spi presentation draft1

Dr. Nahi Jabbour Education Manager

Star Science International GmbHJupiterstrasse 57 – 418 3015 Berne / Switzerland

Tel. +41 31 941 07 31 Fax. +41 31 941 07 33

E-mail. [email protected]

Thommen Medical SPI® Dental Implant System

The SPI®System exists over 20 yearsThe SPI®System is suitable for the entire spectrum of implant indicationsThe state-of-the-art system meets the most demandig expectations: simple application and highest technical precision and QualityExcellent proven for aesthetic solutions

SPI® Implant System

The Company

TPS 1977 Ledermann

Ha-Ti 1985 Conical

ITI / Bonefit in 1998 with SLA

SPI 1998 Cylindrical NLS 1986

Interchangeable superstructures

Cemented Ball anchor

Screw retained

Development of the Swiss Precission Implant System

( Thommen Medical AG )• Improve the Design of the Implant

Length 9.5 mm – 14 mm 11-14 mm Length 8 mm – 17 mm

Development of the Swiss Precission Implant System

( Thommen Medical AG )• Improve the Design of the Implant

3.5 m 4 m 5 m 6 m 3.5 m 4.5 m 5 m4.5 m

2.7 3.5 3.5 4.253.5

4 m

45 4.2

• Research & Development• Quality• SPI®Concept• Implant Range• SPI®Implants and Implantation• Abutment Range• SPI®Abutments• Sterile packaging for SPI®Implants• Cassettes


Research & Development

DevelopmentDevelopment locationsAdvisory Board & User groupDr. h.c. Robert Mathys Foundation (RMS)

European clinical/scientifical Advisory Board «New Developments»:

Dr. B. Merz, Technical partner, ZurichDr. K. Meyenberg, Dental Surgeon, ZurichDr. R. Minoretti, Dental Surgeon, Clinic Pyramide, ZurichHanspeter Spielmann, Dental technician, Zollikon-ZurichDr. Albino Triaca, Dental Surgeon, Clinic Pyramide, Zurich


European clinical/scientifical Advisory Board «New Developments»:

Dr. M. Merli, Dental Surgeon, Rimini Prof. Dr. M. Tonetti, Eastman Dental Institute for Oral Health Care Sciences, University of LondonProf. Dr. J.-R. Strub, Poliklinik für Zahnärztliche Prothetik,Albert-Ludwigs-Universität, Freiburg


• „Collegium Implantologicum“

Roughly 150 membersSupport in continuous educationSupport in further development of the SPI®System


High quality standardThommen Medical is certified to SN EN ISO 9001, SN EN 46001 and to MDD 93/42 Annex IITherefore only CE-marked products are sold to customers All SPI® products are exclusively manufactured in Switzerland

Quality Swiss Precission Implant SPI

IL IL

CL CL

Oss

eoin

tegr

atio

n

Oss

eoin

tegr

atio

n

CL : IL ≈ 1 : 2 CL : IL ≈ 1 : 1

Implant DesignFor two stage and single stage as well as for immediate loadingScrew type implants in different diameters and lengths

SPI® Implant System new concept

FeaturesExtreme stable implant/abutment interface connection (internal hexagonal)Identical abutments for one and two-stage procedures


FeaturesRough implant surface (sandblasted and acid-etched)Self-cutting thread for high primary stabilitySpecial thread to enlarge the implant surface

Pure titanium = Ti, grade 4


• Histology SPI® 8 weeks

Status report: R&DAnimal study "Next Generation Implant Surface"

• Implant types:

SPI®ELEMENT … for aesthetic indications

SPI®ONETIME … for one-stage procedures

SPI®DIRECT … for immediate loading

SPI®CONTACT … for immediate placement

SPI® CONTACT

SPI® ElementSPI®ELEMENT

for aesthetic indicationsØ 3,5 mm, L 8,0 mm 9.5 mmØ 3,5 mm, L 11,0 mm 12.5 mmØ 3,5 mm, L 14,0 mm Ø 4,2 mm, L 8,0 mm 9.5 mm Ø 4,2 mm, L 11,0 mm 12.5 mm Ø 4,2 mm, L 14,0 mmØ 5,0 mm, L 8,0 mm 9.5 mm Ø 5,0 mm, L 11,0 mm 12.5 mm Ø 5,0 mm, L 14,0 mm

3.5 mm 4.5 mm 5.00 mm

3.5 mm 4.2 mm 5.00 mm

SPI® OnetimeSPI®ONETIM

for one-stage proceduresØ 4,2 mm, L 8,0 mm Ø 4,2 mm, L 9,5 mmØ 4,2 mm, L 11,0 mmØ 4,2 mm, L 12,5 mmØ 4,2 mm, L 14,0 mm

Ø 5,0 mm, L 8,0 mm 9.5 mmØ 5,0 mm, L 11,0 mm 12.5 mmØ 5,0 mm, L 14,0 mm

5.00 mm 6.00 mm

4.2 mm 5.00 mm

SPI® Direct

SPI®DIRECT

for immediate loading

Ø 3,5 mm, L 11,0 mmØ 3,5 mm, L 14,0 mm

Ø 4,2 mm, L 11,0 mmØ 4,2 mm, L 14,0 mm

4.2 mm3.5 mm

SPI® CONTACT– Endosseous screw implant with

combined conical-cylindrical shape – For immediate or delayed

implantation in extraction alveoli– Due to the small neck height it is

suitable for sub gingival and trans gingival use

– Self-tapping thread

SPI® CONTACT• Dimensionen

– The endosseous dimension is the diameter of the cylindrical part

– The platform diameter is always one step bigger

Platform: 3.5 4.5 5.0 6.0

Enosseous: 2.7 3.5 4.2 5.0last drill Ø : 2.0 2.8 3.5 4.3

Ø 3.5 Ø 4.5 Ø 5.0 Ø 6.0

0.8 mm

1.5 mm

Ø 2.7 Ø 3.5 Ø 4.2 Ø 5.0

• Dimention – Diameter & ShoulderSPI® CONTACT

SPI® CONTACT

– Preparing the implant bed with SPI®VECTOdrill™ twist drills

– Preparing the conical implant bed with additional CONTACT profile drill • Recommended drill speed :

250 – 300 rpm

• Preparation

Cutting edge Non cutting edge(Guidance)

The sharpness is intentionally reduced!

SPI® Improved Drills

• CONTACT Profilbohrer

Bone Level

SPI® CONTACT

• CONTACT Proile Drill

Polierter Hals unter Knochenniveau

SPI® CONTACT

Contact Implant

– The cylindrical part of the implant gives an optimal primary stability • Self-cutting thread

– The conical part of the implant fills up the extraction alveoli• The bone is displaced by

the thread

Cylindrical1st primarystability

Conical2nd primary stability

Thread pitch 0.8 mm

1st primary stability:Immediate bone to implantcontact

2nd primarystability:Bone to implantcontact

Max. 300 r.p.m. for profile drill

Contact Implant (Clinical Case)By Prof. Ledermann

Contact Implant Immediate Placement (By Prof. Ledermann)

Contact Implant . Implant Preperation

(By Prof. Ledermann)

Contact Implant (By Prof. Ledermann)

Contact Implant Self Taping (By Prof. Ledermann)

Contact Implant Implant Insertion(By Prof. Ledermann)

Contact Implant X.Ray Control(By Prof. Ledermann)

Immediate loading with SPI®DIRECTSurgical Procedures

Immediate loading with SPI®DIRECTX- ray control

Immediate loading with SPI®DIRECTImpression Procedures

Immediate loading with SPI®DIRECTLab Procedures

Immediate loading with SPI®DIRECTProsthetic Procedure

Step by Step Lab Bar Construction(By Prof. Ledermann)

Immediate loading with SPI®DIRECTLab Procedures

Immediate loading with SPI®DIRECT

Contact Implant X.Ray Control(By Prof. Ledermann)

SPI® (Screw implant by Ledermann)In 2001, Ha-Ti® was taken over by the company Thommen Medical in Waldenburg. The name was changed to SPI® (Swiss Precision Implants) and at the same time a cylindrical, self-tapping one-part Ledermann screws and two-part screws were marketed. A total of 1139 SPI® screw implants have been used for all indications, not all immediate bars. 28 required removal. The oldest surviving implant is 5 years. The success rate is 98%.

In a pilot study the clinical procedures wereevaluated and data of prosthetic complications of maintenance service were collected. 25 patients participated in the study with a total of 79 SPI implants during the time period from 2003–2004. 37 implants were located in the maxilla and 42 implants in the mandible. Two implants failed during the healing period, but no loaded implant was lost. Thus, the survival rate was 97.5% (77/79).

Studies by Prof. Mericske - Stern(University of Berne Switzerland)

44 implants supported a fixed prosthesis, including nine single crowns and33 implants were used in combination with removable partial denture. Four implants were used with ball anchor retention,29 Implants with bar support. The ELEMENT implant with the low implant shoulder allows very good esthetics.



Bar Reconstruction in the madible

Studies by Prof. Mericske Stern(University of Berne Switzerland)

Bar ReconstructionIn the maxilla

ImpressionWith open tray

Studies by Prof. Meriscki Stern(University of Berne Switzerland)

Single tooth replacement ( Molar 6)


Fixed Bridge in the lower mandible

Prosthetic complications and maintenance service during the first year of function was comparable with other implant systems. Since the design of the abutment screws, healing caps and screwdriver was changed, the system has become easier in its application.the survival rate was 97.5%


SPI® (Screw implant by Ledermann)In 2001, Ha-Ti® was taken over by the company Thommen Medical in Waldenburg. The name was changed to SPI® (Swiss Precision Implants) and at the same time a cylindrical, self-tapping one-part Ledermann screws and two-part screws were marketed. A total of 1139 SPI® screw implants have been used for all indications, not all immediate bars. 28 required removal. The oldest surviving implant is 5 years. The success rate is 98%.

Case Presentation

Agenda

• Concept• Product overview • Product details• Product range• Step-by-step procedure• Case presentation

• Reasons for the new EASY abutment system– Easy– Versatile– Fast– Highly precise– Additional possibility of taking impressions

on abutment level– Large range accessory components– EASY AND SAFE HANDLING

Concept

Agenda

• Concept• Product overview • Product details• Product range• Step-by-step procedure • Case presentation

Product overview

• EASY abutments for cemented restorations

Product overview

• EASY snap on impression caps, color-coded

Ø 3.5 Ø 4.5 Ø 5.0 Ø 6.0

Product overview

• EASY protective cap for abutment

Product overview

• EASY abutment analogs

Product overview

• EASY burn-out caps with snap on retention for crowns and bridges

Agenda


Product details• EASY abutments for SPI®

ELEMENT, SPI® ONETIME and SPI® CONTACT

Product details• EASY abutment for cemented restoration

– Connection geometry with hexagon has not changed

– Distinct anti-rotation surface– Revolving snap on groove– 45° shoulder

Product details

• EASY abutment– 45° shoulder

0.3 mm at Ø 3.5 0.5 mm at Ø 4.5-6.0

45°

Product details• EASY abutment

– Two different cone heights

4mm6mm

Product details

• EASY abutment– Two different cone angles

4mm 6mm

9°

6°

Product details• EASY abutment

– Two different cone angles• Except for Ø 3.5

4mm 6mm

6°

6°

Product details

• EASY abutment– Three different neck shapes

emergence profile (e.p.)

0.5 mm 2.0 mm 3.0 mm

short long

Product details

• EASY abutment– Three different neck shapes, cone 4 mm and

6 mm emergence profile (e.p.)

0.5 mm 2.0 mm 3.0 mm

short long

Product details• EASY abutment, short

– For aesthetic restorations– Neck angle allows e.p. shaped

crown– Neck must not be shortened

0.05 mm

0.5 mm0.35 mm

Product details• EASY abutment, long

– Can be shortened and adapted to the gingiva• When shortened, burn-out cap has to be

adapted

1.5 mm

0.5 mm conical

cylindrical

Product details• EASY abutment, emergence profile

– Can be shortened and adapted to the gingiva

3.0 mm

4.5 mm

5.0 mm

5.0 mm

6.0 mm

Next bigger platform

• EASY impression cap for impression taking on abutment level– Color-coded -- Attached

• Bead at the inside of the cap• Groove at the abutment cone

– Anti-rotation surface at the inside of the cap– Retentive– Triangular shape of retentive anchor– Alignment of anti-rotation surface and retentive

anchor– Can be shortened up to one level

Product details

Product details• EASY protective cap

– Protects the inserted abutment– Supports the soft tissue – Cemented temporarily – Can be used as basis for

temporary restoration• Retentive anchor needed

4mm

6mm

Product details

• EASY abutment analog– Are made of stainless steel

4mm

6mm

Product details

• EASY burn-out cap for crowns and bridges– With anti-rotation surface on the inner

surface for crowns and without for bridges– Snap-on retention

4mm

6mm

Product details

• EASY burn-out cap– Irreducible strength of the cap (0.3 mm)

0.3 mm

Agenda


Product range

• EASY abutment, angled (20°)– As before

Product details• EASY abutment set

– Consisting of:• 1 EASY abutment• 1 abutment screw• 1 EASY impression cap• 1 EASY analog• 1 EASY burn-out cap for crown• 1 EASY burn-out cap for bridge• 1 EASY protective cap All components are also available individually.

Agenda

• Concept• Product overview • Product details • Product range• Step-by-step procedure • Case presentation

Step-by-Step Procedure

Step-by-Step Procedure• Dentist

– Step 1: Implant after successfulosseointegration• Healing cap or gingiva former is

removed • Implant platform and internal connection

are cleaned and thoroughly dried

Step-by-Step Procedure• Dentist

– Step 2: EASY abutment placement• The selected EASY abutment is

fixed to the implant with an abutment screw– 15 Ncm (3.5 mm platform) – 25 Ncm (4.5 mm to 6.0 mm

platforms)

• Dentist– Step 3: Impression cap placement

• The anti-rotation surface of the impression cap must be aligned with that of the abutment– Alignment of anti-rotation surface and

retentive anchor• The corresponding EASY impression cap is

snapped on the abutment.• Make sure no soft tissue is caught between

abutment and cap



• Dentist– Step 4: Impression taking

• No individual impression tray is needed• The impression must be taken with an

elastomer impression material; alginate or hydrocolloid is not suitable for this use

• To obtain optimal retention, it is advisable to inject impression material directly around the grooves of the impression cap

• After the impression mass has cured, the impression can be removed

Step-by-Step Procedure Dentist

– Step 5: Protective cap placement• The diameter of the cap is marked above it• Before placement the screw channel of the

abutment must be sealed with a removablematerial (wax, gutta-percha etc.)

• Temporary cement is used to fix the EASYprotective cap in place

• The protective cap protects the abutment from damage and contamination while supporting the soft tissue.


Dental Technicia– Step 6: Analog placement in the mold

• The anti-rotation surface of the impression cap must be aligned with that of the analog

• The corresponding EASY analog is inserted and snapped in to the impression cap

• The master cast is fabricated according tonormal procedures

Step-by-Step Procedure• Dental Technician

– Step 7: Burn-out cap placement• Appropriate for the prosthesis being

fabricated the EASY burn-out cap forcrowns or bridges is snapped onto theanalog

• The burn-out caps have a snap mechanism at their inner cone


– Step 8: Framework modeling• As the marginal rim of the burn-out cap is

highly precise wax should not be added beyond the marginal shoulder

• The angle of the marginal shoulder allows to build up a naturally shaped crown


• Dental Technician

– Important• The burn-out cap has to be covered

completely with wax on the outside, the layer should be at least 0.2 mm


– Step 9: Framework investment• The investment material must be matched to the casting alloy used (it is essential to

follow the manufacturer’s directions and recommendations)• The casting cylinder has to be put in the cold oven• Rising the temperature 3° to 4° C/min up to 250° / 300° Celsius, holding the

temperature for at least 30 minutes, then heating up to 800° CelsiusImportant: No speed preheating is possible


• Dental Technician

– Step 10: Framework preparation • After casting the retention knob at the

inner surface of the casting must beremoved with a grinding wheel beforethe framework is replaced on the analog


• Dentist

– Step 11: Final restoration placement• Before cementing the screw channel

of the abutment screw has to be sealed with a removable material

Agenda

• Concept• Product overview • Product details • Product range• Step-by-step procedure • Case presentation

SPI® EASY Temporary caps

Torque Ratchet and InstrumentsProduct features

• unique design• it is a one-part instrument (patent pending)• no dismantling for cleaning, no maintenance (oil, etc)• one-part instruments will be added in different lengths as well

Torque Ratchet and Instruments

for prosthetic, with Ncmfor surgery

Product use

Zirconia Abutmentstwo designs are planned:

• based on the SPI® EASY design• based on the milling cylinder design

Zirconia 100% compatible to the existing SPI EASY system compatible with existing abutment screw one piece design grinding possible (conventional impression taking)

SPI®ART Abutments

SPI®ART Abutments

16 Months

spi presentation draft1

Documents

spi products

sla spi

spi onetim spi onetime5

spi contact preparation

spi directspi direct

conical implant bed

rpm spi improved dril

implant surface pure