STEP-BY-STEP SURGICAL PROCEDURE -...

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STEP-BY-STEP SURGICAL PROCEDURE

Transcript of STEP-BY-STEP SURGICAL PROCEDURE -...

Page 1: STEP-BY-STEP SURGICAL PROCEDURE - …zsystems.com/.../pdf/zsystems_step_by_step_chirurgie_en.pdfSURGICAL PROCEDURE. ... For drilling protocol bone class D1/D2 please see our surgical

STEP-BY-STEP SURGICAL PROCEDURE

Page 2: STEP-BY-STEP SURGICAL PROCEDURE - …zsystems.com/.../pdf/zsystems_step_by_step_chirurgie_en.pdfSURGICAL PROCEDURE. ... For drilling protocol bone class D1/D2 please see our surgical

Drilling protocolFor Z5m/Z5mlb and Z5c implants

For Z5m(t) implants

3.6 mm

4.0 mm

5.0 mm

4.0 mm

5.0 mm

RD230 | max. 800 RPM TD230 | max. 800 RPM DP220

TD285 | max. 600 RPM TD325 | max. 500 RPM

CD455-1 | max. 400 RPM

TD285 | max. 600 RPM TD325 | max. 500 RPM

RD230 | max. 800 RPM

TD230 | max. 800 RPM

TD170 | max. 800 RPM CD355-1 | max. 400 RPM

TD285 | max. 600 RPM

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T400-2 | max. 15 RPMoptional for D2–D3

14 mm

Z5m-40-12

TD325

10 mm

8 mm

6 mm

12 mm

max. 1.3 mm

Drilling depth in accordance with implant length: 8 ⁄ 10 ⁄ 12 mm

ø 4 mm ø 5 mm

Implant length (in mm) 8 10 12 8 10 12

TD170 8 10 12

TD230 8 10 12

For drilling protocol bone class D1/D2 please see our

surgical manual.

Drill depths for bone class D3/D4 (in mm)

T360L-2 | max. 15 RPMoptional for D2–D3

Insertion depth

Z5m /Z5m(t) / Z5c

Bone level

Biological width 2.5 mm

Abutment 5 mm

TD375 | max. 500 RPM TD425 | max. 500 RPM T500-2 | max. 15 RPMoptional for D2–D3

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Taking the implant out of the package

1 2 3

7 8

Tear at the

lateral perforation

Remove the outer blister,

and open the sealed cover

Open the sealed cover

5 6

Carefully, gently press

to stabilize the white inserts

Remove the sterile

internal blister pack

Press on the angle

or ratchet adapter

Remove the one-piece

implant through a sideways

movement. Removing the

two-piece implant is shown

on the following page.

All Z-SYSTEMS implants are delivered in a stable carton. You

will find an non-sterile outer blister pack with the plasma-

sterilized internal blister and the implant, as well as the IFU

and three detachable label strips for documentation.

4

Hold the internal blister

near the arrow with slight pressure

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Z5m ⁄ Z5mlb ⁄ Z5mlc Z5c

Insertion speed (RPM) 15 15

Recommended torque 35–70 25–35

Min. torque for sufficient primary stability

20 20

Max. torque 70 50

only with a screwed ratchet adapter

Implant insertion

RA16 | HA12 | RA24

Z5m

RA16 | HA12 | RA24

Z5m(t)

RA16lb | HA12lb | RA24lb

Z5mlb

RA16lc

Z5mlc

Specific instruments are needed due to the different design

geometries for each type of implant. These instruments are

indicated accordingly in the surgical tray.

While for the Z5m ⁄ Z5mlb and Z5mlc implants the insertion

instruments are only plugged in, for Z5c implants we provi-

de a very firm connection between implant and instrument.

a) The white implant holder is rotated in a clockwise direction, and the implant is freely accessible.

b) The clamping wedge can be installed.

c) Constant vertical pressure is very important in order to ease insertion of the implant.

Z5c

a

b

c

Z5c-RA12 | HA12 | RA16 |

RA12-1 | RA16-1

Z5c

Application tip:Turn the implant slightly to the left before insertion. The thread just reaches into the pre-cut-of

alveolus, and then follows the threads when turning clockwise.

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HealingZ5m ⁄ mlc ⁄ mlb

The Z5m-, Z5mlc-, Z5mlb- and Z5c implants heal

transgingivally.

There are various gingival formers available for these

implants for shaping after healing. These can

also be used to create provisional single tooth implants

for a maximum of 180 days.

Z5c

The Z5c implant is provided with sterile healing caps

for after the insertion.

There are various gingival formers available

for tissue healing.

HeadquartersZ-SYSTEMS AG | Werkhofstrasse 5 | CH-4702 Oensingen | Tel. +41 62 388 69 69 | [email protected]

US DistributionZ-SYSTEMS USA Inc. | 284 Monsponsett Street, Suite 209 | Halifax, MA 02338 | phone +1 (781) 754-6566 | fax +1 (781) 754-6565 | [email protected]

www.zsystems.com04/1

7 62

6.23

5

2.8 mm

3.3 mm

Z5c-HC40, Z5c-HC50

Z5c-G40-28/Z5c-G50-28/ Z5c-G40-33/Z5c-G50-33

Gingival former

Healing caps

G36, G40, G50, G50RG36-0, G40-0, G50-0, G50R-0

Gingival former