Easy and Strong Solution for Narrow Ridge. - MegaGen … · Easy and Strong Solution for Narrow...

27
/01 01 MiNi TM MiNi TM Easy and Strong Solution for Narrow Ridge. Volume MiNi C4.0

Transcript of Easy and Strong Solution for Narrow Ridge. - MegaGen … · Easy and Strong Solution for Narrow...

Page 1: Easy and Strong Solution for Narrow Ridge. - MegaGen … · Easy and Strong Solution for Narrow Ridge. ... Rationale of Fuse Abutment™ ... Overdenture prosthesis : Meg-Rhein Overdenture

/0101MiNiTM

MiNiTM

Easy and Strong Solution for Narrow Ridge.Volume MiNi C4.0

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MiNiTM Features 04

MiNiTM Fixture Product - Fixture 05- Cover Screw & Healing Abutment 06

MiNiTM Abutment Options - Fixture level prosthesis 07- Overdenture prosthesis / Meg-Rhein System 12

MiNiTM Surgical Kit 16- Fixture Length and Drill Marking 18- Surgical Drilling Sequence 18

Extra Option Product - i-Gen 19- 911kit 21

Clinical Report 26

➲ Contents

MiNiTM

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➲ MiNiTM

Ca2+ ions are incorporated onto the S-L-A surface through a unique hydrothermal treatment. This treated surface activates the osteoblasts in living organisms creat-ing a secure bone matrix layer that is combined with PO4

3- ions. XPEED provides a fast and secure osteointegration over the entire surface of the fixture.

MiNiTM was designed for your convenience with better reliability.

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➲ MiNiTM Features

(unit : mm)

Mechanical test using universal testing machine in accordance with ISO 14801,-R&D center in MegaGen Implant Co.,Ltd.(2013)-

Parallelwall thickness

MiNiTM

Ø3MiNiTM

Ø3.25Company A

Ø3

A 0.28 0.47 0.34

B 0.31 0.42 0.44

11˚connection

M1.4Abutment Screw

XPEEDSurface treatment

1.7mm Hex

Knife thread

MiNiTM, but mighty- When compared with the company A, Ø3.0fixture has similar compressive strength, but Ø3.25 fixture shows much higher value of strength on the thin wall area of the fixture.

Company AØ3.0

Company AØ3.0

MiNiTM

Ø3.0

MiNiTM

Ø3.0

MiNiTM

Ø3.25

MiNiTM

Ø3.25

Ø3.0Ø3.0 Ø3.4

676.6

Load

(N)

500

550

650

600

700

750

800

657.1

784.4

AA A

B BB

[Compressive Strength]

[Wall Thickness]

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➲ MiNiTM Fixture Product

1) Fixture

Ø3.0- Cover Screw included

Ø3.25- Cover Screw included

Ø3.0

8.5 MIIF3008C

10.0 MIIF3010C

11.5 MIIF3011C

13.0 MIIF3013C

15.0 MIIF3015C

Ø3.25

8.5 MIIF3308C

10.0 MIIF3310C

11.5 MIIF3311C

13.0 MIIF3313C

15.0 MIIF3315C

L

L

Length(mm)

Length(mm)

Diameter

Diameter

Ref.C

Ref.C

Ø3.25

Ø3.4

Ø3.0

• PlatformdiameterofØ3.25fixtureiswiderthanreference diameter.

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➲ MiNiTM Fixture Product

2) Cover Screw & Healing Abutment

• Recommendedtorque-Manual(5~10N∙cm)

Healing Abutment

Cover Screw

Ø3

1.0 MIHA3025

1.5 MIHA3030

2.5 MIHA3040

3.5 MIHA3050

4.5 MIHA3060

Ø3.5

1.0 MIHA3525

1.5 MIHA3530

2.5 MIHA3540

3.5 MIHA3550

4.5 MIHA3560

Cuff Height(mm)

Cuff Height(mm)

ProfileDiameter

ProfileDiameter

Ref.C

Ref.C

• Recommendedtorque-Manual(5~10N∙cm)

0.5 MICS2505

Height(mm) Ref.C0.5

Top view

C.H

C.H

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➲ MiNiTM Abutment Options

1) Fixture level prosthesis

EZ Post

TemporaryAbutment

Impression Coping(Transfer)

Impression Coping(Pick-up)

Cover Screw

Lab Analog

Closed tray Open tray

Milling Abutment

FuseAbutment

Healing Abutment

Angled Abutment

Ø3.

0

Ø3.

25

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➲ MiNiTM Abutment Options

1) Fixture level prosthesis

EZ Post- Abutment Screw(MIAS14) included

Ø3.5 5.0

1.0 MIEP3505HT

1.5 MIEP3515HT

2.5 MIEP3525HT

3.5 MIEP3535HT

4.5 MIEP3545HT

Ø3.5 7.0

1.0 MIEP3507HT

1.5 MIEP3517HT

2.5 MIEP3527HT

3.5 MIEP3537HT

4.5 MIEP3547HT

Ø3.5 9.0

1.0 MIEP3509HT

1.5 MIEP3519HT

2.5 MIEP3529HT

3.5 MIEP3539HT

4.5 MIEP3549HT

ProfileDiameter

ProfileDiameter

ProfileDiameter

PostHeight(mm)

PostHeight(mm)

PostHeight(mm)

Cuff Height(mm)

Cuff Height(mm)

Cuff Height(mm)

Ref.C

Ref.C

Ref.C

C.H

C.H

C.H

5

7

9

Ø3.5

Ø3.5

Ø3.5

• Recommendedtorque-15N∙cm

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Ø3.5

2.5

Hex

15°

MIAA3215HT

3.5 MIAA3315HT

4.5 MIAA3415HT

2.5

Hex-E

MIAA3215ET

3.5 MIAA3315ET

4.5 MIAA3415ET

Milling Abutment- Abutment Screw(MIAS14) included

Angled Abutment- Abutment Screw(MIAS14) included

Ø3.0 5.0

1.0 MIMA3005HT

1.5 MIMA3015HT

2.5 MIMA3025HT

3.5 MIMA3035HT

4.5 MIMA3045HT

Ø3.0 9.0

1.0 MIMA3009HT

1.5 MIMA3019HT

2.5 MIMA3029HT

3.5 MIMA3039HT

4.5 MIMA3049HT

Ø3.0 7.0

1.0 MIMA3007HT

1.5 MIMA3017HT

2.5 MIMA3027HT

3.5 MIMA3037HT

4.5 MIMA3047HT

ProfileDiameter

ProfileDiameter

ProfileDiameter

ProfileDiameter

Type

PostHeight(mm)

PostHeight(mm)

PostHeight(mm)

Angle

Cuff Height(mm)

Cuff Height(mm)

Cuff Height(mm)

Cuff Height(mm)

Ref.C

Ref.C

Ref.C

Ref.C

C.H

C.H

C.H

C.H C.H

5

7

9

Ø3.0

Ø3.0

Ø3.0

Ø3.5 Ø3.5

15° 15°

Hex Hex-E• Recommendedtorque-15N∙cm

• Recommendedtorque-15N∙cm

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Temporary Abutment- Abutment Screw(MIAS14) included

Fuse Abutment- Abutment Screw(MIAS14) + Fuse Cap

included

Impression Coping- Guide Pin included

Lab Analog

Ø5.0 Ø3.5 3.5 7.0Straight MFAP3535P

Angled(15°) MFAA3315P

Ø3.0 12 MITA3012HT

Ø3.514 Transfer MIIT3516HT

16 Pick-up MIIP3516HT

12 MILA300H

ProfileDiameter

ProfileDiameter

C.H(mm)

P.H(mm)

Length(mm)

Length(mm)

Length(mm)

Ref.CTypeLabio-lingual

Mesio-distal

Ref.C

Ref.CType

Ref.C

• Recommendedtorque-10~15N∙cm

• Recommendedtorque-10~15N∙cm

• Guide Pin Transfer type - MIGPT16 Pick-up type - MIGPP16

15°

➲ MiNiTM Abutment Options

1) Fixture level prosthesis

Mesio-distal

Mesio-distal

Labio-lingual

Labio-lingual

12

P.H

C.H

Transfer type Pick-up type

14 16

12

Ø3.5 Ø3.5

Ø3.0

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Fuse Abutment™

Base

Fuse Abutment™

Post

Fuse Abutment™

Cap

Temporary Crown

density of bone without defect. First, Any-Ridge implants were placed into the interna-tionally recognized standard bone block with more 40Ncm torque force and an abutment was connected on each implant. Instron was used to measure the force to move a fixture 100μm. The average force was 220N (22.4 kgf). Therefore, If the new temporary abut-ment can be fractured under this force, it may protect the fixture from movement or failure.

From this experiment, we could developed a special temporary abutment which has lower fracture threshold of less than 200 N (20.4 kgf). It was named as Fuse Abutment. Also it has an anatomic profiles to make temporary prosthetics more esthetic.

Fuse Abutment ™

In 1992, Brunski JB. reported that an implant may have higher possibility of fibrous-inter-gration than osseo-integration between bone and implant surface when movements more than100um occurs on the fixture during os-seointegration period. (John B. Brunski, Bio-mechanical factors affecting the bone-dental implant interface. Clinical Materials, Vol. 10, 153-201) Therefore, the implant is needed to be protected not to move when immediate loading is carried out. However, it is not easy to manage loading on the fixture, even when we use a resin temporary with a titanium cyl-inder. It was thought that it’s partly because of the metal component of temporary cylin-der, which can deliver excessive forces to the fixture. This is one of the reasons which make clinicians hesitate the immediate loading pro-cedure. So it is necessary to develop a spe-cial temporary cylinder. It should be broken under the force which can lead fibrointegra-tion or failure of osseointegration to protect the fixture. and it will be preferred if it is easy to make a temporary crown on this particular temporary cylinder. We tried to measure the force causing movement of 100μm on a fix-ture which was placed securely into adequate

Similar to acustomized abutmentfor excellent esthetics!

Perfect margin fitnesswith a prosthetic cap

Scalloped outline

Various Angle :Straight 15° 25°

S-line

Elliptical Occlusal view like a natural tooth

Average < 180N

Disp

lacem

ent(m

m)

Force(N)

Micro-movement test of implant

Fuse Abutment

area

0 50

0.1

0.2

0.3

0.4

0.5

100 150 200 250 350 400 450 500

D1

D2

D3

D4

300

Com

pres

sive

stre

ngth

(N)

Displacement(mm)

Compressive strength test of Fuse Abutment

0

50

100

150

200

250

1 2

Specimen 2Specimen 3Specimen 4Specimen 5

Specimen 1

Design concept of Fuse Abutment™

Rationale of Fuse Abutment™

Mesio-distal

Labio-lingual

Performed compressive strength test to evaluate the micro-movement for bone density using universal testing machine-R&D center in Megagen Implant Co.,Ltd.(2012)-

Performed compressive strength test to evaluate the yield strength for Fuse Abutment using universal testing machine-R&D center in Megagen Implant Co.,Ltd.(2012)-

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➲ MiNiTM Abutment Options

2) Overdenture prosthesis : Meg-Rhein Overdenture System

Retentive Cap Set

Lab Analog

Impression Coping

Meg-Rhein Abutment

Ø3.

0

Ø3.

25

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➲ MiNiTM Abutment Options

2) Overdenture prosthesis : Meg-Rhein Overdenture System

➲ Meg-Rhein

➲ Meg-Rhein Option

Meg-Rhein Package- 1 Meg-Rhein Abutment- 1 Plastic Carrier- 1 Stainless Steel Housing- 3 Retentive Caps (Black, Yellow, Pink)

0 MDR00

1 MDR01

2 MDR02

3 MDR03

4 MDR04

5 MDR05

6 MDR06

Cuff Height (mm) Ref.C

• Perfect compatibility with the Rhein83 from Italy.• Recommend torque : 15Ncm.

C.H8.8

4 Retentive Caps (Violet) 140CEV

Ref.C

• Violetcap(2.7kg)-Forrefill(4ea/pack)

2 Stainless Steel Housings 141CAE

Ref.C

• 2ea/pack

4 Retentive Caps (White) 140CET

Ref.C

• Whitecap(1.8kg)-Forrefill(4ea/pack)

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➲ Meg-Rhein Option

Insertion Tool

Removal Tool

Stainless Impression Coping (Pick-up)

Lab Analog

091EC

085IAC

044CAIN

PLA

Ref.C

Ref.C

Ref.C

Ref.C

• 2ea/pack• Italy - Rhein83 products.• For accurate (pick-up type) impression.• Metal with groove design to prevent from swaying.

• To make denture model.

5.5

Removal Tool

83

90

40

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Overdenture System

Meg-Rhein Package

Advantage

*Smaller & more convenient than others, with a proven Italian technology.

Product K & L

Product P

Meg-Rhein

4.4mm

2.1mm

2.25mm

2.3mm

5.5mm

5.2mm

30º

Violet(2.7kg)

White(1.8kg)

Pink(1.2kg)

Yellow(0.6kg)

* Seperate purchase available upon request

1. Small & Easy-to-use Housing System

2. Tilting Angle & Various Retentive Caps for the Meg-Rhein

3. Low Reduction Rate & Uniform Variance of Retentive Force

* A plastic carrier can be used as an impression coping.

Stainless Steel

Housing

Black Cap(0kg)

Yellow Cap(0.6kg)

Pink Cap(1.2kg)Meg-Rhein Abutment

with a Plastic Carrier

100

80

60

40

20

0Meg-Rhein Product K

Before After (1,000cycles)

Product L Product P

Rete

ntiv

e fo

rce

(kg) 3

2

1

01,000 Cycles

R2=0.85

27%

7349%

51

38%

62

37%

63

R2(Coefficient of determination) becomes more reliable when it is close to “1”.

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➲ MiNiTM Surgical Kit

MiNi

AnyOne Surgical Kit (KAOIN 3003)

AnyRidge Surgical Kit (KARIN 3003)

Shaping Drill

Handpiece Connector

Ratchet Connector

All instruments of the MiNi Internal system are already is contained in the AnyRidge & AnyOne surgical kit.

DIRECTION INDICATOR

Ø3.3 / Ø4.8

TORQUE WRENCH

PATH FINDER

DRILL EXT.

REMOVALDRIVER

HANDDRIVER

Ø4.

0

Ø4.

5

Ø5.

0

Ø5.

5

Ø6.

0

Ø6.

5

Ø7.

0

Ø7.

5

Ø8.

0

Ø3.

5

LANCEDRILL

Ø2.0 Ø3.3 Ø3.8 Ø4.3 Ø4.8 Ø5.4 Ø5.9

Ø3.3 / Ø3.8 CORTICALBONE DRILL

Ø4.1 / Ø4.4 Ø5.7 / Ø6.0

Ø3.

0

Ø3.

25

15.013.011.510.08.57.0

Ø2.0 / Ø2.9

OPTION

Ø2.5 Ø2.8

S

L

HANDPIECECONNECTOR

RATCHETCONNECTOR

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※ Our customers can experience MiNi internal system at any time by purchasing of the instrument even for the customers currently not in use of AnyRidge & AnyOne Internal system.

➲ Surgical Components

Handpiece Connector

Ratchet Connector

Shaping Drill

1.7Short HCS17

Long HCL17

1.7Short RCS17

Long RCL17

Ø2.533

SD2518S

Ø2.8 SD2818S

Length(mm)

Length(mm)

Hex Size(mm)

Hex Size(mm)

Diameter

Ref.CType

Ref.C

Ref.C

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➲ Fixture Length and Drill Marking

➲ Surgical Drilling Sequence

Actual drilling depth 10.5mm= 0.5mm subcrestal + 9.5mm actual fixture length + 0.5mm Y value

Actual drilling depth 10.6mm = 0.5mm subcrestal + 9.5mm actual fixture length + 0.6mm Y value

Ø3.

0

Ø3.

259.

5mm

10.0

mm

0.5mm

InitialDrill Ø2.0 Ø2.5

9.5m

m

10.0

mm

0.5mm

InitialDrill Ø2.0 Ø2.5 Ø2.8

3mm

0.5mm

The platform line of the HandpieceConnector or the Ratchet Connectormust be flush with the fixture platform.

WhenusingtheRatchetWrench,donotuseanexcessivetorqueasitcanleadtoafailureofinternalstructuraldamagetothefixtures.Itisnotrecommendedtoexceedthemaximumtorqueof75N·cm.

The actual lengths of MiNiTM internal fixture is 0.5mm shorter than the depth markings of a Shaping Drill.Therefore, the fixture will be placed 0.5mm under the crest naturally.

Actual drilling depth 10.5mm = 0.5mm subcrestal + 9.5mm actual fixture length + 0.5mm Y value* Fixture Ø3.0 (Y value = 0.5mm), Ø3.25 (Y value = 0.6mm)

0.5mm Subcrestal

Fixture length 9.5mm

Y value 0.5mm

15.0mm

13.0mm11.5mm10.0mm8.5mm

0.5mm

8.0m

m

9.5m

m

11.0

mm

12.5

mm

14.5

mm

Ø3.

0

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A1 4 9 11 4.5 - - IG1W4509

A2 4 10 11 5.5 - - IG1W5510

A3 4 11 11 6.5 - - IG1W6511

B1 5 9 11 4.5 - - IG2W0918

B2 6.5 11 11 5.5 - - IG2W1120

B3 9 13 11 6 - - IG2W1323

C1 5 9 11 4.5 6 4.25 IG3W0921

C2 6.5 11 11 5.5 8 4.25 IG3W1125

C3 9 13 11 6 10 9 IG3W1328

➲ Extra Option Products 1) i-Gen

M1.4

1.5 IA1415

2.0 IA1420

3.0 IA1430

Hex 1.2 1.0 ICS3510

i-Gen Screw-UseHandDriver(1.6Hex)

i-Gen Membrane

i-Gen Cover Screw-UseHandDriver(1.2Hex)

Type Cuff Height(mm) Ref.C

Type Height (mm) Ref.C

PL

Proximal Length

BWBuccal Width

BLBuccal Length

BDBuccal

Distance

LWLingual Width

LLLingual Length

Ref.CType

A1 B1 C1

A2 B2 C2

A3 B3 C3

C.H

1.0

BW LW

BL

BDLL

PL

• MegaGen (MiNi)• Astra (Osseospeed) : Diameter Ø3.5S• Dentsply-Frident (XiVE) : Diameter Ø3.0• Recommended torque-Manual(10-15N.cm)

• MegaGen (MiNi)• Astra (Osseospeed) : Diameter Ø3.5S• Dentsply-Frident (XiVE) : Diameter Ø3.0• Recommended torque-Manual(5-10N.cm)

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i-Gen (Removable Ti Membrane)

Ideal + Regeneration membrane ⇒ i-Gen membrane

>2.5mm horizontal extensionneeded to make >2mm labial bone after remodeling.Lingual Extension

should be considered for a large defect.

Need to have at least1mm of space above the platform of a fixture: Make this space with a pre-existing abutment, eg, i-Gen Screw.

>100°blunt anglewith bevel should be made to avoid soft tissue irritation.

sh r inkage w i l l occur after removal of mem-brane.

should be adapted to the bone.

0.5~1.0mm

Apical skirt

Ideal regeneration line

Compatible with other implant brands also!

≥2mm

1. Place an implant into the recipient site.2. Connect a i-Gen Screw to the implant and

bone grafting. Usually 1 mm cuff height is good enough for vertical space, but 2 or 3 mm cuff height of i-Gen Screw can be cho-sen according to situation. The amount of graft material should be enough to fill the space between i-Gen and the fixture.

3. Selection of i-Gen and placement. Accord-ing to the size and shape of bone defect, an i-Gen can be chosen from 9 different shapes. Match the hole of i-Gen with the screw hole of i-Gen Screw.

4. Fixate i-Gen with a i-Gen Screw. Choose a i-Gen Cover Screw to fix i-Gen membrane depend on the need of one or two stage sur-gery. And tight adaptation of soft tissue flap is recommended.

1

3

2

4

Design concept of the i-Gen

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Hex

- 911 Fixture Removal kit (KPSFS3000)

Hex

Hex

2) 911 kit (KPSCS3000) It’s a must-to-have for every implantologist!

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➲ 911kit Components

FixtureRemover

TorxDriver

Torque Wrench

FixtureRemoverScrew

Ø3.0~Ø3.615 FSS3035

20 FSL3035

Ø3.7~Ø4.615 FSS3540

20 FSL3540

Ø4.7~Ø5.615 FSS4555

20 FSL4555

Ø5.7~Ø7.015 FSS6080

20 FSL6080

Applied Fixture Diameter Length(mm) Ref.C

M1.4(MiNi) FSS14

M1.6(EZ Plus, ExFeel Ø3.3) FSS16

M1.8(AnyRidge) FSS18

M2.0(AnyOne, MegaFix, EZ Plus, ExFeel) FSS20

M2.5(Rescue) FSS25

Applied Fixture Thread

Ref.C

5 TD05

15 TD15

20 TD20

300Ncm TW500

70Ncm TW70

Length (mm) Ref.C

Type Ref.C

• Toremovethebrokenfixture.WhenselectingaFixtureRemover,considertheouterdiameterofafixture.IncaseofAnyRidgeInternalFixturethatthethreadisformedunderplatform,selectaFixtureRemover according to platform size

• ToconnectfixtureandFixtureRemover.• Recommended tightening torque FSS14, FSS16 :

40~50 Ncm FSS18, FSS20, FSS25 : 70~80 Ncm.

• ToconnectfixturetoFixtureRemoverScrew

• TW500:Tochecktorqueforcewhenremovingfixture.• TW70:TochecktorqueforcewhentighteningFixture

Remover Screw.

L

L

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Abutment Remover

Screw Remover

Screw RemoverGuide

Internal

10 SSIG10

16 SSIG16

22 SSIG22

22 SSIG22W

External

Hex 2.4 SSEG24

Hex 2.7 SSEG27

Hex 3.3 SSEG33

Applied Fixture Diameter Length(mm) Ref.C

22 ASS

27 ASL

30 SSS

45 SSL

Length (mm) Ref.C

Length (mm) Ref.C

Screw RemoverGuide Holder SSGH

Ref.C

HexRemover22 HSS

27 HSL

Length (mm) Ref.C

• On fractured abutment.• Use screw size M1.8 & M2.0.

• To remove fractured screw. • Use screw size M1.8 & M2.0.

• To secure the Screw Remover from moving side to side when removing the screw.

• Tool to supporting the Screw Remover Guide.

• Toremovehex-damagedAbutmentScrew,CoverScrew or Healing Abutment.

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Fixture Remover

Abutment Remover

➲ Fixture Remover Screw: Single use only➲ Do not use in case of a gap in Fixture Remover

➲ Can use for abutments that use M1.8 & M2.0 screws.➲ Cannot use for abutment that use M1.6 and M2.5

Remove the prosthesis of the fi xture to be removed, and the surrounding bone.

Insert the Abutment Remover in the fractured abutment hole.

Select a Fixture Remover Screw of the same size as the fixture internal screw. Use the Torx Driver to turn the screw clock-wise (40Ncm~70Ncm) to place in the fixture. (Use of torque less than 40Ncm for M1.6, and 60Ncm for other products may lead to loosening)

Select a Fixture Remover that fits the fixture diameter. Turn the fixed Fixture Remover Screw counterclockwise until it touches the fixture. (For a torque of greater than 300Ncm, it is rec-ommended to use a Trephine bur)

Fixture and Fixture Remover are tightly connected as rising force and descending force are com-bined. (Suction is needed; debris may happen on removal of a fi- xture)

Using Torque Wrench, turn coun-terclockwise and pull out fixture and Fixture Remover. (No more than maximum torque per fixture)

Removed fixture can be pulled out, turning Fixture Remover and fixture clockwise, holding onto vice plier.

Use the Ratchet Wrench to turn clockwise in order to join the abutment and the Abut-ment Remover as one body. (Ratchet Wrench is included in surgical kit)

Move the Abutment Remover sideways while pulling up to remove it. (Use of excessive force may traumatize the fixture or the bone)

Secure the separated abut-ment in a vice or vice pliers. Use the Ratchet Wrench to turn counterclockwise to sep-arate the abutment with the Abutment Remover.

911kit

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/2524MiNiTM

Screw Remover

Hex Remover

Remove the broken Abutment Screw and the abutment.

In case Abutment Screw, Cover Screw or Healing Abut-ment’s hex is fractured.

Select the correct Screw Re-mover Guide that fits the fixture connection to join.

Secure the Screw Remover Guide and insert the Screw Holder in the Screw Remover Guide hole.

Push the Screw Remover down- wards while rotating counter clockwise to separate it from the fixture internal screw. (rpm:30~50, Torque : 30Ncm)

Remove the pieces of broken screw from the fixture internal screw using forceps.

When separating the holder from the guide, push in the direction of the arrow to separate.

Use the Ratchet Wrench to turn counterclockwise to join the abutment with the Abut-ment Remover as one body. (Use a torque of less than 40Ncm., Ratchet Wrench is included in surgical kit.)

Place the removed abutment in the vice. Use the Ratchet Wrench to turn clockwise to separate the abutment with the Hex Remover.

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➲ Clinical Report

Fig 1. Preoperative panoramic radiograph and intraoral photos. The ridge was atrophied due to long-term absence of teeth.

Fig 3. Two Ø3.0 x 15.0 mm MiNiTM internal fix-tures were placed with excellent stability. GBR was not required.

Fig 5. Flap was sutured and EZ Posts were milled for the better path.

Fig 7. Clinical photo and intraoral radiograph at once after surgery.

Fig 2. Flap was elevated and two osteotomy sock-ets were made for 3.0mm MiNiTM internal fixtures. There was enough bone left in labio-lingual area for slim fixture.

Fig 4. Two EZ Posts were connected to make temporary prosthetics for immediate provisionali-zation.

Fig 6. Provisional restoration was made at the chair side. Due to the smaller diameter of fixture and abutment, the prosthetics could have a nice emergence profile.

Fig 8. Clinical photo and in-traoral radiograph 1 month after surgery.

Fig 9. Clinical photo and intraoral radiograph after final restoration.

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Gangnam Office 5F MegaGen Tower, 607 Seolleung-ro, Gangnam-gu, Seoul, Korea T. +82-1566-2338 Head Office & Factory 472 Hanjanggun-ro, Jain-myeon, Gyeongsan, Gyeongbuk, Korea T. +82-1544-2285

www.imegagen.com

MiNiTM