The new wide Ponto implant design clinical and surgical aspects

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "The new wide Ponto implant design clinical and surgical aspects"

Transcription

1 The new wide Ponto implant design clinical and surgical aspects Partik Westerkull, MSc. Eng. Ph., Senior Research Consultant to Oticon Medical Lars Jinton, Director of Engineering, Oticon Medical With the new wide Ponto implant, the bone-to-implant contact surface is significantly increased (+10%) compared to any other similar implants on the market. The implant geometry offers also higher initial stability (ISQ value). The new Ponto implant is designed to offer increased implant stability that may specifically improve clinical outcome in patients with soft or compromised bone as well as offering increased implant stability margins for regular patients. Due to the unique OptiGrip geometry, it has also been possible to limit the diameter of the drill to offer less surgical trauma and less risk of overheating the bone. The countersink drilling removes 27% less bone than required for other comparable 4.5 mm diameter bone anchored implants. The new wide Ponto implant has been designed to offer a well-documented osseointegration for efficient long-term connection of the sound processor. The universal conical abutment fit and surface design offer a gentle soft tissue interaction. The new Ponto implant has undergone extensive testing of for example insertion torque, initial implant stability (ISQ) and analysis of bone and soft tissue interaction aspects. Introduction The new wide Ponto implant has been designed to optimize initial stability with the aim of improving implant success rates. This paper describes the requirement background, the implant design and some of the key verifications for long-term success of the new wide Ponto osseointegrated implant. Background It is well-documented that for the vast majority of patients, a traditional type of implant design forms a long-term stable fixation in the bone (Tjellström et al 2007). Retrospective clinical data confirms good clinical outcomes for Ponto implants and is described in a corresponding white paper (Babu et al 2012). However, increased implant stability may further improve clinical results, especially for patients with soft bone, for example children, and may also offer increased implant safety margins for the regular patients. In cases of implant failures at an early stage after surgery these may be caused by overheating of the bone tissue at surgical drilling or by a mobilized implant during the healing. During the first weeks after surgery, osseointegration has not yet started or is just about to start. At that stage, implant stability is a macroscopic mechanical stability that is dependent on the implant geometry and measures, and it is related to the initial bone-to-implant contact area. A recent scientific publication indicated that the sound processor can be fitted 3-5 weeks after surgery for adults operated with a traditional 3.75 mm Brånemark type implant without any observations of increased implant losses compared to patients fitted at later stages (Dun et al 2012). The consensus report from Snik et al 2005, states that the implant can be loaded 4-6 weeks after surgery. For children and patients with compromised bone, significantly longer healing time is always applied; however the implant success rate is still lower for these patient groups compared to regular adult patients. An implant design offering increased initial stability would reduce the risk of implant mobility not only short-term but also long-term. A wider implant generally requires a wider drill hole in the bone, so an efficient cutting geometry is important to limit the required diameter of the drill to avoid heat-induced bone tissue damages during the drilling procedure. Other important design aspects to consider in implant design are compatibility with existing components, possible soft tissue interaction and trauma safety. The new wide Ponto implant has been specifically designed to improve the results of above important aspects.

2 The new Ponto implants The new wide Ponto implant offers higher initial stability. Due to the unique patented OptiGrip cutting geometry, the required drill diameter is significantly smaller than for any other 4.5 mm wide implant, thus minimizing tissue trauma at drilling. The new wide Ponto implant has a significantly increased initial bone-to-implant contact surface, also when comparing with other 4.5 mm diameter implants, see fig 1. Ponto implant 3.75 mm Wide Ponto implant 4.5 mm BI300 by Cochlear BAS Initial implant surface in contact with bone achieved with three different bone anchored implants Fig 1. Views of the implant surface that is in bone contact after surgery. The new wide Ponto implant has 10% more contact surface compared to another 4.5 mm implant, the Cochlear BAS BI300. It has also 72% more initial contact surface than a Ponto 3.75 mm implant. The increased surface in contact with bone is achieved by a combination of a unique geometry with increased threaded area which is extended along the full length of the implant and exceptional cutting properties allowing for a smaller drill hole compared to other implants with the same diameter. The area of the implant that is in contact with the bone after surgery is a contributing factor to implant stability. The Ponto abutments are now equipped with an attachment for an Osstell SmartPeg which makes it possible to measure the resonance frequency ISQ-value of an implant in bone. This value is related to the stability of the implant seated in the bone. Figure 2 shows the implant stability for different types of implant designs. The new wide Ponto implant and the Cochlear BAS BI300 implant both have a diameter of 4.5 mm, however the new wide Ponto implant has a increased bone-to-implant contact surface. This is a result of the unique OptiGrip design. To achieve a high accuracy of the relative measurement regarding stability in fig 2, the testing was performed in artificial medium soft bone according to ASTM F , i.e. no osseointegration was present. Implant Stability Quotient (ISQ) Wide Ponto Implant 4.5 mm Implant stability comparison 60 Fig 2. Implant stability measurement (ISQ) for wide Ponto implant compared to another 4.5 mm diameter implant, the Cochlear BAS BI300. The result for a traditional 3.75 mm diameter implant is also shown. Measured with 6 mm abutment lengths in medium soft artificial bone according to ASTM F N=28 for each implant type. Increased mechanical stability in the bone reduces the risk of implant mobility initially (Östman et al 2006). The new wide Ponto implant is threaded all the way up to the flange, which means that it can use more of the stability of the outer cortical shell of the skull bone, which may even increase its stability further in a clinical situation. In figure 3, the load capacity of a traditional 3.75 mm and 3 mm long implant has been compared with the load capacity of a 3 mm long wide Ponto implant. The load capacity has been defined as the maximum side force that can be applied to the upper end of the abutment before the bone around the implant would fracture. This example shows the load capacity with 9 mm long abutments mounted on 3 mm long implants in bone since this is the least favorable loading condition that has been documented in the literature (Doshi et al 2010). The results are based on theoretical calculations BIA 300, Cochlear BAS Ponto implant 3.75 mm 2

3 Load capacity in bone (N) Abut. length (mm) Impl. diam. (mm) Impl. lengh (mm) With the OptiGrip design, the drill diameter was reduced to 3.75 mm compared to a 4.0 mm drill diameter that is required for a traditional implant design of a 4.5 mm diameter implant. It is the final countersink drilling that prepares the hole in the bone that will interact with the implant in the osseointegration process. For the 3.75 mm wide Ponto countersink drill, 27% less bone is removed compared to the 4 mm countersink used for the Cochlear BAS BI300 implant. The bone volume is directly related to the heat induced in the bone during drilling. Both drill systems include a guide drilling of 2.3 mm diameter before countersinking and both countersinks create cylindrical holes to allow implant insertion to various depths in case of thin bone. A smaller hole means less tissue trauma and less heating of the bone during drilling, which makes the surgery more gentle. Generally, any drill should still be moved up and down, to allow generous cooling to reach also the tip of the drill. Fig 3. The side force load capacity of a traditional 3.75 mm and 3 mm long implant compared with the load capacity of a 3 mm long wide Ponto implant, based on calculations in bone. The new wide Ponto implant is designed to improve implant success in patients with compromised bone such as in pediatrics, and to offer further stability margins for regular patients at stages during the osseointegration process. The new wide Ponto implant does not affect the strategy on how to use sleeper implants in children since there will still be an increased risk of trauma in children compared to adults. Wide Ponto BI300 Tissue trauma and drilling The OptiGrip design of the new wide Ponto implant has a unique new cutting geometry which means it cuts more efficiently into the bone tissue. The wide Ponto implant includes a new logarithmic conical shape of the thread itself which increases bone contact and also distributes the cutting force equally on the cutting edges for easy engaging. While offering a high initial bone contact and stability as described above, it also means that the diameter of the drilled hole in the bone can be reduced without making it harder for the implant to engage and be inserted into the hole. Figure 4. Drill hole sizes required for two types of 4.5mm diameter implants. The wide Ponto countersink drill ( 3.75 mm) removes 27% less bone than a Cochlear BAS BI300 countersink ( 4.0 mm) for Cochlear BAS BI300 implant. A smaller hole generally means less tissue trauma and less heating of the bone during drilling. OptiGrip design The OptiGrip design includes several new important geometrical design features that lead to the unique implant properties. One of the revolutionary new key features is the gradual relieving behind the cutting edge of the implant as shown in figure 5. 3

4 Cut No relieving gives high tissue pressure & friction Straight cut relieving Cut All gradual optimal relieving gives much less tissue pressure & friction able in the regular 4 mm length as well as in a shorter 3 mm length. The implants are available with premounted abutments of different lengths, as well as separately for cases requiring a 2-stage surgical procedure. Universal hexagon interface Bone Bone Micro groove under flange Conical seal Simple classical relieving as in Cochlear BI300 and previous BAHA and Ponto implants OptiGrip gradual relieving unique to the new wide Ponto implants Fully threaded t ofl a n g e Conical thread Optigrip cutting geometry Figure 5. The OptiGrip gradual relieving behind the cutting edge of the implant offers significantly less bone tissue pressure and friction compared to a classical relieving. Figure 6. The new wide Ponto implant geometry. Since bone is an elastic material in the cutting process, some sort of relieving is always included in the design of any self-tapping implant to reduce tissue pressure and friction behind the cutting edge. Although it has been well-known to the experts that a gradual relieving would be a preferred design, it has not been possible to realistically manufacture this. Hence other implants have had to stay with a simple straight relieving that cannot follow the contour of the flexing bone, and that type of relieving starts a little behind the cutting edge due to material limitations. However, due to a unique development progress, Oticon Medical has been able to include a fully gradual relieving that creates efficient and tissue friendly cutting. This patented design is one of the reasons why the new wide Ponto implant can be inserted into a smaller drilled hole and why it offers increased bone contact and improved initial implant stability. In figure 6, an overview of the features of the new wide Ponto implant is shown. The implant is equipped with a micro groove under the flange and a thread that goes all the way up to the flange with the aim of minimizing the risk of bone resorption and maximizing the stability of the implant in the outer cortical bone. Micro threads may reduce or delay bone resorption around the implant (Lee et al 2007). The implants are avail- Implant surface Except for the Brånemark surface, other modified and rougher surfaces are also used in the dental implant field, mainly for increasing implant success rate in the trabecular bone of the maxilla since the success rate there is lower compared to the mandible. There are animal studies showing improved medium term fixation with moderately rough titanium surfaces. There are also indications of improved clinical results in the maxilla, whereas in the cortical bone of the mandible the clinical success is very high and similar for any of the available titanium implant surfaces. The structure of the temporal bone generally corresponds more to the dense structure of the mandible than to the trabecular structure of the maxilla. In the scientific literature, Palmquist et al 2010 found that randomized controlled studies in the dental field showed no scientific evidence that any particular type of established dental implant surface has superior long-term success. If there would be any clinical benefits in the temporal bone with rougher titanium surfaces compared to the Brånemark surface, the difference would most likely be very small. The implant losses that occur for bone anchored hearing implants are mainly due to trauma, poor initial implant stability or long-term bone resorption (Reyes et al 2000). To improve 4

5 results in these situations, the macroscopic geometry of the implant is most certainly important based on the biomechanics, whereas it is more uncertain if the type of osseointegrating implant surface will make any difference. There are new generations of implant surfaces that do not only include a moderately rough titanium surface, but also a chemical or active modification of the surface, and perhaps these could be developed to contribute to further progress in the field. In the literature search, Palmquist et al 2010 found that more implants with rough surfaces were affected by peri-implantitis, which leads to bone resorption around the implant. However, this evidence is very limited and no decisive conclusions should be made based on this. A possibility is that bacteria and biofilm might adhere more strongly to rougher surfaces compared with smoother surfaces. Bone resorption may take place around the upper part of any type of implant. If bone resorption occurs, the implant surface that should have been imbedded in bone will be available for bacteria to grow on. This may cause interaction with the skin penetration or contribute to further bone resorption. It might be an advantage to avoid rougher surfaces in the proximity of the flange of the implant, for the same reason that a smooth surface is generally chosen for the surface of percutaneous abutments. More research is needed in this area. Since bone anchored hearing implants are much shorter than dental implants it may be at least as important to avoid bone resorption in this application. The Brånemark surface is the most well-documented implant surface for both dental implants as well as for bone anchored hearing applications. In fact, it is the only implant surface with long-term clinical documentation in extra oral percutaneous applications. The new wide Ponto implant is equipped with a Brånemark type implant surface that has now been combined with the unique new OptiGrip geometry designed for improved initial and long-term stability in the bone. Trauma safety and other patient related aspects Although Brånemark type implants have shown excellent longterm clinical results, long-term implant losses may occur and are mainly due to traumas or loss of integration due to bone resorption (Reyes et al 2000). The incidence of trauma is higher in pediatrics than in adults (Lloyd et al 2007). The new wide Ponto implant has the universal hexagon abutment interface, which offers easy removal and replacement for the clinician to minimize inconvenience for the patient. To ensure backward compatibility, the implant hexagon of the new wide Ponto implant is the same as for any other Ponto implants. Another important requirement on the implant-abutment interconnection is that there should be a tight seal between the two components to avoid micro-gaps for bacteria to grow and be transported in. The Ponto implant and abutment forms a tight conical seal between the two components. The abutment is slightly more conical than the implant, which is important to ensure that the seal takes place in the periphery of the interconnection. The interface seal between the Ponto abutment and the implant has been verified and approved using ASTM F intended to verify sterile package materials. More on ISQ The ISQ value generated by an Osstell equipment is a way of measuring implant stability in patients. The ISQ value represents the resonance frequency of the mechanical arrangement fixated in the bone. The value depends on how firm the fixation is and how hard the bone is. It also depends on the length and weight of the arrangement. Currently, it is mainly a tool for clinical studies and implant research and not so much a tool to be used for any regular clinical conclusions at the moment. There is for example no specific ISQ value that has been documented as an acceptance value for loading the implant. There may also be other factors to consider when deciding to load the implant. The level of osseointegration for different implants in different patients cannot be compared with ISQ, since a non-osseointegrated implant in hard bone may give a higher ISQ than an osseointegrated implant in soft bone. The ISQ measurement is however suitable for following the stability progress with time on one specific implant, which might be useful in some situations. It should be noted that the abutment length affects the ISQ value for a specific implant when an ISQ measurement is performed with an Osstell SmartPeg mounted on an abutment. In figure 7, the ISQ value for different abutment lengths mounted on one specific implant is shown. Note how much the ISQ value varies with the abutment length although the stability of the implant in the bone is the same. This is due to the fact that ISQ measures a resonance frequency which is dependent on the component length. 5

6 Implant Stability Quotient (ISQ) Implant stability comparison 54 6 mm 9 mm 12 mm Abutment lengh Fig 7. The ISQ value measured on the abutment depends on the abutment length, since the ISQ value represents the resonance frequency which depends on the length of the arrangement. 46 Conclusion The design of the new wide Ponto implant has an increased (+10%) initial bone-to-implant contact surface, compared to any other bone anchored hearing implant on the market, and is designed for increased initial implant stability. Increased stability of the implant in the bone may reduce the risk of implant mobility that may cause implant loss, especially in soft bone, for example children. Higher stability may also contribute to increased stability margins for regular adult patients as well as increased safety margins. Increased implant stability reduces the risk of implant mobility both long-term and short-term and may contribute to further increased implant success rates. Due to the unique new OptiGrip cutting geometry, the countersink drill diameter is significantly reduced (27% less bone volume removed compared to countersinks for other comparable wide implants), which contributes both to increased initial bone-to implant contact area, and to a reduced risk of heat induced bone tissue damage during the drilling procedure. The implant interface to the abutment includes a conical fit and, together with the Ponto abutments, it is designed to offer an efficient and tissue friendly skin penetration (Westerkull 2012), on the Ponto abutment system. The universal low profile hexagon fit offers backward compatibility which is important for practical and patient related aspects. The new wide Ponto implant includes a number of important biomechanical improvements designed to offer important clinical benefits for patients who may have an increased risk of implant failure. Possible improvements of actual clinical results with the new wide Ponto implant remains to be seen in future clinical studies. 6

7 References: 1. Babu S, Fucci M, Mckinnon B, Sockalingam R, Jernby K. The Ponto Bone Anchored Implant System: A Survey of Clinical Outcomes. Oticon Medical White Paper, February Tjellström A, Hakansson B, Granstrom G, Odersjö M: Survival rate of self-tapping implants for bone-anchored hearing aids. J Laryngol Otol 2007; 121:2: De Wolf M, Hol M, Mylanus E, Cremers C: Bone anchored hearing aid surgery in older adults: Implant loss and skin reactions. Ann Otol Rhinol Laryngol 2009 Jul:118/7: Östman P-O, Hellman M, Wndelhag I, Sennerby L: Resonance Frequency Analysis Measurements of Implants at Placement Surgery. Int J Prosthodont 2006; 19; pp Doshi J, McDermott A, Reid A, Proops D: The 8.5 mm abutment in children: the Birmingham bone-anchored hearing aid program experience. Otology & Neurotology; June 2010, Volume 31, Issue 4, pp Westerkull P: The Ponto abutment and skin penetration concept clinical, biomechanical and long-term safety aspects. Oticon Medical White Paper, Dun C, Faber HT, de Wolf M, Mylanus E, Cremers C, Hol M: Assessment of More Than 1,000 Implanted Percutaneous Bone Conduction Devices: Skin Reactions and Implant Survival, Otology & Neurotology, 33: , Lee D, Choi Y, Park K, Kim C, Moon I: Effect of microthread on the maintenance of marginal bone level: a 3-year prospective study. Clin Oral Implants Res 2007;18: Lloyd S, Almeyda J, Sirimanna K, Albert D, Bailey C: Updated surgical experience with bone-anchored hearing aids in children. The Journal of Laryngology Otology; September 2007, 121, pp Palmquist A, Omar M, Esposito M, Lausmaa J, Thomsen P: Titanium oral implants: surface characteristics, interface biology and clinical outcome. J R Soc Interface 6 October 2010 vol. 7 no. Suppl 5 S515-S Reyes R, Tjellstrom A, Granström G: Evaluation of implant losses and skin reactions around extraoral bone-anchored implants: A 0 to 8-year follow-up, Otolaryngol Head Neck Surg Feb;122(2): Snik A, Mylanus E, Proops D, Wolfaardt J, Dent M, Hodgetts W, Somers T, Niparko J, Wazen J, Sterkers O, Cremers C, Tjellstrom A: Consensus Statement on the BAHA System: Where Do We Stand at Present? Ann Oto Rhinol Laryn 2005; 114(12) Suppl. 195: page 7. 7

8 Oticon Medical AB Ekonomivägen 2 SE Askim Sweden Phone: Fax: M51162_US /

Low Cost Osseointegrated Implant System for Developing Countries *

Low Cost Osseointegrated Implant System for Developing Countries * International Journal of Otolaryngology and Head & Neck Surgery, 2013, 2, 186-191 http://dx.doi.org/10.4236/ijohns.2013.25039 Published Online September 2013 (http://www.scirp.org/journal/ijohns) Low Cost

More information

All-on-4 treatment concept with NobelSpeedy Groovy

All-on-4 treatment concept with NobelSpeedy Groovy All-on-4 treatment concept with NobelSpeedy Groovy Product overview Immediate Function for high patient satisfaction Immediately loaded fixed provisional prosthesis on the day of surgery. Immediate improvement

More information

Porous surface of extraoral implants: report of two cases rehabilitated with a new Brazilian extraoral implant

Porous surface of extraoral implants: report of two cases rehabilitated with a new Brazilian extraoral implant Braz J Oral Sci. October/December 2004 - Vol. 3 - Number 11 Luciano Lauria Dib 1 Joaquim Augusto Piras de Oliveira 2 Renata Lazari Sandoval 3 Ulf Nannmark 4 1 Professor of Stomatology at UNIP, São Paulo,

More information

Comparison of Traditional Bone-Conduction Hearing Aids with the Baha â System DOI: 10.3766/jaaa.21.4.5

Comparison of Traditional Bone-Conduction Hearing Aids with the Baha â System DOI: 10.3766/jaaa.21.4.5 J Am Acad Audiol 21:267 273 (2010) Comparison of Traditional Bone-Conduction Hearing Aids with the Baha â System DOI: 10.3766/jaaa.21.4.5 Lisa Christensen* Laura Smith-Olinde Jillian Kimberlain* Gresham

More information

Straumann Dental Implant System. Implant Selection Guide.

Straumann Dental Implant System. Implant Selection Guide. Straumann Dental Implant System. Implant Selection Guide. STRAUMANN's IMPLANT PORTFOLIO The Straumann Dental Implant System offers two implant lines with diverse body and neck designs ranging from the

More information

Dental Implant Options in Atrophic Jaws

Dental Implant Options in Atrophic Jaws Dental Implant Options in Atrophic Jaws Orthopedic Application Jay B. Reznick, D.M.D., M.D. Diplomate, American Board of Oral and Maxillofacial Surgery Tarzana, CA Endopore Dental Implant System Screw-Type

More information

Protocol. Implantable Bone-Conduction and Bone-Anchored Hearing Aids

Protocol. Implantable Bone-Conduction and Bone-Anchored Hearing Aids Protocol Implantable Bone-Conduction and Bone-Anchored Hearing Aids (70103) Medical Benefit Effective Date: 04/01/13 Next Review Date: 01/15 Preauthorization Yes Review Dates: 11/07, 07/08, 05/09, 03/10,

More information

Medical Benefit Effective Date: 07/01/12 Next Review Date: 03/13 Preauthorization* Yes Review Dates: 11/07, 07/08, 05/09, 03/10, 03/11, 03/12

Medical Benefit Effective Date: 07/01/12 Next Review Date: 03/13 Preauthorization* Yes Review Dates: 11/07, 07/08, 05/09, 03/10, 03/11, 03/12 Protocol Implantable Bone-Conduction and Bone-Anchored Hearing Aids (70103) Medical Benefit Effective Date: 07/01/12 Next Review Date: 03/13 Preauthorization* Yes Review Dates: 11/07, 07/08, 05/09, 03/10,

More information

Ridge Reconstruction for Implant Placement

Ridge Reconstruction for Implant Placement Volume 1, No. 5 July/August 2009 The Journal of Implant & Advanced Clinical Dentistry Ridge Reconstruction for Implant Placement 2 Hours of CE Credit Oral Implications of Cancer Chemotherapy Immediate

More information

Section: Surgery Approved Date: April Policy No: 121 Effective Date: July 1, 2014

Section: Surgery Approved Date: April Policy No: 121 Effective Date: July 1, 2014 Medical Policy Manual Topic: Implantable Bone Conduction and Bone-Anchored Hearing Aids Date of Origin: July 2003 Section: Surgery Approved Date: April 2014 Policy No: 121 Effective Date: July 1, 2014

More information

*Seth E. Pross, Andrew Layton, Kuo Tong, and *Lawrence R. Lustig

*Seth E. Pross, Andrew Layton, Kuo Tong, and *Lawrence R. Lustig Otology & Neurotology 00:00Y00 Ó 2013, Otology & Neurotology, Inc. Cost of Placement and Complications Associated With Osseointegrated Bone-Conducting Hearing Prostheses: A Retrospective Analysis of Medicare

More information

ORTHODONTIC MINI IMPLANTS Clinical procedure for positioning. Orthodontics and Implantology

ORTHODONTIC MINI IMPLANTS Clinical procedure for positioning. Orthodontics and Implantology ORTHODONTIC MINI IMPLANTS Clinical procedure for positioning Orthodontics and Implantology 2 All rights are reserved. Any reproduction of the present publication is prohibited in whole or in part and by

More information

Osstell ISQ. The objective way to measure implant stability. www.osstell.com

Osstell ISQ. The objective way to measure implant stability. www.osstell.com Osstell ISQ. The objective way to measure implant stability. www.osstell.com Three reasons why you need With a success rate above 95%, who needs diagnostics? Implant treatment is one of the most predictable

More information

d (mm) L (mm)

d (mm) L (mm) Implant Geometry Internal Hex. External Hex. Before Expansion After Expansion Before Expansion After Expansion D D D D L L d d S S D(mm) L (mm) d (mm) S (mm) Platform EDI4105 4.1 5 4.5 4.2 External Hex

More information

Ponto Freedom of choice in bone anchored hearing care. Product Catalog 2010/2011

Ponto Freedom of choice in bone anchored hearing care. Product Catalog 2010/2011 Ponto Freedom of choice in bone anchored hearing care Product Catalog 2010/2011 Contents Surgical Components........................ 3 Surgical Instruments and Equipment.......... 4-5 Sound Processors

More information

Renovis T 700 Cannulated Screw System 3.0, 3.5 & 4.0mm. Surgical Technique

Renovis T 700 Cannulated Screw System 3.0, 3.5 & 4.0mm. Surgical Technique Renovis T 700 Cannulated Screw System 3.0, 3.5 & 4.0mm Surgical Technique Renovis Surgical Technique Table of Contents Renovis T 700 Cannulated Screw System 3.0, 3.5 & 4.0mm Introduction... 2 General Conditions

More information

ABOUT US. The Complete and Comprehensive solution for implants! Edison Medical. Edison Medical s Quality Strategy:

ABOUT US. The Complete and Comprehensive solution for implants! Edison Medical. Edison Medical s Quality Strategy: IMPLANTS CATALOG ABOUT US Edison Medical The Complete and Comprehensive solution for implants! Edison Medical Ltd. is engaged in the import, export, marketing and distribution of dental Implants and other

More information

Bone Anchored Hearing Aids (BAHA)

Bone Anchored Hearing Aids (BAHA) B-ENT, 2007, 3, Suppl. 6, 45-50 Bone Anchored Hearing Aids (BAHA) G. E. J. Forton* and P. H. Van de Heyning** *E.N.T. department, Heilig Hart General Hospital, Roeselare; **University E.N.T. department,

More information

Integra. Large Qwix - Fixation and Positioning Screw SURGICAL TECHNIQUE

Integra. Large Qwix - Fixation and Positioning Screw SURGICAL TECHNIQUE Integra Large Qwix - Fixation and Positioning Screw SURGICAL TECHNIQUE Table of contents Indications... 03 Contraindications... 03 Description... 03 Instruments... 04 Fixation Screws... 04 Step 1: Positioning

More information

TRI Product NewsFlash. December 2015

TRI Product NewsFlash. December 2015 TRI Product NewsFlash December 2015 Study Overview 2015 Dear Partners Year in, year out, we are screening all major scientific journals to ensure that our TRI Performance Concept still reflects the latest

More information

Competing interests: none declared. Conflict of interests: none declared.

Competing interests: none declared. Conflict of interests: none declared. Liu CC, Yunker WK. The role of bone conduction hearing aids in congenital unilateral and bilateral conductive hearing loss. Hard Tissue 2014 Mar 22;3(1):5. Licensee OA Publishing London 2014. Creative

More information

Surgical technique. End Cap for TEN. For axial stabilization and simultaneous protection of soft tissue.

Surgical technique. End Cap for TEN. For axial stabilization and simultaneous protection of soft tissue. Surgical technique End Cap for TEN. For axial stabilization and simultaneous protection of soft tissue. Table of contents Indications and contraindications 3 Implants 4 Instruments 4 Preoperative planning

More information

Replacement of the upper left central incisor with a Straumann Bone Level Implant and a Straumann Customized Ceramic Abutment

Replacement of the upper left central incisor with a Straumann Bone Level Implant and a Straumann Customized Ceramic Abutment Replacement of the upper left central incisor with a Straumann Bone Level Implant and a Straumann Customized Ceramic Abutment by Dr. Ronald Jung and Master Dental Technician Xavier Zahno Initial situation

More information

7.0 mm Cannulated Screw Technique Guide

7.0 mm Cannulated Screw Technique Guide 7.0 mm Cannulated Screw Technique Guide An Integral Part of the SYNTHES Cannulated Screw System Original Instruments and Implants of the Association for the Study of Internal Fixation AO ASIF 7.0 mm Cannulated

More information

Compression FT Screw System

Compression FT Screw System Arthrex Compression FT Screw System Hand, Wrist & Elbow Foot & Ankle Compression FT Screw System The headless titanium 2.5 Micro, 3.5 Mini and 4.0 Standard Compression FT Screws can be used for a wide

More information

Bone Conduction Implants Recent Changes in Surgical Techniques, Hearing Technology & Implant Options

Bone Conduction Implants Recent Changes in Surgical Techniques, Hearing Technology & Implant Options 2 0 1 5 A G B e l l L S L S y m p o s i u m Bone Conduction Implants Recent Changes in Surgical Techniques, Hearing Technology & Implant Options J u l y 1 0, 2 0 1 5 The Oticon Medical company Part of

More information

Legacy3 System Overview Catalog. alog. 3.2mmD 3.7mmD 4.2mmD. Legacy 3. 4.7mmD 5.2mmD 5.7mmD

Legacy3 System Overview Catalog. alog. 3.2mmD 3.7mmD 4.2mmD. Legacy 3. 4.7mmD 5.2mmD 5.7mmD Legacy3 System Overview Catalog alog 3.2mmD 3.7mmD 4.2mmD Legacy 3 4.7mmD 5.2mmD 5.7mmD Legacy3 Legacy3 Two-Stage System Featuring: Internal connection with 1.4mm long hex and internal lead-in bevel Tapered

More information

IMPLANTABLE BONE-CONDUCTION AND BONE-ANCHORED HEARING AIDS

IMPLANTABLE BONE-CONDUCTION AND BONE-ANCHORED HEARING AIDS Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Medical Coverage Guideline must be read in its

More information

Knotilus TM. Anchor Instability Repair. Technique Guide

Knotilus TM. Anchor Instability Repair. Technique Guide Knotilus TM Anchor Instability Repair Technique Guide Instability Repair Using the Knotilus TM Anchor Introduction While the shoulder has more mobility than any other joint in the body, it is also the

More information

Like natural teeth. Treatment procedure with dental implants SINGLE TOOTH REPLACEMENT

Like natural teeth. Treatment procedure with dental implants SINGLE TOOTH REPLACEMENT Like natural teeth Treatment procedure with dental implants SINGLE TOOTH REPLACEMENT Dental implants by Astra Tech like natural teeth Do you suffer from the discomfort of a missing tooth? Oftentimes, missing

More information

Guidance for implant removal. Straumann Dental Implant System

Guidance for implant removal. Straumann Dental Implant System Guidance for implant removal Straumann Dental Implant System The ITI (International Team for Implantology) is academic partner of Institut Straumann AG in the areas of research and education. ContentS

More information

Dental Implants in the Diabetic Patient: A Retrospective Study

Dental Implants in the Diabetic Patient: A Retrospective Study Dental Implants in the Diabetic Patient: A Retrospective Study Thomas J. Balshi, DDS, FACP,* Glenn J. Wolfinger, DMD, FACP* Diabetes mellitus is one of the world's major chronic health problems. In the

More information

AcUMEDr. BIoTRAKt. Headless Resorbable Compression Screw

AcUMEDr. BIoTRAKt. Headless Resorbable Compression Screw AcUMEDr BIoTRAKt Headless Resorbable Compression Screw Biotrak Headless Resorbable Compression Screw Since 1988, Acumed has been designing solutions to the demanding situations facing orthopaedic surgeons,

More information

The current practice trends in pediatric bone-anchored hearing aids in Canada: a national clinical and surgical practice survey

The current practice trends in pediatric bone-anchored hearing aids in Canada: a national clinical and surgical practice survey Liu et al. Journal of Otolaryngology - Head and Neck Surgery 2013, 42:43 ORIGINAL RESEARCH ARTICLE Open Access The current practice trends in pediatric bone-anchored hearing aids in Canada: a national

More information

Straumann Dental ONE SYSTEM ONE INSTRUMENT KIT VARIOUS TREATMENTS

Straumann Dental ONE SYSTEM ONE INSTRUMENT KIT VARIOUS TREATMENTS Straumann Dental implant system ONE SYSTEM ONE INSTRUMENT KIT VARIOUS TREATMENTS For various treatments* The Straumann Dental Implant System offers you and your patients efficient and esthetic implant-borne

More information

The Flower Anatomic Distal Fibula

The Flower Anatomic Distal Fibula The Flower Anatomic Distal Fibula PROCEDURE GUIDE www.flowerortho.com The Flower Foot & Ankle Application STRAIGHT LOCKING FIBULA PLATE ANTERIOR LATERAL DISTAL TIBIAL PLATE MEDIAL DISTAL TIBIAL PLATE ANATOMIC

More information

NARROW DIAMETER implant

NARROW DIAMETER implant ND NARROW DIAMETER implant TABLE OF CONTENTS ND - NARROW DIAMETER implant Implant characteristics page 04 Dental implant page 05 Open Tray Impression Transfer page 06 Titanium Abutments page 07 O-Ball

More information

DON T MISS LIFE BECAUSE OF MISSING TEETH, SAY YES! TO DENTAL IMPLANTS

DON T MISS LIFE BECAUSE OF MISSING TEETH, SAY YES! TO DENTAL IMPLANTS DON T MISS LIFE BECAUSE OF MISSING TEETH, SAY YES! TO DENTAL IMPLANTS 2 EXPERIENCE THE NATURAL LOOK AND FEEL OF DENTAL IMPLANTS REASONS to SAY Yes IMPLANTS Help prevent bone loss IMPLANTS HELP PRESERVE

More information

Ponto The bone anchored hearing system from Oticon Medical. An Introduction to the Ponto System

Ponto The bone anchored hearing system from Oticon Medical. An Introduction to the Ponto System Ponto The bone anchored hearing system from Oticon Medical An Introduction to the Ponto System 13 A new beginning Since 1904 Oticon has been committed to helping people who are hard of hearing but in spite

More information

Implants of high-performance ceramic. vk-lange 12.03.2007 14:44 Uhr Seite 1. One-piece precision implant. Made in Germany

Implants of high-performance ceramic. vk-lange 12.03.2007 14:44 Uhr Seite 1. One-piece precision implant. Made in Germany OMNIS Implants of high-performance ceramic vk-lange 12.03.2007 14:44 Uhr Seite 1 One-piece precision implant C M Y CM MY CY CMY K Dieter Lange Verkaufsleiter Labor Made in Germany creamed nge 12.03.2007

More information

MINI FRAGMENT SYSTEM. Instruments and implants for 1.5 mm, 2.0 mm, and 2.4 mm plate fixation PRODUCT OVERVIEW

MINI FRAGMENT SYSTEM. Instruments and implants for 1.5 mm, 2.0 mm, and 2.4 mm plate fixation PRODUCT OVERVIEW MINI FRAGMENT SYSTEM Instruments and implants for 1.5 mm, 2.0 mm, and 2.4 mm plate fixation PRODUCT OVERVIEW TABLE OF CONTENTS INTRODUCTION Mini Fragment System 2 PRODUCT INFORMATION Plates 4 Screws 6

More information

Cochlear Implant, Bone Anchored Hearing Aids, and Auditory Brainstem Implant

Cochlear Implant, Bone Anchored Hearing Aids, and Auditory Brainstem Implant Origination: 06/23/08 Revised: 10/13/14 Annual Review: 11/12/15 Purpose: To provide cochlear implant, bone anchored hearing aids, and auditory brainstem implant guidelines for the Medical Department staff

More information

The SATURN implant by Cortex Dental Industries

The SATURN implant by Cortex Dental Industries The SATURN implant by Cortex Dental Industries By Dr. Zvi Laster DMD W e P r o v e I t E v e r y D a y A case report using a newly designed implant specifically designed for immediate post-extraction loading

More information

Implant Systems MAX LOGIC MONO. Today s name in tomorrow s implant technology

Implant Systems MAX LOGIC MONO. Today s name in tomorrow s implant technology Implant Systems MAX LOGIC MONO Today s name in tomorrow s implant technology Implant Systems Etgar Medical Implant Systems brings to the market an entire spectrum of dental implant products based on its

More information

Implant materials. Learning outcomes. Implant materials in trauma. How to use this handout? Functions of implants. Types of materials

Implant materials. Learning outcomes. Implant materials in trauma. How to use this handout? Functions of implants. Types of materials Implant materials How to use this handout? The left column is the information as given during the lecture. The column at the right gives you space to make personal notes. Learning outcomes At the end of

More information

PERIPROSTHETIC IMPLANTS

PERIPROSTHETIC IMPLANTS PERIPROSTHETIC IMPLANTS PRODUCT OVERVIEW CLINICAL SOLUTIONS Periprosthetic fractures present unique challenges, such as how to gain fixation when the medullary canal is occupied. Special techniques and

More information

Technique Guide. 3.5 mm LCP Clavicle Hook Plates. Part of the Synthes locking compression plate (LCP) system.

Technique Guide. 3.5 mm LCP Clavicle Hook Plates. Part of the Synthes locking compression plate (LCP) system. Technique Guide 3.5 mm LCP Clavicle Hook Plates. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 3.5 mm LCP Clavicle Hook Plates 2 AO Principles 4 Indications

More information

Evolution through science ASTRA TECH Implant System EV

Evolution through science ASTRA TECH Implant System EV Evolution through science ASTRA TECH Implant System EV ASTRA TECH Implant System BioManagement Complex A successful implant system cannot be determined by one single feature alone. Just as in nature, there

More information

Modern Tooth Replacement Strategies & Digital Workflow

Modern Tooth Replacement Strategies & Digital Workflow Modern Tooth Replacement Strategies & Digital Workflow Case Studies by Dr Maurice Salama, DMD AS PUBLISHED BY Dentistry Today, June 2014 Complete Implant Restoration System FACTS: Implant Dentistry Has

More information

Restoration of a screw retained single tooth restoration in the upper jaw with Thommen Titanium base abutment.

Restoration of a screw retained single tooth restoration in the upper jaw with Thommen Titanium base abutment. Restoration of a screw retained single tooth restoration in the upper jaw with Thommen Titanium base abutment. Dr. med. dent. David McFadden, Dallas County, USA Initial situation (single X-ray) Tooth 16

More information

Technique Guide. Large Fragment LCP Instrument and Implant Set. Part of the Synthes locking compression plate (LCP) system.

Technique Guide. Large Fragment LCP Instrument and Implant Set. Part of the Synthes locking compression plate (LCP) system. Technique Guide Large Fragment LCP Instrument and Implant Set. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction Large Fragment LCP Instrument and Implant Set

More information

Article Title (continued)

Article Title (continued) www.jird.com CLINICAL PERSPECTIVES Inside this issue: Using digital technologies to address aesthetic challenges in the anterior maxillae A Publication 2011 No. 1 3 JIRD Article Title (continued) aesthetic

More information

Zimmer Small Fragment Universal Locking System. Surgical Technique

Zimmer Small Fragment Universal Locking System. Surgical Technique Zimmer Small Fragment Universal Locking System Surgical Technique Zimmer Small Fragment Universal Locking System 1 Zimmer Small Fragment Universal Locking System Surgical Technique Table of Contents Introduction

More information

Corporate Medical Policy Implantable Bone Conduction Hearing Aids

Corporate Medical Policy Implantable Bone Conduction Hearing Aids Corporate Medical Policy Implantable Bone Conduction Hearing Aids File Name: Origination: Last CAP Review: Next CAP Review: Last Review: implantable_bone_conduction_hearing_aids 6/2006 2/2016 2/2017 2/2016

More information

The vibration analysis of bone conduction for bone anchored hearing aids: In-vivo human mastoid

The vibration analysis of bone conduction for bone anchored hearing aids: In-vivo human mastoid The vibration analysis of bone conduction for bone anchored hearing aids: In-vivo human mastoid Jen-Fang Yu Graduate Institute of Medical Mechatronics Chang Gung University Taoyuan, Taiwan Ching-I Chen

More information

Mini External Fixator.

Mini External Fixator. Mini External Fixator. Assembly and Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Image intensifier control This

More information

ALL-CERAMIC DENTAL IMPLANT SOLUTIONS

ALL-CERAMIC DENTAL IMPLANT SOLUTIONS ALL-CERAMIC DENTAL IMPLANT SOLUTIONS Scientific Evidence Bone-to-implant contact of 78% at 3 months. One piece implant = no prosthetic connections References 1. One-year follow-up of first consecutive

More information

Master of Science Thesis Joel Häggström

Master of Science Thesis Joel Häggström Vibrations during Resonance Frequency Analysis of Dental Implant Stability Master of Science Thesis Joel Häggström Department of Signals and Systems Division of Biomedical Engineering CHALMERS UNIVERSITY

More information

SRT screw removal tool

SRT screw removal tool SRT screw removal tool As far as the SRT tool, the clinician will place the tip of it in the screw so it lines up into the screw hole opening. They will turn the tool slowly about ¼ of a turn clockwise,

More information

Radiolucent Insertion Handle for TFN. Part of the Titanium Trochanteric Fixation Nail (TFN) System.

Radiolucent Insertion Handle for TFN. Part of the Titanium Trochanteric Fixation Nail (TFN) System. Radiolucent Insertion Handle for TFN. Part of the Titanium Trochanteric Fixation Nail (TFN) System. Increased visualization of femoral neck Facilitates positioning of blade/screw Improved handling Table

More information

Prosthodontist s Perspective

Prosthodontist s Perspective Unless otherwise noted, the content of this course material is licensed under a Creative Commons Attribution - Non-Commercial - Share Alike 3.0 License. Copyright 2008, Dr. Jeff Shotwell. The following

More information

Photofunctionalization

Photofunctionalization Photofunctionalization One and only technology to overcome the biological aging of titanium Scientific brochure of photofunctionalization Volume 1, Issue 1, 2013 published by Global Network for Photofunctionalized

More information

More than a fixed rehabilitation.

More than a fixed rehabilitation. More than a fixed rehabilitation. A reason to smile. In combination with: Patient expectations drive dental treatments for fixed edentulous immediate restorations. Patients today have increasingly high

More information

Zimmer Zimmer Herbert. Surgical Technique

Zimmer Zimmer Herbert. Surgical Technique 1 Zimmer Zimmer Herbert Bone Herbert Screw and Zimmer Cannulated Herbert Mini Bone Bone Screw Screw Surgical Technique 2 Zimmer Herbert Bone Screw and Zimmer Herbert Mini Bone Screw Table of Contents Indications

More information

IMPLANT DENTISTRY EXAM BANK

IMPLANT DENTISTRY EXAM BANK IMPLANT DENTISTRY EXAM BANK 1. Define osseointegration. (4 points, 1/4 2. What are the critical components of an acceptable clinical trial? (10 points) 3. Compare the masticatory performance of individuals

More information

Titanium Wire with Barb and Needle. For canthal tendon procedures.

Titanium Wire with Barb and Needle. For canthal tendon procedures. Titanium Wire with Barb and Needle. For canthal tendon procedures. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction Titanium Wire with Barb and Needle

More information

MatrixNEURO CMF Matrix

MatrixNEURO CMF Matrix MatrixNEURO CMF Matrix This publication is not intended for distribution in the USA. MatrixNEURO Introduction The aim of surgical fracture treatment is to reconstruct the bony anatomy and restore its function.

More information

AGS OSTEOPOROSIS PATHOMECHANICS OF FRAGILITY. Charles Cornell, MD Hospital for Special Surgery New York, NY

AGS OSTEOPOROSIS PATHOMECHANICS OF FRAGILITY. Charles Cornell, MD Hospital for Special Surgery New York, NY OSTEOPOROSIS PATHOMECHANICS OF FRAGILITY AGS Charles Cornell, MD Hospital for Special Surgery New York, NY THE AMERICAN GERIATRICS SOCIETY Geriatrics Health Professionals. Leading change. Improving care

More information

Histologic comparison of biologic width around teeth versus implants: The effect on bone preservation

Histologic comparison of biologic width around teeth versus implants: The effect on bone preservation Clinical Histologic comparison of biologic width around teeth versus implants: The effect on bone preservation Kazuto Makigusa 1 Abstract Histological analysis of the biological width surrounding primate

More information

Policy for the use of Bone Anchored Hearing Aids (BAHAs)

Policy for the use of Bone Anchored Hearing Aids (BAHAs) Policy for the use of Bone Anchored Hearing Aids (BAHAs) Reference No: Version: 1 Ratified by: EMSCGP044V1 EMSCG Board Date ratified: 23/09/2011 Name of originator/author: Name of responsible committee/individual:

More information

Dr Ansgar C Cheng BDS, MS, FRCDC, FRACDS, FAM(S), FCDSS, MRACDS, Cert. Pros., Cert. MaxFac. Pros.

Dr Ansgar C Cheng BDS, MS, FRCDC, FRACDS, FAM(S), FCDSS, MRACDS, Cert. Pros., Cert. MaxFac. Pros. I M P L A N T S in IRRADIATED TISSUES Dr Ansgar C Cheng BDS, MS, FRCDC, FRACDS, FAM(S), FCDSS, MRACDS, Cert. Pros., Cert. MaxFac. Pros. Adj Associate Professor, National University of Singapore Chair,

More information

Cranial/Neurosurgical Implants

Cranial/Neurosurgical Implants MEDPOR Cranial/Neurosurgical Implants MEDPOR Biomaterial MEDPOR Porous Polyethylene Implants provide surgeons with an expanding range of options for reconstruction and augmentation. MEDPOR is a biocompatible,

More information

While the prosthetic rehabilitation of

While the prosthetic rehabilitation of Restoring Mandibular Single Teeth with the Inclusive Tooth Replacement Solution Go online for in-depth content by Bradley C. Bockhorst, DMD While the prosthetic rehabilitation of full-arch cases provides

More information

Modular Sternal Cable System. Flexibility and strength in sternal closure and repair.

Modular Sternal Cable System. Flexibility and strength in sternal closure and repair. Modular Sternal Cable System. Flexibility and strength in sternal closure and repair. Multiple closure options Stable fixation in all configurations Improved strength and flexibility compared to wire Modular

More information

Don t Let Life Pass You By Because Of Oral Bone Loss

Don t Let Life Pass You By Because Of Oral Bone Loss Don t Let Life Pass You By Because Of Oral Bone Loss Ask For Dental Implant Solutions From BIOMET 3i Scan With Your Smartphone! In order to scan QR codes, your mobile device must have a QR code reader

More information

VariAx Distal Radius Locking Plate System. Anatomical & Universal Volar Plates Dorsal Plates Fragment Specific Plates

VariAx Distal Radius Locking Plate System. Anatomical & Universal Volar Plates Dorsal Plates Fragment Specific Plates VariAx Distal Radius Plate System Anatomical & Universal Volar Plates Dorsal Plates Fragment Specific Plates System Module The NEW VariAx Distal Radius Plating System represents the Next Generation of

More information

Contact: Steve Hurson VP, R & D Nobel Biocare 22715 Savi Ranch Pkwy Yorba Linda, CA 92887 (714) 282-5072 steve.hurson@nobelbiocare.

Contact: Steve Hurson VP, R & D Nobel Biocare 22715 Savi Ranch Pkwy Yorba Linda, CA 92887 (714) 282-5072 steve.hurson@nobelbiocare. Use of CP Titanium and Titanium alloys for Dental Implants Steve Hurson, Nobel Biocare U.S.A. Yorba Linda CA Abstract Professor Per Ingvar Branemark of Sweden published his results on 15 years of research

More information

CoNGRUENT RADIAL HEAD PLATE

CoNGRUENT RADIAL HEAD PLATE Mayo Clinic CoNGRUENT RADIAL HEAD PLATE Since 1988 Acumed has been designing solutions to the demanding situations facing orthopedic surgeons, hospitals and their patients. Our strategy has been to know

More information

Stryker Hand Plating System

Stryker Hand Plating System Stryker Hand Plating System Operative Technique VariAx Hand Locking Plate Module Profyle Hand Standard Plating Module Stryker Hand Plating System The Stryker Hand Plating System was developed with one

More information

s w e r c ) s s i d n a i m (t

s w e r c ) s s i d n a i m (t m i n i s c r e w s ( t a d s ) Orlus Mini Implant System H-3 Orlus Mini Implant and Accessories H-5 H-2 Orlus Mini Implant Orlus Mini Implant System The Orlus Mini Implant* features a unique design that

More information

2.4 mm LCP Radial Head Plates. Contoured plates to address various fracture patterns of the proximal radius.

2.4 mm LCP Radial Head Plates. Contoured plates to address various fracture patterns of the proximal radius. 2.4 mm LCP Radial Head Plates. Contoured plates to address various fracture patterns of the proximal radius. Technique Guide Instruments and Implants approved by the AO Foundation Table of Contents Introduction

More information

Ponto The bone anchored hearing system from Oticon Medical. Audiological Manual. Ponto, Ponto Pro & Ponto Pro Power

Ponto The bone anchored hearing system from Oticon Medical. Audiological Manual. Ponto, Ponto Pro & Ponto Pro Power Ponto The bone anchored hearing system from Oticon Medical Audiological Manual US Ponto, Ponto Pro & Ponto Pro Power Contents Introduction...3 Patient selection...4 Pre-operative evaluation and counseling...

More information

Straumann Dental Implants Confident smiles

Straumann Dental Implants Confident smiles Straumann Dental Implants Confident smiles STRAUMANN DENTAL IMPLANTS - DESIGNED TO LAST A LIFETIME Dental Implants The decision to replace missing teeth with dental implants is an excellent investment

More information

Orthopedic Foot Instruments. Dedicated instruments for reconstructive foot surgery.

Orthopedic Foot Instruments. Dedicated instruments for reconstructive foot surgery. Orthopedic Foot Instruments. Dedicated instruments for reconstructive foot surgery. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by

More information

LATERAL BONE EXPANSION FOR IMMEDIATE PLACEMENT OF ENDOSSEOUS DENTAL IMPLANTS

LATERAL BONE EXPANSION FOR IMMEDIATE PLACEMENT OF ENDOSSEOUS DENTAL IMPLANTS LATERAL BONE EXPANSION FOR IMMEDIATE PLACEMENT OF ENDOSSEOUS DENTAL IMPLANTS Department of Oral Maxillofacial Surgery, Chisinau Abstract: The study included 10 using the split control expansion technique

More information

Hearing with Bone-anchored Hearing Aid (BAHA)

Hearing with Bone-anchored Hearing Aid (BAHA) REVIEW ARTICLE Hearing with Bone-anchored Hearing Aid (BAHA) AIJOC Hearing with Bone-anchored Hearing Aid (BAHA) 1 Gauri Mankekar, 2 Payal Bhattacharya Chitranshi, 3 MV Kirtane 1 ENT Consultant, PD Hinduja

More information

. Simplification. High Performance. Safety and Longevity. The fundamental goal is to restore the quality of life of patients.

. Simplification. High Performance. Safety and Longevity. The fundamental goal is to restore the quality of life of patients. Catalog 2 P-I product line was developed by te Osseointegration pioneer, Professor Per-Ingvar Brånemark, jointly wit experienced scientists in world recognized entities to meet modern Implant Dentistry

More information

Technique Guide. 1.5 mm LCP Modular Mini Fragment System. 1.5 mm instrument and implant modules.

Technique Guide. 1.5 mm LCP Modular Mini Fragment System. 1.5 mm instrument and implant modules. Technique Guide 1.5 mm LCP Modular Mini Fragment System. 1.5 mm instrument and implant modules. Table of Contents Introduction 1.5 mm LCP Modular Mini Fragment System 2 AO Principles 4 Indications 5 Surgical

More information

Assembly and Surgical Technique. Mini External Fixator

Assembly and Surgical Technique. Mini External Fixator Assembly and Surgical Technique Mini External Fixator Mini External Fixator Table of contents Components and Configurations 2 Indications 3 Single rod assembly 4 Double rod assembly 6 Removal 8 Image

More information

Standard Internal Hex

Standard Internal Hex Standard Internal Hex Touareg TM -OS Touareg TM -S Swell TM Touareg -S Touareg -OS Swell About ADIN Adin Dental Implant Systems Ltd., designs, manufactures and markets state of the art, technologically

More information

Luigi Vito Stefanelli,D.Eng.,DDS

Luigi Vito Stefanelli,D.Eng.,DDS LYON, 27-28/09/2013 Luigi Vito Stefanelli,D.Eng.,DDS Assistant Researcher, Department of Oral Sciences, Sapienza University of Rome, Italy, School of Dentistry. Private practitioner dental office Stasi

More information

The relationship between implant stability quotient values and implant insertion variables: a clinical study

The relationship between implant stability quotient values and implant insertion variables: a clinical study J o u r n a l o f Oral Rehabilitation Journal of Oral Rehabilitation 2012 39; 151 159 The relationship between implant stability quotient values and implant insertion variables: a clinical study K.-J.

More information

Straumann. Time-tested

Straumann. Time-tested Straumann Soft TiSSue Level implant System Time-tested Why a Soft Tissue Level implant? Simplicity and efficiency by integrated soft tissue management Straumann Soft Tissue Level implants have a built-in

More information

COMPLETE CHOICE GUIDE

COMPLETE CHOICE GUIDE COMPLETE CHOICE GUIDE The widest range of dental implants to satisfy all surgical needs With professionals, for professionals. This is how btk creates its medical devices. The extremely wide range of btk

More information

Ponto The bone anchored hearing system from Oticon Medical. Ponto Care Guide

Ponto The bone anchored hearing system from Oticon Medical. Ponto Care Guide Ponto The bone anchored hearing system from Oticon Medical Ponto Care Guide Congratulations In the first few weeks after surgery, it is very important to take good care of the skin around the implant site.

More information

Relation Of Inter Implants / Inter Dental Papillae After Scalloping Of Crest Bone Of The Jaws (New Technique) Munther M. Radhi, B.D.S.,M.Sc.

Relation Of Inter Implants / Inter Dental Papillae After Scalloping Of Crest Bone Of The Jaws (New Technique) Munther M. Radhi, B.D.S.,M.Sc. Relation Of Inter Implants / Inter Dental Papillae After Scalloping Of Crest Bone Of The Jaws (New Technique) Munther M. Radhi, B.D.S.,M.Sc. * Summary: Background: The aims of this study is to determine

More information

Ponto The bone anchored hearing system from Oticon Medical. Surgical Manual. The Ponto System

Ponto The bone anchored hearing system from Oticon Medical. Surgical Manual. The Ponto System Ponto The bone anchored hearing system from Oticon Medical Surgical Manual The Ponto System Contents General information Introduction................... 3 Patient selection................ 4 Pre-operative

More information

Product Catalog. 2014 Ponto TM The Bone Anchored Hearing System

Product Catalog. 2014 Ponto TM The Bone Anchored Hearing System Product Catalog 2014 Ponto TM The Bone Anchored Hearing System Contents Surgical Components... 3 Wide Ponto Implants ( 4.5 mm)... 3 Ponto Implants ( 3.75 mm)... 4 Ponto Abutments & cover screw... 4 Surgical

More information

Screws Form and function Chris Colton, Judy Orson

Screws Form and function Chris Colton, Judy Orson Screws Form and function Chris Colton, Judy Orson How to use this handout? The left column is the information as given during the lecture. The column at the right gives you space to make personal notes.

More information

Minimally Invasive Hip Replacement through the Direct Lateral Approach

Minimally Invasive Hip Replacement through the Direct Lateral Approach Surgical Technique INNOVATIONS IN MINIMALLY INVASIVE JOINT SURGERY Minimally Invasive Hip Replacement through the Direct Lateral Approach *smith&nephew Introduction Prosthetic replacement of the hip joint

More information