Taper Internal Catalog

Tapered Internal Catalog & Surgical Manual

�

Company Overview

Implant Overview

Section 1: Surgical Product Catalog

Implants

SurgicalInstruments

AncillaryInstruments

W&HMotors&Accessories

Section 2: Restorative Product Catalog

AbutmentOverview

ImpressionComponentOverview

HealingAbutments&CoverCaps

SimpleSolutionsKits

IndividualAbutments

ImpressionComponents

SimpleSolutionsComponents

AbutmentforScrewComponents

LocatorAbutmentComponents

BallAbutmentComponents

ProstheticInstrumentation

Collaterals

Section 3: Surgical Manual

InstructionsForUse-Disclaimer

SurgicalProtocols

ImplantSpacing

SurgicalKitLayout

ImplantPlacementLevel

DrillOverview

OsteotomyInitialization

OsteotomyPosition&Modification

FinalBonePreparation

ImplantPackaging

Abutment-levelPlacement

Implant-levelPlacement&Orientation

HealingProtocols

Provisionalization&Post-operativeInstructions

Miscellaneous

Icon Legend & References

Ordering & Warranty Information

1

2

3

4-5

6-7

8-9

10

11

12

13

14-15

16-17

18-19

20-21

22-23

24-25

26-27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

TABLE OF CONTENTS

1

Game-changing Innovation

Unparalleled Service

Science-based products

Ourhighlyadvancedimplanttechnologies,Restoration-to-ImplantLifetimeWarranty,hardandsofttissueregenerationproducts,andcutting-edgedigitaldentistryandVirtualImplantPlacement(VIP)treatmentplanningsoftwarehaveplacedBioHorizonsattheforefrontofimplantdentistry.Fromsurgicalplanningandsitedevelopmenttofinalrestoration,BioHorizonsisuniquelypositionedtostreamlinetheimplantandrestorativeprocesses,enablingclinicianstocreateamoreefficientcontinuumofcare.

Happypatientsarethedrivingforceofsuccessfuldentalpractices,andcliniciansknowtheydon’twantimplants;theywantteeth.RestorationsmadeonBioHorizonsimplantsatselectlaboratoriesusinganapprovedtreatmentplanareguaranteedforlife.Iftheprosthesisfails,wecoverthecostofthere-workwithnoredtapeorfineprint.

BioHorizonsisknownforusingscienceandinnovationtocreateuniqueimplantswithprovensurgicalandestheticresults.Laser-Lokmicrochannelsexemplifyourdedicationtoevidence-basedresearchanddevelopment.

TheeffectivenessofLaser-Lokhasbeenprovenwithover15yearsofin vitro,animal,andhumanstudiesatleadinguniversities.1Thispatentedprecisionlasersurfacetreatmentisuniquewithintheindustryastheonlysurfacetreatmentshowntoattractaphysicalconnectivetissueattachmenttoapredeterminedzoneontheimplantwhileinhibitingepithelialdowngrowthandpreservingthecoronallevelofbone;longterm.2

2

products shown not to scale

• Proprietary Laser-Lok® microchannels†

• Anatomically tapered implant body

• Patented reverse buttress threads‡

• Proven internal hex connection

Laser-Lokshowntohavefunctionally-orientedconnectivetissueattachment.

ReverseButtressthreadshaveawide,flatleadingedgeforincreasedfunctionalsurfacearea,improvedaxialloaddistributionandprimarystability.

Supportedbyacomprehensivelineofinternallyhexedprosthetics.

†Laser-Lokdesignpatent#6,454,569and6,419,491‡ReverseButtressthreaddesignpatent#5,964,766

Laser-LokSurface

�one

Collagen fibers

Tapered Internal

3

TLR3809

TLR3810

TLR3812

TLR3815

TLR5807

TLR5809

TLR5810

TLR5812

TLR5815

Ø5.8mm x 7.5mm

Ø5.8mm x 9mm

Ø5.8mm x 10.5mm

Ø5.8mm x 12mm

Ø5.8mm x 15mm

Ø3.8mm x 9mm

Ø3.8mm x 10.5mm

Ø3.8mm x 12mm

Ø3.8mm x 15mm

TLR4607

TLR4609

TLR4610

TLR4612

TLR4615

Ø4.6mm x 7.5mm

Ø4.6mm x 9mm

Ø4.6mm x 10.5mm

Ø4.6mm x 12mm

Ø4.6mm x 15mm

Implants

TAPERED INTERNAL IMPLANTS

Surgical Specifications:

•3Bodydiameters

•5Implantlengths

•3Prostheticplatformdiameters

•TitaniumAlloy(Ti-6Al-4V)

Apical Diameter

PlatformDiameter

�ody Diameter

Minimum Ridge Width

Minimum Mesial / Distal Space

3.8mm 4.6mm 5.8mm

3.5mm 4.5mm 5.7mm

5.8mm 6.6mm 7.8mm

6.8mm 7.6mm 8.8mm

2.8mm 3.1mm 3.9mm

Machined Collar Height 0.3mm 0.3mm 0.3mm

Laser-Lok Zone Height 1.5mm 1.5mm 1.5mm

Bodydiameter

Apicaldiameter

Prostheticplatform

Implantlength

MachinedcollarheightLaser-Lok

zoneheight

Ordering Information

3.8mm Implants 4.6mm Implants 5.8mm Implants

products shown not to scaleNot all products are available in all markets.

4


TSK2021Tapered Internal Surgical Kit (complete)Includesallinstrumentsshownonpages4&5.

TSD20202.0mm Starter Drill

122-100Drill Extender

144-100

Straight Parallel Pins (2perkit)

144-200

20° Angled Parallel Pins (2perkit)

TSD2032

TSD2037

TSD2041

TSD2047

TSD2054

3.2mm Width Increasing Drill





3.8mm Crestal �one Drill



3.8mm �one Tap

4.6mm �one Tap

5.8mm �one Tap

TST2038

TST2046

TST2058

TSC2038

TSC2046

TSC2058

TSK2011Tapered Internal Tray & Lid (without instruments)

Individual Kit Components

TSD20252.5mm Depth Drill

Tapered Internal Surgical Kit

SURGICAL INSTRUMENTS

(adds 16mm to length of drill)

5


135-351.050” (1.25mm) Hex Driver

3.8mm Depth Gauge

4.6mm Depth Gauge

5.8mm Depth Gauge

TDG2038

TDG2046

TDG2058

Abutment-level Driver, Handpiece

Abutment-level Driver, Ratchet

PHA

PRA

3.5/4.5mm Implant-level Driver, Handpiece

5.7mm Implant-level Driver, Handpiece

SYGIDH

S � I D H

Hand Wrench

300-400Ratchet & Hand Wrench Extender

300-205

Implant Spacer / Depth Probe144-300

Ratchet130-000

Individual Kit Components

3.5/4.5mm Implant-level Driver, Ratchet

5.7mm Implant-level Driver, Ratchet

SYGIDR

S � I D R

SURGICAL INSTRUMENTS

6


122-110 Ø2.0mm Lindemann �one Cutter

Side-cuttingdrillusedtocorrecteccentricosteotomypreparations.

ExtendedShankDrillsare8mmlongerthanourstandarddrills.Theyhavethesamedepthmarksandcuttinggeometryasourstandarddrills.

2.0mm Ext. Shank Starter Drill

2.5mm Ext. Shank Depth Drill

3.2mm Ext. Shank W.I. Drill





TSD4020

TSD4025

TSD4032

TSD4037

TSD4041

TSD4047

TSD4054

2.5mm Tapered Depth Drills with stops

Extended Shank Drills

Stops are set to same length as each implant for crestal placement.Laser-etchedlineset1mmshorterforsupracrestalplacement

2.5mm Tapered Depth Drill, 7.5mm Stop

2.5mm Tapered Depth Drill, 9mm Stop

2.5mm Tapered Depth Drill, 10.5mm Stop



TSD202507

TSD202509

TSD202510

TSD202512

TSD202515

Lindemann Bone Cutter

*Please call for availability

ANCILLARY INSTRUMENTS

Handpiece Hex Drivers

ForinstallationandremovalofCoverScrews,HealingAbutmentsandAbutmentScrews.TheHandpieceHexDriversareusedwithlatch-typecontra-anglehandpieces.TheHandpieceHexDriver,Long(134-450)is5mmlongerthanthestandardversion(134-350).

134-350

134-450

.050” (1.25mm) Handpiece Hex Driver

.050” (1.25mm) Handpiece Hex Driver, Long

11.5mm6.5mm

7


3.5mm Tissue Punch

4.5mm Tissue Punch

5.7mm Tissue Punch

3.5mm �one Profiling �ur & Guide



BioHorizonsTissuePunchesareusedinalatch-typehandpiecetoremovethesofttissuefromthecrestoftheridgepriortoosteotomypreparationinaflaplesssurgicalprocedure.Availablein3platformdiameters.

Used at implant uncovery to contour crestal bone for abutments when the implant issubcrestal. For use in latch-type reduction handpieces. The Profiler’s internal geometrymatchesthegeometryoftheincludedProfilerGuide.TheGuideisscrewedintotheimplantandthenalignstheProfilerforpreciseremovaloftissuesurroundingtheplatform.ComesinthreesizescorrespondingtothethreeTaperedInternalprostheticplatforms.

150-000 Surgical Driver

Usedtodriveimplantsintotheosteotomy,particularlyintheanteriorregion.ThedriverholdstheAbutment-levelDriver,Ratchetwhichinterfaceswiththe3inOneAbutment.Alsointerfaceswiththe.050”(1.25mm)HexDriversaswellasBoneTapsandtheImplant-levelDrivers,Ratchet.

PY�P

PG�P

P��P

PYTP

PGTP

P�TP

Surgical Driver

Hex-chuck Abutment-level Driver

Bone Profiling Burs

Internal Abutment-level Driver, Hex-chuck Handpiece

Abutment-levelDriver(alternativetoPHA,page5)withanintegratedhex-chuckthatwhenusedwithcompatibleW&HHexagonChuckingSystemHandpiecespreventsdeformationoftheISOshanklatchconnectioninhigh-torqueapplications.

PADHH

Tissue Punches

ANCILLARY INSTRUMENTS

8


WH-ITC915

WH-915MCWH-915 One-piece Disposable Irrigation Set (6 pack)

ImplantMed 915 Motor Cable - 1.8 meter

Re-order items:

WH-915 W&H ImplantMed 915 Starter Kit

WH 200 W&H ElcoMed SA-200 Professional Kit

Re-order items:

Maximummotorspeedis40,000rpm.ThemotorcomeswiththeWS-7520:1handpiece,burtestinggauge,(3)disposableirrigationassemblies,andserviceoil(shippedseparately).

Maximummotorspeedis50,000rpm.TheSA-200permitsthestorageoftorquecharacteristicsofatreatmentstage, which can then be saved on a DOC card for archiving purposes. The kit includes the WS-75 20:1handpiece,(10)disposablespraytubes,burtestinggauge,irrigationspikeandserviceoil(shippedseparately).

WH-200PTWC

WH-200RPT (3 PK)

WH-200INI

WH-200DOC

WH-200MC

Pump Tube (190mm) with Connectors

Replacement Pump Tubes (190mm) (3 pack)

INI Cards (3 pack)

DOC Cards (3 pack)

ElcoMed 200 Motor Cable -1.8 meter

WH-ST (10 PK)

WH-CLP (10 PK)

WH-100PTWC

WH-100RPT (5 PK)

WH-100MC

WH-110MC

WH-110CLP (5 PK)

WH-110PTWC

WH-110RPT

WH-110ISAWRC

WH-110RC

WH-ISA

WH-ITWOS

WH-MD400

WH-OSC

WH-SP

GreenSingle-UseSprayTubes(10pack)

SetofSprayTubeClamps(10pack)

PumpTubewithConnectors(65mm)

ReplacementPumpTubes(65mm)(5pack)

ElcoMed100MotorCable-1.8meter

ImplantMed110MotorCable-1.8meter

SetofSprayTubeClamps(5pack)

PumpTube(85mm)withConnectors

ReplacementPumpTubes(85mm)(3pack)

IrrigationSpikeAssemblywithRollerClamp

FlowRegulatingRollerClamp

IrrigationSpikeAssembly(autoclavable)

IrrigationTubingw/oSpike(autoclavable)

MD-400ServiceOil-F1

OilSprayCap

SterilizationPlugforMotorCable

AllW&HMotors

ElcoMed100&200

ElcoMed100

ElcoMed100

ElcoMed100

ImplantMed110

ImplantMed110&915

ImplantMed110&915

ImplantMed110&915

ImplantMed110&915

ImplantMed110&915

AllW&HMotors

AllW&HMotors

AllW&HMotors

AllW&HMotors

AllW&HMotors

Ref. Code Description Motor Compatibility

W&H ImplantMed 915

W&H ElcoMed SA-200

Universal and Legacy Re-order Items

W&H MOTORS AND ACCESSORIES

9


W&H 1:2.7 Contra-angle Speed Increasing Handpiece 1:2.7speed-increasingratio-135,000rpmmaximum.Contra-angleHandpiecesuitableforhighspeedpreparationandtissueaugmentationprocedures.Externalirrigationport.Usesfriction-gripburs(Ø1.6mm).

W&H 20:1 Contra-angle Handpiece WS-75 E/KMContra-angleHandpiecewithspeedreductionratioof20:1(2,500rpmmaximum).Equipped for both internal cooling & external cooling. Push-button bur release.Useslatch-typesurgicaldrillsandburs.

W&H 1:1 Straight Surgical Handpiece 1:1 ratio - 50,000 rpm maximum. Suitable for bone harvesting, third molarextractions and osteoplasty. Easily dismantled for cleaning. Uses 45mmfriction-gripsurgicalburs(Ø2.35mm).

S-11

WS-75

WS-92

W&H 1:2 Contra-angle Surgical Handpiece1:2 speed increasing ratio - 80,000 rpm maximum. Suitable for surgicalprocedures such as bone smoothing, third molar extractions and osteotomysitedrilling.Highprecisionbearingsensurethattheunitrunsvibrationfree.Usesfriction-gripsurgicalbursatleast65mmlong(Ø2.35mm).

S-12

Usedtoverifytheconditionoflatch-typeburs.Bursinproperconditionwillfitintolargerdiameterhole,butwillnotfitintothesmallerhole(markedred).Bursthatfaileitherofthesecriteriaareunfitforuse,andmaycausedamagetothehandpieceifused.

WH-�TG �ur Testing Gauge

IMPORTANT NOTE: W&H motors and handpieces are distinguished by their precision craftsmanship and reliability and are

covered by a 1-year manufacturer’s warranty. Instructions for required cleaning and maintenance are outlined in each product’s

user manual, and adherence to these procedures is essential for proper function and longevity of the products. BioHorizons

assumes no liability for the failure of, or damage to, motors and handpieces that are not properly maintained or used contrary

to the instructions for use. Please contact your Product Support Specialist or Customer Care if you need additional information.

W&H ElcoMed Surgical Handpieces

Bur Testing Gauge

W&H MOTORS AND ACCESSORIES

10


Cement-retained

Custom Cast (UCLA) Screw-retained or Cement-retained custom fabricated abutments

Implant-level Cast �ar or Hybrid (Fixed-detachable)

Abutment for Screw level Cast �ar or Hybrid (Fixed-detachable)

BallAbutmentspages 24-25

LocatorAbutmentspages 22-23

Abutment-retained Overdenture, Tissue-supported

Simple Solutions Cement-retained

Implant-level Laser Welded �ar

DirectPick-upCoping,Non-hexedpage 17

AbutmentsforScrewpages 20-21

Provisional Restorations

Note: Simple Solutions Abutments remain in the mouth during prosthesis fabrication, thereby serving as the provisional and final abutment.

All stock abutments may be modified by the dental laboratory or chair-side by the clinician.

Gold-base with burn-out plastic sleeve. Non-hex-engaging abutments are only for multiple-unit prostheses.

Abutmentspages 14-15

SimpleSolutionsAbutmentspage 18

CustomCastableAbutmentspage 15

CustomCastableAbutments,Non-hexedpage 15

PEEKAbutmentspage 14

May be cement- or screw-retained.

REMOVABLE AND HYBRID PROSTHETICS OVERVIEW

IMPLANT-LEVEL FIXED PROSTHETICS OVERVIEW

11


LocatorImpressionComponentspages 22-23

Impression Cap is pick-up in the impression tray. A Simple Solutions Replica is indexed into Cap within the impression.

Impression coping remains in mouth when impression tray is removed. Coping is transferred from the patient and indexed into the impression after assembly with an Implant Analog.

Impression coping is picked-up in the impression. An implant analog is attached to the incorporated coping before the stone model is created.

IndirectTransferCopingspage 16

SimpleSolutionsComponentspages 13 & 18-19

DirectPick-upCopingspage 17

AbutmentforScrew-levelIndirectTransferCopingspages 20-21

Impression copings remain in mouth when the tray is removed. Copings are transferred from the patient and indexed into the impression after assembly with Abutment for Screw Analogs.

Impression copings are picked-up in the impression. Abutment for Screw Analogs are attached to the incorporated copings and a stone model is poured.

Impression copings are picked-up from the seated Locator Abutments which remain in place when the tray is removed. Locator Analogs are indexed into the impression and a stone model is poured.

A crown & bridge impression is made of a seated abutment and a stone model is created. The abutment remains in place during laboratory fabrication of the final prosthesis.

An impression is made of the seated Ball Abutments which remain in place when the tray is removed. Ball Abutment Analogs are indexed into the impression and a stone model is poured.

AbutmentforScrew-levelDirectPick-upCopingspages 20-21

Abutmentsforcement-retentionpages 14-15

BallAbutmentImpressionComponentspages 24-25

IMPRESSION COMPONENTS FOR ABUTMENT-LEVEL RESTORATIONS

Implant-level Closed-tray Transfer

Implant-level Open-tray Pick-up

Abutment for Screw-level Closed-tray Transfer Abutment for Screw-level Open-tray Pick-up

Simple Solutions SnapCap Pick-up

Locator Abutment Closed-tray Pick-up �all Abutment Closed-tray Transfer

Direct Abutment Impression (Crown & Bridge-type)

IMPRESSION COMPONENTS FOR IMPLANT-LEVEL RESTORATIONS

12


HEALING ABUTMENTS & COVER CAPS

Hand-tightenwiththe.050”(1.25mm)HexDriver.TitaniumAlloy[Ti-6Al-4V].

3.5mm Regular Healing Abutment



PYRHA3

PGRHA3

P�RHA3

PYRHA5

PGRHA5

P�RHA5

3mm high 5mm high


3.5mm Narrow Healing Abutment



PYNHA1

PGNHA1

P�NHA1

3.5mm Wide Healing Abutment

4.5mm Wide Healing Abutment

PYWHA3

PGWHA3

PYWHA5

PGWHA5


Wide Emergence Healing Abutments

PYNHA3

PGNHA3

P�NHA3

PYNHA5

PGNHA5

P�NHA5

Narrow Emergence Healing Abutments

3.5mm Cover Cap

4.5mm Cover Cap

5.7mm Cover Cap

PYCC

PGCC

P�CC

Foruseduringsubmergedsurgicalhealing.Hand-tightenwiththe.050”(1.25mm)HexDriver.TitaniumAlloy[Ti-6Al-4V].Included with implant but can also be ordered separately.

Regular Emergence Healing Abutments

Surgical Cover Cap

3mm high 5mm high

3mm high 5mm high1mm high

Abutment height(1,3or5mm)

Abutment height(3or5mm)

Abutment height(3or5mm)

3.8mm

4.7mm

5.9mm

5.8mm

6.8mm

4.5mm

5.5mm

6.6mm

3.5mm

4.5mm

5.7mm

Platformdiameter

Abutmentdiameter

3.5mm

4.5mm

Platformdiameter

Abutmentdiameter

3.5mm

4.5mm

5.7mm

Platformdiameter

Abutmentdiameter

13


Collar height(0.8,1.8or2.8mm)

0.8mm collar 1.8mm collar 2.8mm collarProsthetic platform / Abutment height

3.5mm Kit, 4.0mm Height






K-PY4008

K-PY5508

K-PG4008

K-PG5508

K-P�4008

K-P�5508

K-PY4018

K-PY5518

K-PG4018

K-PG5518

K-P�4018

K-P�5518

K-PY4028

K-PY5528

K-PG4028

K-PG5528

K-P�4028

K-P�5528

OrderSimpleSolutionsHealingAbutmenttomatchtheappropriateemergenceanddiameteroftheSimpleSolutionsAbutment.Hand-tightenwitha.050”(1.25mm)HexDriver.TitaniumAlloy[Ti-6Al-4V].

3.5mm Healing Abutment



SPYHA08

SPGHA08

SP�HA08

SPYHA18

SPGHA18

SP�HA18

SPYHA28

SPGHA28

SP�HA28

Simple Solutions™ SimpleSolutionsrestorativeprotocolsonTaperedInternalimplantsallowclinicianstoprovidetheirpatientswithcement-retainedrestorationsinaminimalnumberofofficevisits.Thepre-taperedabutmentsaredesignedtoberestoredwithoutadditionalpreparation.Aftertheimpressionhasbeenmade,patientscanwearatooth-coloredHealingCapovertheabutmentwhilethelaboratoryfabricatesthefinalprosthesis.AcryliccanbeaddedtotheHealingCapasneededtohelpcreateamorenatural-appearingprovisional.PleaserefertotheSimpleSolutionsProstheticTechniqueManual(ref.ML0142)fordetailedInstructionsforUse.

SimpleSolutionsKitIncludes:Abutment,AbutmentScrew,HealingCap,ImpressionCap,WaxingSleeveforCrown,WaxingSleeveforBridgeandReplica.Individualcomponentsavailablefororderonpages18-19.

Simple Solutions Healing Abutments

Simple Solutions Restorative Kits


SIMPLE SOLUTIONS KITS

Platformdiameter

Abutmentdiameter

OrderSimpleSolutionsRestorativeKitsbyprostheticplatform,abutmentheightandcollarheight.

5.0mm

6.0mm

7.1mm

3.5mm

4.5mm

5.7mm

14


Usedtofabricatecement-retained,single-ormultiple-unitprostheses.PackagedwithAbutmentScrew(PXAS).Yttria-stabilizedZirconia.Finaltorque:30Ncm.Callforavailability.

3.5mm 3inOne Abutment (Regular Emergence)



3.5mm Plastic Temporary Abutment (Regular Emergence)



Forfabricationofcement-orscrew-retainedprovisionalrestorations(upto30days).ADirectCopingScrew(PXDCS,purchasedseparately)maybeusedtomaintainscrewaccessholeduringfabricationofscrew-retainedprovisionalprostheses.PackagedwithAbutmentScrew(PXAS).Finaltorque:30Ncm.PEEK®(PolyEtherEtherKetone).

PYREA

PGREA

P�REA

PYRTA

PGRTA

P�RTA

Usedtofabricatecement-retained,single-ormultiple-unitprostheses.AlsousedwithBall-topScrewasaclosed-tray,hexed-timedimpressioncoping.PackagedwithAbutmentScrew(PXAS).TitaniumAlloy[Ti-6Al-4V].TiNcoated.Finaltorque:30Ncm.

INDIVIDUAL ABUTMENTS

3.5mm Ceramic Abutment (Regular Emergence)



PYRCA

PGRCA

P�RCA

3inOne Abutments for Cement-retained Restorations

Ceramic Abutments for Cement-retained Restorations

PEEK® Temporary Abutments

3.5mm Wide Emergence Profile Abutment

4.5mm Wide Emergence Profile Abutment

3.5mm Straight Esthetic Abutment (Wide Emergence)

4.5mm Straight Esthetic Abutment (Wide Emergence)

5.7mm Straight Esthetic Abutment (Regular Emergence)

Usedtofabricatecement-retained,single-ormultiple-unitprostheses.PackagedwithAbutmentScrew(PXAS).TitaniumAlloy[Ti-6Al-4V].TiNcoated.Finaltorque:30Ncm.


PYSEA

PGSEA

P�SEA

PYWEA

PGWEA

Esthetic Abutments for Cement-retained Restorations

Profile Abutments for Cement-retained Restorations

8mm

1.5mm

1.5mm

5mm8mm

2.3mm

7mm

3mm

9mm

1mm

2mm

10mm

15



3.5mm Angled Abutment (Regular Emergence)



PYRAA

PGRAA

P�RAA

INDIVIDUAL ABUTMENTS

Angled Abutments for Cement-retained Restorations


3.5mm Narrow Emergence Abutment



PYNEA

PGNEA

P�NEA

3.5mm Angled Esthetic Abutment (Wide Emergence)

4.5mm Angled Esthetic Abutment (Wide Emergence)

5.7mm Angled Esthetic Abutment (Regular Emergence)


PYAEA

PGAEA

P�AEA

Angled Esthetic Abutments for Cement-retained Restorations

Narrow Abutments for Cement-retained Restorations

Usedforsingle-unitscrew-retainedorcustomabutmentcement-retainedrestorations.PackagedwiththeAbutmentScrew(PXAS).GoldAlloybasewithDelrin®sleeve.Finaltorque:30Ncm.

3.5mm Custom Cast Abutment, Hexed



3.5mm Custom Cast Abutment, Non-hexed



Usedformultiple-unit,screw-retainedrestorations.PackagedwiththeAbutmentScrew(PXAS).GoldAlloybasewithDelrin®sleeve.Finaltorque:30Ncm.

PYCAH

PGCAH

P�CAH

PYCAN

PGCAN

P�CAN

Custom Castable (UCLA) Abutments - Hexed

Custom Castable (UCLA) Abutments - Non-hexed

20°

10mm

3mm

9mm

1mm

15°

4.5mm

10mm

10mm

2.5mmto top of screw

10mm


16


3.5mm Narrow Indirect Transfer Coping

3.5mm Regular Indirect Transfer Coping

3.5mm Wide Indirect Transfer Coping



4.5mm Wide Indirect Transfer Coping



PX�T

Usedtomakeaclosed-tray,implant-level,hexed-timedimpression.PackagedwiththeAbutmentScrew(PXAS).TitaniumAlloy[Ti-6Al-4V].

Fitsallprostheticplatforms.Usedwiththe3inOneAbutmenttoformanimpressioncopingforclosed-tray,hexed-timedtransfers.MaybeusedtoincreaseheightofIndirectTransferCopingsby3mm.Hand-tighten.TitaniumAlloy[Ti-6Al-4V].

�all-top Screw for Indirect Transfer

PYNIC

PYRIC

PYWIC

PGNIC

PGRIC

PGWIC

P�NIC

P�RIC

Indirect Transfer Copings (Closed Tray) - Hexed

Ball-top Screw for Indirect Transfer

3.5mm Narrow Direct Pick-up Coping, Hexed

3.5mm Regular Direct Pick-up Coping, Hexed

3.5mm Wide Direct Pick-up Coping, Hexed



4.5mm Wide Direct Pick-up Coping, Hexed



Usedtomakeanopen-tray,implant-level,hexed-timedimpression.PackagedwiththeDirectCopingScrew(PXDCS).TitaniumAlloy[Ti-6Al-4V].

PYNDC

PYRDC

PYWDC

PGNDC

PGRDC

PGWDC

P�NDC

P�RDC

Direct Pick-up Copings (Open Tray) - Hexed

8mm

3mm

11mm

Ball-top Screw (PXBT) pictured sold separately

3mm

8mm

9mm

7mm

16mm

5mm

IMPRESSION COMPONENTS

17


Fitsallimplantprostheticplatforms.Lowprofilescrewhead.Packagedwithalltwo-pieceabutments.Utilizesthe.050”(1.25mm)HexDriver.Finaltorque:30Ncm.TitaniumAlloy[Ti-6Al-4V].

PXAS

PXDCS

Abutment Screw

Direct Coping Screw

Fitsallimplantprostheticplatforms.PackagedwithallDirectPick-upCopings.MayalsobeusedinplaceoftheAbutmentScrew(PXAS)whenextralengthisneeded,ortomaintainthescrewaccessholeduringfabricationofscrew-retainedprovisionalprostheses.Upto7mmcanberemovedfromthescrewwithoutlosingthehexengagement.Utilizesthe.050”(1.25mm)HexDriver.Finaltorque:30Ncm.TitaniumAlloy[Ti-6Al-4V].

Abutment Screw

Direct Coping Screw

3.5mm Implant Analog



Representstheimplantinalaboratory-fabricated,implant-levelstonemodel.NotintendedforusewithSimpleSolutionscomponents.TitaniumAlloy[Ti-6Al-4V].

PYIA

PGIA

P�IA

Implant Analogs

3.5mm Narrow Direct Pick-up Coping, Non-hexed



Usedtomakeanopen-tray,implant-level,non-hexedimpression.PackagedwiththeextendedDirectCopingScrew(PXDCS).Mayalsobeusedtofabricatemultiple-unitlaserweldedbars;seetheInternalProstheticTechniqueManual(ref.ML0118)foradditionalinformation.TitaniumAlloy[Ti-6Al-4V].

PYNDCN

PGNDCN

P�NDCN

Direct Pick-up Copings (Open Tray) - Non-hexed

9mm

7mm

16mm

5mm

IMPRESSION COMPONENTS

7mm

18


Simple Solutions 3.5mm Healing Cap, 4.0mm






Usedas-isorasacopingforfabricationofprovisionalrestorations(upto30days).Securewithtemporarycement.Orderbyplatformdiameterandabutmentheight.PEEK®(PolyEtherEtherKetone).

Simple Solutions 3.5mm Replica, 4.0mm






Orderbyplatformdiameterandabutmentheight.TitaniumAlloy[Ti-6Al-4V].

SYR40

SYR55

SGR40

SGR55

S�R40

S�R55

SYPHC40

SYPHC55

SGPHC40

SGPHC55

S�PHC40

S�PHC55

Simple Solutions 3.5mm Impression Cap, 4.0mm






Orderbyplatformdiameterandabutmentheight.

SYPIC40

SYPIC55

SGPIC40

SGPIC55

S�PIC40

S�PIC55

Simple Solutions Healing Caps

Simple Solutions Replicas & Replica Lab Tools

SIMPLE SOLUTIONS INDIVIDUAL COMPONENTS

Simple Solutions Impression Caps

Collar height(0.8,1.8or2.8mm)

SPY4008

SPY5508

SPG4008

SPG5508

SP�4008

SP�5508

SPY4018

SPY5518

SPG4018

SPG5518

SP�4018

SP�5518

SPY4028

SPY5528

SPG4028

SPG5528

SP�4028

SP�5528

3.5mm Abutment, 4.0mm






SimpleSolutionscrownsfinishontherestorativeshoulderoftheabutment.Therearethreeoptionsfortransmucosalcollarheight:0.8mm/1.8mm/2.8mm.Selectthecollarheightthatpositionstherestorativeshoulderascloseaspossibletothedesiredpositionofthecrownmargin.PackagedwithAbutmentScrew(PXAS).TitaniumAlloy[Ti-6Al-4V].Finaltorque:30Ncm.

Abutment height(4.0or5.5mm)


Simple Solutions Abutments

19


SIMPLE SOLUTIONS INDIVIDUAL COMPONENTS

Simple Solutions 3.5mm Waxing Sleeve, �ridge (multiple units)



Simple Solutions 3.5mm Waxing Sleeve, Crown (single unit)



WaxingSleevesforCrownhaveinternalanti-rotationflatstoengagetheabutment/replicaflats.TheWaxingSleevesforBridgehavenoanti-rotationalfeatureandmayonlybeusedformultipleunits.Orderbyplatformdiameter.Trimforheight.Burn-outplastic.

SYPWSC

SGPWSC

S�PWSC

SYPWS�

SGPWS�

S�PWS�

UsedtoremovethesnapfeaturefrommetalcastingsfabricatedwithSimpleSolutionsWaxingSleeves. Do not use on non-precious alloys.Orderbyplatformdiameter.

Simple Solutions 3.5mm Casting Reamer



SYCR

SGCR

S�CR

Usedtocreateburn-outcopingswithoutuseoftheWaxingSleeves.Thedouble-endedtools(4.0mm/5.5mmabutmentheight)mimicthegeometryofSimpleSolutionsReplicasincludingtheanti-rotationflats,butWITHOUTtheretentivesnapfeature.CastingsmadefromcopingsfabricatedontheReplicaLabToolsdonotrequireuseoftheCastingReamers(below).

Simple Solutions 3.5mm Replica Lab Tool



SYRLT

SGRLT

S�RLT

Simple Solutions Casting Reamers

Simple Solutions Replica Lab Tools

Simple Solutions Waxing Sleeves

20


3.5mm Abutment for Screw, 1mm collar








PackagedwithallAbutmentsforScrew.Hand-tightenwith.050”(1.25mm)HexDriver.TitaniumAlloy[Ti-6Al-4V].

PXA�CC

Maybetrimmedforheight.PackagedwithoneScrew(regular),AbutmentforScrew(seePXABS).GoldAlloybasewithDelrin®sleeve.

PXA�GC PXA�PCGold Coping, Abutment for Screw Plastic Coping, Abutment for Screw

Cover Cap, Abutment for Screw

Maybetrimmedforheight.PackagedwithoneScrew(regular),AbutmentforScrew(seePXABS).Delrin®sleeve.

Usedformultiple-unitrestorationsincluding:screw-retainedrestorationsattheabutmentlevel,castalloybarsforoverdenturesandfixed/detachable(hybrid)restorations.ComespackagedwiththeCoverCap(PXABCC).TitaniumAlloy[Ti-6Al-4V].

PYAFS1

PYAFS3

PYAFS5

PGAFS1

PGAFS3

PGAFS5

P�AFS1

P�AFS3

ABUTMENT FOR SCREW COMPONENTS

Gold & Plastic Copings, Abutment for Screw

Abutment for Screw

Cover Cap, Abutment for Screw

Instant Fixed Overdenture Abutment

PXIFOInstant Fixed Overdenture Abutment

UsedwithAbutmentsforScrewforfabricationofimmediateprovisionaloverdentures.PackagedwithoneScrew(regular),AbutmentforScrew(seePXABS).Abutmentheightis9mm.Finaltorque:30Ncm.TitaniumAlloy[Ti-6Al-4V}

ComespackagedwiththeCoverCap(PXABCC)andAbutmentScrew(PXAS).Finaltorque:30Ncm.TitaniumAlloy[Ti-6Al-4V].

Angled Abutment , Abutment for Screw

1mm

1,3 or 5mm

3.5mm Angled Abutment for Screw, 17 Degree




PYAFS17

PGAFS15

PGAFS25

P�AFS15

15, 17 or 25°

5mm

12mm


12mm


21


Usedinthelabwhenalongerscrewisdesired.UsedonlywiththeAbutmentforScrew.Upto7mmcanberemovedfromthescrewwithoutlosingthehexengagement.Hand-tightenortorqueto30Ncmdependingonapplication.TitaniumAlloy[Ti-6Al-4V].

PXA�SLScrew (long), Abutment for Screw (5 pack)

PXA�DC

Usedtomakeadirectpick-upimpression(open-tray)attheabutmentlevel.PackagedwiththeScrew(long),AbutmentforScrew(PXABSL).UsedonlywithAbutmentforScrew.TitaniumAlloy[Ti-6Al-4V].

PXA�A

UsedtorepresenttheAbutmentforScrew/Implantassemblyintheworkingcast.Notforusewithimplant-levelimpressions.TitaniumAlloy[Ti-6Al-4V].

Direct Pick-up Coping, Abutment for Screw

Analog, Abutment for Screw

UsedtoretainbarsorprosthesesfabricatedwiththeAbutmentforScrewCopings.Utilizesthe.050”(1.25mm)HexDriver.Finaltorque:30Ncm.TitaniumAlloy[Ti-6Al-4V].

PXA�SScrew (regular), Abutment for Screw (5 pack)

PXA�IC

Usedtomakeanindirecttransfer(closed-tray)impressionattheabutmentlevel.UsedonlywithAbutmentforScrew.TitaniumAlloy[Ti-6Al-4V].

Indirect Transfer Coping, Abutment for Screw

Direct Pick-up Coping, Abutment for Screw

Analog, Abutment for Screw

ABUTMENT FOR SCREW COMPONENTS

RequiredforplacementofAbutmentforScrew.MaybedrivenbyeitherHandWrench,TorqueWrenchorAS123HandUnit.

PXHAHex Adapter, Abutment for Screw

Hex Adapter, Abutment for Screw

Indirect Transfer Coping, Abutment for Screw

Screw (regular or long), Abutment for Screw

11mm

5.6mm

10mm

7mm

22


LOCATOR ABUTMENT COMPONENTS

4.5mm Locator Abutment, 0mm Cuff Height

4.5mm Locator Abutment, 1.0mm Cuff Height












3.5mm Locator Abutment, 0mm Cuff Height







OrderbyCuffHeighttomatchtheheightofthegingivaltissue.Thefemaleportionoftheabutmentadds1.5mmtothestatedheight.Theabutmentneedstoextendabovethetissueby1.5mmtoallowtheLocatorMaletoseatcompletely.OrderoneLocatorMaleProcessingSetforeachLocatorAbutment(soldinpacksof2or10).LocatorAbutmentsaremadefromTitaniumAlloy[Ti-6Al-4V].

TheMaleProcessingPackageprovides3choicesofretention(seeoppositepage).TheReplacementMales(clear,pinkandblue)areusedtorestoreimplantswithupto10°ofdivergence(20°betweenimplants).TheExtendedRangeReplacementMales(greenandred)accommodatedivergencesfrom10°and20°(40°betweenimplants),andmaybepurchasedseparately.

PYLA0PYLA1PYLA2PYLA3PYLA4PYLA5PYLA6

PGLA0PGLA1PGLA2PGLA3PGLA4PGLA5PGLA6

P�LA1P�LA2P�LA3P�LA4P�LA5P�LA6

Locator Abutments

LCT Locator Core ToolMulti-purposetoolservesashanddriverforseatingLocatorAbutmentsontotheimplants,seatingtoolfornylonmaleinsertsandinsertremovaltool.

LMPP-2 Locator Male Processing Package (2 pack)Includes:(2)DentureCapswith(2)BlackProcessingMales;(2)WhiteBlock-outSpacers;(2)Clear,(2)Pinkand(2)BlueNylonMales.

LMPP-10 Locator Male Processing Package (10 pack)Includes: (10) Denture Caps with (10) Black Processing Males; (10) WhiteBlock-outSpacers;(10)Clear,(10)Pinkand(10)BlueNylonMales.

Locator Components

0 to 6mm Cuff Height

Ø3.5mm

2.5mm

Ø5.5mm

23


LIC Locator Impression Coping (4 pack)

LFA-4MMLFA-5MM Locator Female Analog Ø5mm (4 pack)

Locator Female Analog Ø4mm (4 pack)

LRM-R Locator Extended Range Extra Light Retention Rep. Male (red) (4 pack)Retention:1.5lbs/680g

LRM-G Locator Extended Range Replacement Male (green) (4 pack)Retention:3-4lbs/1361-1814g

LRM-� Locator Extra Light Retention Replacement Male (blue) (4 pack)Retention:1.5lb/680g

LRM-P Locator Light Retention Replacement Male (pink) (4 pack)Retention:3lb/1361g

LRM-C Locator Replacement Male (clear) (4 pack)Retention:5lb/2268g

LSDT-15MM

LSDT-21MM

Locator Square Drive Tool (15mm)UsedwithatorquewrenchtoseatLocatorAbutments.15mminlength.

Locator Square Drive Tool (21mm)UsedwithatorquewrenchtoseatLocatorAbutments.21mminlength.

LAMG Locator Angle Measurement Guide

L�PRM Locator �lack Processing Replacement Male (4 pack)

LPP Locator Parallel Post (4 pack)

LOCATOR ABUTMENT COMPONENTS

Locator Impression Coping

Locator Female Analog

Locator Male Replacements

Locator Parallel Post

Locator Measurement Guide

Locator Square Drive Tool

24


Ø5.9mm

3.5mm �all Abutment, 1mm Collar








BallAbutmentsareusedforretentionoftissue-supportedoverdentures.Theyarerecommendedforrelativelyparallelimplants.Seebelowandonthefacingpageforattachmentoptions.BallAbutmentsmaybeusedasindirecttransferimpression.BallAbutmentAnalogsonfacingpageareusedfortheproductionofaworkingcast.

PY�A1

PY�A3

PY�A5

PG�A1

PG�A3

PG�A5

P��A1

P��A3

BALL ABUTMENT COMPONENTS

O-ring Attachment Set260-100

StandardO-ringattachmentforprocessingintodenture.

O-ring Encapsulator Femalereceptacleprocessedintodenture.Titanium.2perpackage.

260-300

Clinical O-ringUsedforclinicalapplications.Silicone.12perpackage.

260-210

Processing O-ringUsedforlabprocessingapplications.Buna.12perpackage.

260-220

Ball Abutments

O-ring Attachment Set

1,3 or 5mm

Ø2.5mm

3.5mm

2.6mm5mm

3.2mm

Ø5.5mm

Includes:(1)O-ringencapsulator,(2)ProcessingO-ringsand(2)ClinicalO-rings.

O-ring Individual Components

25


�CIST ReamerUsedtoadjustretentionofnyloninserts.

�CRInsert Seating ToolUsedtoseatnyloninsertsinattachmenthousings.

BALL ABUTMENT COMPONENTS

TheBallAttachmentsystemoffersseveraladvantagesovertraditionalO-ringattachments.Itrequireslessmesial/distal/buccal/lingualspaceandoffersfourdifferentlevelsofretention.Thenylonretentioninsertscanbechangedchairside.

Pink Nylon Insert Clinicaluse.2perpackage.SoftRetention:800-950g

White Nylon Insert Clinicaluse.2perpackage.StandardRetention:1200-1300g

Yellow Nylon Insert Clinicaluse.2perpackage.ExtraSoftRetention:500-550g

�lack Nylon Insert LabProcessingandChair-sideDenturePick-up.2perpackage.

Green Nylon Insert Clinicaluse.2perpackage.ElasticRetention.

�CIG

�CI�

�CIY

�CIW

�CIP

�CAHT

Includes:(1)TitaniumHousing,(3)FemaleNylonInserts-white(moreretention),pink(lessretention),black(labprocessing)and(1)ProtectiveDisk(ref.BCPD,protectstissueduringimpressionmakingordenturepick-up)

�CAS �all Attachment Set

Attachment Housings - TitaniumForResinpickuporSoldering.2perpackage.

PYG�AA

P��AA

3.5/4.5mm �all Abutment Analog

5.7mm �all Abutment Analog

UsedtorepresenttheBallAbutment/Implantassemblyintheworkingcast.OnlyusedinconjunctionwithBallAbutments.TitaniumAlloy[Ti-6Al-4V].

Ball Attachment Set

Ball Abutment Components

Ball Abutment Analogs

Directional Rings Usedforobtainingparallelism.0°,7°and14°rings.Setof3.

�CDR

26


PROSTHETIC INSTRUMENTATION

Hand WrenchUsedondriveendofAS123HandUnit.AlsofitsindividualHexDrivers/AdaptersandBoneTaps.

300-400

30 Ncm Torque WrenchUsedtodelivertorquetoprostheticcomponents.

300-070

300-100 AS123 Hand UnitProvidesimprovedvisionandeasyaccesstoprostheticcom-ponentsinposteriorregionsofthemouth.HandWrenchandDriversmustbepurchasedseparately.

Mayalsobepurchasedaspartofthe320-000CompleteProstheticInstrumentationSystem(seeabove).

Prosthetic Sterilization Tray (not shown)Autoclavabletrayforprostheticinstrumentation(includedwiththe320-000and320-101).

Complete Prosthetic Instrumentation System (shown)Includes:AS123HandUnit/HandWrench/30NcmTorqueWrench/.050”(1.25mm)HexDriver,Regular/.050”(1.25mm)HexDriver,Long/HexAdaptersforAbutmentforScrew/RatchetExtender/SterilizationTray.

320-000

.050” (1.25mm) Hex Driver Regular or LongUsedtodriveallsurgicalandprostheticcomponentswiththeexceptionoftheAbutmentforScrew.

300-350 (regular)

300-351 (long)6.25mm

12.5mm

320-101�asic Prosthetic Instrumentation Kit (not shown)Includes:HandWrench/30NcmTorqueWrench/.050”(1.25mm)HexDriver,Regular/.050”(1.25mm)HexDriver,Long/RatchetExtender/SterilizationTray.

Prosthetic Instrumentation System

RequiredforplacementofAbutmentforScrew.MaybedrivenbyeitherHandWrench,TorqueWrenchorAS123HandUnit.

304-210

305-210

3.5/4.0mm Hex Adapter, Abutment for Screw

5.0mm Hex Adapter, Abutment for Screw

300-430

27


PROSTHETIC INSTRUMENTATION

PYGAH

P�AH

Ø3.5/4.5mm Platform Analog Handle

Ø5.7mm Platform Analog Handle

Usedtoholdabutmentsforchairsideorlaboratorypreparation,thesehandlesmimictheimplant/analoghexgeometry.AbutmentsaresecuredtothehandlewiththestandardAbutmentScrew(PXAS).Comesintwoplatformsizes:Ø3.5/4.5mmandØ5.7mm.

Internal Implant Analog Handles

IMPAH Abutment Clamp

Usedtoholdtwo-pieceabutmentsduringdeliveryandtighteningoftheAbutmentScrew.

ForinstallationandremovalofCoverScrews,HealingAbutmentsandAbutmentScrews.TheHandpieceHexDriversareusedwithlatch-typecontra-anglehandpieces.TheHandpieceHexDriver,Long(134-450)is5mmlongerthanthestandardversion(134-350).

135-351

134-350

134-450

.050” (1.25mm) One-piece Hex Driver

.050” (1.25mm) Handpiece Hex Driver

.050” (1.25mm) Handpiece Hex Driver, Long

Implant Clean-out Tap Tool

Abutment for Screw Clean-out Tap Tool

Usedtore-threadTaperedInternalorAbutmentsforScrewwheretheinternalthreadshavebecomedamaged.RequiresastandardsurgicalRatchet(130-000)orHandWrench(300-400)asadrivemechanism.

PXCT

122-170

Abutment Clamp

Hex Drivers

Clean-out Tap Tools

11.5mm

28


ML0131

Tapered Internal 4x Patient Education ModelThis4-timesscalemodelincludestheImplant,Abutment,AbutmentScrew,Ball-topScrew,HealingAbutment,CoverCap,ImplantDriverandHexDriver.Excellentfordemonstratingimplantcomponentstothepatient.Callforavailability.

TI4XIM

MLD101

ML0129

ML0114 Patient Education – Stabilizing dentures using dental implants

Patient Education – Rebuilding and maintaining bone

Patient Education – Soft tissue grafting with AlloDerm

ML0103 Patient Education – Tooth replacement with dental implants

Five Implant Acrylic ModelThis life-sized model allows the clinician to illustrate implant placement ofBioHorizonsimplants.Clearacrylicallowstheimplantstobeviewedinrelationtoadjacentteeth.Callforavailability.

MPSA

L0602 Tapered Internal Depth Mark and Drill Sequence Chart

L0601 Tapered Internal Surgical Kit Wall Chart

L0135 Tapered Internal Radiographic Implant Template (overlay)Designedtoaidtheclinician inthepreoperativedeterminationofoptionsforimplant length and diameter. The clear overlay template shows all sizes ofBioHorizonsTaperedInternalimplantsin100%and125%scale.

Patient Education – Dental Implants - the tooth replacement solutionThishigh-qualityflipbookhelpstheimplantcandidateunderstandtherationaleand the advantages of implant therapy compared to traditional treatmentmethods.9”x6”(23cmx16cm).

COLLATERALS

Internal Prosthetic ManualML0118

Simple Solutions Prosthetic Technique ManualML0142

Internal Prosthetic Technique Manual

Simple Solutions Prosthetic Technique Manual

29


ThisSurgicalManualservesasareferenceforusingtheTaperedInternalimplantsandsurgicalinstruments.Itisintended

solelytoprovideinstructionsontheuseofBioHorizonsproducts.Itisnotintendedtodescribethemethodsorprocedures

for diagnosis, treatment planning, or placement of implants, nor does it replace clinical training or a clinician’s best

judgmentregardingtheneedsofeachpatient.BioHorizonsstronglyrecommendsappropriatetrainingasaprerequisite

fortheplacementofimplantsandassociatedtreatment.

Theproceduresillustratedanddescribedwithinthismanualreflectidealizedpatientpresentationswithadequatebone

andsofttissuetoaccommodateimplantplacement.Noattempthasbeenmadetocoverthewiderangeofactualpatient

conditions thatmayadverselyaffectsurgicalandprostheticoutcomes.Clinician judgment as related to any specific

case must always supersede any recommendations made in this or any BioHorizons literature.

Before beginning any implant surgical procedure with BioHorizons implants:

• Read and understand the Instructions for Use that accompany the products.

• Clean and sterilize the surgical tray and instruments per appropriate Instructions for Use.

• Become thoroughly familiar with all instruments and their uses.

• Study Surgical Kit layout, color-coding scheme and iconography.

• Design a surgical treatment plan to satisfy the prosthetic requirements of the case.

Treatment Planning

For idealresults in implantdentistry,thetreatmentteamshouldbe inagreementandincommunicationthroughoutall

stagesoftherapy.Thepatient,therestorativeandsurgicaldoctors,aswellasthedentallaboratoryshouldunderstandand

agreeuponthetreatmentplan.Thetreatmentplanshoulddeterminethedesign,numberandpositionoftheimplants.

Placement of small diameter implants or the use of angled abutments

is not recommended in the posterior region of the mouth.

Diagnostic Casts

Mountedstudycastsandadiagnosticwax-uparethefoundationfordeterminingimplantlocation. Surgical Guide Templates

Oncethediagnosticwax-upisfinalized,therestorativedoctorordentallaboratoryfabricatesthesurgicalguidetemplate.

Thisguidedirectsthesurgeontotheimplantlocationthatoffersthebestsupportfortheprosthesis,aswellasoptimal

esthetics and hygiene requirements. The surgical guide also provides information about the tooth and supporting

structuresthathavebeenlost.

Laboratory Guide Templates

Amatrixofthediagnosticwax-upmayalsobeutilizedbythelaboratorywhendevelopingthefinalprosthesis.Thematrix

actsasaguideforpositionandcontouroftheprosthesis.

INSTRUCTIONS FOR USE

Disclaimer

30


Two-stage surgery was the original protocol developed for placingmodern dental implants. In this type of surgery, the implant is placedbelow the soft tissue and protected from occlusal function and otherforcesduringosseointegration.Alow-profileCoverCapisplacedontheimplanttoprotectitfromtheingressofsofttissue.

Followingosseointegration,asecondsurgeryexposestheimplantandatransmucosalHealingAbutmentisplacedtoallowforsofttissuehealingand development of a sulcus. Prosthetic restoration begins after softtissuehealing.

Single-stage surgery may be accomplished with the Tapered Internalimplant by placing a healing abutment at the time of initial implantsurgery. This eliminates the need for a second surgery to expose theimplant. Although the implant is not in occlusal function, some forcescanbetransmittedtoitthroughtheexposedtransmucosalelement.

Prostheticrestorationbeginsfollowingosseointegrationoftheimplantandsofttissuehealing.

Single-stage surgery with non-functional immediate provisionalizationprovides the patient a non-functioning provisional prosthesis earlyin the treatment plan. An abutment is placed on the implant at orshortlyaftersurgery,andaprovisionalrestorationissecuredtoitwithtemporary cement. The provisional can help contour the soft tissueprofileduringhealing.

Single-stagesurgerywithimmediatefunctionispossibleingoodqualitybone where multiple implants exhibiting excellent initial stability canbesplintedtogether.Splinting implantstogethercanofferasignificantbiomechanicaladvantageoverindividual,unsplintedprostheses.

TaperedInternalimplantwithCoverCapinatwo-stageprotocol.

TaperedInternalimplantswithasplintedprosthesisinimmediatefunction.

TaperedInternalimplantwithremovableHealingAbutmentinasingle-stageprotocol.

TaperedInternalimplantrestoredwithanon-functionalprovisionalprosthesis.

SURGICAL PROTOCOLS

Two-stage Protocol

Single-stage Protocol

Non-functional Immediate Restoration

Immediate Function Restoration

31


Spacing considerations for BioHorizons Tapered Internal implants (measurementsaretakenattheosseouscrest):

Theosteotomycenter-to-centermeasurementrequiredtomaintaina3.0mmedge-to-edgespacing(generallyaccepted)betweenTaperedInternalimplantsis½ [sum of 2 implant body diameters] + 3.0mm.

1.5mm

3.8mm

Osteotomy center 3.8mm from adjacent tooth

3.0mm

8.2mm

1.5mm

Measurement is dependent on the two implant body diameters.

Theosteotomycenterpointrequiredtomaintaina1.5mmimplant-to-toothspacing(generallyaccepted)is½ [implant body diameter] + 1.5mm.

During implant placement, clinicians must apply their best judgment as to the appropriate spacing for individual patient conditions.

3.8mm

4.6mm

5.8mm

3.8mm

4.6mm

5.8mm

3.4mm

4.4mm

3.8mm

bodydiameter Ø5.8mmØ4.6mmØ3.8mm

8.8mm8.2mm

7.6mm

6.8mm

7.8mm

7.2mm

bodydiameter

IMPLANT SPACING

Implant Spacer / Depth ProbePurpose: Multi-function instrument for intraoral measurements.

Therectangularendofthetoolprovidesintraoral

measurements.

Usefulformarkingcenter-to-centerimplantspacing

ontheridge.

Therectangularendagainstanexistingcrownplacestheosteotomy

~4.25mmfromthecontact.

~4.25mm

Probetipmeasuresosteotomydepth.

7mm

9mm

11mm

13mm

15mm

10mm

12mm

14mm

16mm

osteotomy center from adjacent tooth

Implant center to center

•Fivecentimetergraduatedruleronshaft

32


TheTaperedInternalSurgicalKitusesanintuitivelayouttoguidethesurgeonthroughtheinstrumentsequence.Thesequencebeginsintheupperlefthandcornerandworksleft-to-rightandthendown.Color-codedlines,instrumentsandgrommetsarematchedwitheachimplantandfurtheraidininstrumentselectionandidentification.

Priortouse,cleanandsterilizethesurgicaltrayandinstrumentsperappropriateInstructionsforUseandstudytheSurgicalKitlayout,color-codingandiconography.Surgicalassistantsshouldalsobethoroughlyfamiliarwithallinstrumentsandtheiruses.

SURGICAL KIT LAYOUT

Depth Drill Sequence Crestal �one Drills

�one Taps

Width IncreasingDrill Sequence

Abutment-level and/or Implant-

level Drivers

Depth Gauges

33


SupracrestalplacementputsthemachinedportionofthecollarandaportionoftheLaser-Lokzoneincontactwiththesofttissueandpromotessofttissueattachment. To do so, reduce your osteotomy depth by 1mm using theappropriate length indicatoronthedrills.Priortoclosure,verifythe implanthasinitialstabilityandthesofttissuecoverageisadequate.

When placing the Tapered Internal implant in an uneven ridge, prepare theosteotomy and place the implant so that the bone/soft-tissue junction iswithinthe1.5mmLaser-Loktransitionzone.Ifthediscrepancyismorethan1.5mm,levelingtheridgecanbeconsidered.

Toplace the implant levelwith thecrest,drill to the length indicatoron thedrillsthatcorrespondtotheselectedimplantlength.

Crestal placement is the recommended protocol for RBT-collarTapered Internal implants (nonLaser-Lok).ContactCustomerCareforavailabilityofthisproductinyourmarket.

Supracrestal placement is not recommended for 7.5mm lengthTaperedInternalImplants.

SupracrestalplacementisnotrecommendedforRBT-collarTaperedInternal implants (non Laser-Lok). Contact Customer Care foravailabilityofthisproductinyourmarket.

IMPLANT PLACEMENT LEVEL

Crestal Placement

Supracrestal Placement

Placement in Uneven Ridges

34


The Starter Drill, Depth Drills, Width Increasing Drills and Bone Taps are marked with 1mm silver bands to aid in both supracrestal and crestal implant placement. Drilling to the lead edge of a silver band places the implant supracrestal and puts the machined collar and a portion of the Laser-Lok zone (1mm total) in contact with the soft tissue encouraging soft tissue attachment. Drilling to the trailing edge of a silver band places the implant at bone level (i.e. crestal).

• Peri-operative oral rinses with a 0.12% Chlorhexidine Digluconate solution have been shown to significantly lower theincidenceofpost-implantation infectiouscomplications.4Apreoperative30-secondrinse isrecommended, followedbytwicedailyrinsesfortwoweeksfollowingsurgery.

•Drillingmustbedoneunderaconstantstreamofsterileirrigation.Apumpingmotionshouldbeemployedtopreventover-heatingthebone.Surgicaldrillsandtapsshouldbereplacedwhentheyareworn,dull,corrodedorinanywaycompromised.BioHorizonsrecommendsreplacingdrillsafter12to20osteotomies.5ADrill-usageTrackingChartisavailabletorecordthisimportantinformation.

•Thereisariskofinjurytothemandibularnerveassociatedwithsurgicaldrillinginposteriormandibularregions.Tominimizetheriskofnerveinjury,itisimperativethattheclinicianunderstandsthedrilldepthmarkingsastheyrelatetotheimplantlengthtoproducethedesiredverticalplacementoftheimplant.

All surgical drills included with this system are externally irrigated and designed to be used at drill speeds of 850-2500 rpm3 with steady sterile irrigation. Reduced drill speed may be indicated in softer bone or as drill diameter increases.

Note: Supracrestal placement reduces the implant length in bone by 1mm. Care should be taken to ensure initial implant stability is obtained.

DRILL OVERVIEW

Drill Markings

Important Considerations

15.0mm

Crestalplacement

12.0mm

10.5mm

9.0mm

7.5mm

Supracrestalplacement

14.0mm

11.0mm

9.5mm

8.0mm

6.5mm

12mm implant

10.5mm implant

9mm implant

7.5mm implant

15mm implant

35


•Efficientcuttingdrilldesigncollectsbonefor

autografting

Purpose: Sets osteotomy depth following use of the Ø2.0mm Starter Drill.

•Chisel-tipdesigneliminates“skating”onosseouscrest

•Initiatesosteotomytodesireddepth

•PreparessiteforParallelingPins

Purpose: Initiates osteotomy.

OSTEOTOMY INITIALIZATION

The Ø2.0mm and Ø2.5mm depth drills are designed toincreaseand/orsetthedepthoftheosteotomy.Thesedrillsaredesignedforplacingthe implant1mmsupracrestaloratthecrest.

Crestal (drill to trailing edge)

Supracrestal (drill to leading edge)

Ø2.5mm Depth Drill with Stop

Purpose: Sets osteotomy depth following use of the Ø2.0mm Starter Drill.

•Fixedcircularringactsasadefinitivedrillstop

•Onedrilllengthforeachimplantlength(7.5,9,10.5,12and15mm)

•1mmlaser-etchedlineguidessupracrestalimplantplacement

•BioHorizonsSurgicalKitincludesspareslotsforDepthDrillswithStops

•Pleasecallforavailability

Ø2.5mm Depth DrillØ2.0mm Starter Drill

36


•Depth-markedforreference

•Efficientcuttingdrilldesigncollectsboneforautografting

•Thedrilltipisdesignedforlimitedendcutting.However,theosteotomy

depthcanbeincreasedwiththesedrillsasneeded.

Purpose: Incrementally widens the osteotomy to reduce heat generation.

Seepage6forExtendedShankDrills.

OSTEOTOMY POSITION & MODIFICATION

Ø3.2 - 5.4mm Width Increasing Drills

•Depth-markedforreference.

•UsedfollowingthefinalWidthIncreasingDrillforeachimplant

•Placethedepthgaugeintotheosteotomysite.Adjustosteotomydepthasnecessary.

Purpose: Verifies that osteotomy has been prepared

to required depth.

Tapered Internal Depth Gauges

12mm Implant with Laser-Lok

Depth GaugeWidth Increasing

Drill

10.5mm implant

9mm implant

7.5mm implant

12mm implant

15mm implant

•Providedstraightorwitha20°angle

•UsedafterØ2.0mmStarterDrillandØ2.5mmDepthDrill

•9mmshankforradiographicevaluationofproximitytoadjacentanatomy

•Hubdiameteris4.0mm

Purpose: Evaluation of osteotomy position and angle.

Paralleling Pins

37


•SiteSpecific.Indicatedwhendensecorticalboneispresentatcrest

•Roundednon-endcuttinghubcentersdrillinosteotomy

•UsedfollowingthefinalWidthIncreasingDrillforeachimplant

Implant level with osseous crest.

1mm left above osseous crest.

Donotfullyseatthedrillifalloraportionofthecollaristobeleftsupracrestal(Example 1).Fullyseatingthedrillallowstheimplanttobeplacedwiththeprostheticplatformlevelwiththecrestalridge(Example 2).

Purpose: Removes cortical bone at ridge crest to facilitate pressure-free seating of the implant collar

Example 2. (Crestal) Fully seat drill.

Example 1. (Supracrestal ) Partially seat drill.

FINAL BONE PREPARATION

Tapered Internal Crestal Bone Drills

•Sitespecific

•30rpmorless6

•Finalinstrumentpriortoimplantplacement

•SquaredriveshaftinterfaceswithHandpiece,Ratchet,HandWrench

•TheRatchetandHandWrenchExtendermaybeusedwhenadditional

lengthisneeded

PlacethetipoftheBoneTapintotheosteotomy,applyfirmapicalpressureand begin rotating slowly in a clockwise direction (30 rpm or less isrecommended)6.Whenthethreadsengage,allowthetaptofeedwithoutexcessivepressure.Toremove,rotatetheBoneTapinacounter-clockwisedirection,allowingittobackoutoftheosteotomy.Do not pull on the Bone Tap to remove it from the site.

Purpose: Prepares dense cortical bone for implant threads.

Bone Taps

38


TaperedInternalimplantsareprovidedinablisterpackwithmultiplepeel-and-sticklabelsforaffixingtothepatient’schart.Whenthelidoftheblistertrayisremoved,thesterileimplantvial isexposedandmaythenbeplacedinthesterilefield.Whileholdingthevialinanuprightfashion,removethecapbyrotatingitinacounter-clockwisedirection.

IMPLANT PACKAGING

The stated length of BioHorizons Tapered Internal implants is measured from the apex of the implant to the top oftheprostheticplatform(seepage3).Theplacementlevelshouldbedrivenbytheprostheticnecessitiesofeachcase.Contributingfactorsinclude:availableinter-occlusalspace,softtissuethicknessandplannedprosthesistype.

Placement Options

Implant Transfer

The Cover Cap for a two-stage surgical protocol is mounted on a plastic base and packaged in the vial underneath the implant

Surgical mount

Implant

Cover Cap

39


•Pre-mounted3inOneAbutmentservesasthesurgicaldrivemount

•Driversinterfacewiththeinternalsquareofthe3inOneAbutment

•PEEKplasticsnapringsecuresimplanttobecarriedtoosteotomy

•Electrichandpieceormanualinsertionoptions

•30rpmorless6

Purpose: Engagesthe3inOneAbutmentallowingtheimplant

tobedrivenintotheosteotomy.

If the driver’s square does not engage the abutment’s square during pick-up, the plastic snap ring WILL secure the implant for transport to the osteotomy. The square will automatically engage when the driver is slowly rotated under apical pressure.

Place the apex of the implant into the osteotomy, apply firm apical pressure and begin rotating slowly (30 rpm or less is

recommended)6.Whenthethreadsengage,allowtheimplanttofeedwithoutexcessivepressure.

Manualseatingvia theAbutment-levelDriver forRatchetmaybedesired togaina tactilesenseof final implantplacement.However,overtighteningtheimplantintheosteotomymaycauseosseousmicrofractureorbonesplitting.Iftoomuchresistanceisfeltduringinsertion,removetheimplantandrevisetheosteotomywiththeappropriateCrestalBoneDrillorBoneTapasdeemednecessarytoreduceinsertiontorque.

To avoid bone damage, the 3inOne abutment is designed to yield prior to the implant. This yield or break point can occur at insertion torque levels above 120 Ncm. If an abutment yield occurs, placement can be completed at the implant level and a new 3inOne Abutment can be used for impression making.

ABUTMENT-LEVEL PLACEMENT

Abutment-Level Placement

PEEK snap ring securely holds implant during

transport even if drive square fails to initially engage.

Abutment-level Driver engages the 3inOne Abutment’s Internal

square.

40


Toremovethe3inOneAbutment,engagetheAbutmentScrewwith the .050” (1.25mm)HexDriver.ApplyfirmapicalpressuretotheHexDriverandrotatecounter-clockwiseuntilthescrewiscompletelydisengagedfromtheimplantbody.

Insoftbone,orwhentheimplantlacksinitialstability,anAbutmentClamp(ref.IMPAH,soldseparately)shouldbeusedtograsptheoutsideoftheabutmenttoprovidecounter-torqueduringthelooseningoftheAbutmentScrew.

The3inOneAbutmentandtheAbutmentScrewshouldberetainedwiththepatient’schart.They can later be used in the impression making procedure and as a temporary or finalabutmentforcementretention.

Theflatsurfaceontheexternalaspectofthe3inOneAbutmentsisindexedtooneofthesixflatsoftheimplant’sinternalhexagon.Inmostcases,oneofthehexflatsshouldbeorientedtothefacialaspectasitallowsforangulationcorrectionwithstockangledabutments.Italsoallowstheflatofthe3inOne Abutmenttobeplacedtothefacialwhichleavesmoreroomforporcelaininthatareaonthefinalprosthesiswithminimalabutmentpreparation.

The implant’s rotational position can be adjusted following removal of the 3inOne Abutment using the Implant-level Drivers.

IMPLANT-LEVEL PLACEMENT & ORIENTATION

Internal Hex Orientation

Difficulty removing the 3inOne Abutment may indicate that the yield point of the abutment has been exceeded. It is possible that this can create up to a 10º rotational impression error if the lab uses a substitute 3inOne Abutment when creating the stone model. If this occurs, a new impression with a new 3inOne Abutment must be made.

•Maybeusedfollowingremovalofthe3inOneAbutment

•Offersanarrowerpathofinsertionandbetterclearancethanthe

3inOneAbutment/Abutment-levelDriveroption

•Handpieceormanualinsertionoptions

•30rpmorless6

The rotational position (hex flat orientation) or the placement level of theimplantscanbeadjustedwiththeImplant-levelDriversfollowingremovalofthe3inOneAbutment.Engagetheimplant’sinternalhexwiththeappropriatedriverandrotate to thedesiredposition.Thedimple foundon Implant-levelDriversisindexedtooneoftheinternalhexflatsandcanbeusedtohelpachievethedesiredhexorientation.

Purpose: Engagesimplant’sinternalhexallowingitspositiontobeadjustedin

theosteotomy.

Implant-level Drivers

41


• Irrigateimplanttoremovebloodandotherdebris

• RemoveCoverCapfromimplantvialwith.050”(1.25mm)HexDriver

• Threadclockwiseintoimplantbody

•Hand-tighten(10-15Ncm)utilizing.050”(1.25mm)HexDriver

• Color-codedbyprostheticplatform

Purpose: Protectsprostheticplatformintwo-stage(submerged)surgicalprotocols.

AnantibacterialpastemaybeplacedontheendoftheCoverCaptohelpdecreasetheriskofbacterialgrowthwithintheimplantbodyduringthehealingphase.FollowingplacementoftheCoverCap,thesurgicalsiteshouldbeirrigatedandthesofttissueadaptedinanormalsurgicalfashion.TakeprecautionstopreventtheCoverCapfrombeingaspiratedbythepatient.

Cover Caps for two-stage protocol

HEALING PROTOCOLS

• Availableinthreeemergenceprofilestomatchfinalabutments

• SimpleSolutionshealingabutmentsareselectedbyprosthetic

platformanddesiredcollarheight

•Hand-tighten(10-15Ncm)utilizing.050”(1.25mm)HexDriver

• Color-codedbyprostheticplatform

• Encodedforeasyintraoralidentification,forexample:

GR3 = Green(4.5mm)platform / Reg.Emerg. / 3mmHigh

GS1.8 = Green(4.5mm)platform / Simp.Sol./ 1.8mmcollar

Purpose: Transmucosalelementfordevelopingsofttissueemergence

withNarrow,Regular,WideEmergenceorSimpleSolutions

Internalsystemprostheticcomponents.

HealingAbutmentsareplacedafteruncoveryinatwo-stagesurgicalprotocol,orinlieuofaCoverCapinasingle-stage(non-submerged)protocol.PriortoseatingtheHealingAbutment,thoroughlyirrigatetheinsideoftheimplanttoremovebloodandotherdebris.Anantibacterialpastemaybeplacedonthescrewportion todecrease theriskofbacterialgrowthwithin theimplantbodyduringthehealingphase.Followingseating,irrigatethesurgicalsiteandadaptthesofttissueinnormalsurgicalfashion.Agingivectomyorapicallypositionedflaptechniquemaybeusedtoreducethesofttissuethicknessandtodecreasesulculardeptharoundtheimplant.ThesuturegrooveontheHealingAbutmentmaybeusedtoapicallypositionthesofttissueflap.TakeprecautionstopreventtheHealingAbutmentfrombeingaspiratedbythepatient.

Healing Abutments for single-stage protocol

42


PROVISIONALIZATION & POST-OPERATIVE INSTRUCTIONS

Immediate Provisional Restorative Options

BioHorizonsTaperedInternalImplantsmayberestoredimmediatelywithatemporaryprosthesisthatisnotinfunctionalocclusionorwhensplintedtogetherformultipletoothreplacementorwhenstabilizedwithanoverdenturesupportedbymultipleimplants.Generallyacceptedcriteriaforimmediateprovisionalrestorationsare:

•InitialImplantStability–differentbonequalitiesandquantitiesaswellaspreparationtechniquesinfluencetheinitial stabilityofanimplant.Theimplantshouldrequireaminimumof35to45Ncmoftighteningtorqueatplacementto insureadequatestabilityforimmediatefunction

•Controlledocclusalload,minimalcantileversandsplintedimplantsreducepotentialoverloadfactors •Goodperiodontalhealthandnopathologyattheimplantsite •Compliantpatient

Aperiodofunloadedhealingtimeisoftenrecommended.Thisisdependentonindividualpatienthealingratesandbonequalityoftheimplantsite.Eachcasemustbeindependentlyevaluated.Thisunloadedhealingperiodallowsforintegrationbetweentheboneandimplantsurface.

The patient must be instructed to follow a post-surgical regimen including cold packs for 24 hours post-implantation. Thepatient’sdietshouldconsistofsoftfoodsandpossiblydietarysupplements.Pharmacologicaltherapyshouldbeconsideredasthepatient’sconditiondictates.

Ifaremovableprosthesisisusedduringtheinitialhealingphase,itisrecommendedthatasoftlinermaterialbeusedtopreventpressureonthesurgicalsite.Theprosthesisshouldberevievedovertheimplantsitepriortothesoftlinerapplication.Thepatientshouldbecheckedperiodicallytomonitorhealingofthesofttissuesandboneusingclinicalandradiographicevaluations.

Ongoinghygienefortheimplantpatientisvital.Hygienerecallappointmentsatthreemonthintervalsaresuggested.Instrumentsdesignedforimplantabutmentscaling,suchasImplacare®instrumentsfromHu-Friedy®shouldbeutilized.Thestainlesssteelhandlesmaybefittedwithassortedtipdesignsusedforhygieneonnaturalteeth.TheImplacare®scalerscontainnoglassorgraphitefillersthatcanscratchtitaniumimplantabutments.

Post-Operative Instructions

PEEK Plastic Temporary AbutmentsPurpose: Easilymodifiedforfabricationofcementorscrew-retainedprovisionalrestorations(30

days).ADirectCopingScrew(PXDCS,purchasedseparately)maybeusedtomaintainascrewaccessholeduringthefabricationofascrew-retainedprovisionalprosthesis.

Simple Solutions Restorative KitPurpose:Thepre-preparedabutmentsarerestoredwithaminimalnumberofofficeappointments.

Thepackagedtooth-coloredHealingCapmaybeusedasacopingforanimmediateprovisionalrestoration.ThekitprovidestheAbutment,AbutmentScrew,HealingCap,ImpressionCap,ReplicaandWaxingSleeves.TheSimpleSolutionsKitsareavailableinabutmentheightsof4.0mmand5.5mm,eachwiththreeoptionsfortransmucosalcollarheightsof0.8mm,1.8mmand2.8mm.

43


Purpose: Removeandcontourexcessboneandsofttissuefromtheareaoftheprostheticplatform.

MISCELLANEOUS

Bone Profilers

Do not use the Profiler without the Guide in place.

AllBioHorizonsSurgicalKitsareprovidednon-sterileandmustbecleanedandsterilizedpriortousefollowingtheassociatedInstructions for Use.Always remove instruments from packaging prior to sterilization, and remove and discard packagingmaterialsusedtostabilizeandsecurekitsduringshipment.Double-checkallsurgicalinstrumentstoensuretheirfunctionalitypriortosurgery.Backupsteriledrillsarealsorecommended.

Caution: The use of hydrogen peroxide or other oxidizing agents will cause damage to the surface of the instruments. Towel- or air-dry all instrumentation before sterilizing. Drills and taps should be replaced when wear is noticed, such as a decrease in cutting efficiency or when signs of discoloration appear. Drills should be replaced after approximately 12 to 20 osteotomy cycles, depending on the bone density.5

Propertesting,cleaningandcalibrationofsterilizationequipmentshouldoccurfrequentlytoassurethattheunitsareinproperworkingorder.Equipmentoperatingconditionsvaryanditistheresponsibilityofeachdentalofficetoensurethatthepropersterilizationtechniqueforinstrumentationisfollowed.

Surgical Kit Cleaning

Alsocalleda“Go/No-GoGauge,”theBurTestingGaugeisusedtoverifythedimensionalaccuracyofdrill shanksof latch-typeburs.Burs inproperconditionWILLfit into thelargerdiameterhole,butWILL NOT fitintothesmallerhole(markedred).

Burs that fail either of these criteria are unfit for use and may become stuck in thehandpieceifused.ThegaugeisincludedwithallW&Hstarterpackages,andmayalsobeorderedseparately.

Bur Testing Gauge

•Compatiblewithlatch-type,speed-reducinghandpieces

•850-2,500rpmdrillspeedwithsteadysterileirrigation3

•ProfilerGuideprotectsimplantplatform

•BoneProfilercutsawayexcessboneandsofttissue

• Color-codedbyspecificprostheticplatform

Touse,removethesurgicalCoverCapfromtheimplantandplacetheProfilerGuide[bothusethe.050”(1.25mm)HexDriver].The Guide aligns the Bone Profiler and protects the implant from damage. The Profiler is used in a latch-type, reductionhandpieceundercopiousamountsofsterileirrigation.Followingremovaloftheexcessboneandsofttissue,unscrewtheGuidefromtheimplantandseatthedesiredprostheticelement.

44

birmingham, alabama 35244

0473

LOT

REF

RSTERILE

Tapered Internal Implant4.6 x 12mm, RBT+Laser-Lok

TLR4612 Rx Only

YYXXXXX

YYYY-MM

ICON LEGEND & REFERENCES

5.74.53.5

Reference/articlenumber

Singleuseonly

RefertoInstructionsforUse

Usebeforeexpirationdate(YYYY-MM)

REF

Lot/batchnumberLOT

Prosthetic platform

Ø3.5mm Prosthetic Platform Ø4.5mm Prosthetic Platform Ø5.7mm Prosthetic Platform

Manufacturedate(YYYY-MM)

1. ReferencesAvailable.2.HumanHistologicEvidenceofaConnectiveTissueAttachmenttoaDentalImplant. MNevins,MLNevins,MCamelo,JLBoyesen,DMKim. International Journal of Periodontics & Restorative Dentistry. Vol. 28, No. 2, 2008 3. DensityofBone:EffectonSurgicalApproachandHealing.CEMisch. Contemporary Implant Dentistry. Second Edition. Mosby: St. Louis, 1999. 371-384.4. Theinfluenceof0.12percentchlorhexidinedigluconaterinsesontheincidenceofinfectiouscomplicationsandimplantsuccess.

LambertPM,MorrisHF,OchiS. J Oral Maxillofac Surg 1997;55(12 supplement 5):25-30.5. Heatproductionby3implantdrillsystemsafterrepeateddrillingandsterilization. ChaconGE,BowerDL,LarsenPE,McGlumphyEA,BeckFM. J Oral Maxillofac Surg. 2006 Feb;64(2):265-96. RootFormSurgeryintheEdentulousMandible:StageIImplantInsertion.CEMisch. Contemporary Implant Dentistry. Second Edition. Mosby: St. Louis, 1999. 347-369.

References

Symbol Descriptions for Product Labeling

Sterilebygammairradiation

Non-sterile

Caution:Federal(USA)lawrestrictsthesedevicesby,orontheorderof,adentistorphysician.

BioHorizonsproductscarrytheCEmarkandfulfilltherequirementsoftheMedicalDevicesDirective93/42/EEC

Rx Only

NON-STERILE

RSTERILE

0473

EU Authorised Representative QualityFirstInternationalLondonE70QYUnitedKingdomTel.&Fax:+44-208-522-1937

45

Product Support Specialist:

Cell phone:

Fax:

�ioHorizons No Exceptions Lifetime Warranty on Implants and Prosthetics:BioHorizons implantsandprostheticcomponentscarryaLifetimeWarranty. Wewill replaceanyBioHorizons implantorprosthetic component if removal of that product due to failure (excluding normal wear to overdenture attachments) isrequiredforanyreason,atanytime.

Warranties on Instruments, Surgical Drills, Taps and Torque Wrenches:BioHorizonswarrantiesinstruments,surgicaldrills,tapsandtorquewrenchesfortheperiodspecifiedforeachin(1)&(2)below.Duringthespecifiedwarrantyperiodwewillreplaceorrepairanyproductwithadefectinmaterialorworkmanship.

(1)Instruments:ThewarrantyonBioHorizonsinstrumentsextendsforaperiodofone(1)yearfromthedateofinitialinvoice.This includes drivers, sinus lift components, implant site dilators and other BioHorizons tools used in the placement orrestorationofourimplants,withtheexceptionofsurgicaldrillsandtaps(seebelow).

(2)SurgicalDrillsandTaps:Surgicaldrillsandtapsarewarrantied foraperiodof90days fromthedateof initial invoice.Surgicaldrillsandtapsshouldbereplacedwhentheyareworn,dull,corrodedor inanywaycompromised.BioHorizonsrecommendsthereplacementofdrillsafter12to20osteotomies.5

Return Policy:Instructionsforinitiatingreturnscanbefoundonthereversesideoftheinvoicethatwasshippedwiththeproduct.PleasecontactCustomerCareifyouneedacopyoftheinstructionsorifyouhaveadditionalquestionsorrequests.

Disclaimer of Liability BioHorizons dental implants may only be used in conjunction with the associated original components and instrumentsaccordingtoBioHorizonsInstructionsforUse.Useofanynon-BioHorizonsproductsinconjunctionwithBioHorizonsimplantswillvoidanywarrantyoranyotherobligation,expressedorimplied,ofBioHorizons.

This literature serves as a reference for BioHorizons Tapered Internal implants, prosthetics and instrumentation. It is notintended to describe the methods or procedures for diagnosis, treatment planning, or placement of implants, nor doesit replace clinical training or a clinician’s best judgment regarding the needs of each patient. BioHorizons recommendsappropriatetrainingasaprerequisitefortheplacementofimplantsandassociatedtreatment.

Validity Uponitsrelease,thisliteraturesupersedesallpreviouslypublishedversions.

Availability Notallproductsshownordescribedinthisliteratureareavailableinallcountries.

BioHorizons strongly recommends completion of postgraduate dental implant education and strict adherence to theInstructions for Use (IFU) that accompany our products. Treatment planning and use of the products are solely yourresponsibility. BioHorizons is not responsible for incidental or consequential damages or liability relating to use of ourproductsaloneorincombinationwithotherproducts,otherthanreplacementorrepairunderourwarranties.BioHorizonscontinually strives to improve its products and therefore reserves the right to improve, modify, change specifications ordiscontinueproductsatanytime.

ORDERING & WARRANTY INFORMATION

w w w . b i o h o r i z o n s . c o m

BioHorizonsproductsareclearedforsaleintheEuropeanUnionundertheEUMedicalDeviceDirective93/42/EEC.Weareproudtoberegisteredto

ISO13485:2003,theinternationalqualitymanagementsystemstandardformedicaldevices,whichsupportsandmaintainsourproductlicenceswith

HealthCanadaandinothermarketsaroundtheglobe.

OriginallanguageisEnglish. ©2008BioHorizonsImplantSystems,Inc.AllRightsReserved.L0603REVCDEC2008

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Documents

Taper Internal Catalog