SHORT - Zimmer Biomet Home Center/Brochures/3i T3 Short Brochure... · Clinical Cases The 3i T3® Short Implant’s length and features provide ... require complex surgical procedures,

SHORT I M P L A N T S & I N S T R U M E N T A T I O N

Challenging Clinical Cases

The 3i T3® Short Implant’s length and features provide an implant treatment option without the need for vertical grafting procedures in some challenging clinical cases:

The Clinical Challenge:In areas with minimal bone height, providing implant treatment may require complex surgical procedures, such as:

• A sinus lift procedure in the maxilla

• Vertical ridge augmentation in the mandible due to the proximity to the mandibular nerve

Reduced vertical bone height above the inferior alveolar nerve canal.

Minimal bone height under the maxillary sinus.


■ Clinical Case By: Dr. Stavros Pelekanos,† Athens, Greece.

A 32-year-old male patient presented with diminished bone height under the sinus secondary to a fractured root and extraction of the maxillary left first molar eight weeks prior to surgery.

■ Clinical Case By: Dr. Scott Davis,† Port Macquarie, NSW, Australia.

A 57-year-old female patient presented with deficient vertical bone height in the mandibular posterior quadrants secondary to losing the posterior teeth to periodontitis.

Fig. 1: Preoperative periapical radiograph showing missing tooth number 14 [26].

Fig. 1: A CT Scan showing diminished vertical height of bone in the edentulous posterior segment.

Fig. 2: A 6 mm(D) x 6 mm(L) 3i T3 Short Implant and healing abutment was placed in a single-stage protocol.

Fig. 2: A 5 mm(D) x 5 mm(L) and a 6 mm(D) x 5 mm(L) 3i T3 Short Implant was placed in tooth sites 29 [45] and 31 [47] respectively. The implants were placed in a two-stage procedure.

† Dr.’s Pelekanos and Davis have financial relationships with BIOMET 3i LLC resulting from speaking engagements, consulting engagements and other retained services.


Surgical Kit• Everything needed to place a 3i T3® Short Implant in one,

compact kit• New instrumentation specific to the 3i T3 Short Implants • The drilling sequence undersizes the osteotomy in diameter

by 1.15 mm • 5 mm Diameter Implants: Yellow Path • 6 mm Diameter Implants: Green Path

Dense Bone Taps

Silicone Mat

High Torque Indicating Ratchet

Wrench

Shaping DrillsLast Twist DrillsPointed Starter Drill

Implant StagingOpen End Wrench

InstrumentsHandpiece Connector

Hex DriversRatchet Extension

Open Spaces for Any Additional Instruments

■ Surgical Kit - Insert

■ Surgical Kit Contents

■ Surgical Kit - Bottom Tray

Item # Description Item # Description

ACT206S ACT® Reusable Test Drill 2 mm(D) x 6 mm(L) TAP56S Short Implant Dense Bone Tap, 5 mm(D) x 5-6 mm(L)

ACT326S ACT Reusable Test Drill 3.25 mm(D) x 6 mm(L) TAP66S Short Implant Dense Bone Tap, 6 mm(D) x 5-6 mm(L)

ACT386S ACT Reusable Test Drill 3.85 mm(D) x 6 mm(L) RE100 Short Ratchet Extension

ACT426S ACT Reusable Test Drill 4.25 mm(D) x 6 mm(L) PHD02N Narrow Posterior Large Hex Driver

ACT486S ACT Reusable Test Drill 4.85 mm(D) x 6 mm(L) PHD00N Narrow Posterior Small Hex Driver

FCS385S Flat Bottom Countersink Shaping Drill 3.85 mm(D) x 5 mm(L) H-TIRW High Torque Indicating Ratchet Wrench

FCS386S Flat Bottom Countersink Shaping Drill 3.85 mm(D) x 6 mm(L) MDR10 Handpiece Connector

FCS485S Flat Bottom Countersink Shaping Drill 4.85 mm(D) x 5 mm(L) CW100 Open End Wrench

FCS486S Flat Bottom Countersink Shaping Drill 4.85 mm(D) x 6 mm(L) ACTPSD ACT Pointed Starter Drill

Dense Bone TapsThe new surgical kit also includes new taps for the 3i T3® Short Implants: • Same design as existing taps but shorter • One band with two depth marks (see image to left) • Tap size for 5 mm implants: 3.85 mm(D) x 5-6 mm(L) • Tap size for 6 mm implants: 4.85 mm(D) x 5-6 mm(L)

5 mm(L)

6 mm(L)

Color coded to match implant diameter


Flat Bottom Shaping Drills• Similar design to existing Tapered Implant Quad Shaping Drills• New special cutting features• Flat-bottom cutting tip to prepare an osteotomy that matches

the dimensions of the implant• Incorporates the countersink so the implant will be properly

seated in the osteotomy • Depth and diameter specific

Shows 1 mm Cover Screw position

Shows implant platform position

Creates countersink-space for the implant neck

Produces flat-bottom osteotomy

Color coded for size identification

6 mm

ACT® Twist Drills• Based on the design of standard length

ACT Drills• One laser mark indicating two depths: 5 mm

and 6 mm• The depth mark includes the drill tip length

for precise depth drilling• Two cutting flutes at the tip

5 mm

DifferentiatingTechnology

1 Gubbi P†, Towse R†. Quantitative and Qualitative Characterization of Various Dental Implant Surfaces. Poster Presentation: European Association for Osseointegration, 20th Annual Meeting; October 2012; Copenhagen, Denmark. To view the poster, please visit www.biomet3i.com/Pdf/Posters/Poster_421_EAO_Final.pdf

2 Mendes V, Davies JE. Early Implant healing at implant surfaces of varying topographical complexity. Poster Presentation: Academy of Osseointegration, 26th Annual Meeting; March 2011; Washington, DC. http://biomet3i.com/pdf/Posters/Poster_Early_Periimplant_Healing.pdf.

3 Suttin Z†, Towse R†. Effect of Abutment Screw Design on the Seal Performance of an External Hex Implant System. Presented at the European Association for Osseointegration, 22nd Annual Scientific Meeting; October 2013; Dublin, Ireland. http://biomet3i.com/Pdf/Posters/P-450_Effect_of_Screw_Design_on_Implant_Seal.pdf

4 Byrne D, Jacobs S, O’Connell B, Houston F, Claffey N. Preloads generated with repeated tightening in three types of screws used in dental implant assemblies. J. Prosthodont. 2006 May–Jun;15(3):164-171.

5 Meltzer AM‡. Primary stability and initial bone-to-implant contact: The effects on

immediate placement and restoration of dental implants. J Implant Reconstr Dent. 2009;1(1):35-41.

6 Boitel N, Andreoni C, Grunder U‡, Naef R, Meyenberg K‡. A Three Year Prospective, Multicenter, Randomized-Controlled Study Evaluating Platform-Switching for the Preservation of Peri-implant Bone Levels. Academy of Osseointegration, 26th Annual Meeting: 2011 March 3-5; Washington DC. To view the poster, please visit www.biomet3i.com/Resource%20Center/Publications%20of%20Interest/Platform_Switching_for_the_Preservation_of%20Peri_Implant%20Bone%20Levels.pdf. A BIOMET 3i sponsored study.

† The authors conducted this research while employed at BIOMET 3i. ‡ Dr.’s Grunder, Meltzer and Meyenberg have f inancial relationships with

BIOMET 3i LLC resulting from speaking engagements, consulting engagements and other retained services.

* Pre-clinical studies are not necessarily indicative of clinical results.** Placement of a smaller diameter restorative component than the diameter of the

implant seating surface.

■ 3i T3® Surface Blasted and acid-etched implant

surface with an average roughness of 1.4µm along the full length of the implant.1 In preclinical studies*, the 3i T3 with DCD® Surface demonstrated increased integration strength throughout the healing phase as compared to less complex surface topographies.2

■ Implant/abutment clamping force

Use of the Gold-Tite® Screw increases implant/abutment clamping force by 83% vs. a non-coated screw.3

Patented* Gold-Tite Surface lubrication allows the screw to rotate further, increasing clamping force and maximizing abutment stability.4

■ Initial Bone-to-Implant Contact (IBIC)

The dimensions of the surgical instrumentation and the 3i T3 Short Implant provide a tight implant-to-osteotomy fit, to assist with primary stability.5

Coarse and fine micron surface features are designed to create an average mean surface roughness value of 1.4µm along the full length of the implant.1

• Coarse: (10+ microns) via

resorbable calcium phosphate media blast

• Fine: (1 - 3 microns)

via Dual Acid-Etching (DAE) on top of the blasted surface

Option for nano-scale features along the full length of the implantvia Discrete Crystalline Deposition (DCD®) of calcium phosphate


Platform switching** of the implant.6

For More Information, Please Contact Your Local BIOMET 3i Sales Representative.

4.1 mm(D) Seating Surface

Recommended Healing AbutmentsFor Platform Switching

Item #Emergence

ProfileCollar Height

THA52THA53THA54THA56THA58THA63THA64THA66THA68THA73THA74THA76THA78

5.0 mm5.0 mm5.0 mm5.0 mm5.0 mm6.0 mm6.0 mm6.0 mm6.0 mm7.5 mm7.5 mm7.5 mm7.5 mm

2 mm3 mm4 mm6 mm8 mm3 mm4 mm6 mm8 mm3 mm4 mm6 mm8 mm

Ordering Information:

5 mm(D) Seating Surface

Recommended Healing AbutmentsFor Platform Switching

Item #Emergence

ProfileCollarHeight

WTH52WTH53WTH54WTH56WTH58WTH562WTH563WTH564WTH566WTH568WTH572WTH573WTH574WTH576WTH578

5.6 mm5.6 mm5.6 mm5.6 mm5.6 mm6.0 mm6.0 mm6.0 mm6.0 mm6.0 mm7.5 mm7.5 mm7.5 mm7.5 mm7.5 mm

2 mm3 mm4 mm6 mm8 mm2 mm3 mm4 mm6 mm8 mm2 mm3 mm4 mm6 mm8 mm

All indicated measurements are in millimeters.

Some products may not be available outside of the United States.Algunos productos no se comercializan fuera de EE.UU.Certains produits ne sont pas disponibles en dehors des États-Unis.Einige Produkte sind außerhalb der USA nicht erhältlich.

16

Seating Surface6mm(D)

EP (Emergence Profile)Height

Restorative Platform

3.8

6

4.1

6

4.1

4.1

4.1

60°

65°

5

90°

45°

35°

45°

3.44.1mm(D) Seating Surface

Seating Surface3.4mm(D)


Emergence Profile Collar Height Item Numbers

5.6mm 2mm WTH52

5.6mm 3mm WTH53

5.6mm 4mm WTH54

5.6mm 6mm WTH56

5.6mm 8mm WTH58

6mm 2mm WTH562

6mm 3mm WTH563

6mm 4mm WTH564

6mm 6mm WTH566

6mm 8mm WTH568


5

5

5.6

h

h

h

h

h

h

THRC4

Temporary Healing Retention CylinderRetains denture with soft tissue liner.

4.1mm(D) x 4mm(H)THRC6

4.1mm(D) x 6mm(H)4.1mm 2mm THA42

4.1mm 3mm THA43

4.1mm 4mm THA44

4.1mm 6mm THA46

4.1mm 8mm THA48

5mm 2mm THA52

5mm 3mm THA53

5mm 4mm THA54

5mm 6mm THA56

5mm 8mm THA58

6mm 3mm THA63

6mm 4mm THA64

6mm 6mm THA66

6mm 8mm THA68

6

35°

6.8


h

6.8mm 2mm WTH62

6.8mm 3mm WTH63

6.8mm 4mm WTH64

6.8mm 6mm WTH66

6.8mm 8mm WTH68

EP® One-Piece


3.8mm 2mm MHA32

3.8mm 3mm MHA33

3.8mm 4mm MHA34

3.8mm 6mm MHA36

Healing AbutmentsExternal Hex Connection

INSTSUR_RevB_SurgProductCatalog_Surgical 7/28/15 9:41 AM Page 16



16




3.8

6

4.1

6

4.1

4.1

4.1

60°

65°

5

90°

45°

35°

45°





5.6mm 2mm WTH52

5.6mm 3mm WTH53

5.6mm 4mm WTH54

5.6mm 6mm WTH56

5.6mm 8mm WTH58

6mm 2mm WTH562

6mm 3mm WTH563

6mm 4mm WTH564

6mm 6mm WTH566

6mm 8mm WTH568


5

5

5.6

h

h

h

h

h

h

THRC4




4.1mm 3mm THA43

4.1mm 4mm THA44

4.1mm 6mm THA46

4.1mm 8mm THA48

5mm 2mm THA52

5mm 3mm THA53

5mm 4mm THA54

5mm 6mm THA56

5mm 8mm THA58

6mm 3mm THA63

6mm 4mm THA64

6mm 6mm THA66

6mm 8mm THA68

6

35°

6.8


h

6.8mm 2mm WTH62

6.8mm 3mm WTH63

6.8mm 4mm WTH64

6.8mm 6mm WTH66

6.8mm 8mm WTH68

EP® One-Piece


3.8mm 2mm MHA32

3.8mm 3mm MHA33

3.8mm 4mm MHA34

3.8mm 6mm MHA36





16




3.8

6

4.1

6

4.1

4.1

4.1

60°

65°

5

90°

45°

35°

45°





5.6mm 2mm WTH52

5.6mm 3mm WTH53

5.6mm 4mm WTH54

5.6mm 6mm WTH56

5.6mm 8mm WTH58

6mm 2mm WTH562

6mm 3mm WTH563

6mm 4mm WTH564

6mm 6mm WTH566

6mm 8mm WTH568


5

5

5.6

h

h

h

h

h

h

THRC4




4.1mm 3mm THA43

4.1mm 4mm THA44

4.1mm 6mm THA46

4.1mm 8mm THA48

5mm 2mm THA52

5mm 3mm THA53

5mm 4mm THA54

5mm 6mm THA56

5mm 8mm THA58

6mm 3mm THA63

6mm 4mm THA64

6mm 6mm THA66

6mm 8mm THA68

6

35°

6.8


h

6.8mm 2mm WTH62

6.8mm 3mm WTH63

6.8mm 4mm WTH64

6.8mm 6mm WTH66

6.8mm 8mm WTH68

EP® One-Piece


3.8mm 2mm MHA32

3.8mm 3mm MHA33

3.8mm 4mm MHA34

3.8mm 6mm MHA36





16




3.8

6

4.1

6

4.1

4.1

4.1

60°

65°

5

90°

45°

35°

45°





5.6mm 2mm WTH52

5.6mm 3mm WTH53

5.6mm 4mm WTH54

5.6mm 6mm WTH56

5.6mm 8mm WTH58

6mm 2mm WTH562

6mm 3mm WTH563

6mm 4mm WTH564

6mm 6mm WTH566

6mm 8mm WTH568


5

5

5.6

h

h

h

h

h

h

THRC4




4.1mm 3mm THA43

4.1mm 4mm THA44

4.1mm 6mm THA46

4.1mm 8mm THA48

5mm 2mm THA52

5mm 3mm THA53

5mm 4mm THA54

5mm 6mm THA56

5mm 8mm THA58

6mm 3mm THA63

6mm 4mm THA64

6mm 6mm THA66

6mm 8mm THA68

6

35°

6.8


h

6.8mm 2mm WTH62

6.8mm 3mm WTH63

6.8mm 4mm WTH64

6.8mm 6mm WTH66

6.8mm 8mm WTH68

EP® One-Piece


3.8mm 2mm MHA32

3.8mm 3mm MHA33

3.8mm 4mm MHA34

3.8mm 6mm MHA36



External Hex Implants*

6 mm(D) Item # Description

BOES605BOES606

6 mm(D) x 5 mm(L)6 mm(D) x 6 mm(L)

External Hex Implants with DCD*


BNES605BNES606


External Hex Implants*


BOES505BOES506


External Hex Implants with DCD*


BNES505BNES506


ART1237REV C 11/15

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BIOMET 3i Dental Ibérica S.L.EMEA Headquarters WTC Almeda Park, Ed. 4, Planta 2C/Tirso de Molina, 4008940, Cornellà de Llobregat (Barcelona) SpainPhone: +34-93-470-55-00Fax: +34-93-371-78-49 www.biomet3i.com

All trademarks herein are the property of BIOMET 3i LLC unless otherwise indicated. ©2015 BIOMET 3i LLC. All rights reserved.

This material is intended for clinicians only and is NOT intended for patient distribution. This material is not to be redistributed, duplicated or disclosed without the express written consent of BIOMET 3i. For additional product information, including indications, contraindications, warnings, precautions and potential adverse effects, please visit the BIOMET 3i Website: www.ifu.biomet3i.com. The devices featured in this material may not be cleared or licensed for use or sale in your individual country. Please contact your local distributor for information regarding availability of this product.

* Refer to the Surgical Catalog (INSTSUR) for more options.

* This product is not available in all markets. Please contact your local BIOMET 3i Sales Representative for availability in your market.

Documents

SHORT - Zimmer Biomet Home Center/Brochures/3i T3 Short Brochure... · Clinical Cases The 3i T3® Short Implant’s length and features provide ... require complex surgical procedures,