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© 2015 Natural Dental Implants AG
Introduction to the REPLICATE™
System This introductory course was designed for anyone interested in
learning about the REPLICATE Immediate Tooth Replacement System.
Dentists who wish to take the REPLICATE System Clinical Training please send an email request to [email protected]
© 2015 Natural Dental Implants AG < >
The REPLICATE™ System is a new approach to single tooth replacement. It is comprised of three components
The REPLICATE™ Tooth The REPLICATE™ Try-In The REPLICATE™ Temporary Protective Crown
The REPLICATE Tooth is 100% customized, featuring a state of the art-surface and a unique titanium/zirconia hybrid design. The REPLICATE Try-In is used to check the socket before the REPLICATE Tooth is placed. The REPLICATE Temporary Protective Crown is bonded to the adjacent tooth or teeth and provides protection from occlusal forces while the REPLICATE Tooth osseointegrates.
INTRODUCTION th
ated
the
o the
es
REPLICATE Tooth
REPLICATE Temporary Protective Crown
2
© 2015 Natural Dental Implants AG < >
The REPLICATE™ System is patient specific. Each component is fabricated for each individual patient, according to the doctor’s specification. The REPLICATE™ Tooth is designed to fit into the extraction socket and to be placed at the extraction appointment without drilling. A tight fit in the lower portion of the socket provides primary stability.
100% CUSTOMIZED
3
© 2015 Natural Dental Implants AG < >
Introduction -The REPLICATE™ Tooth
Preparation, Temporary Protective Crown
Abutment and tight-fit endosseous implant portion
Gap between preparation and Temporary Protective Crown, no cementation
Iso- or sub-crestal glass fused joint
High-translucent Y-TZP zirconia
Y-TZP zirconia
Commercially pure titanium,
sandblasted, acid-etched,
super-hydrophilic
4
© 2015 Natural Dental Implants AG < >
Introduction - Surface
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State-of-the-art osseoconductive titanium surface for optimal hydrophilicity. REPLICATE System is designed to support osseointegration.
1 µm
10 µm
100 µm
© 2015 Natural Dental Implants AG < >
Introduction – Hybrid Design
6
Seamless trans gingival joint is tightly sealed against bacteria colonization. Validated for lower incisor sample design to withstand 5 million cycles at 450N dynamic load.
Traditional dental implant/abutment interface risks bacteria colonization.
1 mm
200 µm
© 2015 Natural Dental Implants AG < >
Introduction – Single and Multi-rooted Teeth
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The REPLICATE System can be used to replace both single and multi-rooted teeth. Each tooth is designed individually and can be completely customized to specific clinical situations.
Examples of this include customizing the depth of the zirconia portion, reducing the height of the furcation point, combining the roots of multi-rooted teeth, eliminating root divergence
and digitally repairing crowns.
© 2015 Natural Dental Implants AG < >
Introduction – All Ceramic Version
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The new all-ceramic REPLICATE Tooth features a macro and micro-rough surface for osseointegration. Superior aesthetics make it an excellent choice for anterior teeth.
© 2015 Natural Dental Implants AG < >
Introduction - Indication
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Use for single tooth replacement, when immediate implantation with a non-submerged, delayed loading protocol is indicated
Primary stability need to be established at insertion, minimum bone height 7 mm
Not for multiple, adjacent teeth
© 2015 Natural Dental Implants AG < >
Introduction - Clinical Process
10
2 weeks 24 weeks 10 day lab cycle
First Visit
Take 3D X-ray CBCT/DVT image
Take silicone
impression or intra-oral scan
Second Visit
Extract non-functional tooth
Insert REPLICATE
Tooth™ affix Temporary
Protective Crown
Third Visit
Control visit (optional)
Fourth Visit
Remove Temporary Protective Crown
Place definitive crown
CLINICAL CASE EXAMPLES The REPLICATE System is appropriate for a wide variety of clinical situations.
© 2015 Natural Dental Implants AG < >
Clinical Case
Clockwise: palatal and vestibular view and x-ray direct after placement of
definitive crown, x-ray at the end of the 6 month healing phase, socket
after extraction, implant insertion and final position of REPLICATE Tooth with
cover shield.
UL First Molar
Clinical photos and x-rays provided by courtesy of Dr. Eike Peters, Wittlich and Dr. M Hopp, Berlin
12
© 2015 Natural Dental Implants AG < >
X-rays and clinical photos provided by courtesy of Dipl. med. dent. Urs Brodbeck, Zurich
Clinical Case
Clockwise: lingual view after placement of definitive crown 6
months after insertion, x-ray immediate after extraction, x-ray 12
month post insertion, REPLICATE Tooth with temporary crown/splint,
implant preparation post
LL First Molar
13
© 2015 Natural Dental Implants AG < >
Clinical Case
Clockwise: labial and lingual views
of REPLICATE Tooth prior and
after placement of the final crown, CAD
design, x-rays immediately
after placement and four months post placement
UL Lateral Incisor
14
Clinical photos provided by courtesy of Dr. Anna Jacobi, Munich
© 2015 Natural Dental Implants AG < >
Clinical Case
Clockwise: occlusal and vestibular view 3 months after placement of definitive crown, x-ray at the end
of the 6 month healing phase, implant insertion of REPLICATE
Tooth, bone augmentation, membrane, and gingiva at
insertion
LR Second Premolar
15
Clinical photos and x-rays provided by courtesy of Dr. Eike Peters, Wittlich and Dr. M. Hopp, Berlin
© 2015 Natural Dental Implants AG < >
Clinical Case
Clockwise: labial and lingual views directly after placement,
CAD design of REPLICATE Tooth, final crown, lingual and labial
views after four months of healing
LL Central Incisor
16
Clinical photos provided by courtesy of Dr. Eike Peters, Wittlich
© 2015 Natural Dental Implants AG < >
• Minimally invasive • Excellent immediate aesthetics • Less time, fewer appointments • Fewer surgical interventions
Patient 1
• Less time • May lower risk of surgical error • Moderate learning curve • Low cost of entry, no drilling kit
to purchase
Doctor 2
Benefits of the REPLICATE System
17 © 2015 Natural Dental Implants AG >
SUMMARY • The REPLICATE System is a unique approach to single tooth replacement. • Each component of the REPLICATE System is100% customized to meet the
needs of the individual patient. • The REPLICATE System can be used to treat a wide variety of patients and
clinical situations.
© 2015 Natural Dental Implants AG
Thank You
This introductory course was designed for anyone interested in learning about the REPLICATE Immediate Tooth Replacement System.
Dentists who wish to take the REPLICATE System Clinical Training
please send an email request to [email protected]