Procone System description

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PROCONE IPS IMPLANT SYSTEMS PROCONE system description

Transcript of Procone System description

Page 1: Procone System description

PROCONE

IPS

IMPLANT SYSTEMS

PROCONE system description

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Thank you for your trust

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ContentProduct presentation 4

Surgical tray 6

Drills 8

Drilling protocol 10

Surgical procedure 11

Implant packaging 12

Implant removal 14

Implant insertion 15

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PROCONE

0.9 mm

CRESTAL MICROTHREAD

Triple microthread promotes the apposition of bone cells and their retention*. The rough microthread significantly increases the primary stability with soft bone and/or sinus lift.

* Based on the principle of crestal bone preservation by microthread.

HIGH-PROFILE MACROTHREAD

High primary stability, even if the implant is turned back during insertion, thanks to the high-profile macrothread.

This means more flexibility when positioning the implant. Short insertion time thanks to a thread pitch of 0.9 mm per turn.

0.45 mm

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0.9 mm

PRIMARY STABILITYBONE PRESERVING*COMPATIBLE WITH THE TUBE-IN-TUBE® IMPLANTABUTMENT CONNECTION FROM CAMLOG**

IMPLANT CONNECTION

The implant connection is compatible with the Camlog® Tube-in-Tube® implant-abutment connection**.

The products in our C-Series ensure optimum restoration for Camlog®** and PROCONE implants.

THREE CUTTING EDGES

The 3 cutting edges facilitate fast and simple implant insertion.

* Based on the principle of crestal bone preservation by microthread.** Camlog products are supplied by Camlog Biotechnologies AG, who has no legal or financial relationship with Medentika®.

SURFACE

Highly pure, sandblasted and acid-etched surface extending to the 0.4 mm machined implant neck. The dimensioned micro-macro roughness is ideally suited to the apposition of bone-forming cells, reliably promoting long-term osseointegration.

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Needle drill0-14-77

C 13-2

Pilot drillC 14-2000

C 13-3

Pre drillC 14-2800

Form drill

C 13-1

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Extension ISO shank

0-13-55

ISO shank adapter

M 14

Multi-unit placement instrument

0-13-76

Torque wrench6-13-05

Counteracting keyC 13-10

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M 09-1 M 03-1 M 11-1 M 10-1

Paralleling aidC 13-2028

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C 14-3309 C 14-3809 C 14-4309 C 14-5009

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Surgical tray

Placement instrument

Implant placement instrument

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C 14-09 C 14-11 C 14-13 C 14-3300 C 14-3800 C 14-4300 C 14-5000

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C 14-3311 C 14-3313

C 14-3316

C 05-3309

C 14-3811 C 14-3813

C 14-3816

C 05-3809

C 14-4311 C 14-4313

C 14-4316

C 05-4309

C 14-5011 C 14-5013

C 14-5016

C 05-5009

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Form drill Form drill

Cortical drill

Tap

Drill stop form drillDrill stop pilot drill/pre-drill

Service Instrument6-13-03

Located in the floor of the surgery tray

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The drills, designed to be compatible with each other, allow the diameter of the implant bed to be individually adjusted to bone quality. Bone preparation should be adjusted to the individual bone quality with optimized drilling sequences.

Example for all implant diameters and lengths

Drill

Needle drillD 1.6 mm

Paralleling aidD 2.0 mm

Pilot drillD 2.0 mm

Pre drillD 1.7 / 2.8 mm

Form drills with drill stopsD 3.8 mm

Cortical drillD 3.8 mm

Drills of matching diameters and lengths are available for each implant size. The required di-ameters are increased in ascending order.

Drill stops, which are used as depth stops, are also available in matching diameters for the form drills. In this case the implant shoulder remains 0.4 mm above bone level. If deeper im-plant placement is desired, the depth stop can be removed. The black laser markings are used to check the depth. The markings are placed at 1.0 mm intervals and are each 0.4 mm wide.

0.4 mm

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NOTE:

The drill tip on the form drills results in an overlength of up to 0.6 mm.

The cortical drill is used in compact cortical bone (D1) for the circular apical widening of the im-plant bed. The laser markings correspond to the respective implant lengths. The flat drill tip can also be used as a depth stop.

The use of the tap of the appropriate diameter is recommended for bone quality D1/D2. The tap is screwed in up to the top edge of the cutting section.

Please note that all taps must always be screwed in by hand using the ISO adapter.

Cortical drill

Form drill

Tap

Example

Length 9 mm

diameter

diameter

Speed in rpm

Speed in rpm

D 3.3 mm550

D 3.8 mm500

D 4.3 mm400

D 5.0 mm350

D 3.3 mm550

D 3.8 mm500

D 4.3 mm400

D 5.0 mm350

D 3.3 mm D 3.8 mm D 4.3 mm D 5.0 mm

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Drilling protocol

Replace the drill bit after no more than 30 uses. Irrespective of this, the condition of the drill bit must be checked before and after each use to ensure it is in perfect condition and replaced where necessary.

Mar

ker w

ith n

eedl

e dr

ill

Pilo

t dril

l

Pred

rillin

g

Impl

ant d

iam

eter

Form

dril

ling

Cort

ical

dril

ling

for D

1 bo

ne q

ualit

y

Tap

for D

1/D

2 bo

ne

qual

ity

2.0 mm* 2.8 mm*

D 3.3 mm

3.3 mm*550 rpm

3.3 mm*550 rpm

3.3 mm*by hand

D 3.8 mm

3.3 mm*550 rpm

3.8 mm*500 rpm

3.8 mm*500 rpm

3.8 mm*by hand

D 4.3 mm

3.3 mm*550 rpm

3.8 mm*500 rpm

4.3 mm*400 rpm

4.3 mm*400 rpm

4.3 mm*by hand

D 5.0 mm

3.3 mm*550 rpm

3.8 mm*500 rpm

4.3 mm*400 rpm

5.0 mm*350 rpm

5.0 mm*350 rpm

5.0 mm*by hand

*Drill diameter

300 - 600 rpm

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PROCONEIMPLANTATION STEP-BY-STEP

Example for PROCONE D 3.8 x L 13 mm

First marker drill with the needle drill Ø 1.6 mm

Deep drilling with the pilot drill Predrilling with the pre drill

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The depth is marked after the mo-bilization of the mucoperiosteal flap with the needle drill.

The final deep drilling is always per-formed directly with the pilot drill D 2.0 mm.To check the depth, there are la-ser markings corresponding to the specific implant lengths or the drill stops located in the tray.The maximum speed is 600 rpm.The paralleling aid can be used to check the drilling depth of the pilot drill.

Predrilling is performed with the pre drill D 1.7 / 2.8 mm.To check the depth, there are la-ser markings corresponding to the specific implant lengths or the drill stops located in the tray.The maximum speed is 600 rpm.

Form drilling with the form drill

Deep drilling with the cortical drill Tap

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After predrilling is concluded, form drilling starts with the form drill D 3.3 mm and ends with the form drill D 3.8 mm.The mounted drill stop is used to check the depth.The maximum speed is 550 rpm.

Finally, the cortical drill is used in compact cortical bone (D1) for the circular apical widening of the im-plant bed. The laser markings correspond to the respective implant lengths. The flat drill tip can also be used as a depth stop.The maximum speed is 550 rpm.

The use of the tap of the appropriate diameter is recommended for bone quality D1 / D2.The tap is screwed in up to the top edge of the cutting section.Please note that all taps must al-ways be screwed in by hand.

Implant bed preparation

While drilling it is essential to ensure sufficient cooling, e.g. with NaCl solution, to avoid overheating and thus damage to the bone.

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The new implant packagingThe new implant packaging for the PROCONE system has been developed to make handling even easier. The compact implant packaging makes storage more efficient. Important parameters, such as the article number, diameter, length, implant connection and type can be clearly identified.

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• The perforation on the outer packaging made of environmentally friendly cardboard makes it easy to access the sterile packaging..

• Clear, compact information labels with the key data make it easier to distinguish between the implants. The implant diameters can be quickly and reliably identified at a glance by the color coding on the information labels.

• The double information label applied over the corner allows flexible im-plant storage; important product information is visible at a glance.

• Implants can be clearly identified through the inspection window.

• The implant is supplied in a sterile container, pro-tected by a blister with outer packaging. The blister thereby acts as a sterile barrier.

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Implant removal

Take the blister out of the outer packaging.

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Remove the Tyvek film from the blister pack to expose the contain-er with the implant.(Caution: This removes the sterile barrier.)

Hold the container upright and push the lid down.

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Secure the implant by slightly pressing on the sides of the con-tainer.

Turn the placement instrument clockwise slowly while inserting it into the insertion aid until it slides into place.

Release the side pressure on the container and remove the implant.

Insert the implant into the pre-pared implant bed.

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The supplied closure screw is screwed into the underside of the container.

Use the Hex 1.26 placement instru-ment to unscrew the closure screw.

Turn the closure screw hand tight (5-10 Ncm) into the implant.

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PROCONEIMPLANTATION STEP-BY-STEP

Example for PROCONE D 3.8 x L 13 mm

Implant placement with the contra-angled handpiece

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If the implant is inserted with the placement instrument for the con-tra-angled handpiece, the maximum permitted speed and torque are 25 rpm and 35 Ncm respectively.However, if this torque of 35 Ncm has to be exceeded in order to achieve the final implant position, carefully unscrew the implant and enlarge the implant bed with the cortical drill.

Final positioning with the ratchet

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If the implant is inserted with the ratchet and the manual placement instrument, the ratchet should be set to a torque of 35 Ncm which should not be exceeded in the ideal scenario. If the torque is higher be-cause of bone quality for example, we recommend carefully unscrew-ing the implant and then widening the implant bed with the cortical drill.

Remove the placement instrument

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Once the implant has reached its final position, the placement instru-ment is carefully removed.

Submerged or transgingival healing

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If the implant is intended for submerged healing, the closure screw must be fitted after removing the insertion aid. If the implant is intended for transgingival healing, a gingiva former matching the soft tissue thickness must be fitted af-ter removing the insertion aid.

PLEASE NOTE: In the event of a temporary solution with a partial or full prosthesis, ensure that the gingiva former does not come into contact with the temporary restoration.

Implant insertion

Remove the insertion aid

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During unscrewing, the insertion aid is secured in place with the counter-acting key. This prevents unwanted unscrewing of the implant if the bone is very soft or the screw is over-tightened.

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We are certified according to:DIN EN ISO 13485Medical Devices Directive 93/42/EEC

The electronic Instructions for Use for our products are available on the website www.medentika.com/ifu

PublisherMedentika® GmbH

Date: August 2021

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• High-precision implant systems• Innovation for immediacy• High purity S-L-A surface• High primary stability• Guaranteed up to lifetime

Made in Germany with a long tradition of precision craftsmanship

Medentika® GmbH Hammweg 8–10 76549 Hügelsheim [email protected] www.medentika.com

© Medentika® GmbH, 2021. All rights reserved.Medentika® and/or other trademarks and logos from Medentika® mentioned herein are the trademarks or registered trademarks of Medentika® and/or its affiliates.

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