The world of safe ceramic implants · 2019-06-19 · Z-SYSTEMS is the global leader in ceramic implants. Tens of thousands of successfully placed implants and over 15 years’ experience

The world of safe ceramic implants

Z-SYSTEMS is the global leader in ceramic implants.

Tens of thousands of successfully placed implants and over

15 years’ experience have brought us significant advances

in manufacturing, quality and know-how. We value clinical

documentation, and are certified as per ISO 13485.

Z-SYSTEMS products are CE- and FDA-certified.

We obtained the first CE certification for one-piece

ceramic implants in 2004. All our ceramic implants are

manufactured with our safe Zirkolith® process. In 2007,

we were the first ceramic implant manufacturer to meet

the requirements to obtain FDA certification. Four years

later, we continued this success with our Z5c two-piece

ceramic implant.

The Z5m(t) conical ceramic implant with active threads

was certified by the FDA in 2015, and successfully

introduced around the world. Our two-piece screwed Z5s

implant obtained CE certification in 2016. We are the first

and only manufacturer of a bone-level implant made of

ceramic with platform switching.

Trusted pioneering advances.

Constant innovation, based on solid scientific

experimentation, our unique product range and personal

advice – your satisfaction is our goal. The road to

reliable, safe material and design is a long one. We follow

significant quality demands and continue successive

developments. Safety without compromise is our highest

motto, because we are convinced that only sustainable

and safe implants ensure your success.

We are pleased to present you our complete product

range on the following pages, and to win you over with

our safe ceramic implants.

Your Z-SYSTEMS Team

The benefits of Z-SYSTEMS – ceramic implants at a glance✓ Survival rate comparable to that of titanium implants

✓ Secure osseointegration thanks to the hydrophilic SLM® surface

✓ Implant and abutment can be prepped

✓ Higher material strength than titanium

✓ Less plaque, better gum attachment

✓ Not electrically conductive, no galvanic elements, no currents

✓ Sustained aesthetic results

Welcome to the world of safe ceramic implants

54

Z-SYSTEMS is the first name in ceramic implants.Z-SYSTEMS makes no compromise in quality. Our implants not only demonstrate important advantages as compared to titanium implants, but they also are significantly different from other ceramic implants.

Ceramic implants – The alternative to titanium implants.Z-SYSTEMS implants consist of a pure zirconium oxide, high-performance ceramic as per ISO 13356, and are superior to titanium implants in many areas.

More natural.Bones and gums integrate better with zirconium oxide ceramics.1

More sustainable.Less plaque accretion than on titanium. This reduces the risk of periimplantitis

as well as cardiovascular diseases and strokes.2

More aesthetic.Thanks to the white material, no gray shadows are visible even with thin

or receding gums.3

Healthier.Z-SYSTEMS implants are metal-free, biocompatible, conduct neither heat

nor electrical energy, and cause no irritation to the immune system.4

Stronger.Ceramic is much stronger than titanium.

More visible.Ceramic implants are opaque to X-rays, and easier to recognize in critical situations.

Safe.Our unique Zirkolith® manufacturing process layers the raw material in many steps,

then it is processed and ground to make implants. This process significantly increases

breakage- and age-resistance. .

Hydrophilic.Z-SYSTEMS implants are plasma-sterilized, which is gentle to the material. Thus the surface

is hydrophilic. Other ceramic implant producers use lower-cost steam- or ionizing gamma

ray sterilization. We stopped using material-stressing steam sterilization in 2009.5

Flexible.Both one- and two-piece Z-SYSTEMS implants can be ground in the mouth.

Thus optimized shapes as well as individual adjustments to the gums are possible.

1. J. Mellinghoff, «Quality of the periimplant soft tissue attachment of zirconia implants»; ZZI Zeitschrift für Zahnärztliche Implantologie, 2010; 26 (1).

2. Scarano A1, Piattelli M, Caputi S, Favero GA, Piattelli A; «Bacterial adhesion on commercially pure titanium and zirconium oxide disks: an in vivo human study»; J Periodontol. 2004 Feb; 75(2): 292–296. – J. Holländer, Dissertation Uni Frankfurt 2009. Liñares A et al. Histological assessment of hard and soft tissues surrounding a novel ceramic implant: a pilot study in the minipig. J Clin Periodontol. 2016 Jun;43(6):538–546.

3. Jung RE, Sailer I, Hämmerle CH, Attin T, Schmidlin P.: In vitro color changes of soft tissues caused by restorative materials. Int .J. Periodontics Restorative Dent. 2007 Jun; 27(3): 251–257.

4. G. Bayer, «Patienentenführung und Materialwahl bei subjektiv empfundener Titanunverträglichkeit»; Quintessenz, 2014; 65(3): 303310

5. O. Hoffmann et al, «Osseointegration of Zirconia Implants with Different Surface Characteristics»; JOMI 2012; 27: 352–358.

6. Dr. D. Duddeck und PD Dr. J. Neugebauer, Uni Köln, BDIZ/EDI Implant study, «quantitative and qualitative element-analysis of implant-surfaces by SEM and EDX»; 2014/2015

7. M. Lambrich, G. Iglhaut, «Comparison oft he survival rates for zirconia and titanium implants»; ZZI, Zeitschrift für Zahnärztliche Implantologie, 2008; 24 (3) – J. Mellinghoff, C. Cacaci, F. Detsch, «Einteilige Keramikimplantate – eine Longitudinalstudie über zwei Jahre Beobachtungsdauer»; Quintessenz Implantologie, 2015; 23 (1), 89–100.

Fast.The patented surface is sand-blasted

and laser-modified with an SLM® process.

This trusted process has been used since

2011. This not only roughens the sides of

the threads, it also achieves the optimal

degree of micro and macro roughness

(2–3 µ).6

Rawness profile Z5 – ZrO2 sand-blasted and laser-modified

Measurements: Alicona In�nte Focus IFMRa = 3,10 µm

Pro�

le h

eigh

t [µm

]

8

6

4

2

0

-2

-4

-6

-8100 200 300 400 500 600 700 800

Pro�le lenght [µm]

Successful.The survival rate for Z-SYSTEMS' Z5 generation of ceramic implants

is at > 98 %, and comparable to leading titanium implants.7

76

Z-SYSTEMS implant variety at a glanceThere are six different types of implants. Z-SYSTEMS offers the optimal solution for every indi-cation. The outer geometry of our one- and two-part implants is identical, except for the Z5m(t) and Z5s in the upper thread area.

One-piece implant types Two-piece implant types

What makes Z-SYSTEMS’ implants distinctive?

Ø 3.6 mm Ø 4.0 mm Ø 5.0 mm

8 Z5m-40-08 Z5m-50-08

10 Z5m-36-10 Z5m-40-10 Z5m-50-10

12 Z5m-36-12 Z5m-40-12 Z5m-50-12

Ø 3.6 mm Ø 4.0 mm

8 Z5m-36-08lc Z5m-40-08lc

10 Z5m-36-10lc Z5m-40-10lc

Ø 3.6 mm Ø 4.0 mm

8 Z5m-36-08lb Z5m-40-08lb

10 Z5m-36-10lb Z5m-40-10lb

Ø 4.0 mm Ø 5.0 mm

8 Z5m(t)-40-08 Z5m(t)-50-08

10 Z5m(t)-40-10 Z5m(t)-50-10

12 Z5m(t)-40-12 Z5m(t)-50-12

Ø 4.0 mm Ø 5.0 mm

8 Z5c-40-08 Z5c-50-08

10 Z5c-40-10 Z5c-50-10

12 Z5c-40-12 Z5c-50-12

Ø 5.0 mm

8 Z5s-50-08

10 Z5s-50-10

12 Z5s-50-12

Z5m

The trusted implant

for a variety

of indications

Z5mlc

The solution for

edentulous restorations

with locators

Z5mlb

The solution for

edentulous restorations

with ball anchors

Z5m(t)

The implant

for immediate implantation

and soft bone qualities

Z5c

The successful implant

for cemented tissue-level

restoration

Z5s

The revolutionary

screwed-in bone-level

solution

= length in mm

Abbreviations::

m means monotype, lc means locator, lb is lockball,

t for tapered, c for cemented and s for screwed.

All Z-SYSTEMS implants are manufactured using the

unique Zirkolith® process, and consist of Y-TZP-A Bio-

HIP® zirconium oxide. The material fulfills ISO 13356

requirements for surgical implants, and achieves its

high stability in several steps, also using a “Hot Isostatic

Postcompaction” process. Our process is many times

higher than with titanium or other ceramics. Our

expensive manufacturing process forms the basis to fill

our high quality requirements – and makes Z-SYSTEMS

implants the first choice for ceramics.

98

1 The optimal combination of the conical basic form

with dynamic, active and self-cutting threads

achieves high primary stability even in soft D3

bone.

2 The abutment can be directly prepped in-situ. Thus

one can provide customized, fast and low-cost

care. The connection geometries of our structures

are filed in the most-available CAD libraries (3D

Diagnostix, Carestream, Materialise, Planmeca,

Sicat, Vatech).

3 This unique material makes it possible to prep the

shoulder on a custom basis to defined preparation

limits.* The shoulder design makes it possible to

produce the optimal soft tissue shape for a safe

and aesthetic solution.

4 The conical, self-cutting threads ensure primary

stability.

5 The extraordinarily stable implant-abutment

connection plus outstanding break resistance

ensure the highest level of safety.

6 The Z5c implant can be prepped.* Zirkolith®

material's high stability makes it possible to prep

the implant to defined preparation limits. This

unique ability in implantology means a great deal

of freedom for the user for individual adjustment

to existing anatomical circumstances.

7 The secure form-fit of the abutment is achieved

with its internal cone connection. The visible gap

is by design, necessary for clean cementing.

8 Straight and angled abutments in different

abutment and gingival heights are available for

aesthetically superior restorations.

9 Z5s implants have a conical and rotationally-secure

internal connection with a hexagonal form. This

enables easy, safe and optimal positioning of the

abutment.

10 A pre-mounted clamping wedge is located inside

the implant and holds the screw which is affixed

to the abutment. Thus there is practically no risk of

screw loosening.

All Z-SYSTEMS implants are provided with a

hydrophilic surface! The laser-structured SLM®-

surface has been shown to promote osseointegration

due to its demonstrable increased roughness. Very

good long-term results with over 98 % survival rates

are documented. All implant geometries are filed in 3D

planning software programs.

* Z-SYSTEMS has had the safety of manually-prepped Z-SYSTEMS

implants tested by the renowned Fraunhofer Institute for Material Engineering. The results are clear. No significant impairment was found in the prepped implants. Manually prepped implants do not have a higher risk of breakage.

Similarities and special items

Gingiva level

Bone level

Biological width

2

4

6

7

5

10

3

1

9

8

1110

Clearly arranged surgical cassetteThe surgical cassette contains all of the instruments needed for implants, and is constructed in a user-friendly manner. The rotating instruments are sorted to correspond to the treatment course, and completely labeled with color-coding. The instruments as well as the space for them are provided with item numbers in order to avoid confusion.

Material characteristics

All instruments which come into direct contact with

the operating field are made of zirconium oxide. The

cutting instruments consist of high-strength ATZ high-

performance ceramics.

This zirconium oxide, which is reinforced with aluminum

oxide, is ideal for manufacturing drills and thread cutters.

The ATZ drills cut in an excellent manner, and have little

wear.

ZT-MDMandrel

ZT-HA-8Contra-angle

adapter

ZT-RA10-8Ratchet adapter 10 mm

ZT-RA20-8Ratchet adapter 20 mm

Z5m-HA12lbLB contra-

angle adapter 12 mm

Z5m-RA16lbLB Ratchet

adapter 16 mm

Z5m-RA24lbLB Ratchet

adapter 24 mm

Z5m-RA16lcLC Ratchet

adapter 16 mm

Z5c-HA12Z5c contra-

angle adapter 12 mm

Z5c-RA12Z5c Ratchet

adapter 12 mm

RD230Round burr 2.3 × 16 mm

TD170Twist drill

1.7 × 16 mm Z5m(t)

TD230Twist drill

2.3 × 16 mm

TD285Twist drill

2.85 × 16 mm

TD325Twist drill

3.25 × 16 mm

TD375Twist drill

3.75 × 16 mm

TD425Twist drill

4.25 × 16 mm

CD355-1Cortical drill 3.55 × 12 mm

Z5m(t)

CD455-1Cortical drill 4.55 × 12 mm

Z5m(t)

CD500Cortical drill

5 mmZ5s

Drills

Counter-Sinks

CS360-1Counter

sink 3.6 mm

CS400-1Counter

sink 4 mm

CS500-1Counter

sink 5 mm

T360-1Tap

3.6 mm

T400-1Tap

4 mm

T500-1Tap

5 mm

TR-70Ratchet torque

Taps

ZT-O3X 1 WO-Ring white,

for adapter tools, 3 pcs.

ZT-O3X 1.5 SO-Ring black,

for hexagonal adapter, 3 pcs.

Z5c- Peek RingO-Ring for Z5c adapter tools.

DP220Depth gauge

2.2 mm

DP230Depth gauge

2.3 mm

DP285Depth gauge

2.85 mm

DP325Depth gauge

3.25 mm

DP375Depth gauge

3.75 mm

DP425Depth gauge

4.25 mm

Gauges

Ratchet

ZT-8379 Rotring

diamond finisher

TS-RA12-1 Spare

screw for Z5c-RA12-1

TS-RA16-1Spare

screw for Z5c-RA16-1

TD-DS230Drill stop

2.3 mm

TD-DS285Drill stop 2.85 mm



TD-DS425Drill stop

4 mm 4.25 mm

CD-DS500Drill stop

5 mm

ZT-HE14 (KI589)

Contra-angle extension

Accessories

Accessories

Drivers

Z5c-RA16Z5c Ratchet

adapter 16 mm

Z5c-RA12-1Z5c Ratchet

adapter 12 mm screwed

Z5c-RA16-1Z5c Ratchet

adapter 16 mm screwed

Z5s-SD-T6Screw- driver

Z5s-SD-T6-LScrew-

driver long

Z5s-HAZ5s

contra-angle adapter

Z5s-RA12Z5s Ratchet

adapter 12 mm

Z5s-RA16Z5s Ratchet

adapter 16 mm

HA12Z5m

contra-angle adapter

RA16Z5m Ratchet

adapter 16 mm

RA24Z5m Ratchet

adapter 24 mm

Colour designation:yellow = ø 3.6 mm, red = ø 4 mm, green = ø 5 mm, blue = Z5m(t)

1312

The right choice at the right placeOptimal planning is important for long-term successful restorations. The implant dimensions given here should be seen as minimum values.

Surgical procedureHigh-quality ceramic instruments are used to insert

Z-SYSTEMS implants. The implant bed preparation

requires a proven and standardized procedure, and

is kept very slender. The drill is used in an increasing

diameter series. The use of thread cutters is

recommended, depending upon bone quality.

Z-SYSTEMS warranty

Z-SYSTEMS is convinced of its outstanding product quality. Therefore, we provide a life-long

warranty on the implants, as well as a 10-year warranty on the ceramic abutments (Z5c/Z5s). The

warranty includes the replacement of Z-SYSTEMS products and no additional costs, especially

for any treatment required. The Z-SYSTEMS warranty and general business terms apply.

General Safety and Warnings

The descriptions in this brochure are not sufficient to allow immediate use of Z-SYSTEMS' implant

systems. It is recommended that you are instructed by an experienced operator; one must

study the manual. Not all products are available in all countries.

Patient material

We are glad to support you with informational material for your patients. Please contact us

if you need implant passports, patient brochures, 5:1 models or other helpful material.

The drill protocol at a glance

Standard Optional

Standard Optional

The following points are to be noted when preparing the implant bed:

• The length of the implant is calculated

from the crestal bone level to the apical

lower end

• The apical overhang of the drill tip

is up to 1.3 mm

The drilling protocol for D1 and D2 bones can be found in the manual.

Counter-sinks are available for the m-, mlc- and mlb implants.For the Z5s implants, we recommend the use of the cortical drill CD500.

Imp

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pan

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bri

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3.6 3.6 mm 4.6 mm 5.6 mm 5.6 mm

UPPER RIGHT | 1. Quadrant UPPER LEFT | 2. Quadrant

USA 7 10

FDI 12 22

FDI 42 41 31 32

USA 26 25 24 23

LOWER RIGHT | 4. Quadrant LOWER LEFT | 3. Quadrant

+ + – – – –

4.0 4.0 mm 4.8 mm 6.0 mm 5.8 mm


USA 2 3 4 5 7 8 9 10 12 13 14 15FDI 17 16 15 14 12 11 21 22 24 25 26 27

FDI 47 46 45 44 (43) (33) 34 35 36 37

USA 31 30 29 28 (27) (22) 21 20 19 18


6 ⁄ 1113 ⁄ 23

+ + + – + (+)

5.0 5.0 mm 6.0 mm 7.0 mm 7.0 mm


USA

FDI

2 3 4 5 6 8 9 11 12 13 14 15

17 16 15 14 13 11 21 23 24 25 26 27

FDI

USA

47 46 45 44 43 33 34 35 36 37

31 30 29 28 27 22 21 20 19 18


+ + + – + (+)

+ recommended | (+) not recommended | – not possible

m ⁄ mlc ⁄ mlb ⁄ c ⁄ s

Max. RPM

RD230800

TD230800

TD285600

TD325500

TD375500

TD425500

T360-115

T400-115

T500-115

3.6 mmD1

D2–D3

4.0 mmD1

D2–D3

5.0 mmD1

D2–D3

m(t)

Max. RPM

RD230800

TD170800

TD230800

CD355-1400

CD455-1400

4.0 mm D3–D4

5.0 mm D3–D4

Z5m-40-10

TD325

10 mm

8 mm

12 mm

max. 1.3 mm

1514

General overview

Implant Abutments Healing caps Gingiva formers Impression caps Laboratory analogues Matrix Instruments

G36, G40, G50, G50RG36-0, G40-0, G50-0, G50R-0

I36, I40, I50, I50R L36, L40, L50, L50R HA12 RA16* RA24**also for safe handling of the Z5c abutment

when gluing in

Z5m

Z5m(t)

Z5mlc Novaloc™ impression matrix**

Novaloc™ Laboratory analogue**

Novaloc™ Peek matrix**

Z5m-RA16lc

Z5mlb Z5mlb-M2 matrix Z5m-HA12lb Z5m-RA16lb Z5m-RA24lb

Z5c Z5c-A00-LC-H0 ⁄ -A00-LC-H15 ⁄ -A15-LC-H0 ⁄ -A15-LC-H15,

Z5c-A00S ⁄ -A00 ⁄ -A15S ⁄ -A15

Z5c-HC40, Z5c-HC50

Z5c-G40-28, Z5c-G50-28, Z5c-G40-33, Z5c-G50-33

Z5c-HA12*** Z5c-RA12 Z5c-RA16 Z5c-RA12-1 Z5c-RA16-1 incl. screw incl. screw

Z5s Z5s-A00-G10, Z5s-A15-G10m,

Z5s-A00-T20Z5s-HC50 Z5s-G10,

Z5s-G20, Z5s-G30Z5s-IP-O, Z5s-IP-C Z5s-L Z5s-HA*** Z5s-RA16 Z5s-RA12 Z5s-SD-T6 Z5s-SD-T6-L

incl. screw incl. screw

**Please order directly with Valoc™ (www.valoc.ch)

*** Their application requires previous experience with manual insertion instruments.

2,8 mm

3,3 mm4 m

m

5 m

m

HeadquartersZ-SYSTEMS AG | Werkhofstrasse 5 | CH-4702 Oensingen | Tel. +41 62 388 69 69 | [email protected]

International DistributionZ-SYSTEMS GmbH | Bismarckallee 22 | D-79098 Freiburg | Tel. +49 761 217732-10 | Fax +49 1802 999 100 | [email protected]

www.zsystems.com

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✔ EG-Zertifikat

Documents

The world of safe ceramic implants · 2019-06-19 · Z-SYSTEMS is the global leader in ceramic implants. Tens of thousands of successfully placed implants and over 15 years’ experience