Home

User guide G and C

1. ee e e e e ele o e e 9 e e 9 O e O
2. o e e e e e e 6 6 e e 6 e 6 e e e e 6 e e e 6 6 e 6 e 6 e 6 e e 6 6 e e e e e e e e 9 e O 9 e O e e e 9 e O e OQXIONY THE NEW DIMEN
3. e e e e e oe e e e e e e e o o e e e o o
4. e 0 e e O e e e e O e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e
5. Open the closure without touching the sterile inside of the blister pack Place the tube with closure carefully on a sterile drape anthogyr 2 Delivering the implant into the mouth The implant handling will be performed in order to avoid any direct contact with the outside surface of the implant Make sure the implant cannot fall into the patient s mouth during handling Remove the implant from Untighten the closing cap Insert the tube with the suitable and index the implant mandrel instrument and free the or the implant key inside the holding cups while maintaining implant inside the tube the tube in the other hand During this stage the contra angle must not be rotating Check that it is correctly held by applying slight traction 3 gt H ALT 2 MANUAL POSITIONING 3 Insertion of the implant 1 POSITIONING WITH THE CONTRA ANGLE Adjust the speed of the contra angle Tighten the implant to the desired depth Manually pre screw the implant into the im plant cavity using the screwing key Assemble the surgical ratchet wrench Recommended speeds for implant tightening and insert to the desired depth Axiom REG 25 rpm Axiom PX 15 rpm Regulary check the tightening torque in order Be careful not apply excessive forces to the not to exceed Do not hesitate to unscrew and re screw during the implant s insertion to reduce screwing forces co
6. The emergence profile should not be reworked so as to preserve the surface state at the gingival level All of the components assembled onto the implant are fixed definitively by tightening at 25 N cm except for the healing screws and closure screws Rework of prosthetic components may compromise the mechanical strength of prosthetic reconstruction and the result implant failure 30 anthogyr C TEMPORARY ABUTMENTS SUPPLIED STERILE m 1 Indications Supplied sterile Single unit or multiple unit restorations Immediate implant loading Prosthetic temporization INSTRUCTIONS FOR USE Recommended for use as screw retained prosthesis he coronal surface of the abutment allows a resin to adhere for temporary restoration Hold can be increased by light transverse grooves or by sanding The temporary abutment is supplied decontaminated and sterile with Its fixation screw for direct placement in the mouth The recommended tightening torque for the abutment fixation screw 15 25 N cm The abutment is inserted into the implant with indexation for fast and easy positioning into the implant 2 Choice of abutment Select the abutment from the 5 available gingival heights 0 75 1 5 2 5 3 5 and 4 5 mm and the 4 emergence profiles 3 4 4 0 5 0 6 0 mm The abutment is ideally chosen depending on the emergence profile NOTE try in abutments are also available to help in the
7. A treatment plan is to be established prior to each implant placement This plan should include a healing period which can be re evaluated during the surgery process if needed fet Multi unit abutment straight angulated QXIOM THE NEW DIMENSION 2 Axiom PX range of implants Short lg 6 5 and 8 0 mm implant ideal in limited bone crest height Thread 2 0 mm The implant diameter and length must be determined beforehand by the dental practitioner depending on the clinical situation The placement of implants of 3 4 mm is contra indicated in the molar area 03 4 mm 0 4 0 mm 0 4 6 mm 1 Identification color code for implant types repeated on the ancillary instruments and packaging 3 Axiom PX technical specifications a Implant coding Sales Reference Implant Code e 120 Implant length 34 40 implant b Drilling depths The Axiom PX placement protocol provides for a lt subcrestal positioning of the implant gt The surface of the implant s shoulder is BCP treated in order to favour peripheral bone healing in this region The Axiom PX surgery protocol takes into account an apical overdrilling of 0 5 mm The practitioner can proceed with a deeper subcrestal positioning in order to optimise soft tissue aesthetics The sizes of the implant s shall be pre defined in the treatment plan radiographic template film is pro
8. The two anterior drill holes should be as far apart as possible However be careful to allow for a safety distance between the apex of the anterior and posterior implants gt Hold the drill parallel to the vertical line on the drill guide and mark the position of the drill hole using the round bur or the pointer drilL Refer to the drill sequence illustrated in the lt Axiom REG PX User Guide gt on page 9 for an Axiom REG implant on page 12 for an Axiom PX implant Screw the implants into the prepared holes with the three lobes properly positioned relative to the prosthetic restoration INITIAL IMPLANT STABILITY Assess implant stability before placing the conical abutments 26 anthogyr 3 Mandible preparation prosthetic components For better understanding Axiom REG PX Multi Unit abutments have been used for all the illustrations CONNECTION OF POSTERIOR CONICAL ABUTMENTS Use 30 angled conical abutments Select the appropriate abutment height based on evaluation of the gingival height Use the abutment holders to properly position the abutments strictly parallel to each other and to the vertical lines on the guide gt Tighten the MU Black Tite M1 6 screw using the long hexagonal wrench Torque to 25 N cm using the ratchet torque wrench and the hexagonal wrench or the TORQ CONTROL and the hexagonal mandrel PLACEMENT OF ANTERIOR CONICAL ABUTMENTS
9. we recommend a sub drilling in diameter Each terminal instrument specific to 1 an Axiom PX implant diameter can be identified by the identification colour code Axiom PX All the drills and reamers are available in 2 lengths S and L 0 3 4 mm The instruments are arranged in the ERN chronological order Axiom PX They have been designed for axial dril 0 4 0 mm ling not transversal drilling especially drill 2 0 The drilling sequence can be adapted by 04 6 mm the practitioner according to the clinical Axiom PX Situation iom 0 5 2 mm Axiom PX Tapping devices must not be used during the placement of Axiom implants QXIOM THE NEW DIMENSION E POSITIONING AXIOM REG AND AXIOM PX IMPLANTS Before opening the package always confirm the dimensions of the desired implant Refer to the colored identification label on the flap of the cardboard axiom G3 4 6 x12 Two traceability labels are provided with the implant packaging and are intended to be inserted into the patient medical file 1 Opening the packaging The implant is packaged sterile in a tube with closure placed sterile in a blister closure Sterilisation is achieved by gamma rays Never re sterilise an implant that has been opened but not used Remove the blister pack from the cardboard box away from the sterile field The red disc on the closure is a guarantee of sterility of the blister pack
10. Insert the gold cast on abutment into the analog and tighten the laboratory M1 6 fixation screw Adjust the castable sleeves in order to recreate a made to measure abutment by drilling and or adding calcinable resin wax NOTE use the M1 6 long laboratory screw to preserve the screw spirals when adding resin PICK UP POP IN FASHIONING THE ABUTMENT AND DEFINITIVE CROWN Carefully remove the personalized gold cast on abutment from the master model Mold the abutment following the material manu facturers recommendations and using the cur rent coating procedure Replace the abutment on the master model with the M1 6 fixation screw in the correct orientation and make the definitive prosthesis PLACING THE ABUTMENT Insert indexing the gold cast on abutment into the implant in the correct orientation and screw the Black Tite M1 6 fixation screw supplied Aretro alveolar x ray may be performed to confirm that the abutment is completely connected to the implant Tighten at 25 N cm using the dynamometric ratchet wrench or Torq Control AA RESTORATION Close the access cavity ies with a filling material after protecting the screw head Cement the crown definitively onto the abutment in the mouth 40 anthogyr H REWORKABLE ABUTMENT SUPPLIED NON STERILE 1 Indications 4 0 H 1 5 SE Single unit or multiple unit cemen
11. Multi Unit screws and auxiliary components should be used with Multi Unit abutments ONLY and MUST NOT BE USED with OPSC OPAC conical abutments Mixing Multi Unit and OPSC OPAC components or screws may result in improper fit of the restoration 2 User protocol mE Pacific system on Multi Unit 4 0 mm NARROW straight abutments M1 4 laboratory 2 screw Black Tite Pacific Pacific Pacific Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit Hexagonal Hexagonal M1 4 fixation narrow narrow narrow long laboratory mandrels wrenches screw analog castable coping bonding ring screw MU140 MUNPAC110 MUNPAC120 MUNPAC100 MUT102 PLACEMENT OF THE CONICAL ABUTMENT AND IMPRESSION TAKING Repeat steps 1 to 4 described in the paragraph Multi Unit narrow platform See p 48 MAKING THE PERMANENT PROSTHESIS Connect the PACIFIC Multi Unit narrow analogs Ref MUNPAC110 onto the conical abutments using the Multi Unit laboratory screw 1 4 Ref MU141 moderate manual tightening Use a hexagonal wrench Place the Multi Unit narrow castable copings Ref MUNPAC120 onto the PACIFIC analogs adjust them so as to recreate a made to measure homothetic framework or castable by milling and or addition of castable resin by connecting each coping MAKING THE PERMANENT PROSTHESIS CONTINUE Perform casting in compliance with the material manufac turer s recommendations Proceed with the assembl
12. available Ideally the abutment is chosen depending on the healing screw in situ observing the concept of preser ving the emergence profile NOTE try in abutments are available to facilitate the choice of abutment 3 User protocol Equipment required RT li db HU OI Black Tite Titanium Hexagonal Hexagonal 1 6 1 6 Pick up Pop in Implant mandrels wrenches prosthetic screw prosthetic screw Transfer Transfer analog IMPRESSION TAKING Remove the healing screw using the hexago nal wrench Insert the Pick up Pop in transfer into the implant and tighten the transfer screw moderate manual tightening 8 Take an impression using a closed impression tray Pop in technique or open impression tray Pick up technique 1 9 L E zm gt Re insert the healing screw in situ or make a temporary prosthesis using the temporary abut ment see p 30 c KI E 11111 PICK UP POP IN 35 QXIOM THE NEW DIMENSION IMPRESSION TRANSFER AND FASHIONING THE MASTER MODEL Prepare the master model Insert indexing the aesthetic zirconia abutment selected into the analog orientating it correctly and screwing the laboratory M1 6 titanium screw gt If necessary adjust the volume of the abutment by drilling fine 30 um diamond tipped drill bit on mul contra angle at 15
13. e e ele e e e e e e e e e e e e e e e e e el e e ele e e e e e e e e e e e e e e e
14. 4 0 analogs MUNA100 in the master model using the Multi Unit titanium M1 4 fixation screws or the dedicated Multi Unit long pick up transfer coping screws hand tighten to a torque less than 15 Use the long hexagonal wrench IN CHELV A consistent framework i e castable must be achieved So this requires adjusting the castable copings using a bur and or adding castable resin to create a link between the copings NOTE before adding resin insert Multi Unit titanium dedicated M1 4 fixation screws or Multi Unit long pick up transfer coping screws to prevent intrusion of the resin ARMATURE BASE into the screw holes Fabricate the final restoration using the pouring technique Strictly follow the material manufacturer s instructions for pouring Validate the poured component Return the poured component to the appropriate position in the master model and secure it using a Multi Unit titanium M1 4 screw dedicated torque 15 N cm to assess proper seating Try in Remove the protective caps or the provisional to try in the poured component In particular check for good fit and secure fixation of the component hand tighten the Multi Unit dedicated titanium MI A fixation screws to 15 N cm Multi Unit narrow 4 0 protection analogs 200 are available to protect the Multi Unit connection system during fabrication of the final restoration Place the final restoratio
15. MUNA100 4 1 Multi Unit titanium M1 4 screw included Medical grade V titanium 2 000 m I mH Multi Unit narrow protective analog MUNA200 pacific SYSTEM FOR NARROW MULTI UNIT ABUTMENT REFERENCES Complete kit for Pacific system KITMUNPAC Multi Unit narrow bonding ring 4 0 mm MUNPAC100 M1 4 MU Black Tite screw included E Pacific Multi Unit narrow analog MUNPAC110 M1 4 MU blue screw and MU laboratory screw included Pacific Multi Unit narrow castable coping MUNPAC120 anthogyr STRAIGHT CONICAL ABUTMENTS REFERENCES Straight conical abutments STERILE Base diameter 4 0 mm Medical grade V titanium Conical abutment H1 5 0 50010 Conical abutment 2 5 0 OPSC020 Conical abutment H3 5 0 OPSC030 Secondary parts PMMA Castable coping 4 0 OPSC100 Black Tite M1 4 conical abutment screw included Medical grade V titanium Temporary coping 4 0 STERILE OPSC200 M1 4 Titanium conical abutment screw included Medical grade V titanium Protective cap 4 0 STERILE OPSC300 sl Imm CERAMICOR amp PMMA Gold cast on coping 4 0 OPSC410 Black Tite M1 4 conical abutment screw included yy Wi PIVOZYL amp PMMA Gold cast on coping 4 0 OPSC400 Black Tite M1 4 conical abutment screw included Medical grade V titanium Pick up abutment transfer unitary OPSC500 Pick up abutment transfer by 4 OPSC500 4 Short and long conical abutment Pick up screws included Medic
16. OPST536 STD abutment 6 0 H1 5 H4 0 OPST614 STD abutment 06 0 H2 5 H4 0 OPST624 STD abutment 0 6 0 H3 5 H4 0 OPST634 STD abutment 6 0 H1 5 H6 0 OPST616 STD abutment 6 0 H2 5 H6 0 OPST626 STD abutment 06 0 H3 5 H6 0 OPST636 FStandard abutment 15 360 rotation STD abutment 04 0 H1 5 H6 15 OPSTA16 15 STD abutment 04 0 H2 5 H6 1529 OPSTA26 15 STD abutment 4 0 H3 5 H6 15 0 57436 15 STD abutment 5 0 H1 5 H6 157 OPST516 15 STD abutment 05 0 2 5 6 15 OPST526 15 STD abutment 5 0 H3 5 H6 To OPST536 15 Standard abutment 23 360 rotation STD abutment 04 0 H1 5 H6 23 OPST416_ 23 STD abutment 04 0 H2 5 H6 23 OPST426_ 23 STD abutment 04 0 H3 5 H6 23 OPST436_23 STD abutment 05 0 H1 5 H6 23 OPST516_ 23 STD abutment 05 0 H2 5 H6 23 OPST526 23 STD abutment 05 0 H3 5 H6 239 OPST536 23 anthogyr STANDARD ABUTMENT ANALOGS REFERENCES STD abutment analogs Medical grade V titanium Base diameter 3 4 mm Crown height 4 and 6 mm STD Abutment analog 03 4 HA OPSA304 STD Abutment analog 0 3 4 H OPSA306 Base diameter 4 0 mm Crown height 4 and 6mm STD Abutment analog 04 0 H4 OPSA404 STD Abutment analog 04 0 H6 OPSA406 Base diameter 5 0 mm Crown height 4 and 6mm STD Abutment analog 05 0 H4 OPSA504 STD Abutment analog 5 0 H OPSA506 Base diameter 6 0 mm Crown height 4 and 6mm UW W dit m STD Abutment analog 0 6 0 H4 OPSA604 STD Abutment analog 0 6 0 H OPSA606 STANDA
17. PMMA Castable coping 0 4 8 OPAC100 Black Tite M1 4 conical abutment screw included Medical grade V titanium Temporary coping STERILE 04 8 200 1 4 Titanium conical abutment screw included Medical grade V titanium Hi Protective cap STERILE 4 8 OPAC300 CERAMICOR amp PMMA Gold cast on coping 0 4 8 OPAC410 Black Tite M1 4 conical abutment screw included PIVOZYL amp PMMA Gold cast on coping 0 4 8 OPAC400 Black Tite 1 4 conical abutment screw included Medical grade V titanium Pick up abutment transfer unitary OPAC500 Pick up abutment transfer by 4 OPAC500 4 Short and long conical abutment Pick up screws included Medical grade V titanium Pop In abutment transfer unitary OPAC600 Pop In abutment transfer by 4 OPAC600 4 Medical grade V titanium Conical abutment analog 0 4 8 unitary OPAC700 Conical abutment analog 4 8 by 4 OPAC700 4 M1 4 titanium conical abutment screw included Subject to stock availability anthogyr LOCATOR ABUTMENTS PART REFERENCE LOCATOR ABUTMENTS Base diameter 4 0 mm Grade V titanium LOCATOR abutment H1 5 010 LOCATOR abutment H2 5 020 LOCATOR abutment H3 5 030 LOCATOR abutment H4 5 OPLAOA0 co LOCATOR abutment H5 5 050 SECONDARY PARTS Angular correction up to 20 degrees between 2 implants 2 258 Titanium Medical Grade Polyethylene amp Nylon e es Male LOCATOR Ref 8519 OPLA10
18. QXIOM THE NEW DIMENSION 4 STERILIZATION No components may be sterilized without prior cleaning disinfection and drying pre disinfectionforreusablecomponents The following sterilization parameters are recommended However local or national specifications may apply and should be respected 135 C Steam sterilization for reusable devices and authorized disposable components D Place each component in an individual sealed pouch NF EN ISO 11607 suitable for steam sterilization Complete surgical kits should be packed in flat sterilization packaging pouches with covers closed Use the following parameters for a steam autoclave 135 C 275 F 2 13 bars 30 88 psi 20 minute minimum exposure time When a gravity type autoclave is used 15 minutes at 132 C 270 F is recommended followed by a drying time of 15 to 30 minutes Both sterilization date and expiry date should be mentioned on the pouches The expiration date should be in accordance with the target shelf life established for each type of packaging under specific storage conditions one month maximum Only use the above sterilization methods for sterilization of instruments components and accessories Manufacturer s recommendations for use and maintenance of the autoclave should always be followed Place the pouches so that they do not collide during the sterilization procedure Strictly follow the recommendations of the pouch manufac
19. bacteria fungicide virucide and their cleaning capacity The detergents and disinfectants used must be consistent with the cleaning method use The user must refer to the manufacturer s instructions for each cleaning and disinfecting product Observe the concentrations temperatures and exposure times Observe solution replacement and lifespan of the products Observe instructions for disposal of used products Never mix products Do not use substances liable to bind proteins alcohol aldehydes For more information the user may refer to guide FD 598 135 the Guide for prevention of healthcare related infections in dental surgery and stomatology July 2006 and the positive list of dental disinfectants 2005 2006 published by SFHH and ADF 2 WATER QUALITY The water used for pre disinfection cleaning decontamination rinsing and sterilization must meet current regulations The user may refer to document FD S 98 135 89 4 The water quality must be compatible with the sterility objective and equipment used It is important that conductivity pH water hardness ion and impurity concentration and microbiological pollution be monitored 3 PRECAUTIONS FOR USE The user must pay particular attention to cleaning dirt residues and deposits from all parts of the instruments holes between parts etc It is important during the different stages of the procedure to ensure that cutting instruments
20. or pop in MUNT200 trans fer coping on each conical abutment and secure it by inserting and hand tightening using moderate force a short or long coping screw Use a closed tray for a pop in coping impression and an open tray for a pick up coping Impression At this stage two options are available put the Multi Unit narrow 4 0 protective caps MUNCAP back into place and hand tigh ten them using moderate force or do a provisional prosthesis from the appropriate 6 see Step 4 LABORATORY Screw the Multi Unit narrow 4 0 analog MUNA100 in each transfer Create the master model MULTI UNIT STRAIGHT CONICAL ABUTMENT PICK UP POP IN PICK UP POP IN 50 anthogyr PROVISIONAL Connect temporary copings Select the appropriate temporary copings Multi Unit narrow 4 0 titanium ones MUNC100 or Multi Unit narrow 4 0 PEEK ones MUNC200 Attach the selected temporary copings to the straight Multi Unit conical abutments using the Multi Unit titanium M1 4 fixation screws specific for Multi Unit abutments MU141 or the dedicated Multi Unit long pick up transfer coping screws Hand tighten with moderate force torque 15 N cm using the long or short hexagonal wrench IN CHELV or IN CHECV Make any necessary height adjustments MIS Fabricate the provisional Fill a plastic mould or a template with acry
21. 5 mm 11 0 ME TNT T Theoretical crest edge Sub crestal position 9 0 E 7 9 gt lt lt 0 5 2 md E 0 0 Drill Gauge Drill Drill Tap optional QXIOM THE NEW DIMENSION ALT 1 FLAP TECHNIQUE ALT 2 FLAPLESS TECHNIQUE Allows to see the alveolar bone and anatomical Periost preservation obstacles Radiographic evaluation of the bone volume and Direct reading of the drilling depth according to the recommended measurements bone crest ridge Bone crest limit not visible need for soft tissue Allows to evaluate the 0 5 mm sub crestal positioning thickness pre measurement Report the soft tissue thickness onto the drilling Use of removable stops that secure the drilling and instrument in order to prepare the site and to place reaming stage see p 20 the implant 4 Axiom REG drilling sequences Before first use and after each surgery all components must be decontaminated and sterilised scrupulously N following the manufacturer s recommendations For high performance and optimal clinical results we recom mend that all cutting instruments drills taps reamers are limited to 20 uses and should be used under external irrigation They are used under external irrigation Comply with cleaning decontamination and sterilization procedures by referring to corresponding section Prior to surgery Each terminal instrument specific to an Axiom REG
22. ABUTMENTS NON STERILE E AESTHETIC ZIRCONIA ABUTMENTS NON STERILE F STANDARD TITANIUM ABUTMENTS STERILE G GOLD CAST ON ABUTMENTS NON STERILE H REWORKABLE ABUTMENT NON STERILE I MULTI UNIT ABUTMENTS STERILE a Introduction b Multi Unit common platorm 4 8 mm abutments c Multi Unit narrow platform 4 0 mm abutments d Pacific system on Multi Unit narrow platform 4 0 mm abutments CONICAL ABUTMENTS ART NB OPSC OPAC Pacific STERILES a Conical abutments OPSC OPAC b Pacific system for straight conical abutments OPSC K LOCATOR ABUTMENTS NON STERILE L AXIOM REG PX COMMON PROSTHETIC KIT 12 15 19 20 21 23 28 29 30 32 34 36 38 40 42 44 48 52 54 58 60 63 QXIOM THE NEW DIMENSION 4 Cleaning and sterilization A GENERAL INFO 64 B PRODUCTS 65 C PROTOCOLS 66 5 Disassembling Re assembly A INSTRUMENT KIT 68 B REVERSIBLE PROSTHETIC RATCHET WRENCH ART NB IN CC 69 C SURGICAL DYNAMOMETRIC RATCHET WRENCH ART NB IN CCDC 69 D PROSTHETIC DYNAMOMETRIC RATCHET WRENCH ART NB IN CCD 69 6 Re working an Axiom REG and Axiom PX implants 7 Component part numbers A AXIOM REG AND AXIOM PX IMPLANTS 72 B SURGICAL INSTRUMENTS 74 C PROSTHETIC COMPONENTS 78 D PROSTHETIC INSTRUMENTS 91 Explanations symbols and diagrams appearing on the labels Device sterilized by Gamma irradiation STERILE Do not sterilize by autoclaving Manufact
23. M1 4 fixation screws MU140 Torque to 15 N cm using the torque wrench IN CCD N or the TORQ CONTROLS BRIDGE Protect the screw heads Then close the access holes using acrylic material and complete occlusal adjustments BAR Prior to final tightening perform tissue and bite adjustments with the final restoration in situ Instruct the patient on proper oral hygiene techniques and hygiene care of the restoration _ z x gt 5 BI BU MA c Multi Unit NARROW platform 4 0 mm abutments SUPPLIED STERILE Straight abutment 1 Indications Supplied Multiple unit screw retained restorations sterile with restricted space between Implants Multi Unit screws and auxiliary components should be used with Multi Unit abutments ONLY and MUST NOT BE USED with OPSC OPAC conical abutments Mixing Multi Unit and OPSC OPAC components or screws may result in improper fit of the restoration 2 Complete dental restoration Complete tooth restoration may be considered immediately after placement of a small number of Axiom REG PX implants provided that adequate bone stock is available 3 Selection of the appropriate Multi Unit conical abutment Straight Multi Unit abutment 0 4 0 mm 4 gingival heights 0 75 1 5 2 5 amp 3 5 mm are available Two important parameters must be taken into account when selecting the appropriate gingival height for a Multi Unit narrow straight
24. OPB3010C OPB3006L OPB3008L OPB3010L OPB3012L OPB3014L OPB3016L OPB3018L OPB3606C OPB3608C OPB3610C OPB3606L OPB3608L OPB3610L OPB3612L OPB3614L OPB3616L OPB3618L OPB4206C OPB4208C OPB4210C OPB4206L OPB4208L OPB4210L OPB4212L OPB4214L OPB4806C OPB4808C OPB4810C OPB4806L OPB4808L OPB4810L OPB4812L OPB4814L IN MOD OPBSL KIT STOP L 77 anthogyr C PROSTHETIC COMPONENTS Prosthetic components are delivered non sterile unless otherwise stated PROSTHETIC SCREWS REFERENCES Closure screw STERILE Medical grade V titanium Closure screw OPIM100 Healing screws STERILE Medical grade V titanium Base diameter 3 4 mm Healing screw 0 3 4 H1 5 5310 Healing screw 3 4 H2 5 OPHS320 Healing screw 3 4 H3 5 OPHS330 Healing screw 3 4 H4 5 OPHS340 Base diameter 4 0 mm Healing screw 04 0 H0 75 OPHS400 Healing screw 04 0 H1 5 OPHS410 Healing screw 4 0 H2 5 OPHS420 Healing screw 04 0 H3 5 OPHS430 Healing screw 04 0 H4 5 OPHS440 Base diameter 5 0 mm Healing screw 05 0 H0 75 OPHS500 Healing screw 5 0 H1 5 OPHS510 Healing screw 5 0 H2 5 OPHS520 Healing screw 5 0 H3 5 OPHS530 Healing screw 0 5 0 H4 5 OPHS540 Base diameter 6 0 mm Healing screw 6 0 H1 5 OPHS610 Healing screw 6 0 H2 5 OPHS620 Healing screw 6 0 H3 5 OPHS630 Healing screw 6 0 H4 5 OPHS640 Base diameter 3 4 mm Short healing screw 03 4 1 5 OPHSF310 Short healing
25. V titanium Axiom REG 05 2x 6 5 mm Axiom REG 5 2x8mm Axiom REG 5 2x10mm Axiom REG 5 2x12mm Axiom REG 5 2x14mm REFERENCES STERILE OP34080 4100 4120 4140 4160 4180 STERILE OP40060 OP40080 40100 40120 0 40140 0 40160 0 40180 STERILE 0 46060 0 46080 0 46100 0 46120 0 46140 STERILE OP52060 OP52080 OP52100 0 52120 0 52140 Axiom PX oQxiom T H E NEW DIMENSION IMPLANTS REFERENCES Implant 3 4 mm Prosthetic interface 2 7 mm Closure screw included Medical grade V titanium Axiom PX Axiom PX Axiom PX Axiom PX Axiom PX Axiom PX Axiom PX 3 4 x 8mm 3 4 x 10 mm 3 4 x 12mm 3 4 x 14 mm 3 4 x 16 mm 3 4 x 18mm 0 Implant 4 0 mm Prosthetic interface 2 7 mm Closure screw included Medical grade V titanium Axiom PX Axiom PX Axiom PX Axiom PX Axiom PX Axiom PX Axiom 4 0x 8mm 4 0 x 10 mm 0 4 0 12mm 4 0 x 14 mm 0 4 0 16 mm 0 4 0 18mm 0 Implant 4 6 mm 0 Prosthetic interface 2 7 mm Closure screw included Medical grade V titanium Axiom PX Axiom PX Axiom PX Axiom PX Axiom PX Axiom PX 0 4 6 x 6 5 mm 04 6 x 8mm 4 6 x 10 mm 0 4 6 12mm 0 4 6 x 14 mm 0 Implant 5 2 mm Prosthetic interface 2 7 mm Closure screw included Med
26. and polish the basal surface of the prosthesis Then replace the housing with black low density males with definitive males Use the LOCATOR instrument to hold the black male and to remove it Use the second part of the LOCATOR instrument to hold the definitive male white pink or blue If 3 attachments or more are positioned on the same arch always start with the lowest retention replacement males pink or blue if the divergence is less than 20 between 2 implants Green orange red or grey if the divergence is less than 40 between 2 implants Try the finished denture on the master model before placing it into the patient s mouth 3 2 DIRECT TECHNIQUE DENTAL OFFICE THIS TECHNIQUE IS RECOMMENDED FOR THE STABILIZATION OF AN EXISTING OVERDENTURE Place the spacer rings on the LOCATOR abutments in the patient s mouth use dental dams Fix the LOCATOR retention replacement males on the abutments black seal aimed for restoration procedure Hollow out the existing denture base in the areas of the retention replacement males no interference between the denture caps and the denture Cover the LOCATOR retention replacement males with resin and fill the connecting holes in the basal surface of the denture 5 Place the denture directly into the patient s mouth and polymerize the resin Once the resin has hardened remove the denture from the mouth Remove the spacer rings before replacing
27. are not knocked as this carries a risk of reducing their cutting performance These instruments must be replaced after being used a maximum of 20 times A visual control must be performed before each sterilization All worn corroded or damaged components must be treated separately and removed Medical waste must be disposed of in accordance with current regulations on medical waste management Any used component intended to be returned to the after sales service must be sent ste rile after pre disinfection cleaning and decontamination in accordance with current legislation with proof of sterility anthogyr C PROTOCOLS 1 PRE DISINFECTION Pre disinfection must be performed immediately after each surgery on all dismantled re usable components See Instructions for dismantling and assembly p 50 Pre disinfect separately detaching systematically whenever possible all assembled devices Completely immerse in the pre disinfection solution Rinse with osmosed demineralized water to avoid any deposits Carefully dry immediately with soft sterile wipes combined with medical grade compressed air 2 CLEANING DISINFECTION Dismantled components must be cleaned separately kits and dismantlable ratchet keys See Dismantling and Assembly Instructions p 50 Cleaning by brushing Brush meticulously with a soft brush for example nylon Completely immerse in a detergent disinfectant solut
28. choice of gingival height 3 User protocol Equipment required Hexagonal M 1 6 wrenches fixation screw Laboratory screw Hexagonal mandrels CONNECTING THE ABUTMENT Connect the temporary abutment onto the implant with the short M 1 6 laboratory screw and the long hexagonal wrench moderate manual tightening Proceed to the abutment modification bessen Wellen 1 Replace the short 1 6 screw by the long M 1 6 laboratory screw Tighten manually with the short hexagonal wrench 11111111111 31 QXIOM THE NEW DIMENSION PERFORMING THE TEMPORARY RESTORATION Fill the plastic mold or pre perforated thermo tray with acrylic resin Cover the abutment leaving the laboratory screw emerging through the opened thermo tray Polymerise the resin or leave it to harden REMOVING THE TEMPORARY RESTORATION AND MAKING ADJUSTMENTS Remove the laboratory screw Remove the thermo tray with the resin and the temporary abutment Separate the temporary restoration from the thermo tray Make the final adjustments and polish CONNECTING THE TEMPORARY PROSTHESIS Reposition the temporary prosthesis with the M1 6 fixation screw supplied with the temporary abutment Aretro alveolar radiograph may help to confirm complete connection between the implant and the standard titanium abutment Tighten at 25 N cm using the dynamometric rat chet wrench a
29. concept of preservation of the emergence profile The healing phase can also be performed directly using the straight conical abutment with its surmounted protective cover Angulated conical abutment Select the abutment from the 3 gingival heights 2 5 3 5 and 4 5 mm and 2 coronary angulations 18 and 30 indexed or non indexed The angulated conical abutment is selected independently of the other components in the range The healing phase can also be performed directly using the angulated conical abutment with its surmounted protective cover 4 User protocol Materials required straight conical abutment j j f M1 4 laboratory 3 1 Gold cast on Gold cast on Straight Straigh conical coping coping Hexagonal Hexagonal abutment abutment Pick up Abutment Protective BlackTite M1 4 Temporary Castable Ceramicor Pivosyl mandrels wrenches mandrel wrench transfer transfer analog cover fixation screw coping coping OPSC410 OPSC400 Materials required angulated conical abutment FT NN n TY 3 1 Gold cast on Gold cast on Black Tite Black Tite M1 4 coping coping Hexagonal Hexagonal M1 6fixation Pick up Pop in Abutment Protective M1 4fixation laboratory Temporary Castable Ceramicor Pivosyl mandrels wrenches Screw transfer transfer analog cover SCrew Screw coping coping OPACA10 400 1 Supplied sterile 2 Supplied with coping 3
30. hexagonal wrench or the TORQ CONTROL and the hexagonal mandrel PLACEMENT OF ANTERIOR CONICAL ABUTMENTS Use 18 angled conical abutments or straight conical abutments Select the appropriate abutment height based on evaluation of the gingival height 18 Angled conical abutments gt Use the abutment holders to properly position the abutments strictly parallel to each other and to the vertical lines on the guide gt Tighten the MU Black Tite M1 6 screw using the long hexagonal wrench Torque to 25 N cm using the ratchet torque wrench and the hexagonal wrench or the TORQ CONTROL and the hexagonal mandrel Straight conical abutments Use the straight conical abutment wrench to insert the abutment into the implant Torque to 25 Ncm using the ratchet torque wrench and the straight conical abutment wrench or the TORQ CONTROL and the straight conical abutment mandrel 28 anthogyr 3 Prosthetic protocols axiom the new dimension A CONSTANT EMERGENCE PROFILE OF THE AXIOM RANGE HEALING SCREW IDENTIFICATION DIA REFERENCE HEIGHT SE height mm Gingival height Ht 0 75 Ht 1 5 Ht 2 5 Ht 3 5 Ht 4 5 0 522 and 4 5 mm Coronary height 2mm Gingival height 05 DAS 5 and 4 5 mm Constant emergence profile between the several prosthetic components from the healing screw to the final abutment 29 QXIOM THE NEW DIMENSION B PROSTHETIC COMP
31. implant diameter can be identified by the identification colour code The instruments must be used in the chronological order shown below All the drills and reamers are available in 2 lengths S and L Taps are available in length L They have been designed for axial drilling not transversal drilling especially drill 2 0 0 2 0 0 2 4 3 0 03 0 3 8 03 6 4 2 04 2 4 8 034 040 046 052 EE Optional tapping Recommended if D1 type bone Axiom REG 3 4 mm Axiom REG 4 0 mm Axiom REG 4 6 mm Axiom REG 05 2 12 anthogyr D AXIOM PX IMPLANT SURGICAL PROTOCOL Axiom PX implants are intended for indications of immediate post extraction implant placement and low density bone Placement of the Axiom PX implant is contraindicated in D1 type bone The Axiom PX implant placement protocol requires expertise in implantology 1 Surgical phases MARKING Round bur Pointer drill 1500 rpm DRILLING Initial drill 2 0 mm 1 500 rpm DRILLING Drilling sequences 1 000 rpm TIGHTENING Placing the implant 15 rpm i gt 1 TWO STAGE SURGERY ONE STAGE SURGERY IMMEDIATE LOADING 1 Positioning the cover screw Positioning the healing screw 5 10 N cm Positioning the abutment 5 10 N cm 2 Positioning the healing screw Ala Standard Conical abutment 5 10 N cm straight angulated Drilling speed are indicatives
32. in abutment R H4 5 18 OPCFR42 Angulated conical try in abutment AR H2 18 22 Angulated conical try in abutment AR 3 2 18 2 Angulated conical try in abutment AR H4 5 18 4 2 Angulated conical try in abutment 30 Angulated conical try in abutment R H2 5 30 OPCFR23 Angulated conical try in abutment R H3 5 30 OPCFR33 Angulated conical try in abutment R H4 5 30 OPCFR43 Angulated conical try in abutment AR H2 5 30 23 Angulated conical try in abutment AR H3 5 30 Angulated conical try in abutment AR H4 5 30 OPCF043 e e 0 9 9 0 e 9 e 0 9 9 e 9 0 e 9 9 9 0 9 9 9 e e e e e e e e e e e e 9 e e e e O e e e e e e e e e e e e e e e e e e
33. mm Drill Gauge Drill e 2 Using the depth gauge with the implant The calibrated grooves correspond to the gingival heights in the Axiom REG PX range 0 75 1 5 2 5 3 5 4 5 mm Insert the tip of the angled depth gauge into the top of the implant to evaluate the height of the soft tissue This part does not stimulate the implant connection since the tip of the gauge Is cylindrical f 0 75 1 5 2 5 35 45 18 I 3 2 QXIOM THE NEW DIMENSION H AXIOM REG PX DRILL STOP KIT 1 Drill stop kit The drill stop kit includes 12 stops for short drills S and 24 stops for long drills L i e 36 stops Marking located TOP on the stop s flange Stops for short drills S DRILL S Marking located on the stop s body Stops for long drills L axiom 62315234 eS POSITIONING THE STOPS IN THE KIT Check the position of the stop color code for and length Slide the stop with the slot down onto the pin 22 anthogyr 2 Assembling the stops on the drills H lt t E E c CN N CQ lt co RI C x N N co Cc Q Every stop is color coded for easy identification corresponding to the diameter of the drill and the length corresponds to the drilling depth Short stops S can be assembled only on short drills Long stops L can be assem
34. must be pre disinfected sterilised cleaned disinfected and sterilised before the first and after each subsequent surgery All products for single use supplied non sterile must be cleaned disinfected and sterilized before entering the mouth They may be disinfected or sterilized using a heat disinfector and an autoclave with the product placed outside of its original packaging in a suitable bag for the procedure In the event of any specific component restrictions always disinfect and cold sterilize with CHLORHEXIDINE see labelling No products supplied sterile sterilized by gamma irradiation must be resterilized Observe the sterile parts within the bags or blisters closures when unpackaging placing the contents on a sterile drape Observe the product expiration date A GENERAL INFORMATION 1 PRELIMINARIES All cleaning disinfection and sterilization protocols must be followed by correctly trained protected staff in accordance with current regulations In order to avoid any risk of infection or injury it is essential that appropriate clothing be worn protective mask gloves and glasses When following the protocol It is mandatory to follow current regulations referring to the Good Hospital Pharmacy Practice recommendations the Good Disinfection Practice guide the Good Sterilisation Practice Guide and the guide for correct execution of treatments applying to reusable medical devices in reference FD 598 135 of A
35. orientate one of the identifier on the surfaces of the instrument as closely as possible in the appropriate direction depen ding on the desired prosthetic restoration and situation in the mouth The identifier chosen will define the principal prosthetic orientation of the components GUIDELINES ON THREE LOBE POSITIONING To adjust effectively the implant axis during the prosthetic step the three lobe flat must be placed in the axis of the implant s emergence NOTE Sterilizable try in abutments are available and can be used during the surgery to check and validate the final positioning of the implant QXIOM THE NEW DIMENSION F CLOSURE OF THE IMPLANT 1 Two stage surgery POSITIONING THE CLOSURE SCREW AND SUTURING 1 811111 Hand screw the cover screw without forcing using the surgical wrench Remove the cover screw from the cover with the surgical wrench Suture to place the implant In the setting position Positioning the healing screw and suturing refer to one stage surgery 2 One stage Surgery SELECTION OF HEALING SCREW DIAMETER OF PROSTHESIS GINGIVAL HEIGHT It is possible to select the healing screw among 4 emergence profiles in accordance with the size of the tooth teeth to be restored Healing screws are supplied single use Tooth Prosthesis Emergence Suitability gingival height 0 75 1 5 2 5 3 5 and 4 5 mm Emergence profile mm Tooth Neck Dia M
36. protocol M1 4 laboratory screw OPAC141 ri H Black Tite M1 4 Pacific Castable fixation screw analog coping Hexagonal Hexagonal mandrels wrenches OPAC140 OPSC910 OPSC901 Pacific system on straight conical abutments li Short conical Long conical 9 abutment pick up abutment pick up OPSC800 screw screw OPAC502 OPAC501 MAKING THE PERMANENT PROSTHESIS Connect the PACIFIC analogs Ref OPSC910 onto the conical abutments using the laboratory screw 1 4 Ref OPAC141 moderate manual tightening Use a hexagonal wrench Place the castable copings Ref OPSC901 onto the PACIFIC analogs adjust them so as to recreate a made to measure homothetic framework or castable bar by milling and or addition of castable resin by connecting each coping PLACEMENT OF THE CONICAL ABUTMENT AND IMPRESSION TAKING gt Repeat steps 1 to 4 described in the paragraph Conical abutments See p 36 MAKING THE PERMANENT PROSTHESIS CONTINUE Perform casting in compliance with the material manufac turers recommendations Proceed with the assembly and firing of the ceramic on the framework Carry out finishing work Sand and clean the basal surface of the prosthesis CHECKING PASSIVITY Unscrew the PACIFIC analogs from the master model Place a bonding ring Ref OPSC800 into each slot of the framework Position and screw the entire assembly onto the mast
37. screw 3 4 H2 5 OPHSF320 Short healing screw 0 944 H3 5 OPHSF330 Short healing screw 03 4 H4 5 OPHSF340 Base diameter 4 0 mm Short healing screw 4 0 H0 75 OPHSFA00 Short healing screw 4 0 H1 5 OPHSF410 Short healing screw 04 0 H2 5 OPHSF420 Short healing screw 4 0 H3 5 OPHSF430 Short healing screw 04 0 H4 5 OPHSF440 Base diameter 5 0 mm Short healing screw 5 0 H0 75 5 500 Short healing screw 5 0 H1 5 OPHSF510 Short healing screw 05 0 H2 5 OPHSF520 Short healing screw 05 0 H3 5 OPHSF530 Short healing screw 5 0 H4 5 OPHSF540 Base diameter 6 0 mm Short healing screw 0 6 0 H1 5 OPHSF610 Short healing screw 6 0 H2 5 OPHSF620 Short healing screw 6 0 H3 5 OPHSF630 Short healing screw 06 0 H4 5 OPHSF640 79 QXIOM THE NEW DIMENSION 11 a Specific Multi Unit screws Screws eo Specific Multi Unit Screws M1 6 Standard prosthetic screws Medical grade V titanium Black Tite M1 6 prosthetic screw Titanium M1 6 prosthetic screw M1 6 laboratory screw Short Pick up screw Long Pick up Screw M1 4 prosthetic screws for conical abutments OPAC OPSC Medical grade V titanium Black Tite M1 4 conical abutment screw M1 4 Titanium abutment screw Short conical abutment Pick up Screw Long conical abutment Pick up Screw M1 6 Multi Unit prosthetic screws Medical grade V titanium Multi Unit Black Tite M1 6 prosthetic screw Multi Unit M1 6 blue screw unitary M
38. spring 5 gt through the back part of the body 2 Fit the spring 6 around the rod 4 through the front part of the body 2 Assemble the ratchet 3 by pushing it onto the rod 4 and rotating it turn clockwise to lock the bayonet Screw the head 1 onto the body 2 C SURGICAL DYNAMOMETRIC RATCHET WRENCH ART NB IN CCD Disassembling Re assembly gt Unscrew the flexible rod by turning it anti clockwise using the button Remove the parts rod button from the sleeve Remove the head from the main body by pulling gently Remove the parts ratchet spring from the head D PROSTHETIC DYNAMOMETRIC RATCHET WRENCH ART NB IN CCD Disassembling Re assembly Remove the head of the main body by applying slight traction Remove the main body Remove the ratchet spring set from the head Repeat each stage in reverse order to assemble checking that the ratchet is correctly orientated in the head of the wrench 70 anthogyr 6 Re working axiom and axiom PX implants 1 DESCRIPTION The axiom re working kit is a specific device provided as a solution for extreme situations leaving doubt about the integrity of the connection Specific drilling guide Left helical drill for contra angle Manual tapping device 2 INDICATIONS AND CONTRA INDICATIONS Rehabilitating the axiom and axiom G3 implants M1 6 thread after deterioration in an osseo integra
39. the black males with the definitive males Place the definitive denture into the patient s mouth 63 QXIOM THE NEW DIMENSION L AXIOM REG PX COMMON PROSTHETIC KIT Before the first and after each subsequent procedure all of the instrument and instrument supports must be pre disinfected cleaned decontaminated and sterilised following a specific procedure The prosthesic kit consists of 2 trays distinguishing between the mandrels for manipulations on a contra angle or Torq Control from those performed manually with the dynamometric ratchet wrench IN CCD The prosthetic kit can be completed with the following prosthetic tools XL hexagonal mandrel and wrench mandrel and locator tools axiom 323 prosthetics 5660 Hexagonal wrenches short and long Hexagonal mandrels short and long Dynamometric ratchet wrench IN CCD oe 69 g Multi Unit mandrel Multi Unit wrench Dynamometric ratchet wrench torque values N cm 15 25 35 Precision N cm 2 Instructions for use available on request TECHNICAL SPECIFICATIONS The kit is designed using medical grade materials enabling it to tolerate heat disinfection and autoclave sterilization The protective covers provide flexibility when positioning the kit in order to optimize instrument accessibility 64 anthogyr 4 Cleaning and sterilisation All re usable products instruments and kits
40. transfers remain in the impression LOCATOR transfer LOCATOR nylon black analog Ww ws Place the analogs in the impression and cast the model ma RESTORATION PROCEDURE For less 20 degrees of divergence between Materials required 2 implants up to 10 per implant STANDARD MEDIUM LOW RETENTION RETENTION RETENTION TEMPORARY em RETENTION one Can be used Clear attachment Pink attachment Blue attachment nal Me Orton 2268g 5Lbs 13610 3 01 55 680g 1 5Lbs procedures 5 For a total divergence of up to 40 degrees Co between 2 implants up to 20 per implant Spacer ring Black housing MODERATE LIGHT EXTRA LIGHT RETENTION RETENTION RETENTION BEES o o Green attachment Orange attachment attachment Grey attachment 1361 1814g 3 4 0LbS 907g 2 OLbS 226 6809 0 5 1 5LbS 0 LbS LOCATOR 3 in 1 tools 202222 L Ed Et Male removal tool Male seating tool Abutment driver 62 anthogyr RESTORATION PROCEDURE FOLLOW In the master cast place the LOCATOR retention replacement males with the black processing males onto the analogs Then make a model of the removable denture Once the model is made remove the retention replacement males from the master model and place a spacer ring on each analog so as to make sure that the finished denture will be correctly positioned Once the definitive prosthesis is made remove the spacer rings
41. 0 Medical Grade Nylon Retention replacement male Ref 8524 OPLA200 By 4 Medical Grade Nylon Retention replacement male Ref 8527 OPLA300 By 4 Medical Grade Nylon Extra light Blue retention replacement male Ref 8529 OPLAA00 By 4 Angular correction up to 40 degrees between 2 implants Aluminium Medical Grade LOCATORS transfer Ref 8505 OPLA500 By A Aluminium Medical Grade LOCATOR analog 4 mm Ref 8530 OPLA600 By 4 Titanium Medical Grade Polyethylene amp Nylon Male LOCATOR extended range Ref 8540 Medical Grade Nylon Retention 0 Grey attachment Ref 8558 0g 0 Lbs By 4 Medical Grade Nylon Extra Light Red attachment Ref 8548 OPLA720 c 226 680g 0 5 1 5Lbs By4 Medical Grade Nylon Light Orange attachment Ref 8915 OPLA730 c 907g 2 01 05 4 Medical Grade Nylon Moderate Green attachment Ref 8547 OPLA740 c 1361 18149 3 4Lbs By 4 e 0 0 2 9002 Availability second quarter 2014 91 QXIOM THE NEW DIMENSION WRENCHES AND MANDRELS REFERENCES Prosthetic mandrels for prosthesis Medical Grade stainless steel Short hexagonal mandrel IN MHECV Long hexagonal mandrel IN MHELV XL hexagonal mandrel IN MHEXLV Prosthetic wrenches for prosthesis Medical Grade stainless steel BR Short hexagonal wrench IN CHECV Long hexagonal wrench IN CHELV XL hexagonal wrench IN CHEXLV Straight conical abutment mandrel CL Medical Grade stainless stee
42. 0 000 200 000 rpm with irrigation and fashion the definitive prosthesis keep minimum 0 5 mm material AN k N M PICK UP POP IN PLACING THE ABUTMENT Insert indexing the abutment into the implant in the correct orientation and screw the Black Tite M1 6 fixation screw supplied Aretro alveolar x ray may be performed to confirm that the abutment is completely connected to the implant Tighten at 25 N cm using the dynamometric ratchet wrench or Torg Control RESTORATION Close the access cavitylies with a filling material after protecting the screw head Seal the crown definitively onto the abutment in the mouth 36 anthogyr F STANDARD TITANIUM ABUTMENTS SUPPLIED STERILE 1 Indications Single unit cement retained restoration sterile gt Multiple unit cement retained restoration parallel implants INSTRUCTIONS FOR USE The standard titanium abutment is supplied decontaminated and sterilized with its fixation screw for direct placement in the mouth The impression is taken from the abutment in order to reduce the parodontal manipulations The recommended tightening torque for the standard titanium abutment fixation screw is 25 N cm Do not re work the abutment in order not to compromise the impression taking If re working is performed take the conven tional impression directly on the implant or take a co
43. 3 4 HIP OPTP310 Temporary abutment 0 3 4 H2 5 OPTP320 Temporary abutment 0 3 4 H3 5 OPTP330 Temporary abutment 0 3 4 H4 5 OPTP340 Base diameter 4 0 mm Temporary abutment 04 0 H0 75 OPTP400 Temporary abutment 0 4 0 HIP OPTP410 Temporary abutment 4 0 H2 5 OPTP420 Temporary abutment 0 4 0 H3 5 OPTP430 Temporary abutment 0 4 0 H4 5 OPTP440 Base diameter 5 0 mm Temporary abutment 0 5 0 H0 75 OPTP500 Temporary abutment 0 5 0 H1 5 OPTP510 T Temporary abutment 0 5 0 H2 5 OPTP520 Temporary abutment 0 5 0 H3 5 OPTP530 Temporary abutment 0 5 0 H4 5 OPTP540 Base diameter 6 0 mm Temporary abutment 0 6 0 HIP OPTP610 Temporary abutment 6 0 H2 5 OPTP620 Temporary abutment 6 0 H3 5 OPTP630 Temporary abutment 06 0 H4 5 OPTP640 PERSONALISABLE ABUTMENTS REFERENCES Gold cast on abutment CERAMICOR Black Tite M1 6 prosthetic screw included CERAMICOR amp PMMA Gold cast on abutment OPOG110 Gold cast on abutment PIVOSYL Black Tite M1 6 prosthetic screw included PIVOZYL amp PMMA Gold cast on abutment OPOG100 Reworkable abutment Black Tite M1 6 prosthetic screw included Medical grade V titanium Re workable abutment OPFS100 Subject to stock availability 81 QXIOM THE NEW DIMENSION TITANIUM AESTHETIC ABUTMENTS REFERENCES Titanium aesthetic abutments three lobed Black Tite M1 6 prosthetic screw included Medical grade V titanium Base diameter 0 3 4 mm Titanium aesthetic abut
44. ANGE OF IMPLANTS 1 Indications for use Axiom REG and PX implants are intended for use as artificial root structures for replacement of missing teeth They can be used for stabilization of removable prostheses or fixation of single tooth restorations or partial dentures The Axiom REG and PX dental system is indicated for one stage or two stage surgery It is up to the practitioner to decide whether immediate or delayed loading is most appropriate based on clinical factors like good primary stability and appropriate occlusal loading Axiom REG implants can be used in a wide range of clinical indications irrespective of bone density Axiom PX implants are aimed for indications of immediate post extraction implant placement and low density bone D1 type bone excluded BONE DENSITY IMPLANTS D D2 D3 D4 1 Indications for prosthetic components are presented in section 3D 2 Axiom REG and Axiom PX implants are made of Grade V Medical Titanium high resistance biocompatible material in compliance with US standard ASTM F136 and international ISO 5832 3 standard They benefit from a BCP osseo conductive surface treatment surface treatment with BCP sand blasting 3 Subcrestal positioning of implants Axiom REG and Axiom PX The design of Axiom REG and Axiom PX implants stable and tapered connection Platform Switching BCP surface treatment allows subcrestal positioning the keystone of soft tissue manage
45. H2 5 15 OPAT621 Titanium aesthetic abutment 06 0 H3 5 15 OPAT631 Titanium aesthetic abutment 06 0 H4 5 15 OPAT641 ZIRCONIA AESTHETIC ABUTMENTS REFERENCES Zirconia aesthetic abutments Straight 0 and angulated 15 abutments three lobed T Medical grade V titanium Base diameter 5 0 mm M1 6 prosthetic screw included Zirconia aesthetic abutment 5 0 H1 5 0 2510 Zirconia aesthetic abutment 5 0 H1 5 15 0 2511 Zirconia aesthetic abutment 0 5 0 H3 5 0 OPAZ530 Zirconia aesthetic abutment 5 0 H3 5 15 OPAZ531 83 QXIOM THE NEW DIMENSION STANDARD TITANIUM ABUTMENT REFERENCES Standard titanium abutments STERILE Black Tite M1 6 prosthetic screw included Medical grade V titanium Standard abutment 0 STD abutment 0 3 4 H1 5 H4 0 OPST314 STD abutment 0 3 4 H2 5 H4 0 OPST324 STD abutment g3 4 H3 5 H4 0 OPST334 STD abutment 03 4 H1 5 H6 0 OPST316 STD abutment 03 4 H2 5 H6 0 OPST326 STD abutment 03 4 H3 5 H6 0 OPST336 STD abutment 04 0 H1 5 H4 0 OPST414 STD abutment 0 4 0 H2 5 H4 0 OPST424 STD abutment 4 0 H3 5 H4 0 OPST434 STD abutment 04 0 H1 5 H6 0 OPSTA16 STD abutment 04 0 H2 5 H6 0 OPST426 STD abutment 4 0 H3 5 H6 0 OPST436 STD abutment 5 0 H1 5 H4 0 OPST514 STD abutment 05 0 H2 5 H4 0 OPST524 STD abutment 05 0 H3 5 H4 0 OPST534 STD abutment 5 0 H1 5 H6 0 OPST516 STD abutment 5 0 H2 5 H6 0 OPST526 STD abutment 05 0 H3 5 H6 0
46. LANT PLACEMENT gt Identify the mental foramen and the inferior dental nerve to avoid accidental injury gt Using the drill guide mark the position of the drill hole with the round bur or the pointer drill gt The oblique lines on each end of the drill guide indicate a 30 orientation Figure AJ Hold the drill parallel to the oblique line For an Axiom REG implant refer to the drill sequence illustrated on page 9 and for an Axiom PX implant refer to the drill sequence illustrated on page 12 For placement of an Axiom REG in D1 bone type prior tapping may be necessary The protocol is described in the lt Axiom REG PX User Guide on page 11 Screw the implants into the prepared holes with the three lobes properly positioned relative to the prosthetic restoration 24 anthogyr ANTERIOR SITE PREPARATION AND IMPLANT PLACEMENT The two anterior drill holes should be as far apart as possible However be careful to allow for a safety distance between the apex of the anterior and posterior implants Hold the drill parallel to the vertical line on the drill guide and mark the position of the drill hole using the round bur or the pointer drill gt Refer to the drill sequence illustrated in the lt Axiom REG PX User Guide on page 9 for an Axiom REG implant on page 12 for an Axiom PX implant For placement of an Axiom REG in D1 bone type prior tapping may be necessary The proto
47. Multi Unit titanium M1 4 screw included Medical grade V titanium 5 Multi Unit protective analog by 1 MUA200 Multi Unit protective analog by 4 MUA200 4 87 QXIOM THE NEW DIMENSION NEW AXIOM REG PX MULTI UNIT NARROW PLATFORM 4 0 mm ABUTMENT REFERENCES Axiom REG PX Multi Unit narrow abutment STERILE Multi Unit holder included Medical grade V titanium Base diameter 4 0 mm Axiom REG PX Multi Unit narrow abutment H0 75 0 OPMUNO 0 Axiom REG PX Multi Unit narrow abutment H1 5 0 OPMUNO 1 Axiom REG PX Multi Unit narrow abutment H2 5 0 OPMUNO 2 Axiom REG PX Multi Unit narrow abutment H3 5 0 OPMUNO 3 Medical grade V titanium Multi Unit narrow protective cap STERILE MUNCAP Medical grade V titanium Multi Unit narrow Pick up transfer by 1 MUNT100 Multi Unit narrow Pick up transfer by 4 MUNT100 4 1 short screw MUT101 and 1 long screw MUT102 included Medical grade V titanium Multi Unit narrow Pop in transfer by 1 MUNT200 Multi Unit narrow Pop in transfer by 4 MUNT200 4 Medical grade V titanium Multi Unit narrow titanium temporary coping MUNC100 1 Multi Unit titanium M1 4 screw included PEEK Multi Unit narrow castable coping MUNC200 1 Multi Unit titanium M1 4 screw included PLASTIC Multi Unit narrow castable coping MUNC300 1 Multi Unit Black Tite M1 4 screw included Medical grade V titanium Multi Unit narrow analog abutment by 1 MUNA100 Multi Unit narrow analog abutment by 4
48. ONENTS FOR THE AXIOM RANGE Prefabricated components are intended for use as accessories to dental implants to support implant supported restorations Cement Screw COMPONENTS DESCRIPTION Single Multiple Ful retained retained INDICATIONS PAGE n ue prosthesis prosthesis Temporary abutments Supplied sterile 3 4 4 0 5 0 6 0 mm Aesthetic titanium abutments U P S esthe ic 32 restoration 0 3 4 4 0 5 0 6 0 mm Immediate U V prosthetic 30 temporization Aesthetic zirconia abutments U S All ceramic 3 restoration 5 0 mm Standard titanium shu tmente Immediate i U P S or delayed 36 Supplied sterile 0 3 4 4 0 5 0 6 0 mm P U Gold cast on P abutment retained cement single unit V 38 or cement retained or multiple single unit 4 0 mm retained prosthesis unit prosthesis Gold cast on abutment U P S 40 4 0 mm Multi Unit common c platform 0 4 8 mm straight and angulated P C V 44 abutments Multi Unit narrow platform 0 4 0 mm co P C V 48 straight abutments Pacific system on Multi Unit narrow n h P C V 52 platform 0 4 0 mm abutments Screw retained Conical abutments Straigth 4 0 mm OPSC Angulated 0 4 8 mm OPAC Pacific system toration with on straight P C V de 58 i straight conical conical OPSC abutment j i j abutments Locator abutments C Overtdenture 60 4 0 mm Stabilization
49. PMU30 0 IN Axiom REG PX Multi Unit abutment indexed 11 3 30 OPMU30 1 IN Axiom REG PX Multi Unit abutment indexed HZ 30 OPMU30 2 IN Axiom REG PX Multi Unit abutment indexed H3 9 90 OPMU30 3 IN Axiom REG PX Multi Unit abutment non indexed H1 5 18 OPMU18 1 Axiom REG PX Multi Unit abutment non indexed H2 5 18 OPMU18 2 Axiom REG PX Multi Unit abutment non indexed H3 5 18 OPMU18 3 Axiom REG PX Multi Unit abutment non indexed 75 30 OPMU30 0 Axiom REG PX Multi Unit abutment non indexed H1 5 30 OPMU30 1 Axiom REG PX Multi Unit abutment non indexed H2 5 30 OPMU30 2 Axiom REG PX Multi Unit abutment non indexed H3 5 30 OPMU30 3 Medical grade V titanium fi Multi Unit protective cap STERILE by 1 MUCAP Multi Unit protective cap STERILE by 4 MUCAP 4 Medical grade V titanium Multi Unit Pick up transfer by 1 MUT100 Multi Unit Pick up transfer by 4 MUT100 4 1 short screw MUT101 and 1 long screw MUT102 included Medical grade V titanium Multi Unit Pop in transfer by 1 MUT200 Multi Unit Pop in transfer by 4 MUT200 4 Medical grade V titanium Multi Unit titanium temporary coping MUC100 1 Multi Unit titanium M1 4 screw included PEEK Multi Unit castable coping MUC200 1 Multi Unit titanium M1 4 screw included PLASTIC Multi Unit castable coping MUC300 1 Multi Unit Black Tite M1 4 screw included Medical grade V titanium Multi Unit analog abutment by 1 MUA100 Multi Unit analog abutment by 4 MUA100 4 1
50. RD ABUTMENT TRANSFERS REFERENCES STD Abutment Transfer Medical Grade Plastic Abutment transfer unitary OPTT100 E Abutment transfer by 5 OPTT100 5 STANDARD ABUTMENT PROTECTIVE CAPS REFERENCES STD Abutment Protective caps Medical Grade PEEK Base diameter 3 4 mm Crown height 4 and 6 mm Protective cap 0 3 4 OPPC304 Protective cap 03 4 H OPPC306 Base diameter 4 0 mm Crown height 4 and 6mm Protective cap 0 4 0 H4 OPPC404 Protective cap 04 0 H OPPC406 Base diameter 5 0 mm Crown height 4 and 6mm Protective cap 05 0 H4 OPPC504 Protective cap 5 0 H6 OPPC506 Base diameter 6 0 mm Crown height 4 and 6mm Protective cap 0 6 0 H4 604 Protective 0 6 0 6 606 SINGLE CASTABLE COPINGS REFERENCES MULTIPLE CASTABLE COPINGS REFERENCES QXIOM THE NEW DIMENSION Anti rotational castable copings Copings for single prosthesis PMMA Base diameter 3 4 mm Crown height 4 and 6 mm SING castable coping 0 3 4 SING castable coping 0 3 4 H Base diameter 4 0 mm Crown height 4 and mm SING castable coping 0 4 0 SING castable coping 4 0 H Base diameter 5 0 mm Crown height 4 and 6 mm SING castable coping 05 0 H SING castable coping 05 0 H Base diameter 6 0 mm Crown height 4 and 6 mm SING castable coping 6 0 H SING castable coping 06 0 H Rotational castable copings Copings for multiple prosthesis PMMA Base diameter 3 4 mm Crown hei
51. S e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e e Anthogyr SAS 2 237 Avenue Andre Lasquin 74700 Sallanches France Phone 33 0 4 50 58 02 37 Fax 33 0 4 50 93 78 60 www anthogyr com smeda customized digital solutions anthogyr A global solution for dental implantology NOT AXIOM R PX1 2014 03 Photos credits Anthogyr All rights reserved Not contractual photos
52. Subject to stock availability 09 QXIOM THE NEW DIMENSION PLACING THE CONICAL ABUTMENT STRAIGHT CONICAL ABUTMENT ANGULATED CONICAL ABUTMENT Straight Conical Abutment Screw the straight conical abutment into the implant using the abutment wrench Tighten at 25 N cm using the dynamo metric ratchet wrench and conical abut ment wrench or Torq Control and conical abutment mandrel Angulated Conical Abutment Insert and index the angulated conical abutment in the correct orientation and screw the Black Tite M1 6 fixation screw using the long hexago nal wrench Tighten at 25 N cm using the dyna mometric ratchet wrench and conical abutment wrench or Torq Control and hexagonal mandrel IMPRESSION TAKING AND TEMPORISATION Assemble each Pick up or Pop in transfer respectively onto each conical abutment and screw the transfer screw moderate manual tightening PICK UP PICK UP POP IN POP IN Take an impression using a closed impression tray Pop in technique or open impression tray Pick up tech nique Replace the protective covers with moderate manual tightening or make a temporary prosthesis with the appropriate copings Cf 4 E LABORATORY Fashion the master model ES 26 anthogyr TEMPORARY PROSTHESIS AFTER IMPRESSION TAKING Connection of temporary copings Connect the temporary copi
53. THE NEW DIMENSION axiom GIRS User guide axiom amp and axiom G3 anthogyr A global solution for dental implantology anthogyr N Thank you for the trust you have shown in us by choosing to work with the Axiom implant solution For your safety and comfort our products have been designed exclusively from the latest findings in science and clinical practice The range is the result of close collaboration between our committee of experienced implantologists and our R amp D team and is both simple to use and very high performing in terms of biomechanics and aesthetics This document contains the information needed to use the Axiom device in surgical protocols and prosthetic restorations which are specific to the system with a complete component listing A few key points for correct use are included as reminders Please read this document carefully prior to placing any Axiom REG and Axiom PX implants Success for you means success for us Our marketing network and team of experts Is always available to you for any further information that you may need From the entire team at Anthogyr Scope The Axiom system is exclusively intended to replace missing teeth It enables one or more artificial roots to be positioned onto which dental prostheses are fixed and or stabilised The system allows single unit multiple unit or complete restoration to be performed QXIOM THE NEW DIMENSION Warnings a
54. Unit titanium MI A fixation screws or the corresponding Multi Unit long pick up transfer coping screws hand tighten to a torque less than 15 Use the long hexagonal wrench IN CHELV A consistent framework i e castable bar must be achieved So this requires adjusting the castable copings using a bur and or adding castable resin to create a link between the copings NOTE before adding resin insert Multi Unit titanium M1 4 fixation screws or Multi Unit long pick up transfer coping screws to prevent intrusion of the resin into the screw holes ARMATURE BASE Fabricate the final restoration using the pouring technique Strictly follow the material manufacturer s instructions for pouring Validate the poured component Return the poured component to the appropriate position in the master model and secure it using a Multi Unit titanium M1 4 fixation screw torque 15 N cm to assess proper seating Try in Remove the protective caps or the provisional to try in the poured component In particular check for good fit and secure fixation of the component hand tighten the Multi Unit titanium M1 4 fixation screws to 15 N cm Multi Unit protection analogs MUA200 are available to protect the Multi Unit connection system during fabrication of the final restoration Place the final restoration Place the final restoration onto the Multi Unit abut ments and insert the Multi Unit Black Tite
55. Use 18 angled conical abutments or straight conical abutments Select the appropriate abutment height based on evaluation of the gingival height 18 Angled conical abutments Use the abutment holders to properly position the abutments strictly parallel to each other and to the vertical lines on the guide Tighten the MU Black Tite M1 6 screw using the long hexagonal wrench Torque to 25 Ncm using the ratchet torque wrench and the hexagonal wrench or the TORQ CONTROL and the hexagonal mandrel Straight conical abutments gt Use the straight conical abutment wrench to insert the abutment into the implant Torque to 25 N cm using the ratchet torque wrench and the straight conical abutment wrench or the TORQ CONTROL and the straight conical abutment mandrel 27 QXIOM THE NEW DIMENSION 4 Maxilla preparation prosthetic components For better understanding Axiom REG PX Multi Unit abutments have been used for all the illustrations CONNECTION OF POSTERIOR CONICAL ABUTMENTS Use 30 angled conical abutments gt Select the appropriate abutment height based on evaluation of the gingival height gt Use the abutment holders to properly position the abutments strictly parallel to each other and to the vertical lines on the guide gt Tighten the MU Black Tite M1 6 screw using the long hexagonal wrench Torque to 25 N cm using the ratchet torque wrench and the
56. abutment height of the inserted healing screw and maintenance of a constant emergence profile Alternatively the healing phase can be managed with the straight conical abutment alone using the Multi Unit narrow pro tective cap MUNCAP i 4 Restorative procedure Equipment required Multi Unit NARROW 4 0 platform straight abutment Hy L Multi Unit Multi Unit Multi Unit d Ln D tf Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit narrow narrow 4 0 narrow Hexagonal Hexagonal mandrel narrow 0 4 0 mm narrow 0 4 0mm narrow narrow 4 0 mm 4 0 mm mm 040mm mandrels wrenches and wrench analog 4 0 mm analog 0 4 0 mm protective titanium temporary PMMA castable abutment abutment Pop in transfer abutment protective analog cap temporary coping coping coping 49 QXIOM THE NEW DIMENSION Before placing the MULTI UNIT ABUTMENT in the patient s mouth make sure that the MULTI UNIT HOLDER is securely fixed PLACING THE MULTI UNIT CONICAL ABUTMENT Straight MULTI UNIT abutment Screw the straight Multi Unit narrow 4 0 conical abutment into the implant using the Multi Unit abutment holder Then remove the holder Torque the straight conical abutment to 25 N cm using either the torque wrench and the Multi Unit wrench or the TORQ CONTROL and the Multi Unit mandrel IMPRESSION TAKING AND TEMPORIZATION Place a Multi unit narrow 4 0 pick up MUNT100
57. al grade V titanium Pop In abutment transfer unitary OPSC600 Pop In abutment transfer by 4 OPSC600 4 Medical grade V titanium Conical abutment analog 0 4 0 unitary OPSC700 Conical abutment analog 4 0 by 4 OPSC700 4 M1 4 titanium conical abutment screw included pacific SYSTEM REFERENCES Complete kit for Pacific system KIT OPSC800 Bonding ring 4 0 mm OPSC800 Black Tite M1 4 conical abutment screw included 1 Pacific analog OPSC910 li M1 4 laboratory scew short pick up screw Included Castable coping OPSC901 Subject to stock availability 89 QXIOM THE NEW DIMENSION ANGULATED CONICAL ABUTMENTS REFERENCE Angulated conical abutments STERILE Base diameter 0 4 8 mm Medical grade V titanium Black Tite M1 6 prosthetic screw included Angulated conical abutment H2 5 18 AR OPACO22 Angulated conical abutment H2 5 18 R OPACR22 Angulated conical abutment 2 5 30 AR 023 Angulated conical abutment 2 5 30 R 23 Angulated conical abutment 5 18 AR 032 Angulated conical abutment 5 18 OPACR32 Angulated conical abutment H3 5 30 AR Angulated conical abutment H3 5 30 R OPACR33 Angulated conical abutment 4 5 18 AR 042 Angulated conical abutment 4 5 18 R OPACR42 Angulated conical abutment H4 5 30 AR 043 Angulated conical abutment 4 5 30 R OPACR43 Secondary parts
58. allow the long pick up transfer coping screws to pass through Place the mould or perforated resin template over the adjusted temporary copings Allow the resin to harden or polymerize Remove the provisional and make final adjustments BU BU Rh BU Remove the fixation screw Multi Unit titanium M1 4 screw or Multi Unit pick up transfer coping screw AM LU WA cr Remove the resin template and temporary Separate the temporary coping from the template After final adjustments have been made the provisional is polished Connect the provisional Replace the provisional to its position and insert the Multi Unit titanium M1 4 screw supplied with the temporary coping using the long or short hexagonal wrench IN CHELV or IN CHECV Aretroalveolar X ray is most useful to confirm proper implant abutment connection Torque to 15 N cm using the torque wrench or the TORQ CONTROL Unless immediate loading 15 performed the provisional should be placed out of occlusion so as not to compromise device integrity P _ EA lt BT BUT 47 QXIOM THE NEW DIMENSION FINAL RESTORATION BAR OR BRIDGE FOLLOWING IMPRESSION TAKING AND VALIDATION USING A WAX BITE BLOCK Connect customizable copings Attach the Multi Unit castable copings to the Multi Unit analogs MUA100 in the master model using the Multi
59. and packaging anthogyr 3 Axiom REG technical specifications a Implant coding Sales Reference 120 Implant Implant Code n QP length 34 40 46 implant b Drilling depths The Axiom REG placement protocol provides for a subcrestal positioning of the implant The surface of the implant s shoulder is BCP treated in order to favour peripheral bone healing in this region The Axiom REG surgery protocol takes into account an apical overdrilling of 0 5 mm The practitioner can proceed with a deeper subcrestal positioning in order to optimise soft tissue aesthetics The sizels of the implant s shall be pre defined in the treatment plan A radiographic template calibrating film is provided to select the implant diameter and length according the bone available The film also takes into consideration the length of the associated drilling When selecting the implant take into consideration the length of the drill 0 5 to 0 6 mm the tip added to 0 5 mm in sub crestal position This additional lengths are indicated on the calibrating film They allow bone chips to be collected during the self tapping of the implant and they avoid apical over compression Precision of the calibrating film 2 Do not use the calibration film if it is damaged poor print quality tear Drilling Depth mm DRILLING DEPTH 17 0 LENGTH OF IMPLANT 1 mm 15 0 13 0 0
60. be informed of potential risks associated with implanting this type of device oedema bruising haemorrhage periodontal complications transient or perma nent nerve damage local or systemic infections or inflammation bone fractures loosening or fracture of the implant dehiscence aesthetic problems aspirating or swallowing the device iatrogenic trauma etc Equipment The practitioner using the system is responsible for the follow up and maintenance procedures required to identify and treat any complications as early as possible and for ensuring the correct functioning and safety of the device The references and the batch numbers of all components implanted temporarily and or definitively must be recorded in the medical file of the patient Follow up and maintenance are part of the knowledge of a practitioner trained in placing dental implants The practitioner is also responsible for defining the different settings for his her equipment instrument rotation speed irrigation flow rate etc according to each clinical case and for confirming that these are in good condition before each procedure Reusable instruments must be cleaned decontaminated and sterilized before each surgery even when first used in accordance with current pro tocols in hospitals and clinics The organization of the operating room preparation of operating staff and of the patient premedication anaesthe sia etc should follow current procedures and are the r
61. bled only on long drills Violet stops are to be used with the drills 0 2 0 2 4 and 0 3 0 mm Yellow stops are to be used with the drill 0 3 6 mm White stops are to be used with the drill 4 2 mm Blue stops are to be used with the drill 4 8 mm 042148 The stops for short drills S have a circumferential groove They cannot be assembled on long drills L Also the stops for long drills L do not have a groove and cannot be assembled on short drills S Check the orientation the stop as described on the picture Slide the stop onto the drill 22 QXIOM THE NEW DIMENSION ANGLED DRILL GUIDE FOR COMPLETE DENTAL RESTORATION USING A LIMITED NUMBER OF IMPLANTS The angled drill guide IN GFA is the guiding tool to achieve complete screw retained dental restoration using a limited number of implants Hereunder is the detailed protocol for bone preparation and placement of the prosthetic components using the angled drill guide IN GFA 1 Mandible preparation drill sequence For better understanding Axiom REG PX Multi Unit abutments have been used for all the illustrations DRILL GUIDE POSITIONING Make an incision and raise a flap gt Make a midline osteotomy about 10 mm deep using a 2 0 mm twist drill gt Insert the drill guide rod into the hole Maximal blockage can be achieved using the long hexagonal wrench IN CHELV POSTERIOR SITE PREPARATION AND IMP
62. butments OPSC OPAC NE 04 0 04 0 04 0 04 8 04 8 04 8 Straight Angulated 1 Indications abutment gt Multiple unit screw retained Ta Supplied prosthesis sterile sterile gt Screw retained bar and brace INSTRUCTIONS FOR USE The conical abutments straight and angulated and protective covers are supplied decontaminated and sterile for direct placement during surgery The fixation screw Is included with the packaging angulated conical abutments The recommended tightening torque for the fixation screws for the angulated conical abutments is 25 N cm the recommended torque for the secondary components 15 15 N cm Multi Unit screws and auxiliary components should be used with Multi Unit abutments ONLY and MUST NOT BE USED with OPSC OPAC conical abutments Mixing Multi Unit and OPSC OPAC components or screws may result in improper fit of the restoration 2 For a complete prosthetic restoration Complete restoration may be considered immediately after placement of a limited of Axiom REG PX angled implants 3 Selection of conical abutment The range of conical abutments consists of 2 different versions straight and angulated Straight conical abutment Select the abutment from the 3 gingival heights 1 5 2 5 and 3 5 mm for 1 single diameter of prosthesis emergence 4 0 mm available The straight conical abutment should be selected ideally depending on the healing screw in place observing the
63. col is described in the Axiom REG PX User Guide on page 11 Screw the implants into the prepared holes with the three lobes properly positioned relative to the prosthetic restoration INITIAL IMPLANT STABILITY Assess implant stability before placing the conical abutments 2 Maxilla preparation drill sequence For better understanding Axiom REG PX Multi Unit abutments have been used for all the illustrations DRILL GUIDE POSITIONING Make an incision and raise a flap Make a midline osteotomy about 10 mm deep using a 2 0 mm twist drill gt Insert the drill guide rod into the hole 23 QXIOM THE NEW DIMENSION POSTERIOR SITE PREPARATION AND IMPLANT PLACEMENT gt The anterior wall of the maxillary sinus must be identified to avoid penetration Using the drill guide mark the position of the drill hole with the round bur or the pointer drill The oblique lines on each end of the drill guide indicate a 30 orientation Figure gt Hold the 2 0 mm drill parallel to the oblique line and start drilling For an Axiom REG implant refer to the drill sequence illustrated in the Axiom REG PX User Guide on page 9 and for an Axiom PX implant refer to the drill sequence illustrated on page 12 Screw the implants into the prepared holes with the three lobes properly positioned relative to the prosthetic restoration ANTERIOR SITE PREPARATION AND IMPLANT PLACEMENT
64. d tighten it with the laboratory M1 6 fixation screw Adapt abutment by drilling and fashion the definitive prosthesis PICK UP POP IN PLACING THE ABUTMENT Insert indexing the abutment into the implant in the correct orientation and screw the Black Tite M1 6 fixation screw supplied Aretro alveolar x ray may be performed to confirm that the abutment is completely connected to the implant Tighten at 25 N cm using the dynamometric ratchet wrench or Torq Control BU RESTORATION Close the access cavity ies with a filling material after protecting the screw head Cement the crown definitively onto the abutment in the mouth 34 anthogyr E AESTHETIC ZIRCONIA ABUTMENTS SUPPLIED NON STERILE m 1 Indications non EE Single unit cement retained restoration INSTRUCTIONS FOR USE The aesthetic zirconia abutment is supplied decontaminated and non sterilized with its fixation screw The impression shall be taken directly at the implant level Any rework of the zirconia part constitutes a risk of mechanical weakening of the part If reworks are realized it is necessary to follow recommendations mentionned here after recommended tightening torque for the aesthetic zirconia abutment fixation screw is 25 N cm 2 Selection of abutment Select the abutment from the 2 gingival heights 1 5 and 3 5 mm and coronary angulations 0 and 15
65. depending on the clinical situation S drills SHORT drills L drills LONG drills QXIOM THE NEW DIMENSION C SURGICAL PROTOCOL OF THE AXIOM REG IMPLANTS 1 Surgical phases MARKING DRILLING DRILLING Round bur Pointer drill Initial drill 2 0 mm Drilling sequences 1 500 rpm 1 500 rpm 1 000 rpm TIGHTENING Placing the implant 25 rpm TAPPING Final tapping optional bone D2 20 25 rpm n can be re evaluated during the surgery process if needed Drilling speed are indicatives A treatment plan is to be established prior to each implant placement This plan should include a healing period which TWO STAGE SURGERY ONE STAGE SURGERY IMMEDIATE LOADING H Temporary Standard 1 Positioning the cover screw Positioning the healing screw 5 10 N cm 5 10 N cm _ lt 2 Positioning the e healing screw LS 5 10 N cm 2 Axiom REG range of implants Short lg 6 5 and 8 0 mm implant ideal in limited bone crest height Thread 0 8 mm Positioning the abutment 0 fet Conical abutment Multi unit abutment straight angulated straight angulated The implant diameter and length must be determined beforehand by the dental practitioner depending on the clinical situation The placement of implants of 3 4 mm is contraindicated in the molar area 0 3 4 mm 04 0 mm 0 4 6 mm 1 Identification color code for implant types repeated on the ancillary instruments
66. drill 01 2 TIN OPFM12 M1 6 x 0 35 mm tapping device OPTAM16 Left hand threaded device Unscrewing mandrel short S IN MDS Left hand threaded device Unscrewing mandrel long L IN MDL Se QXIOM THE NEW DIMENSION TRY IN ABUTMENTS FOR axiom 0 3 4 4 0 4 6 5 2 mm REFERENCES Medical grade V titanium Straight try in abutments Straight try in abutment H0 75 0 OPSFO006 Straight try in abutment Hio OPSF016 Straight try in abutment H2 9 0 OPSF026 Straight try in abutment H3 5 0 OPSF036 Straight try in abutment H4 5 0 OPSF046 Angulated try in abutments Angulated try in abutment H0 75 7 00 7 Angulated abutment H1 5 79 OPAF01 7 Angulated try in abutment 1263 7 OPAF02 7 Angulated try in abutment Ho 7 OPAF03 7 Angulated try in abutment H o 7 OPAF04 7 Angulated try in abutment H0 75 19 OPAF001 Angulated try in abutment Ho 15 OPAF011 Angulated try in abutment H25 15 OPAF021 Angulated try in abutment Ho 5 OPAF031 Angulated try in abutment H o 15 OPAF041 Angulated try in abutment r10 75 23 002 Angulated abutment Hho 29 OPAF012 Angulated try in abutment Ha 297 OPAF022 Angulated try in abutment 23 OPAF032 Angulated try in abutment H4 5 23 OPAF042 Medical grade V titanium Angulated conical try in abutment 18 Angulated conical try in abutment R nao 19 OPCFR22 Angulated conical try in abutment R Mod 187 OPCFR32 Angulated conical try
67. efinitive prosthesis in order to guarantee integrity of the device _ _ lt BER BT B BUT 57 QXIOM THE NEW DIMENSION DEFINITIVE PROSTHESIS BAR OR BRIDGE Connecting the personalisable copings Connect the castable copings or cast on copings to the conical abutment analogues on the master model using the M1 4 fixation screws or corres ponding long Pick up transfer screws moderate manual tightening 15 Use the hexagonal wrench Adjust the castable sleeves in order to recreate a homothetic frame or a bar by drilling and or adding calcinable resin NOTE use the long laboratory M1 4 fixation screw to preserve the screw access holes when adding resin Performing the definitive prosthesis Cast the frame following the recommenda tions of the material manufacturer For gold cast on copings please refer to chap ter 36 1 page 32 BRIDGE replace the casted structure or the gold cast on coping or on the master model with the M1 4 fixation screw moderate manual tightening 15 N cm orientating correctly and reducing the definitive ceramic opacification BAR remove the protective covers or temporary prosthesis and try the casted structure in the patient s mouth checking the fit with the conical abutments Take a second impression with the bar in place fixed using the Pick up transfer screws and an open tray Fashion the definitive prosthesis
68. er model using short or long conical abutment pick up screws Ref OPAC501 or OPAC502 If any tension remains correct the basal surface of the prosthesis Remove BONDING THE PACIFIC RINGS Put some adhesive on the grooved part of the bonding rings Ref OPSC800 and on the basal surface of the framework Place a bonding ring into each slot of the framework Reposition and screw the entire assembly onto the master model using short or long conical abutment pick up screws Ref 501 or 502 Let dry in accordance with drying time instructions provided by the manufacturer of the adhesive PLACEMENT OF THE PROSTHESIS Screw the entire frame prosthesis assembly into the mouth using new M1 4 Black Tite screws provided with the bonding rings Tighten to 15 N cm using the dynamometric ratchet wrench and hexagonal wrench or TORQ CONTROL and the hexagonal mandrel QXIOM THE NEW DIMENSION 29 60 anthogyr K LOCATOR ATTACHEMENT SYSTEM SUPPLIED NON STERILE 1 Indications Supplied ae Stabilization of a partial implant supported restoration overdenture stabilization sterite gt Locator attachments Clear Pink Blue can correct divergence up to 20 between two implants Locator extended range attachments Red Green Orange Grey can correct divergence up to 40 between 2 implants LOCATOR abutments are supplied decontaminated and non ste
69. esponsibility of the practitioner Anthogyr can under no circumstances be held responsible for any harm arising from defective handling or use In order to avoid swallowing or inhaling small components it is recommended that these are rendered secure by fixing them to the outside of the mouth with a suture thread Whenever an instrument is changed confirm that the contra angle or key are correctly fixed by applying slight traction and ensure that each part is correctly fixed onto the transfer system outside the oral cavity Conservation In producing our products we have paid particular care and guarantee that a manufacturing control has been performed on all products made available for sale In order to guarantee their integrity it is recommended that they be stored in their original packaging at an ambient tempe rature of between 15 and 30 C away from moisture and direct sunlight Protect packages from dust and do not store in the same premises as solvents and or paints containing solvents or chemical substances The device must be used before the expiration date indicated on the traceability label If the package blister closure bag is damaged or a defect is apparent when the product is opened it is imperative that the device not be used and that the nature of the defect part numbers and batch numbers of the components concerned are reported to the distributor or to Anthogyr The technical specifications contained within these instructi
70. fragment s referring to scenario n 1 If not Refer to solution n 2 and drill the centre of the fragment Complete the procedure referring to situation n 1 After carefully removing fragments of metal from inside the implant re assemble the prosthetic part with a new screw Do not forget to treat the cause of the fractured screw occlusion forces an _ eo E E 72 anthogyr 7 Component reference numbers A AXIOM REG AND AXIOM PX IMPLANTS IMPLANTS Axiom REG Implant 3 4 mm Prosthetic interface 2 7 mm Closure screw included Medical grade V titanium Axiom REG 3 4x8mm Axiom REG 03 4 x 10 mm Axiom REG 03 4x 12 Axiom REG 03 4 x 14 mm Axiom REG 03 4 x 16 mm Axiom REG 03 4 x 18mm Axiom REG Implant 4 0 mm Prosthetic interface 2 7 mm Closure screw included Medical grade V titanium Axiom REG 04 0x 6 5 mm Axiom REG 04 0x 8mm Axiom REG 0 4 0x 10 mm REG 0 4 0 x 122mm REG 0 4 0 x 14 mm Axiom REG 0 4 0x 16 mm Axiom REG 0 4 0x 18mm Axiom REG Implant 4 6 mm Prosthetic interface 2 7 mm Closure screw included Medical grade V titanium Axiom REG 0 4 6 x 6 5 mm Axiom REG 0 2 6 x 8 mm Axiom REG 0 4 6 x 10 mm REG 0 4 6 x 122mm Axiom REG 0 4 6x 14 mm Axiom REG Implant 5 2 mm Prosthetic interface 2 7 mm Closure screw included Medical grade
71. g using moderate force a short or long coping screw Use closed tray for a pop in coping impression and an open tray for a pick up coping impression At this stage two options are available put the Multi Unit protective caps MUCAP back into place and hand tighten them using moderate force or do a provisional prosthesis from the appropriate coping s see Step 4 LABORATORY Screw the Multi Unit analog MUA100 in each transfer Create the master model MULTI UNIT STRAIGHT CONICAL ABUTMENT t MULTI UNIT ANGULATED CONICAL ABUTMENT HUAN G PICK UP POP IN 289 PICK UP POP IN f 46 anthogyr PROVISIONAL Connect temporary copings Select the appropriate temporary copings Multi Unit titanium ones MUC100 Multi Unit PEEK ones MUC200 Attach the selected temporary copings to the straight or angled Multi Unit conical abut ments using the Multi Unit titanium M1 4 fixation screws specific for Multi Unit abut ments MU141 or the corresponding Mul ti Unit long pick up transfer coping screws Hand tighten with moderate force torque 15 N cm using the long or short hexagonal wrench IN CHELV or IN CHECV Make any necessary height adjustments TILLLELLLL las Fabricate the provisional Fill a plastic mould or a template with acrylic resin In the case of a template holes must be made to
72. ght 4 and mm MULT castable coping 03 4 H MULT castable coping 03 4 H Base diameter 4 0 mm Crown height 4 and 6 mm MULT castable coping 4 0 H MULT castable coping 04 0 H Base diameter 5 0 mm Crown height 4 and mm MULT castable coping 5 0 H MULT castable coping 5 0 H Base diameter 6 0 mm Crown height 4 and 6 mm MULT castable coping 6 0 H MULT castable coping 06 0 H OPCA304 OPCA306 OPCA404 OPCA406 504 506 604 606 OPCR304 OPCR306 OPCR404 OPCR406 OPCR504 OPCR506 OPCR604 OPCR606 85 86 anthogyr NEW AXIOM REG PX MULTI UNIT COMMON PLATEFORM 4 8 mm ABUTMENTS REFERENCES Axiom REG PX Multi Unit straight abutment STERILE Multi Unit holder included Medical grade V titanium Base diameter 4 8 mm Axiom REG PX Multi Unit abutment H0 75 0 OPMUO 0 Axiom REG PX Multi Unit abutment H1 5 0 OPMUO 1 Axiom REG PX Multi Unit abutment H2 5 0 OPMUO 2 Axiom REG PX Multi Unit abutment H3 3 07 OPMUO 3 Axiom REG PX Multi Unit angled abutment STERILE Multi Unit holder included Axiom Multi Unit Black Tite M1 6 screw Art Nb OPMU160 included Medical grade V titanium Base diameter 4 8 mm Axiom REG PX Multi Unit abutment indexed HL5 18 OPMU18 1 IN Axiom REG PX Multi Unit abutment indexed AZo 19 OPMU18 2 IN Axiom REG PX Multi Unit abutment indexed H3 9 16 OPMU18 3 IN Axiom REG PX Multi Unit abutment indexed H0 75 30 O
73. guide co NN Medical grade stainless steel Angled drill guide for complete dental restoration using a limited number of implants IN GFA SURGICAL KITS REFERENCES Complete surgical kit Drills and tapping devices Mandrels and wrenches IN MOD OPS2 Surgical accessories Axiom calibration films included Update kit for long drills Included 6 L drills 1 green S drill KT DRILL OPS2 gray inserts Empty surgical kit IN MOD OPS2V Axiom REG calibrating film NOT OPFC Axiom PX calibrating film NOT PXFC DRILL STOPS REFERENCES d 1 2 d 4 id DRILL STOPS KIT REFERENCES QXIOM THE NEW DIMENSION Stop for S and L drills TA6V Grade V Stop for S drills 0 2 0 2 4 0 3 0 mm Lg 6 5 mm Lg8mm Lg 10mm Stop for L drills 0 2 0 2 4 3 0 mm Lg 6 5 mm Lg 8mm Lg 10 mm Lg 12 mm Lg 14mm Lg 16 Lg 18 0 3 6 mm Lg 6 5mm Lg 8mm Lg 10 mm Stop for L drills 0 3 6 mm Lg 6 5 mm Lg 8mm Lg 10 mm Lg 12 mm Lg 14mm Lg 16 mm Lg 18 mm Stop for S drills 4 2 mm Lg 6 5 mm Lg8mm Lg 10mm Stop for L drills 4 2 mm Lg 6 0 mm Lg8mm Lg 10mm Lg 12mm Lg 14 mm Stop for S drills 4 8 mm Lg 6 5 mm Lg 8 mm Lg 10 mm Stop for L drills 4 8 mm Lg 6 5 mm Lg 8 mm Lg 10 mm Lg 12mm Lg 14 mm Drill stops kit 36 stop kit for S and L drills Update kit for L stops Including rack for drill stop 24 long drill stops OPB3006C OPB3008C
74. ht and angulated abutments follow the same protocol of use When using aesthetic abutments take into consideration the implant orientation NOTE AESTHETIC titanium abutments with Gh 4 5mm have a specific gingival profile to be used in the following situations gt Gingival height of 4 5 mm and coronary height of 7 mm gt Gingival height of 2 5 mm and coronary height of 9 mm Gem In order to obtain this abutment with a coronary height of mm timi 1 the laboratory should rework the 2 mm cylindrical part 777 3 User protocol T roy Black Tite Laboratory Hexagonal Hexagonal fixation screw M1 6 Pick up Pop in Implant mandrels wrenches M1 6 Screw Transfer Transfer analog IMPRESSION TAKING Remove the healing screw using the long hexagonal wrench POP IN Insert the Pick up or Pop in transfer into the implant and tighten the transfer screw moderate manual tightening Take an impression using a closed impression tray Pop in technique or open impression tray Pick up technique E e 4 x E Re insert the healing screw selected or make a temporary prosthesis using the temporary abutment see p 30 PICK UP as E 33 axiom THE NEW DIMENSION IMPRESSION TRANSFER AND FASHIONING THE MASTER MODEL Prepare the master model Insert the aesthetic titanium abutment fully into the analog In the correct orientation an
75. ical grade V titanium Axiom PX Axiom PX Axiom PX Axiom PX 5 2x 6 5 mm 5 2 x8 mm 0 5 2 10 mm 0 5 2 12mm STERILE PX34080 PX34100 PX34120 PX34140 PX34160 PX34180 STERILE PX40080 PX40100 PX40120 PX40140 PX40160 PX40180 STERILE PX46060 PX46080 PX46100 PX46120 PX46140 STERILE PX52060 PX52080 PX52100 PX52120 73 anthogyr B SURGICAL INSTRUMENTS DRILLS AND TAPS REFERENCES Round bur IN FB20 Medical grade stainless steel Pointer drill 15150 Initial drills Medical grade stainless steel Initial drill 02 0 5 OPFI20S Initial drill 02 0 L OPFI20L Step drills Medical grade stainless steel S drills Step drill 2 0 2 4 S OPFE24S Step drill 2 4 3 0 S OPFE30S Step drill 3 0 3 6 S OPFE36S Step drill 3 6 4 2 S OPFE42S Step drill 4 2 4 8 S OPFEA8S Pack of 6 S drills initial drill 2 0 S 5 S drills OPFES 6 L drills Step drill 2 0 2 4 L OPFE24L Step drill 2 4 3 0 L OPFE30L Step drill 3 0 3 6 L OPFE36L Step drill 3 6 4 2 L OPFE42L Step drill 4 2 4 8 L OPFE48L Pack of 6 L drills initial drill 2 0 L 5 S drills OPFEL 6 Pack of 12 S L drills including S L initial drills 2mm OPFESL 12 5S drills and 5 L drills for 1 kit Axiom REG PX IN MOD OPS2 L taps Axiom REG Medical grade stainless steel Tap 3 4L OPTA34L Tap 4 01 OPTA4OL Tap 4 6L OPTA46L Tap 5 2L 521 Pack of 4 L tap
76. iliary components intended for use with Multi Unit COMMON platform 4 8 mm d hf 1 h 1 Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit 4 8 mm 4 8 mm 04 8 mm 4 8 mm 4 8 mm 4 8 mm 4 8 mm 0 4 8 mm titanium PEEK PMMA Pick up Pop in analog protective protective temporary temporary castable transfer transfer abutment analog cap coping coping coping Auxiliary components intended for use with Multi Unit NARROW platform 4 0 mm Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit narrow narrow 4 0 mm narrow narrow 0 4 0 mm narrow narrow 4 0 mm narrow narrow 4 0 mm 0 4 0 mm 0 4 0 mm PMMA Pick up 4 0 mm analog 4 0 mm protective titanium temporary castable transfer Pop in transfer abutment protective analog cap temporary coping coping coping N for Narrow b Multi Unit COMMON platform 0 4 8 mm abutments SUPPLIED STERILE Straight VSSA 1 Indications abutment abutment Supplied TT Multiple unit screw retained restorations sterile sterile Multi Unit screws and auxiliary components should be used with Multi Unit abutments ONLY and MUST NOT BE USED with OPSC OPAC conical abutments Mixing Multi Unit and OPSC OPAC components or screws may result in improper fit of the restoration 2 Complete dental restoration Complete restoration may be considered immediately after p
77. in Max Mandibular incisors Mes Dist 2 4 1 e e Central max incisors Mes Dist 7 6 Lateral max incisors Mes Dist 4 1 Dez e e e Max canine Mes Dist jid 6 4 e e Mand canine Mes Dist Z 6 e e e 1 max molar Mes Dist ii 9 e 1 max pre molar Mes Dist 328 9 9 e ANATOMICAL EMERGENCE PROFILE Healing screws are proposed in 2 suture heights and 5 gingival heights Coronary height mm 2mm Gingival height and 4 5 mm Hand screw POSITIONING THE the healing key HEALING SCREW without forcing AND SUTURING using the surgical wrench Suture around the healing screw covering the shoulder of the prosthesis WW 20 anthogyr G DUAL FUNCTION DEPTH GAUGE 1 Measuring socket or drilling depth 16 To evaluate the alveolus of drilling depth insert the blunt tip of the depth b 12 gauge against the osteotomy wall 10 The markings on the gauge correspond to the available implant lengths s Axiom REG PX 6 5 8 10 12 14 16 18 mm This optional angled depth gauge can be useful to 2 Palpate the bottom of the socket blunt tip for immediate postextraction implant placement Check the drilling depth after using the 2 0 mm starter drill Axiom REG PX 2 8 implants Drilling depth mm Angled Depth Gauge Socket palpation for immediate postextraction implant placement Angled Depth Gauge Confirmation of drilling depth 4 0 x 10
78. including riders in the laboratory following the total prosthesis principle Placing the prosthesis Position the prosthetic structure on the conical abutments orientating correctly and screw the attached Black Tite M1 4 fixation screws Tighten at 15 N cm using the dynamometric ratchet wrench or Torq Control BRIDGE close the access cavity ies with filling material after protecting the screw head and finish occlusion adjustment BAR make the occlusion and tissue adjustments on the total prosthesis before final screwing Close the access cavitylies with a filling material after protecting the screw head Inform the patient about the use and maintenance pro cedures BULL BULL BI BI 58 b Pacific system for straight conical abutments OPSC non sterile Supplied non sterile anthogyr The Pacific is an additional system reserved exclusively for multiple unit or full arch screw retained prostheses on straight conical abutments Introducing a ring bonded between the straight conical abutment and the framework cast by the laboratory the Pacific system ensures the passive fit to be obtained during definitive screwing in the mouth INSTRUCTIONS FOR USE The bonding ring is provided with its permanent fixing screw M1 4 Black Tite Recommended tightening torque of the fixing screw Is 15 N cm The bonding ring can only used with straight conical abutments User
79. ion following the manufacturer s recommendations Rinse with osmosed demineralized water to avoid any deposits Carefully dry immediately with soft sterile fluffless wipes combined with medical grade compressed air Check the result and repeat the cleaning procedure if necessary Ultrasound cleaning only for reusable products Place the components in a low frequency ultrasound tank 25 to 50 kHz Fill with detergent disinfectant solution compatible with the procedure Clean the components by ultrasound following the manufacturer s recommendations Rinse with osmosed demineralized water to avoid any deposits Carefully dry immediately with soft sterile fluffless cloths combined with medical grade compressed air Check the result and repeat the cleaning procedure if necessary 5 4 Do not place cutting instruments in contact during ultrasound cleaning Rubbing of the parts against each other or against the tank may cause defects In appearance 3 HEAT DISINFECTION REUSABLE PRODUCTS ONLY Heat disinfection must only be used for assembled reusable components or a complete kit placed flat with cover open Perform a 10 minute heat disinfection cycle at 95 C 203 F Perform a drying cycle Do not exceed 140 C 284 F Carefully dry immediately with soft sterile fluffless wipes combined with medical grade compressed air Check the result and repeat the heat disinfection if necessary 67
80. l Conical abutment mandrel OPMP250 Straight conical abutment wrench hi Medical Grade stainless steel Conical abutment wrench OPCP160 Multi Unit mandrel Medical Grade stainless steel Utilis pour le vissage des piliers axiom Multi Unit droits Multi Unit wrench Medical Grade stainless steel ji Utilis pour le vissage des piliers axiom Multi Unit droits LOCATOR abutment mandrel Medical Grade stainless steel LOCATOR mandrel Art Nb 8913 OPML230 LOCATOR abutment wrench Medical Grade stainless steel LOCATOR key Art Nb 8260 OPCL150 c LOCATOR 3 in 1 tool c C OM RR Medical Grade stainless steel LOCATOR 3 in 1 key Art Nb 8393 OPCL3E1 Sold inividually Dynamometric prosthetic ratchet wrench Medical Grade stainless steel Dynamometric prosthetic ratchet wrench IN CCD Gripping tool OPCF100 22 anthogyr PROSTHESIS KITS REFERENCES Prosthesis kit Contain 1 dynamometrical prosthetic wrench 1 wrench and 1 Multi Unit mandrel D 1 wrench and 1 short hexagonal mandrel wrench and 1 long hexagonal mandrel Empty prosthesis kit IN MOD OPPV Prosthetic Multi Unit Update kit Including KIT MU OPP wrench and 1 Multi Unit mandrel One 3 4 and one 1 4 grey inserts RE WORKING KITS REFERENCES axiom Implant re working kit Left helical drill 01 2 TIN OP RETOUCHE axiom drill guide M1 6 x 0 35 mm tapping device Left helical
81. lacement of a limited of Axiom REG PX angled implants 3 Selection of the appropriate Multi Unit conical abutment Both straight and angled abutments are available Straight Multi Unit abutment For a 4 8 mm platform 4 gingival heights 0 75 1 5 2 5 amp 3 5 mm are available Two important parameters must be taken into account when selecting the appropriate gingival height for a straight Multi Unit abutment height of the inserted healing screw and maintenance of a constant emergence profile Alternatively the healing phase can be managed with the straight conical abutment alone using the Multi Unit protective cap MUCAP Angled Multi Unit abutment For a 4 8 mm platform 4 gingival heights 0 75 1 5 2 5 amp 3 5 mm and 2 angulations 18 and 30 are available in both indexed and non indexed versions Two important parameters must be taken into account when selecting the appropriate gingival height for an angled abutment height of the inserted healing screw and maintenance of a constant emergence profile Alternatively the healing phase can be managed with the angled conical abutment alone using the Multi Unit protective cap MUCAP 4 Restorative procedure Equipment required Multi Unit COMMON platform 4 8 straight and angulated abutments A a fy jv Dr l E Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit Multi Unit 4 8 mm 4 8 mm 0 4 8 mm He
82. lic resin In the case of a template holes must be made to allow the long pick up transfer coping screws to pass through Place the mould or perforated resin template over the adjusted temporary copings Allow the resin to harden or polymerize Remove the provisional and make final adjustments BU BU Rh BU Remove the fixation screw Multi Unit titanium M1 4 screw or Multi Unit pick up transfer coping screw AM LU WA cr Remove the resin template and temporary Separate the temporary coping from the template After final adjustments have been made the provisional is polished Connect the provisional Replace the provisional to its position and insert the dedicated Multi Unit titanium M1 4 screw using the long or short hexagonal wrench IN CHELV or IN CHECV Aretroalveolar X ray is most useful to confirm proper implant abutment connection Torque to 15 N cm using the torque wrench or the TORQ CONTROL Unless immediate loading is performed the provisional should be placed out of occlusion so as not to compromise device Integrity P _ EA lt BT BUT 2 QXIOM THE NEW DIMENSION FINAL RESTORATION BAR OR BRIDGE FOLLOWING IMPRESSION TAKING AND VALIDATION USING A WAX BITE BLOCK Connect customizable copings Attach the Multi Unit narrow 4 0 castable copings MUNC300 to the Multi Unit narrow
83. ment 03 4 H1 5 7 OPAT31 7 Titanium aesthetic abutment 034 H25 7 OPAT32 7 Titanium aesthetic abutment O34 Hoo 7 OPAT33 7 Titanium aesthetic abutment 034 H45 7 OPAT34 7 Titanium aesthetic abutment 03 4 1 5 15 OPAT311 Titanium aesthetic abutment 03 4 2 5 15 21 Titanium aesthetic abutment g 3 4 H3 5 15 OPAT331 Titanium aesthetic abutment 03 4 4 5 15 OPAT341 Base diameter 0 4 0 mm Titanium aesthetic abutment 04 0 H0 75 0 OPATA00 Titanium aesthetic abutment 04 0 H1 5 0 OPATA10 Titanium aesthetic abutment 04 0 H2 5 0 OPAT420 Titanium aesthetic abutment 04 0 H3 5 0 OPAT430 Titanium aesthetic abutment 04 0 H4 5 0 OPAT440 Titanium aesthetic abutment 04 0 75 7 OPATA0 7 Titanium aesthetic abutment Dg Hib 77 OPAT41 7 Titanium aesthetic abutment 4 0 H2 5 7 OPAT42 7 Titanium aesthetic abutment 04 0 H3 5 7 OPAT43 7 Titanium aesthetic abutment 04 0 H4 5 7 OPAT44 7 Titanium aesthetic abutment 0 4 0 H0 75 15 OPATA01 Titanium aesthetic abutment 04 0 H1 5 15 OPAT411 Titanium aesthetic abutment 4 0 H2 5 15 OPAT421 Titanium aesthetic abutment 0 4 0 H35 15 1 Titanium aesthetic abutment O40 H45 15 OPAT441 Titanium aesthetic abutment 04 0 H0 75 23 OPATA02 Titanium aesthetic abutment 04 0 H1 5 23 OPAT412 Titanium aesthetic abutment 04 0 H2 5 23 OPAT422 Titanium aesthetic abutment 04 0 H3 5 23 OPAT432 Titanium aesthetic abutment 04 0 H4 5 23 OPAT442 Base diameter 0 5 0 mm Titanium ae
84. ment in aesthetics research Surgery protocols for Axiom REG and Axiom PX take into account a subcrestal positioning of implants of 0 5 mm In the presence of low gingival height or in the case of significant aesthetics research and for sufficient bone heights the user may place the implant deeper without compromising bone stability and tissue stability Management of soft tissues will be easier 4 UNIQUE Axiom REG PX prosthetic connection Due to its unique prosthetic connection diameter 2 7 mm the Axiom prosthetic range is compatible with all Axiom REG and Axiom PX implants regardless of the abutment chosen and regardless of the implant diameter chosen SIMPLICITY One connection common for the implants Axiom REG and Axiom PX 0 4 6 0 5 2 anthogyr B AXIOM REG PX COMMON SURGICAL KIT D COMPACT AND COMMON AXIOM SURGICAL KIT Axiom REG and Axiom PX SIMPLICITY and MODULARITY A reversible ratchet wrench is available in the surgical kit Axiom REG PX Ref IN MOD OPS2 In addition a surgical dynamometric ratchet wrench Ref INCCDC can be used as an option Mandrel extension Mandrel wrench Prosthesis mandrel Surgical wrench Drill guide Screw wrench and mandrels Tapping devices 5 drills Round bur Pointer drill 4 Reversible ratchet 15 x wrench gt Drilling protocol adapted to each implant Flexibility of use choice of implant
85. n gt Place the final restoration onto the Multi Unit narrow 4 0 abutments and insert the Multi Unit Black Tite MI A screws dedicated MU14A0 Torque to 15 N cm using the torque wrench IN CCD or the TORQ CONTROLS BRIDGE Protect the screw heads Then close the access holes using acrylic material and complete occlusal adjustments BAR Prior to final tightening perform tissue and bite adjustments with the final restoration in situ Instruct the patient on proper oral hygiene techniques and hygiene care of the restoration ECH E B BU BI AALALA 22 anthogyr d Pacific system for Multi Unit NARROW platform 4 0 mm straight abutments SUPPLIED NON STERILE si 1 Indications ina Multiple unit screw retained restorations with Multi Unit narrow platform 4 0 mm abutments sterile The Pacific is an additional system reserved exclusively for multiple unit or full arch screw retained prostheses on straight conical abutments Introducing a ring bonded between the straight conical abutment and the framework cast by the laboratory the Pacific system en sures the passive fit to be obtained during definitive screwing In the mouth INSTRUCTIONS FOR USE The bonding ring is provided with its permanent screw M1 4 Black Tite Recommended tightening torque of the screw is 15 N cm The bonding ring can only be used with straight conical abutments
86. nd recommendations The instructions contained in this document describe the different phases of the surgical procedure and prosthetic restoration to be followed for the Axiom implant system A few general features specific to inserting implantable devices are recalled for information This is not in any way an exhaustive document about implant and prosthetic practices to which the reader has any right of complaint Training Axiom components should only be implanted by practitioners who have been trained in implant practice and or prosthetic techniques and who are equipped for this type of procedure Correct knowledge of surgical techniques and prosthetics is required to use this system Specific training is offered and delivered at the Anthogyr company The surgical and prosthetic technique for the Axiom system is performed exclusively in conjunction with the original components and instruments in accordance with the manufacturer s recommendations Anthogyr can take no responsibility implant in case of pla cement non compliant with this manual and in case of use of prosthetic parts or instruments foreign to the system The parts are not interchangeable with other implant systems Clinical evaluation of the patient and the choice of treatment solution are the sole responsibility of the practitioner The implant diameter and length must be determined beforehand by the dental practitioner depending on the clinical situation Patients should also
87. nd the hexagonal wrenches or the Torq Control and hexagonal mandrels Close the access with filling material after protecting the head of the screw When immediate loading procedure is not planned it is essential to position the temporary prosthesis in sub occlusion pending the final prosthesis in order to ensure integrity of the device 32 anthogyr D AESTHETIC TITANIUM ABUTMENTS SUPPLIED NON STERILE 1 Indications Supplied non Arile Single unit cement retained restoration Multiple unit cement retained restoration INSTRUCTIONS FOR USE The aesthetic titanium abutment is supplied decontaminated and non sterile with its fixation screw The impression is taken directly at the implant level by taking a Pick up or Pop in impression The prosthesis and any re working on the abutment are performed in the laboratory recommended tightening torque for the aesthetic titanium abutment fixation screw is 25 N cm 2 Selection of abutment Select the abutment from the 5 gingival heights 0 75 1 5 2 5 3 5 and 4 5 mm the 4 prosthesis emergence profiles 3 4 4 0 5 0 and 6 0 mm and coronary angulation 0 7 15 and 23 available Ideally the abutment is chosen depending on the healing screw in situ observing the concept of preserving the emergence profile NOTE Iry in abutments are available to facilitate the choice of the abutment Straig
88. nding on the cement retained prosthesis for multiple or unit procedures respectively 1 Indications Supplied non Single unit screw retained prosthesis Single unit or multiple unit cement retained restoration 0 4 0 H 1 5 sterile The gold cast on abutment is also available in Pivosyl under the Ref OPOG100 subject to stock avai lability The user protocol and indica tions are identical to the gold cast on abutment Ref OPOG110 2 User protocol pnm i YTT T 1 ii Equipment required Black Tite Laboratory Hexagonal Hexagonal fixation screw screw Long laboratory Pick up Pop in Implant mandrels wrenches M1 6 M1 6 screw Transfer Transfer analog 1 IMPRESSION TAKING Remove the healing screw using the long hexagonal wrench Insert the Pick up or Pop in transfer into the implant and tighten the transfer screw moderate manual tightening Take an impression using a closed impression tray Pop in technique or open impression tray Pick up technique Re insert the healing screw in situ or make a temporary prosthesis using the temporary abutment see p 30 1 177252 te The single size of the gold cast on abutment POP IN has a single dimension of healing screw Observe the concept of preservation of the emergence profile 37 QXIOM THE NEW DIMENSION IMPRESSION TRANSFER AND FASHIONING THE MASTER MODEL Prepare the master model
89. ngs in the mouth to the straight or angulated conical abutments using the M1 4 fixation screws or correspon ding long Pick up transfer screws moderate manual tightening lt 15 N cm Use the hexagonal wrench k l MW m T atn QA Adjust the height of the temporary coping if necessary AR ARA Performing the temporary restoration V t Fill a plastic mold or pre perforated tray with acrylic resin Cover the resized temporary copings 1 allow the long transfer Pick up screws to emerge through the opened thermo tray Polymerize the resin or leave it to harden Removing the temporary restoration and adjustments Remove the laboratory screw BULL Remove the thermo tray with the resin and temporary abutment Rh BU Disconnect the temporary restoration from the thermo tray B 8 Make the final adjustments and polish Connecting the temporary prosthesis Reposition the temporary prosthesis with the appropriate M1 4 fixation screw using the long hexagonal wrench A retro alveolar radiograph may be taken to confirm complete connection between the abutment and implant Tighten at 15 N cm using the dynamometric ratchet wrench or Torq Control If immediate loading is not planned it is recommended that the temporary prosthesis be positioned in sub occlusion pending the d
90. nnection Do not hesitate to unscrew and re screw during the implant s insertion to reduce screwing forces QXIOM THE NEW DIMENSION 4 Subcrestal implant positioning The surgical protocol for the Axiom implant system is including a 0 5mm standard subcrestal implant positioning in standard protocol M 0 5 mm apical reserve Drilling depth length of implant 1 mm ei 0 5 mm below the crest 3mm 2mm DEPTH INDICATOR 1mm 0mm POSITIONING OF THE IMPLANT The tightening keys and mandrels are graduated in order to ease the vertical positioning of the implant in case of flapless surgery SUBCRESTAL POSITIONING OF THE IMPLANT CAN BE ADAPTED In cases of thin gingiva the positioning of the implant can be adapted It is recommended to increase the apical position of the implant in bone to anticipate the forming of new biological space anthogyr 5 Orientation of the implant The three lob connection indexing system allows three positions for the prosthetic components This particular design allows for reduced handling time and the risk of confusion when fixing the prosthetic components during the restoration phases Yet the three lob connection needs proper orientation at the time of implant placement ORIENTATION OF THE IMPLANT The tightening wrenches and mandrels have 3 faces each equipped with a visual identifier corresponding to the implant indexation When screwing or unscrewing the implant
91. nventional impression onto abutment 2 Selection of abutment Select the abutment from the 3 gingival heights 1 5 2 5 and 3 5 mm the 2 coronary heights 4 0 and 6 0 mm and the 2 possible angles of angulated abutment non indexed 15 and 23 available The abutment is ideally chosen depending on the healing screw in situ and observing the concept of preservation of the emergence profile Select the abut ment in order that no re working is required NOTE try in abutments are available to facilitate the choice of the abutment Straight and angulated abutments follow the same protocol of use When using angulated abutments take into consideration the implant orientation 3 User protocol Equipment required Black Tite Rotational and Hexagonal Hexagonal M Impression Protective anti rotational Abutment mandrels wrenches transfer coping copings analog CONNECTING THE ABUTMENT Remove the healing screw using the long hexagonal wrench Insert the standard titanium abutment selected fully into the implant and tighten the M1 6 Black Tite fixation screw provided Aretro alveolar x ray may be performed to confirm that the abutment is completely connected to the implant Tighten at 25 N cm using the dynamometric rat chet wrench and the hexagonal wrenches or the Torq Control and hexagonal mandrels 2 QXIOM THE NEW DIMENSION IMPRESSION TAKING FROM THE ABUTMENT Place the imp
92. ons are provided for indicative purposes only and cannot form the subject of any complaint The Axiom implant system must not be used on animals Single use devices must not be reused nor resterilized risk of contamination and risk of alteration of functional surfaces The instructions for use here in may only be reproduced or disseminated with prior approval from the Anthogyr company Anthogyr reserves the right to vary the technical feature of its products and or to make changes or improvements to the Axiom system without prior notice The Axiom implant system is not compatible with other Anthogyr and competitors systems If uncertain the user should contact the Anthogyr company before use This brochure invalidates and replaces all previous versions anthogyr TABLE OF CONTENTS 1 Axiom the new dimension 2 Surgical Protocols A AXIOM REG AND AXIOM PX RANGE OF IMPLANTS B AXIOM REG PX COMMON SURGICAL KIT C SURGICAL PROTOCOL OF THE AXIOM REG IMPLANT D SURGICAL PROTOCOL OF THE AXIOM PX IMPLANT E POSITIONING AXIOM REG AND AXIOM PX IMPLANTS F CLOSING THE IMPLANT G DUAL FUNCTION DEPTH GAUGE H AXIOM REG PX STOP KIT I ANGLED DRILL GUIDE FOR COMPLETE DENTAL RESTORATION USING A LIMITED NUMBER OF IMPLANTS 3 Prosthetic protocols CONSTANT EMERGENCE PROFILE OF THE AXIOM RANGE B FAMILIES OF COMPONENTS FOR THE AXIOM RANGE C TEMPORARY ABUTMENTS STERILE D AESTHETIC TITANIUM
93. pril 2005 All cleaning disinfection and sterilization protocols must be appropriate for the risks of infection The user or medical staff must ensure that the protocol used achieves the sterility objective The protocol must enable all chemical and organic residues on the treated device to be removed in particular ensure that used products are correctly rinsed 2 COMPATIBILITY WITH MATERIALS In order not to deteriorate or damage components it is mandatory that only cleaning and decontamination products which are compatible with the different combinations of materials treated are used Detergent and disinfectant solutions must be of neutral pH or weakly alkaline For aluminium alloys the use of sodium hydroxide solution is strictly prohibited For the stainless steels the use of sodium hypochlorite bleach is strictly prohibited high risk of corrosion Components finished in Bee COlor should never be cleaned with hydrogen peroxide H 0 or hydrogen peroxide as there Is a risk of chemical stripping The material composition of each component and full list of the part numbers be found at the end of this document 65 QXIOM THE NEW DIMENSION B PRODUCTS 1 DETERGENT DISINFECTANT PRODUCTS In order to guarantee sufficient decontamination before sterilization the detergents and disinfectants must be chosen according to the risks of infection depending on their field of activity standard microbial activity
94. rectly orientating it and screw the laboratory M1 6 fixation screw Size the reworkable abutment by drilling fine 30 um diamond tipped drill bit on multiplier contra angle at 150 000 200 000 rpm under irrigation directly on the master model keep minimum 0 5 mm material Make the definitive prosthesis PICK UP POP IN PLACING THE ABUTMENT Insert indexing the reworkable abutment into the implant in the correct orientation and tighten the Black Tite M1 6 fixation screw supplied Aretro alveolar x ray may be performed to confirm that the abutment is completely connected to the implant Tighten at 25 N cm using the dynamometric ratchet wrench or Torq Control P P EL E RESTORATION Close the access cavity ies with a filling material after protecting the screw head Cement the crown definitively onto the abutment in the mouth 42 anthogyr MULTI UNIT ABUTMENTS SUPPLIED STERILE an a Introduction The Multi Unit Axiom REG PX abutment range includes Straight and angled abutments with COMMON platform 4 8 mm and auxiliary components that can be used with both versions Straight abutments with a NARROW platform 4 0 mm and dedicated auxiliary components PES All Multi Unit abutments come with their attached Multi Unit maniupulation tool for easy placement De XA e yr Multi Unit COMMON M
95. ression transfer on the top of the standard titanium abutment Maintain slight pressure applying rotation to index the transfer with the abutment Once the indexation is in place press the transfer onto the non re worked abutment until it clicks Click gt Take a conventional impression using a standard impression tray Once the impression has been taken close the access cavity with filling material after protecting the screw head PROTECTING THE ABUTMENT AND TEMPORARY PROSTHESIS Clean the abutment thoroughly Seal the protective coping This can also be used to make a temporary tooth MASTER MODEL AND PROSTHESIS Insert the abutment analog in the transfer into the impression intrados until a click is heard after visualising the relative position of the analog in the impression Click Check that the analog is correctly fixed in the impression if necessary repeat the pro cedure and pour the master model Fashion the metal frame using the castable coping Cover the analog s crown with spacer necessary to stabilize the castable coping Prepare the final prosthesis according to current restoration protocols Close the access cavity ies with a filling material af ter protecting the screw head Cement the crown with temporary cement onto the abutment in the mouth NOTE rotational or anti rotational castable copings are available depe
96. rile Therefore they can be placed directly during the surgery CAUTION The recommended tightening torque is 25 N cm for 5410 OPHS420 OPHS430 OPHS440 5440 e or or or or LOCATOR abutments OPHSF410 OPHSF420 OPHSF430 440 4 0 4 I INSTRUCTIONS FOR USE x 1 2 Selecting the LOCATOR abutment Choose the abutment from the 5 gingival heights 1 5 2 5 51 3 5 4 5 5 5 for 1 single emergence diameter 0 4 0mm available The selection of the LOCATOR if abutment will depend on the healing screw in place and the emergence profile will have to be preserved The LOCATOR OPLAO10 OPLAO20 OPLAOS0 040 OPLAOSO abutment can also be used during the healing stage 2 POTERE AE A5 5 mm high Locator abutment requires the use of a healing screw OPHS440 3 Protocol Availability second quarter 2014 Direct or indirect technique can be used with the LOCATOR abutment 3 1 INDIRECT TECHNIQUE PLACEMENT OF LOCATOR ABUTMENT Screw the LOCATOR abutment into the implant using the LOCATOR wrench the ratchet wrench or Torg control Required material LOCATOR LOCATOR mandrel wrench Tightening torque 25 N cm 61 QXIOM THE NEW DIMENSION Required material IMPRESSION TAKING AND TRANSFER Place the LOCATOR impression transfers on the abutments mm 1 Take an impression The
97. s OPTA 4 Medical grade stainless steel 79 Qxiom THE NEW DIMENSION MANDRELS AND WRENCHES REFERENCES Implant screwing mandrels Medical grade stainless steel Short implant mandrel S 17 mm OPMV180 Medium implant mandrel M 21mm co OPMV215 Long implant mandrel L 26 mm OPMV250 Implant screw wrenches Medical grade stainless steel Short manual wrench S 19 mm OPCV060 Medium manual wrench M 2b mm co OPCV110 Long manual wrench L 31 mm OPCV160 Surgical prosthesis mandrel Medical grade stainless steel Long hexagonal mandrel IN MHELV Surgical prosthesis wrench Medical grade stainless steel Manual surgical wrench OPCS100 Mandrel extension Medical grade stainless steel Mandrel extension IN EXM Mandrel holding wrench Medical grade stainless steel Mandrel holding wrench IN CPM Reversible manual ratchet wrench Medical grade stainless steel Ratchet wrench IN CC Surgical dynamometric wrench C mn Medical grade stainless steel Reversible wrench IN CCDC Axiom dual function depth gauge Medical grade V titanium co Axiom Angled depth gauge OPJCO01 anthogyr ACCESSOIRES DE CHIRURGIE REFERENCES Gauges Medical grade V titanium Gauge 2 mm OPJD020 Gauge 2 4 mm OPJD024 Gauge 3 mm OPJD030 Gauge 3 6 mm OPJD036 Gauge 4 2 mm OPJD042 Gauge 4 8 mm OPJD048 Drill guide Medical grade stainless steel Parallelising drill guide IN GPPA Angled drill
98. sthetic abutment 5 0 H0 75 0 OPAT500 Titanium aesthetic abutment 5 0 H1 5 0 OPAT510 Titanium aesthetic abutment 05 0 H25 0 OPAT520 Titanium aesthetic abutment 05 0 H3 5 0 OPAT530 Titanium aesthetic abutment 050 H4 5 0 OPAT540 Titanium aesthetic abutment 05 0 H0 75 7 OPAT50 7 Titanium aesthetic abutment d 5 0 H1 5 7 OPAT51 7 Titanium aesthetic abutment 050 H25 7 OPAT52 7 j Titanium aesthetic abutment 5 0 H3 5 79 OPAT53 7 Titanium aesthetic abutment 05 0 H4 5 7 OPAT54 7 Titanium aesthetic abutment 05 0 H0 75 15 OPAT501 Titanium aesthetic abutment 05 0 H1 5 15 OPAT511 Titanium aesthetic abutment 050 H25 15 OPAT521 Titanium aesthetic abutment 05 0 H3 5 15 OPAT531 Titanium aesthetic abutment 5 0 H4 5 15 OPAT541 Titanium aesthetic abutment 5 0 H0 75 23 OPAT502 Titanium aesthetic abutment 05 0 H1 5 23 OPAT512 Titanium aesthetic abutment 05 0 H2 5 23 OPAT522 Titanium aesthetic abutment D50H35 23 OPAT532 Titanium aesthetic abutment 05 0 H4 5 23 OPAT542 82 anthogyr TITANIUM AESTHETIC ABUTMENTS REFERENCES Titanium aesthetic abutments three lobed Black Tite M1 6 prosthetic screw included Base diameter 6 0 mm Titanium aesthetic abutment 06 0 H1 5 0 OPAT610 Titanium aesthetic abutment 6 0 H2 5 0 OPAT620 Titanium aesthetic abutment 06 0 H3 5 0 OPAT630 Titanium aesthetic abutment 06 0 H4 5 0 OPAT640 Titanium aesthetic abutment 060 5 15 OPAT611 Titanium aesthetic abutment 06 0
99. t retained restoration INSTRUCTIONS FOR USE The reworkable abutment is delivered decontaminated and non sterile with its fixation screw The impression shall be taken at the implant level The abutment is reworked and the prosthesis is made only in the laboratory recommended minimum residual thickness 0 5 mm The recommended tightening torque for the reworkable abutment fixation screw is 25 N cm 2 User protocol Equipment required r pl de Black Tite Laboratory Hexagonal Hexagonal u SEH screw Pick up Pop in Implant mandrels wrenches M1 6 Transfer Transfer analog IMPRESSION TAKING Remove the healing screw using the long hexagonal wrench Insert the Pick up or Pop in transfer into the implant and tighten the transfer screw moderate manual tightening Take an impression using a closed impression tray Pop in technique or open impression tray Pick up technique Re insert the healing screw in situ or make a temporary prosthesis using the temporary abutment see p 25 E PICK UP Ex The single size of the reworkable abutment has a single dimension of healing screw Observe the concept of preservation of the emergence profile 41 QXIOM THE NEW DIMENSION IMPRESSION TRANSFER AND FASHIONING THE MASTER MODEL Prepare the master model Insert the reworkable abutment into the analog cor
100. ted and or stabilized implant fracture of a screw or biased screwing of a screw It is essential to assess and remove the origin of the problem wherever possible benefit risk ratio less than 1 3 RECOMMENDATIONS Isolate the implant to avoid any risk of swallowing or projection of fragments Take a retro alveolar x ray to assess the situation fragment fracture level If necessary release the peri implant gingiva to obtain good access to the implant Clean the head and visible implant taper by spraying water and air several times interspersed with alcohol degreasing Lubricate in the internal thread if possible with a biocompatible lubricant 4 USER PROTOCOL Situation n 1 damaged implant inner thread Screw the tapping device manually 2 10 or 3 10 of a millimeter along the axis of the implant following the implant taper and never forcing Carefully remove the tapping device manually Clean the inner thread and remove any fragments which have formed Repeat these procedures to the end of the taper Re test a screw BULL Screw Implant Situation n 2 fractured screw Scenario n 1 free fragment s of screw in rotation Use a straight probe or diamond tipped boring drill on an old gripped contra angle Lock the tip of the instrument in one of the rough points on the visible surface of the fragment Apply rotatory side force anti clockwise to unscrew
101. the fragment s Remove the fragment s and chips formed Complete the procedure referring to situation n 1 Tool 71 QXIOM THE NEW DIMENSION Scenario n 2 screw fragment s locked in rotation Solution n 1 ultrasound probe Unlock the fragment s by ultrasound keeping the ultrasound probe insert in the centre of the fractured fragment End the procedure once the fragments have been released referring to scenario n 1 The aim is to release the fractured fragment from the internal spirals of the implant Ultrasound may be dangerous to use as it may damage the spiral and increase difficulties Above all do not try to unscrew the fragment by ultrasound Solution n 2 axiom re working kit gt Place the drilling guide on the implant Assemble the drill onto the contra angle Set the motor in reverse at an instrument speed of 150 to 200 rpm Use the spray function and the back and forward movement to cool the drill Press on the drill to unlock unscrew the fragment Remove the guide and drill Complete the procedure referring to scenario n 1 Scenario n 3 fragment s screw s on but doles not unscrew Screw the fragments fully in new screw may be introduced without any interference if the fragment s is are short Use the re working kit M1 6 tapping device to reform the damaged threads on the upper part of the taper Unscrew the
102. turer regarding storage conditions of sterile components French circular letter DGS 5C DHO E2 No 2001 138 of March 14 2001 A Cold sterilisation LAA If autoclave sterilization is not permitted disinfect and cold sterilise by immersing in a solution of CLHOREXIDINE 68 anthogyr 9 Disassembling and re assembly A INSTRUMENT KIT Open the covers 3 4 insert 1 4 insert Unclip the insert pegs located on the back of the kit Remove the and 34 inserts from the main kit body Carefully remove the side arms from the main body Detach the transparent cover pivot pegs Remove the covers Remove the side covers from the main body Detach the side covers from the side of the kit Remove the side cover ends around the stainless steel plates gt Detach the silicone cover plates Repeat each stage in reverse order to assemble 69 QXIOM THE NEW DIMENSION B REVERSIBLE PROSTHETIC RATCHET WRENCH ART NB IN CC Disassembling Re assembling gt Unscrew the head 1 and remove it from the main body 2 Remove the set ratchet 3 rod 4 from the body by pushing slightly against each other the back wheel of the rod 4 and the ratchet 3 while simultaneously rotating the ratchet turn anti clockwise in order to unlock the bayonet Repeat the disassembling operation above in reverse order Insert the set 4
103. ulti Unit M1 6 blue screw by 4 M1 4 Multi Unit prosthetic screws Medical grade V titanium Multi Unit Black Tite M1 4 screw Multi Unit titanium M1 4 screw anodized blue Medical grade V titanium Multi Unit short laboratory screw Multi Unit long laboratory screw PROSTHETIC SCREWS FOLLOW REFERENCES OPTS160 OPTS161 OPTS162 OPPU101 OPPU102 OPAC140 OPAC141 OPAC501 OPAC502 OPMU160 OPMU161 OPMU161 4 MU140 MU141 MUT101 MUT102 TRANSFERS AND ANALOGS REFERENCES i Pick up transfer Taking direct impression from implant Short and long Pick up screws included Medical grade V titanium Pick up Transfer unitary Pick up Transfer by 4 Pop in transfer Taking direct impression from implant Pop In screw included Medical grade V titanium Pop in Transfer unitary Pop in Transfer by 4 Short Pop in transfer Taking direct impression from implant Pop In screw included Medical grade V titanium Short Pop in Transfer unitary Short Pop in Transfer by 4 Implant analog 1 6 titanium prosthetic screw included Medical grade V titanium Implant analog unitary Implant analog by 4 OPPU100 OPPU100 4 OPPI100 OPPI100 4 OPPI100S 11005 4 OPIA100 OPIA100 4 80 anthogyr TEMPORARY ABUTMENTS THREE LOBED REFERENCES Temporary abutments STERILE M1 6 titanium prosthetic screw included Medical grade V titanium Base diameter 3 4 mm Temporary abutment 0
104. ulti Unit NARROW platform 0 4 8 mm platform 0 4 0 mm The recommended torque for 4 8 mm and 4 0 mm Multi Unit abutments is 25 N cm Connection of angled Multi Unit abutments to Axiom REG PX implants is performed using a dedicated Multi Unit M1 6 fixation screw 4 8 mm 0 4 0 mm 3 id 77 Art Nb OPMU160 COMMON platform 0 4 8 mm NARROW platform 4 0 mm 43 QXIOM THE NEW DIMENSION 4 8 mm and 4 0 mm straight Multi Unit abutments should be tightened at 25 N cm either with the Multi Unit mandrel MUM100 or the Multi Unit wrench MUW100 Connection of temporary or permanent auxiliary components to Multi Unit abutments requires the use of the dedicated Multi Unit M1 4 fixation screws using a torque of 15 N cm Protective caps must be hand tightened Multi Unit M1 4 fixation screws are compatible with both 4 8 mm and 4 0 mm platforms A color coding system Is used for all auxiliary components for 4 8 mm and 4 0 mm Multi Unit abutments Laboratory screws Multi Unit titanium M1 4 screws and Multi Unit laboratory screws for use with 4 8 mm and 4 0 mm Multi Unit abutments Blue color code Components for use with 4 8 mm Multi Unit abutments Yellow color code on whole or part of the component Components for use with 4 0 mm Multi Unit abutments Green color code on whole or part of the component Components for 4 0 mm Multi Unit abutments are lasermarked N for Narrow Aux
105. uring batch Do not re use single use device number for the device j g 09 ip e E Commercial part number for the device Protect from light e Date of manufacture SEN Do not use if packaging is damaged Expiration date of the device Store dry in relative humidity between 30 and 70 Warning observe Temperature limit from 15 to 30 C instructions for use Non sterile device 9490 Manufacturer Class or Class lla llb medical 135 C Sterilized by autoclave outside 666 device complying with European gt C C oso Directive 93 42 EEC anthogyr 1 Axiom the new dimension W Axiom philosophy is based on implant and prosthetic design that enables excellent bone and tissue stability gt Stable and tapered connection Platform switching BCP osseoconductive surface treatment QUU N Axiom REG Axiom implants allow ergonomic screw retained restorations Response adapted to all clinical situations Axiom REG PX surgical kit is common to implants Axiom REG and Axiom PX The surgical kit is common for both implants with protocol adapted to each implant system The Axiom prosthetic range is common to implants Axiom REG and Axiom PX Axiom REGULAR 2 Surgical Protocols QXIOM THE NEW DIMENSION A AXIOM REG AND AXIOM PX R
106. vided to select to the implant diameter and length according to the bone available The film also takes into consideration the length of the associated drilling When selecting the implant take into consideration the length of the drill 0 5 to 0 6 mm at the tip added to 0 5 mm in sub crestal position The over drilling is indicated with a triangle on the calibrating film They allow bone chips to be collected during the self tapping of the implant and they avoid apical over compression Precision of the calibrating film 2 Do not use the calibration film if it is damaged poor print quality tear anthogyr Drilling Depth mm DRILLING DEPTH LENGTH OF IMPLANT 1 mm GE Theoretical crest edge EC Sub crestal position 4 0 x 10 mm Drill Gauge Drill 4 Axiom PX drilling sequences Before first use and after each surgery all components must be decontaminated and sterilised scrupulously following the manufacturer s recommendations For high performance and optimal clinical results we re commend that all cutting instruments drills taps reamers be limited to 20 uses and should be used under external irrigation They are used under external irrigation Comply with cleaning decontamination and sterilization procedures by referring to corresponding section 02 0 020 2 amp 024 30 03 0 3 6 0 3 6 4 2 For the placement of Axiom PX implant in low density or medium density bone
107. xagonal Hexagonal mandrel and Pick up Pop in analog protective protective titanium PEEK PMMA mandrels wrenches wrench transfer transfer abutment analog cap temporary castable castable abutment 0 4 8 0 4 8 mm 04 8 mm 0 4 8 04 8 coping coping coping Before placing the MULTI UNIT ABUTMENT in the patient s mouth make sure that the MULTI UNIT HOLDER 15 securely fixed 45 QXIOM THE NEW DIMENSION PLACING THE MULTI UNIT CONICAL ABUTMENT Straight MULTI UNIT abutment Screw the straight Multi Unit conical abut ment into the implant using the Multi Unit abutment holder Then remove the holder N Torque the straight conical abutment to 25 N cm using either the torque wrench and the Multi Unit wrench or the TORQ CONTROL and the Multi Unit mandrel Angled MULTI UNIT abutment Insert the angled Multi Unit conical abut ment in the correct orientation for indexed components select the appropriate position Insert the Multi Unit Black Tite M1 6 fixation screw dedicated to Multi Unit OPMU160 using the long hexagonal wrench IN CHELV Torque the screw to 25 N cm using either the torque wrench IN CCD and the long hexagonal wrench or the TORQ CONTROL and the hexagonal tightening mandrel Then remove the holder IMPRESSION TAKING AND TEMPORIZATION Place a Multi unit pick up MUT100 or pop in MUT200 transfer coping on each conical abutment and secure it by inserting and hand tightenin
108. y and firing of the ceramic on the framework Carry out finishing work Sand and clean the basal surface of the prosthesis CHECKING PASSIVITY Unscrew the PACIFIC Multi Unit narrow analogs from the master model Place a Multi Unit narrow bonding ring Ref MUNPAC100 into each slot of the framework Position and screw the entire assembly onto the master model using short or long Multi Unit abutment pick up screws Ref MUT101 or MUT102 If any tension remains correct the basal surface of the prosthesis Remove BONDING THE PACIFIC RINGS Put some adhesive on the grooved part of the bonding rings Ref MUNPAC100 and on the basal surface of the framework Place a bonding ring into each slot of the framework Reposition and screw the entire assembly onto the master model using short or long conical abutment pick up screws Ref MUT101 or MUT102 Let dry in accordance with drying time instructions provided by the manufacturer of the adhesive PLACEMENT OF THE PROSTHESIS Screw the entire frame prosthesis assembly into the mouth using new M1 4 Multi Unit Black Tite screws dedicated with the bonding rings Tighten to 15 N cm using the dynamometric ratchet wrench and hexagonal wrench or TORQ CONTROL and the hexagonal mandrel QXIOM THE NEW DIMENSION 29 54 anthogyr J CONICAL ABUTMENTS ART NB OPSC OPAC PACIFIC SUPPLIED STERILE a Presentation of the conical a

User guide G and C

Contents

Download Pdf Manuals

Related Search

Related Contents