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COWELL® Implant Solution v.29

COWELL® Implant Solution v.29

Product catalog summary

Introduction
The document provides an overview of the COWELL® Implant Solution, detailing its history, product lines, and technological advancements since its inception in 1994. It highlights the development of Korea's first dental implant and subsequent innovations in implant technology.

Product Overview
The COWELL® Implant Solution includes several generations of implants, such as the BIOPLANT™, ATLAS Implant System™, and INNO Implant System®. Each generation features advancements in surface treatment and design to improve osseointegration and clinical outcomes.

Technological Advancements
The document outlines the SLA-SH™ surface treatment, which enhances osseointegration through a biologically active surface. It also describes the precise machining process using CNC technology and stringent quality control measures.

Warranty and Packaging
The COWELL® Warranty covers implant lifetime replacement under specific conditions. The packaging system includes color coding for easy identification and emphasizes the importance of maintaining sterility.

Procedures and Protocols
The document details surgical protocols for implant placement, including pre-operative preparations, surgical steps, and post-operative care. It also outlines contraindications and warnings for implant surgery.

Research and Education
The REID (Research and Education in Implant Dentistry) is highlighted as a global institute dedicated to advancing implant dentistry through research and education. It aims to provide dental professionals with cutting-edge knowledge and training.

Historical Milestones
The document chronicles significant milestones in COWELLMEDI's history, including the development of the first dental implant in Korea, international expansions, and various certifications and approvals.

Conclusion
The COWELL® Implant Solution represents a comprehensive approach to dental implantology, combining innovative technology, rigorous quality control, and a commitment to education and research.

Specifications and Precautions
The COWELLMEDI fixtures are designed for specific applications and should not be altered. The use of electro-surgical instruments or lasers near metallic fixtures is discouraged due to potential risks. Proper patient selection and technique are crucial to avoid fixture failure. The document stresses the importance of aseptic conditions during treatment and highlights that contaminated fixtures cannot be reused.

Procedures
Formal training is recommended for placing endosseous dental fixtures. Thorough screening of candidates, including radiographic evaluations, is essential to assess anatomical landmarks and bone suitability. The document outlines the necessity of adequate radiographs and direct inspection before treatment.

Adverse Effects and Surgical Complications
Potential complications include loss of fixture anchorage, infections, and poor patient cooperation. Surgical risks include swelling, bleeding, and temporary numbness, with rare cases of permanent numbness. Post-surgical care is crucial to manage these complications.

Post-implant Management
The healing period varies between the upper (6-8 months) and lower jaw (3-5 months), depending on bone quality. Pressure during healing can impede osseointegration. The document advises tracking the implant with lot numbers and X-rays.

Storage, Sterilization, and Handling
Products should be stored at room temperature and used before expiration. They are sterilized via gamma irradiation and should be opened only before use. Only sterilized tools should be used during operations.

Surface Treatment and Evaluation
The SLA-SH™ surface treatment enhances implant integration through super-hydrophilic activation, improving osteoblast activation and blood penetration. The document includes detailed evaluations using electron microscopy and surface element tests, demonstrating the treatment's effectiveness and safety.

Manufacturing Tolerance
The document outlines the manufacturing tolerance evaluations for fixtures and prosthetic components, ensuring precision and quality in the production process.

Specifications
The document lists multiple types of abutments, including Cemented, Angulated, Milling, Temporary, Meta G UCLA, and Plastic UCLA Abutments. Each type is described with its specific use case, such as for screw-cement or cement-retained prostheses, and the materials used, like titanium or PMMA.

Procedures
Detailed instructions are provided for the installation and tightening of abutments using a 1.2 Hex Driver and Torque Wrench, with specified torque forces (e.g., 20N.cm or 30N.cm). The document also outlines the use of Scanbodies for 3D work and fixture level impressions.

Standards and Recommendations
Recommendations include using gold-colored abutments for more translucent restorations and selecting Hex-A or Hex-B based on the case requirements. The document emphasizes the importance of using the correct tools and torque settings to ensure stability and prevent fractures.

Key Components
The document highlights various components such as Abutment Screws, Multi S & A Abutments, Multi Titanium Cylinders, and Multi Plastic UCLA Cylinders. Each component is described with its purpose, connection method, and tightening instructions.

Tools and Accessories
Tools like the Multi S Machine Driver, Multi S Ratchet Driver, and Multi Holders (S Holder and A Holder) are mentioned for the installation and removal of abutments. The document also includes a component selection guide for Multi S & A Abutments.

Tables and Diagrams
The document contains tables listing product codes, dimensions, and specifications for various abutments and components. These tables are essential for selecting the correct parts for specific dental procedures.

Conclusion
This technical document serves as a comprehensive guide for dental professionals, providing essential information on the selection, installation, and maintenance of dental abutments and related components. It emphasizes precision, proper tool usage, and adherence to specified torque settings to ensure successful prosthetic outcomes.

Specifications

Cemented Extension Abutment: Designed for cement retained or screw-cement retained prosthesis, featuring anti-rotation surfaces and requiring a tightening torque of 30N.cm.
Angulated Abutment: Available in 15° and 25° angles, suitable for anterior esthetic zones, also requiring a 30N.cm tightening torque.
Meta G UCLA Abutment: Customizable for screw-cement or screw retained prosthesis, made with a CCM alloy core, and cast with non-precious metal or gold alloy.

Procedures

Prosthetic Procedure I: Component selection guide for Cemented & UCLA Abutment, detailing platform diameters and lengths.
Prosthetic Procedure II: Guide for Solid Abutment, including details on protection caps and impression caps for gingival healing.
Prosthetic Procedure III: Focuses on Shoulder Abutment, emphasizing dual anti-rotation grip and integration with screw and abutment.
Prosthetic Procedure IV: Details on Sonator S&A Abutment, including path compensation and retention force options.
Prosthetic Procedure V: Component selection for Ball Abutment, highlighting retention forces and impression techniques.

Key Components

Transfer Post: Used for closed tray impressions, with a tightening torque of 12~15N.cm.
Replica: Mimics the conical interface of the fixture for working casts.
Solid Lab Analog: Replaces abutment shape in working casts, chosen based on abutment length.
Sonator S Ratchet Driver: Used for installing and removing Sonator S Abutments with a torque wrench.

Recommendations Ensure proper selection of components based on specific prosthetic needs and adhere to recommended torque specifications for optimal performance and stability.

Specifications

The INNO External Implant System includes components for Submerged, Intermediate, and External procedures, with specific tools like Fixture Drivers and Multi Countersinks for exclusive use in External procedures.
Drill sizes range from Ø2.2 to Ø6.0, with corresponding Final Drills and Countersinks for each fixture diameter.
Torque Wrench specifications allow for torque control from 10 to 120 N.cm, essential for fixture and abutment placement.

Procedures

Drilling sequences are outlined for different bone densities, emphasizing the importance of using the correct drill size and sequence to prevent compressive necrosis and ensure proper osseointegration.
Parallel Pins are used to verify drilling paths, with recommendations to secure them with floss to prevent loss in the patient's mouth.
Specific instructions are provided for using Drill Extensions and Torque Wrenches to maintain safety and effectiveness during procedures.

Recommendations

For hard bone quality, the use of Countersinks and Tap Drills is advised to reduce torque force and facilitate fixture placement.
In cases of wide extraction sockets or sloped edentulous ridges, specific drilling techniques and fixture placements are recommended to enhance stability and integration.

Tools and Components

The document lists various tools such as Hex Drivers, Mount Drivers, and Fixture Drivers, specifying their use with either Machine or Ratchet systems.
Depth Gauges and Torque Wrenches are essential for measuring drilling depth and controlling torque during implant procedures.

Prosthetic Planning

The INNO Prosthetic Planning Kit includes Abutment Gauges for determining abutment specifications post-fixture fixation, with options for different angles and diameters based on the case requirements.
Solutions for both anterior esthetic zones and straight type abutments are provided, with detailed specifications for each type.

Specifications The document lists various components such as ratchet drivers, torque wrenches, and impression copings, each with specific codes and dimensions. For example, the Mini Plus® Fixture is available in different diameters and lengths, with specific features like cutting grooves and anti-rotation squares to enhance prosthetic attachment.

Procedures Detailed procedures for using surgical kits and implant systems are provided. This includes the use of tissue punches, bone flattening drills, and pilot drills, with specific instructions on drilling sequences and depth measurements. The document emphasizes the importance of precise measurements and the use of appropriate tools for different bone densities.

Surface Treatment The SLA-SH™ surface treatment is highlighted for its uniform micro-surface geometry, which increases bone-to-implant contact (BIC) and improves surface wetness, enhancing the self-tapping function of the implants.

Recommendations The document recommends direct impressions when components are modified and provides guidelines for the use of protection caps and lab analogs. It also advises on the selection of drills based on sleeve offsets and the importance of maintaining clean surgical tools to prevent rust and damage.

Digital Products The document introduces Cowell® Digital Products, including the InnoFit Lodestar Plus Kit, which offers a guided surgery solution applicable to various clinical cases. It outlines the workflow for digital procedures, from consultation and scanning to fabrication and surgery.

Key Data from Tables and Diagrams The document includes tables listing various drill sizes and their corresponding fixture codes, as well as diagrams illustrating the use of surgical tools and the workflow for digital procedures. Key data includes the dimensions of drills and fixtures, recommended speeds for drilling, and the use of offsets for accurate placement.

Critical Information The document emphasizes the importance of using the correct tools and procedures for different bone qualities and implant types. It also highlights the need for precise measurements and the use of digital solutions to enhance the accuracy and efficiency of dental implant procedures.

Fixing and Tenting Screw Drills These drills are designed for placing Fixing and Tenting Screws, particularly in hard bone. They can also perforate cortical bone to enhance blood supply. For normal bone, drilling should be limited to 3mm depth if necessary. The drills are laser-marked at 3, 5, and 7mm for precision and can be controlled using Drill Stoppers. They are color-banded for easy identification: Red for Fixing Screw Drill and Blue for Tenting Screw Drill. The recommended drilling speed is between 1,000 and 1,200 rpm.

Drill Stoppers These are used in conjunction with the Fixing and Tenting Screw Drills. They come in three sizes, color-coded for easy identification: 3mm (Yellow), 5mm (Red), and 7mm (Blue).

Hex Driver (Ratchet) This tool is used to install various caps and connectors, such as the Tenting Cap, Fix Connector, Cover Cap, and Healing Cap. It is optional in the kit.

Fixing and Tenting Screw Drivers These drivers are used with a Contra-angle or Driver Handle to place the screws. They are color-banded for distinction: Red for Fixing Screw Driver and Blue for Tenting Screw Driver.

Bone Trimmer and Round Bur The Bone Trimmer is used for osteoplasty and removing granulation tissue, with a recommended speed of 1,200 to 1,500 rpm. The Round Bur is used to perforate cortical bone, also at 1,200 to 1,500 rpm.

Harvesting Drill and Drill Stopper This drill is designed for harvesting autogenous bone chips efficiently. It includes a Silicon Shield to prevent bone chip loss. The maximum drilling depth is 12mm, and the recommended speed is 300 to 500 rpm.

InnoGenic® Autobone Harvester This tool is designed to maximize the collection of autogenous bone chips during implant procedures. It features diverse dimensions for different clinical needs and a propeller-shaped design to prevent bone chip loss. The drilling depth is adjustable between 5 to 7mm.

Trephine Kit This kit includes various drills for block bone collection, failed fixture removal, and sinus lift procedures. It is designed for easy use and efficient bone harvesting.

Atraumatic Extraction Kit This kit facilitates the extraction of tooth roots with minimal risk to adjacent teeth. It includes various drills and screws for different extraction scenarios, emphasizing safety and convenience.

Specifications and Procedures The document outlines the procedures for using various dental surgical kits and tools, including the Atraumatic Extraction Kit and the Direct Surgical Guide Kit. Key specifications include:

Torque Head and Wrench: Used for tooth extraction by connecting to the extraction screw and rotating clockwise.
Drilling Sequence: Involves using different drill sizes (Ø1.3 to Ø2.6) and screws (Ø1.8 to Ø2.2) under a torque of 20N.cm.
Root Canal Preparation: Utilizes gate drills for canal identification and filling.

Cautions and Recommendations Several cautions are highlighted to ensure safe and effective procedures:

Use appropriate torque (20~25N.cm) to prevent screw dislodgement or root fracture.
Adjacent teeth with significant swaying should be stabilized using an elevator during extraction.
For flapless surgery, the guide system helps in positioning the drill and maintaining buccal bone thickness.

Direct Surgical Guide Kit This kit includes various guides and tools for precise implant placement:

Buccal Position Guide: Ensures correct buccal bone thickness and implant positioning.
Width Guide: Selected based on implant crown diameter to guide drilling.
Position Guide and Linker: Used for continuous implants, ensuring accurate drill positioning.
Crestal Cutter Drill: Prepares cortical bone for initial drilling.

AO4 Surgical Stent Designed for implant and drill positioning, this stent improves surgical accuracy and reduces gum loss, allowing immediate prosthesis placement post-surgery.

Volume-up™ Guide System This system aids in implant placement and gingival regeneration by ensuring correct fixture positioning and selecting appropriate Healing Abutment dimensions.

Regenerative Solutions Includes products like COWELL® BMP & INNO GF Kit, INNO OSS Allograft, MegaDerm™ Plus, and DiaDerm® M, which support bone and tissue regeneration in dental procedures.

Overview The document provides detailed information on various bone graft materials and regenerative solutions offered by COWELL®. It includes specifications, applications, and mechanisms of action for different products, such as COWELL® BMP, INNO-CaP, DiaBone, and MEGA DERM™ PLUS.

COWELL® BMP

Composition: Based on E.rhBMP-2, a recombinant human bone morphogenetic protein type 2, supported by clinical data and studies.
Features: Simplifies bone grafting and soft tissue regeneration, induces bone regeneration without infection, and acts directly on stem cells.
Applications: Used in orthopedics for fractures and spine fusion, dentistry for alveolar ridge augmentation, and dermatology for skin regeneration.
Mechanism: BMP-2 adheres to stem cells, inducing gene expression and promoting osteoblast proliferation.

INNO-CaP

Material: An osteoconductive synthetic resorbable bone graft made of Calcium Phosphate.
Applications: Used for sinus grafts and bone augmentation, recommended for use with COWELL® BMP.
Features: Promotes ingrowth of osteoblasts and osteoclasts, with excellent biocompatibility and conductivity.

DiaBone

Material: A xenograft made from bovine bone, designed to fuse with natural human bone.
Features: Offers fast blood penetration, great hydrophilicity, and a 3D structure for optimal cell attachment.

MEGA DERM™ PLUS

Material: An acellular dermal matrix sterilized using E-Beam technology.
Features: Maintains collagen structure, promotes fibroblast influx, and has a high engraftment rate.
Applications: Used for mucogingival defects and soft tissue formation around implants.

Clinical Data and Studies

Studies conducted at various hospitals show new bone formation around graft materials without inflammatory reactions.
Clinical trials demonstrate the efficacy and safety of COWELL® BMP in human extraction sockets.

Product Specifications

Detailed specifications for particle size and dosage for various products, including COWELL® BMP and INNO-CaP.

Overview CO WELL® offers a range of regenerative solutions for dental applications, focusing on Guided Tissue Regeneration (GTR) and Guided Bone Regeneration (GBR) membranes. The document details two main products: Diaderm® and InnoGenic® membranes, each with specific features and applications.

Diaderm® Membrane

Diaderm® is a biodegradable atelocollagen membrane used in GTR and GBR operations.
It aids in the restoration of alveolar bone and protects the operation site from epithelial cell infiltration.
Key features include high biocompatibility, mechanical strength, resistance to enzymatic degradation, and flexibility.
Storage conditions are between 1-30°C with a shelf life of 3 years from the date of manufacture.
It shows higher resistance to enzymatic degradation compared to other products.

InnoGenic® Membranes

InnoGenic® membranes include WiFi-Mesh, PTFE-Mesh, and Ti-Mesh, designed for non-resorbable barrier applications over intraoral defects.
WiFi-Mesh and PTFE-Mesh are made from 100% PTFE, with WiFi-Mesh reinforced with titanium frames.
Ti-Mesh is made from commercially pure titanium and is non-resorbable, designed to prevent displacement and maintain shape.
Features include prevention of bacterial toxin penetration, high shape-keeping capability, and ease of customization and removal.

Clinical Application

WiFi-Mesh is used in clinical cases such as periodontitis with local osteomyelitis, aiding in bone grafting and shielding soft tissue penetration.
It is non-resorbable, non-porous, and allows for the observation of healing through its transparent surface.

Contact Information

Cowellmedi Co., Ltd is based in Seoul, Korea, with additional offices in Busan, Korea, and Villanova, USA.

Catalog excerpts

Implant Solution Help your daily practice superior Ver.29

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The Beginning of Premium Korean Dental Implant THE OLDEST IMPLANT CASE IN KOREA INNO Implant™ #35: BIOPLANT™, 1st generation of the COWELL® Implant, Korea’s first dental implant developed in 1994. #25, 36 & 37: ATLAS Implant System™, 2nd generation of the COWELL® Implant, Korea’s first ASD treated Implant. #32, 33 & 47: INNO Implant System®, Cowellmedi’s 4th generation implant surface, SLA-SH

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• Introduction Process Flow Chart COWELL® Warranty Package System SLA-SH™ Surface Treatment COWELL® CLASS 1000 • INNO Implant System® INNO-Fixture Design Abutment Prosthetic Protocol INNO Submerged & Short Implant INNO Submerged Narrow Implant INNO Internal Implant INNO External Implant Surgical Kits INNO Prosthetic Planning Kit INNO Prosthetic Instrument Kit Mini Plus® Implant Surgical Kit • InnoGenic® Autobone Harvester • Direct Surgical Guide Kit • INNO OSS & INNO OSS Allo • MEGA DERM™ Plus • Digital Prosthesis InnoFit Hybrid Ti-Base System · Sub. Hybrid Ti-Base System · Sub. & Sub-N. Multi...

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COWELLMEDI HISTORY REID COWELL® IMPLANT SYSTEM COWELLMEDI HISTORY For the first time in Korea, Beginning with Korea’s First Dental Implant, the COWELLMEDI has been leading the way to the future biomedical • Obtained MFDS manufacturing and sales approval for the COWELL® BMP. • Held the 1st WORLD BMP Symposium in Seoul, Korea. • Founded Asrahi Medical. • Obtained a US patent for E.rhBMP-2 Coated Implant. • Established R&D corporation with PNU’s Oral and Biotechnology Research Center. • Obtained MFDS Approval for E.rhBMP-2 Spinal Fusion Clinical Test Plan. • Launched the INNO Implant System®. •...

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COWELLMEDI HISTORY REID COWELL® IMPLANT SYSTEM Research and Education in Implant Dentistry. COWELL® DIGITAL PRODUCTS The REID is a global institute, standing for Research and Education in Implant Dentistry. As its second objective of the establishment, the REID also has been committed to training dental professionals with world-class clinicians, lecturers, and education curricula. To improve how the world dental community treats implant dentistry by providing dental ■ The REID is now reaching more clinicians with easier access to a variety of clinical solutions and open discussions where everyone...

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COWELLMEDI HISTORY Process Flow Chart Cleansing Precise machining process using state of the art computer numerical control system fused to the COWELL® Class 1000, operated by a world-class technical unit. The cleansing process by ultrasonic wave using the 3rd distilled water, vacuum dry, and heating dry sterilization leaves no residue and ultimately sterilizes the products. Surface Treatment The SLA-SH™ Surface treatment with biologically active materials to achieve the ideal osseointegration. Sanitarily packed products at cleanrooms are sterilized by gamma-ray using radiation isotope. Shipping...

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COWELLMEDI HISTORY Package System COWELL® Warranty * For more details, visit our website at www.cowellmedi.com 1. Color classification (Coding) by fixture type and external label marking A. Color classification by fixture type Submerged (Sub.) Fixture type Submerged Narrow (Sub-N.) 1. Guarantee beneficiary and scope Period Replacement with equivalent Implant The period shall begin from the sale date SUB-N. HEXAGON SYSTEM COWELL® IMPLANT SYSTEM 2. Scope of Warranty 1) Quality benefits > In case the product material or the manufacturing process is flawed. 2) Surgical benefits > In case implants...

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COWELL® IMPLANT SYSTEM 3. Fixture packaging opening and the sequence of the product extraction 1. Device Description The COWELLMEDI implant system includes a variety of precision-machined fixtures manufactured from titanium. These implants are surgically inserted into a mandible (the lower jawbone) or a maxillary bone (the upper jawbone) and serve as a replacement for a patient's tooth root providing a stable foundation for restoration. 2. Intended for use To support dental prosthesis as a dental device, which is implanted into alveolar bone to recover masticatory function and give better esthetics...

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COWELLMEDI HISTORY 4. Abutment packaging and external label marking Hybrid S Ti-Base PRODUCT NAME : Dental Implnat PACKING UNIT : 1SET STORAGE CONDITION : Store at room temperature and in a dry place. Do Not Reuse Cowellmedi Co.,Ltd. 48, Hakgam-daero 221beon-gil, Sasang-gu, Busan, 46986, Republic of Korea TEL.: +82-51-312-2027~8 Website: http://www.cowellmedi.com D/T : 218 Trianon LN Villanova PA 19085-1442 USA COWELL® IMPLANT SYSTEM EC-Representative EC REP : Certification Experts B.V. Amerlandseweg 7, 3621 ZC Breukelen, The Netherlands The Pioneers in Dental Implant & E.rhBMP-2 Rx Only MEDICAL...

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COWELLMEDI HISTORY SLA-SH™ Surface Treatment Achieving cell-to-cell communication with SLA-SH™ SLA-SH™: Sandblasted, Large-grit, Acid-etched, and Super-Hydrophilised > Long-lasting super-hydrophilic activation by special soaking technology. > Al2O3 free, sandblasted with biocompatible grits unlike the majority of other implants sold in the market. > Macro-pore & micro-pore of Ti-oxide layer mimicking the etched enamel rod of the tooth. made with the longest experience in Korea Achieving cell-to-cell communication > Even distribution of roughness through the whole portion of the implant surface....

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3. The surface activity increased due to the great surface wetness COWELLMEDI HISTORY 2. Evaluation using SSEM (Stereo Scanning Electron Microscope) 3D images A. Contact angle measurement evaluation result for the saline solution Surface Stats Surface Stats Measurement Info Magnification : 19.93 Measurement Mode : VSI Sampling : 496.74 nm Array Size : 640 X 480 After hydrophilic activation treatment (36.33°) After super-hydrophilic activation treatment (9°) After the hydrophilic and super-hydrophilic activation by special soaking technology, the sample became extremely hydrophilic and the surface...

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COWELL® Implant Solution v.29

COWELL® Implant Solution v.29

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