STRAUMANN® SOFT TISSUE LEVEL IMPLANT SYSTEM Time

Straumann ®
Soft Tissue Level implant System
Time-tested
Why a Soft Tissue Level implant?
Simplicity and efficiency by integrated
soft tissue management
Straumann® Soft Tissue Level implants have a built-in smooth
neck that shapes the soft tissue, thus eliminating the need
for healing abutments and time-consuming soft tissue management procedures. Designed for one-stage surgery, it
avoids the second surgical procedure required to access
submerged implants placed at bone level. Overall, the integrated soft tissue management is designed to minimize both
surgical and prosthetic treatment complexity, and makes the
workflow simple and efficient.
pp Straumann Soft Tissue Level implant aims to reduce chair
time and minimize treatment complexity.
pp Streamlined prosthetic portfolio supported by the
implant design.
pp Abutment-level impressions make workflows efficient
and can minimize the number of patient visits.1
pp Simple impression taking and abutment placement
due to the connection at soft tissue level.
pp Provides clear implant view and accessibility in the
challenging posterior region.
pp Clinical evidence shows high treatment success.2,3
I find the Straumann Soft Tissue Level implant system simple to restore in my
practice. The decrease in chair time and increased predictability led to higher
profits and the ease of use has made it my favorite implant to place in the
posterior region. My experience has been that it is even easier to restore
than standard crowns and bridges.
Dr. Robert Margeas, DDS, Des Moines IA, USA
A long history of recognition
and appreciation
One of the most used and well-established working systems in implant dentistry
The Straumann® Soft Tissue Level system is one of the most used and well-established working systems
in implant dentistry and has been available in its current design for more than 10 years. The implant has
been complemented over time by Straumann’s innovative technologies, such as the SLActive ® implant
surface, designed for faster osseointegration and the Roxolid ® material, with it’s high tensile 4 and
fatigue 5 strengths, for confidence when placing small diameter implants.
pp More than 10 million Straumann® Implants sold to date.
pp More than 48 ,000 users.
pp 10-year clinical data available.2,3,6
1974 – 1986
1999
2006
Straumann develops its first one-stage
Straumann® SLA® implants on tissue
Implementation of SLActive, i­nnovative
implant.
level are born:
surface technology further reducing
pp SLA pioneering surface
healing times, down to 3– 4 weeks.10
Solid abutments and cementable
t­ech­nology cuts in half the timing
abutments offer prosthetic handling
of provisionalization versus
closest to a natural tooth preperation.
the previous TPS surface.7,8,9
pp synOcta ® Morse taper connection
provides a new level of flexibility
in prosthetics.
Straumann continues to develop products and solutions that enable us
to treat our patients based on the latest research. Most importantly, these
solutions and products are well documented and evidence based.
Dr. Robert A. Levine, Philadelphia, PA
2009
2011
2012
Release of Straumann® Soft Tissue
Publication of the first 10-year pro-
Release of Straumann® Narrow
spective clinical data on Straumann®
Neck CrossFit ® Implant, Straumann’s
Soft Tissue Level system.
Soft Tissue Level solution for treating
Level 3.3 mm implants in Roxolid ®
alloy with higher tensile and fatigue
4
5
strengths than Straumann titanium for
more confidence when placing small
diameter implants.
2,3
limited inter-dental space.
predictable long-term results
10-year prospective clinical data on ­Straumann ® Soft Tissue Level IMPLANTS in
the edentulous maxilla 2,3
Due to its long history and usage by dentists worldwide, the Straumann Soft Tissue Level system is currently
one of the most documented systems available. Recently, 10-year follow-up prospective clinical data on the
Straumann Soft Tissue Level implant with the SLA® surface in the edentulous maxilla have been published.
The studies show predictable long-term results, on implant-supported full-arch maxillary prostheses, and
high implant survival rate 2,3.
pp Predictable long term results supporting full-arch m
­ axillary prostheses.
pp High implant survival rate (95.1 %).2
pp No fracture of Straumann® Abutments or abutment screws during the 10 years of function.3
pp Bone loss well within accepted criteria for implant ­success2 (according to Albrektsson et al.9).
pp No implants were lost between 5 and 10 years.2*
pp No signs of peri-implantitis were noted at 10 years (except in one patient with severe periodontitis2).
YEARS
1
2
3
4
5
6
7
8
9
10
0
– 0.2
– 0.4
– 0.24 (± 0.68)
– 0.39 (±0.90)
MARGINAL BONE HEIGHT CHANGES
FROM BASELINE (MM)
– 0.6
–0.71 (±1.63)
– 0.8
–1.07 (± 0.98)
–1
– 1.2
– 1.4
– 1.6
– 1.8
–2
– 2.2
– 2.4
– 2.6
– 2.8
–3
BONE HEIGHT CHANGES FROM BASELINE 2
EXAMPLE OF ACCEPTED BONE LOSS 2,9
“At the 10-year follow-up, patients said: ‘Getting this treatment has been one
of my best decisions ever, and I always tell friends who miss one or several
teeth to go for an implant treatment.’”
Dr. Kerstin Fischer, Falun, Sweden
*One patient dropped out before 10-year evaluation. No further implants were lost between 5 and 10 years.
10-year retrospective clinical data on the Straumann ® Soft Tissue Level system of
­partially edentulous patients showed predictable long term results6
This retrospective study showed predictable 10-year survival and success rates of titanium implants with the
SLA® Surface in a large cohort of partially edentulous patients.
pp High survival (98.8 %) and success (97.0 %) rates were demonstrated over 10 years.
pp No implant fractures were observed.
pp Low prevalence of peri-implantitis (1.8 %).
pp Previously published 5-year survival and success rates can be maintained over 10 years.
pp The majority of implants (60.8%) exhibited either no bone loss, minimal bone loss, or bone gain.
10 YEAR DATA
100 %
80 %
60 %
40 %
20 %
0%
SUCCESS RATE
SURVIVAL RATE
(97 %)
(98.8 %)
Success is a result of commitment,
quality and precision
synOcta ®, flexible and reliable
pp The combination of taper and octagon combines
­anti-loosening protection with exact repositionability
pp Suitable for cement-retained and screw-retained
­restorations.
pp Streamlined prosthetic portfolio for all indications.*
Designed for optimal preservation of the crestal bone and soft tissue stability
pp 45° shoulder: Optimal load distribution and fit between
implant and prosthesis to minimize the microgap.
pp Smooth neck: designed to respect the biological distance.
Anti-loosening protection with great flexibility
pp The internal octagon offers secure and flexible (re)positioning of individual abutments in the implant.
pp Morse taper connection: Uniform load distribution and
reliable, stable implant-to-abutment joints preventing
­rotation.
Innovative surface technologies
pp SLA®:
– Reliable and scientifically well documented surface,
with predictable long-term clinical data.2,3,6
– Able to cut in half the timing of provisionalization
­versus the previous TPS surface.7,8,9
pp SLActive ®:
– Next generation in surface technology reducing
­healing times down to 3 – 4 weeks.10
SCIENTIFICALLY SUPPORTED materials
pp Titanium grade 4: A well documented material in implant
dentistry.
pp Roxolid ®: A titanium zirconium alloy with higher tensile 4
and fatigue 5 strengths than titanium and designed to
meet the needs of clinicians:
– Confidence when placing small diameter implants.
– Flexibility of having more treatment options.
– Designed to increase patient acceptance of ­implant
treatment.
* From single teeth to edentulous solutions
Straumann ® Soft Tissue Level implant solutions
Standard implant –
Standard Plus implant –
Tapered Effect implant –
A pioneer in one-stage or
The flexible solution
A specialist for ­immediate
transgingival­ healing
Shorter neck section of 1.8 mm, allows
and early implantation
Neck section of 2.8 mm for classic
­flexible coronoapical implant placement
Special anatomical design, for imme-
single stage procedures, where the
in combination with trans- or subgingival
diate or early implantation following
implant is placed at soft tissue level and
­h ealing. This offers the dental surgeon
­extraction or loss of natural teeth.
not covered with soft tissue during the
additional options that are particularly
With the smooth neck section of 1.8 mm,
healing phase.
useful in the anterior tooth region of
healing can occur trans- or subgingivally.
the maxilla, where esthetic demands are
Regular Neck
3.3 mm/4.1 mm/4.8 mm
SLA ®/SLActive ®
3.3 mm/4.1 mm/4.8 mm
SLA ®/SLActive ®
3.3 mm/4.1 mm
SLA ®/SLActive ®
4.8 mm
SLA ®/SLActive ®
4.8 mm
SLA ®/SLActive ®
4.8 mm
SLA ®/SLActive ®
3.3 mm
SLActive ®
3.3 mm
SLActive ®
3.3 mm
SLActive ®
3.3 mm, SLActive ®
Straumann ® Narrow Neck
CrossFit ® Implant
The Straumann ® Soft Tissue
Level solution for treating
limited inter-dental space
Confidence in small diameter implants
Wide Neck
Regular Neck
Narrow Neck CrossFit ®
Roxolid ® portfolio
titanium portfolio
high.
Straumann ® Soft Tissue Level ­
prosthetic solutions
streamlined prosthetic portfolio for all indications*
pp Number of prosthetic components streamlined thanks to the implant design.
pp A solution for all indications* with respect to working preferences and the patient’s needs.
Solid
Solid
abutment
CARES ® Abutments
and screw-retained bars & bridges
synOcta ®
synOcta ®
Cementable
abutment
synOcta ®
Angled
abutment
synOcta ®
1.5
abutment
synOcta ®
Gold
abutment
CARES ®
CARES ®
Titanium
Ceramic
abutment** abutment***
CARES ®
Screwretained
bridge
CARES ®
Screwretained
bar
Attachment
systems
LOCATOR ®
Retentive
anchor
“At the University of Geneva we are using the Soft Tissue Level system
since early 1989, and will continue to use it, primarily in the posterior
segments of the jaws. The following features, inherent to this implant
type, were decisive for our choice: Easily accessible prosthodontic interface; ­precision mechanics of the connection between implant and abutment (‘Morse taper’ configuration); possibility for both cement-retained
or screw-retained restorations; high versatility assured by a complete
(but nevertheless ‘straightforward’) range of abutments and auxiliary components.”
Prof. Urs Belser, DMD, Chairman Department of Prosthodontics &
Prof. Jean-Pierre Bernard, DMD, Chairman Department of Oral Surgery,
School of Dental Medicine, University of Geneva, Geneva, Switzerland
*From single teeth to edentulous solutions
**Not available in WN or NNC
***Not available in NNC
Designed to save time and increase
efficiency in your practice
Convenience for straightforward cases with
Straumann ® Solid abutment and All-In-One Set
The Straumann ® Solid Abutment portfolio is designed for
cementable crowns and bridges in any position in the
­
mouth. The Straumann® All-In-One Set adds convenience by
offering all components you need for the restoration in a
single package.
CARES® Abutments and screw-retained bars
and bridges – the customized solution for
your ­implant restorations
Customized Straumann® CARES ® Abutments are designed
to offer patient-specific emergence profiles and anatomical
shape. In addition, the margin can be ideally placed to
help clear excess cement.
Straumann® CARES ® Screw-
retained bars and bridges are directly connected to the
implant and are designed to provide a highly precise fit.
The design is made by the dental technician then sent to
Straumann to mill the framework in its state-of-the-art, centralized milling center.
Solutions for edentulous cases
Simplicity and easy implant ­accessibility are relevant when it
comes to solutions for edentulous patients. Practitioners and
patients benefit from a simple placement of the prosthesis
and for hygiene procedures. The Straumann® Soft Tissue Level
System includes a complete prosthetic portfolio for fixed and
removable overdentures, and ranges from stock to customizable solutions. T­ he LOCATOR® system with self-locating
design allows patients to easily­seat their dentures.
Easy and reliable impression taking
Straumann offers both a “snap-on” mechanism of the closed
tray impression and a screw-retained impression system .The
“snap-on” mechanism makes impression taking easy and
reliable, as you get a clear feedback if the impression component is correctly seated. In addition, the “snap-on” mechanism offers a very cost-efficient solution.
Lasting performance
with long-term support
Straumann ® prosthetic components for implants placed after 1974
The first Straumann® One-stage implant was developed and commercialized by Straumann in 1974.
Millions of patients are wearing Straumann® Implants in their mouths. As a global leader in implant and
restorative dentistry, producing high-quality products, Straumann supplies prosthetic components for all
implants placed since 1974*.
Lifetime guarantee period on Straumann ® Implants**
Only original Straumann® Implants and prosthetic components are designed using Straumann’s engineering
specifications to fit and function together, with the benefits of a long-lasting performance and a long-term
guarantee.
pp Lifetime guarantee period on Straumann® Implants

10-year guarantee period on metal abutments/restorations**
pp 5-year guarantee period on ceramic abutments/restorations**
**See product catalog for Straumann ® components
**See Straumann Guarantee brochure for terms and conditions
Fixed dental prosthesis using Straumann ®
Soft Tissue Level implant system
From a case report by Dr. W. Martin and Prof. J. Ruskin 11
Periapical radiograph 6 weeks after
implant placement
Built-in soft tissue management
thanks to machined neck; ­lateral view
6 weeks after implant placement
(Site 21: 4.1 x 12 mm Regular Neck Tapered Ef-
Easy access at soft tissue level
for ­impression components; ­
impression caps and synOcta ®
­p ositioning ­c ylinders in place
fect implant, Site 19: 4.8 x 12 mm Wide Neck
Tapered Effect implant)
Courtesy of Quintessence
Courtesy of Dr. W. Martin and Prof. J. Ruskin
synOcta ® Abutments
Lateral view of the fixed dental
­p rosthesis
“The Straumann ® Soft Tissue Level implant has been the implant of choice
in our practice for over a decade. Its strength, predictability, versatility and
ease of use have been key determinants for selecting this implant and have
led to realized clinical success.”
Dr. Will Martin, DMD, MS – Clinical Director of the Center for
Implant Dentistry, University of Florida, Gainesville, FL, USA
REFERENCES
1
Applicable to simple cases according to the ITI rating and using a solid abutment.
2
Fischer K and Stenberg T. Prospective 10-Year Cohort Study Based on a Randomized Controlled Trial (RCT) on Implant-Supported
Full-Arch Maxillary Prostheses. Part 1: Sandblasted and Acid-Etched Implants and Mucosal Tissue. Clin Implant Dent Relat Res. 2012
Dec;14(6):808-15. doi: 10.1111/j.1708-8208.2011.00389.x. Epub 2011 Oct 18.
3
Fischer K and Stenberg T. Prospective 10-Year Cohort Study Based on a Randomized, Controlled Trial (RCT) on Implant-Supported Full-Arch
Maxillary Prostheses. Part II: Prosthetic Outcomes and Maintenance. Clin Implant Dent Relat Res. 2011 Aug 11. doi: 10.1111/j.17088208.2011.00383.x.[Epub ahead of print]
4
Norm ASTM F67 (states min. tensile strength of annealed titanium) and data on file
5
Titanium cold worked TiGr4 and Roxolid tensile strength: Data on file.
Buser D, et al. 10-Year Survival and Success Rates of 511 Titanium Implants with a Sandblasted and Acid-Etched Surface:
6
A Retrospective Study in 303 Partially Edentulous Patients. Clin Implant Dent Relat Res. 2012 Mar 30. doi: 10.1111/j.17088208.2012.00456.x. [Epub ahead of print]
7
Cochran DL, et al. The use of reduced healing times on ITI implants with a sandblasted and acid-etched (SLA) surface: early results
from clinical trials on ITI SLA implants. Clin Oral Implants Res. 2002 Apr;13(2):144-53.
Roccuzzo M and Wilson T. A prospective study evaluating a protocol for 6 weeks’ loading of SLA implants in the posterior maxilla:
8
one year results. Clin Oral Implants Res. 2002 Oct;13(5):502-7.
Salvi GE, et al. Early loading (2 or 6 weeks) of sandblasted and acid-etched (SLA) ITI implants in the posterior mandible. A 1-year
9
randomized controlled clinical trial. Clin Oral Implants Res. 2004 Apr;15(2):142-9.
10
Oates TW, et al. Enhanced implant stability with a chemically modified SLA surface: a randomized pilot study. Int J Oral Maxillofac
11
ITI Treatment Guide Volume 2, 35-41.
Implants. 2007 Sep-Oct;22(5):755-60.
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