microdent bone regeneration · patent for transmucosal dental implant. nº20002545 patent for...

(Spain)

Edition: June 2016

PRODUCT CATALOGUE

MICRODENTBONE REGENERATION

MICRODENT FACILITIES (MANUFACTURING AND COMMERCIAL SITES)

CORPORATE MICRODENT

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Bone regeneration catalogue 3

In order to completely and totally fulfil its customers’ requests, Microdent ensures that all products exceed the strictest regula-tory requirements set by international health authorities.

It is worth noticing that the raw material used in the manufacture of all Microdent products is of the hightest quality and strength, like the titanium used for the manufacture of dental implants.

All production processes, assessed and validated by the inter-national certification body DNV-GL, include cytotoxicity tests to ensure the correct cleaning of the Microdent products, as well as validation studies of the implant sterilization process, microbiolo-gical quality assessments, endurance, torque and fatigue tests... and a large number of studies with several national and interna-tional universities on clinical outcomes of Microdent’s implants.

Technology, innovation, professionalism...When choosing Microdent implants, customers are placing their trust in a large company with a professional career achieved with much effort, full of successes and supported by many of the most renowned implantologists in the country.

Microdent facilities are equipped with cutting-edge technology where implants and implant components are manufactured under a targeted and rigorous unit quality control.

Microdent has shown a special interest in the area of education since its inception. Therefore, it often organizes and teaches continuing education clinical courses, seminars and hands-on workshops in order to provide practitioners with the appropriate knowledge and tools to achieve success in their work with patients. These courses take place in the company itself, where there is an auditorium and some practice rooms, but also in different cities in Spain.

Human team

Continuing education

Microdent has a team of highly-skilled, specialized technicians at the service of the professionals of implantology as well as a complete commercial network throughout the national territory which is complemented with an international distribution network in constant growth.

Quality as objective

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PRODUCT PRESENTATION

IMPLANT CATALOGUES

MANUALS

QUICK-GUIDES

OTHER CATALOGUES

DIGITAL INFORMATION

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nº1742465MICRODENT trademark registration.

nº9602250Patent for bone expanders in Spain.

nº6146138Patent for bone expanders in USA.

nº023801558Patent for bone expanders in Europe.

nº9800394Patent for prosthetic Micro-pik fixation system.

nº20002497Patent for transmucosal dental implant.

nº20002545Patent for overdenture flat-ball.

nº200102649Patent for surgery security device.

nº200102769Patent for impact fixation dental implant.

nº200102914Patent for bicortical provisional implant.

nº200200087Patent for internal connection implant.

nº200201614Patent for improved dental implant.

nºP200300602Patent for overdenture adjustable retention system.

nº200402082Patent for biomechanical connection system. nº200800195CORTICAL FIX patent - conformation of the maxillary sinus cavity.

nºP200503064NOVATECH patent - angular fixation system.

nº200700408Patent for dental implant.

nº200701138MRT patent - dental implant with integral locking system.

nº200402082RODAS system patent - bio-mechanical connection system between implant and prosthesis.

nº200703251Patent for implant retention key.

nº200300041Patent for fixation system of dental prosthesis.

nº200500306Patent for orthodontics implant.

nº200801197MV implant patent - insertion without drilling.

nº200930627/aPatent for endosseus plataform for dental prosthesis implantation.

nº201031083/otPatent for bone expanders for guided dental surgery.

nº201030002/5Patent for disparallelism correction of dental implants.

nº200203054Patent for use of melatonin for bone regeneration for human and veterinary use as active product.

nº200701563CAPITEL abutment patent - prosthetic angular correction.

nº200702213OSSCILIA patent - spherical oscillating retainer for overdenture fixation.

Driven by the constant desire to improve and continuous research, Microdent products are protected by several patents and utility models that back up and protect our approach to oral implantology.

Backed up by 30 patents...

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INDEX BONE REGENERATION CATALOGUE

08 BIOMATERIALS

11 TACK FIXING INSTRUMENTS

12 MEMBRANE FIXING KIT

15

16 TREPHINES

13 OSTEOSYNTHESIS SCREWS

OSTEOSYNTHESIS SCREW FIXING KIT

CLINICAL CASES17

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BONE REGENERATION

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Biomaterials used for reconstruction of bone defects must be biocompatible and possess remarkable manageability and shaping properties.Tecnoss laboratories have specialised in handling bone tissue and heterologous collagen.

Gen-Os Tissue of originPre-hydrated collagenated cortico-can-cellous porcine bone mix.

Tissue collagenPreserved.

Physical formSlightly radiopaque granules.

Composition100% granulated mix.

Granulometry250-1000 microns.

Re-entry time4 to 5 months depending on the characte-ristics of the grafting site.

Packaging Vial of 0.25g, 0.50g and 1g.

Clinical applicationsOral Surgery: granulomas, odontogenic cysts and split-crest techniques.Periodontology: filling of deep infrabony defects and bifurcations.Implantology: universal filler used in the treatment of dehiscence and peri-implanti-tis, two-wall defects and sinus lift proce-dures with lateral and crestal access.If necessary, the graft may be stabilized by mixing it with Gel 0 and protected with the placement of a cortical Lamina membrane.

HandlingIt must always be hydrated and thoroughly mixed with a few drops of sterile saline to activate its collagen matrix and to enhance its adhesivity.

mp3Tissue of originPre-hydrated collagenated cortico-can-cellous porcine bone mix.

Tissue collagenPreserved + 10% collagen gel.

Physical formPre-hydrated granules and collagen gel.

Composition90% granulated mix + 10% collagen gel.


Re-entry timeAbout 5 months.

PackagingSyringes: 1 x 1.0cc and 3 x 0.5cc.

Clinical applicationsOral surgery and implantology: due to its particular formulation and granulometry, it is ideal for grafting in surgical procedures of maxillary sinus lift with lateral window. OsteoBiol Evolution or Special membranes are recommended to cover the antrostomy.

HandlingIt is available in ready-to-use syringes and can be easily grafted, avoiding the hydra-tion and manipulation phases.After adapting the material to the shape of the defect, it is necessary to remove non-stable residues prior to suturing the soft tissues.

ApatosTissue of originCortico-cancellous heterologous bone mix.

Tissue collagenDegraded.

Physical formRadiopaque granules of mineral hydroxya-patite.

Composition100% cortico-cancellous heterologous bone mix.



PackagingVial of 0.50g and 1g.

Clinical applicationsOral surgery: granulomas, odontogenic cysts and split-crest techniques.Implantology: universal filler used in the treatment of dehiscences and peri-implan-titis, two-wall defects and lateral and crestal window sinus lifts. If necessary, the graft may be protected with the placement of a cortical Lamina membrane.

HandlingIt must always be hydrated and thoroughly mixed with a few drops of sterile saline; it can also be mixed with patient’s blood.

BONE REGENERATIONBIOMATERIALS

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Technical procedures have been particularly developed for Osteobiol bone substitutes in order to preserve, though partially modified, the origi-nal collagen matrix of heterologous tissue, always aiming at preserving its positive biological functions while achieving an excellent biocompat-ibility at the same time.

PuttyTissue of originCollagenated cortico-cancellous porcine bone mix.

Tissue collagenPreserved + 20% collagen gel.

Physical formBone putty with plastic consistency.

Composition80% granulated mix + 20% collagen gel.

Granulometry300 microns.


PackagingSyringes: 1 x 0.5cc, 3 x 0.5cc, and 3 x 1cc.

Clinical applicationsImplantology: versatile alveolar filler used to preserve crestal volume and to facilitate primary retention in case of immediate post-extraction implants. Ideal for the treat-ment of peri-implantitis and split-crest tech-niques. In cases of sinus lift with crestal access, it can be used together with Gen-Os to facilitate insertion.Oral surgery: versatile bone filler after dental extractions, granulomas and odonto-genic cysts.

HandlingThe product is injected and moulded to the morphology of the defect without com-pression, any non-stable residues must be removed prior to suturing the soft tissues. An Evolution membrane is recommended to protect the graft in peri-implant defects.

Sp-BlockTissue of originHeterologous cancellous bone.


Physical formHeterologous rigid block.

Composition100% cancellous bone.

Re-entry timeVariable depending on characteristics and irroration grade of the grafting site and on the patient’s clinical conditions - about 8 months.

PackagingBlock of 10x10x20mm and block of 10x20x20mm.

Clinical applicationsDental and Oral Surgery: vertical and horizontal large bone augmentation which require grafts with good scaffold properties.Maxillofacial Surgery: partial or total re-construction of destroyed anatomical parts due to traumas and tumours.

HandlingIt must be hydrated for 5-10 minutes with sterile, lukewarm saline solution or antibiotic. Afterwards, it can be moulded to the receiving site that must have been accurately decorticated to ensure maxi-mum contact while keeping the bone block properly irrigated. The block must always be fixed with osteosynthesis microscrews and should be protected with a resorbable barrier (Evolution membrane).

Duo-TeckTissue of originEquine lyophilized collagen felt and equine bone.

Tissue colagenPreserved.

Physical formDried membrane covered with micronized bone.

CompositionCollagen felt and bone granules with collagen.

TicknessAbout 1mm.

Estimated resorption timeAbout 15 days.

Packaging20x20mm.

Clinical applicationsOral Surgery and Implantology: indicatedin all cases where a “soft” separation be-tween tissues of different consistency is necessary. It can also be used to protect the sinus membrane in sinus lift procedureswith lateral window, in order to prevent any accidental injuries caused by grafting biomaterial. Furthermore, it can be used for closing the antrostomy before repositioning the muco-gingival flap.

HandlingIt must be rehydrated with lukewarm physio-logical solution. Once it acquires the desired plasticity, it can be easily placed in the grafting site with the micronized bone film side in contact with the graft and the smooth side in contact with the soft tissues.

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DermaTissue of originPorcine derma.

Tissue collagen Preserved.

Physical form Dried membrane.

Composition100% derma.

TicknessFine: 1mm.Standard: 2mm.

Estimated resorption timeFine: about 3 months.Standard: about 4 months.

PackagingFine: 25x25mm; 50x50mm.Standard: 30x30mm; 50x50mm.

Clinical applicationsOral Surgery and Traumatology: stabiliza-tion and protection of large regenerations with risk of exposure.Implantology: protection of two-wall de-fects grafts.Periodontology: space making in gingival recessions (fine model).

HandlingThe membrane can be shaped with sterile scissors until the desired size is reached; it must then be hydrated for 15 minutes with lukewarm physiological solution. It is always recommendable to prepare a pocket with a periosteal elevator in order to ensure that the membrane closes properly after stitching the flaps.

Evolution Tissue of originHeterologous pericardium.


Physical formDried membrane with one smooth side and one micro-rough side.

Composition100% pericardium.

ThicknessFine: 0.4mm+/- 0.1mm.Standard: 0.6mm+/-0.1mm.

Estimated resorption timeFine: about 3 months.Standard: about 4 monts.

Packaging(oval)Fine: 20x20mm; 30x30mm; 25x35mm.Standard: 20x20mm; 30x30mm; 25x35mm.

Clinical applicationsOral Surgery and Traumatology: in cases of large regenerations with risk of exposure (standard model). Implantology: ideal for covering the antros-tomy and for protection of two-wall defects grafts (standard model).Periodontology: protection of grafted infra-bony defects when the flap suture presents risk of exposure (fine model); space mak-ing in gingival recessions (fine model).

HandlingThe membrane can be shaped with sterile scissors until the desired size is reached; it must then be rehydrated with lukewarm physiological solution.N.B: in case of accidental exposure, the dense collagenic matrix of Evolution pro-tects the graft from infection; the mem-brane itself will not be infected, facilitating second intention healing.

BONE REGENERATIONBIOMATERIALS

SEE OTHER AVAILABLE BIOMATERIALS

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BONE REGENERATIONTACK FIXING DEVICES

• Made of titanium.• Available in two different lengths: 3mm and 5mm, the latter adonised in blue to identify the difference in length.• To place a tack into the recipient site, grip the tack with

the tack holder and then tap it with the mallet.• To remove a tack, insert an MH090 screwdriver into the hexagon carved on the tack head.

TA03 TA05

PN-IATA

PN-IMTA

PN-MTQP

Screwdriver PN-MH090

MALLET ALSO AVAILABLE MADEENTIRELY OF STAINLESS STEEL

STRAIGHT TACK HOLDER Used to secure membranes over surgical grafted sites with tacks.

• Made of stainless steel.• To place a tack, gently tap the tack holder with the mallet.• To remove a tack, insert an MH090 screwdriver into the hexagon carved on the tack head.

ANGLED TACK HOLDER Used to secure membranes over surgical grafted sites with tacks.

• Made of stainless steel• To place a tack, gently tap the tack holder with the mallet.• To remove a tack, insert an MH090 screwdriver into the hexagon carved on the tack head.

MALLET Used to hit directly the tack holder and place the tacks.

• Made of stainless steel and POM.

TACKS

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Content of the kit:• Straight tack holder to place tacks.• Angled tack holder to place tacks.• Mallet.• Tack organizer with 3mm and 5mm tacks, colour-coded for easier identification.

Removable tack organizer for easier use.Also available separately (PN-COCV).

PN-KFM

Surgical kit containing the necessary surgical instruments to fix membranes and grafting material.

BONE REGENERATIONMEMBRANE FIXING KIT

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Height Ø 1.20mm Ø 1.50mm Ø 2.00mm

h= 4

h= 6

h= 8

h= 10

h= 12

h= 14 -

TO1204 TO1504 TO2004

TO2006

TO2008

TO2010

TO2012

TO2014

TO1506

TO1508

TO1510

TO1512

TO1514

TO1206

TO1208

TO1210

TO1212

Ø 2.00mmØ 1.50mm

Ø 1.20mm

Thanks to PN-TODTCM (manual) and PN-TODTCC (for contra angle) cross-slotted screwdrivers, osteosynthesis screws are easily carried to the placement site and properly placed. These screwdrivers enable an uncomplicated use of the os-teosynthesis screws.

DRILL Ø 1.00mmFor fixing Ø 1.20mm osteosynthe-sis screws.Colour-coded in blue.

DRILL Ø 1.30mmFor fixing Ø 1.50mm osteosynthe-sis screws.Colour-coded in purple.

DRILL Ø 1.60mmFor fixing Ø 2.00mm osteosynthe-sis screws.Colour-coded in green.

Made of stainless steel.

F100 F1312 F1614

BONE REGENERATIONOSTEOSYNTHESIS SCREWS

OSTEOSYNTHESIS SCREWS Available in different diameters and lengths, colour-coded for easy identification.

• Made of titanium.• With a cross-slotted head.• Place with a manual screwdriver or with contra angle screwdriver.

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MANUAL SCREWDRIVER To be inserted into the manual handle. With a cross-sloted tip.

• Made of stainless steel.• Cross-slotted head.• To be inserted into the manual handle.

CONTRA ANGLE SCREWDRIVER Screwdriver for easy handling of osteosynthesis screws.

• Made of stainless steel.• Cross-slotted head.• Used with a motor.

COUNTERSINK DRILL Used to ensure that the screw head does not protude.

• Made of stainless steel.

DRILL Ø 2.10mm Used to enable the screw to pass through the block to be threaded into the bone.

• Made of stainless steel.

PN-MIADTM

PN-TODTCC

PN-FCTO

PN-F2108

BONE REGENERATIONOSTEOSYNTHESIS FIXING SCREWS

PN-TODTCM

MANUAL SCREWDRIVER HANDLEUsed to insert the appropriate screwdriver to place osteosynthesis screws.

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Content of the kit :• Manual screwdriver handle.• Manual screwdriver.• Contra angle screwdriver.• Countersink drill.• Drills of 1.00mm, 1.30mm, 1.60mm and 2.10mm.• Screw organizer for screws with diameter: 1.20mm,

1.50mm and 2.00mm with lengths from 4 to 14mm.

PN-KIO

Removable screw organizer for easier use. (With capacity for 48 screws)Also available separately (PN-COTV).

BONE REGENERATIONOSTEOSYNTHESIS SCREW FIXING KIT

Osteosynthesis screw surgical kit with the appropriate instruments to fix boneblocks in oral and maxillofacial surgery.

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TREPHINE DRILLS FOR BONE EXTRACTION As their name indicates and due to their design, these trephine drills maintain control and display the portion of bone to be removed.

Ø Inside Ø Outside

2.50mm 3.50mm 4.00mm 5.00mm 5.00mm 6.00mm

Ø Inside Ø Outside Ø Inside Ø Outside

Ø In. 2.50mmØ Out. 3.50mm

Ø In. 4.00mm Ø In. 5.00mmØ Out. 5.00mm Ø Out. 6.00mm

TF35 TF50 TF60

BONE REGENERATION

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BONE REGENERATION

CLINICAL CASES

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CLINICAL CASE Nº1Clinical case by Dr. Holmes Ortega Mejía.

24-year-old patient with tooth 1.2 missing and grade III tooth mobility, teeth 1.1, 1.2, 2.1 and 2.2 are loose.

Placement of two tacks on the palatine side to fix the graft.

Scan at 4 months.

Microdent membrane fixing kit.

Creation of a full thickness flap and extrac-tion of mobile teeth.

Stitching with monofilament 4/0 sutures.

Note the significant improvement in the bone volume at 5 months.

Placing of an Evolution membrane fixed with Microdent tacks.

Perforation of vestibular plate.

Scan at 4 months.

Placing of Apatos bone with PRGF.

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CLINICAL CASE Nº2Clinical case by Dr. Holmes Ortega Mejía.

47-year-old patient with teeth extracted 20 years ago .

Placing of Ø 1.20mm Microdent osteosyn-thesis screws (blue colour).

Filling up with Apatos bone and fixing with Microdent tacks.

Longitudinal corticotomy.

Crestal lingual incision.

Note the lingual plate fracture. Placing of two osteosynthesis screws to maintain the gained space.

Observe on the orthopantomography 2 osteosynthesis screws and 2 tacks, both pertaining to the Microdent brand.

Observe on the scan slices the evolution of the bone volume.

Sequence of Microdent expanders.

Crest with 2mm thickness.

Placing of a membrane on the lingual side and securing with sutures.

Drilling of vestibular plate after the expan-sion.

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47-year-old patient with tooth mobility is-sues, three superior incisor teeth are loose.

Full tickness flap. Note the granulation tissue.

Extraction of teeth 1.1 and 2.2. Cleaning of the granulation tissue.

Periodontal probing of 9mm.

Low upper labial frenulum.

Extraction of tooth 1.2. Cleaning of the granulation tissue.

Cut of an Evolution membrane for the lateral to the nasopalatine nerve.

Stitching with matress sutures to hold the membrane.

Cut of the upper labial frenulum.

Upper labial frenulum could affect the regeneration.

Bone defect, 9mm wide and 6mm high.

Stitching of the upper labial frenulum to the bottom of the vestibule.

CLINICAL CASE Nº3Clinical case by Dr. Holmes Ortega Mejía

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Placing of the Evolution membrane.

Overlapping of the Evolution membrane and fixing with Microdent tacks on the vestibular side.

Observe on the scan slices the transverse bone defect involving the vestibular and palatine plate.

Placing of Ø 4x12mm Ektos implants.

Placing of the corticalized membrane (soft) and fixing with Microdent tacks.

Stitching with simple retention acid poligly-colic sutures.

Observe on the orthopantomography the localized periodontal disease.

Bone regeneration with Apatos bone.

Biological drilling.

Protection of the cuts with Periacryl (cya-nocrylate-based adhesive) to strengthen the sutures and protect the soft tissues.

Fixing of the membrane on the crestal side with Microdent tacks.

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Female patient with no significant medical history goes to the clinic to replace missing teeth in the third quadrant.A clinical and radiological examination are performed. There is loss of bone in 3.3 that will need to be regeneratedbefore proceeding to the placement of the implant.

Initial physical appearance.

Detail of the screw once it has been placed.

Bone defect in zone 3.4. It is necessary to regenerate the zone previously in order to later place the implants.

Detail of the membrane once it has been placed.

Placing of a membrane apically and fixing with osteosynthesis screws.

Stitching of the flap with 5/0 monofilament sutures.

CLINICAL CASE Nº4Clinical case by Dr. Antonio Murillo Rodríguez.

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GENERAL CONDITIONSCustomer serviceTel. 0034 - 93 844 76 50 from Monday – Thursday: 9h-18h and Friday: 8h-15h.

Purchase order• Tel. 0034 - 93 844 76 50, extension 1.• Fax: 0034 - 93 844 76 93.• E-mail: [email protected].• Webpage: www.microdentsystem.com.

Delivery timesPeninsula: Orders placed before 14h will be delivered on the next business day. Canary Islands: Orders placed before 14h will be delivered on the next 24-48 h. Province of Barcelona: consult about same day deliveries.

* For deliveries outside Spain, please contact us.

Shipping policyThe following shipment methods are available for orders placed before 14h:• Service 8.30• Priority: delivery between 8.30h and 10h.• Express: delivery between 10h and 13h.• Service 19h: delivery before 19h.• Urgent: delivery time out of the established timetable (in the evening) has an extra charge.

* Available for the Peninsula (for Canary Islands, please contact us).* For deliveries outside Spain, please contact us.

Product return policyAll returns must be accompanied by the return form, duly completed, and a copy of the delivery note.Any returns or refunds of items that have been opened, tampered with or not in their original condition will not be accepted.

Billing and payment methodsAsk our customer service or your local representative about different payment plan options.

* Microdent reserves the right to improve, modify or discontinue products and equipment at any time without incurring any obligation or without prior notice. * For commercial schedules and deliveries outside Spain, please ask about conditions by country.

ImportantThe use of foreign-brand surgical instruments may compromise the stability and fixation of the prosthesis, as well as cause situations of loosening or fracture. Moreover, it also voids the product warranty.

(Spain)

Edition: June 2016

PRODUCT CATALOGUE

MICRODENTBONE REGENERATION

microdent bone regeneration · patent for transmucosal dental implant. nº20002545 patent for...

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