Telescopic-drill system for tissue and bone seated drilling templates

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Camron Marsh
7 years ago
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1 Telescopic-drill system for tissue and bone seated drilling templates Telescopic drill for easy, fast and safely guided minimal invasive implanting After navigated pilot-drilling, patented guide-pin follows drill path. screw-in and height adjustable drill sleeve depending on tissue-thickness, drilling-sleeve to be deepened to bone level Implant length related depth-gauge on pilot drill Drilling the implant bed without a drilling template. Drilling canal of the pilot-drill directs the guide-pin without a drilling template. Integrated guide-pin of telescopic-drill is guided by the pilot-drills insertion path. Effective: Fast: Bone supported: Safe: Quicker on target: Drilling template required only for pilot-drilling: no inconvenient change of inner drill-sleeves and inserting of long drills into the drilling-template. Integrated option of minimal-invasive approach speeds surgical procedure. Screwable drill-sleeves allow stable and safe operating at bone-level. Perfect guidance of drill inside the sleeve until defined depth-stop. The telescopc-drill does not need a drilling-template - it follows the pilot-drills canal. 1 bredent GmbH & Co.KG Weissenhorner Str Senden Germany Tel. (+49) / Fax (+49) / info@bredent.com

screw-in and height adjustable drill sleeve depending on tissue-thickness, drilling-sleeve to be deepened to bone level Implant length related depth-gauge on pilot drill Drilling the implant bed

2 Making of a scan-, drilling template and t Manual assembly Stone model shows initial situation Wax-up on the model Doublicating of wax-up which has been replaced with special material X-resin followed by and making of a scan-template. Positioning and fixing of x-ray opaque reference aids (pins, LEGO bricks, balls) 5 Patient with template to be CT/DVT scanned. 3D Implant-planning using these dates. 6 7 Classical approach using transfer tables. 2

3 emporary dental restorations Fully automated approach Scanning template with integrated radio-opaque tooth.. Radio-opaque pin as detectable reference aid for CT/DVT scanning. Reference-plate including radioopaque pins and bite. Reference-plate with security bite blue bite material for precise positioning into the zero-level articulator A B C Zero Level Articulator with: A Reference-plate adapter, B Reference-plate with bite, C with stone model. All Individually adjustable model bracket. Positioned and ready for fully automated drilling. The 5-axis sleeve-hole drilling unit performs speedy, precise and fully-automated. 10 sleeve-drillings without time-consuming adjustments within 10 minutes. This already includes drillings into the die for screw-in model analogues. The 5-axis drilling unit is compatible with various implant-planning systems. Only two templates per week pays the leasing-installment * (see page 6) 3 3

5 6 7 A B C Zero Level Articulator with: A Reference-plate adapter, B Reference-plate with bite, C with stone model. All Individually adjustable model bracket.

4 Manual and fully-automated approach 1 2 Sleeve-hole drill for drilling the sleeve-holes......and also the cavity for the screw-in lab-analogue. Sleeve-drill 3 4 Sleeve Screw-in of sleeve to gingiva-level Insertion of model-analog at precise angulation and depth. 5 6 Lab-analogue Suitable abutment to be screwed into the model by the dental technician......who fabricates the temorary. Sleeve-drill is compatible to all transfertables. Self-cutting drill-sleeves are available at different lengths. Screw-in technique avoids timeconsuming fixing of lab-analogues into the model. 4 Tel. (+49) / Fax (+49) / info@bredent.com 4

5 6 Lab-analogue Suitable abutment to be screwed into the model by the dental technician......who fabricates the temorary.

5 Navigated minimal-invasive implantation with temporary dental restoration Initial situation Gingiva-level position of drilling-sleeve inside the template. Bleeding-spot marking via probe or pilot-drill The tissue-puncher gauges gingiva-thickness. Increasing screw-in depth by measured tissuethickness is taking the sleeve to bone-level. Pilot-drill fits solidly into the sleeve and precisely transfers angulation and depth parameters from the 3D planning Without a template the telescopic-drill s guidepin uses the pilot-drilling. Telescopic-drill guided by the pilotdrill canal. At final position the guide-pin retracts into the body of the drill. Final depth of pilot-drill equals the final depth position of the telescopic-drill Screw-in drillingsleeve Now the 3,5 mm diameter implant can be inserted as shown. If a larger implant diameter is required, the cavity can be widened via standard drills from the respective implant-system. Temporary-crown solution. Pilot-drill available at 5 different lengths Telescopic-drill First course-dates for implantologists and dental technicians in German- and English language are estimated on 1. October, 15. October und 29. October Tel. (+49) / Fax (+49) / info@bredent.com

Pilot-drill fits solidly into the sleeve and precisely transfers angulation and depth parameters from the 3D planning. 7 8 9 Without a template the telescopic-drill s guidepin uses the pilot-drilling.

6 Only two templates per week pays the leasing-installment * Comparison of time expenditure Set-up time of manual transfer.table: Set-up time of 5-axis drilling unit: 10 Minutes 2 Minutes Transfering, drilling and glue-in of a drilling sleeve: on manual transfer-table: Minutes on 5-axis drilling unit: 2 Minutes Comparison based on approximate figures: Qty of drill.-sleeves gonyx / SKY5X Hexapod 5-axis drilling machine Saving of time Ø Saving of time Min. Min. Min. Min. Min. 1 Drilling-sleeve Drilling-sleeve * 10 Drilling-sleeve *Based on following calculation: average time saving per drilling-template is 75 min. At an estimated cost-rate per lab/ technician man-hour of 70, saving per template is at Leasing value 29900,- /duration 48 months/declining balance 20%/Interst rate 6,5% leasing rate 686,00 /Month resp.. 158,50 /Week. Benefits of 3D planning for Implantologists - Documentation/Forensic. Optimised Documentation - Time saving through shortened surgical process - Cost assurance by predictable expenditure of operation (augmentation, cutting, suturing) - precise information on quantity and quality of available bone. - minimal-invasive - Patient s satisfaction less pain, fast healing, improved aesthetics via backward planning Pre definable aesthetics, no storage costs anymore, implants from all brands to be ordered as you go. Benefits of 3D planning for the dental laboratory - Generating of Scan-/ und OP-templates - Added value stays with the laboratory - Temporary dental work is ready on date of implantation - additional business via high-value orders - optimised planning of design, aesthetics and statics due to wax-up and backward-planning - Increase of occupational status by client s appreciation of high level services. Summary The telescoic-drill system is compatible to most implant systems and can be carried out by use of transfer-tables. (e.g. med3d, Straumann gonyx, impla3d,sky5x,.) Saving time! Screw-in instead of glue-in the drilling-sleeves allows speedy making of drilling-templates. Even quicker with the 5-axis drilling unit, also compatible to various planning software and sleeve-systems (impla3d, SKYplanX, ) Digital import of planned implant coordinates ensures that the virtually projected implant positions are processed preciselly, safely and fast. The components of the telescopic-drill system simplify navigated implantology. 6 bredent GmbH & Co.KG Weissenhorner Str Senden Germany Tel. (+49) / Fax (+49) / info@bredent.com Subjects to change 03/ GB 3

Comparison based on approximate figures: Qty of drill.-sleeves gonyx / SKY5X Hexapod 5-axis drilling machine Saving of time Ø Saving of time Min.

The SKY Locator family

The SKY Locator family The family A new horizon for minimally invasive implant restoration 2 Tel. (+49) 0 73 09 / 8 72-4 40 Fax (+49) 0 73 09 / 8 72-4 44 www.bredent-medical.com e-mail info-medical@bredent.com Treatment concepts