The world of safe ceramic implants · 2019-06-19 · Z-SYSTEMS is the global leader in ceramic...
Transcript of The world of safe ceramic implants · 2019-06-19 · Z-SYSTEMS is the global leader in ceramic...
The world of safe ceramic implants
Z-SYSTEMS is the global leader in ceramic implants.
Tens of thousands of successfully placed implants and over
15 years’ experience have brought us significant advances
in manufacturing, quality and know-how. We value clinical
documentation, and are certified as per ISO 13485.
Z-SYSTEMS products are CE- and FDA-certified.
We obtained the first CE certification for one-piece
ceramic implants in 2004. All our ceramic implants are
manufactured with our safe Zirkolith® process. In 2007,
we were the first ceramic implant manufacturer to meet
the requirements to obtain FDA certification. Four years
later, we continued this success with our Z5c two-piece
ceramic implant.
The Z5m(t) conical ceramic implant with active threads
was certified by the FDA in 2015, and successfully
introduced around the world. Our two-piece screwed Z5s
implant obtained CE certification in 2016. We are the first
and only manufacturer of a bone-level implant made of
ceramic with platform switching.
Trusted pioneering advances.
Constant innovation, based on solid scientific
experimentation, our unique product range and personal
advice – your satisfaction is our goal. The road to
reliable, safe material and design is a long one. We follow
significant quality demands and continue successive
developments. Safety without compromise is our highest
motto, because we are convinced that only sustainable
and safe implants ensure your success.
We are pleased to present you our complete product
range on the following pages, and to win you over with
our safe ceramic implants.
Your Z-SYSTEMS Team
The benefits of Z-SYSTEMS – ceramic implants at a glance✓ Survival rate comparable to that of titanium implants
✓ Secure osseointegration thanks to the hydrophilic SLM® surface
✓ Implant and abutment can be prepped
✓ Higher material strength than titanium
✓ Less plaque, better gum attachment
✓ Not electrically conductive, no galvanic elements, no currents
✓ Sustained aesthetic results
Welcome to the world of safe ceramic implants
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Z-SYSTEMS is the first name in ceramic implants.Z-SYSTEMS makes no compromise in quality. Our implants not only demonstrate important advantages as compared to titanium implants, but they also are significantly different from other ceramic implants.
Ceramic implants – The alternative to titanium implants.Z-SYSTEMS implants consist of a pure zirconium oxide, high-performance ceramic as per ISO 13356, and are superior to titanium implants in many areas.
More natural.Bones and gums integrate better with zirconium oxide ceramics.1
More sustainable.Less plaque accretion than on titanium. This reduces the risk of periimplantitis
as well as cardiovascular diseases and strokes.2
More aesthetic.Thanks to the white material, no gray shadows are visible even with thin
or receding gums.3
Healthier.Z-SYSTEMS implants are metal-free, biocompatible, conduct neither heat
nor electrical energy, and cause no irritation to the immune system.4
Stronger.Ceramic is much stronger than titanium.
More visible.Ceramic implants are opaque to X-rays, and easier to recognize in critical situations.
Safe.Our unique Zirkolith® manufacturing process layers the raw material in many steps,
then it is processed and ground to make implants. This process significantly increases
breakage- and age-resistance. .
Hydrophilic.Z-SYSTEMS implants are plasma-sterilized, which is gentle to the material. Thus the surface
is hydrophilic. Other ceramic implant producers use lower-cost steam- or ionizing gamma
ray sterilization. We stopped using material-stressing steam sterilization in 2009.5
Flexible.Both one- and two-piece Z-SYSTEMS implants can be ground in the mouth.
Thus optimized shapes as well as individual adjustments to the gums are possible.
1. J. Mellinghoff, «Quality of the periimplant soft tissue attachment of zirconia implants»; ZZI Zeitschrift für Zahnärztliche Implantologie, 2010; 26 (1).
2. Scarano A1, Piattelli M, Caputi S, Favero GA, Piattelli A; «Bacterial adhesion on commercially pure titanium and zirconium oxide disks: an in vivo human study»; J Periodontol. 2004 Feb; 75(2): 292–296. – J. Holländer, Dissertation Uni Frankfurt 2009. Liñares A et al. Histological assessment of hard and soft tissues surrounding a novel ceramic implant: a pilot study in the minipig. J Clin Periodontol. 2016 Jun;43(6):538–546.
3. Jung RE, Sailer I, Hämmerle CH, Attin T, Schmidlin P.: In vitro color changes of soft tissues caused by restorative materials. Int .J. Periodontics Restorative Dent. 2007 Jun; 27(3): 251–257.
4. G. Bayer, «Patienentenführung und Materialwahl bei subjektiv empfundener Titanunverträglichkeit»; Quintessenz, 2014; 65(3): 303310
5. O. Hoffmann et al, «Osseointegration of Zirconia Implants with Different Surface Characteristics»; JOMI 2012; 27: 352–358.
6. Dr. D. Duddeck und PD Dr. J. Neugebauer, Uni Köln, BDIZ/EDI Implant study, «quantitative and qualitative element-analysis of implant-surfaces by SEM and EDX»; 2014/2015
7. M. Lambrich, G. Iglhaut, «Comparison oft he survival rates for zirconia and titanium implants»; ZZI, Zeitschrift für Zahnärztliche Implantologie, 2008; 24 (3) – J. Mellinghoff, C. Cacaci, F. Detsch, «Einteilige Keramikimplantate – eine Longitudinalstudie über zwei Jahre Beobachtungsdauer»; Quintessenz Implantologie, 2015; 23 (1), 89–100.
Fast.The patented surface is sand-blasted
and laser-modified with an SLM® process.
This trusted process has been used since
2011. This not only roughens the sides of
the threads, it also achieves the optimal
degree of micro and macro roughness
(2–3 µ).6
Rawness profile Z5 – ZrO2 sand-blasted and laser-modified
Measurements: Alicona In�nte Focus IFMRa = 3,10 µm
Pro�
le h
eigh
t [µm
]
8
6
4
2
0
-2
-4
-6
-8100 200 300 400 500 600 700 800
Pro�le lenght [µm]
Successful.The survival rate for Z-SYSTEMS' Z5 generation of ceramic implants
is at > 98 %, and comparable to leading titanium implants.7
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Z-SYSTEMS implant variety at a glanceThere are six different types of implants. Z-SYSTEMS offers the optimal solution for every indi-cation. The outer geometry of our one- and two-part implants is identical, except for the Z5m(t) and Z5s in the upper thread area.
One-piece implant types Two-piece implant types
What makes Z-SYSTEMS’ implants distinctive?
Ø 3.6 mm Ø 4.0 mm Ø 5.0 mm
8 Z5m-40-08 Z5m-50-08
10 Z5m-36-10 Z5m-40-10 Z5m-50-10
12 Z5m-36-12 Z5m-40-12 Z5m-50-12
Ø 3.6 mm Ø 4.0 mm
8 Z5m-36-08lc Z5m-40-08lc
10 Z5m-36-10lc Z5m-40-10lc
Ø 3.6 mm Ø 4.0 mm
8 Z5m-36-08lb Z5m-40-08lb
10 Z5m-36-10lb Z5m-40-10lb
Ø 4.0 mm Ø 5.0 mm
8 Z5m(t)-40-08 Z5m(t)-50-08
10 Z5m(t)-40-10 Z5m(t)-50-10
12 Z5m(t)-40-12 Z5m(t)-50-12
Ø 4.0 mm Ø 5.0 mm
8 Z5c-40-08 Z5c-50-08
10 Z5c-40-10 Z5c-50-10
12 Z5c-40-12 Z5c-50-12
Ø 5.0 mm
8 Z5s-50-08
10 Z5s-50-10
12 Z5s-50-12
Z5m
The trusted implant
for a variety
of indications
Z5mlc
The solution for
edentulous restorations
with locators
Z5mlb
The solution for
edentulous restorations
with ball anchors
Z5m(t)
The implant
for immediate implantation
and soft bone qualities
Z5c
The successful implant
for cemented tissue-level
restoration
Z5s
The revolutionary
screwed-in bone-level
solution
= length in mm
Abbreviations::
m means monotype, lc means locator, lb is lockball,
t for tapered, c for cemented and s for screwed.
All Z-SYSTEMS implants are manufactured using the
unique Zirkolith® process, and consist of Y-TZP-A Bio-
HIP® zirconium oxide. The material fulfills ISO 13356
requirements for surgical implants, and achieves its
high stability in several steps, also using a “Hot Isostatic
Postcompaction” process. Our process is many times
higher than with titanium or other ceramics. Our
expensive manufacturing process forms the basis to fill
our high quality requirements – and makes Z-SYSTEMS
implants the first choice for ceramics.
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1 The optimal combination of the conical basic form
with dynamic, active and self-cutting threads
achieves high primary stability even in soft D3
bone.
2 The abutment can be directly prepped in-situ. Thus
one can provide customized, fast and low-cost
care. The connection geometries of our structures
are filed in the most-available CAD libraries (3D
Diagnostix, Carestream, Materialise, Planmeca,
Sicat, Vatech).
3 This unique material makes it possible to prep the
shoulder on a custom basis to defined preparation
limits.* The shoulder design makes it possible to
produce the optimal soft tissue shape for a safe
and aesthetic solution.
4 The conical, self-cutting threads ensure primary
stability.
5 The extraordinarily stable implant-abutment
connection plus outstanding break resistance
ensure the highest level of safety.
6 The Z5c implant can be prepped.* Zirkolith®
material's high stability makes it possible to prep
the implant to defined preparation limits. This
unique ability in implantology means a great deal
of freedom for the user for individual adjustment
to existing anatomical circumstances.
7 The secure form-fit of the abutment is achieved
with its internal cone connection. The visible gap
is by design, necessary for clean cementing.
8 Straight and angled abutments in different
abutment and gingival heights are available for
aesthetically superior restorations.
9 Z5s implants have a conical and rotationally-secure
internal connection with a hexagonal form. This
enables easy, safe and optimal positioning of the
abutment.
10 A pre-mounted clamping wedge is located inside
the implant and holds the screw which is affixed
to the abutment. Thus there is practically no risk of
screw loosening.
All Z-SYSTEMS implants are provided with a
hydrophilic surface! The laser-structured SLM®-
surface has been shown to promote osseointegration
due to its demonstrable increased roughness. Very
good long-term results with over 98 % survival rates
are documented. All implant geometries are filed in 3D
planning software programs.
* Z-SYSTEMS has had the safety of manually-prepped Z-SYSTEMS
implants tested by the renowned Fraunhofer Institute for Material Engineering. The results are clear. No significant impairment was found in the prepped implants. Manually prepped implants do not have a higher risk of breakage.
Similarities and special items
Gingiva level
Bone level
Biological width
2
4
6
7
5
10
3
1
9
8
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Clearly arranged surgical cassetteThe surgical cassette contains all of the instruments needed for implants, and is constructed in a user-friendly manner. The rotating instruments are sorted to correspond to the treatment course, and completely labeled with color-coding. The instruments as well as the space for them are provided with item numbers in order to avoid confusion.
Material characteristics
All instruments which come into direct contact with
the operating field are made of zirconium oxide. The
cutting instruments consist of high-strength ATZ high-
performance ceramics.
This zirconium oxide, which is reinforced with aluminum
oxide, is ideal for manufacturing drills and thread cutters.
The ATZ drills cut in an excellent manner, and have little
wear.
ZT-MDMandrel
ZT-HA-8Contra-angle
adapter
ZT-RA10-8Ratchet adapter 10 mm
ZT-RA20-8Ratchet adapter 20 mm
Z5m-HA12lbLB contra-
angle adapter 12 mm
Z5m-RA16lbLB Ratchet
adapter 16 mm
Z5m-RA24lbLB Ratchet
adapter 24 mm
Z5m-RA16lcLC Ratchet
adapter 16 mm
Z5c-HA12Z5c contra-
angle adapter 12 mm
Z5c-RA12Z5c Ratchet
adapter 12 mm
RD230Round burr 2.3 × 16 mm
TD170Twist drill
1.7 × 16 mm Z5m(t)
TD230Twist drill
2.3 × 16 mm
TD285Twist drill
2.85 × 16 mm
TD325Twist drill
3.25 × 16 mm
TD375Twist drill
3.75 × 16 mm
TD425Twist drill
4.25 × 16 mm
CD355-1Cortical drill 3.55 × 12 mm
Z5m(t)
CD455-1Cortical drill 4.55 × 12 mm
Z5m(t)
CD500Cortical drill
5 mmZ5s
Drills
Counter-Sinks
CS360-1Counter
sink 3.6 mm
CS400-1Counter
sink 4 mm
CS500-1Counter
sink 5 mm
T360-1Tap
3.6 mm
T400-1Tap
4 mm
T500-1Tap
5 mm
TR-70Ratchet torque
Taps
ZT-O3X 1 WO-Ring white,
for adapter tools, 3 pcs.
ZT-O3X 1.5 SO-Ring black,
for hexagonal adapter, 3 pcs.
Z5c- Peek RingO-Ring for Z5c adapter tools.
DP220Depth gauge
2.2 mm
DP230Depth gauge
2.3 mm
DP285Depth gauge
2.85 mm
DP325Depth gauge
3.25 mm
DP375Depth gauge
3.75 mm
DP425Depth gauge
4.25 mm
Gauges
Ratchet
ZT-8379 Rotring
diamond finisher
TS-RA12-1 Spare
screw for Z5c-RA12-1
TS-RA16-1Spare
screw for Z5c-RA16-1
TD-DS230Drill stop
2.3 mm
TD-DS285Drill stop 2.85 mm
TD-DS325Drill stop 3.25 mm
TD-DS375Drill stop 3.75 mm
TD-DS425Drill stop
4 mm 4.25 mm
CD-DS500Drill stop
5 mm
ZT-HE14 (KI589)
Contra-angle extension
Accessories
Accessories
Drivers
Z5c-RA16Z5c Ratchet
adapter 16 mm
Z5c-RA12-1Z5c Ratchet
adapter 12 mm screwed
Z5c-RA16-1Z5c Ratchet
adapter 16 mm screwed
Z5s-SD-T6Screw- driver
Z5s-SD-T6-LScrew-
driver long
Z5s-HAZ5s
contra-angle adapter
Z5s-RA12Z5s Ratchet
adapter 12 mm
Z5s-RA16Z5s Ratchet
adapter 16 mm
HA12Z5m
contra-angle adapter
RA16Z5m Ratchet
adapter 16 mm
RA24Z5m Ratchet
adapter 24 mm
Colour designation:yellow = ø 3.6 mm, red = ø 4 mm, green = ø 5 mm, blue = Z5m(t)
1312
The right choice at the right placeOptimal planning is important for long-term successful restorations. The implant dimensions given here should be seen as minimum values.
Surgical procedureHigh-quality ceramic instruments are used to insert
Z-SYSTEMS implants. The implant bed preparation
requires a proven and standardized procedure, and
is kept very slender. The drill is used in an increasing
diameter series. The use of thread cutters is
recommended, depending upon bone quality.
Z-SYSTEMS warranty
Z-SYSTEMS is convinced of its outstanding product quality. Therefore, we provide a life-long
warranty on the implants, as well as a 10-year warranty on the ceramic abutments (Z5c/Z5s). The
warranty includes the replacement of Z-SYSTEMS products and no additional costs, especially
for any treatment required. The Z-SYSTEMS warranty and general business terms apply.
General Safety and Warnings
The descriptions in this brochure are not sufficient to allow immediate use of Z-SYSTEMS' implant
systems. It is recommended that you are instructed by an experienced operator; one must
study the manual. Not all products are available in all countries.
Patient material
We are glad to support you with informational material for your patients. Please contact us
if you need implant passports, patient brochures, 5:1 models or other helpful material.
The drill protocol at a glance
Standard Optional
Standard Optional
The following points are to be noted when preparing the implant bed:
• The length of the implant is calculated
from the crestal bone level to the apical
lower end
• The apical overhang of the drill tip
is up to 1.3 mm
The drilling protocol for D1 and D2 bones can be found in the manual.
Counter-sinks are available for the m-, mlc- and mlb implants.For the Z5s implants, we recommend the use of the cortical drill CD500.
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3.6 3.6 mm 4.6 mm 5.6 mm 5.6 mm
UPPER RIGHT | 1. Quadrant UPPER LEFT | 2. Quadrant
USA 7 10
FDI 12 22
FDI 42 41 31 32
USA 26 25 24 23
LOWER RIGHT | 4. Quadrant LOWER LEFT | 3. Quadrant
+ + – – – –
4.0 4.0 mm 4.8 mm 6.0 mm 5.8 mm
UPPER RIGHT | 1. Quadrant UPPER LEFT | 2. Quadrant
USA 2 3 4 5 7 8 9 10 12 13 14 15FDI 17 16 15 14 12 11 21 22 24 25 26 27
FDI 47 46 45 44 (43) (33) 34 35 36 37
USA 31 30 29 28 (27) (22) 21 20 19 18
LOWER RIGHT | 4. Quadrant LOWER LEFT | 3. Quadrant
6 ⁄ 1113 ⁄ 23
+ + + – + (+)
5.0 5.0 mm 6.0 mm 7.0 mm 7.0 mm
UPPER RIGHT | 1. Quadrant UPPER LEFT | 2. Quadrant
USA
FDI
2 3 4 5 6 8 9 11 12 13 14 15
17 16 15 14 13 11 21 23 24 25 26 27
FDI
USA
47 46 45 44 43 33 34 35 36 37
31 30 29 28 27 22 21 20 19 18
LOWER RIGHT | 4. Quadrant LOWER LEFT | 3. Quadrant
+ + + – + (+)
+ recommended | (+) not recommended | – not possible
m ⁄ mlc ⁄ mlb ⁄ c ⁄ s
Max. RPM
RD230800
TD230800
TD285600
TD325500
TD375500
TD425500
T360-115
T400-115
T500-115
3.6 mmD1
D2–D3
4.0 mmD1
D2–D3
5.0 mmD1
D2–D3
m(t)
Max. RPM
RD230800
TD170800
TD230800
CD355-1400
CD455-1400
4.0 mm D3–D4
5.0 mm D3–D4
Z5m-40-10
TD325
10 mm
8 mm
12 mm
max. 1.3 mm
1514
General overview
Implant Abutments Healing caps Gingiva formers Impression caps Laboratory analogues Matrix Instruments
G36, G40, G50, G50RG36-0, G40-0, G50-0, G50R-0
I36, I40, I50, I50R L36, L40, L50, L50R HA12 RA16* RA24**also for safe handling of the Z5c abutment
when gluing in
Z5m
Z5m(t)
Z5mlc Novaloc™ impression matrix**
Novaloc™ Laboratory analogue**
Novaloc™ Peek matrix**
Z5m-RA16lc
Z5mlb Z5mlb-M2 matrix Z5m-HA12lb Z5m-RA16lb Z5m-RA24lb
Z5c Z5c-A00-LC-H0 ⁄ -A00-LC-H15 ⁄ -A15-LC-H0 ⁄ -A15-LC-H15,
Z5c-A00S ⁄ -A00 ⁄ -A15S ⁄ -A15
Z5c-HC40, Z5c-HC50
Z5c-G40-28, Z5c-G50-28, Z5c-G40-33, Z5c-G50-33
Z5c-HA12*** Z5c-RA12 Z5c-RA16 Z5c-RA12-1 Z5c-RA16-1 incl. screw incl. screw
Z5s Z5s-A00-G10, Z5s-A15-G10m,
Z5s-A00-T20Z5s-HC50 Z5s-G10,
Z5s-G20, Z5s-G30Z5s-IP-O, Z5s-IP-C Z5s-L Z5s-HA*** Z5s-RA16 Z5s-RA12 Z5s-SD-T6 Z5s-SD-T6-L
incl. screw incl. screw
**Please order directly with Valoc™ (www.valoc.ch)
*** Their application requires previous experience with manual insertion instruments.
2,8 mm
3,3 mm4 m
m
5 m
m
HeadquartersZ-SYSTEMS AG | Werkhofstrasse 5 | CH-4702 Oensingen | Tel. +41 62 388 69 69 | [email protected]
International DistributionZ-SYSTEMS GmbH | Bismarckallee 22 | D-79098 Freiburg | Tel. +49 761 217732-10 | Fax +49 1802 999 100 | [email protected]
www.zsystems.com
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