Transcription

Technical InformationStraumann Dental Implant SystemBasic Information702084.indd 108/03/2022 19:05

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Contents1. The Straumann Dental Implant System 31.1 Overview 31.2 Implant lines 41.3 Implant-abutment connections 61.4 Material 81.5 Surface 81.6 Transfer piece 82. Indications and Contraindications 2.1 List of abbreviations 2.2 Implant types and bone dimensions 3. Preoperative Planning 9910123.1 Implant position 123.2 Planning aids 194. Surgical Procedures 244.1 Implant bed preparation 244.2 Opening the implant package 364.3 Placing the implant 384.4 Soft tissue management 425. Healing Phase 5.1 Healing phase duration 6. Additional Information on Instruments 4545466.1 Surgical instruments 466.2 Osteotomes 526.3 Cleaning and care of instruments 547. Appendix 557.1 Related documentation 557.2 Important guidelines 561702084.indd 108/03/2022 19:05

About this guideThis Basic Information for the Straumann Dental Implant System provides dental practitioners and relatedspecialists with the essential steps regarding surgical treatment, planning, and procedure.The manual is divided into the following main parts:ѹ The Straumann Dental Implant Systemѹ Indications and Contraindicationsѹ Preoperative Planningѹ Surgical Proceduresѹ Healing Phaseѹ Additional Information on Instrumentsѹ AppendixFor information on the Straumann Bone Level Tapered Implant, please refer to the brochure Straumann BoneLevel Tapered Implant, Basic Information (702167/en).Information on the Straumann Guided Implants and the Straumann Guided Surgery System can be foundin the brochure Straumann Guided Surgery, Basic Information (702083/en).For further information regarding surgical treatment procedures, please refer to the following treatmentguides or similar scientific publications:ITI Treatment Guidesѹ Volume 1: Implant Therapy in the Esthetic Zone – Single-Tooth Replacementsѹ Volume 2: Loading Protocols in Implant Dentistry – Partially Dentate Patientsѹ Volume 3: Implant Placement in Post-Extraction Sites – Treatment Optionsѹ Volume 4: Loading Protocols in Implant Dentistry – Edentulous Patientsѹ Volume 5: Sinus Floor Elevation Proceduresѹ Volume 6: Extended Edentulous Spaces in the Esthetic Zoneѹ Volume 7: Ridge Augmentation Procedures in Implant Patients – A Staged Approachѹ Volume 8: Biological and Hardware Complications in Implant Dentistryѹ Volume 9: Implant Therapy in the Geriatric Patientѹ Volume 10: Implant Therapy in the Esthetic Zone – Current Treatment Modalities and Materials for Single-tooth Replacementsѹ Volume 11: Digital Workflows in Implant DentistryITI Consensus PaperBuser D./ Martin W./ Belser U.: Optimizing esthetics for implant restorations inthe anterior maxilla :anatomical and surgical considerations. Int J Oral MaxillofacImplants, 2004; 19 Suppl: 43–61.Additional information on the Straumann Dental Implant System can be foundat www.straumann.com.2702084.indd 208/03/2022 19:05

1. The Straumann Dental Implant System1.1 OverviewThe Straumann Dental Implant System offers a wide range of implant lines with diverse bodyand neck designs and different materials. This Basic Information focuses on the Titanium andRoxolid Tissue Level and Bone Level implants with a parallel-walled endosteal design. Theseimplants can be placed with the instruments from the Straumann Surgical Cassette while usingvery similar surgical procedures.Straumann Dental Implant System - parallel-walled endosteal designTissue Level ImplantsBone Level ImplantsSSPNNCSPSBLStraumann StandardImplant (S)Straumann Standard PlusImplant (SP)Straumann StandardPlus Narrow NeckCrossFit Implant(NNC)Straumann Standard Plus ShortImplant (SPS)Straumann Bone LevelImplant (BL)Straumann Tissue Level and Bone Level Implants are available in three endosteal diameters: 3.3 mm, 4.1 mm, and 4.8 mm. A unified color code simplifies identification of instrumentsand implants.Color codingyellowEndosteal implant diameter 3.3 mmredEndosteal implant diameter 4.1 mmgreenEndosteal implant diameter 4.8 mm3702084.indd 308/03/2022 19:05

1.2 Implant lines1.2.1 Straumann Standard Implant – The classic Tissue Level ImplantStraumann Standard Implants have a smooth neck section of 2.8 mm and are2.8 mmespecially suitable for classic single-stage procedures, where the implant is placedat soft tissue level and not covered with soft tissue during the healing phase.The Standard Implant uses the Straumann synOcta connection together withits corresponding prosthetic components, the Straumann s ynOcta portfolioand the Straumann Solid Abutment. The thread pitch on the Standard Implantsmeasures 1 mm for the 3.3 mm implants, and 1.25 mm for all other diameters.1.2.2 Straumann Standard Plus Implant – The implant for flexible placementStraumann Standard Plus Implants have a shorter smooth neck section of 1.8 mmthat allows flexible coronoapical implant placement in combination with trans-1.8 mmor subgingival healing. This offers the dental surgeon additional options that areparticularly useful in the anterior tooth region of the maxilla, where esthetic demands are high. Similar to Straumann Standard Implants, this implant type usesthe Straumann synOcta connection together with its corresponding prosthetic components, the Straumann synOcta portfolio and the Straumann SolidAbutment. The thread pitch on the Standard Plus Implants measures 1 mm for the 3.3 mm implants, and 1.25 mm for all other diameters.1.2.2.1 Straumann Standard Plus Narrow Neck CrossFit ImplantThe Narrow Neck CrossFit (NNC) Implant is a 3.3 mm diameter implant with a3.5 mmnarrow prosthetic platform. Its internal connection provides expanded prostheticoptions and solutions for treatment in the upper and lower jaw, wherever spaceis limited. The NNC Implant is a Standard Plus (SP) Tissue Level Implant with amachined neck of 1.8 mm in height. With the introduction of Roxolid material,it was possible to incorporate an internal CrossFit connection and, at the sametime, offer a strong small-diameter implant – resulting in added confidence forthe operator. The implant body and thread design is the same as the Straumann 3.3 mm Bone Level NC Implant. Narrow Neck CrossFit Implants use the NarrowNeck CrossFit (NNC) prosthetic components.1.2.2.2 Straumann Standard Plus 4 mm ImplantThe Straumann Standard Plus 4 mm Implant is Straumann’s shortest implant.The implant features a Standard Plus design for easy oral hygiene in the posteriorregions, synOcta internal connection compatibility with the existing TissueLevel prosthetic portfolio, and a Bone Level thread to increase the implant-to-4.0 mmbone contact. The most advanced Straumann technology combined within a veryshort implant.4702084.indd 408/03/2022 19:05

1.2.3 Straumann Bone Level Implant – Straumann expertise applied atbone levelStraumann Bone Level Implants are suitable for bone level treatments in combination with trans- or subgingival healing. The implant’s rough surface extendsto the top of the implant and the connection is shifted inwards. The Bone LevelImplant uses a conical-cylindrical connection, the CrossFit connection, together with its corresponding prosthetic CrossFit components from the Bone Levelproduct portfolio. A cylindrical outer contour and a thread pitch of 0.8 mm thattapers off in the coronal part of the implant provide excellent primary stability.5702084.indd 508/03/2022 19:05

1.3 Implant-abutment connections1.3.1 Straumann synOcta Morse taper connectionThe Straumann synOcta concept was introduced worldwide in 1999, using thewell-known Morse taper design principle developed in 1986. The mechanicallylocking friction fit of the Straumann synOcta internal connection, with an 8 cone and an octagon for the repositioning of prosthetic parts, shows improvedperformance over traditional external connections. Abutment loosening, even inscrew-retained situations, has virtually been eliminated.The Straumann synOcta connection is available for all Straumann Standard andStandard Plus, Implants with the Regular Neck (RN) and Wide Neck (WN) platform.Tissue Level – Standard Plus (SP)synOcta at soft tissue level1.3.2 Straumann Narrow Neck CrossFit connectionThe Narrow Neck CrossFit (NNC) Implant is a 3.3 mm diameter implant with anarrow prosthetic platform. The NNC Implant is a Standard Plus (SP) Tissue LevelImplant with a machined neck of 1.8 mm in height. The implant body and threaddesign is the same as the Straumann 3.3 mm Bone Level NC Implant.Tissue Level – Standard Plus (SP)synOcta at soft tissue levelBone LevelBody and thread design same as Straumann Bone Level NC Implant6702084.indd 608/03/2022 19:05

1.3.3 Straumann Bone Level CrossFit connectionThe CrossFit connection of Straumann Bone Level Implants applies the know-how and benefits from the Straumann synOcta Morse taper connection to the connection requirements at bonelevel. Similar to the Straumann synOcta connection, the mechanically locking friction fit of the 15 conical-cylindrical CrossFit connection with four internal grooves has excellent long-term stabilityunder all loading conditions and virtually eliminates screw loosening. The CrossFit connection is available for Straumann Bone LevelImplants only.Straumann Bone Level 4.1 mm and 4.8 mm Implants have thesame connection, the Regular CrossFit connection (RC), and sharethe same secondary components. Straumann Bone Level 3.3 mmImplants feature the narrow CrossFit connection (NC). The corresponding secondary components are color-coded:ѹ yellow NC connection 3.3 mm 4.1 mm 4.8 mmѹ magenta RC connectionConnection typesNNC: Narrow Neck CrossFit 3.5 mm 3.5 mmRN: Regular Neck 4.8 mm 4.8 mmWN: Wide Neck 6.5 mm 6.5 mmNC: Narrow CrossFit 3.3 mm 3.3 mmRC: Regular CrossFit 4.1 and 4.8 mm 4.1 mm 4.8 mm7702084.indd 708/03/2022 19:05

1.4 MaterialRoxolid is a groundbreaking material specifically1000zirconium alloy is stronger than pure titanium1,2 andhas excellent osseointegration properties3-5. Thiscombination of properties is unique in the market,since no other metallic alloy unifies high mechanicalstrength and osteoconductivity.Tensile strength [MPa]designed for use in dental implantology. The titanium- 80% 20 %800 50%600400Thanks to their outstanding biological and mechan-ASTM TiGr4¹ical properties, Roxolid Implants offer more treatment options than conventional titanium implants.Straumann Roxolid ²Straumann TiGr4cold worked²Roxolid shows a 20 % higher tensile strength than Straumann cold-worked titanium and a 80 % higher strength than standard titanium Grade 4.1.5 Surfacetion process and delivers everything you expect froma successful and patient-friendly implant treatment.ѹ High success and survival rates in compromisedpatients: diabetic, smokers, irradiated patients⁶-9ѹ SLActive reduces initial healing time to3 – 4 weeks*10-14ѹ Increased treatment predictability in critical protocols6-17Most implant failures occur in the critical early period between weeks 2 and 4. Although similar healingpatterns were observed for both SLA and SLActive Degree of new bone on the implant surfaceSLActive significantly accelerates the osseointegra70 %60 %50 %40 %30 %20 %for SLActive (p-value 0.05).101.6 Transfer pieceThe Bone Level Tapered Implants are delivered withthe Loxim Transfer Piece, which is connected to theimplant with a snap-in mounting.SLA 5610 %0%12Implants, bone-to-implant contact (BIC) was greaterafter 2 weeks and significantly greater after 4 weeksSLActive 34Healing periods in weeksThe SLActive surface shows a faster integration into new bone after 4 weeks(50 %) compared to the SLA surface (30 %).¹⁰FeaturesSnap-in mounting Blue color Compact dimensions Benefits for easy handling withoutcounter-maneuvering for high visibility for easy accessHeight markings for correct implant placementPre-determined breakingpoint avoids bone overcompression*  Healing time defined by BIC and stability.8702084.indd 808/03/2022 19:05

2. Indications and ContraindicationsTo obtain more information about indications and contraindications related to each implant,please refer to the corresponding instructions for use. Instructions for use can also be found onwww.ifu.straumann.com2.1 List of abbreviationsList of abbreviationsSCS Screw Carrying SystemHDD Horizontal Defect DimensionNNC Narrow Neck CrossFit connection (3.5 mm)RN Regular Neck (4.8 mm)WN Wide Neck (6.5 mm)NC Narrow CrossFit connection (for Bone Level Implants)RC Regular CrossFit connection (for Bone Level Implants)S StandardSP Standard PlusBL Bone LevelSPS Standard Plus Short9702084.indd 908/03/2022 19:05

2.2 Implant types and bone dimensionsStraumann implants are available in the materials Roxolid with the SLActive or SLA surface or titanium with an SLA surface. Refer to the specific IFU for intended use and indication information.Some of the Straumann products listed here may not be available in all countries.Specific indications for Straumann Roxolid ImplantsImplant typeDistinctive featuresMinimalridgewidth*Minimalgap width**AvailablelengthsSP 3.3 mm NNC*** Small-diameter implant for narrow interdental spaces and boneridges5.5 mm5.5 mm8 – 14 mmS 3.3 mm RN Ideal in cases with restricted ridge width****5.5 mm7 mm8 – 16 mmSP 3.3 mm RN8 – 14 mmBL 3.3 mm NCSLActive /SLA Small-diameter implant for narrow interdental spaces and ridges5.5 mm5.5 mm8 – 14 mmS 4.1 mm RN For oral endosteal implant indications in the maxilla and mandible, for functional and esthetic rehabilitation of edentulous andpartially edentulous patients6 mm7 mm6 – 16 mmSP 4.1 mm RN6 – 14 mmSP 4.1 mm RN*** Open-end situations in the mandible with severely atrophic boneresorption (always splinted, one implant per unit)6 mm7 mm4 mmBL 4.1 mm RC For oral endosteal implant indications in the maxilla and mandible, for functional and esthetic rehabilitation of edentulous andpartially edentulous patients6 mm6 mm8 – 14 mm* Minimal ridge width: Minimal orofacial ridge width, rounded to 0.5 mm** Minimal gap width: Minimal mesial-distal gap width for a single-tooth restoration, between adjacent teeth, rounded to 0.5 mm*** Only available in Roxolid **** T itanium 3.3 mm S and SP RN implants are to be used only in cases with partially dentate jaws, with implant-borne fixed constructions, combined with 4.1 mm implants and splinting of the superstructure10702084.indd 1008/03/2022 19:05

Specific indications for Straumann Roxolid ImplantsImplant typeDistinctive featuresMinimalridgewidth*Minimalgap width**AvailablelengthsS 4.8 mm RN For oral endosteal implant indications in the maxilla and mandible, for functional and esthetic rehabilitation of edentulous andpartially edentulous patients The S/SP 4.8 mm Implants are especially suited for wider interdental spaces and ridges7 mm7 mm6 – 14 mmSP 4.8 mm RN*** Open-end situations in the mandible with severely atrophic boneresorption (always splinted, one implant per unit)7 mm7 mm4 mmS 4.8 mm WN For oral endosteal implant indications in the maxilla and mandible, for functional and esthetic rehabilitation of edentulous andpartially edentulous patients The S/SP 4.8 mm Implants are especially suited for wider interdental spaces and ridges S/SP Implants with a WN platform are designed for the reconstruction of teeth with a greater neck diameter7 mm8.5 mm6 – 12 mmSP 4.8 mm WN*** Open-end situations in the mandible with severely atrophic boneresorption (always splinted, one implant per unit)7 mm8.5 mm4 mmBL 4.8 mm RC For oral endosteal implant indications in the maxilla and mandible, for functional and esthetic rehabilitation of edentulous andpartially edentulous patients BL 4.8 mm Implants are especially suited for wider interdentalspaces and ridges7 mm7 mm8–14 mmSP 4.8 mm RNSP 4.8 mm WN* Minimal ridge width: Minimal orofacial ridge width, rounded to 0.5 mm** Minimal gap width: Minimal mesial-distal gap width for a single-tooth restoration, between adjacent teeth, rounded to 0.5 mm*** Only available in Roxolid 11702084.indd 1108/03/2022 19:05

3. Preoperative Planning3.1 Implant positionThe implant is the focal point of the dental restoration. It provides the basis for planning thesurgical procedure. Close communication between the patient, dentist, surgeon and dental technician is imperative for achieving the desired prosthetic result.To establish the topographical situation, the axial orientation, and the choice of implants, werecommend the following:ѹ Make a wax-up/set-up on the previously prepared study cast.ѹ Define the type of superstructure.The wax-up/set-up can later be used as the basis for a custom-made X-ray or drill template andfor a temporary restoration.Note: The implant abutments should always be loaded axially. Ideally, the long axis of the implant is aligned with the cusps of the opposing tooth. Extreme cusp formation should be avoided.It can lead to unphysiological loading.The implant diameter, implant type, position and number of implants should be selected individually, taking the anatomy and spatial circumstances (e.g. malpositioned or inclined teeth) intoaccount. The measurements given here should be regarded as minimum guidelines. Only whenthe minimum distances are observed is it possible to design the restoration so that the necessaryoral hygiene measures can be carried out.The final hard and soft tissue response is influenced by the position between the implant andthe proposed restoration. Therefore, it should be based on the position of the implant-abutmentconnection. The implant position can be viewed in three dimensions:ѹ Mesiodistalѹ Orofacialѹ Coronoapical12702084.indd 1208/03/2022 19:05

3.1.1 Mesiodistal implant positionThe mesiodistal bone availability is an important factor for choosing the implant type and diameter as well as the inter implant distances in the case of multiple implants. The point of reference on the implant for measuring mesiodistal distances is always the shoulder, being the most voluminous part of the implant. Note that all distances given in this chapter arerounded to 0.5 mm. The following basic rules are recommended:Rule 1Distance to adjacent tooth at bone level:A minimal distance of 1.5 mm from the implant shoulder to the adjacent tooth at bone level (mesial and distal) is recommended.S/SP Implants incl. NNC, SPSBL Implants 1.5 mm 1.5 mmRule 2Distance to adjacent implants at bone level:A minimal distance of 3 mm between two adjacent implant shoulders (mesiodistal) is recommended.S/SP Implants incl. NNC, SPS 3 mmBL Implants 3 mm13702084.indd 1308/03/2022 19:05

3.1.1.1 Examples for single-tooth gapsFor single-tooth restoration, the implant is placed centered within the single-tooth gap. Thefollowing examples show how Rule 1 is implemented.Straumann Standard and Standard Plus ImplantsFor Straumann Tissue Level Implants, the gap size has to be considered for the selection of theshoulder diameter (NNC, RN, WN). In order to make use of the gap width in conjunction withRule 1, the following approximation can be used.Distance between adjacent teeth at bone level0.5 mmGap width0.5 mmThe distance between adjacent teeth at bone level isapproximately 1 mm (2 0.5 mm) more than the gapwidth. Hence, applying Rule 1, the gap width must be2 mm wider than the implant shoulder.14702084.indd 1408/03/2022 19:05

S/SP ImplantsbaD 1.5 mm 1.5 mmShoulder diameterGap widthD (mm)amin (mm)Distance between adjacentteeth at bone levelbmin (mm) 3.5 (NNC)5.56.5 4.8 (RN)78 6.5 (WN)8.59.5RuleD 2 mmD 3 mm** Rule 1 applied on both implant sidesThe Diagnostic T, applied in the patient’s mouth or on the cast, can be used to obtain an initial measurementof the gap width for the choice of the implant shoulder diameter and prosthetic reconstruction.Straumann Bone Level ImplantsFor Straumann Bone Level Implants, the distance between adjacent teeth at bone level determines the implant diameter.BL ImplantsbaD 1.5 mm 1.5 mmShoulder diameterGap widthD (mm)amin (mm)Distance between adjacentteeth at bone levelbmin (mm)BL 3.35.56.5BL 4.167BL 4.878RuleD 2 mmD 3 mm** Rule 1 applied on both implant sides15702084.indd 1508/03/2022 19:05

3.1.1.2 Examples of multiple-tooth gapsThe following examples show how Rules 1 and 2 are implemented in multiple-tooth gaps. Themeasurement is made at bone level from the adjacent tooth to the center of the implant and between implant centers. The minimal distance of 3 mm between two adjacent implant shoulders(Rules 2) is important to facilitate flap adaptation, avoid proximity of secondary components andprovide adequate space for maintenance and home-care.Straumann Standard and Standard Plus ImplantsS/SP/TE ImplantsLabD1cD2 3 mm 1.5 mm 1.5 mmShoulder diameterD1 (mm)Shoulder diameterD2 (mm)amin (mm)bmin (mm)cmin (mm)Lmin (mm) 3.5 (NNC) 3.5 (NNC)36.5312.5 3.5 (NNC) 4.8 (RN)37414 3.5 (NNC) 6.5 (WN)38516 4.8 (RN) 4.8 (RN)48416 4.8 (RN) 6.5 (WN)48.5517.5 6.5 (WN) 6.5 (WN)59.5519.5Shoulder diameterD1 (mm)Shoulder diameterD2 (mm)amin (mm)bmin (mm)cmin (mm)Lmin (mm)BL 3.3BL 3.336.5312.5BL 3.3BL 4.1373.513.5BL 3.3BL 4.837414BL 4.1BL 4.13.573.514BL 4.1BL 4.83.57.5415BL 4.8BL 4.847.5415.5Straumann Bone Level ImplantsBL ImplantsLabD1cD2 1.5 mm 3 mm 1.5 mm16702084.indd 1608/03/2022 19:05

3.1.2 Orofacial implant positionThe facial and palatal bone must be at least 1 mm thick in order to ensure stable hard and softtissue conditions. The minimal orofacial ridge widths for individual implant types are given inthe indication tables in chapter 2.2. Within this limitation, a restoration-driven orofacial implantposition and axis should be chosen such that screw-retained restorations are possible.Caution: An augmentation procedure is indicated where the orofacial bone wall is less than 1 mmor a layer of bone is missing on one or more sides. This technique should be employed only bydentists who have adequate experience in the use of augmentation procedures. 1 mm 1 mmBone layer at least 1 mmin thicknessChoose the orofacial implant position and axis so thatthe screw channel of the screw-retained restoration islocated behind the incisal edge.17702084.indd 1708/03/2022 19:05

3.1.3 Coronoapical implant positionStraumann dental implants allow for flexible coronoapical implant positioning, depending on individual anatomy, implantsite, the type of restoration planned, and preference. In the anterior area, a deeper coronoapical implant position is betterfor esthetic reasons. In this situation, the use of Straumann Standard Plus or Bone Level Implants is recommended. Thefollowing illustration shows the coronoapical implant position for these implants.Straumann Standard ImplantsStraumann Standard Implants with a smooth neck section of 2.8 mm are submerged in the bone as far as theSmargin of the SLA /SLActive surface.Straumann Standard Plus ImplantsStraumann Standard Plus Implants with a smooth neck section of 1.8 mm are submerged in the bone as farSPas the margin of the Straumann SLA / SLActive surface. Optionally they can be placed slightly deeper ifnecessary.Ideally, in the esthetic region, the implant shoulder should be positioned about 1 mm apical to the cemento-enamel junction (CEJ) of the contralateral tooth or 2 mm subgingival of the prospective gingival margin.Caution: If a Straumann Tissue Level Implant is inserted deeper than the margin of the Straumann SLA /SLActive surface, the preparation depth must be increased accordingly (see Chapter 4.1.2).Straumann Bone Level ImplantsStraumann Bone Level Implants are best set with the outer rim of the narrow 45 sloping edge (chamfer) atBLbone level.Ideally, in the esthetic region, the implant shoulder should be positioned about 3 – 4 mm subgingival of theprospective gingival margin and with the correct implant orientation (See Chapter 4.3).In a scalloped situation, place the mesial/distal point of the outer rim of the implant to bone level.The lingual/palatal wall will then extend slightly over the top line of the implant. The buccal wallis located somewhat below the implant edge.18702084.indd 1808/03/2022 19:05

3.2 Planning aids3.2.1 Mesiodistal and orofacial space requirements3.2.1.1 Diagnostic T for Straumann Standard and Standard Plus ImplantsBy using the Diagnostic T in the patient’s mouth or on the cast, an initial impression of the spatial relations forthe choice of the implant shoulder diameter and prosthetic reconstruction can be obtained. The pictogramson the instruments show which arm is used for which measurement.Note: Currently, a Diagnostic T for Straumann Bone Level Implants is not available.X Minimum occlusal space requirement(for the lowest prosthetic restoration option)Y Interproximal distance (gap width)Z Implant center to adjacent tooth (half the gap width)Determining the implant shoulder diameter in asingle-tooth gapImplant shoulders:NNC Narrow Neck CrossFit ( 3.5 mm)RN Regular Neck ( 4.8 mm)WN Wide Neck ( 6.5 mm)Determining the minimal distance between implant axis and adjacent teethMinimum vertical space requirement for accesswith surgical instruments19702084.indd 1908/03/2022 19:05

3.2.1.2 Straumann Implant Distance IndicatorTwo types of Implant Distance Indicators are available:ѹ For Straumann Standard and Standard Plus Implants (art. no. 046.148)ѹ For Straumann Bone Level Implants (art. no. 026.0901)The disks of the Implant Distance Indicators display the shoulder diameters of Straumann implants. The Implant Distance Indicators can be used to check the available space before the startof treatment or intraoperatively to mark the desired implant site.After flap opening and precisepositioning of the disk(s) at theplanned implantation site, it ispossible to drill through the perforation in the disk(s) with the RoundBur 1.4 mm (art. no. 044.022) orthe 1.6 mm Needle Drill (art. no.026.0054) in order to mark the center of the implant bed.Intraoperative use of the Implant Distance Indicator before flap openingRound Bur, Needle Drill, 1.4 mm 1.6 mmImplant Distance Indicator for Straumann Standard and Standard Plus Implants Straumann Implant Distance Indicator forStraumann Standard and Standard PlusImplants (art. no. 046.148)Leg labelDisk diameterCorresponding implantsLeg 1RN 4.8 4.8 mmall Regular Neck (RN) ImplantsLeg 2RN 4.8 4.8 mmall Regular Neck (RN) ImplantsLeg 3NNC 3.5 3.5 mmall Narrow Neck CrossFit (NNC) ImplantsLeg 4WN 6.5 6.5 mmall Wide Neck (WN) Implants20702084.indd 2008/03/2022 19:05

Implant Distance Indicator for Straumann Bone Level ImplantsArt. no. 026.0901Alternative Leg:Art. no. 025.0044Leg labelDisk diameterCorresponding implantsLeg 1BL 4.1 4.1 mmBone Level Implants 4.1 mmLeg 2BL 4.1 4.1 mmBone Level Implants 4.1 mmLeg 3BL 3.3 3.3 mmBone Level Implants 3.3 mmLeg 4BL 4.8 4.8 mmBone Level Implants 4.8 mm3.2.2 Determining the vertical bone availabilityThe vertical bone availability determines the maximal allowable length of the implant that canbe placed. To make it easier in determining the vertical bone availability, the use of an X-rayTemplate with X-ray Reference Spheres is recommended.3.2.2.1 X-ray Reference SphereThe X-ray Reference Sphere (art. no. 049.076V4) has a diameter of5 mm. The image of the sphere on the X-ray provides the referencevalue for the magnification scale. To prepare a reference spherecarrying template, the selected implant positions are marked onthe study cast. The X-ray Reference Spheres are fixed at the markedpoints. The vacuum-formed template is then made with the spheres.The subsequent X-ray shows the vertical bone availability andmucosal thickness, from which the corresponding implant lengthand type can be derived, in consideration of the enlargement factor.Warning: Adhere to production requirements of the holding template and ensure that the X-ray Reference Sphere is securely fixedwithin the holding template.21702084.indd 2108/03/2022 19:05

3.2.2.2 X-ray TemplatesThe X-ray Templates are used for measurement and comparison.eter and length. The following X-ray Templates are available:1.0 : 10246ѹ For Straumann Standard and Standard Plus Implants (art. no.150.215)ѹ For Straumann Bone Level Implants (art. no. 150.216) 5.0 mm 3.3 mmRN 4.1 mmRN46Straumann Standard Plus Implant 3.3 mmRN 4.1 mmRN 4.8 mmRN 4.8 mmWN 5.5 mm0Straumann Standard Implant 4.1 mmRN 4.8 mmRN 5.5 mm 4.8 mmWN 3.3 mmNNC 4.1 mmRN 4.8 mmRN6810121416 4.8 mmWN0sions are shown on the individual templates with the correspondingdistortion factors (1:1 to 1.7:1).4Straumann Standard Plus Implant 3.3 3Similar to the distortions that occur in X-rays, the implant dimen- 5.0 mm 3.3 mmNNC 4.8 mmWN810121416 3.3 mmRN2 4.8 mmRN02468101214161.1 : 10Straumann Standard Implant05/20They also assist the user in selecting the suitable implant type, diam-X-ray Template for Straumann Standard and Standard PlusImplants (art. no. 150.215)150.215 X-Ray TL.indd 217/12/2020 12:36150.216 X-Ray BL cha v1Determining each magnification factor or scale is facilitated byshowing the X-ray Reference Sphere on the template (next to the 5.0 mm0The first stage consists of comparing the size of the X-ray Reference246Sphere on the patient’s X-ray with the size of the reference sphereon the template. By superimposing the two pictures, the correctscale can be found. Next, the spatial relations around the implantposition are determined and the implant length and insertion depthare established.8101214161.0 : 11.1 : 10 4.1 mmRC 5.5 mm22464810121416 3.3 mmNC 4.8 mmRC1.2 : 1 6.0 mm 4.8 mmRC 4.1 mmRC(049.076V4) Ø 5.0 mm0246810121416Straumann Bone Level Implant 3.3 mmNC0Straumann Bone Level ImplantStraumann Bone Level Implant 3.3 mmNC 4.1 mmRCStraumann Bone L

The manual is divided into the following main parts: ѹ The Straumann Dental Implant System ѹ Indications and Contraindications ѹ Preoperative Planning ѹ Surgical Procedures . Straumann Dental Implant System - parallel-walled endosteal design Tissue Level Implants. Bone Level Implants: 702084.indd 3 08/03/2022 19:05. 4