Ø 3,3 external hex

01CSXT40Ø 3,75 external hex

Ø 6,0 mm

01CST60Ø 5,5

Gr 5 titanium. They are essential to avoid creating pressure at the cortical bone dueing the insertion of the implant neck.

Accessories for bone expanders

Connections Surgical steel Screwdriver Surgical steel

Box Surgical steel (empty)

Contra-angleES 3,5 mm

01TLCBETo use the bone expan-

ders with contra-angle:

max speed 15-20 rpm

07VOBE

RatchetES 3,5 mm

01CTEX

ES 3,5 mm

01TLBE

Ø 2,0 mm

01OBE20

Ø 2,3 mm

01OBE23

Ø 3,6 mm

01OBE36

Ø 2,6 mm

01OBE26

Ø 4,2 mm

01OBE42

Ø 2,8 mm

01OBE28

Ø 3,2 mm

01OBE32

Ø 4,4 mm

01OBE44

Bone expanders

Gr. 5 titanium, nitrided. Working length (depth)13 mm. The black, well visible markings, indicate the working depth.

Markings height

13,0 mm

11,5 mm

10,0 mm

8,0 mm

Markings height

13,0 mm

11,5 mm

10,0 mm

8,0 mm

13,0

10,0

11,5

8,0


To use the bone taps with the manual ratchet code 01TW.

Surgical steel, DLC coated.For all drills.

24 25


Expanding Osteotomes With convex end, they are used for ridge expansion

Compacting Osteotomes With concave end, they are used for mini sinus lift

Trephines For intraoral bone extraction and/or for osseointegrated implant removal.

In surgical steel. Thanks to lateral holes they allow the easy extraction of the obtained bone core.

Markings height

8 mm

10 mm

11 mm

13 mm

16 mm

Ø 4,0 mm

01OE400801OE401001OE401101OE401301OE4016

Ø 5,0 mm

01OE500801OE501001OE501101OE501301OE5016

Ø 6,0 mm

01OE600801OE601001OE601101OE6013

Gr 5 titanium. Each instrument works at the marked depth.

Markings height

18 mm

10 mm

11 mm

13 mm

16 mm

Ø 4,0 mm

01OC400801OC401001OC401101OC401301OC4016

Ø 5,0 mm

01OC500801OC501001OC501101OC501301OC5016

Gr 5 titanium. Each instrument works at the marked depth.

Ø 3,6/4,6 mm

11DSTB368/1311DSTB3615/18

Ø 4,1/5,1 mm

11DSTB418/1311DSTB4115/18

Ø 5,1/6,1 mm

11DSTB518/1311DSTB5115/18

Ø 6,1/7,1 mm

11DSTB618/1311DSTB6115/18

Markings

8-13 mm

15-18 mm

ES 1,25 mm

01TLMR12L01TLMR12S

Length (L) mm

Long: 16,60

Short: 11,60

Length (L) mm

14,10L L

Universal drivers for surgery and prosthetic Driver for frictioning passing screw

In steel, DLC coated.Hex section, rotating head.

In steel DLC coated.Hex section, rotating head.

ES 1,60 mm

01TLMR16SL

For PSF frictioning screw only

Connections

For contra-angle For surgery and prosthetic (1)

Mechanical insertion of the fixture

For ratchet (for implants) For torque ratchet (for passing screws)

Manual insertion of the fixture

In steel, DLC coated. Hex section. In steel, DLC coated. Hex section.

Length (L) mm

X-short 12,50

Short 18,00

Long 25,00

Length (L) mm

23,00 mm

Length (L) mm

22,00 mm

ES 2,45 mm(1)

01TW24XS01TW24S01TW24L

(1) To screw the implant in.(2) Only to carry the implant from the glass vial to the surgical site: do not use to screw the implant in.

Frictioning ES 2,45 mm(2)

01TWF24XS01TWF24S01TWF24L

ES 1,6 mm

01TW16LTapered screw (PSF / PSXF)

ES 1,25 mm

01TW12LCylindrical screw

The tapered screw has to be fixed at 35 Ncm

The cylindrical screw has to be fixed at 25-30 Ncm

L L LL

In steel, DLC coated. Hex section. Max speed. 15 rpm In steel, DLC coated. Hex section.

Length (L) mm

Short 22,00

Long 27,00

Length (L)

27,00 mm

ES 1,25 mm

01TLCA125S01TLCA125LCylindrical screw

ES 1,6 mm

01TLCA16LTapered screw (PSF / PSXF)

(1) For cover screw, healing screw and passing screws of abutments

To fix the passing screw mechanically, use low speed: Max. speed 15 rpm

At the end that is inserted on the contra-angle, the connection can stand a torque up to 90-100 Ncm; above 120-130 Ncm it breaks.The hex breaks at 250 Ncm (the frictioning one breaks at 70-80 Ncm when wrongly inserted).

L LLength (L) mm

Short 22,50

Long 27,50

ES 2,45 mm

01TLCA245S01TLCA245L

Frictioning ES 2,45 mm

01TLCAF245S01TLCAF245L

L L


Implant mechanical insertion (contra-angle speed 15-18 rpm)

Implant manual insertionQ

26 27


Accessories

Alveolar probe

01SAP1

The round tip allows the automatic check of the site and respects the maxillary sinus

Paralleling PinsØ 2/3,2

01PN401PN2

Ratchet

01TW

Manual digma

01TLM

Open wrenches

01T4501T5001T60

To be used with driver Ø 1,25 for mount-tran-sfer removal, avoiding implant trauma

Titanium tanks

01SAT1

01SAT2

Empty

2 holes

Torque ratchet for Newton torque control device

01TW1

Tweezers

01SATT Pack. 4 pcs

Pack. 2 pcs

Cod. 01ZNW Newton Torque control device, see next page.

Newton

Tightening screws All dynamometric wrenches can lose their adjustment during sterilization and lubrication cycles, so they require to be adjusted again before use, in order to avoid to apply a wrong torque.To register the wrench precisely to the desired torque, the professionals would need a proper device dedicated to this operation.

NEWTON torque control system offers the clinician one fundamental advantage compared to other devices: with just one dynamometric wrench (and a lower cost) the dentist can decide to tighten the screw in a range of 5 - 60 Ncm, simply rotating the torque adjustment knob, using the graduated support of Newton device.

NEWTON torque control device enables the ratchet setting to any value between 10 and 50 Ncm; it guarantees high precision since it works basing on the relation between the metallic weight, the length of pin inserted in the metallic wheel, the angle of the metallic wheel and the force of gravity.

01TW1

spring torque adjustment knob

Fig. 1

Rotation centre(screw axis/shaft)

1 Kg = 9.81 NewtonTorque = Tightening force obtained by force (weight) x distance from the rotation axis/shaftIn all the three described cases, the applied torque is 350 Nmm = 35 Ncm

Ratchet registration for the desired torque

“M” Torque

Torque adjustment

M Torque = P x g = 35 N cm

When reaching the value “M” the ratchet releases and the indicator shows the value.

Fig. 3

Torque control device.

Fig. 2

Newton

01ZNWThe package includes:- Newton torque control device- Dynamometric wrench (code

01TW1), - 2 steel connections (code

01TW12L - 01TW16L)

28 29

Surgical Boxes and Kits for TIXOS implants

Surgical Boxes

Designed to easily store the surgical instruments. The clear screen printing facilitates the identification of drills and accessories. The handling of the instruments is very easy and comfortable, thanks to the vertical position. The boxes are autoclavable at a temperature of 134°C/274°F at 2,1 bar for 5 minutes.The boxes have been designed to contain all the necessary instruments for the whole surgical protocol for all implant diameters; They may be completed with the desired instruments (optional, to be ordered separately) - see available Kits in the tables on the next page.

Box Tixos (empty) code 17V64

Box Tixos Short (empty) code 17V66

Surgical Boxes and Kits for TIXOS implants

Round cortical Drill

Cortical Drill

Twist Drill “Unica” (Pilot Drill), short

Twist Drill “Unica”, short

Stop Kit for Drill “Unica” 1,8 - 2,0 - 2,3 (4 pcs)

Stop Kit for Drill “Unica” 2,6 - 2,8 - 3,0 - 3,2 (4 pcs)

Stop Kit for Drill “Unica” 3,8 - 3,8 - 4,2 (4 pcs)

Extension tool



Bone tap for contra-angle

Friction. connection for c/angle, short

Manual connection, long

Friction. manual connection, short

Cortical Drill



Stop Kit for Drill “Unica” 1,8 to 4,2 (3 pcs)

11DS19S

05DSP18

05DSS20S

05DSS23S

05DSS26S

05DSS28S

05DSS30S

05DSS32S

05DSS35S

05DSS38S

05DSS42S

05DSS45S

05STPK1

05STPK2

05STPK3

01TEXT

05DSS20S

05DSS26S

05DSS28S

05DSS30S

01CTCAT37

01TLCAF245S

01TW24L

01TWF24S

05DSP18

05DSS20S

05DSS26S

05DSS32S

05DSS38S

05DSS42S

05STPK4

1,9

1,8

2,0

2,3

2,6

2,8

3,0

3,2

3,5

3,8

4,2

4,5

2,0

2,6

2,8

3,0

1,8

2,0

2,6

3,2

3,8

4,2

Countersink


Connection for contra-angle, long




Driver, short

Driver, long

Paralleling pins (2 pcs)

Manual Digma

Ratchet

Alveolar probe

Open wrenches

Tweezers

Driver, short

Manual Digma

Ratchet

Alveolar probe

Open wrench

Tweezers

Extension tool





Driver, short

Ratchet

01CST40

01CST50

01CST60

01CTCAT33

01CTCAT37

01CTCAT45

01TLCA245L

01TLCAF245S

01TW24L

01TWF24S

01TLMR12S

01TLMR12L

01PN2

01TLM

01TW

01SAP1

01T45

01T50

01SATT

01TLMR12S

01TLM

01TW

01SAP1

01T45

01SATT

01TEXT

01CTCATS50

01TLCAF245S

01TW24L

01TWF24S

01TLMR12S

01TW

4,0

5,0

6,0

3,3

3,7

4,5

1,25

1,25

4,5

5,0

1,25

4,5

1,25

Ø mm

Ø mm

Ø mm

Ø mm

Ø mm

Ø mm

CoMPLETE KiT for Tixos: Surgical box 17V64 + instruments set cod. 01VKCOMPT

BAsiC KiT for Tixos: Surgical box 17V64 + instruments set cod. 01VKBASICT

BAsiC KiT for Tixos short: Surgical box 17V66 + instruments set cod. 01VKBASICTS

30 31

Features of the abutment/implant connection

Surgical instruments for all implant lines

Surgical Accessories

Titanium grid

01SAT603

Length

5 mm

7 mm

9 mm

11 mm

13 mm

Assorted pack

In gr 1 titanium, it is Ideal to support the membrane in guided regeneration.

Dimensions 60x30 cm Thikness 0.2 mmHoles Ø 1,5 mmPitch 5 mm

Grid screws

01PN1455/501PN1457/501PN1459/501PN14511/501PN14513/501PN145/5

In gr 4 titanium, are used to fix membrane to the grid. Ø 1,45 mm - Hex head Ø 1,25 mmPkg 5 pcs

To insert the screws, use the universal drivers 01TLMR12L/S

Drill

01DS10S

In steel, is used to prepare the surgical site of grid screw or fixing pins.

Ø 1,0 mm - Length 2,7 mm

Length

2,7 mm

3,1 mm

3,5 mm

Length

6 cm

9 cm

Fixing pins

01PN252701PN253101PN2535

In gr 5 titanium, are used to fix membranes. Ø 0,55 mm - Head Ø 2,5 mmPkg 5 pcs

Insertion tool

01PNS01PNL

Gr 5 titanium

Box for membrane fi xing screws and pins

01V50

In aluminium, autoclavable.


Friction in the prosthetic screws could be useful ?

Friction creates a resisting force opposing to the relative sliding of two bodies. It is a function of the pressure keeping them together by a force perpendicular to the surfaces of contact. It is proportional to a friction coeffi cient, depending on the materials in contact. It prevents the relative sliding of two bodies.

Why does the screw loosen?Because the friction braking effect is missing!The loss of contact between the two surfaces (abutment screw and im-plant internal threading) occures when an external force is higher than the pre-load set used during abutment fi xing at proper torque.In such a case, the force will cause the loss of the contact between the thread walls of the screw and the implant. It works by a screw lengthening bigger than the one caused by the pre-load. When the force is fi nished, the contact between abutment and implant head is lost. The screw is now free to loosen under the effect of vibrations, then the abutment and the relative crown begin to move.

The "Morse" effect (Fig. 1)

Inserting with pressure an element with a tapered external surface in a corresponding female element that has a hole with an identical tapered design, the friction between the two tapered surfaces occures. It locks the male cone in the female one.This locking remains effi cient also when the insertion force applied is over: this is the "Morse" effect.A suitable tapering of the cones guarantees such "locking" that will be-come a safe and natural engaging system for the screw that connects the abutment to the implant.

The screw with self-locking tapered head

The screw with self-locking tapered head is different from the traditional screw because of the tapered design of part of its vertical surface. Moreover, the abutment has a seat with the same tapering in the hole for the connec-tion screw. The taper of the cones is 5° (Fig. 2).The screw must be fi xed at 35 Ncm.The tests carried out did not report any screw breakage, even when applying a torque up to 90 Ncm. The auto-locking tapered screw has an elasticity limit of 950 N. This occures because the screw has a diameter 1.8 mm and is made of grade 5 titanium. Consequently, the screw can withstand axial loads up to its elastic limit without permanent deformations and loosenings.

How the auto-locking Morse effect is formed on the tapered screw

Obviously, in case occasional forces charged the screw with a higher load than its resistance, the screw would break. To face such event, a specifi c breakage area has been foreseen well outside the implant thread. It allows an easy extraction of the broken piece remained in the implant (Fig.3).

The connection with "self-locking tapered screw"

Push created by the insertion force

Friction between the tapered surfaces

Insertion force

5 °

Correct taperingof the shaft (3° - 8°)

5°

M1,8 x 0,35

Fig. 2

PSF or PSXF

Advantages of the tapered screw

- High mechanical stability

- Usable with all types of implants

- The thread and the screw-in cavity of the head are dimensioned to resist to torque loads of more than 50Ncm

- Defi nite breakage area in case of accidental breakage

- Limited costs of the system

Implant Abutment

Breakage area location Forced contact between the cones

Fig. 1

CYLINDRICAL

TAPERED

32 33

NOTE: All prosthetic components are available also in packaging of 10 pcs; ordering code ......../10

Prosthetic components TIXOS INTERNAL HEX Prosthetic components TIXOS INTERNAL HEX

Cylindrical Ø 3,3 Platform Ø 3,5

*Each frictioning abutment is equipped with PSF tapered passing screw. WARNING: insert the abutment taking care that the hex connection is perfectly accommodated in its site. Then fix it screwing the tapered screw in. Use driver TLM16S and connections TW16L (manual) / TLCA16L (contra-angle).

Height (h)

2 mm

3 mm

4 mm

5 mm

6 mm

7 mm

Transmucous Ø

4,5 mm

4,5 mm

4,5 mm

4,5 mm

4,5 mm

4,5 mm

Healing screws

- Titanium gr 5

- Different heights

Code

01HC332

01HC333

01HC334

01HC335

01HC336

01HC337

Packaging

1 piece

1 piece

1 piece

1 piece

1 piece

1 piece

Transmucous Ø

4,5 mm

Transmucous Ø

5,0 mm

Impression transfer with long screw

Smart transfer

- Titanium gr 5- Long passing screw h 14 mm, code PSTL

- Titanium gr 5 - Perfectly replicates the transmucous profile of the soft tissues, thus precisely transferring the implant position- It is assembled with the mount-transfer screwed onto the implant

Code

01TR33

Code

01TRS45

Packaging

1 piece

Packaging

1 piece

Transmucous Ø

5,0 mm

Impression transfer in three sections

- Titanium gr 5- Maintains the impression precision also in case of disparallelism

Code

01TR333

Packaging

1 piece

Platform Ø

3,5 mm

3,5 mm

Laboratory analog

- Titanium gr 5

Code

01AN33

01AN33/3

Packaging

1 piece

3 pieces

Height (h)

3 mm

4 mm

5 mm

6 mm

7 mm

TECAPEEK Healing screws

- Aesthetic

- Biocompatible

- Inhibition to bacterial attack

- Chemical inertia

- Autoclavable

- Passing screw

Code

01HPKC333

01HPKC334

01HPKC335

01HPKC336

01HPKC337

Packaging

1 piece

1 piece

1 piece

1 piece

1 piece

Ø

4,5 mm

4,5 mm

4,5 mm

4,5 mm

4,5 mm

Tecapeek temporary abutment with screw

- Biocompatibility

- For immediate temporary restorations

- Milled surface to facilitate resin adhesion

- Passing screw code PSS

Code

01APK33

01APKA33

Packaging

1 piece

1 piece

Transmucous h

0,5 mm

2,5 mm

Passing screw

PSS

PSS

PSK5

PSK6

PSK7

(1)

(2)

(3)

- Composed of: (1) transfer body (2) transfer cylinder (3) passing screw(1)

(2)

(3)

4,5

10,3

h1,1

1,1

1,0

1,3

h

9,0

0,5 2,5

Transmucous Ø

4,5 mm

4,5 mm

Standard straight abutment with screw Code

01ATI33

01ATIF33*

Packaging

1 piece

1 piece

Transmucous Ø

4,5 mm

4,5 mm

Straight shouldered abutment with screw

- Titanium gr 5

- Different diameters

- Adjustable

- Short passing screw (code PSTS)

Code

01AS33

01ASF33*

Packaging

1 piece

1 piece

for frictioning connection


Transmucous Ø

4,5 mm

4,5 mm

15° pre-angled abutment with screw Code

01AP1533

01AP15F33*

Packaging

1 piece

1 piecefor frictioning connection

Titanium base for Zirconia abutments

- Golden titanium gr 5

- Solid structure at implant-abutment interface

- Passing screw code PSSV in titanium gr 5 colour coded

Code

01ATIBZ33

Packaging

1 piece

- Titanium gr 5


- Adjustable


- Titanium gr 5


- Adjustable

- Extra short passing screw (code PSTXS)

1,15

10,3

10,3

1,65

1,151,1

12,2

2,8

0,4

5

Zirconia abutment RP

- High aesthetics

- Adjustable

- Anatomical design

Code

01ATZ

01APZ

Packaging

1 piece

1 piece

Straight

17° pre-angled

Straight 17° pre-angled

6,5

4

The retentive wings exploit their natural spring effect

34 35




Transmucous Ø

4,5 mm

Overcasting titanium coping with screw

- Titanium gr 5

- Overcastable

- Ideal alloy gold or extra hard noble Title 500

- Max. pre-heating temperature 800 °C

- Passing screw PSS

Code

01ATIB33

Packaging

1 piece

INSTRUCTIONS FOR USEBefore proceeding with the modelling, sandblast or roughen the grooved surface with a drill. Prepare for the casting in the usual way; there are no contra-indications to the use of phosphate investments, even the rapid ones. Perform the preheating making sure not to exceed 800°C; the permanence time in the oven must not be too long max. 30-40 minutes. Use yellow gold alloy or gold extra hard alloy, title 500, eliminate the coating in excess in the usual way, making sure not to use acids that can corrode titanium (such as hydrofluoric acid) and eliminate the remaining oxide traces with a light sandblasting with glass balls (for example microblast etc.).Important: The base is not particularly suitable for ceramic overbaking. However, if you proceed with the ceramic coating, use ceramic suitable for titanium and, after each baking, remove the formed oxide by pickling or light sandblasting.

PRE-HEATING:720° for metal acrylic; 830° for metal ceramic30 min. from the final temperature suggested overcasting with noble alloy (60% gold)

Transmucous Ø

4,5 mm

4,5 mm

4,5 mm

4,5 mm

Castable abutment with screw Code

01ACL33

01ACL33/3

01ACL33/10

01ACLF33*

Packaging

1 piece

3 pieces

10 pieces


- Abutment for cemented prothesis or for single screw retained crowns


- Adjustable

- Short passing screw code PSS

4,3

1,55

1,90

13,0

Transmucous Ø

4,5 mm

4,5 mm

25° pre-angled abutment with screw Code

01AP2533

01AP25F33*

Packaging

1 piece


- Titanium gr 5


- Adjustable

- Extra short passing screw (code PSTXS)1,151,35

9,85

Transmucous Ø

4,5 mm

Castable abutment for cementing

- Adjustable

- Ideal gold alloy

- Title 500 extra hard noble

Code

01ACLC33

Packaging

1 piece

Transmucous Ø

4,5 mm

4,5 mm

Tissue abutment for screw retained prosthesis

- Titanium gr 5

- Different heights

- To be used with cylinder code ATIA and PSACL

- Ideal for bar retained prosthesis (overdenture)

Code

01ATS331

01ATS332

Packaging

1 piece

1 piece

Height (h)

1 mm

2 mm

Transmucous Ø

4,5 mm

Overcasting cylinder for tissue abutment

- Composed of:(1) overcasting titanium coping(2) castable adjustable(3) cover screw code SVCTS45V

Code

01ATIA

Packaging

1 piece

Transmucous Ø

4,5 mm

Castable cylinder for tissue abutment

- Adjustable

- For screw retained prothesis on tissue abutment (screw retained prosthesis or rotating type)

- Titanium screw adjustable in height code PSLA

Code

01PSACL

Packaging

1 piece

Screw code

PS1

PS2

Anti-rotation abutment for screw-retained prosthesis

- Titanium gr 5

- Anti-rotation abutment for screw retained prosthesis

- To be used with castable abutments code ACL33A - ACLR33A

- Extractor code PSES

- Passing screw with threaded head

Code

01AATI331A

01AATI332A

Packaging

1 piece

1 piece

Height (h)

1 mm

2 mm

1,16

10,0

h

2,2

h

1,5

9,6

10,0

1,0

Transmucous Ø

4,5 mm

4,5 mm

4,5 mm

Gold base

Cr-co base

Castable abutment gold or chrome-cobalt coping with screw

- Gold coping

- Castable



- Availabe with gold or chrome-cobalt alloy base

Code

01AGCL33

01AGCLF33 (1)*

01ACRCL33

Packaging

1 piece

1 piece

1 piece

(1) tight the tapered passing screw at 40 Ncm0,75

13,75

Rotating/anti-rotation castable abutment with screw

1) Castable adjustable

2) Titanium gr 5 short fixing screw code PSAS

- Usable on anti-rotation abutment for screw retained prosthesis

- Rotating: ideal for bar retained prosthesis (overdenture)

- Anti-rotation: ideal for single crowns

Code

01ACLR33A

01ACL33A

Packaging

1 piece

1 piece

rotating

anti-rotation

rotating anti-rotation

8,0

36 37



Cylindrical Ø 3,3 Platform Ø 3,5 Cylindrical Ø 3,75 Platform Ø 4,0

** Teflon retentive caps see page 67

Transmucous Ø

4,5 mm

4,5 mm

4,5 mm

4,5 mm

4,5 mm

Ball abutment

- Titanium gr 5

- Different heights

- For ball overdenture to be used with teflon caps OT-CAP Normo**

Code

01AB331

01AB332

01AB333

01AB334

01AB335

Packaging

1 piece

1 piece

1 piece

1 piece

1 piece

Height (h)

1 mm

2 mm

3 mm

4 mm

5 mm

Height (h)

1 mm

2 mm

3 mm

4 mm

Anti-rotating two-piece ball abutment

- Titanium gr 5

- 1) Ball abutment base Ø 4,5, height 1 mm

- 2) Ball abutment body

- Different heights


Code

01ABA332

01ABA333

01ABA334

01ABA335

Packaging

1 piece

1 piece

1 piece

1 piece

(2)

(2)

(2)

(2)

Titanium Trial kit

- Includes 6 titanium trial abutments: 2x straight, 2x pre-angled 25°, 2x pre-angled 15°

- The trial abutments are inserted on the implant or on the analog to select the ideal support

- The trial abutments only are autoclavable at 121°C

Code

01K61

Packaging

6 pieces

2)

1)

h

1

h

1,1

Height (h)

2 mm

3 mm

4 mm

5 mm

6 mm

7 mm

Healing screw (transgingival portion ø 4,5)

- Titanium gr 5

- Different heights

Code

01HCC42

01HCC43

01HCC44

01HCC45

01HCC46

01HCC47

Packaging

1 piece

1 piece

1 piece

1 piece

1 piece

1 piece

Transmucous Ø

4,5 mm

4,5 mm

4,5 mm

4,5 mm

4,5 mm

4,5 mm

Ø 4,0

Ø 4,5

Height (h)

4 mm

5 mm

6 mm

Healing screw (transgingival portion ø 6,0)

- Titanium gr 5

- Different heights

Code

01HCC64

01HCC65

01HCC66

Packaging

1 piece

1 piece

1 piece

Transmucous Ø

6 mm

6 mm

6 mmØ 4,0

Ø 6,0

TECAPEEK Healing screw Height (h)

3 mm

4 mm

5 mm

6 mm

7 mm

- Aesthetic

- Biocompatible


- Chemical inertia

- Autoclavable

- Passing screw

Code

01HPKCC43

01HPKCC44

01HPKCC45

01HPKCC46

01HPKCC47

Packaging

1 piece

1 piece

1 piece

1 piece

1 piece

Transm. Ø

4,5 mm

4,5 mm

4,5 mm

4,5 mm

4,5 mm

3 mm

4 mm

5 mm

6 mm

7 mm

01HPKCC63

01HPKCC64

01HPKCC65

01HPKCC66

01HPKCC67

1 piece

1 piece

1 piece

1 piece

1 piece

6 mm

6 mm

6 mm

6 mm

6 mm

h

h


- Titanium gr 5

- Long passing screw h 14 mm, code PSTL

Code

01TRC4

Packaging

1 piece

Transmucous Ø

4,5 mm9,30

NOTE:It is possible to apply the so called “Platform switching”, i.e. to apply a narrower abutment on a larger platform, so that the possible inflammation is spread on an hori-zontal area rather than on a vertical wall. With this technique the crestal bone resorption can be avoided thus enhancing also the volume and quality of the soft tissues (better stability, better aesthetic).

Implants with platform Ø 4 g Prosthetic component with platform Ø 3.5Implants with platform Ø 5 g Prosthetic component with platform Ø 4Implants with platform Ø 6 g Prosthetic component with platform Ø 5

h

Impression transfer with screw for pick-up technique

- Titanium gr 5

- Long passing screw code PSTTL*

- To be used with individual open tray (pick-up technique)

Code

01TRCP4

Packaging

1 piece

Transmucous Ø

4,5 mm

12,90

* Also available as spare part the extra long screw code PSTTLL

Pass. screw

PSS

PSS

PSK5

PSK6

PSK7

PSS

PSS

PSK5

PSK6

PSK7

Height (A)

1,1 mm

1,1 mm

1,1 mm

1,1 mm

1,1 mm

1,1 mm

1,5 mm

1,5 mm

1,5 mm

1,5 mm

1,1

1,5

A

(1) Locator abutments are manufactured and patented by Zest Anchors. Locator is a trademark of Zest Anchors, Inc.

NOTE: Ask for the detailed list of accessories

Height (h)

1,0 mm

2,0 mm

3,0 mm

4,0 mm

Locator® Abutment(1)

- Titanium gr 5. TiN coated

- Different heights

- Resin replaceable retainers for disparallelism between implants:

up to 20° - standard retainers (blue, pink, clear); up to 40° - extra retainers (orange, red, green);

- Accessories

Code

5102905

5102906

5102907

5102908

Packaging

1 piece

1 piece

1 piece

1 piece

h

1,5

coming soon

SMART TRANSFERSee page 32

38 39




(1)

(2)

(3)



Transmucous Ø

4,5 mm

Impression transfer in three sectionsfor Pick-up technique

- Titanium gr 5- Maintains the impression precision also in case of disparallelism

Code

01TR403

Packaging

1 piece

Platform Ø

4,0 mm

4,0 mm

Laboratory analog

- Titanium gr 5

Code

01ANC4

01ANC4/3

Packaging

1 piece

3 pieces

Transmucous Ø

4,5 mm

4,5 mm

6,0 mm

Standard straight abutment with screw

- Titanium gr 5


- Adjustable

- Short passing screw (code PSS)

Code

01ATIC4

01ATICF4*

01ATIC6

Packaging

1 piece

1 piece

1 piece



- Biocompatibility




Code

01APK4

01APKA4

Packaging

1 piece

1 piece

Transmucous h

0,5 mm

2,5 mm

- Composed of: (1) transfer body (2) transfer cylinder (3) passing screw(1)

(2)

(3)

4,5

10,3

10,0

0,5 2,5

A

1,15

Height (A)

1,15 mm

1,15 mm

1,50 mm

Zirconia abutment RP

Titanium base for Zirconia abutments

- High aesthetics

- Adjustable

- Anatomical design

- Golden titanium gr 5

- Solid structure at implant-abutment interface

- Passing screw code PSSG in titanium gr 5 colour coded

Code

01ATZ

01APZ

Code

01ATIBZC4

Packaging

1 piece

1 piece

Packaging

1 piece

Straight

17° pre-angled

Straight 17° pre-angled

Transmucous Ø

4,5 mm

4,5 mm

6,0 mm


- Titanium gr 5


- Adjustable


Code

01ASC4

01ASCF4*

01ASC6

Packaging

1 piece

1 piece

1 piece

*for frictioning connection

Transmucous Ø

4,5 mm

4,5 mm

6,0 mm

15° pre-angled abutment with screw

- Titanium gr 5


- Adjustable


Code

01APC1540

01APC15F40*

01APC601540

Packaging

1 piece

1 piece

1 piece

*for frictioning connection

Transmucous Ø

4,5 mm

4,5 mm

6,0 mm


- Titanium gr 5


- Adjustable


Code

01APC2540

01APC25F40*

01APC602540

Packaging

1 piece

1 piece

1 piece*for frictioning connection

10,3

1,65

1,15

1,15

1,35

A

13,0

10,5

9,6

0,9

Height (A)

1,35 mm

1,35 mm

1,80 mm

Transmucous Ø

4,5 mm

4,5 mm

4,5 mm

Gold base

Cr-co base


- Gold coping

- Castable




Code

01APSG4

01APSFG4* (1)

01APSCR4

Packaging

1 piece

1 piece

1 piece

(1) tight the tapered passing screw at 40 Ncm


6,5

4

2,8

0,3

40 41


Cylindrical Ø 3,75

** Teflon retentive caps see page 67*Each frictioning abutment is equipped with PSF tapered passing screw. WARNING: insert the abutment taking care that the hex connection is perfectly accommodated in its site. Then fix it screwing the tapered screw in. Use driver TLM16S and connections TW16L (manual) / TLCA16L (contra-angle).

Screw code

PS1

PS2

Anti-rotation abutment with screw

- Titanium gr 5


- to be used with castable abutments code ACLA - ACLRC4A



Code

01AC1A

01AC2A

Packaging

1 piece

1 piece

Height (h)

1 mm

2 mm




- Usable with anti-rotation abutment for screw retained prosthesis



Code

01ACLRC4A

01ACLA

Packaging

1 piece

1 piece

Adjustable abutment

- Titanium gr 5


Code

01ATIM4

Packaging

1 piece

Height (h)

1 mm

2 mm

3 mm

4 mm

Anti-rotation two-pieces ball abutment

- Titanium gr 5

1) Ball abutment base Ø 4,5 mm, height 1 mm

2) Ball abutment body

- Different heights


Code

01ABA402

01ABA403

01ABA404

01ABA405

Packaging

1 piece

1 piece

1 piece

1 piece

(2)

(2)

(2)

(2)

Transmucous Ø

4,5 mm

4,5 mm

4,5 mm

4,5 mm

4,5 mm

Ball abutment

- Titanium gr 5

- Different heights


Code

01ABC451

01ABC452

01ABC453

01ABC454

01ABC455

Packaging

1 piece

1 piece

1 piece

1 piece

1 piece

Height (h)

1 mm

2 mm

3 mm

4 mm

5 mm

rotating

anti-rotation


Max. Ø

6,9 mm

(2)h

1,5

8,0

8,0

h

h

0,6

(1)

1,0

Transmucous Ø

4,5 mm

Abutment for immediate loading

- Titanium gr 5 + POM-C


Code

01ACI4

Packaging

1 piece14,35

2,05



Height (h)

1,0 mm

2,0 mm

3,0 mm

4,0 mm



- Different heights



- Accessories

Code

5102917

5102918

5102919

5102920

Packaging

1 piece

1 piece

1 piece

1 piece

h

1,5

Platform Ø 4,0

Transmucous Ø

4,5 mm


- Adjustable

- Ideal gold alloy


Code

01ACCLC4

Packaging

1 piece11,2

1,55

Transmucous Ø

4,5 mm

4,5 mm

4,5 mm

4,5 mm

4,5 mm

6,0 mm

Castable abutment with screw



- Adjustable


Code

01ACCL4

01ACCL4/3

01ACCL4/10

01ACCLF4*

01ACCLF4/10*

01ACCL6

Packaging

1 piece

3 pieces

10 pieces

1 piece

10 pieces


13,0

2,05

42 43




Transmucous Ø

5,0 mm

5,0 mm

5,0 mm

5,0 mm




- Adjustable


Code

01ACL50

01ACL50/10

01ACLF50*

01ACLF50/10*

Packaging

1 piece

10 pieces

1 piece

10 pieces



Transmucous Ø

6,0 mm


- Titanium gr 5


- Adjustable

- Short passing screw (code PSTXS)

Code

01AP1560

Packaging

1 piece10,5

13,0

13,0

1,41,1

0,5

1,95

Transmucous Ø

5,0 mm

5,0 mm

5,0 mm

Gold base

Cr-co base


- Gold coping

- Castable




Code

01AGCL45

01AGCLF45* (1)

01ACRCL45

Packaging

1 piece

1 piece

1 piece





Transmucous Ø

5,0 mm

5,0 mm


- Abutment for cemented prosthesis

- Titanium gr 5


- Adjustable


Code

01ATI5

01ATIF5*

Packaging

1 piece

1 piecefor frictioning connection10,4

1,5

Height (h)

2 mm

4 mm

6 mm

Transmucous Ø

5,0 mm

5,0 mm

5,0 mm

Healing screw

- Titanium gr 5

- Different heights

Code

01HC502

01HC504

01HC506

Packaging

1 piece

1 piece

1 piece


3 mm

4 mm

6 mm

- Aesthetic

- Biocompatible


- Chemical inertia

- Autoclavable

- Passing screw

Code

01HPKC503

01HPKC504

01HPKC506

Passing screw

PSS

PSS

PSK6

Packaging

1 piece

1 piece

1 piece

Transmucous Ø

5 mm

5 mm

5 mm

Transmucous Ø

5,0 mm



Code

01TR50

Packaging

1 piece

Platform Ø

5,0 mm

Laboratory analog

- Titanium gr 5

Code

01AN45

Packaging

1 piece


- Biocompatibility




Code

01APK5

01APKA5

Packaging

1 piece

1 piece

Transmucous h

0,5 mm

2,5 mm

h

9,0

0,5 2,5

1,2

1,2

h

1,2



44 45



Cylindrical Ø 5,5

Height (h)

2 mm

4 mm

6 mm

Transmucous Ø

6,0 mm

6,0 mm

6,0 mm

Healing screw

- Titanium gr 5- Different heights

Code

01HC602

01HC604

01HC606

Packaging

1 piece

1 piece

1 piece

Transmucous Ø

6,0 mm



Code

01TR60

Packaging

1 piece

Platform Ø

6,0 mm

Laboratory analog

- Titanium gr 5

Code

01AN55

Packaging

1 piece

Transmucous Ø

6,0 mm

6,0 mm


- Abutment for cemented prosthesis

- Titanium gr 5


- Adjustable

- Short passing screw Code PSS

Code

01ATI6055

01ATI60F55*

Packaging

1 piece





3 mm

4 mm

6 mm

- Aesthetic

- Biocompatible


- Chemical inertia

- Autoclavable

- Passing screw

Code

01HPKC603

01HPKC604

01HPKC606

passing screw

PSS

PSS

PSK6

Packaging

1 piece

1 piece

1 piece

Transmucous Ø

6 mm

6 mm

6 mm

h

9,0

8,9

1,2

1,2

2,0

h

1,2

Transmucous Ø

6,5 mm


- Adjustable

- Ideal gold alloy

- Title 500 extra hard

Code

01ACLC6

Packaging

1 piece10,2

1,55

Cylindrical Ø 4,5 Platform Ø 5,0 Platform Ø 6,0


Transmucous Ø

5,5 mm


- Adjustable

- Ideal gold alloy


Code

01ACLC5

Packaging

1 piece

10,2

1,55

Transmucous Ø

5,0 mm

5,0 mm

5,0 mm

Ball abutment

- Titanium gr 5

- Different heights


Code

01AB502

01AB503

01AB504

Packaging

1 piece

1 piece

1 piece

Height (h)

2 mm

3 mm

4 mm

Screw code

PS1


- Titanium gr 5


- to be used with castable abutments code ACL45A - ACLR45A



Code

01AATI451A

Packaging

1 piece

Height (h)

1 mm







Code

01ACLR45A

01ACL45A

Packaging

1 piece

1 piece

rotating

anti-rotation

h

h


h

1,5

8,0

h


46 47


Cylindrical Ø 3,3 e 3,75 Platform Ø 4,1Cylindrical Ø 5,5 Platform Ø 6,0

Prosthetic components TIXOS INTERNAL HEX Prosthetic components TIXOS EXTERNAL HEX

* Also available as spare part short screws PSXTS and extra-short screws PSTXXS

Height (h)

3 mm

4 mm

5 mm

6 mm

7 mm

Healing screw (transgingival portion Ø 4,5)

- Titanium gr 5

- Different heights

Code

01HCX333

01HCX334

01HCX335

01HCX336

01HCX337

Packaging

1 piece

1 piece

1 piece

1 piece

1 piece

Transmucous Ø

4,5 mm

4,5 mm

4,5 mm

4,5 mm

4,5 mm

Height

4 mm

5 mm

6 mm

7 mm

Healing screw (transgingival portion Ø 6,0)

- Titanium gr 5

- Different heights

Code

01HCX60334

01HCX60335

01HCX60336

01HCX60337

Packaging

1 piece

1 piece

1 piece

1 piece

Transmucous Ø

6 mm

6 mm

6 mm

6 mm


Impression transfer for Tixos Short

- Titanium gr 5

- Long passing screw h 14 mm, code PSXTL*

- Titanium gr 5

- Long passing screw h 14 mm, code PSXTL*

Code

01TRX33

Code

01TRXS41

Packaging

1 piece

Packaging

1 piece

Transmucous Ø

4,5 mm

Transmucous Ø

5,5 mm

Height

4 mm

5 mm

6 mm

7 mm

Code

01HPKCX60334

01HPKCX60335

01HPKCX60336

01HPKCX60337

Packaging

1 piece

1 piece

1 piece

1 piece

Transm. Ø

6 mm

6 mm

6 mm

6 mm

TECAPEEK Healing screw Height

4 mm

5 mm

6 mm

7 mm

- Aesthetic

- Biocompatible


- Chemical inertia

- Autoclavable

- Passing screw

Code

01HPKCX334

01HPKCX335

01HPKCX336

01HPKCX337

Packaging

1 piece

1 piece

1 piece

1 piece

Transm. Ø

4,5 mm

4,5 mm

4,5 mm

4,5 mm

Pass. screw

PSTXXS

PSXTS

PSKX6

PSKX7

Pass. screw

PSTXXS

PSXTS

PSKX6

PSKX7

Ø 4,0

Ø 4,5

9,5

8

h

h

Ø 4,0

Ø 6,0

h

1,3

1,5

A

1,4

2,0

Height (A)

1,5 mm

1,5 mm

1,5 mm

1,5 mm

Height (A)

1,3 mm

1,3 mm

1,3 mm

1,3 mm


*Each frictioning abutment is equipped with PSF tapered passing screw.WARNING: insert the abutment taking care that the hex connection is perfectly accommodated in its site. Then fix it screwing the tapered screw in. Use driver TLM16S and connections TW16L (manual) / TLCA16L (contra-angle).

Transmucous Ø

6,0 mm

6,0 mm


- Abutment for cemented prosthesis or for single screwed crowns


- Adjustable


Code

01ACL60

01ACLF60*

Packaging

1 piece


Transmucous Ø

6,0 mm

6,0 mm

6,0 mm

Ball abutment

- Titanium gr 5

- Different heights

- For ball overdenture to be used with Teflon caps OT-CAP normo**

Code

01AB602

01AB603

01AB604

Packaging

1 piece

1 piece

1 piece

Height (h)

2 mm

3 mm

4 mmh

13,0

13,0

0,5

2,0

Transmucous Ø

6,0 mm

6,0 mm

6,0 mm

Gold base

Cr-co base


- Gold coping

- Castable




Code

01AGCL55

01AGCLF55* (1)

01ACRCL55

Packaging

1 piece

1 piece

1 piece


PRE-HEATING:720° for metal acrylic; 830° for metal ceramic30 min. from the final temperature suggested overcastting with noble alloy (60% gold)

Screw code

PS1


- Titanium gr 5


- To be used with castable abutments code ACL55A – ACLR55A



Code

01AATI551A

Packaging

1 piece

Height (h)

1 mmh

1,5







Code

01ACLR55A

01ACL55A

Packaging

1 piece

1 piece

rotating

anti-rotation


8,0



48 49

Prosthetic components TIXOS EXTERNAL HEX Prosthetic components TIXOS EXTERNAL HEX

Cylindrical Ø 3,3 e 3,75 Platform Ø 4,1

*Each frictioning abutment is equipped with PSXF tapered passing screw. WARNING: insert the abutment taking care that the hex connection is perfectly accommodated in its site. Then fix it screwing the tapered screw in. Use driver TLM16S and connections TW16L (manual) / TLCA16L (contra-angle).

Platform Ø

4,0 mm

Laboratory analog

- Titanium gr 5

Code

01ANX33

Packaging

1 piece

Transmucous Ø

4,5 mm

4,5 mm

6,0 mm


- Titanium gr 5


- Adjustable

- Short passing screw code PSXTS

Code

01ATIX33

01ATIXF33*

01ATI60X33

Packaging

1 piece

1 piece


Transmucous Ø

4,5 mm

4,5 mm

6,0 mm


- Titanium gr 5


- Adjustable


Code

01AXS33

01AXSF33*

01AXS6033

Packaging

1 piece

1 piece


Transmucous Ø

4,5 mm

Abutment for gluing technique

- Titanium gr 5 + POM-C


Code

01ACIX4

Packaging

1 piece

Tecapeek rotating/anti-rotation temporary abutment with screw

- Biocompatibility



- Passing screw code PSXTS

Packaging

1 piece

1 piece

1 piece

1 piece

Transmucous h

0,5 mm

0,5 mm

2,5 mm

2,5 mm

Code

01APKXR33

01APKX33

01APKXRA33

01APKXA33

rotating

anti-rotation

rotating

anti-rotation

10,3

10,3

15

A

1,7

0,5 2,5

A

Height (A)

1,3 mm

1,3 mm

1,6 mm

Height (A)

1,7 mm

1,7 mm

2,2 mm

Transmucous Ø

4,5 mm


- Titanium gr 5


- Adjustable

- Extra short passing screw code PSTXXS

Code

01APX1533

Packaging

1 piece

Transmucous Ø

4,5 mm


- Titanium gr 5


- Adjustable

- Extra short passing screw code PSTXXS

Code

01APX2533

Packaging

1 piece

13,0

10,0

10,3

1,25

1,5

1,9

0,75

1,0

Impression transfer with screw for pick-up technique

- Titanium gr 5

- Long passing screw code PSXTTL*

- To be used with individual open tray (pick-up technique)

Code

01TRXP33

Packaging

1 piece

Transmucous Ø

4,5 mm13,5

*Also available as spare part the extra long screw code PSXTTLL

Transmucous Ø

4,5 mm

4,5 mm

4,5 mm

4,5 mm

Gold base

Cr-co base


- Gold coping

- Castable


- Passing screw code PSTXXS


Code

01AGCLRX33

01AGCLX33

01AGCLXF33* (1)

01ACRCLX33

Packaging

1 piece

1 piece

1 piece

1 piece


rotating

anti-rotation


50 51





Rotating/Anti-rotation castable abutment with screw



- Usable with anti-rotation abutment for screw-retained denture



Code

01ACLRX33A

01ACLX33A

Packaging

1 piece

1 piece

rotating

anti-rotation

Transmucous Ø

4,5 mm

4,5 mm

4,5 mm

4,5 mm

Ball abutment

- Titanium gr 5

- Different heights


Code

01ABX332

01ABX333

01ABX334

01ABX335

Packaging

1 piece

1 piece

1 piece

1 piece

Height (h)

2 mm

3 mm

4 mm

5 mm

Height (h)

0,8 mm

1,8 mm

2,8 mm

3,8 mm

Height (h)

1,0 mm

2,0 mm

3,0 mm

4,0 mm

Two-pieces anti-rotation ball abutment


- Titanium gr 5

- 1) Ball abutment base ø 4,5, height 1,30 mm

- 2) Ball abutment body

- Different heights



- Different heights



- Accessories

Code

01ABXA2

01ABXA3

01ABXA4

01ABXA5

Code

5102911

5102912

5102913

5102914

Packaging

1 piece

1 piece

1 piece

1 piece

Packaging

1 piece

1 piece

1 piece

1 piece

(2)

(2)

(2)

(2)

Code

01K60

Packaging

6 pieces

Screw code

PSX1

PSX2


- Titanium gr 5


- To be used with castable abutments code ACLX33A – ACLRX33A



Code

01AATIX331A

01AATIX332A

Packaging

1 piece

1 piece

Height (H)

1 mm

2 mm

(2)

(1)

h

h

h

1,30

1,5

h

1,5

8,0

0,5


Cylindrical Ø 3,3 e 3,75 Platform Ø 4,1

Transmucous Ø

4,5 mm

4,5 mm

Overcasting titanium coping with screw

- Titanium gr 5

- Overcastable

- Ideal alloy gold or extra hard noble Title 500

- Pre-heating temperature max. 800 °C


Code

01ATIBX33

01ATIBXF33*

Packaging

1 piece


4,7

1,9


Rotating/anti-rotation castable abutmentwith screw

- Adjustable

- Anti-rotation for single crowns

- Rotation for bar retained prosthesis (overdenture)

- Short passing screw code PSCLXS

Code

01CLRX33

01CLRX33/10

01CLX33

01CLX33/10

01CLXF33*

Packaging

1 piece

10 pieces

1 piece

10 pieces

1 piece

rotating

rotating

anti-rotation

anti-rotation

Transmucous Ø

4,5 mm

4,5 mm

4,5 mm

4,5 mm

4,5 mmfor frictioning connection12,7

1,7


Titanium Trial kit

- Includes 6 titanium trial abutments: 2x straight, 2x pre-angled 25°, 2x pre-angled 15°

- The trial abutments are inserted on the implant or on the analog to select the ideal support

- The trial abutments only are autoclavable at 121°C

coming soon

52 53




Straight abutment

- Titanium gr 5

- With supporting tool for easy positioning

- Passing screw (hex section)

Code

01AATX1

01AATX2

01AATX3

Passing screw

PSXQA1

PSXQA2

PSXQA3

Packaging

1 piece

1 piece

1 piece

Height (h)

1 mm

2 mm

3 mm


- Titanium gr 5

- With titanium supporting tool for easy positioning

- Passing screw (torque) code PSXQP

Code

01AAPX17

Packaging

1 piece

Height

3,9 mm

Height

5,2 mm


- Titanium gr 5

- With titanium supporting tool for easy positioning

- Passing screw (torque) code PSXQP

Code

01AAPX30

Packaging

1 piece

Abutment cap

- In POM-C

- Passing screw (torque) code PSXQA

Code

01HQX

Packaging

1 piece4,25

h

2,15

4

Cylindrical Ø 3,3 e 3,75

Cylindrical Ø 3,3 e 3,75

Platform Ø 4,1

Platform Ø 4,1

Temporary for abutment

Castable abutment

- Titanium gr 5


- Adjustable


Code

01AAQX

Code

01AACX

Packaging

1 piece

Packaging

1 piece

Impression transfer

- Titanium gr 5

- Passing screw (torque) code PSXQT

Code

01TRXP1730

Packaging

1 piece

Laboratory analog

- Titanium gr 5

Code

01ANX1730

Packaging

1 piece

12

8

9

LEADERQUICK is the clinical solution developed for Implus and TiXos implants with external hex, ideal in cases of upper or lower edentulous jaws.

Effected using 4, 6 or more implants, inserting straight and pre-angled abutments properly designed for these kinds of edentulous patients, LEADERQUICK provides a stable prosthetic support, thanks to the posterior angulated implants, which guarantee a long term success.

Designed for the application of temporary immediate prosthetic dentures, LEADERQUICK procedure spares the patient the inconvenience of temporary edentulous situation, allowing a fixed denture in very short time.

Taking the maximum advantage of the patient’s existing bone, in many cases it is possible to avoid bone graft surgery and more invasive procedures.

In the upper jaw, even in situation of very reduced bone height proximal to maxillary sinuses, thanks to LEADERQUICK procedure, a very stable prosthesis can be obtained just displacing the posterior implants.

In the lower jaw, the reduced vertical height caused by a long lasting edentulous arch, very often prevents the insertion of implants with proper length and limits the intervention to the area between the two mental foramen. With LEADERQUICK procedure, a stable prosthesis is possible, taking advantage of the patient’s existing bone.

LEADERqUICK

54 55



Protection cap Temporary abutment Castable abutment


Height (h)

2 mm

4 mm

6 mm

Transmucous Ø

5,0 mm

5,0 mm

5,0 mm

Healing screw

- Titanium gr 5- Different heights

Code

01HCX502

01HCX504

01HCX506

Packaging

1 piece

1 piece

1 piece

Transmucous Ø

5,0 mm


- Titanium gr 5- Long passing screw h 14 mm, code PSXTL- To be used with individual open tray (pick-up technique)

Code

01TRX50

Packaging

1 piece

Platform Ø

5,0 mm

Laboratory analog

- Titanium gr 5

Code

01ANX5

Packaging

1 piece

Transmucous Ø

5,0 mm

5,0 mm


- Titanium gr 5


- Adjustable

- Short passing screw (code PSXTS)

Code

01ATIX5

01ATIXF5*

Packaging

1 piece



Implants with platform Ø 5 g Prosthetic component with platform Ø 4,1


4 mm

6 mm- Aesthetic

- Biocompatible


- Chemical inertia

- Autoclavable

- Passing screw

Code

01HPKCX504

01HPKCX506

Packaging

1 piece

1 piece

Transmucous Ø

5 mm

5 mm

Passing screw

PSTXXS

PSKX6

h

h

11,0

10,0

1,3

1,3

2,0

1,7

Full edentulous • upper jaw Minimum thickness 5 mm Minimum height 10 mm between canines

Full edentulous • lower jaw Minimum thickness 5 mm Minimum height 8 mm between the mental foramen

LEADERQUICK procedure is ideal in cases of full edentulous arches, considering the minimum bone features necessary:

Posterior implants maximum tilt angle should be 45°

GENERAL TIPS

For ratchet For contra-angle

Ø 2 mm

01TWQ

Torque

01TLCAQTS01TLCAQTL

Torque

01TWQT

Connections / Torque ratchets for passing screws

Fixing at 35 Ncm *Fixing at 15 Ncm *Fixing at 15 Ncm

For screws 01PSXQA1 01PSXQA2 01PSXQA3

For screws 01PSXQT 01PSXQA* 01PSXQP*

ShortLong

For screws 01PSXQT 01PSXQA* 01PSXQP*


LEADERqUICKCylindrical Ø 3,3 e 3,75 Platform Ø 4,1


56 57

Prosthetic components TIXOS EXTERNAL HEX Prosthetic components TIXOS


*Each frictioning abutment is equipped with PSXF tapered passing screw. WARNING: insert the abutment taking care that the hex connection is perfectly accommoda-ted in its site. Then fix it screwing the tapered screw in. Use driver TLM16S and connections TW16L (manual) / TLCA16L (contra-angle).

Fractured screw retrieval kit

(1)

(2)

(3)

To retrieve fractured abutment passing screws

1) Tool to be inserted inside the implant

2) Fork to be inserted inside the device (1)

3) Drill to be used inside the device (1) to reduce the fractured screw (code 01K55F)

Code

01K55

Packaging

1 piece

Reamer

- Casting finishing

- Cylindrical or frictioning 5° tapered

Code

01DTZ2

01DTZ1

Packaging

1 piece

1 piece

Ø

2,5 mm

2,5 - 1,8 mmfor frictioning connection

Cylindrical

Tapered

Extraction screw

For castable and gold coping and abutments

Code

01PSES

Packaging

1 piece

A complete range of accessories for overdenture is available. See page 67

Anti-rotation castable abutment with screw

- Adjustable

- Short passing screw code PSCLXS

Code

01CLX50

01CLXF50*

Packaging

1 piece


Screw code

PSX1


- Titanium gr 5


- To be used with castable abutments code ACLX50A – ACLRX50A



Code

01AATIX501A

Packaging

1 piece

Height (h)

Neck 1 mm



2) Titanium short fixing screw code PSAS

- Usable with anti-rotation abutment for screw- retained denture



Code

01ACLRX50A

01ACLX50A

Packaging

1 piece

1 piece

rotating

rotating

anti-rotation

anti-rotation


Implants with platform Ø 5 g Prosthetic component with platform Ø 4,1


13,0

12,7

8,0

h

1,5

1,9

1,7

Transmucous Ø

5,0 mm

5,0 mm

5,0 mm

5,0 mm

Gold base

Cr-co base


- Gold coping

- Castable




Code

01AGCLRX5

01AGCLX5

01AGCLXF5* (1)

01ACRCLX5

Packaging

1 piece

1 piece

1 piece

1 piece


PRE-HEATING:720° for metal acrylic; 830° for metal ceramic30 min. from the final temperature suggested overcastting with noble alloy (60% gold)

58 59

for fi x prosthesis

NANO


• Transmucosal one-piece fi xture




Suitable for the immediate prosthetics: this means • that at the end of the surgical procedure performed in a single phase, the patient can leave the dental office with a temporary fixed prosthesis.Ideal for agenesis cases.

The tapered upper end is ideal both for • single and multiple elements.

NANO 3 are recommended for the platform switching • technique (the platform is larger than the prosthetic transmucosal portion, ideal concept in respect of the biological thickness).

NANO 2 have a shorter neck.•

Nano 2 Nano 3

2,0 mm

Porous surface

impl

ant

leng

th

3,8 mm

1,5 mm

1,85 mm

0,5 mm

neck

Thre

ad p

itch

: 1

,25

mm

Porous surface5.65 mm

0.30 mm

impl

ant

leng

th

Thre

ad p

itch

: 1

,25

mm

Packaging- Packaging in compliance with ISO 11607-1 and 2.- Sterilization by gamma rays 25 kGy- Sterility guaranteed for 5 years by water proof double packaging in airtight sealed glass vial and blister

3,5

Pla

tfo

rm

Ø Length Code Code

Neck Ø 3,2 2,7 10,0 09INT22710 09INT32710 11,5 09INT22711 09INT32711 13,0 09INT22713 09INT32713 16,0 09INT22716 09INT32716

Neck Ø 3,7 3,2 10,0 09INT23210 09INT33210 11,5 09INT23211 09INT33211 13,0 09INT23213 09INT33213 16,0 09INT23216 09INT33216

Nano 2 Nano 3

60 61

for removable prosthesis

NANO

Tixos Nano OVD implants allow to transform a mobile • prosthesis in a fi xed removable one.

They are suitable for the immediate loading: this • means that, at the end of the surgical procedure performed in a single phase, the patient can leave the dental office with a temporary fixed prosthesis.

Tixos NANO OVD implants are indicated only for the • insertion in the lower jaw, between the two mental foramen.The mini implants, in particular the shorter lengths, are indicated for multiple insertion; we recommend the insertion of 4 fixtures to obtain an ideal implanto-prosthetic rehabilitation.

NANO OVD have a shorter neck.•


• Transmucosal one-piece fi xture





Ø 2,5 mm

impl

ant

leng

th

1,5 mm

2 mm

0,5 mm

1,85 mm

Normo ball

Neck

Porous surface

Thre

ad p

itch

: 1

,25

mm

Porous surface

Thre

ad p

itch

: 1

,25

mm

4,7 mm

0,30 mm

impl

ant

leng

th

Ø 2,5 mmNormo ball

Nano OVD Nano OVD 2

3,5

Pla

tfo

rm

Ø Length Code Code

Neck Ø 3,2 2,7 10,0 09INTO2710 09INTO22710 11,5 09INTO2711 09INTO22711 13,0 09INTO2713 09INTO22713 16,0 09INTO2716 09INTO22716

Neck Ø 3,7 3,2 10,0 09INTO3210 09INTO23210 11,5 09INTO3211 09INTO23211 13,0 09INTO3213 09INTO23213 16,0 09INTO3216 09INTO23216

Nano OVD Nano OVD 2

62 63

Platform: Ø 3,5 mm Platform: Ø 3,5 mmApex: Ø 1,45 mm Apex: Ø 1,45 mmØ 2,7 Ø 2,7

Platform: Ø 3,5 mm Platform: Ø 3,5 mm Thread pitch 1,25 mm Thread pitch 1,25 mmApex: Ø 1,85 mm Apex: Ø 1,85 mmØ 3,2 Ø 3,2

Tixos NANO FOR REMOVABLE PROSTHESIS SURGIcAL PROTOcOLTixos NANO FOR FIX PROSTHESIS SURGIcAL PROTOcOL

Thread pitch 1,25 mm Thread pitch 1,25 mm

10,011,513,016,0

09INT3271009INT3271109INT3271309INT32716

Length Code

Nano 3

10,011,513,016,0

09INT2271009INT2271109INT2271309INT22716

Length Code

Nano 2

Nano 3

10,011,513,016,0

09INT3321009INT3321109INT3321309INT33216

Length Code

Nano 2

10,011,513,016,0

09INT2321009INT2321109INT2321309INT23216

Length Code

10,011,513,016,0

09INTO2271009INTO2271109INTO2271309INTO22716

Length Code

Nano OVD 2

10,011,513,016,0


Length Code

Nano OVD

10,011,513,016,0


Length Code

Nano OVD 2

10,011,513,016,0


Length Code

Nano OVD

Recommended drill sequence Recommended drill sequence

Recommended drill sequence Recommended drill sequence

Extended sequence in dense bone Extended sequence in dense bone

Extended sequence in dense bone Extended sequence in dense bone

















CountersinkØ 3,5 CSN

Max. 250 rpm


Max. 250 rpm


Max. 250 rpm


Max. 250 rpm

Cortical DrillØ 1,8 DSP18

Max. 800 rpm


Max. 800 rpm


Max. 800 rpm


Max. 800 rpm

Pilot DrillØ 2,0


Pilot DrillØ 2,0


Pilot DrillØ 2,0


Pilot DrillØ 2,0


NOTES NOTES As the implant insertion in the surgical site is very easy, the manual screwing is recommended. Max. 35 NcmWARNING: We recommend to place the implant platform at bone crest level.

Note: As the implant insertion in the surgical site is very easy, the manual screwing is recommended. Max. 35 NcmAn annual check of the implant stability is recommended.

64 65

Surgical instruments for TIXOS NANO implants Surgical instruments for TIXOS NANO implants

Calibrated stops

In gr 5 titanium. They are applied on the drill to reach the desired working length.They are very useful when working near sensible areas such as lower alveolar site and upper sinus.Note: the stops height is referred to the lowest surface of the bone crest.

Cortical drill

Ø 1,8 mm

05DSP18

Surgical steel

For drills with Ø 1,8 - 2,0 - 2,3

05STP18201005STP18201105STP182013

2,6 - 2,8 - 3,0 - 3,2

05STP26321005STP26321105STP263213

Height

10 mm

11,5 mm

13 mm

Calibrated stop kit (4 pcs: h 8-10-11,5-13 mm)


05STPK1

2,6 - 2,8 - 3,0 - 3,2

05STPK2

Accessories

Tweezers

01SATT

Alveolar probe

01SAP1


Ratchet

01TW

Manual digma

01TLM

01TEXT

Countersink Extension tool

Contra-angleES 2,5 mm

01TLCAN25

Connections

Ratchet ES 2,5 mm

01TWN25

For all drillsØ 3,5 mm

01CSN

Gr. 5 titanium. Hex section.

Surgical steel, DLC coated.Gr. 5 titanium.



Ø 2,3 mm

05DSS23S05DSS23L

Length

34,5 mm

40,5 mm

Ø 2,0 mm (pilot)

05DSS20S05DSS20L

Ø 1,8 mm

05DSS18S05DSS18L

Ø 2,6 mm

05DSS26S05DSS26L


implants.


66 67

Prosthetics components for TIXOS NANO implants Prosthetic accessories for overdenture for TIXOS NANO and cYLINDRIcAL

NANO 2 - NANO 3

NANO OVD - NANO OVD 2

Packaging

1 piece

1 piece

Packaging

1 piece

1 piece

Code

01ANN2

01ANN3

Code

01ANNO

01ANNO2

Gr. 4 titanium

Gr. 4 titanium

Laboratory analog

Laboratory analog

for NANO 2

for NANO 3

for NANO OVD

for NANO OVD 2


- Castable abutment for cementing- Also used like impression transfer for traditional prosthetics procedures.

Packaging

1 piece

Code

01ACLCN3 for NANO 2 and NANO 3

Manufactured by Rhein83 srl* NORMO caps: Ø 2,5 mm - MICRO caps: Ø 1,8 mm

Elastic retentive caps

Teflon caps. The different colours correspond to different retention degre-es. Packages of 6 pcs.

NORMO ball*

50049PCN

50060CRNAY

50040CRNSN

50040CRN

50043CLN

Colour

green

yellow

pink

white

black

Features

very elastic

extra soft

soft

standard

lab process

MICRO ball*

50049PCM

50060CRMAY

50040CRMSN

50040CRM

50043CLM

Extra resilient caps

Gummy. Packages of 6 pcs.

NORMO ball*

50048CON

50048CAN

Colour

gold

silver

Features

elastic

gummy

MICRO ball*

50048COM

50048CAM

Titan Cap

Nylon caps with titanium internal ring. Long lasting.

Packages of 2 pcs

NORMO ball*

50040TCN

MICRO ball*

50040TCM

Stainless steel housings

To host the retentive caps. Specific design, with flap top for resin.

Packages of 2 pcs.

NORMO ball*

50041CAN

MICRO ball*

50041CAM

Height 3,10 mm

Height 2,8 mm

Disposable directional rings OT Box Classic

Including:

- 2 upper bars

- 2 lower bars

- 4 plastic positioners

- 4 connectors

NORMO ball*

50153BCN

MICRO ball*

50153BCM

Packaging

12 pieces50100AD

Packaging

3 pieces

OT Cap Tecno Titan box

Including:

- 1 OT Cap Tecno bar

- 2 TiN covered concave spheres

- 2 Titan Caps

- 1 transparent inserting tool

NORMO ball*

50090TCN

MICRO ball*

50090TCM

Packaging

6 pieces

OT Bar Multiuse

Including:

- 2 castable bars

- 8 positioning clips

- 4 castable boxes

- 4 pink retentive clips

- 4 yellow retentive clips

- 2 connectors

50021OBM

Packaging

24 pieces

To align and fix the retentive caps in the overdenture.

0°, 7° and 14° tilting.

Assorted package (1 of a kind)

68 69

S-TYPE

2.5

Height1,8 /2,8 mm

Impl

ant l

engt

h

NeckHeight 1,8

NeckHeight 2,8

4,75

Pla

tfo

rm

Ø Length Code Code

3,75 10,0 09ITST371018 09ITST371028 11,5 09ITST371118 09ITST371128 13,0 09ITST371318 09ITST3713284,5 10,0 09ITST451018 09ITST451028 11,5 09ITST451118 09ITST451128 13,0 09ITST451318 09ITST451328

Fixture in titanium, Grade 5•

Microfused, porous, isoelastic • surface

Interconnected cavities: • 2-200 microns

Active porous surface thickness: • about 250 microns

It allows disparallelism up to 20°•

Surgical screw included•

• Mono phase fi xture to be placed with a very simple, minimal invasive surgery. • Ideal implant-prosthetic rehabilitation for single or multiple elements: in fact, it is possible to choose between titanium abutment and rotating castable abutment or with an anti-rotation mechanism, for such kind of prosthesis:- bar retained overdenture- screwed bridge- cemented bridge- Toronto bridge (screwed overdenture)


10,011,513,0

10,011,513,0

Length

Length

Neck h 1,8 mm

Neck h 1,8 mm

10,011,513,0

10,011,513,0

Length

Length

Platform: Ø 4,75 mm

Platform: Ø 4,75 mm

Thread pitch: 1,25 mm

Thread pitch: 1,25 mm

Apex: 2,3 mm

Apex: 2,85 mm

Ø 3,75

Ø 4,5

Body: Ø 3,0 mm

Body: Ø 3,5 mm

Neck h 2,8 mm

Neck h 2,8 mm

Tixos S-TYPE

09ITST37101809ITST37111809ITST371318

09ITST45101809ITST45111809ITST451318

09ITST37102809ITST37112809ITST371328

09ITST45102809ITST45112809ITST451328

First preparation

First preparation



Paralleling Pin

PN2/4

Paralleling Pin

PN2/4

Twist DrillØ 2,6


Twist DrillØ 2,6


Twist DrillØ 2,8


Twist DrillØ 3,2


Twist DrillØ 3,0


Twist DrillØ 3,5


Round DrillØ 1,9

DS19SMax. 1.000 rpm

Round DrillØ 1,9

DS19SMax. 1.000 rpm


Max. 800 rpm


Max. 800 rpm

Pilot DrillØ 2,0


Pilot DrillØ 2,0


NOTE STEP DRILLS are available to facilitate the transition to the next drill - see on page 21

70 71

Surgical instruments for TIXOS S-TYPE implants Surgical instruments for TIXOS S-TYPE implants

Ø 5,0 mm

05MTCA50

Preparation drills

Ø 3,5 mm

05DSS35S05DSS35L

Length

34,5 mm

40,5 mm

34,5 mm

40,5 mm

Ø 2,0 mm (pilot)

05DSS20S05DSS20L

Ø 1,8 mm

05DSS18S05DSS18L

Ø 3,0 mm

05DSS30S05DSS30L

Ø 3,2 mm

05DSS32S05DSS32L

Ø 2,8 mm

05DSS28S05DSS28L

Ø 2,6 mm

05DSS26S05DSS26L



Calibrated stops


05STP18201005STP18201105STP182013

2,6 - 2,8 - 3,0 - 3,2

05STP26321005STP26321105STP263213

3,5 - 3,8 - 4,2

05STP38421005STP38421105STP384213

Height

10 mm

11,5 mm

13 mm

In gr. 5 titanium. They are applied on the drill to reach the desired working length.They are very useful when working near sensible areas such as lower alveolar site and upper sinus.

Calibrated stop kit

4 pcs packaging: h 8-10-11,5-13 mm


05STPK1

2,6 - 2,8 - 3,0 - 3,2

05STPK2

3,5 - 3,8 - 4,2

05STPK3

Ø 1,8 mm

05DSP18

Ø 2,3 mm

05DSP

Ø 1,9 mm

11DS19S

Tissue punch In gr 5 titanium. Round drill In surgical steel. Cortical drill In surgical steel.

Accessories

Tweezers

01SATT

Alveolar probe

05SAP

Manual digma

05TLMST2

01TEXT

Extension tool

For all drills

Bone taps

Titanium

Handle for digma

05BTLM

for TLMST2

Connections

ES 2,5 mm

05TEXSTS

ES 2,5 mm

05TEXSTL

Short Long

Surgical steel, DLC coated.

In steel. Hex section. Gr 5 titanium.

Ø 3,7 mm

01CTCAT37

Ø 4,5 mm

01CTCAT45


implants.


Ratchet

01TW


72 73

Prosthetics components for TIXOS S-TYPE implants

Transfer

- Titanium gr 5- Passing screw code PSTR

Packaging

1 piece

Code

05TR475

Packaging

1 piece

Code

05ANSTStainless steel

Laboratory analog

Rotating/Anti-rotation titanium abutment with screw

- Gr. 5 titanium

- Adjustable

- Passing screw code PS

- Anti-rotation for single elements

- Rotating for multiple elements: allows disparallelism up to 20°

Packaging

1 piece

1 piece

Code

05ATIR

05ATIrotating

anti-rotationrotating anti-rotation


- Adjustable

- Passing screw code PS

- Anti-rotation for single elements

- Rotating for multiple elements: allows disparallelism up to 20°

Packaging

1 piece

1 piece

Code

05CLR

05CLrotating

anti-rotationrotating anti-rotation

Long tapered closing screw for abutment

- Gr. 5 titanium

- To be used instead of the passing screw PS in order to use the abutment as a temporary one

Packaging

1 piece

Code

05HCIST

Healing cap

- Gr. 5 titanium

- To be insterted together with the implant to enable the healing of perio-implant soft tissues

Packaging

1 piece

Code

05HC3IST

Extraordinary application possibilities of the “lasermade” surface

The Laser Technique offers many non-conventional options in custom made root realization and opens a wide range of possibilities: a new era for implant dentistry is starting!

*The custom made root "AdHoc" is manufactured according to the Silvetti-Combe® manufacturing process.

Bibliografic references at pag. 74

surface in custom-made applications

The extracted fractured tooth and the RAI (root-analogue implant) before insertion in the fresh alveolar socket.

Custom-made root

Custom-made blade implants

Custom-made, root-analogue direct laser metal forming implant: a case report

Mangano F, Cirotti B, Sammons RL, Mangano C

Lasers in Medical Science 2012 [Epub ahead of print]

Custom-made, selective laser sintering (SLS) blade implants as a non-conventional solution for the prosthetic rehabilitation of extremely atrophied posterior mandible.

Mangano F, Bazzoli M, Tettamanti L, Farronato D, Maineri M, Macchi A, Mangano C.

Lasers in Medical Science 2012 [Epub ahead of print]

a The custom-made RAI immediately after insertion in the fresh alveolar socket. b Post-operative x-ray. Note the perfect correspondence between the RAI and the post-extraction socket.

The CAD file of the custom-made SLS (selective laser sintering) blade implant.

a The custom-made SLS blade implant placed in position. The implant fits perfectly into the osteotomy site. b The radiographic control 2 years after implant placement.

a

b

74 75

References1. Mangano F, Bazzoli M, Tettamanti L, Farronato D, Maineri M, Macchi A, Mangano C. Custom‐made, selective laser sintering (SLS) blade implants as a non‐conventional solution for the prosthetic rehabilitation of extremely atrophied posterior mandible.Lasers in Medical Science 2013, 28:1241-1247. Epub 2012 Sep 14

2. Mangano F, Pozzi‐Taubert S, Zecca P, Luongo G, Sammons R L, Mangano C. Immediate Restoration of Fixed Partial Prostheses Supported by One‐Piece Narrow‐Diameter Selective Laser Sintering Implants: A 2‐Year Prospective Study in the Posterior Jaws of 16 Patients.Implant Dentistry 2013, 22(4):388-393.

3. Shibli JA, Mangano C, Mangano F, Rodrigues JA, Cassoni A, Bechara K, Ferreia JD, Dottore AM, Iezzi G, Piattelli A. Bone‐to‐implant contact around immediately loaded direct laser metal forming transitional implants in human posterior maxilla.Journal of Periodontology 2013, 84(6):732-737. Epub 2012 Sep 24

4. Rapani M, Perrotti V, Rapani C, Iaculli F, Iezzi G. Implant insertion in a patient with Albers‐Schonberg’s disease: case report and literature review.Journal of Osseointegration 2013, 5(1):13-16.

5. Mangano F, Galletta D, Mastrangelo P, Luongo G, Figliuzzi M, Mangano C. Selective laser sintering (SLS) implants: results from a 2‐year prospective multicenter study.Implantologia Stomatologiczna 2013, 1(7):68-72.

6. Mangano F, Macchi A, Shibli JA, Luongo G, Iezzi G, Piattelli A, Caprioglio A, Mangano C. Maxillary ridge augmentation with custom‐made cad/cam scaffolds. A 1‐year prospective study on 10 patients.Journal of Oral Implantology 2013. [Epub ahead of print]

7. Mangano F, Tettamanti L, Sammons RL, Azzi A, Caprioglio A, Macchi A, Mangano C. Maxillary sinus augmentation with adult mesenchymal stem cells: a review of the current literature.Oral Surg Oral Med Oral Pathol Oral Radiol. 2013, 115:717-723 [Epub ahead of print]

8. Giuliani A, Manescu A, Larsson E, Tromba G, Luongo G, Piattelli A, Mangano F, Iezzi G, Mangano C. In Vivo Regenerative Properties of Coralline‐Derived (Biocoral) Scaffold Grafts in Human Maxillary Defects: Demonstrative and Comparative Study with Beta‐Tricalcium Phosphate and Biphasic Calcium Phosphate by Synchrotron Radiation X‐Ray Microtomography.clinical Implant Dentistry and Related Research 2013. [Epub ahead of print]

9. Mangano F, De Franco M, Caprioglio A, Macchi A, Piattelli A, Mangano C. Immediate, non‐submerged, root‐analogue direct laser metal sintering (DLMS) implants: a 1‐year prospective study on 15 patients. Lasers in Medical Science 2013. [Epub ahead of print]

10. Mangano C, Piattelli A, Mangano F, Rustichelli F, Shibli JA, Iezzi G, Giuliani A. Histological and Synchrotron Radiation‐Based Computed Microtomography Study of 2 Human‐Retrieved Direct Laser Metal Formed Titanium Implants.Implant Dentistry 2013, 22:175-181.

11. Iezzi G, Piattelli A, Mangano C, Shibli JA, Vantaggiato G, Frosecchi M, Di Chiara C, Perrotti V. Peri‐implant bone tissues around retrieved human implants after time periods longer than5 years: a retrospective histologic and histomorphometric evaluation of 8 cases. Odontology 2012. [Epub ahead of print]

12. Mangano F, Mastrangelo P, Luongo G, Luongo F, De Franco M, Figliuzzi M, Mangano C. Selective laser sintering (SLS) implants: results from a 2‐year prospective multicenter study.20th Annual Scientific Meeting of the European Association of Osseointegration 10-13 October 2012, Copenhagen

13. Mangano F, Zecca P, Pozzi‐Taubert S, Macchi A, Ricci M, Luongo G, Mangano C. Maxillary sinus augmentation using computer‐aided design/computer‐aided manufacturing (CAD/CAM) technology.The International Journal of Medical Robotics & computer Assisted Surgery 2012. Epub 2012 Sep 7

14. Ricci M, Mangano F, Tercio T, Tonelli P, Barone A, Raspanti M, Covani U. Nanometrical evaluation of direct laser implant surface.Surface and Interface Analysis 2012. Epub 2012 Jul 24

15. Figliuzzi M, Mangano F, Mangano C. A novel root analogue dental implant using CT scan and CAD/CAM: selective laser melting technology.International Journal of Oral & Maxillofac Surgery 2012; 41(7):858-62. Epub 2012 Feb 28

16. Mangano F, Cirotti B, Sammons RL, Mangano C. Custom-made, root-analogue direct laser metal forming implant: a case report.Laser Medical Science 2012 Jun 15. [Epub ahead of print]

17. Luongo G, Mangano C, Mangano F, Iezzi G, Piattelli A, Shibli JA, Giuliani A, RustichellI F. X-ray synchrotron study of a human retrieved Direct Laser Metal Formed (DLMF) titanium implant. 27° Annual Meeting of the Academy of Osseointegration Phoenix 2012

18. Luongo F, Mangano C, Piattelli A, Scarano A, Raspanti M, Shibli JA, Mangano F, Perrotti V, Iezzi G. A light microscopy and Scanning Electron Microscopy study of peri‐implant collagen fibers around human Direct Laser Metal Forming (DLMF) dental implants. 27° Annual Meeting of the Academy of Osseointegration Phoenix 2012

19. Luongo G, Luongo F, Mangano F, Mangano C. Direct laser metal forming (DLMF) implants: results from a 1‐year prospective multicenter study. 27° Annual Meeting of the Academy of Osseointegration Phoenix 2012

20. Mangano C, Mangano F, Shibli JA, Ricci M, Papaccio G, Perrotti V, d’Avila S, Piattelli A. Immediate Loading of Mandibular Overdentures Supported by Unsplinted Direct Laser Metal‐Forming Implants: Results From a 1‐Year Prospective Study. Journal of Periodontology 2012; 83(1):70‐78

21. Mangano C, Mangano F, Shibli JA, Luongo G, De Franco M, Briguglio F, Figliuzzi M, Eccellente T, Rapani C, Piombino M, Macchi A. Prospective clinical evaluation of 201 direct laser metal forming implants: results from 1-year multicenter study. Laser Medical Science 2012; 27:181-189

22. Figliuzzi M, Mangano F, Mangano C. Immediate custom-made direct laser metal formed (DLMF) titanium implant in single tooth replacement: a case report.XX International SIO Congress Milan 2012

23. Mangano F, Mangano C, Shibli JA, Sammons RL, Papaccio G, Macchi A, Rapani M, Iezzi G, Piattelli A. Impianti Direct Laser Metal Forming (DLMF): dalla ricerca alle applicazioni cliniche. Implant Tribune 2011; 4:10-15

24. Mangano C, Mangano F. Impianto postestrattivo a carico immediato in area estetica. Quintessenza Internazionale Speciale Implantologia 2011; 3bis:103-110 25. Rapani C, Di Alberti L, Rapani M. Impianto lasermade in osso rigenerato dopo rialzo del seno mascellare per via laterale. Follow-up a 2 anni. Quintessenza Internazionale Speciale Implantologia 2011; 3bis:103-110

26. Mangano F, Mangano C, Eccellente T, De Franco M, Briguglio F, Figliuzzi M, Rapani M, Luongo G. Single-tooth titanium implants produced with direct laser metal-forming technology. Results from a 1-year prospective multicenter study. Dental Cadmos 79(8):475-491, 2011

27. Mangano F, Mangano C, Eccellente T, Briguglio F, Figliuzzi M, Rapani C. Direct Laser Metal Forming (DLMF) Implants: A Prospective Clinical Study. 20th Annual Scientific Meeting of the European Association of Osseointegration Athens 2011

bibliography and acknowledgments in third cover







34. Shibli JA, Mangano C, D'Avila S, Piattelli A, Pecora GE, Mangano F, Onuma T, Cardoso LA, Ferrari Sanchez D, Aguiar KC, Iezzi G. Influence of direct laser fabrication implant topography on Type IV bone. Journal of Biomedical Materials Research Part A 2010; Vol. 93:607-614

















Certifications

The care dedicated to the production process, which matches the highest standards in implantology, has earned LEADER ITALIA the certifications ISO 9001 and ISO 13485, as well as the CE0434 mark for medical devices, that guarantee the high quality of its products.

Moreover TIXOS implant line has obtained also the prestigious and severe U.S. FDA Clearance.

*For further information visit our web site www.leaderitalia.it

LEADER ITALIA srl was founded in 1996 to manufacture components for implantology; then, on the basis of the acquired experience on implants, methods and, above all, on the implant peculiar physical problems, LEADER ITALIA has widened its production range, starting the manufacture of its own implant line. In the last few years, the Company has committed itself to scientific and technological research to project and design surfaces suited to enhance and accelerate the osseointegration process, exploring possibilities far from those offered since now by the traditional systems.

Fundamental for this achievement is the cooperation with several international Universities:

III University of Naples: Prof. G. Papaccio

University of Chieti: Prof. A. Piattelli

University of Varese: Prof. A. Macchi, Prof. C. Mangano, Prof. M. Raspanti

Universidade Guarulhos, S. Paolo: Prof. J. Shibli

University of Birmingham: Prof. R. Sammons

University of Johannesburg: Prof. U. Ripamonti.

These years of research have yielded interesting results concerning surface geometry and implant manufacturing and the several published and in press scientific articles demonstrate the revolutionary innovative solutions offered by the new engineering and manufacturing technologies applied.

A special thanks to Prof. Carlo Mangano who has been dedicated himself with passion to this extraordinary challenge in experimental researches on the new laser technology.

For their cooperation with scientific studies and researches, we thank particularly:II University of Naples - Italy (Prof. G. Papaccio), •University of Chieti - Italy (Prof. A. Piattelli), •University of Varese - Italy (Prof. A. Macchi, Prof. C. Mangano, Prof. M. Raspanti), •Universidade Guarulhos in S. Paolo - Brazil (Prof. J. Shibli), •University of Birmingham - UK (Prof. R. Sammons).•University of Johannesburg - South Africa (Prof. U. Ripamonti).•


Implantology Catalog TiXos line © 2013 Leader Italia srl

Editing:Mariaelena Costantin, Marco Iezzi, Marco Parazzini, Patrizia Sossi, Fabio Spiniella, Elena Talpo

Graphic project:ARPe s.a.s. - Milano

Computerized images:Federico Rizzi

Printing:Arti Grafiche Torri s.r.l. - Cologno Monzese (MI)







34. Shibli JA, Mangano C, D’Avila S, Piattelli A, Pecora GE, Mangano F, Onuma T, Cardoso LA, Ferrari Sanchez D, Aguiar KC, Iezzi G. Influence of direct laser fabrication implant topography on Type IV bone. Journal of Biomedical Materials Research Part A 2010; Vol. 93:607-614


















LEADER ITALIA s.r.l.Via Aquileja, 43/C - 20092 Cinisello Balsamo (MI) ITALY

ph. +39 02 618651 - fax +39 02 61290676

www.leaderitalia.it - [email protected]

Implantology Catalog


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