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Z-Systems AG
Z5-BL Surgical and prosthetic concept

Z5-BL Surgical and prosthetic concept

Product catalog summary

Introduction
The Z-SYSTEMS implant system, developed since 2004, is designed for dental professionals experienced in implant procedures. This document outlines the essential surgical and prosthetic steps for the Z5-BL implant system, emphasizing that it does not replace professional training.

General Information

Material and Biocompatibility: Z5-BL implants are made from zirconium oxide Y-TZP bioceramics, ensuring high biocompatibility and similar osseointegration to titanium.
Certification: Complies with FDA, CE, ISO13485, and MDD93/42 EWG standards.
Color Coding: Yellow (3.6 mm), Red (4.0 mm), Green (5.0 mm) for different diameters.

Surgical Procedure

Instruments: Specific tools are required for the Z5-BL system.
Drilling Protocol: Detailed steps for implant placement are provided.
Post-operative Care: Guidelines for care after surgery to ensure successful healing.

Prosthetic Concept

Abutment Fixation: Instructions for securing abutments with Z5-BL implants.
Impression Techniques: Methods for taking impressions with Z5-BL implants.
Restoration: Steps for temporary and final restorations, including long-term temporary restorations after osseointegration.
Prosthetic Aftercare: Recommendations for maintaining prosthetic restorations.

Indications and Planning

Implant Sizes: 3.6 mm, 4.0 mm, and 5.0 mm implants are recommended based on specific dental regions and conditions.
Treatment Planning: Emphasizes the importance of selecting the appropriate implant size and position for optimal aesthetic and functional outcomes.
Protective Measures: Implants must be protected from macro movements during healing, with options like protective splints or temporary restorations.

Specifications

The Z5-BL implant is a self-tapping bone level implant available in three diameters (3.6, 4.0, and 5.0 mm) and three lengths (8, 10, and 12 mm).
It features a thread for securing components like healing caps and abutments with a basal screw.
Implants are delivered in sterile packaging with a healing cap made of radiopaque PEEK.

Drilling Protocol

Implant bed preparation involves sequential widening using specific twist drills with depth stops for precision.
Maximum recommended insertion torque is 25–35 Ncm, with tapping advised for harder bone to avoid exceeding 35 Ncm.

Postoperative Care

Regular hygiene checks and consultations are recommended during the healing phase.
Successful integration is indicated by the absence of peri-implantitis, loosening, pain, or visible gaps.

Prosthetic Restoration

Various abutments are available, including straight, angled, and Locator-type, for different restoration needs.
Impression taking can be done using closed, open, or digital methods, with specific transfer parts provided.

Key Recommendations

Ensure proper drilling protocol adherence for optimal implant placement.
Use appropriate torque settings to prevent bone overcompression.
Follow postoperative care guidelines to ensure successful healing and integration.

Specifications and Components
The document outlines various components used in the Z5-BL surgical and prosthetic concept, including basal screws, screwdrivers, impression posts, scan bodies, lab analogs, and healing abutments.

Model Fabrication Procedures
Instructions for fabricating the master model are provided, detailing both closed and open impression techniques. The importance of using a gingival mask and ensuring the correct representation of the mouth situation in the master model is emphasized.

Temporary Care of Implants
Guidelines for temporary restoration of Z5-BL implants include ensuring occlusion contacts are point-shaped and avoiding flat contacts.

Final Restorations
Z5-BL implants can be restored with various materials, including all-ceramic, composites, and metal restorations. Adhesive cementation is possible for single-tooth reconstructions.

Prosthetic Restoration in Edentulous Jaw
For bar constructions and telescopic constructions, the document provides guidelines on implant selection, number, and location.

Locator-Type Abutments
Instructions for using locator-type abutments with Novaloc™ matrices are provided, including impression taking and matrix fixation.

Prosthetic Aftercare
Regular aftercare is necessary, with specific checks recommended on the day of restoration placement, one day after, three months after, and every six months thereafter.

Cementing of Restorations on Z5-BL Implants

Ensure the working area is relatively dry by completely removing blood and saliva.
All cement residues must be thoroughly cleaned, especially from the peri-implant sulcus using tools like probes and superfloss.

Final Cementing Recommendations

Use cements suitable for zirconium oxide as it cannot be roughened intraorally by known adhesive systems.
Temporary cementing of final restorations is not recommended.

Prophylaxis for Z5-BL Implants

Zirconium oxide has low plaque affinity, but regular prophylaxis is essential.
Use only Teflon-based hand scalers and curettes for cleaning.

Catalog excerpts

Surgical and Prosthetic Concept Bone Level Implant Z5-BL

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Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 Welcome to the world of ceramic implants The Z-SYSTEMS implant system is the result of many years of clinical and laboratory experience since 2004. Safety is our foremost priority. This basic information on the surgical and prosthetic procedure of the Z-SYSTEMS Implant System is intended to provide dentists, physicians, surgeons and dental technicians with a description of the most important surgical and prosthetic steps for the planning, treatment and procedure of the Z-SYSTEMS System. This manual cannot replace implantological...

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Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 General information General aspects and important information Material, biocompatibility and osseointegration Fundamentals of treatment planning Protective measures Surgical procedure ⁄ Drilling protocol Implant removal Post-operative Care Prosthetic concept Fixing the abutment with Z5-BL implants Impression with Z5-BL implants Healing abutments Model fabrication Temporary care of Z5-BL implants Restoration with a laboratory-fabricated long-term temporary restoration after osseointegration Final restorations on Z5-BL implants Prosthetic...

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Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 General aspects and important information General features products must decide whether or not a product is suitable Z-SYSTEMS implants are unique in their combination of for a patient and a specific situation according to their Z-SYSTEMS have complied fully since 2004 with the current design and material. We expressly ask you to read this indication. Z-SYSTEMS excludes any liability for damages Explanation of the symbols on labels and package inserts normative and legal...

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Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 Material, biocompatibility and osseointegration Material All Z5-BL implants are manufactured according to the unique «Zirkolith®» process from zirconium oxide Y-TZP bioceramics in compliance with the ISO 13356 standard – it encompasses our experience in the development, material processing, quality assurance and finishing of zirconium oxide. The composition and production processes for zirconium oxide vary according to the requirements for the system component, for example...

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Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 strength increases disproportionately with increasing di- sive bending moments (e.g. extended crowns, extension bridges, bridges with more than one pontic). Limited suit- type abutment restoration on at least 4 implants in the Ø 3.6 mm implants are only approved for use in the lateral mandibular and 6 implants in the maxilla is recommended. UPPER RIGHT | 1st Quadrant incisor region (tooth 7 ⁄ 10) of the upper jaw and in the incisor region (tooth 23 ⁄ 24 ⁄ 25 ⁄ 26) of...

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Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 Fundamentals of treatment planning The patient must meet the generally valid implant surgery and prosthetic criteria for an implant restoration. Implant prosthetic restoration is a collaboration involving Planning the position of the implant the dentist/surgeon and dental technology and requires a During planning, the instructions for the hard tissue con- high degree of clinical experience and detailed knowledge figurations are to be complied with and soft tissue man-...

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Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 Protective measures Planning and specific features of applications with or more than 40° between several implants, the axial For successful osseointegration, the implants must be pro- locator-type abutments alignment must be corrected. tected from macro movements during the healing phase. This page must be followed for the treatment of patients with locator-type restorations. Depending on bone quality, insertion torque, periotest To ensure optimal performance of the...

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Z5-BL Surgical and prosthetic concept-10

Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 Instruments The Z5-BL surgical instruments from Z-SYSTEMS are to be used. The instruments required for implantation and have been The instruments are labelled with the respective Material properties designed to be user-friendly. The rotating instruments are instrument designation to avoid any risk of confusion. All instruments that come into direct contact with the sur- This alumina-reinforced zirconium oxide is ideal for the gical field are made of zirconium oxide....

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Z5-BL Surgical and prosthetic concept-11

Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 Z-SYSTEMS | Z5-BL | Surgical and Prosthetic Concept | 06 ⁄ 2022 Preparation instructions for the surgical cassette The instruments must not touch each other. Exposure These descriptions contain detailed instructions for The Z5-BL implant system instruments are not supplied Completely disassemble all removable instruments (see to a 10-minute ultrasonic bath is recommended before cleaning, disinfecting and sterilising the Z5-BL implant sterile unless expressly marked as sterile. They must be instrument disassembly and assembly). brushing....

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