ARDS CATALOG by nicole
Transcription
ARDS CATALOG by nicole
Company Profile Established by Dr. Uri Arny in 2005, ARDS deals with the development, manufacturing and marketing of innovative dental implants. Dr. Arny’s guiding philosophy of Minimum Drilling – Maximum Primary Stability, has inspired him to develop a unique drilling technique which keeps bone damage to the minimum while maximizing primary stability. Combined with the introduction of the revolutionary Smart implant these principles have been fulfilled. Dr. Arny Uri Chairman & Medical Manager ARDS holds a number of international patents with regards to: • The Smart implant design. • ARDS drilling technique – a simple, bone preserving drilling technique. • The 3mm Smart Implant – a unique one-stage implant designed for narrow ridges and thin crests. The main advantages for ARDS drilling technique and Smart implants are: • Shorter healing process Saving 40% of the bone by reducing the amount of drilled bone. • Immediate implant after extraction in almost every case Significantly shortening the process of bone-implant integration due to a unique design of the implant which increases bone-implant contact in the surgery phase (in comparison with conventional implants of the same diameter). • Maximum primary stability ARDS drilling technique combined with the shape of the Smart implant results in the compression of the spongiosal bone around the apical part of the implant during its insertion. Thus, load forces are equally distributed along the entire implant and not only at its upper threads, as in common implants held only at the cortical bone. • Implanting in problematic areas ARDS drilling technique enables precise control over the placement and shape of the bore hole. This is attainable by the use of leading pins which direct the drill at the correct angle throughout the process and stabilize it, also in narrow ridges or extraction sites. The result is a simple, user-friendly implant process, suited for every dentist. 3 www.ardsimplant.ro External Surface Osseointegration is needed in order to create a durable stability of the implant in the bone. In order to intensify the osseointegration, the implants must go through a series of processes: The first process is blasting the implant, using adhesive particles containing Alumina, in order to create a rougher surface area. In general, cells adhere better onto rough surfaces and the deep pits created by the blasting procedure, act as retentive pockets for newly formed bone. The second process is the cleaning of the implants using a special technique to keep the Titanium in its original composition. This prevents foreign materials from being captured between the titanium surface and the bone. After the final cleaning of the Titanium, when in contact with the air, an oxidized layer of 50-2000Å Ti-Oxide is being created on the implant’s surface. This layer is inert biologically and isolates the Titanium, defending it from further chemical reactions. Pure Titanium or alloy implants keep this layer without fraction or corrosion under physiological conditions. This thin layer will be the one that determines the implanttissue connection, and not the metal itself. This process prevents a situation where a fundamental change in the composition of material on the implant’s surface will change the BoneImplant connection. X200 Type of Titanium ARDS implants are composed of medical titanium alloy Ti-6 AL-4V which adheres to all manufacturing regulations. It is composed of 6% Aluminum which increases the strength of the material and of 4% Vanadium which cleans the residue of corrosion between the Aluminum and Titanium. Manufacturing ARDS’ management’s main office is situated in Rishon-Le-Zion, Israel. Manufacturing and packaging supervised processes are carried out at ARDS’ production plant situated at Teffen industrial park, in the north of Israel. The plant retains a quality control system and regulations of the highest required level in accordance with the most stringent international standards. X500 Approval & Certificates ARDS is approved by ISO 9001, ISO 13485, of European body CE, Israeli AMAR and American FDA. X1000 4 Excellent approval for ARDS Implants from technical laboratories and NAMSA laboratory, U.S.A. Testing results - ARDS Implants Corrosion Biocompetabily The test was performed by the Technion, Haifa - Test no. B/82454 • The test examined the resistance of the material and its corrosion potential. • The test was performed by immersing the implant in diffrent chemicals, heating to 37° and submission to electrical currents. The test was performed by NAMSA laboratory in the United States There were 3 tests done on laboratory mice • Toxicity test - toxic potential of the implant • Sensitivity test - sensitivity potential that could be caused by the implant • Irritation test - potential irritations of the implant. Results: Complete stability of the ARDS Implant - The implants are stable and has no corrosion potential. Results: All three tests proved that the implant is biocompetabily Testing of the surface area Testing fatigue The test was performed by the Technion, Haifa - Test no. B/83703 The test was performed by an electronic microscope (SEM), that is equipped with a system analysis of chemical elements (EDS). The test was performed by injecting a wet metallic acid on the surface aera of the implant, and final cleaning by an organic acid. The test was performed by the Technion, Haifa - Test no. B/83371 The test was performed on 3.75mm implants, 13mm in length. The implants were assembled with angulated abutments of 25 degrees. The implants were exposed to cyclic forces up to a fraction of one part. Testing done in accordance with standards of ISO 14801 and the FDA regulations. Results: No absorption of foreign materials on the surface area, and the observed elements stands up to the highest standards. Results: The only cracks were in the abutment screw to the level of 580 neuton, much more than required. In the assembly and the implant there was NO damage at all. 5 www.ardsimplant.ro Table of Contents Analytical and Experimental Research 7 Packaging 9 Leading Pin 10 Drilling Method 10 11 Implants Drills Trephine Drills 12 Standard Drills 13 Prosthetic Components Healing Caps 14 Abutments 15 Anatomic Abutments 16 Shoulder Abutments 17 Accessories 18 Ball Attachment Components 19 Hemisphere System 20 Overdenture Components 21 Smart Overdenture Components 22 Tools 23-24 Prosthetic Options Fixed Removable Overdenture 25 Removable Overdenture 26 Cemented Related Restorations 27 Fixed Removable Restorations 27 Courses and Seminars 28 Notes 29 6 Hybrid Dual Thread Screw Implant Analytical and Experimental Research Dr. Uri Arny, Ilan Weissberg M.Sc & Oved Gihon, Mechanical engineer. Introduction Experimental Method As the popularity of using implants in dental restorative procedure gains momentum, there is a need to find innovative dental implant, which can effectively transfer the loads and provide the necessary stabilization into jawbone. This paper presents the development results of a novel implant with a Hybrid Dual Thread Screw as shown in Fig. 1. This approach allows obtaining a high reinforcement of the implant in the jawbone by a reduction of the drilling bone volume along with an additional gain of primary surface contact relatively to classical implants. To prove the concept, analytical models and experiment tests were carried out during the development of an implant with Hybrid Dual Thread Screw (HDTS). The analytical calculations are based on Finite Element Model, while the experiment tests were done on an artificial bone made of Fiberglass and Structural foam, which represents the bone mechanical properties. These unique experimental tests which have been chosen, since the clinical tests evaluations on animals are not efficient. The animal has different dental jaw structure and it requires a lot of time to get the results. Force-displacement tests have been carried out on Classical Cylindrical Implant and HDTS implant both have diameter of 4.5 mm and 13 mm in length. The implants have been inserted in an artificial bone specimen shown in Fig. 2, the cross section dimensions of this specimen are of a typical mandible as is shown in Fig. 3. An axial load was applied onto the implant head until failure was reached. During the static tests the force-displacement curves were recorded and axial stiffness has been calculated. Implant Artificial Cancellous Artificial Cortical HDTS Implant Description The unique HDTS dental Implant, shown in Fig. 1, uses two different thread types, double thread thin grove at the implant interface area with the cortical bone and single thread thick groves at the cancellous. This unique design allows facilitating the transfer of occlusal forces to the greatest surface area of the bone-implant interface for favorable load distribution. Also it reduces the amount of bone removed by using a novel drilling procedure. Fig. 2: Artificial Bone Specimen Double Thread Thin Groove Single Thread Thick Groove Figure 1: Hybrid Dual Tread Screw (HDTS) Implant Fig. 3: Artificial Bone Specimen Cross Section (Dimensions in mm>) 7 www.ardsimplant.ro Experimental Results The experimental tests showed that the HDTS implant could carry higher axial load compared to classical cylinder implants, as shown in figure 4. It is also shown that HDTS implant has higher stiffness then the classical cylindrical implant. The stiffness of the implants is compatible with measured axial stiffness of 180 Kg/mm published in the literature for Branemark (7 mmº) in trabecular bone. These results increase the reliability of the preformed experimental tests. Analytical Method Finite Element Model (FEM) of an implant installed in a standard jawbone cross section has been built using NASTRAN FEM software. The aim of this study was to evaluate the influence of HDTS implant versus classical cylindrical implants on the stress intensity and stress distribution due to axial load. Two analytical models were built for the identical specimen types described above. The Implant stress distribution at the bone cross section was calculated. The FEM model of the dental implant bone system used 2-D Plate elements; the model is symmetrical since only axial (vertical) load had been analyzed, as is shown in Fig. 5. The maximal shear stress level at the cortical jawbone with HDTS implant is 15% to 25% lower compared with a classical cylindrical implant, this is shown in Fig 6, which plots the max shear stress distribution in the cortical bone under an axial load of 40 Kg for the both type of implants. Discussion & Conclusions The experimental tests showed that HDTS implant achieved the highest vertical load capability compared with a classical cylindrical implant. The unique tests experiments method evaluates in this study provided short development time by using artificial bone specimen. These experiments were done with a background of analytical calculations. The lower shear stress values at the cortical bone evaluate for the HDTS implant compared with the classical cylindrical implants provides the advantage of the HDTS implant regarding on carrying higher loads and increasing life time of the HDTS implant. This phenomenon is mostly due to the innovative implant geometry and bone drilling method. Analytical Results The analytical calculations showed that the HDTS implant have favorable stress distribution over the classical cylindrical implant. Fig. 6: The Max Cortical Shear Stress Distribution for the Two Implants Models @ 40 Kg Vertical Load References Fig. 4: Implant tests under compression axial load Lawrence B. Lum,A Biomechanical Rationale for the use of Short Implants. Journal of Oral Implantology Vol. XVII/ No. Tow/1991 pp126-131 Borchers L. Relchart P. “Three dimensional stress distribution around a dental implant at different stages of interface development”. J. Dent Res 1983 62(2):156-159 Kitoh, M; Matsushita, Y.; Yamautue, S; Ikedda, H.; and Suetsugu, T. The Stress Distribution of Hydroxyapatite Implant Under Vertical Load by the Two-Dimensional Finite Element Method. Journal of Implantol 14:65-71 Dechow P.C. Naill G.A. SchwartzDabney C.L. and Ashman R.B., “Elastic properties of the human supraorbital and mandibular bone”. Am J Phys Anthropol 90, pp 291-306. 1993. Fig. 5: Analytical Model for HDTS Implant 8 Packaging Package contains: Implant, Healing screw, Leading pin, double-label to allow recording of the used implant on patient’s form. All implants are sterilized and gamma-rayed. All implants are packed with mounting tool, no-touch delivery carrier. All implants are double packed – the outer clean, the inner sterilized. All super structures are clean and ready to be used. All implants come with colour coding to improve their usability. 3mm 3.75mm 4.2mm 4.5mm 9 www.ardsimplant.ro Leading Pin Leading pin of titanium alloy Marked 3mm from tip on both sides. Length 16mm 16mm Code LP0016 Drilling Method* 2 3 Marking 5 4 2mm Drill (Pilot) Leading Pin F 5.5mm 1 * For detailed instructions & illustrations please turn to the surgical manual brochure or web site 10 Implants Smart Length The Smart implant is a dual thread internal hex implant, slightly tapered at its lower part with a 3.75mmØ universal platform. The Smart’s unique dual thread design and exceptionally large surface area enables optimal grip of the implant both in the cortical and the spongiosal bone, thus creating excellent primary stability and equal distribution of forces along the implant. The Smart is self tapping and compresses the bone as each thread penetrates deeper than the one before. 3.85mm 8mm 3.75mm 10mm 11.5mm 13mm 3.2mm Length 3.75mm 8mm 10mm The Smart is suitable for all bone types including especially low quality bones 11.5mm 3.6mm S37508 S37510 S37511 S37513 3.75mm 4.2mm The Smart 3mmØ implant is a dual thread, external hex, one stage implant. It is used in narrow ridges or thin crests. The carrier of the 3mm implant serves a double function as the driver of the upper parts. Code 13mm Code S42008 S42010 S42011 S42013 4.2mm Length 4.5mm 3.75mm 8mm 10mm 11.5mm 13mm 3.9mm Code S45008 S45010 S45011 S45013 4.5mm Length 10mm 11.5mm 13mm Code N31000 N31100 N31300 3mm 11 www.ardsimplant.ro Drills Trephine Drills Code DR0010 Marking Code DR0020 2mm 13mm 11.5mm 8mm 10mm 5.5mm Code DR0028 2.8mm 3mm 13mm 11.5mm 8mm 10mm 5.5mm Code DR0036 3.6mm 3.75mm 13mm 11.5mm 8mm 10mm 5.5mm Code DR0040 4.2mm Code 13mm 11.5mm 8mm 10mm 5.5mm 4mm DR0042 4.2mm 4.5mm 12 Drills Code 13mm 10mm 11.5mm 8mm 5.5mm Standard Drills 2.8mm DRN028 3mm 13mm 10mm 11.5mm 8mm 5.5mm Code 3.6mm DRN036 3.75mm 13mm 10mm 11.5mm 8mm 5.5mm Code DRN040 4.2mm Code 13mm 10mm 11.5mm 8mm 5.5mm 4mm 4.2mm DRN042 4.5mm 13 www.ardsimplant.ro Prosthetic Components Healing Caps Code HO3000 Healing Cap for 3mm ARDS implants Code Healing Cap - straight height: 3mm Code Healing Cap - straight height: 5mm HO3753 Code Healing Cap – wide height: 3mm HO3755 Code Healing Cap – wide height: 5mm HW3753 HW3755 Front Segment Healing Caps Code Code Code height: 1mm height: 3mm height: 5mm HN3751 HN3753 HN3755 14 Prosthetic Components Abutments Code Straight abutment height: 0mm A37500 Code Straight abutment height: 3mm Code Straight abutment Wide height: 0mm A3750W A37530 Code Straight abutment Wide height: 3mm A3753W Code A3750T Narrow Abutment for Front Segment Code A30000 Abutment for 3mm ARDS implants Code Code A37515 15deg. Abutment A37525 25deg. Abutment 15 www.ardsimplant.ro Prosthetic Components Anatomic Abutments Code 1mm Straight Anatomic Abutment height: 1mm ANT001 Code 2mm Straight Anatomic Abutment height: 2mm ANT002 Code 3mm Straight Anatomic Abutment height: 3mm ANT003 Height 15deg Anatomic Abutment 1mm ANT151 2mm ANT152 3mm ANT153 Height 25deg Anatomic Abutment Code Code 1mm ANT251 2mm ANT252 16 Prosthetic Components Shoulder Abutments Code 1mm AS3751 Shoulder Abutment height: 1mm Code 2mm AS3752 Shoulder Abutment height: 2mm Code 3mm AS3753 Shoulder Abutment height: 3mm Code 4mm AS3754 Shoulder Abutment height: 4mm Code Universal Plastic Sleeve with internal hex AS375S 17 www.ardsimplant.ro Prosthetic Components Accessories Code AN3000 Laboratory analog for 3mm ARDS implants. Code AN3750 Laboratory analog Code Laboratory analog for overdenture Code Code TR3750 TR375L Open Tray Transfer Closed Tray Transfer Code Code Plastic Sleeve Multi P3750M Plastic Sleeve Single Code Plastic Sleeve Wide/Single AOD375 P3750W P3750S Code Plastic Sleeve for 3mm ARDS Implants ODS300 18 Prosthetic Components Ball Attachment Components Ball attachment with 1mm - 5mm neck. 5mm 4mm 3mm 2mm 1mm Height Code 1mm BA3751 2mm BA3752 3mm BA3753 4mm BA3754 5mm BA3755 Code BA3000 Ball Attachment for 3mm ARDS Implants Code Regular Silicon Cap SILATC Code Soft Silicon Cap Code Plastic Ball Attachment SILATC-S Code PLASAT TITHOL Metal Cap 19 www.ardsimplant.ro Prosthetic Components Hemisphere System ARDS Implants presents the Hemisphere system, providing you with an effective, simple and comfortable solution for removable over denture rehabilitation. 5mm 4mm 3mm 2mm 1mm Height Code 1mm HSB001 2mm HSB002 3mm HSB003 4mm HSB004 5mm HSB005 The Hemisphere features: • The Hemisphere system includes a 2.1mm high ball attachment abutment - the lowest available today (in comparison to the regular, 3.3mm high, ball attachment) HSMETA Metal cap • The Hemisphere is available at 1mm-5mm heights PLASAT 3.3mm • The Hemisphere system includes silicon caps in 3 retention levels: 1. Purple - rigid HSRED1 2.1mm • The Hemisphere system includes an octagonal metal cap for a superior, longer lasting grip of the denture 2. White - standard Hemisphere castable male 3. Pink - soft The advantages to using the Hemisphere: HSCAP1 • Reducing the occlusive forces in the mouth on the tooth or implant to minimum HSCAP2 HSCAP3 Silicon caps • Enabling better esthetic results • The Hemisphere system is fitted to internal hex implants and does not require the purchase of additional special tools 20 Prosthetic Components Overdenture Components 5mm 4mm 3mm 2mm 1mm Height Code 1mm OD3751 2mm OD3752 3mm OD3753 4mm OD3754 5mm OD3755 Code Plastic casting sleeve without internal hex for overdenture intermediate components. ODS002 Code ODS001 Screw for overdenture intermediate part. 21 www.ardsimplant.ro Prosthetic Components Smart Over Denture Components ARDS Implants Smart over denture components (“Smart OD”) were developed to deal with angulated cases. Smart OD enable you to achieve ideal results anatomically, functionally and equally important - esthetically. Smart OD components are available at either 17º or 30º and at 1mm, 2mm or 3mm heights. Working Procedure Once the implants had been exposed, healing caps were fitted and we await the patient’s recovery, the 2 following working procedure are possible: 1. If you are assisted by a dental technician when taking measurements: 2. If you prefer not to be assisted with the technician in the first stages: a. Take a regular measurement using transfers and send it to the dental technician. a. After you expose the implants and fit the healing caps, take a measurement to create a customized tray. b. The technician casts the measurement and chooses the proper Smart OD according to the implants’ angulations. The technician prepares a customized tray and sends it back to you. c. Remove the healing caps and attach the Smart OD selected by the technician together with a universal cover. Make sure to lock it in place. d. Take a measurement using the customized tray in open technique using plastic sleeves and send it back to the technician. e. The technician prepares the final model using the proper analogs and finishes the case. b. Fit the proper Smart OD together with the universal cover on top of the implants using the plastic handle to guide you. c. Attach regular casting sleeves to the Smart OD. d. Take a measurement for an over denture, using the customized tray. e. Remove the plastic sleeves which are attached to the tray. You must not remove the Smart OD off the implants – they must stay in the mouth. f. Send the measurement to the technician; you can finish the case according to regular procedure. 17deg Height: 1, 2, 3 mm OD1701 OD1702 OD1703 30deg Height: 1, 2, 3 mm OD3001 OD3002 OD3003 measurement BAOD01 1mm high BAOD02 2mm high ODCOV1 22 Tools Code BOX001 Surgical Kit Code BOX002 Mini Surgical Kit Code MT0008 Ratchet for ARDS Implants Code MT0013 Torque Ratchet Code MT0011 Screw Driver for ARDS implants 23 www.ardsimplant.ro Tools Length Code 15mm MT0002 7mm MT0001 Ratchet Driver for ARDS implants Length Code 15mm MT0004 7mm MT0003 Hand Driver for ARDS abutments and screws Length Code 15mm MT0006 7mm MT0005 Ratchet Driver for ARDS abutments and screws Code MT0007 Ratchet Driver for ARDS overdentures Code Implant Driver for hand piece MT0009 Code Drill Extension for hand piece MT0012 24 Prosthetic Options Fixed Removable Overdenture Healing Caps Intermediate Parts Casting Sleeves Customized Tray in place Final Casted Bar Final Restoration 25 www.ardsimplant.ro Prosthetic Options Removable Overdenture Healing Caps Intermediate Parts Casting Sleeves Customized Tray in place Final Casted Bar with ball attachments Final Restoration 26 Prosthetic Options Cemented Related Restorations Straight Abutment 15° Abutment 25° Abutment Shoulder Abutment Prosthetic Options Fixed Removable Restorations Plastic Sleeve for single restoration Plastic Sleeve for multiple restoration Wide Plastic Sleeve Plastic Sleeve with intermediate part Plastic Sleeve for 3mm implant Abutment for 3mm implant 27 www.ardsimplant.ro Courses and Seminars ARDS vision is to simplify the implant procedure by its simple, accurate and effective drilling technique, which every dental surgeon can perform and which gives solutions to most cases which may be encountered at the dental clinic. The combination of a methodical, logical and userfriendly drilling technique, together with a unique implant design, has enabled the vision to be fulfilled, as can be testified by the many dentists who have attended ARDS courses and seminars around the world. To find out more about ARDS Implants and courses near you, look on our web site at www.ARDSimplant.ro 28 Designed by: Netto Solutions © str.Visinilor, nr.19, sector 2, Bucresti, Tel/Fax 031 434 88 11/10 Mobil 0733 10 93 93 / 0722 75 02 18 Mail: [email protected] www.ardsimplant.ro ISO 13485