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Z-Systems AG
Surgical and Prosthetic Concepts

Surgical and Prosthetic Concepts

Product catalog summary

Introduction
Z-SYSTEMS, founded in 2004, specializes in ceramic dental implants prioritizing safety. This manual provides surgical and prosthetic guidelines for Z-SYSTEMS implants, assuming prior training in dental implant procedures.

1. General Information
1.1 General Features and Important Information
Z-SYSTEMS implants require adherence to specific protocols for successful implantation, intended for use by trained professionals following the latest instructions.
1.2 Material, Biocompatibility, and Osseointegration
Made from zirconium dioxide ceramics, these implants offer excellent biocompatibility and osseointegration, enhanced by "Hot Isostatic Pressing" for strength and stability.

2. System Overview
2.1 The Z-SYSTEMS Implant System
The system includes five product lines of one-piece and two-piece implants, with various diameters and lengths, emphasizing the importance of choosing the correct diameter for mechanical strength.

3. Treatment Planning
3.1 Fundamentals of Treatment Planning
Successful restoration requires teamwork and clinical experience, focusing on implant diameter, length, and position for optimal aesthetics and bone management.
3.2 Protective Measures
Protective measures during planning ensure implant longevity and success.

4. Surgery
4.1 Surgery Kit and User Instructions
Detailed instructions for the surgical kit ensure proper implant placement.
4.2 Surgical Procedure / Drilling Protocol
Specific drilling protocols are essential for successful implantation.
4.3 Specific Features of the Z5m(t)
Details on the Z5m(t) implant, suitable for immediate implantation and soft bone classes, are provided.
4.4 Implant Removal
Guidelines for implant removal if necessary.
4.5 Recall
Post-surgery recall procedures monitor implant success.

5. Prosthetic Concept
5.1 Exposing the Z5 Implants
Instructions for exposing implants for prosthetic procedures.
5.2 Prepability of Implants and Abutments
Guidelines on preparing implants and abutments for restoration.
5.3 Impression Taking with Z5 Implants
Techniques for accurate impression taking are detailed.
5.4 Gingiva Formers
Use of gingiva formers to shape soft tissue around implants.
5.5 Model Fabrication
Steps for fabricating models for prosthetic planning.
5.6 Temporary Restoration of Z5 Implants
Temporary restoration methods during osseointegration.
5.7 Restoration with Long-term Temporary Restoration
Guidelines for laboratory-manufactured long-term temporary restorations.
5.8 Final Restorations on Z5 Implants
Procedures for final restorations ensuring functional and aesthetic outcomes.
5.9 Prosthetic Restoration of Z5 Implants
Comprehensive instructions for prosthetic restoration in various scenarios.
5.10 Prosthetic Restoration in the Edentulous Jaw
Specific considerations for restoring implants in edentulous jaws.
5.11 Prosthetic Follow-up
Follow-up procedures to maintain implant health and function.
5.12 Cementing of Restorations
Techniques for cementing restorations on implants.
5.13 Prophylaxis for Z5 Implants
Preventive measures to ensure implant longevity.

Conclusion
The Z-SYSTEMS manual provides comprehensive guidelines for the successful placement and restoration of ceramic dental implants, emphasizing the importance of following specific protocols and ensuring proper training for all involved professionals.

Specifications
Minimum distances for implant placement are specified: 1.5 mm to natural teeth, 3 mm to other implants, and 1.0 mm bone thickness. Instruments are made of zirconium dioxide and ATZ high-performance ceramic for durability and precision.

Procedures

Surgery Kit: Contains all necessary instruments, color-coded for ease of use. Instruments must be checked for wear and damage after each use.
Drilling Protocol: Involves using a round burr for initial indexing, followed by twist drills in ascending order. Drill stops are used to ensure correct depth.
Implant Site Preparation: Detailed steps for preparing the implant site, including marking, widening, and tapping, are provided.

Cleaning and Sterilization
Instruments must be disassembled, cleaned, and disinfected immediately after use. A combined cleaning and disinfectant bath is recommended, followed by rinsing with deionized water. Instruments should be inspected for damage and packed for sterilization according to ISO 11607 standards.

Protective Measures
To ensure successful osseointegration, protective measures such as splints or temporary restorations may be necessary, depending on bone quality and patient compliance.

Important Notes
Reusable instruments must be sterilized until expiration, and single-use products should not be reused. Instruments made of zirconium dioxide should be stored separately from metal instruments to prevent abrasion.

Specifications and Procedures:
The document outlines the specifications for various drills and implants, including maximum RPMs for different models such as TD325, TD375, and Z5m. It details the drilling protocol for Z5m(t) implants, emphasizing their self-tapping thread design for high primary stability in soft bone classes D3/D4. The document specifies the use of special instruments like cortical drills for Z5m(t) implants and provides guidelines for drilling depths based on implant length and bone class.

Implant Features and Recommendations:
Z5m(t) implants are designed for softer bone classes and feature a dynamic self-tapping thread. The document highlights the importance of under-preparation for bone condensation and primary stability. It also describes the packaging and removal process for implants, emphasizing sterile handling and the use of specific adapters for insertion.

Postoperative Care and Follow-up:
The document recommends regular hygiene examinations and consultations with the surgeon during the healing phase. It outlines a postoperative recall protocol to ensure successful integration, including checks for peri-implantitis and implant stability. Follow-up care is crucial for patient safety and implant success.

Prosthetic Concept:
The prosthetic section covers various aspects of Z5 implants, including exposure techniques, prepability of implants and abutments, and impression taking procedures. It emphasizes the use of elastic impression materials and provides guidelines for using impression caps and laboratory analogs.

Gingiva Formers and Temporary Restorations:
The document discusses the use of gingiva formers for shaping the gingiva and preventing tissue overgrowth. It provides instructions for fabricating temporary restorations, highlighting the importance of avoiding excessive forces on implants.

Model Fabrication:
Guidelines for fabricating the master model using impression copings and laboratory analogs are provided, ensuring accurate replication of the implant condition in the mouth.

Specifications and Procedures:
The document outlines the procedures for taking impressions and fabricating models for Z5 implants, emphasizing the importance of using suitable materials for narrow posts and ensuring the correct representation in the master model. Temporary restorations during the osseointegration phase require careful occlusal contact settings and passive fit.

Temporary Restoration Techniques:
Two methods for direct temporary restorations on Z5 implants are described: using an anatomic impression directly in the mouth and using thermoforming material. Both methods require careful attention to occlusion and periodontal health.

Egg Shell Temporary Restorations:
These are recommended for aesthetic purposes in the anterior region, with specific instructions for immediate treatment and post-healing phase applications.

Long-term Temporary Restorations:
For extended use, laboratory-fabricated, framework-reinforced temporaries are recommended. These must be stress-free with precise occlusion adjustments.

Final Restorations:
Z5 implants can be restored with various materials, including all-ceramic and metal restorations. Adhesive cementation is not possible, and specific guidelines for occlusal contact and implant support must be followed.

Indications for Prosthetic Restoration:
Criteria for final prosthetic restorations include no peri-implantitis, stable implants, and specific Periotest® values. Guidelines for single-tooth and interdental space restorations are provided, with restrictions on the use of 3.6 mm diameter implants in bridge constructions.

Restoration in Edentulous Jaws:
Guidelines for bar and telescopic constructions are detailed, emphasizing implant distribution and resilience compensation.

Prosthetic Follow-up:
Regular follow-up care is necessary, with specific checks and prophylaxis schedules outlined.

Cementing of Restorations:
Instructions for cementing include ensuring a dry working area and complete removal of residues. Final cementation should use zirconium dioxide-compatible cements.

Prophylaxis for Z5 Implants:
Due to the low plaque affinity of zirconium dioxide, regular prophylaxis is essential. Specific cleaning tools and solutions are recommended, with warnings against certain abrasive and ultrasonic methods.

Catalog excerpts

Surgical and Prosthetic Concepts

Open the catalog to page 1

Z-SYSTEMS | Z5 | Surgical and Prosthetic Concept | May 2022 Welcome to the world of ceramic implants Established in 2004, the innovative Z-SYSTEMS dental implant systems are the result of extensive laboratory testing and practical experience. Z-SYSTEMS implant systems were designed with safety as the utmost priority. This manual has the essential surgical and prosthetic guidelines for dentists and dental lab technicians to best place and restore Z-SYSTEMS dental implants, as well as implement an overall treatment plan, This manual does not replace the proper training needed for dental implant...

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Z-SYSTEMS | Z5 | Surgical and Prosthetic Concept | May 2022 General information General features and important information Material, biocompatibility and osseointegration System overview The Z-SYSTEMS implant system Treatment planning Fundamentals of treatment planning Protective measures Surgery kit and user instructions Surgical procedure ⁄ Drilling protocol Implant removal Prosthetic concept Prepability of implants and abutments Impression taking with Z5 implants Gingiva formers Model fabrication Temporary restoration of Z5 implants in the osseointegration phase Restoration with a laboratory-manufactured...

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Z-SYSTEMS | Z5 | Surgical and Prosthetic Concept | May 2022 General information General features and important information Material, biocompatibility and osseointegration

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Z-SYSTEMS | Z5 | Surgical and Prosthetic Concept | May 2022 Z-SYSTEMS | Z5 | Surgical and Prosthetic Concept | May 2022 General features and important information General features Important information Availability: Not all of the products described in Z-SYSTEMS implants are unique in their combination of Disclaimer: The Z5 implant system is part of a this manual are available in all countries. For further design and material. We kindly ask you to thoroughly comprehensive plan and may only be used in conjunction information, please contact our subsidiary or sales read this manual before...

Open the catalog to page 5

Z-SYSTEMS | Z5 | Surgical and Prosthetic Concept | May 2022 Z-SYSTEMS | Z5 | Surgical and Prosthetic Concept | May 2022 Material, biocompatibility and osseointegration Material All Z5 implants are manufactured according to the unique «Zirkolith®» process from zirconium dioxide Y-TZP bioceramics, and comply with the ISO 13356 standard. It reflects our extensive experience in the development, material processing, quality assurance and finishing of zirconium dioxide. The composition and production processes for zirconium dioxide vary according to the requirements for the system components....

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Z-SYSTEMS | Z5 | Surgical and Prosthetic Concept | May 2022 Fundamentals of treatment planning Protective measures

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Z-SYSTEMS | Z5 | Surgical and Prosthetic Concept | May 2022 Fundamentals of treatment planning The patient must meet the generally valid implant surgery and prosthetic criteria for an implant restoration. The Implant prosthetic restoration involves teamwork Planning the positionofthe implant between the dentist surgeon and dental technician and ⁄ configurations should be calculated and soft tissue detailed knowledge from all involved. management protocols followed. During planning, the instructions for the hard tissue also requires a high degree of clinical experience and Single-tooth crowns...

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Z-SYSTEMS | Z5 | Surgical and Prosthetic Concept | May 2022 Protective measures For successful osseointegration, in particular the monotype Surgery kit and user instructions implants must be protected from macro movements Surgical procedure ⁄ Drilling protocol during the healing phase. Depending on bone quality, insertion torque, periotest measurement and general Implant removal patient compliance, the dentist decides whether and which additional protective measures are necessary. Possible protective measures are: protective splints, blocked temporary restorations or protective prostheses....

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Z-SYSTEMS | Z5 | Surgical and Prosthetic Concept | May 2022 Z-SYSTEMS | Z5 | Surgical and Prosthetic Concept | May 2022 A Z-SYSTEMS surgery kit is to be used. The surgical kit contains all the instruments required Material properties for implantation and has been designed to be user- All instruments that come into direct contact with friendly. The rotating instruments are sorted according performance ceramic (Alumina Toughened Zirconia). cutting instruments are made of high-strength ATZ high- throughout. To avoid any risk of confusion, both the the surgical field are made of zirconium...

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Preparation instructions for the surgical kit Detailed instructions are included for cleaning, disinfecting The Z5 implant system instruments are not supplied Completely disassemble all instruments parts (see Remove the instruments and rinse completely for at least and sterilizing the Z5 Implant System instruments and sterile unless expressly marked as sterile. They must be instrument disassembly and assembly). one minute with deionised, low-germ (maximum 10 germ ⁄ cleaned, disinfected and sterilized before the first and every subsequent use on a patient. Effective cleaning and ml) and low-endotoxin...

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Surgical and Prosthetic Concepts

Surgical and Prosthetic Concepts

Catalog excerpts

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