The FAIR Premium Implant-Systemmedentis.com.ua/images/files/templant/ICX... · and connecting screw to your dental lab. Important: Please advise the dental technician if the impression

,

Service-Tel.: +49 (0)2641 9110-0 · www.medentis.de

ICX-PROSTHETICS MANUAL 4.1

THE IMPLANT-SYSTEM OF THE FUTURE.

The FAIR PremiumImplant-System

59per ICX-implantall lengths all diameters*plus VAT

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I C X - p r o s t h e t i c s M a n u a l 4 . 1C O N T E N T

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Service ................................................................................................................4

I. Impression taking ..........................................................................................6 Ia.) ICX-templant 3.75mm; 4.1mm; 4.8mm

ICX-plus 3.45 Closed tray impression ................................................................................................................ 7 Open tray impression ................................................................................................................10 Direct impression ....................................................................................................................... 12

Ib.) ICX-mini 2.9mm ..........................................................................................................................14 Direct impression ........................................................................................................................14

Prosthetic / dental technicianFor ICX-templant 3.75mm, 4.1mm, 4.8mm

ICX-plus 3.45 ICX-mini 2.9mm

II. Single tooth replacement ..................................................................... 17-25 a. Screw retained

b. Cement retained

III. Implant supported bridges ................................................................. 26-32 a. Screw retained

b. Cement retained

IV. Telescopic crowns ................................................................................ 34-37 a. ICX-Universal abutment

b. ICX-Gold and burn-out abutment

c. ICX-CAD/CAM-bonded abutments

V. Bar retained overdentures ................................................................... 38-40 a.Direct bar

b. Passive Stegarbeiten

c. Stegarbeiten auf ICX-multi (nachzulesen im ICX-multi-Handbuch)

VI. ICX-mini ................................................................................................ 41-45 a. With ICX-mini-solid abutment ................................................................................................ 41

b. With T-Ecco .................................................................................................................................42

c. With Dalbo®-Plus ................................................................................................................ 44 -48

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Explanation of signs & symbols

Colour coding and corresponding diameters on ICX drills and implants

Explanation of signs & symbols on packaging and product information sheets

LOT number

article number

item has been sterilised by γ ray sterilisation

use before/expiry date

single use only

read the user manual carefully

templant® products comply with CE standards according to 93/42 EWG

WHITE l = Ø 2.9mm

YELLOW l = Ø 3.45mm

RED l = Ø 3.75mm

GREEN l = Ø 4.1mm

BLUE l = Ø 4.8mm


SE

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EExplanation of signs & symbols

Personal ordering service

Free exchange of all ICX implants

10–year osseointegration guarantee

20–year supply guarantee

Order forms

Request free fax–forms for your next order

Terms and conditions

Terms and conditions apply (please refer to www.medentis.de)


You have any questions?

For more information please call:

Tel.: +49 (0)2641 9110-0 E-Mail: [email protected]

www.medentis.de

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Impression taking for:

ICX-templant® 3.75mm · 4.1mm · 4.8mm

ICX-plus 3.45mm

ICX-mini 2.9mm

User manual for:

➲ Closed tray impression………………………Page 7

➲ Open tray impression……………………… Page 10

➲ Direct impression…………………………… Page 12


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ICX-templant®: I a . C L O S E D T R A Y I M P R E S S I O N

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ICX-templant offers an easy and accurate way to take closed tray impressions

For closed tray impressions ICX-templant 3.75mm, 4.1mm, 4.8mm and ICX-plus 3.45mm

use the same impression post (art. no.: C-005-0200002).

The article “ICX-impression post titanium, closed tray” (art. no.: C-005-0200002)

contains following components:

1. Impression cap

2. Connecting screw

3. Impression post

1. Using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025), remove the healing

abutment and connect the impression post finger tight to the implant.

Please ensure that the impression post is seated correctly on the implant before tightening

the connection screw.

2. Seat the impression cap onto the impression post. The impression can be taken

now using a conventional or a specially made tray.

Important:To ensure the accuracy required for the final restoration, a firm impression

material such as polyether or silicone based materials should be used.

Soft impression materials such as alginates are not recommended.

1.

2.

art. no.: C-005-0200002


ICX: I a . C L O S E D T R A Y I M P R E S S I O N

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3. After the impression material has fully set, the impression can be removed from

the patient’s mouth. The impression caps will remain firmly fixated in the impres-

sion material.

4. Remove the impression post using the ICX hexagon screw driver SW 1.4 (i.e. art.

no. C-015-100025). Reposition and tighten the healing abutment and send the

impression post together with the impression to the dental lab.

Important:

For closed tray impressions always mark the impression post used

for each implant. The dental technician has to use the same post

for the same site. Best use a water resistant marker and the plastic

vials supplied (see picture). Please advise the dental technician if

the impression was taken of an ICX-plus implant.

5. Dental technician

The dental technician connects the impression post to the lab analogue

(i.e. art. no.: C-006-010001 or for ICX-plus C-006-010002) with the connecting screw.

Now the impression post is placed in the impression cap that remained i

n the impression and the model can be cast following the supplier‘s recommendation.

TIP:

We recommend a gingival mask as a standard.

ICX impression caps are single use items as accurate fit cannot be guaranteed when reused.

To reordered use art. no.: C-005-040002.

3.

5.






www.medentis.de


ICX-templant®: I A . O P E N T R A Y I M P R E S S I O N

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ICX-templant offers an easy and accurate way to take open tray impressions.

For open tray impressions ICX-templant 3.75mm, 4.1mm, 4.8mm and ICX-plus 3.45mm use the same impressi-

on post. However, this impression post is available in two different lengths.

The article ‘ICX-impression post titanium, open tray’ (art. no.: C-005-0300002)

contains following components:

1. Connecting screw 1. Connecting screw

2. Impression post 2. Impression post

1. 1. Choose the correct length impression post depending on the space available.

Using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025), remove the

healing abutment and connect the impression post finger tight to the implant.

Please ensure that the impression post is seated correctly on the implant before

tightening the connection screw.

2. Prior to taking the impression, ensure that the custom made or customised impression tray has hole(s)

of appropriate size in the correct place(s) to allow access to the connection screw of the impression post.

The connection screw should not touch the impression tray. The impression can now be taken using a

firm impression material. Please ensure the impression material penetrates the grooves of the impression

post sufficiently to ensure the impression post stays positioned accurately in the impression when the

impression is removed.

Important:To ensure the accuracy required for the final restoration,

a firm impression material such as polyether or silicone

based materials should be used. Soft impression materials

such as alginates are not recommended.

1.

art. no.: C-005-0300001 art. no.: C-005-0300002

Open tray impression post long

Open tray impression post short

2.


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ICX-templant®: I A . O P E N T R A Y I M P R E S S I O N

3. Once the impression material has fully set, the impression posts need to

be unscrewed from the implants. Remove excess impression material from

the heads of the connection screws and unscrew them fully using the

ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025).

4. Important:

Remove the impression carefully from the patient’s mouth. The impression

posts will remain in the impression material. Please ensure that they are

correctly and firmly positioned in the impression.

5. Reposition and tighten the healing abutment and send the impression

and connecting screw to your dental lab.

Important:Please advise the dental technician if the impression was taken of an ICX-plus implant!


The dental technician connects the impression post to the lab analogue (i.e. art. no.: C-006-010001 or for

ICX-plus C-006-010002) with the connecting screw. The model can now be made following the supplier‘s

recommendation.

TIP:

We recommend a gingiva mask as a standard.

3.

4.


ICX-templant®: I a . D I R E C T I M P R E S S I O N

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ICX-templant offers an easy and accurate way to take direct impressions.

Instead of using impression posts to transfer to the dental lab you also have the option of using a prefabri-

cated abutment of zirconia or titanium. These are available in different angulations, gingival heights and as

standard or ICX-Aesthetic Line abutments.

1. 1. After choosing the correct abutment remove the healing abutment and connect the abutment to the

implant. Please ensure that the abutment is seated correctly on the implant before tightening the enclo-

sed connection screw. The connecting screw is tightened using the ICX hexagon screw driver SW 1.4 (i.e.

art. no. C-015-100025), and the ICX ratchet (art. no. 960001). Tighten to a torque of 30 Ncm.

2. 2. Now you can reshape the abutment to your individual requirements. The abutments can be reshaped

similarly to a crown preparation. You have the option to change the margin of the preparation, change

emergence profile and the height of the abutment.

Important:

After reshaping the abutment please check again the correct positioning of the

abutment and the torque level of the connecting screw of 30Ncm.

3. After reshaping the abutment and confirming the correct positioning and

the torque level, close the screw access in the abutment using a composite

material of your choice. To prevent the screw head from being filled with

composite (in case of the need to re-access the screw) place a cotton wool pellet

or folded up PTFE (Polytetrafluorethylene) tape on the screw first.

+1.

3.

art. no. C-015-100025 art. no. 960001



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4. Fill the access with composite avoiding overfill.

5. After confirming tight fit of the abutment and closing the screw access of the abutment, proceed to taking the

impression. The impression is taken in the same way as you would take an impression of natural teeth prepa-

red for crown or bridgework.

Important:To ensure the accuracy required for the final restoration, a firm impression material such as polyether or silicone

based materials should be used. Soft impression materials such as alginates are not recommended.


The dental technician manufactures the master model in the same way as for conventional crown and bridge-

work following the manufacturer‘s recommendations.

4. 4.

✗


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ICX- mini : I b . D I R E C T I M P R E S S I O N T A K I N G - A -

The ICX-mini-implant system offers an easy and accurate way to take direct impressions

A: For the use of ICX-T-Ecco (art. no. T-13825) and ICX-Dalbo®-plus (please see page 44)

B: For use of ICX-mini-solid abutment (art. no. C-026-010501)

A1. Instead of an impression post, choose the correct heights (2mm or 3mm) ICX-t bona screw (i.e. art. no.

C-002-090002) or leave the ICX-t bona screw of 1mm in place. To connect the ICX-t bona onto the implant

use the ICX-t bona placement tool (art. no. C-015-100007) together with the ICX ratchet (art. no. 960001)

set to a torque of 25 Ncm.

A2. Now the impression can be taken in the same way as you would take an impression of natural teeth prepared

for crown and bridgework.

Important:To ensure the accuracy required for the final restoration, a firm impression material such as polyether or silicone

based materials should be used. Soft impression materials such as alginates are not recommended.

A3. Send the impression and the supplied lab analogues to your dental laboratory.

A4. Dental technician

The dental technician positions the laboratory analogues in the impression, ensuring exact positioning. The

master model is now manufactured in the same way as for conventional crown and bridgework following the

manufacturer‘s recommendations.

A1.

A4.

art. no. T-13825art. no. C-015-100007


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ICX- mini : I b . D I R E C T I M P R E S S I O N T A K I N G - B -

B1. Instead of an impression post place the ICX-mini-solid abutment (art. no. C-026-010501) onto the ICX-

mini-implant following the instructions (page 41).

B2. Now the impression is taken in the same way as you would take an impression of natural teeth prepared

for crown and bridgework.

Important:To ensure the accuracy required for the final restoration, a firm impression material such as polyether or sili-

cone based materials should be used. Soft impression materials such as alginates are not recommended.

B3. Send the impression to your dental laboratory.

B4. Dental technician

The dental technician manufactures the master model in the same way as for conventional crown and brid-

gework following the manufacturer‘s recommendations.

B1.

art. no. C-026-010501


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Prosthetic / dental laboratory

for ICX-templant 3.75mm · 4.1mm · 4.8mm ICX-plus 3.45 ICX-mini 2.9mm

II. Single tooth replacement ...................................................17-25

a. Screw retained

b. Cement retained

III. Implant supported bridges ................................................ 26-32 a. Screw retained

b. Cement retained

IV. Telescopic crowns ............................................................... 34-37 a. ICX-Universal abutment

b. ICX-Gold- and burn-out abutment

c. ICX-CAD/CAM-bonded abutments

V. Bar ........................................................................................38-40 a. Direct bar

b. Indirect bar

c. Bars supported on ICX-multi (see ICX-multi-manual)

VI. ICX-mini ............................................................................... 41-45 With ICX-mini-solid abutment ..........................................................................41

With T-Ecco ..........................................................................................................42

With Dalbo®-Plus ................................................................................................ 44


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After impression and model making, dentist and dental technician have two prosthetic options

to restore a single tooth.

a. Screw retained crown

b. Cement retained crown

It is recommended for the dentist to ask the technician to make a wax up as part of the treatment planning

prior to implant placement to ensure best possible prosthetic results.

This can be used to make a surgical stent, be an aide when making a temporary restoration and serves as a

reference to judge the available space when the final restoration is being made.

Material- and abutment selectionAfter liaising with the dentist, the dental technician selects the best abutment for each implant.

Possible options are:

1. Provisional abutment (chair side or dental laboratory)

2. Standard titanium abutment

3. ICX aesthetics abutment

4. ICX universal abutment

5. Standard ceramics abutment

6. ICX aesthetics abutment ceramics

7. Gold and burn-out abutment

8. ICX CAD/CAM abutment



1a. Provisional Abutments for screw retained restorations

The dental technician connects the ICX-healing abutment with a collar height of 2mm or

4mm (i.e. art. no. C-004-514720 or C-004-514740) with the ICX hexagon screw driver SW 1.4

(i.e. art. no. C-015-100025) onto the implant analogue in the master model. The supplied

connection screw is finger tightened.

The ICX-Peek abutment can now be reshaped to individualise it. You have the option to change the margin

of the preparation, change emergence profile and the height of the abutment. Use the silicon key made from

the wax up as an aid. Close the connection screw canal with modelling wax and make a temporary crown

in the conventional way. Once finished, drill into the incisal/palatal region to reopen the connection screw

canal. You can remove the remaining modelling wax carefully steaming out the wax.

The provisional implant crown is checked and send to the dentist.

The dentist can fit the provisional crown onto the implant with the ICX hexagon screw driver SW 1.4 (i.e.

art. no. C-015-100025) and the ICX ratchet (art. no. 960001) tightened to a torque of 15 Ncm. Close the screw

access in the temporary crown using a composite material of your choice. To prevent the screw head from

being filled with composite, place a cotton wool pellet or folded up PTFE tape on the screw first.

The provisional implant can be removed as required by re-accessing the screw canal.

1b. Provisional Abutments for cement retained restorations

The dentist fits the provisional ICX-abutment with hex onto the implant. A choice of heights

of 6mm, 8mm and 10mm as well as diameters of 5mm or 7mm is available. The supplied

connection screw is tightened by hand using ICX hexagon screw driver SW 1.4 (i.e. art. no.

C-015-100025).

Mark the gingival margin on the abutment, unscrew and remove the temporary abutment from the mouth

and connect it to an analogue (i.e. art. no. C-006-010001 or for ICX-plus no. C-006-010002). You can now

reshape the abutment to your individual requirements. The abutments can be reshaped similarly to a crown

preparation. You have the option to change the margin of the preparation, change emergence profile and

the height of the abutment.

Once you have reached the required shape, fit the provisional abutment onto the implant with the ICX

hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no. 960001) tightened to a

torque of 15 Ncm and close the screw access in the temporary abutment using a composite material of your

choice. To prevent the screw head from being filled with composite, place a cotton wool pellet or folded up

PTFE tape on the screw first. Apply a thin film of vaseline onto the finished temporary abutment to prevent

the temporary crown material from adhering to the temporary abutment and proceed to make a provisional

crown in the same way you would for a natural tooth.

art. no. C-004-504720 to C-004-514740

Example.: art. no. C-004-524706



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2b. Titanium abutments (Cement retained)

Dental technician:

For single tooth restorations use abutments with Hex only. Measure the gingiva level on

the master model to determine shape and angulation of the prefabricated abutment re-

quired. This will enable you to select the best matching abutment. Several collar heights

and shape options are available.

Please confirm whether a ICX-plus or standard implant was used by the dentist.

Connect the titanium abutment you have selected to the master model with the lab screw using the ICX he-

xagon screw driver SW 1.4 (i.e. art. no. C-015-100025). Mark heights, widths and gingival level using the silicone

key made from the wax up.

To customise the abutment remove it from master model and connect the abutment to an additional mat-

ching analogue that is used as a work model. Now you can reshape the abutment to your individual require-

ments. The margin of the preparation, emergence profile and the height of the abutment can all be modified

as needed.

Once the abutment fits your requirements you can make a crown in the way you do for a natural tooth. After a

final check and cleaning it is useful to make an insertion jig to help the dentist with the correct positioning of

the abutment.

Dentist:

Insert the titanium abutment with the jig provided to ensure correct positioning and tighten the connec-

ting screw using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no.

960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and close the screw access using a

composite material of your choice. To prevent the screw head from being filled with composite, place a cotton

wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first, avoid overfill.

Try the crown in and if accurate fit is confirmed, cement the crown with your preferred method and materials.

Example: art. no. C-010-020025




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3b. Ceramic abutments (cement retained)

Important

Please note that ceramic abutments are only intended for use in the anterior region and cannot

be used in the molar and premolar region.

Dental technician:

For single tooth restorations use abutments with Hex only. On the master model, measure the gingival level and

determine shape and angulation of the prefabricated abutment required. This will enable you to select the best

matching abutment. Several collar heights and shape options are available.


Connect the ceramic abutment you have selected to the master model with the lab screw using the ICX hexagon

screw driver SW 1.4 (i.e. art. no. C-015-100025). Mark heights, widths and gingival levels using the silicone key

made from the wax up.

To customise the abutment remove it from master model and connect the abutment to an additional matching

analogue that is used as a work model. Now you can reshape the abutment to your individual requirements. The

margin of the preparation, emergence profile and the height of the abutment can all be modified as needed.

Important

To customise the ceramic abutments only use suitable fine diamond coated burrs in a fast speed handpiece

under minimal pressure. Please also ensure sufficient water spray for cooling to avoid excessive heat and do

not reduce any of the abutment walls beyond minimum thickness of 0.5mm.

Once the abutment fits your requirements you can make a crown in the way you do for a natural tooth. After a

final check and cleaning it is useful to make an insertion jig to help the dentist with the correct positioning of the

abutment.

Dentist:

Insert the ceramic abutment with the jig provided to ensure correct positioning and tighten the connecting

screw using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and

the ICX ratchet (art. no. 960001). Tighten to a torque of 30 Ncm, confirm accurate

positioning and close the screw access using a composite material of your choice.

To prevent the screw head from being filled with composite, place a cotton wool

pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first, avoid

overfill.

Try the crown in and if accurate fit is confirmed, cement the crown with your

preferred method and materials.


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4a. Gold and burn-out abutment (screw retained)

Dental technician:

For cast metal ceramics single tooth restorations use abutments with Hex only.

The two options available are ICX gold abutment (art. no. C-008-010001) or

ICX burn-out abutment (art. no. 008-030001).

– The choice of abutment will be determined by the alloy to be used for the final

restoration. The ICX gold abutment requires a high gold content alloy whereas

the ICX burn-out abutment can be used with non-precious alloys.

– The machined connection area of the ICX gold abutment will tend to provide a

more accurate fit than the cast alternative using the ICX burn-out abutment.

Connect the abutment of your choice hand tight to the master model with the lab screw using the

ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025).

Shorten the abutment according to the silicone key and customise the abutment by adding modelling wax/

resin aiming for a reduced shape of the final tooth shape required. Please ensure to maintain a minimum

thickness along the screw channel of 0.7mm to avoid complications during the casting process. Keep the

screw canal open and do not model over the shoulder of the abutment. Cast in the usual way ensuring

compatibility of alloys and following manufacturer‘s recommendations. Please ensure NOT to sandblast the

connection area of the abutment as this will compromise fit.

You can now layer porcelain onto the abutment using the same techniques you would for a conventional

crown made of the alloy used.

Dentist:

Insert the metal ceramic single tooth restoration and ensure correct positioning. Tighten the connecting

screw using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no.

960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and close the screw access using a

composite material of your choice. To prevent the screw head from being filled with composite, place a cotton

wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first.

It is possible to re-access the connection screw by removing the filling from the screw canal if this should be

required in the future.

+

art. no. C-008-010001

Artikel-Nr. C-015-100025 Artikel-Nr. 960001


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4b. Gold and burn-out abutment (cement retained) Dental technician:

For single tooth restorations use abutments with Hex only. The two options

available are ICX gold abutment (art. no. C-008-010001) or IXC burn-out abut-

ment (art. no. 008-030001).

– The choice of abutment will be determined by the alloy to be used for the

abutment. The ICX gold abutment requires a high gold content alloy whereas

the IXC burn-out abutment can be used with non-precious alloys.

– The machined connection area of the ICX gold abutment will tend to provide a more accurate fit than the

cast alternative using the IXC burn-out abutment.

Connect the abutment of your choice hand tight to the master model with the lab screw using the ICX

hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025).

Shorten the abutment according to the silicone key and customise the abutment by adding modelling wax/

resin aiming for a reduced shape of the final tooth shape required. Please ensure to maintain a minimum

thickness along the screw channel of 0.7mm to avoid complications during the casting process. Keep the

screw canal open and do not model over the shoulder of the abutment. Cast in the usual way ensuring

compatibility of alloys and following manufacturer‘s recommendations. Please ensure NOT to sandblast the

connection area of the abutment as this will compromise fit.

Once the abutment fits your requirements, you can make a crown in the way you do for a natural tooth.

After a final check and cleaning it is useful to make a insertion jig to help the dentist with the correct posi-

tioning of the abutment.

Dentist:

Insert the individually cast abutment with the jig provided to ensure correct positioning and tighten the

connecting screw using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet

(art. no. 960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and close the screw access

using a composite material of your choice. To prevent the screw head from being filled with composite,

place a cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first, avoid overfill.

Try the crown in and if accurate fit is confirmed, cement the crown with your preferred method

and materials.

art. no. C-008-010001 art. no. C-008-010001


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5a. ICX-CAD/CAM-abutments (screw retained) Dental technician:

For single tooth restorations use abutments with Hex only. The two options

available are ICX CAD/CAM- abutment (art. no. C-029-000002) or ICX CAD/

CAM- abutment (art. no. C-029-000004).

The ICX CAD/CAM- abutment GH 0mm is not compatible with ICX-plus imp-

lant therefore please confirm with the dentist the type of implant used.

The chosen CAD/CAM- abutment will serve as a base to bond the crown to that you will manufacture.

You can scan your abutment or, with some systems, use the ICX-scanabutment (art. no. C-030-000001). You

are free to choose your preferred material for milling.

When bonding the crown to the abutment, ensure the screw canal remains open. Remember to first finish the

crown fully before bonding it to the abutment.

Dentist:

Insert the restoration your dental lab has made ensuring correct

positioning and tighten the connecting screw using the ICX hexagon

screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art.

no. 960001). Tighten to a torque of 30 Ncm, confirm accurate positio-

ning and close the screw access using a composite material of your

choice. To prevent the screw head from being filled with composite,

place a cotton wool pellet or folded up PTFE (Polytetrafluorethylene)

tape on the screw first.

It is possible to re-access the connection screw by removing the filling from the screw canal if this should be

required in the future.

left: art. no. C-029-000002right: art. no. C-029-000004


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5b. ICX CAD/CAM-abutments (cement retained) Dental technician:

For single tooth restorations use abutments with Hex only. The two op-

tions available are ICX CAD/CAM- abutment (art. no. C-029-000002) or ICX

CAD/CAM- abutment (art. no. C-029-000004).

The ICX CAD/CAM- abutment GH 0mm is not compatible with ICX-plus imp-

lant therefore please confirm with the dentist the type of implant used.

The ICX CAD/CAM- abutment will serve as a base to bond your mesio structure to.

You can scan your abutment or use the ICX-scanabutment (art. no. C-030-000001) to create a stump shape.

When bonding the milled mesio structure to the abutment ensure the screw canal is open. You can design

the crown in the usual way and after a final check and cleaning it is useful to make a insertion jig to help the

dentist with the correct fit of the abutment.

Dentist:

Insert the abutment with the jig provided to ensure correct positioning and tighten the connecting screw

using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no. 960001).

Tighten to a torque of 30 Ncm, confirm accurate positioning and close

the screw access using a composite material of your choice. To prevent

the screw head from being filled with composite, place a cotton wool

pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first,

avoid overfill.

Try the crown in and if accurate fit is confirmed, cement the crown with

your preferred method and materials.

After tightening the connection screw and closing the screw canal,

the crown is tried in and cemented.

left: art. no. C-029-000002right: art. no.C-029-000004


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Over view:I I I . M U L T I U N I T B R I D G E W O R K

After impression and model making, dentist and dental technician have two prosthetic options for implant

supported bridgework.

a. Screw retained restorations

b. Cement retained restoration

It is recommended for the dentist to ask the technician to make a wax up as part of the treatment planning

prior to implant placement to ensure best possible prosthetic results.

This can be used to make a surgical stent, be an aide when making a temporary restoration and serves as a

reference to judge the available space when the final restoration is being made.

Choosing the correct abutments for implant supported bridges:

1. Provisional abutment (chair side or dental laboratory

for individualised healing abutments)

2. Standard titanium abutments

3. ICX aesthetics abutments

4. ICX universal abutments

7. Gold and burn-out abutments

8. ICX CAD/CAM-abutments



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1a. Provisional abutments (screw retained)

Dental technician:

The dental technician connects the ICX-healing abutment with a collar height of 2mm or

4mm (i.e. art. no. C-004-514720 or C-004-514740) with the ICX hexagon screw driver SW 1.4

(i.e. art. no. C-015-100025) onto the implant analogue in the master model. The supplied

connection screw is finger tightened.

The ICX-Peek abutment can now be reshaped to individualised it. You have the option to

change the margin of the preparation, change emergence profile and the height of the abutment. Use the

silicon key made from the wax up as an aid. Close the connection screw canal with modelling wax and make

a temporary crown in the conventional way. Once finished, drill into the incisal/palatal region to reopen the

connection screw canal. You can remove the remaining modelling wax by carefully steaming out the wax.

The provisional implant bridge is checked and send to the dentist.

Dentist:

The dentist can fit the provisional crown onto the implant with the ICX hexagon screw driver SW 1.4 (i.e. art.

no. C-015-100025) and the ICX ratchet (art. no. 960001) tightened to a torque of 15 Ncm. The screw access in

the temporary crown can be closed using a composite material of your choice. To prevent the screw head

from being filled with composite, place a cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape

onto the screw first.

The provisional implant prosthetics can now be removed as required (i.e. to modify it).

1b. Provisional abutments (cement retained)

The dentist connects the ICX-healing abutments with hex to the implants in the patient‘s

mouth. The dentist can choose the most suitable heights and diameter for every implant to

be restored temporarily. The ICX-healing abutments are available in heights of 6mm, 8mm,10mm

and diameters of 5mm and 7mm.

Once the healing abutments are hand tight in place they can be marked according to the adjustments

needed (i.e. mark gingival level and height if shortening is required).

The healing abutments are now removed from the mouth and once connected to an analogue (i.e. art. no.

C-006-010001 or in case of an ICX-plus implant C-006-010002) can be customised to your preferred prepara-

tion shape.

Please ensure the finished abutments are parallel to each other to allow removal of the temporary bridge.

Once you are happy with the shapes of your abutments, connect them to the implants in the patient’s mouth

with the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no. 960001) tigh-

tened to a torque of 15 Ncm and close the screw access in the temporary crown using a composite material

of your choice. To prevent the screw heads from being filled with composite, place a cotton wool pellet or

folded up PTFE (Polytetrafluorethylene) tape onto the screws first. Now apply a thin film of vaseline onto the

finished temporary abutments to prevent the temporary material from adhering to the temporary abut-

ments and proceed to make a provisional bridge in the same way you would for natural teeth.

art. no. C-004-514720 or C-004-514740

Example art. no. C-004-524706


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2b. Titanium Abutments for cement retained implant supported bridges

Dental technician:

For cement retained implant supported bridges use abutments with Hex only. On the

master model, measure the gingiva levels and determine shape and angulation of the

prefabricated abutments required. This will enable you to select the best matching abut-

ments. Several collar height and shape options are available.


Connect the titanium abutments you have selected to the master model with the lab screws using the ICX

hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025). Mark heights, widths and gingival levels. The silicone

key made from the wax up can be used as a reference.

To customise the abutments, remove the abutment in question from the master model and connect it to an

additional matching analogue that is used as a work model. This way you can reshape all abutments to your

individual requirements. The margin of the preparation, emergence profile and the height of the abutment

can be changed as needed.

Please ensure the finished abutments are parallel to each other to allow removal of the future bridge.

Once the abutments fit your requirements you can make a bridge in the way you would for natural teeth. Af-

ter a final check and cleaning it is useful to make a insertion jig to help the dentist with the correct positioning

of the abutments in the mouth.

Dentist:

Insert the individualised titanium abutments with the jig provided by the dental lab. Tighten the connecting

screws using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no.

960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and close the screw accesses using a

composite material of your choice (picture 2). To prevent the screw heads from being filled with composite,

place a cotton wool pellet (picture 1) or folded up PTFE (Polytetrafluorethylene) tape on the screw first. Avoid

overfill (picture 3).

Try the bridge in and if accurate fit is confirmed, cement it with your preferred method and materials.

✗1. 2. 3.




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3a. Screw retained gold and burn-out abutments for implant supported bridgesbt

Dental technician:

For screw retained implant supported bridges use abutments without Hex only. The two

options available are the ICX gold abutment (art. no. C-008-010002) or the IXC burn-out

abutment (art. no. 008-030002).

– The choice of abutment will be determined by the alloy to be used for the abutments. The ICX gold abut-

ments requires a high gold content alloy whereas the IXC burn-out abutment can be used with non-pre-

cious alloys.

– The machined connection area of the ICX gold abutments will tend to provide a more accurate fit than the

cast alternative using the IXC burn-out abutment.

Using the lab screw, connect the abutments of your choice hand tight to the master model with the ICX hexa-

gon screw driver SW 1.4 (i.e. art. no. C-015-100025).

Shorten the abutments according to the silicone key and customise the abutments by adding modelling wax/

resin aiming for a reduced size shape of the final teeth. Please ensure to maintain a minimum thickness along

the screw channels of 0.7mm to avoid complications during the casting process. Keep the screw canals open

and do not model over the shoulder of the abutment. Cast in the usual way ensuring compatibility of alloys

and following manufacturer‘s recommendations. Please ensure NOT to sandblast the connection areas of the

abutments as this will compromise fit.

Once the metal framework incorporating the abutments fits your requirements you can layer the porcelain in

the way you do for a bridge on natural teeth.

Dentist:

Deliver the metal ceramic bridge onto the implants in the patient‘s mouth. Ensure correct fit and tighten the

connecting screws using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet

(art. no. 960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and close the screw access using

a composite material of your choice. To prevent the screw head from being filled with composite, place a

cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first.

It is possible to re-access the connection screws by removing the fillings from the screw canals if this should

be required in the future.


+art. no. C-015-100025 art. no. Artikel-Nr. 960001


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3b. Cement retained gold and burn-out abutments for implant supported bridges

Dental technician:

For cement retained implant supported bridges use abutments with Hex only.

The two options available are the ICX gold abutment (art. no. C-008-010001) or

the IXC burn-out abutment (art. no. 008-030001).

– The choice of abutment will be determined by the alloy to be used for the

abutments. The ICX gold abutments requires a high gold content alloy where-

as the IXC burn-out abutment can be used with non-precious alloys.

– The machined connection area of the ICX gold abutments will tend to provide a more accurate fit than

the cast alternative using the IXC burn-out abutment.

Using the lab screw, connect the abutments of your choice hand tight to the master model with the ICX

hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025).

Shorten the abutments according to the silicone key and customise the abutments by adding modelling

wax/resin aiming for reduced size shape of the final teeth. Please ensure to maintain a minimum thickness

along the screw channels of 0.7mm to avoid complications during the casting process. Keep the screw

canals open and do not model over the shoulder of the abutment. Cast in the usual way ensuring compati-

bility of alloys and following manufacturer‘s recommendations. Please ensure NOT to sandblast the connec-

tion areas of the abutments as this will compromise fit.

Once the abutments fit your requirements you can make a bridge in the way you would for natural teeth.

After a final check and cleaning, make a jig to help the dentist with the correct positioning of the abut-

ments.

✗1. 2. 3.

art. no. C-008-010001



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Dentist:

Insert the individually cast abutments with the jig provided to ensure correct positioning and tighten the

connecting screws using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet

(art. no. 960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and close the screw access using

a composite material of your choice. To prevent the screw heads from being filled with composite, place a

cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screws first, avoid overfill.


4a. ICX CAD/CAM-abutments for implant supported bridges (screw retained)

Dental lab:

For screw retained implant supported bridges use abutments without Hex (ICX-CAD/CAM- abutment

(art. no. C-029-001001)). The CAD/CAM- abutments will serve as a base to bond the bridge to that you

will manufacture.

You can scan your abutments or, with some systems, use the ICX-scanabutment (art. no. C-030-000001). You

are free to choose your preferred material for milling.

When bonding the bridge to the abutment, ensure the screw canals remain open. Remember to first finish

the bridge fully before bonding it to the abutment.

Dentist:

Deliver the restoration your dental lab has made onto the implants in the patient’s mouth. Ensure correct

positioning and tighten the connecting screw using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-

100025) and the ICX ratchet (art. no. 960001). Tighten to a torque of 30 Ncm. Confirm accurate positioning and

close the screw access using a composite material of your choice. To prevent the screw head from being filled

with composite, place a cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first.

It is possible to re-access the connection screws by removing the fillings from the screw canals if this should

be required in the future.

art. no. C-029-001001

+art. no. C-015-100025 art. no. Artikel-Nr. 960001


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4b. ICX CAD/CAM-abutments for implant supported bridges (cement retained)

For cement retained implant supported bridges use abutments with Hex

only. The two options available are ICX-CAD/CAM- abutment (art. no.

C-029-000002) or ICX-CAD/CAM- abutment (art. no. C-029-000004).

The ICX-CAD/CAM- abutment GH 0mm is not compatible with

ICX-plus implant therefore please confirm with the dentist the type

of implant used.

The ICX-CAD/CAM- abutment will serve as a base to bond your mesio structure to.

You can scan your abutment or use the ICX-scanabutment (art. no. C-030-000001) to create a stump shape.

When doing this please make sure the individual stumps are parallel to each other to allow the bridge to be

inserted.

You are free to choose your preferred material for milling. When bonding the milled mesio structure to the

abutment, ensure the screw canals remain open to allow access for removal of the lab screws. After bonding

the mesio structure to the abutment, cover the screw canal with modelling wax. You can design the bridge in

the usual way and, after a final check and cleaning, it is useful to make a insertion jig to help the dentist with

the correct positioning of the abutments.

Dentist:

Insert the abutments with the jig provided and tighten the connecting screws (not the lab screws) using the

ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no. 960001). Tighten to a

torque of 30 Ncm, confirm accurate positioning and close the screw access using a composite material of your

choice. To prevent the screw head from being filled with composite, place a cotton wool pellet or folded up

PTFE (Polytetrafluorethylene) tape on the screw first, avoid overfill.


✗1. 2. 3.

left: art. no.. C-029-000002right: art. no.C-029-000004







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Over view:I V. T E L E S C O P I C C R O W N S ( T O S U P P O R T O V E R D E N T U R E S )

Telescopic crowns present a way of anchoring an overdenture on to implants without the need for transversal

connectors like bars. Slightly conical abutments (primary copings) which are all aligned parallel to each other

are connected onto the implants. Thin cap like secondary copings are made that fit tightly over those abut-

ments. These are incorporated into the denture to provide retention.

The principle is similar to a cement retained implant bridge being fitted onto the abutments without cemen-

tation.

After impression taking and model making, the dentist and dental technician have several abutment options

for a precision coping supported overdenture.

a. ICX-universal abutment

b. ICX-gold and burn-out abutment

c. ICX-CAD-CAM-bonded abutment

It is recommended for the dentist to have a mock up denture made by the dental technician in the treatment

planning stage to achieve a predictable, functionally and cosmetically pleasing result.

The mock up denture can later be used to make a surgical stent for implant placement. In the prosthetic

phase an impression with a silicone putty can be taken of the mock up denture or the surgical stent to make a

silicone key. The silicone key then provides an indication of the space available.

a. ICX-universal abutment

Dental technician:

For telescopic overdentures use abutments with Hex only.

Abutment heights to choose from are 9mm, 9.5mm and 15.5mm. Each available in diame-

ters of 5.2 or 7mm.

Using the lab screw, connect the abutments of your choice hand tight to the master model

with the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025).

You can now customise the abutment to your individual requirements and change

emergence profile and the height of the abutment as needed.

Using the silicone key taken of the mock up denture, determine the joint milling angle for all abutments. Pro-

ceed with milling the abutments, cover the screw canal with modelling wax and manufacture an overdenture

with the secondary copings to fit the milled abutments.

After a final check and cleaning it is useful to make an insertion jig to help the dentist with the correct positio-

ning of the milled abutments.




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Dentist:

Insert the milled primary abutments with the jig provided to ensure correct positioning and tighten the connec-

ting screws (not the lab screws) using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX

ratchet ( art. no. 960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and close the screw access

using a composite material of your choice. To prevent the screw head from being filled with composite, place a

cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first, avoid overfill.

Try the fit of the overdenture and if the fit is as expected, deliver the overdenture.

b. ICX-gold and burn-out abutments

Dental lab:

For telescopic overdentures use abutments with Hex only. The two options availa-

ble are ICX-gold abutment (art. no. C-008-010001) or IXC burn-out abutment (art. no.

008-030001).

– The choice of abutment will be determined by the alloy to be used for the abut-

ments. The ICX gold abutments requires a high gold content alloy whereas the IXC

burn-out abutment can be used with non-precious alloys.

– The machined connection area of the ICX gold abutments will tend to provide a more accurate fit

than the cast alternative using the IXC burn-out abutment.

Using the lab screw, connect the abutments of your choice hand tight to the master model with the ICX hexagon

screw driver SW 1.4 (i.e. art. no. C-015-100025).

Shorten the abutments according to the silicone key and customise the abutments by adding modelling wax/

resin aiming for reduced size shape of the final teeth. Please ensure to maintain a minimum thickness along the

screw channels of 0.7mm to avoid complications during the casting process. Keep the screw canals open and do

not model over the shoulder of the abutment. Cast in the usual way ensuring compatibility of alloys and following

manufacturer‘s recommendations. Please ensure NOT to sandblast the connection areas of the abutments as this

will compromise fit.

Proceed to mill the abutments and once the milled abutments fit your requirements you can manufacture the

secondary copings and the overdenture.

After a final check and cleaning, make a jig to help the dentist with the correct positioning of the abutments.

+art. no. C-015-100025 art. no. 960001

left: art. no. C-008-010001right: art. no.C-008-030001


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Dentist:

Insert the milled primary abutments with the jig provided to ensure

correct positioning and tighten the connecting screws (not the lab

screws) using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-

100025) and the ICX ratchet (art. no. 960001). Tighten to a torque of 30

Ncm, confirm accurate positioning and close the screw access using

a composite material of your choice. To prevent the screw head from

being filled with composite, place a cotton wool pellet or folded up

PTFE (Polytetrafluorethylene) tape on the screw first, avoid overfill.


c. ICX CAD/CAM abutments

For telescopic overdentures use abutments with Hex only. The two options

available are ICX CAD/CAM- abutment (art. no. C-029-000002) or ICX CAD/CAM-

abutment (art. no. C-029-000004).

The ICX CAD/CAM- abutment GH 0mm is not compatible with ICX-plus implant

therefore please confirm with the dentist the type of implant used.

The ICX CAD/CAM- abutment will serve as a base to bond your primary coping to.

You can scan your abutment or use the ICX-scanabutment (art. no. C-030-000001). Design and mill your prima-

ry copings. When bonding them to the abutment ensure the screw canals are open to allow access for removal

of the lab screws.

Also when manufacturing the secondary copings remember to cover the screw canal with modelling wax to

avoid them getting blocked. Manufacture the secondary copings to fit the milled abutments and overdenture.

After a final check and cleaning it is useful to make an insertion jig to help the dentist with the correct positio-

ning of the milled abutments.

art. no. C-029-000002

art. no. C-029-000004



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Dentist:

Insert the milled abutments (primary copings) with the jig provided to ensure correct positioning and tighten

the connecting screws (not the lab screws) using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-

100025) and the ICX ratchet (art. no. 960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and

close the screw access using a composite material of your choice. To prevent the screw head from being filled

with composite, place a cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first,

avoid overfill.


+ art. no. C-015-100025 art. no. 960001





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Over view:V . B A R R E T A I N E D O V E R D E N T U R E S

After impression taking and model making the dentist and dental technician have several abutment options

for a bar retained overdenture.

a. Direct bar

b. Passive bar

c. Bars on ICX-multi implants (details in the ICX multi manual)

It is recommended for the dentist to have a mock up denture made by the dental technician in the treat-

ment planning stage to achieve a predictable, functionally and cosmetically pleasing result.


phase an impression with a silicone putty can be taken of the mock up denture or the surgical stent to

make a silicone key. The silicone key then provides an indication of the space available.

a. Dental technician:

Dental lab:

For screw retained implant supported bars use abutments without Hex. Agree with dentist the material

best suited for the case.

For high gold content alloys use ICX-bar-system gold abutment

(art. no. C-011-010002)

For non-precious alloys use ICX-bar-system burn-out abutment

(art. no. C-011-030002)

For titanium use ICX-bar-system titanium abutment

(art. no. C-011-020002 or art. no. C-011-020002)




– High gold content alloys use ICX-bar-system gold abutments can be cast onto or

soldered to. The abutments are connected to the master model using the lab screw with

the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025). You can now model the

bar by using prefabricated bars that are cast, soldered or lasered onto the abutments.

– The ICX-bar-system burn-out abutments burn out fully together with the modelling

wax in the casting process. The burn-out copings are connected to the master model

using the lab screw with the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025).

You can now model the bar. Please ensure a minimum layer of 0.3mm of wax on the

burn-out copings. The abutment can be cast in a material of your choice.

Please confirm that the connection area is cast well.

– The ICX-bar-system titanium abutments are available in heights of 9mm and 13.5mm. The

abutments are connected to the master model using the lab screw with the ICX hexagon

screw driver SW 1.4 (i.e. art. no. C-015-100025). Prefabricated bars can now be customised

to fit and laser them onto the abutments.

After fitting the bar tension free onto the master model you can manufacture the bar retained prosthesis in

the conventional way.

Dentist:

Fit the bar manufactured by the dental technician onto the im-

plants. Ensure good and tension free fit and tighten the connecting

screws (not the lab screws) using the ICX hexagon screw driver SW

1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no. 960001) to

a torque of 30 Ncm.

Close the screw access using a composite material of your choice.

To prevent the screw head from being filled with composite, place a

cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first, avoid overfill.


S e r v i c e -Te l . : + 4 9 ( 0 )2 6 41 9110 - 0 · w w w. m e d e n t i s . d e40


ST

EG

AR

BE

ITE

N

b. Passive bars

Dental technician:

For passive bars you can use abutments with or without hex.

Agree with dentist the material best suited for the case.

You can choose from all available ICX-bar-systems and ICX-bar-base.

Abutments with hex can be customised. Abutments without hex must not be customised as there is no refe-

rence for correct positioning onto the implants. Please provide a jig for the dentist to ensure correct positio-

ning onto the implants for all individualised abutments. Also please ensure that the abutments are parallel

to each other so the bars can be bonded to the abutments intraorally. Before sending the work to the dentist

please condition bar and abutments to achieve maximum bond strengths.

Dentist:

Fit the bar abutments onto the implants (for all individualised abut-

ments use the jig provided to ensure correct positioning). Ensure good

fit and tighten the connecting screws (not the lab screws) using the

ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX

ratchet (art. no. 960001) to a torque of 30 Ncm.

Close the screw access using a composite material of your choice. To

prevent the screw head from being filled with composite, place a cotton wool pellet or folded up PTFE (Poly-

tetrafluorethylene) tape on the screw first, avoid overfill.

Confirm accurate and tension free fit of the bar onto the abutments and bond the bar onto the abutments.

Now try the fit of the overdenture and if the fit is as expected, deliver the overdenture.

c.bars on ICX-multi implants (please refer to the ICX- multi-manual)

art. no. C-029-001001


Over view:V I . I C X - M I N I

ICX

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ICX-mini

Ball anchorage systems are a versatile, cost effective solution that is easy for clinician and patient to handle

and to clean.

a. ICX-mini solid abutment

b. T-Ecco

c. Dalbo®-Plus

It is recommended for the dentist to have a mock up denture made by the dental technician in the treat-

ment planning stage to achieve a predictable, functionally and cosmetically pleasing result.


phase an impression with a silicone putty can be taken of the mock up denture or the surgical stent to

make a silicone key. The silicone key then provides an indication of the space available.

a. ICX-mini-solid abutment

a1) The ICX mini solid abutment is a cap that is cemented onto the ICX-Ball-abutment-implant.

This abutment is best suited for a direct impression method. Here for the abutment is cemen-

ted directly onto the ball abutment implant using a dual curing resin cement (i.e. Panavia F 0.2

(kuraray), please refer to the manufacturer‘s manual for details of use).

a2) After the cementation the abutment can be individualised by shaping it in the way you would

shape a natural tooth intraorally (i.e. air turbine and diamond coated burrs). Once prepared, a

conventional precision impression is taken.

Dental technician:

Manufacture a crown in the way you would for a natural tooth.

art. no. C-026-010501


Over view:V I . T - E C C O

ICX

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b. T-Ecco

The T-Ecco ball anchorage system consists of:

T-Ecco-female and ICX-Analog

b1) Fitting the Female(s) to the denture in the dental lab

Cast a master model with the t-bona analogue. Place the

T-Ecco female including the red plastic band onto the

analogue. If more than one implant is to be restored, it is

essential to determine a common path of insertion for the

overdenture. Undercuts have to be blocked out. Make sure

no resin will enter under the female or into the slots of the

female. Use the enclosed plastic ring to protect the pre-

cious metal inner of the female. The female part can now

be cured into the acrylic of the denture.

b2. Fitting the Female(s) to the denture chairside

The overdenture has to have a large enough

space to fit the female. Punch a hole in a small

piece of rubber dam and fit it over the ball

abutment and the surrounding gingiva. Place the

female onto the ball abutment. If more than one

ball abutment is involved, determine a common

path of insertion for the overdenture. Ensure no

resin will be able to enter under the female or

into the slots of the female therefore undercuts

and voids under the female have to be blocked

out.

+

ausblocken

art. no. T-13825


Over view:V I . T - E C C O

ICX

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Place some chairside denture resin into the space for the female(s) inside the denture and place the denture

in the patient’s mouth. After the resin has set, remove the denture from the patient’s mouth and fill any

remaining voids with additional resin and/or remove any excess material.

b3) Activating the female

To activate the female, place the denture on a secure surface.

With the activator apply gentle, axial pressure to the female in the

denture whilst rotating the activator slightly. This will tighten the

arms of the female and therefore tighten the hold of the denture.

To check the tightness, use a spare abutment or lab analogue.

b4) Deactivating the female

To deactivate the female, place the denture on a secure surface.

With the deactivator apply gentle, axial pressure to the female in

the denture. This will push the arms of the female apart slightly

and loosen the hold of the denture. To check the tightness, use a

lab analogue.


c. Dalbo®-Plus

The Dalbo®-plus ball anchorage system consists of:

Dalbo®-Plus-female and ICX-Analog

The conceptThe Dalbo system combines a high reliability with great flexibility.

The Dalbo®s-plus comes with a choice of 3 female inserts which each have a diffe-

rent retention range allowing a variable retention levels for each female ranging

from 200 grams to 1200 grams. This is achieved by a different number of slots in the

insert allowing them to be wedge together to variable degrees by tightening them

into the threat of their housing.

Thus resulting in:– Variably adjustable retention levels for each connector

– Compensates diverging implant axis of up to 40°

– Possibility to combine implant borne Dalbo®-plus with root cap

born Dalbo®-plus (on natural teeth)

– Easy replacement of worn female inserts guarantees longevity of restoration

The Dalbo®-plus elliptic version is specially designed for chair side fitting to

provide an increased retention in the acrylic of the overdenture.

The Dalbo®-plus standard female insert The Dalbo®-System female insert is the retentive part used.

Every female part insert has flexible precious metal lamellae.

When inserting the denture, the flexible lamellae open and slide

smoothly over the spherical male part without damaging it, ensuring

durable denture retention, minimum servicing. The female inserts can be

replaced by unscrewing the insert from its housing.

+

Dalbo®-PLUS Female TEelliptic - completeart. no. DP-055890

Dalbo®-PLUS standard female insert(without groove)art. no. DP-055643

Over view:V I . D A L B O ® - P L U S

ICX

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i.e. art. no. DP-055890



ICX

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The Dalbo®-plus female tuning insertsThe retention of older, existing restorations with worn ball anchors

can be improved with Dalbo®-PLUS female tuning inserts.

These components have a reduced inner diameter but feature

additional groves in the lamellae.

They can be exchanged easily by unscrewing the insert from its housing.

The screwdriver/activator is used for fine adjustment of the denture retention.

Dalbo®-plus female tuning insert(one grove)art. no. DP-055687

Dalbo®-plus female soft tuning insert(two groves)art. no. DP-050068

Dalbo®-plus

screwdriver/activator

art. no. DP-072609

Which female insert to choose?

Dalbo®-plus standardfemale insert(without groove)

Dalbo®-plus female tuning insert(one groove)

Dalbo®-plusfemale tuning-soft insert (two grooves)

Achtung:Diese Adresse hat Spaltenbreite 40.25 mm für

Dental-Buch und gleichartige Layouts

Cendres+Métaux SARue de Boujean 122CH-2501 Biel/Bienne

Phone +41 58 360 20 00Fax +41 58 360 20 [email protected] www.cmsa.ch/dental

TuningTuning softStandard

Dalbo®-PLUS Dalbo®-PLUS

Die Dalbo®-PLUS Matrize basicist für den Einbau im Labor bestimmt. Sie kann direkt einpolymerisiert oder in ein Metall gehäuse eingeklebt werden. Das dem Produkt beigelegte rote Dublierhilfsteil vereinfacht den Herstellprozess einer Klebebox im Labor entscheidend: Aufsetzen – Unterschnitt aus blocken – Dublieren – Modellieren – Einbetten – Giessen – Ausbetten – Strahlen – Kleben – fertig!

Die Dalbo®-PLUS Matrize ellipticist für den Einbau direkt im Munde des Patienten bestimmt. Erfahrungen zeigen, dass sich die Kunststoffqualität durch den Direkteinbau verschlechtert und die Matrizen bei hohen Belastungen aus der Prothese herausbrechen können. Unsere Lösung ist die elliptische Ausgestaltung der Kunststoffretention; sie erhöht die Haltekraft im Prothesenkörper markant!

Haltekraft im Prothesenkörper: Dalbo® Matrizen im VergleichAlle Kugelmatrizen haben unter Laborbedingungen einen ausreichenden Halt im Prothesenkörper. Auffallend ist der hohe Wert der Dalbo®-PLUS Matrize elliptic, welche zum Teil sogar über den mechanischen Eigen-schaften des Kunststoffes liegt.

Der Lamellen-Retentionseinsatzist das eigentliche Halteelement im System. Er ist aus Elitor® gefertigt, einer gelben Edelmetall-Legierung mit idealen mechanischen Eigenschaf-ten für eine langlebige und sichere Funktion. Der Einbau ist kinderleicht und schnell gemacht. Mittels Spezialschraubenzieher/Aktivator, ohne Demontage der Matrize aus dem Prothesenkörper, kann der Einsatz aus dem Gehäuse gedreht und wieder eingesetzt werden.

Die Tuning-Lamellen-RetentionseinsätzeDie zwei speziellen Tuning-Retentionseinsätze mit reduziertem Innendurchmesser ermöglichen einen aussergewöhnlichen, breiten Friktionsspielraum und die Wiederherstellung der Haltekraft.

Wo wird welcher Retentionseinsatz eingesetzt?

Ausführung basic Dublierhilfsteil

Ausführung elliptic

Version Standard(basal: keine Rille)

Version Tuning soft(basal: 1 Rille)

Version Tuning(basal: 2 Rillen)

Vergleich der Dalbo® Matrizen für Kugelanker

Referenz Dalbo®-B

Dalbo®-Classic

Dalbo®-Classic elliptic

Dalbo®-PLUS basic

Dalbo®-PLUS elliptic

Ausreisskraft [N]

0 200 400 600 800 1000 1200 1400

Optimaler Wirkungsbereich

Maximaler Wirkungsbereich

2.27 2.26 2.25 2.24 2.23 2.22 2.21 2.20 2.19 2.18 2.17 2.16 2.15

in mm

2.27 2.26 2.25 2.24 2.23 2.22 2.21 2.20 2.19 2.18 2.17 2.16 2.15

in mm

Optimal operating window



ICX

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Compensates diverging implant axis of up to 40°

The Dalbo®-plus can compensate diverging implant axis of up to 40° making it possible to restore these

challenging cases.

(Ludwig K.; Kern M.; Hartfill H.: Analysis of the wear of ball attachments with 50’000 fitting-withdrawal cycles

in a water bath and eccentric end loading. Quintessenz Journal of Dental Technology, 02/2006).

20° 20°

Achtung:Diese Adresse hat Spaltenbreite 40.25 mm für

Dental-Buch und gleichartige Layouts

Cendres+Métaux SARue de Boujean 122CH-2501 Biel/Bienne

Phone +41 58 360 20 00Fax +41 58 360 20 [email protected] www.cmsa.ch/dental03

.200

9

IndikationenAbnehmbare, starr oder resilient verankerte Prothetik auf Implantaten und WurzelkappenBeispiele:– Hybridprothetik– Unilaterale Prothesen, transversal verblockt– Schalt- und Freiendprothesen in Kombination

Beschreibung des KonzeptesDer Dalbo®-PLUS basic und Dalbo®-PLUS elliptic dürfen aufgrund ihres einmaligen, patentierten Prinzips als eine Exklusivität bei der Verankerung von Hybrid prothesen auf natürlichen Zähnen und Implantaten bezeichnet werden. Durch das Eindrehen des Lamellen-Retentionseinsatzes mit dem Schraubenzieher/Aktivator in das Gehäuse, schliessen sich die vier Lamellen. Dadurch wird eine gezielte Aktivierung erzeugt. Dank eines Spezial gewindes und des durchgehend geschlitzten Lamellen-Retentions einsatzes, welcher sich beim Eindrehen verkeilt, wird ein unbeabsichtigtes Verstellen verhindert. Der Retentionsbereich des Einsatzes Standard beginnt bei mindestens 200 Gramm und reicht über 1200 Gramm.

PatrizenDie Patrize (V) ist aus der palladium- und kupferfreien, angussfähigen Edelmetall-Legierung Valor® hergestellt. Sie kann ausschliesslich durch Anguss oder Lötung mit der Wurzelkappe verbunden werden. Der Anguss ist zeitsparend und erübrigt den Einsatz von Fügematerialien.Die laserschweissbare Spezialpatrize (E) aus Elitor® wurde speziell für diese Technologie entwickelt. Das ausgeklügelte Patrizenauflagedesign erlaubt ein rationelles, sicheres und schonendes Auflasern auf Wurzel-kappen.

MatrizenDie Matrize (TE) ist in zwei Ausführungen erhältlich: Die Variante elliptic unterscheidet sich im Matrizendesign zur Variante basic in der massiv ausgeprägten, elliptisch ausgeformten Kunststoffretention, aber mit identischer Einbauhöhe. Diese Ausführung ist indiziert für den direkten Einbau im Munde oder ganz einfach, wo eine extrastarke Haltekraft der Matrize im Prothesenkörper gewünscht wird.

Tuning-MatrizensystemDer Kugelanker ist das älteste und meist verwendete Verankerungsprinzip. Unzählige Hersteller teilen sich den Markt. Kleinste Unterschiede im Kugeldurch messer, der Werkstoffwahl, der Geometrie und des Toleranzfel-des beeinflussen den Friktionsspielraum.Zwei Tuning-Matrizen mit unterschiedlichen Innendurchmessern der Lamellen-Retentionseinsätze ermöglichen die Wiederherstellung der Haltekraft, unabhängig vom verwendeten System oder gar altersbedingten Verschleisserscheinungen.

AnwendungseinschränkungenUnilaterale Prothesen ohne Transversalabstützung

Bedingungen für eine korrekte VerarbeitungIdealerweise steht ein einfaches Parallelometergerät zur Bestimmung der besten Einsetzrichtung zur Verfügung.

Zusätzliche HinweisePatrizen, Matrizen und einige Hilfsinstrumente sind mit den Teilen des bekannten Dalbo®-B und des Dalbo®-Classic kompatibel und untereinan-der austauschbar.

Ausführung basic

Patrize Valor® (V)

Ausführung elliptic

Lamellen-Retentionseinsatz Standard

Dalbo®-PLUSSupraradikuläre, retentive Resilienzverankerung

Charakteristika– Durch Eindrehen eines Lamel-

len-Retentionseinsatzes in das Gehäuse wird eine sichere und dauerhafte Aktivierung erreicht.

– Retention von «sanft» bis «stark» einstellbar

– Aufgebaut auf dem bewährten und bekannten Kugelanker-prinzip nach Dr. Dalla Bona

– Ideal für Implantatarbeiten

Verarbeitungsnutzen– Zeitersparnis durch anguss-

fähige Patrize in Edelmetall (Pd-Cu-frei)

– Zwei Matrizen-Varianten mit identischer Einbauhöhe zur Auswahl: Die Ausführung elliptic verfügt über eine verstärkte Kunststoff-retention. Dies sichert den Verbleib auch bei stärkster Belastung.

– Pfeilerdivergenzen können kompensiert werden: Auf Wurzelkappen, je nach Aktivation von 8° – 16°. Auf Implantaten, je nach System, bis zu 40°.

– Die Abmessungen entsprechen dem Dalbo®-B, daher eine ideale Aufwertungsmöglichkeit von bestehenden Arbeiten.

– Spezialpatrize für die Laserschweisstechnik erhältlich

Medizinischer Nutzen– Einfaches, stufenloses

Einstellen des Prothesenhaltes, patientenindividuell während der Behandlung durchführbar

– Hohe Flexibilität: Drei unter-schiedlich dimensionierte Lamellen-Retentionseinsätze erhöhen den Friktionsspielraum und können simpel und ohne zeit aufwändige Neu-einpolymerisation der Matrize ausgetauscht werden.

– Die Matrizen-Variante elliptic erhöht die Haltekraft im Prothesenkörper, ideal für den direkten Einbau im Munde!

– Sicherheit für den Patienten, da die Materialien frei von toxischen Elementen sind.

Die Produkte sind CE gekennzeichnet. Details siehe Produktverpackung.



ICX

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Dalbo®-PLUS Dalbo®-PLUS

3.60

3.103.70

basic

5.80

3.103.70

elliptic

3.60 2.25

2.40

3.20

1.90

Die PatrizenFür die Wurzelkappentherapie stehen je nach Anwendung zwei Werk-stoffvarianten zur Verfügung. Die Patrize in Valor® kann sowohl gelötet als auch zeitsparend direkt mit der Kappe angegossen werden. Immer häufiger wird durch Lasern die Patrize mit der Kappe verbunden. Dazu steht ein spezielles Patrizendesign zur Verfügung, welches eine einfachere und sicherere Laserung ermöglicht.

Kugelabutments auf ImplantatenKugelankersysteme sind in der Implantologie nicht mehr weg zu denken. Sie sind kosten günstig, durch den Patienten einfach zu reinigen und haben in der Regel eine hohe Lebensdauer. Bei vielen Patienten konnte durch diese Therapieform die Lebensqualität markant verbessert werden.Der Kugelankerdurchmesser 2.25 mm, welchen Cendres+Métaux vor über 40 Jahren im Markt eingeführt hat, hat sich zum Standard entwickelt. Viele Implantatsysteme wie z.B. die von Straumann, Nobel Biocare, Camlog, Thommen Medical, Astra Tech, 3i und viele andere sind mit unserem Dalbo® Kugelankersystem kompatibel. Wir empfehlen für den Direkt einbau das Matrizenkonzept elliptic.

Einstellen der HaltekraftEin eingebauter Dalbo®-PLUS wird an der titanfarbenen Umrandung des goldgelben Lamellen-Retentionseinsatzes erkannt. Dieser wird ausschliesslich mit dem Schraubenzieher/Aktivator (Best.-Nr. 072 609) mittels Drehbewegung im Uhrzeigersinn aktiviert. Desaktiviert wird durch Drehen im Gegenuhrzeigersinn.

Die höchste Aktivierungsstärke wird nach maximal eineinhalb Umdre-hungen erreicht. Als Aktivierungs- «Nullstellung» gilt die basal bündige Ausrichtung von Matrizengehäuse und Lamellen-Retentionseinsatz. Pro ¼-Umdrehung wird die progressiv zunehmende Haltekraft um ca. 200 g erhöht (siehe Grafik). Der Lamellen-Retentionseinsatz kann bei Bedarf, ohne Demontage der Matrize, ersetzt oder bei fortgeschrittenen Kugel-abnützungen durch die Tuning Lamellen-Retentionseinsätze ausgetauscht werden.

NEU:Lehrenset erleichtert die Haltekrafteinstellung!Mit der Patrizenlehre kann die Einstellung in der Prothese überprüft werden.Die Matrizenlehre enthält ein Originalgehäuse, mit welchem die Haltekraft der verschiedenen Lamellen-Retentionseinsätze im Munde einzeln überprüft werden kann.

1:1

Bestell-Nr.ID-Nr.

Komplettteile Beschreibung

055 750 43.04.8 TEV

Dalbo®-PLUS TEV basic

055 889 43.04.9 TEV

Dalbo®-PLUS TEV elliptic

1:1 Einzelteile

Stan

dard

055 752 Matrize TE basic komplett

Zum Einkleben oder Einpolymerisieren in den Prothesenkörper. Nicht anlöten. Aktivierbar. Lieferung inkl. Dublierhilfsteil

055 890 Matrize TE elliptic komplett

Zum direkten Einbau in die Prothese im Munde des Patienten. Aktivierbar.

055 643 Lamellen- Retentionseinsatz E

Zum Einschrauben in das Gehäuse

Verkaufsprogramm

Dalbo® Patrize Valor® (V) Dalbo® Laserschweisspatrize Elitor® (E)

Die Behandlung wurde realisiert von:Christophe Rignon-Bret (DCD, MS, PhD, Associate Professor), Jean-Marie Rignon-Bret (DCD, DSO, DEO, Professor, Direktor der Abteilung Heraus nehmbarer Zahnersatz).René Descartes-Universität Paris 5, Frankreich

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out-blocking

c1) Fitting the Female(s) to the denture in the dental lab

Cast a master model with the t-bona analogue. Place the

whole Dalbo®-plus female insert including the golden

female insert onto the analogue. If more than one implant

is to be restored it is essential to determine a common

path of insertion for the overdenture. Undercuts have to

be blocked out. Make sure no resin will enter under the

female or into the slots of the female. Use the enclosed

plastic ring to protect the precious metal inner of the

female. The female part can now be cured into the acrylic

of the denture.

c2) Fitting the Female(s) to the denture chairside

The overdenture has to have a large enough

space to fit the female. Punch a hole into a

small piece of rubber dam and fit it over the ball

abutment and the surrounding gingiva. Place the

female onto the ball abutment. If more than one

ball abutment is involved determine a common

path of insertion for the overdenture. Ensure no

resin will be able to enter under the female or

into the slots of the female therefore undercuts

and voids under the female have to be blocked out.

Place some chair-side resin into the space for the female(s) inside the denture and place the denture in the

patient’s mouth. After the resin has set, remove the denture from the patient’s mouth and fill any remaining

spaces with additional resin and/or remove any excess material.


The female insert can be exchanged/replaced easily by unscrewing the insert from its housing.

The screwdriver/activator is used for fine adjustment of the denture retention.


ICX

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c3) customising retention

The DalboⓇ-plus is easily recognised by the grey metal outer part and golden metal inner part. With the

special Dalbo screw driver/activator (art. nr. DP-072 609), turning clockwise will activate (increase retention)

turning counter clockwise will deactivate (decrease retention). Maximum activation is reached at one and a

half clockwise turns. The neutral retention point is when the grey metal outer part and golden metal inner

part are level.

One quarter turn will in/decrease retention by approximately 200g (see picture). The golden female insert

can be removed without removing the outer housing that is polymerised to the overdenture. Once the ball

abutment is increasingly worn through daily use it can be replaced by a female tuning insert (see page 45).





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The FAIR Premium Implant-Systemmedentis.com.ua/images/files/templant/ICX... · and connecting screw to your dental lab. Important: Please advise the dental technician if the impression