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BONE TRUST ® IMPLANT SYSTEMS

BONE TRUST ® IMPLANT SYSTEMS
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BONE TRUST ® IMPLANT SYSTEMS

Product catalog summary
Introduction
The document provides an overview of implant prosthetics, emphasizing their critical role in modern dentistry for both single tooth replacements and complex restorations. It highlights the importance of collaboration among dental professionals and the need for prosthesis-oriented planning. Regular checks of prosthetic superstructures are recommended to ensure long-term success.
System Overview: BoneTrust® Plus
The BoneTrust® Plus system features a crestal beveling design for stable bone preservation and offers anti-rotational mechanisms with internal cone or hexagon socket options. The system includes color-coded components for easy selection and allocation, with implants available in various diameters.
Prosthetic Guidelines: BoneTrust® Plus
This section outlines the indications for various abutments, including esthetic, wide body, and temporary restorations. It provides guidance on selecting the appropriate abutment based on the type of restoration required.
Gingiva Former: BoneTrust® Plus
The document describes the gingiva formers available in different heights and their compatibility with various implant diameters. It also introduces the "Schweiz" gingiva former with suturing holes and the Altus gauge for precise measurement of gingival height.
Impression Techniques
The manual details the open tray and repositioning techniques for taking impressions, including the use of impression posts and transfer caps. It emphasizes the importance of matching color coding for accurate repositioning.
Abutments for Temporary Restorations
Guidance is provided on using implant adapters and titanium sleeves for temporary restorations. The document explains the process of securing temporary crowns and creating temporary restorations in a dental laboratory.
Conclusion
The manual concludes with a reminder that proper training and handling of the Medical Instinct® implant systems are crucial to avoid methodological errors that could lead to implant loss or patient injury.
Specifications and Components
The document details the Classic Cone+ 3.4/4.0 mm interim prosthesis, which is occlusally screwed and ground free basally. It includes Classic titanium sleeves that can be secured on a plaster model and adapted as needed. These sleeves can be connected with orthodontic wire or a wax reinforcement structure for bridge support. The BoneTrust® Plus Esthetic Abutments are available in straight and angulated variants, designed for PFM or all-ceramic crowns, with gingival heights of 0.5 mm, 2.5 mm, and 4.5 mm.
Procedures
The process involves creating a pattern resin key on the model, securing titanium sleeves, and creating a temporary bridge on the plaster model. The temporary bridge is inserted in the mouth using a standard retaining screw with a torque of 20 N/cm. For cemented single tooth restoration, the suitable abutment is selected, customized, and a PFM or all-cast crown is made. A new retaining screw is recommended for final insertion.
Standards and Recommendations
Wide Body Abutments are designed for all-ceramic crowns, available for implants 3.4/4.0/5.0 mm. The document emphasizes using a standard retaining screw for fixation. The BoneTrust® Plus system includes CAD/CAM adhesive bases for individual hybrid abutments or adhered all-ceramic crowns and bridges, requiring specific scanning and milling procedures.
Key Data and Measurements
The document provides detailed measurements for various components, such as the gingival heights and diameters of abutments. It also includes alloy compositions and mechanical properties for UCLA Abutments, specifying the use of precious and non-precious alloys.
Best Practices
Ensure no ceramic components tower the surfaces to be veneered to prevent cracks. Use fine blasting agents and reduced pressure during divesting. For precise scanning, use the Scan Abutment PEEK or scan cap for the adhesive base titanium.
Overview
The document provides a comprehensive guide on the BONETRUST® PLUS CAD/CAM abutments, detailing specifications, procedures, and recommendations for various components used in dental prosthetics.
Specifications
  • The BONETRUST® PLUS system includes components like adhesive base titanium, scan caps, and retaining screws. The prosthetic height is specified at 3.85 mm.
  • Scan caps are available for different titanium base sizes, with specific article numbers provided for ordering.
Procedures and Components
  • POM-STIX: These are adhesive aids that secure the abutment and protect the screw channel. They are easily releasable and do not bind to composite materials.
  • FlexBase Abutments: Offer flexibility for milled and tension-free adhered framework constructions. They are available in straight and angled versions to compensate for angulations.
  • Milling Blanks: Made of grade 5 titanium, these allow for the production of customized titanium abutments, ensuring precision and fit.
  • Direct Abutments: Designed for direct restoration, available in various angulations (0°, 20°, 30°) to utilize local bone effectively.
Recommendations
  • For adhesion, the use of Multilink® Hybrid Abutment or PANAVIA™ F 2.0 is recommended, following the manufacturer's instructions.
  • Direct Abutments should be used cautiously with 3.0 mm implants to avoid overloading.
Tools and Accessories
  • Direct Insertion Tool: A two-part instrument for easier insertion of Direct Abutments, ensuring proper torque application.
  • Direct Impression Posts: Available for open and closed tray techniques, suitable for taking impressions above the mucosal level.
  • Lucky Lock Abutments: Used for securing implant-supported overdentures, available in various gingival heights and capable of compensating for angulations up to 40 degrees.
Notes
  • Specific article numbers are provided for ordering various components and tools.
  • Instructions for processing and insertion of components like the "Lucky Lock" Abutment are detailed, emphasizing the importance of maintaining specified torque levels.
Specifications and Components
The document outlines the specifications and components for the "Lucky Lock" Abutments and BoneTrust® systems. Key components include the insertion tool, ratchet adapter, and various abutments with specific article numbers for easy reference. The functional height is specified as a minimum of 1.6 mm, and the Altus™ gauge is recommended for measuring gingival height.
Procedures
Indirect Method: The process involves taking impressions using "Lucky Lock" impression posts, creating a model with laboratory analogues, and ensuring no plastic enters the retention housing during creation.
Direct Method: This involves integrating "Lucky Lock" components directly at the dental chair, ensuring no plastic enters the retention housing, and using self-curing resin for polymerization.
Recommendations
For optimal support, it is recommended to perform a "Lucky Lock" restoration on four implants. The document advises checking the positioning of the prosthesis and abutments during a follow-up appointment and retightening the abutments with a specified torque.
Warnings
Undercut areas between retention housings and surrounding tissue must be blocked out to prevent plastic from entering the retention housing.
BoneTrust® ONE System
This section describes the BoneTrust® ONE system, including the Universal Abutment, Titanium Bar Abutment, and Esthetic Abutments. The system is designed for cost-effective prosthetic constructions and includes various components for different restoration needs.
BoneTrust® MINI Interim Implants
The BoneTrust® MINI system offers a unique concept for interim restorations, with components like mini abutments, transfer impression posts, and spherical head screws. The system allows for direct impressions and polymerization in existing prostheses.
Tools and Equipment
The document lists various tools and equipment necessary for the procedures, including insertion tools, hex screwdrivers, and laboratory analogues.
Holder and Customisation Tool
This tool is designed to securely hold and customize implant abutments. It features a stainless steel handle with sockets for various diameters and anti-rotational mechanisms compatible with BoneTrust implant systems. It is suitable for all BoneTrust® plus abutments (cone & hex).
Screwdriver 1.2 mm
Available in short (26.0 mm) and long (31.0 mm) lengths, suitable for use with contra-angle pieces.
Insertion Tool, Short
Includes a ratchet adapter for contra-angle inserts.
"Lucky Lock" Universal Instrument
This instrument is used for screwing in "Lucky Lock" Abutments and replacing matrices. It is identified by Article no.: 161-010001.
NSK Prosthetic Screwdriver ISD 900
The wireless iSD 900 prosthetic screwdriver from NSK is designed for precise tightening of retention screws in implant prostheses. It features torque calibration and a DIN coupling for contra-angle instruments.
BoneTrust® Prosthetic Set
This sterilizable prosthetic box includes a torque ratchet and hexagon screwdrivers. It is adaptable for various implant systems with a universal adapter.
Material Data Sheet
Material Selection: Titan Grade 5 (TiAl6V4), compliant with ISO 5832-3 and ASTM F 136 standards.
Chemical Composition: C max. 0.08%, Fe max. 0.25%, O max. 0.13%, N max. 0.05%, H max. 0.015%, AI 5.50 – 6.50%, V 3.50 – 4.50%, Ti rest.
Mechanical Properties: Tensile strength ≥ 900 MPa, Yield strength ≥ 795 MPa, Break elongation ≥ 10%.
"Lucky Lock" Abutments
These abutments feature a hard and abrasion-resistant titanium nitride coating, gold-colored, with a layer thickness of 2 – 3 μm. The chemical composition includes approximately 80% Titanium and 20% Nitrogen.
For more information, visit Medical Instinct® Deutschland GmbH at www.medical-instinct.de.
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Catalog excerpts

BONE TRUST ® IMPLANT SYSTEMS-1

BONE TRUST® IMPLANT SYSTEMS PROSTHETIC MANUAL

 Open the catalog to page 1
BONE TRUST ® IMPLANT SYSTEMS-3

GENERAL INFORMATION ABOUT IMPLANT PROSTHETICS REGULAR CHECKS OF THE SUPERSTRUCTURES Nowadays, implant prosthetics are an indispensable part of modern dentistry. Whether the replacement of a single tooth or the treatment of partially or even fully edentulous jaws and thus very complex restorations – the individual expectations and demands by users and patients are continually increasing. The objective is always the restoration of aesthetic, functional and phonetic functions. New technologies, materials and also specialisations require close collaboration and an exchange of information between...

 Open the catalog to page 3
BONE TRUST ® IMPLANT SYSTEMS-4

BONETRUST® PLUS Through the crestal bevelling of the implant body which is accompanied by an optimizeddiameter connection design of the prosthetic components, a harmonised platform switching for long-term stable bone preservation is realised. An internal cone with torx or a precision hexagon socket are optionally available for the BoneTrust® plus implants as an anti-rotational mechanism. 11° cone angle combined with precision torx Hexagon socket Integrated platform switching in the case of the BoneTrust® plus hex and cone implants COLOUR CODING Starting with the healing screw, all prosthetic...

 Open the catalog to page 4
BONE TRUST ® IMPLANT SYSTEMS-5

BONETRUST® PLUS GOOD TO KNOW! The BoneTrust® plus hex and plus cone implants are each available in the diameters 3.0/3.4/4.0 and 5.0 mm. However, the internal connection and prosthetic platform differ in the hex and cone variants. The hexagon socket in the BoneTrust® plus hex implants 3.4/4.0/5.0 is the same size. The hexagon socket of the 3.0 mm implant is smaller. In the case of the prosthetic platform, there are three sizes: 3.0 is smaller, 3.4 and 4.0 are equally large and 5.0 mm is larger. For this reason, some prosthetic elements (for example, the „Lucky Lock“ Abutment or the CAD/CAM titanium...

 Open the catalog to page 5
BONE TRUST ® IMPLANT SYSTEMS-6

BONETRUST® PLUS Esthetic Abutment Ceramic Base INDICATION Single tooth restoration, cemented Single tooth restoration, occlusally screwed Bridge restoration, cemented Bridge restoration, occlusally screwed Hybrid constructions Temporary restoration single tooth Temporary restoration, splinted Bar restoration Occlusally screwed hybrid prosthesis Telescopic restoration Prosthesis fixation PROSTHETIC MANUAL » PROSTHETIC GUIDELINE BONETRUST® PLUS Wide Body Abutment UCLA Abutment Hex/Torx UCLA Abutment Classic

 Open the catalog to page 6
BONE TRUST ® IMPLANT SYSTEMS-7

BONETRUST® PLUS CAD/ Telescopic CAM Abutment Ti-Base for Cerec® Seating Coping Ti-UCLA-Base Including ot Screw Direct Abutment Aurobase Direct Direct Ti-Base Direct Impression Coping OT/RT „Lucky Lock“ Abutment

 Open the catalog to page 7
BONE TRUST ® IMPLANT SYSTEMS-8

BONETRUST® PLUS Gingiva former differences The standard gingiva formers are available in height of 1.5/3.0/5.0/7.0 mm. The emergence profile of the BoneTrust® plus standard gingiva former precisely matches the anatomical shape and emergence profile of the Esthetic Abutments, depending on the respective gingival height. 5.0 mm Labelling of the BoneTrust® plus gingiva former Implant diameter Gingival height Implant internal connection H (hex) or C (cone) PROSTHETIC MANUAL » GINGIVA FORMER BONETRUST® P

 Open the catalog to page 8
BONE TRUST ® IMPLANT SYSTEMS-9

BONETRUST® PLUS „SCHWEIZ“ GINGIVA FORMER The „Schweiz“ model has four strategically positioned holes f or suturing the mucosa higher up on the gingiva former. Available in the gingival heights 3.0 and 5.0 mm. Can be used for the implants 3.4/4.0/5.0 mm. GINGIVA FORMER WIDE BODY The emergence profile of the BoneTrust® Wide Body gingiva former precisely matches the anatomical shape and the emergence profile of the Wide Body Abutments. Available for BoneTrust® plus hex or cone and the implants 3.4/4.0/5.0 mm. Choose from the gingival heights 3.0 and 5.0 mm. T ALTUS™ GAUGE The Altus gauge enables...

 Open the catalog to page 9
BONE TRUST ® IMPLANT SYSTEMS-10

BONETRUST® PLUS Three versions of the impression posts for the open tray technique are available. A standard version with short or long screw and additionally an XL version with a long screw – to be used in the case of thicker gingiva. The OT retaining screws are screwed through the actual impression posts and for this reason, they cannot become loose. As a result, the component can be easily and securely fastened with only two fingers or a screwdriver. ** * Impression posts OT with fixation screw, short ** Impression posts OT with fixation screw, long *** Impression posts OT (XL version) with...

 Open the catalog to page 10
BONE TRUST ® IMPLANT SYSTEMS-11

BONETRUST® PLUS TIP: To simply the workflow and save time, it is recommended to send the dental laboratory the corresponding laboratory analogue at the same time. TIP: The perforation made in the impression tray can be gently sealed with wax prior to taking the impression. The retaining screw of the impression post is pressed through the wax and is easier to locate. In addition, no impression material will run out of the tray uncontrolled as a result and this makes neater work possible. BONETRUST® PLUS LABORATORY ANALOGUES ◄ hex 3.0 mm Article no.: 185-030000 hex 3.4 mm Article no.: 185-034000 hex...

 Open the catalog to page 11
BONE TRUST ® IMPLANT SYSTEMS-12

BONETRUST® PLUS IMPRESSION REPOSITION TECHNIQUE BONETRUST The impression posts for the repositioning technique are available in two lengths. The enclosed, precision-machined transfer cap can be felt and heard clicking into place and this allows for secure and precise repositioning in the impression. The transfer abutment is provided with a standard retaining screw and transfer cap. When inserting the transfer cap, it should be ensured that the lugs of the cap point towards the flat sides of the impression post. During later repositioning of the long impression post in the impression, it should...

 Open the catalog to page 12
BONE TRUST ® IMPLANT SYSTEMS-13

BONETRUST® PLUS TIP FOR STEP 8: After releasing the impression post from the implant, it can be screwed in immediately at the chair with the laboratory analogue and put back into the impression in order to directly verify correct positioning.

 Open the catalog to page 13
BONE TRUST ® IMPLANT SYSTEMS-14

BONETRUST® PLUS IMPLANT ADAPTER (TEMPORARY ABUTMENT) For secure insertion, all BoneTrust® plus implants are provided with a colour-coded implant adapter made of titanium which is secured using a standard retaining screw. The implant adapter can also be used for the insertion of temporary crowns. To do this, this should be removed after exact positioning of the implants and ground down outside of the mouth. The customising aid is recommended for a secure hold during grinding (page 17). Afterwards, the implant adapter can be covered with Opaker and once again screwed in with the implant. A temporary...

 Open the catalog to page 14

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