MAX - Southern Implants

Surgical Manual
MAX D e n t a l I m p l a n t s
Br ight Ideas in Dental Implants
MAX Dental Implant System
The MAX Implant features a body with a larger-than-conventional diameter to fill a molar site, ultimately achieving
primary stability from engagement with the perimeter bony wall. The MAX implant has a tapered body and
enhanced surface and is designed to fit the natural shape of the molar socket. The MAX Implant provides an
optimal fit in the multi-rooted immediate extraction site, minimizing bone loss and reducing treatment time. The
MAX Implant is available in 8 and 9 mm diameters and 7, 9 and 11 mm lengths. It is available with an external
hex (MAX) and an internal octagon, morse taper connection (MAX-IT). Color coding is provided for visual identification of the two connections (external hex - green, internal octagon - silver).
Design Features of the MAX Dental Implant
MAX ø9.0 mm with Fixture Mount
MAX ø8.0 mm
ø6.5 mm
Restorative Platform
Hex 2.7 mm
ø7.0 mm Collar
Smooth 45º bevel to
minimize bone resorbtion.
Parallel
Section
3.0mm
Available
Lengths
7, 9 and 11
Thread Pitch
0.8 mm
Hexed Screw
loosens with Hex Driver (I-HD)
ø7.5 mm
Restorative Platform
Smooth 45º bevel to minimize
bone resorbtion.
Parallel
Section
3.0mm
ø8.0 mm Collar
Thread Pitch
0.8mm
Available
Lengths
7, 9 and 11
Flute to assist in cutting threads into
bone.
Implant will drop
down 0.8 mm
per 360º rotation.
ø9.0 mm
ø8.0 mm
MAX-IT ø8.0 mm
ø6.5 mm
Restorative Platform
MAX-IT ø9.0 mm with Fixture Mount
Smooth 45º bevel to
minimize bone resorbtion.
ø7.0 mm Collar
Parallel
Section
3.0mm
Available
Lengths
7, 9 and 11
Thread
Pitch
0.8 mm
ø8.0 mm
Note: No Flute in last two threads
to prevent puncturing and draining of
the sinus.
Screw
loosens with Torx Driver (I-SCS)
ø7.5 mm
Restorative Platform
ø8.0 mm Collar
Parallel
Section
3.0mm
Available
Lengths
7, 9 and 11
Thread Pitch
0.8mm
Flute to assist in cutting threads into
bone.
Implant will drop
down 0.8 mm
per 360º rotation.
ø9.0 mm
Note: No Flute in last two threads
to prevent puncturing and draining of
the sinus.
Implant Indications
The MAX Implant is intended to be implanted into the maxillary and mandibular molar region where adequate bone
exists and the surgeon has determined that the placement of a narrow diameter implant would increase the
probability of failure due to poor primary stability, or an expanded surgical procedure which could lead to
complications. The MAX Implant provides support for fixed or removable dental prostheses in a single tooth, partially
edentulous prostheses, or full arch prostheses. The MAX Implant further adds the option for immediate loading on
single and splinted multiple unit restorations when excellent primary stability is achieved and with appropriate
occlusal loading, to restore masticatory function.
Contraindications
Implant placement is contraindicated in patients with inadequate quality and/or quantity of bone, as well as patients with
medical disorders unfit for general oral surgery procedures, e.g., blood dyscrasias, bone dyscrasias. Additionally,
individuals who have localized or systemic factors that could interfere with the healing process, e.g., infections, steroid
therapy, smoking, bruxism.
Note: Improper treatment planning and/or implant placement might result in implant failure and potential loss of the
surrounding bone.
Instrument Care and Sterilization
Like other conventional surgical trays, the MAX Implant Surgical Instruments must be cleaned and sterilized prior
to and after every use. After the instruments have been utilized in a surgical procedure, traditional instrument care
applies. The instruments are placed in their respective position in the tray after careful inspection. Then the tray is
wrapped or bagged, sealed and sterilized by steam autoclaving and a complete drying cycle.
(For more details please consult the Southern Implants Cleaning and Sterilization Guidelines)
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Step 3
Surgical Protocol
Example ø8.0 x 11 mm MAX-IT
Illustrations of the extraction site are not anatomically correct
and for visual reference only.
The osteotomy is further
widened with a 3 mm
diameter Twist Drill (D-30T)
to the required depth. The
Twist Drills have markings
at the length of 7, 9 and
Step 1
The tooth is removed
11 mm and should be
used with copious irrigation
at 1000-2000 rpm.
atraumatically ensuring
the structural integrity
of the site.
• The buccal plate and
Step 4
the sinus (Maxilla) must
In this case the osteotomy site can
be in-tact and no major
be widened utilizing a 6 mm diameter
grafting should be required.
by 11.5 mm length Tapered Drill
• It is recommended that the
(D-60TP-11) to the full depth.
MAX implant be seated
Care must be taken to
2 mm subcrestal.
maintain the integrity
of the buccal plate when
performing the widening.
It is important to maintain a
Step 2
2 mm clearance between the
Utilizing either a round bur
MAX implant and the buccal plate.
or a 2 mm Twist Drill (D-20T),
the osteotomy is initiated by
drilling in the center of the
remaining intra-radicular bone.
Step 5
The final Tapered Drill (D-80TP-11),
which is slightly smaller than the
MAX-IT Implant selected, is
then inserted at approximately
300-800 rpm to provide the final
osteotomy shape.
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Step 6
Next the Handpiece
Connector (I-CON-X)
is inserted into the
handpiece. The MAX-IT
Step 9
Implant (ø8 x 11 mm)
is carefully removed
The Cover Screw
from its sterile vial with
or healing abutment
the pre-attached fixture
is placed using a
mount and carried to
the osteotomy site
I-HD
I-SCS
Torx Driver (I-SCS).
where it is inserted
Note: For the MAX
at 15-20 rpm at
(External Hex) a 0.035”
approximately 45 Ncm
Hex Driver (I-CS-HD) is
(dependent on bone quality).
used to place the
Cover Screw.
I-SCS
I-HD
Step 7
Once the MAX-IT Implant is
placed, it is recommended
to use the Rachet Wrench
(I-RATCHET-2) to fully seat
the implant and ensure
I-SCS
excellent primary
I-HD
Step 10
stability.
The flap margins are
repositioned in a
I-HD
tension-free
manner.
I-SCS
Step 8
I-SCS
I-HD
At this point the MAX-IT
Fixture Mount is removed
using a Torx Driver (I-SCS).
I-SCS
I-HD
Note: For the MAX
(External Hex) a 0.048”
Hex Driver (I-HD)
is used to remove
the Fixture Mount.
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I-SCS
Standard MAX Surgical Kit
Note: The round bur and twist drills are single use drills and come in a separate package.
MAX Implant Surgical Kit Components
Tapered Drills
Profile Gauges
Drivers for MAX
MAX-8-PG-11
D-80TP-7
Drivers for MAX-IT
0.048” Hex Driver to remove
Torx Driver to remove
Fixture Mount and to place
Fixture Mount and to place
Temporary Abutment.
Temporary Abutment.
MAX-9-PG-11
D-80TP-9
I-HD-S
I-SCS
MAX-8-PG-9
D-80TP-11
0.035” Hex Driver to place
Cover Screw
MAX-9-PG-9
Hexed Fixture Mount Extension/
Converter to Wrench
D-90TP-7
I-FME-X
I-CS-HD
MAX-8-PG-7
D-90TP-9
Extensions
MAX-9-PG-7
Connector to Handpiece
D-90TP-11
I-CON-X
MAX-ROD to be used with Profile Gauge
I-DE
Open Wrench
Hex Driver
Holds Fixture Mount
For temporary placement of Healing Abutment
I-SP-X
I-KEY-22
Ratchet Wrench
I-RATCHET-2
IMPORTANT: The Profile Gauges can be used as osteotomes. The Profile Gauge dimension is identical to the corresponding implant not including the 1.5 mm tip.
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Drilling Sequence
Round Bur
Reference #
8.00 mm
9.00 mm
D-RB-MS
yes
yes
Twist Drill 2 mm
D-20-T
yes
yes
Twist Drill 3 mm
D-30-T
yes
yes
Twist Drill 4 mm
D-40-T
optional*
optional*
Tapered Drill 6 mm
D-60TPxx**
yes
yes
Tapered Drill 8 mm
D-80TPxx**
yes
optional*
Bone Tap 8 mm
D-TAP-MAX8
optional*
no
Tapered Drill 9 mm
D-90TPxx**
no
yes
Bone Tap 9 mm
D-TAP-MAX9
no
optional*
*Might be required in bone quality 1 and 2
**The final two digits of the Tapered Drills reference correspond to the implant length
Optional Instrumentation
Torque Wrench
Dedicated Drills
Profile Gauges
Ø8.0 mm/Ø9.0 mm
Ø8.0 mm/Ø9.0 mm
D-80TP-7
D-90TP-7
D-80TP-9
D-90TP-7
Periotome Kit OTA400
D-80TP-11
D-90TP-11
MAX-8-PG-7
MAX-9-PG-7
MAX-8-PG-9
MAX-9-PG-9
D-RB30T
Kit
D-RB30T
Initial
DrillsKit
D-RB30T Kit
MAX-8-PG-11
MAX-9-PG-11
Packaged seperately
Single use
I-TW-45
Tapered Drill
Bone Taps
Single use
D-TAP-MAX8
D-RB
D-RB
D-20T
D-20T D-30T D-CB
D-CB
D-CB
D-30T
D-40T
D-60TP-X
Available in 8.5 mm length
D-TAP-MAX9
Healing Period:
Delayed Restoration:
Any inadvertent loading of the implant should be avoided,
especially during the first 6 weeks of healing to achieve optimal
osseointegration.
The healing period is generally 3-4 months in the mandible and
4-6 months in the maxilla, however, healing periods for each
patient vary.
Immediate Restoration:
After the appropriate healing period the Cover Screw is removed,
the Healing Abutment is placed and the gingiva is slightly sutured
around. The Healing Abutment remains in place for approximately
2 weeks. Impressions can then be taken and the prosthetic protocol
may proceed.
The MAX Implant may be immediately loaded on single and splinted
multiple unit restorations when excellent primary stability is achieved
and with appropriate occlusal loading. Whenever possible these
restorations should be out of occlusion in both centric and
eccentric positions. The patient should be instructed to place
minimal forces on these restorations for 6 to 8 weeks.
Please consult the Southern Implants Prosthetic Manual.
Warning: This surgical manual is intended to provide a reference for proper surgical placement of the MAX Dental Implant System. Clinical conditions vary, therefore it is the clinicians
responsibility to adjust the surgical protocol to suit each specific case. Product specifications are subject to change without notice. Not all items illustrated are actual size.
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So u th er n I mpl a nt s C o r po r at e O ff i c e
Toll Free +866 700-2100
5 Holland, Bldg. 209
Tel +949 273-8505
©2008 Souther n Implants Inc. All rights reserved. SIM-08-0010
Irvine, CA 92618
Fax +949 273-8508
www.souther nimplants.us