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.
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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
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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.
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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
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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>)
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.
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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
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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
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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
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Prosthetic Options
Fixed Removable Overdenture
Healing Caps
Intermediate Parts
Casting Sleeves
Customized Tray in place
Final Casted Bar
Final Restoration
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Prosthetic Options
Removable Overdenture
Healing Caps
Intermediate Parts
Casting Sleeves
Customized Tray in place
Final Casted Bar with ball attachments
Final Restoration
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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
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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
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