Teeth implant non metallic

8/13/2019 Teeth implant non metallic

http://slidepdf.com/reader/full/teeth-implant-non-metallic 1/16

systems

www.z-systems.biz

Z-Look3

Evo SLM*

> P

r o d u c t C a t a l o g u e M a r c h 2 0 1 2

Experience and InnovationZ-Look3 implants – zirconia implants made of ZrO2 TZP-A HIP, proven in use over many years

S W I S S M A D E

C E R T I F I

CA T E

*Surface Laser Modified



New surface – all at a glance

˘Z-Look3 Evo SLM :: Implants

Z-Look3 Evo SLM is based upon the established, sand-

blasted surface Z-Look3. The modification of thesurface is achieved by a patented procedure (patent

pending). The material removal is realised by laser

technology and results in an enlargement of the

surface by increased macro- and micro-roughness.

The laser treatment on the thread flank follows the

thread lead (red marked area). This patented procedure

(patent pending) makes sure that the excellent

breaking strength of the Z-Look3 Evo implants stays

unaltered high.

Z-Look3 Evo rapide SLM, the next generation of

zirconia implants*Revolutionary surface technology

:: Unique laser modified surface (patent pending)

:: Increased surface roughness: SRa of Z-Look3 Evo SLM

rises by + 143 % from 1,49 µm to 3,62 µm in com-

parison to the sandblasted standard Z-Look3 Evo

surface

:: Based on clinical experience since 2004 with zirconia

implants (first placed in 2001)

* An extensive preclinical study is completed and

accepted for publication (JOMI / Journal of Oral and

Maxillofacial Implants)

2<

ystems




Technology

Fig. 1 + 2 :: ESEM* picture of the peak of the thread flank.

The surface is sandblasted.

Fig. 3 + 4 :: ESEM* picture of the peak of the thread flank.

The surface is sandblasted and laser modified.

Fig. 1: Surface of Z-Look3 and Z-Look3 Evo implants (x 500) Fig. 3: New Surface of Z-Look3 Evo SLM implants (x 500)

Fig. 2: Surface of Z-Look3 and Z-Look3 Evo implants (x 2.000) Fig. 4: New Surface of Z-Look3 Evo SLM implants (x 2.000)

Roughness profile Z-Look3 Evo – ZrO2 sandblasted

P r o f i l h ö h e [ µ m ]

8

6

4

2

0

-2

-4

-6

-8

100 200 300 400 500 600 700 800

Profillänge [µm]

Mesurments: Alicona Infinte Focus IFM

Ra = 0.670µm

Roughness profile Z-Look3 Evo SLM – ZrO2 sandblasted and laser modified

Mesurments: Alicona Infinte Focus IFM

Ra = 3.10µm

P r o f i l h ö h e [ µ m ]

8

6

4

2

0

-2

-4

-6

-8

100 200 300 400 500 600 700 800

Profillänge [µm]

> 3

systems

* ESEM: Environmental Scanning Electron Microscope



Z3 Evo-40-10 SLM

:: Optimised possibilities of indication

thanks to new implant sizes withreduced shoulder width

:: Perfect individual aesthetics by

grindable preparation border*

:: Tapering thread with widened core

diameter in the upper part of the

thread for optimum mechanical

strength and better primary stability

:: A uniform CAD-CAM optimised conical

abutment for all standard implants

without insertion hexagon

:: Optimised insertion by large-surface

transmission of force on two parallel

surfaces:: Retention groove for holding tools and

accessories securely

:: Angulation and individualisation by

simple grinding*

M a g n i fi c a t i o n

> Implant 4 mm x 10mm

:: Revolutionary surface technology bypatented laser modified surface

(patent pending). Increased surface

roughness.

:: Improved self-tapping thread

:: Newly designed bone chip reservoir

ystems

4<



> 5

systems˘Z-Look3 Evo SLM :: Implants

The essentials at a glanceZ-Look3 Evo SLM

Z-Look3 Evo SLM :: Z-Look3 Evo SLM implants are based

on the experience of more than 20.000 Z-Look3 andZ-Look3 Evo implants made of ZrO2 TZP-A HIP, sold

since August 2004.

The new abutment has been designed uniformly for all

standard implants, an integrated retention groove en-

sures secure retention of the insertion tool and acces-

sory parts.

The insertion hexagon known from the Z-Look3

implant is not required. Occlusal grinding of the abut-

ment postoperatively is not necessary.

The variable implant insertion depth – due to counter-

sinking the implant shoulder to a differing depth –

does not apply. New insertion tools with improved

force transmission onto the abutment are available.

Excellent red-white aesthetics can be achieved by the

possibility of simple individual grinding* of the abutment

(preparation border and/or angulation).

Details of the proven thread design have been opti-

mised, the known implantation procedure has been

largely retained and the existing surgical tray can still

be used. Additional implant sizes and shoulder dia-

meters simplify selecting the right implant for difficultindications.

Impression caps, laboratory analogues and gingiva form-

ers simplify prosthetic handling.

* Z-System has had the manual grinding ability investigated for you by the renowned Fraunhofer Institute of Material Mechanics. The results show no

impairment in use of the ground Z-Look3 implants, manually ground implants have no increased risk of fracture. Z-Systems grinding procedure: use

exclusively red ring (47 µm) diamond instruments, maximum water cooling, working without pressure. Z-Systems will be pleased to make the results

available to you on request.

Z-Look3 Evo SLM implant/sectional drawing of abutment/sectional drawing of

abutment with angle piece adapter

Surface marked red shows the abutment area that must be ground for

an angulation of 20°, depending on implant diameter.

Gingiva former Impression cap



Material :: All Z-Look3 ceramic components are pro-

duced from zirconia (zirconium dioxide). However,

there is more than one grade of zirconia to choose

from. In the production of the components, the selection

of the raw materials as well as control during the

cleaning and production processes are extremely

important. Only leading manufacturers of dental

ceramic products are choosen as manufacturer of

Z-Look3 Evo SLM implants and components produced

from zirconia. They must meet Z-Systems’ quality cri-

teria. Depending on the requirements for the system

component, whether it is an implant, a cutting tool or

other surgical tool, the composition and the pro-

duction processes for the zirconia will vary.

Information about the different types of zirconia used

can be found with the descriptions of the individual

components.

Certification :: Medical devices from Z-Systems bear

the CE marking and are manufactured according to

the specifications of ISO 9001, ISO 13485, as well as

MDD 93/42/EEC.

Z-Systems is registered with the US Food and Drug

Administration (FDA).

An overview of the Z-Look3 implant system features:

:: Implants and surgical instruments are produced

from zirconia.

:: The Z-Look3 implant system enables completely

metal-free treatment.

:: Four different one-piece implant designs for a broad

range of indications.

:: Abutments easily modifiable, no specific prosthetic

parts required.

:: The design and material allow the prosthetic pro-

cedure and treatment to be carried out in a similar

manner as for natural teeth. The abutments can be

ground easily in the mouth.

:: The implant design is ideal for treatment withCAD-CAM prosthodontics.

:: The design allows compensation of implant diver-

gences of up to 20º (by simple intraoral grinding).

Many people are satisfied with what is available. We are

not. Many follow the maxim: no experiments. We have

successfully tested our implants. That is why Z-Systems

is here today: We develop and produce metal-free solu-

tions in dental implantology made from high perfor-

mance special ceramics. Certified and approved: white

aesthetics thanks to zirconia (zirconium dioxide).

6<

˘Z-Look3 Evo SLM



> 7

systems

Implants

Material :: All zirconia implants are produced from

ZrO2 TZP-A HIP bioceramics according to ISO 13356. This

material has been in use for a long time in the pro-duction of hip joint prostheses. Among other things,

the material reaches its bending strength, which is

much higher than with commonly used titanium, due

to the «Hot Isostatic Post Compaction» process. The

material is reprocessed after the sintering process by

being further compacted in industrial furnance for

three days at 2000 bar, which significantly improves

the physical characteristics of the base material.

Indications :: Z-Look3 Evo SLM implants are designed

for surgical implantation into the upper and lower jaw

for the attachment of prosthodontic appliances to

replace missing teeth.

Osseointegration and healing time :: The unique pat-

ented (patent pending) laser modified Z-Look3 Evo SLM

surface has an increased surface roughness.

Due to the one-piece design, the implants must be

protected from load during healing. Longterm tempo-

raries, protective splints or hollowed out interim pros-

theses can be used for this purpose. A healing time ofthree months for the lower jaw and six months for the

upper jaw is recommended.

Note :: Please note our detailed instructions for sur-

gical and prosthetic procedures.

Insertion. The prerequisites :: Sufficient bone quantity

must be available. The thread must be covered by at

least 1 mm of healthy bone. Simultaneous sinus floorelevation with implantation is only indicated if there is

at least 7 mm of remaining bone available in the ver-

tical dimension. The Z-Look3 Evo SLM implants are

selftapping. For bones in category D1/D2 or hard cor-

tical bone, pre-cutting with appropriate tap is recom-

mended. When inserting the implant, we recommend

a torque of 35 Ncm.

Implant characteristics – an overview

:: The abutment can be ground in the same way as

natural teeth. Special care should be taken with the

treatment protocol i.e. red diamond, max. red hand

piece rotational speed, max. water cooling and low

pressure.*

:: One-piece design, therefore no microgap, reduces the

possibility of bone loss.

:: The apical part of the implant is conical to improve

introduction into the cavity.

:: The star-shaped apical cut-out serves to receive bone

chips.

:: The rounded thread prevents tension and notchingeffects.

:: The implant can be inserted manually or with the

angle piece.

:: Implants can be inserted further or unscrewed even

after the abutment is modified.

:: The wide implant shoulder enables compensation of

implant divergence of up to 20º.


* Z-System has had the manual grinding ability investigated for you by the renowned Fraunhofer Institute of Material Mechanics. The results show no

impairment in use of the ground Z-Look3 implants, manually ground implants have no increased risk of fracture. Z-Systems grinding procedure: use

exclusively red ring (47 µm) diamond instruments, maximum water cooling, working without pressure. Z-Systems will be pleased to make the results

available to you on request.



8<

ystems

Z3 Evo-36-10 SLM ø 3.6 mmø shoulder 4.6 mminsertion depth 10 mm

With reduced threaddiameter and reducedlength, especially for lim-ited alveolar ridge widthwith reduced vertical

bone availability.Upper jaw:lateral incisors,lower jaw: central/lateral incisors.Not suitable for ::– Upper jaw:central incisors– Upper/lower jaw:canines, premolars andmolars as well asbridge restoration.

fig. 1

Z-Look3 Evo SLM implants are currently available in the following dimensions:


Z-Look3 Evo SLM :: is available in various lengths and dia-

meters.

Please note :: In the selection of implant length, the

excess length of the drill (drill tip = max. 1.3 mm) must

always be taken into consideration. (See sketch on page 10).

Implant configurationsIn lengths and diameters

Z3 Evo-36-11 SLM ø 3.6 mmø shoulder 4.6 mminsertion depth 11.5 mm

With reduced thread di-ameter, especially for lim-ited alveolar ridge widthwith sufficient verticalbone availability.

Upper jaw: lateral incisors,lower jaw: central/lateral incisors.Not suitable for ::– Upper jaw:central incisors– Upper/lower jaw:canines, premolars andmolars as well asbridge restoration.

Z3 Evo-40-08 SLM ø 4 mmø shoulder 4.8 mminsertion depth 8 mm

Suitable for mostindications with reducedvertical bone availability.


With standard threaddiameter for universaluse in the upper andlower jaw.

Z3 Evo-40-11 SLM ø 4 mmø shoulder 4.8 mminsertion depth 11.5 mm

With standard threaddiameter for universaluse in the upper andlower jaw.


With standard threaddiameter for universaluse in the upper andlower jaw with especiallygood vertical bone.

fig. 6 fig. 5 fig. 4 fig. 3 fig. 2

8<

ystems



> 9

systems˘Z-Look3 Evo SLM :: Implants

Our implant system is manufactured from zirconia ZrO2 TZP-A HIP.

Z3 Evo-50-08 SLM ø 5 mmø shoulder 6 mminsertion depth 8 mm

With enlarged threaddiameter, particularlysuitable for wide alveolarridges with reduced verti-cal bone availability.

fig. 7


With enlarged threaddiameter, especially forwide alveolar ridges.

fig. 8

Z3 Evo-50-10R SLM ø 5 mmø shoulder 5.4 mminsertion depth 10 mm

With reduced shoulderdiameter for use withgood bone availabilityand narrow interdentalspace, particularly in

the premolar-/anteriorregion.

fig. 9

Z3 Evo-50-11 SLM ø 5 mmø shoulder 6 mminsertion depth 11.5 mm

With enlarged threaddiameter, especiallyfor wide jaws, withparticularly good verticalbone availability.

fig. 10

Z3 Evo-50-11R SLM ø 5 mmø shoulder 5.4 mminsertion depth 11.5 mm

With reduced shoulderdiameter, for use withparticularly good verticalbone availability and re-duced interdental space,

especially in the premo-lar-/anterior region.

fig. 11


Due to its length andits diameter, especiallysuitable as immediateimplant* in the upperanterior jaw and the

cuspids.

fig. 12

> 9

systems

Ideal implant selection for Z-Look3 Evo SLM

(with respect to thread diameter) ::

Left illustration: upper jaw

Right illustration: lower jaw

4 :: Ø 4 mm = 4.8 mm shoulder Ø

5 :: Ø 5mm = 6mm shoulder Ø

5R :: Ø 5 mm = 5.4 mm shoulder Ø

3.6 :: Ø 3.6 mm = 4.6 mm shoulder Ø

3.6

4/5R

4/5R

5

55

5

3.6

3.6

4/5R

4/5R

4/5R

4/5R

4/5R

* see http://www.eao.org/conference/past



10<

ystems

M a g n i fi c a t i o n

Z-Tools :: Surgical instruments

Implant Depth Gauge

Z3 Evo-40-11 SLM TZ-DP220Z3-TD325

Drill

max. 1.3 mm

10 mm

15 mm

8 mm

6 mm

11.5 mm

13 mm



> 11

systems

Material :: The cutting instruments are made from

high-tensile ATZ high-performance ceramic (AluminaToughened Zirconia). This aluminium oxide reinforced

zirconia is ideal for the production of drills and taps.

The instruments have excellent cutting performance

and lifetime.

Characteristics of the surgical instruments:

:: Cutting instruments are produced from high-tensileATZ high-performance ceramic.

:: The instruments have excellent cutting perfor-

mance and lifetime.

:: Can be autoclaved up to 20 times at 134ºC standard

programme.

:: Recommended drill speeds for preparing the implant

bed: 400 to 800 rpm.

:: Disinfection with commercially available products.

:: Easily visible depth markings.

˘Z-Tools :: Surgical Instruments

Surgical/cutting instrumentsMetal-free implantology begins with the instruments

fig. 13

Surgical tray Fully equipped surgical tray

Contains :: round drill 2.3 mm x 16 mm,twist drill 2.3 mm x 16mm, twist drill 2.85 mm x 16 mm,twist drill 3.25 mm x 16 mm, twist drill 3.75 mm x 16 mm,twist drill 4.25 mm x 16 mm, tap 3.6 mm, tap 4 mm, tap 5 mm,scalpel no. 12, scalpel no. 15, periosteal elevator,depth gauge 2.2 mm x 20 mm, mandrell,*ratchet adapter 10 mm, *ratchet adapter 20 mm,*angle piece adapter 8 mm, **ratchet adapter 16 mm,**ratchet adapter 24 mm, **angle piece adapter 12 mm,

angle piece extension, torque ratchet.

*Adapters with black O-ring receive the taps.**Adapters with white O-ring are used for insertion of Z-Look3 Evo SLM i mplants.

Autoclavable at 134ºC

standard programme.

Note :: Please pay attention to our

detailed instructions for surgicaland prosthetic procedures as well

as to the instructions for care andmaintenance of Z-Look instruments.



12<

ystems ˘Z-Tools :: Surgical Instruments

Drills :: The drills are three-fluted (low in vibrations)

and have a maximum overlength of 1.3 mm. Themarkings on the drills correspond to the insertion

depths of 6, 8, 10, 11.5, 13 and 15 mm. The drills are all

equal in length and can be extended with the angle

piece extension.

Tap :: The implants are self-tapping for bone classes D3

– D4. For bone class D1 – D2 or hard cortical bone, thetap must be used. When inserting the implant, we rec-

ommend a torque of 35 Ncm for the implants in order

to avoid placing too much pressure on the bone. The

taps can be used with the ratchet or the angle piece.

Corresponding adapters are available in a variety of

lengths.

Z3-RD230

Round drill2.3 mm x16 mm

For marking

the implant

position

Z3-TD230

Twist drill2.3 mm x16 mm

For length and

pilot drilling

Z3-TD285


For the final

drilling of

the 3.6 mmimplant bed

Z3-TD325


For the final

drilling of

the 4 mmimplant bed

Z3-TD375

Twist drill3.75 mm x 16 mm

For the final

drilling of

the 5 mmimplant bed

Z3-TD425*


*Optional drillfinal crestal

osteotomy ofthe 5.0 mmimplant bedfor bone class

D1/D2

fig. 14 fig. 15 fig. 16 fig. 17 fig. 18 fig. 19 fig. 20 fig. 21 fig. 22

The versions of the drills Tap design

Z3-T360

Tap3.6 mm

For all 3.6 mm

implants

Z3-T400

Tap4 mm

For all 4 mm

implants

Z3-T500

Tap5 mm

For all 5 mm

implants



> 13

systems˘Z-Tools :: Surgical Instruments

Auxiliary surgical instrumentsMetal-free implantology begins with the instruments

Scalpels, periosteal elevator :: Due to their complex

shape, these instruments are produced from zirconiausing the injection molding process. These instru-

ments must be handled carefully, since it is possible

that they may break if subjected to a hard blow. There

is no risk of breakage during normal use.

ZT-SC12

Scalpel No. 12

Zirconia,12 mm blade

ZT-SC15

Scalpel No. 15

Zirconia,15 mm blade

ZT-PE

Periostalelevator

Zirconia

fig. 24 fig. 25 fig. 23

Auxiliary surgical instruments



14<

ystems ˘Z-Tools :: Auxiliary Surgical Instruments

Depth gauge :: The depth gauge is produced from ATZ

high-performance ceramic (Alumina Toughened Zir-conia) and is used to verify the drilling axis as well as

for X-ray depth measurement for Z-Look3 Evo SLM

implants.

Inserting instruments and ratchet :: The inserting ins-

truments (ratchet- and angle piece adapters) and torqueratchet are made from stainless steel.

Auxiliary surgical instruments Metal-free implantology begins with the instruments

Auxiliary surgical instruments

ZT-HE18

Angle pieceextension

Stainless steel,

extension of theangle piece shaft

ZT-DP220

Depth gauge2.2 mm x 20 mm

ATZ high-perfor-

mance ceramic,verification of the

drilling axis as wellas X-ray depthmeasurement for

Z-Look3 Evo SLMimplants

ZT-MD

Mandrell

Stainless steel,

accepts angle pieceadapter

fig. 26 fig. 27 fig. 29 fig. 28

ZT-HA8

Angle pieceadapter

Stainless steel,

receives the taps

fig. 32

ZT-RA20-8

Ratchet adapter20mmreier Stahl,Stainless steel,

receives and ex-tends the taps

ZT-RA10-8

Ratchet adapter10mm

Stainless steel,

receivesthe taps

fig. 31

TR35

Torque ratchet reier Stahl,Stainless steel,

receives the ratchetadapters

fig. 30



> 15

systems

Insertion instruments :: The insertion instruments for

Z-Look3 Evo SLM implants are not compatible with

Z-Look3. They are manufactured from stainless steel

and may be differentiated by the white colour of the

O-ring.

Accessories :: Impression caps, lab analogues and gingiva

formers are suitable only for unground Z-Look3 Evo SLM

abutments.

Insertion instruments and accessoriesFor Z-Look3 Evo SLM implants

˘Z-Look3 Evo SLM :: Evo

fig. 35

ZT Evo-RA24

Ratchet adapter24 mmreier Stahl,Stainless steel,for insertion of Z-Look3Evo SLM implants

with the torque ratchet

fig. 33

ZT Evo-HA12

Angle piece adapter

Stainless steel,for insertionof Z-Look3 Evo SLM

implantswith the angle piece

ZT Evo-RA16

Ratchet adapter16 mm

Stainless steel,for insertion of Z-Look3Evo SLM implants

with the torque ratchet

fig. 34 fig. 36

ZT-I36

ZT-I40

ZT-I50

ZT-I50R

Impression capreie

X-ray opaque PEEK

fig. 37

ZT-L36

ZT-L40

ZT-L50

ZT-L50R

Laboratory analogue

Titanium, each sizecolour-coded

fig. 38

ZT-G36

ZT-G40

ZT-G50

ZT-G50R

Gingiva formerreier Stahl,

X-ray opaque PEEK



Phone +41 (0)62 388 69 69

Fax +41 (0)62 388 69 70

Mail [email protected]

W b t bi

Headquarter

Z-Systems AG

Bittertenstrasse 15

CH-4702 Oensingen

S it l d

You and us

Z-Systems for users

Become a user :: To assure the correct use of Z-Look3

Evo SLM implants, Z-Systems sells Z-Look3 Evo SLM im-plants only to qualified users.

Dentists and implantologists who – apart from mem-

bership in a professional implantological association –

fulfil at least two of the following conditions can

become qualified:

:: Regular participation in Z-Look3 further training

events

:: Participation in implantological further training

courses

:: Implantological experience

:: Implantology as main area of activity

:: Acceptance of the support of an experienced

user of Z-Systems

Internet www.z-systems.biz :: There is a multitude of

information about Z-Systems available to you: detailed

product information, literature, presentations, training,

research results as well as patient cases of many treat-

ments which have thus far been carried out with

Z-Look3.

Z-Training :: Share experience and learn from and with

colleagues – Z-Systems offers its users and anyoneinterested extensive options for continuous profes-

sional development. Z-Look3 courses are offered with-

and without live surgeries. All information about

our courses can be found under «News» on our web

page or contact the Z-Systems service centre directly.

Personal visits :: Z-Systems has a customer service

team covering all of Germany and Switzerland and

is represented in the international market by selected

distributors. We will be pleased to advise you individ-

ually through our service hotline for Switzerland and

internationally +41 62 388 69 69.

www.z-systems.biz

˘Z-Systems :: User Information

Phone 1-877-874-9407

Fax 1-781-754-6565

Mail [email protected]

W b t bi

USA

Z-Systems USA, Inc.

284 Monponsett Street,

Suite 208

H lif M 8

Documents

Teeth implant non metallic