Multysystem catalogue 2016 by Netweek

MULTY

SYSTEM dental implant

P R O S T H E T I C

S Y S T E M

2016 ediction

Implant prosthetic system

I M P L A N T

2016

Table of Contents 1

2 3 12 18 21 22 28 40 42 44 46 53 54

Foreword Multysystem® implant features Guidelines for biphasic implants with internal hex connection Surgical procedures for using the Multi-Unit bases for screw prosthesis with immediate loading Multysystem® implant ranges Biphasic implants with internal hex connection Surgical instrumentation Surgical kits for biphasic implants Multi-Unit prosthetic line Prosthetic studio components for biphasic implants Prosthetic abutments for biphasic implants Laboratory instruments Prosthetic spare parts for biphasic implants

Transmucosal mono-phasic MFS – MFD immediate load implants

60 64 69 70 72

Immediate load transmucosal mono-phasic implants

How to use the Multysystem® Surgical Kit for maxillary sinus floor elevation

Surgical instrumentation Surgical kits for monophasic implants Prosthetic components Rhein ’83 prosthetic spare parts and components

75 Surgical kit for maxillary sinus floor elevation 76 Warnings

Foreword 2

The Multysystem group benefits from its more than thirty-year experience in the biomedical sector gained by participating in multidisciplinary research aimed at the design and development of new prosthetic impl ant technologies in collaboration with uni versities, medical specialists, dentists and dental technicians. The company’s production processes are optimised and aligned to quality standards set by ISO 9001: 2008 and ISO 13485:2003. The synergies between research and clinical application and the extensive know-how in the biomechanical field also ensure high quality implant products, in compliance with the European Community legislation set out by Directive 93/42 EEC concerning medical devices. This intense commitment has enabled us to develop the Multysystem® implantretained prosthetic method, which stands out because of the diversification of its six lines of screw implants, ST – P-ST – NST – P-NST – TM – MF, individually equipped with different morphostructural features that facilitate the operator in taking into consideration the various bone conditions. A complete and standardised prosthetic range of components simplifies the steps connected with the transfer abutment and the construction of the prosthetic product. The objective of Multysystem’s product manufacture is to offer various alternatives to the different clinical and operating situations which the operator is faced with when designing a correct prosthetic rehabilitation programme.

Multysystem® implant features Multysystem® implants are made of titanium grade 4 ASTM (American Standard for Testing and Materials) F67, a widely tested biocompatible metal used in implantology because of its biomechanical and biological features. The Multysystem® implant-retained prosthetic method consists of immediate load biphasic and monophasic implants, with different morphostructural features which allow interventions to each of the dental arch quadrants. This High-Frequency Roughness (HFR) innovative treatment of the surface of all the Multysystem® implants provides a surface topography that positively affects biological response and amplifies platelet response, accelerating the processes of bone healing and osseointegration and consequently allows anticipating the functional load. The Multysystem® implants are divided into six specific lines ST – P-ST – NST – P-NST – TM – MF, which include eleven different types of implants. The ST – NST and TM lines are composed of tapered biphasic systems, self-tapping and with internal hex connection. The terminal part of the neck is polished for 0.8 mm in order to facilitate biocompatibility of the soft tissues. The P-ST and P-NST lines are instead differentiated by the surface of the treated neck and are pre-prepared for the platform switching technique. The ST line consists of Tapered Implants with a diameter that varies from 3.2 to– 3.7 and 4.2 mm in six different lengths with a unified head of a diameter of 3.6 mm mainly indicated both for upper and lower central and lateral areas. Thanks to its morphology and 1.0 mm thread-pitch it ensures immediate primary stabilisation. The P-ST range is composed of Tapered Implants pitch 1.0 and a diameter of 4.2 mm in five different lengths with a 3.6 mm diameter head. The P-ST line also includes short implants indicated for cases of reduced vertical bone availability. The NST range includes two types of Tapered implants, one with a thread-pitch of 1.0 mm available in diameters 3.7 and 4.2 mm and one with a thread-pitch of 2.0 mm available in diameters 4.0 and 5.0 mm with a 4.00 mm diameter unified head. Thanks to their design and the particular micro-throats present on the end of the collar which allow greater stability on the primary cortex, their use is also indicated in cases of maxillary sinus elevation. The NST line is available in five lengths. The P-NST line consists of Tapered Implants with a pitch of 1.0 mm available in diameters from 4.7 to– 5.2 and 6.0 mm in five lengths with a 4.00 mm diameter unified head. The P-NST line also includes short implants. The TM line includes 1.0 mm pitch Tapered Implants available in diameters of 4.7 and 5.2 mm, suitable for side-posterior areas, and 2.0 mm pitch Tapered Implants available in diameters from 4.5 to– 5.5 and 6.5 mm, suitable as post-extraction implants. The TM line is available in five lengths with a 4.5 mm diameter unified head and is characterised by a neck configuration which allows the correct emergence of the overhead prosthetic product. The MF line consists of Fixed Abutment, tapping, transmucous and immediate load Implants, characterised by two different conformations of the preformed prosthetic abutment, allowing the immediate application both of removable and fixed prostheses. Two types of Ball shaped abutment implants are envisaged for anchoring removable implants: a Mini Implant available in diameters 2.5 and 3.0 mm and an Implant available in diameters 3.5 and 4.0 mm, both available in five different lengths. The MF line is completed by Straight abutment Mini Implants with a diameter of 2.5 and 3.0 mm and a Straight abutment Implant available in the diameters of 3.5 – 4.0 and 5.0 mm, both available in five lengths, which are suitable for fixed prosthetic solutions.

Foreword 4

Features of Multysystem速 biphasic implants

Apical taper with self-tapping and anti-rotation system

Anti-rotation internal hex connection

High Frequency roughness (H.F.R.) osteoconductive surface

Neck with micro-throats for primary stability on the cortical tissue

Type of ST – P-ST – NST implants with Multysystem® internal hex connection with surface activated HIGH- FREQUENCY ROUGHNESS and early loading

TAPERED IMPLANT 1.0 ST Diameters: 3,2 – 3,7 – 4,2 mm Lengths: 8 – 10 – 11,5 – 13 – 15 – 17 mm

h. Lung

Ø 3,6

2,3 m

TAPERED IMPLANT 1.0 P-ST Diameter: 4,2 mm Lengths: 6 – 7 – 9 – 11 – 13 mm

h Lung

Ø 3,6

2,3 m

Ø 4,0

h Lung

TAPERED IMPLANT 1.0 NST Diameters: 3,7 – 4,2 mm Lengths: 9 – 11 – 13 – 15 – 17 mm

2,35

h Lung

TAPERED IMPLANT 2.0 NST Diameters: 4,0 – 5,0 mm Lengths: 9 – 11 – 13 – 15 – 17 mm

Ø 4,0

2,35

Type of P-NST – TM implants with Multysystem® internal hex connection with surface activated

HIGH- FREQUENCY ROUGHNESS and early loading Ø 4,0

h. Lung

TAPERED IMPLANT 1.0 P-NST Diameters: 4,7 – 5,2 – 6,0 mm Lengths: 6 – 7 – 9 – 11 – 13 mm m

3,0 m

TAPERED IMPLANT 1.0 TM Diameters: 4,7 – 5,2 mm Lengths: 9 – 11 – 13 – 15 – 17 mm

h. Lung

Ø 4,5

2,75

Ø 4,5

TAPERED IMPLANT 2.0 TM Diameters: 4,5 – 5,5 – 6,5 mm Lengths: 9 – 11 – 13 – 15 – 17 mm h. Lung

3,0 m

Type of MFS – MFD Implants with Multysystem® fixed abutment with surface activated

HIGH-FREQUENCY ROUGHNESS and immediate loading Sfera

collo

dro 2

Qua

1,5 m

h. Lung

MINI MFS BALL ABUTMENT IMPLANTS Diameters: 2,5 – 3,0 mm Lengths: 9 – 11 – 13 – 15 – 17 mm

Ø 1,8

Sfera

collo

dro 3

Qua

mm m

2,5 m

h Lung

MFS BALL ABUTMENT IMPLANT Diameters: 3,5 – 4,0 mm Lengths: 9 – 11 – 13 – 15 – 17 mm

Ø 1,8

mm h. 5,0 2 Lung adro 2x Qu

MFD STRAIGHT ABUTMENT IMPLANT Diameters: 3,5 – 4,0 – 5,0 mm Lengths: 9 – 11 – 13 – 15 – 17 mm

mm h. 5,0 3 Lung adro 3x Qu

collo

1,5 m

h. Lung

MINI MFD STRAIGHT ABUTMENT IMPLANT Diameters: 2,5 – 3,0 mm Lengths: 9 – 11 – 13 – 15 – 17 mm

h Lung

collo

4,0 m

Surface treatment with high-frequency roughness (HFR) The innovative treatment of the osteoinductive surface with High Frequency roughness (HFR), to which all Multysystem® implants are submitted, complies with the most recent studies related to the chemical and physical aspects and to the biological response of the implant surfaces. As has been amply demonstrated, development of such surfaces has led to identifying the response of osteogenic cells to micro-roughness. The topographic surface aspect influences osteoblastic activity, amplifying the platelet response and accelerating the progress of the bone regeneration process.

Scanning electron microscope (SEM) analysis

SEM detail (100X) of the thread of a Multysystem® implant with HFR surface treatment

SEM detail (200X) of the distal end of a Multysystem® implant with HFR surface treatment

SEM detail (5.00 K X). The roughness details produced by the HFR treatment are highlighted. As is evidenced, the distance between peaks is only of a few microns.

SEM view (7.00 K X). In vitro testing. Note how, after three days’ contact, the bone cells have completely colonised the surface

As may be seen from the SEM images, the HFR surface treatment creates a characteristic homogeneous roughness which further increases the boneimplant contact surface favouring the process of osseointegration.

Bibliography 9 • Martin JY, Schwartz Z., Hummert TW, Schraub D.M., Simpson J., Lankford J. Jr., Dean D.D., Cochran D.L., Boyan B.D., Effect of titanium surface roughness on proliferation, differentiation and protein synthesis of human osteoblast-like cells (MG63), J Biomed Mater Res, 1995; 29:389-401 • Boyan B.D., Batzer R., Kieswetter K., Liu Y., Cochran D.L., Szmuckler-Moncler S., Dean D.D., Schwartz Z., Titanium surface roughness alters responsiveness of MG-63 osteoblast-like cells to 1a,25-(OH)2D3, J Biomed Mater Res, 1998;39: 77-85 • Kieswetter K., Schwartz Z., Hummert T.W., Cochran D.L., Simpson J., Dean D.D., and Boyan B.D., Surface roughness modulate the local production of growth factors and cytokines by osteoblast-like MG-63 cells, J Biomed Mater Res, 1996; 32:55-63 • Romeo E., Ghisolfi M., Musajo Somma F., Abati S., Vogel S., Superfici implantari e osteointegrazione: analisi critica della letteratura, Implantologia Orale, 1999, 2, 9-25 • Cochran D.L., Buser D., Bone response to sandblasted and acid attacked titanium: experimental and clinical studies, in: Davies J.E. editor. Bone Engineering, em squared, Toronto, 2000; 391-398 • Morra M., Cassinelli C., Di Carlo F., Le superfici implantari, Chirurgia Implantare, a cura di L. Malchiodi, Edizioni Martina, 2003 • Morra M., Cassinelli C., Bruzzone G., Carpi A., Di Santi G., Giardino R., Fini M., Surface chemistry effects of topography modification of titanium dental implants surfaces: 1. Surface analysis, Int J. Oral Maxillofacial Implants, 18, 2003, 40-45

Cytotoxicity analysis

Negative control image

The cytotoxicity tests performed on Multysystem® implants were conducted according to the protocols of EN ISO 10993/5: 1999 Biological Evaluation of Medical Devices Part 5: Tests for cytotoxicity: in vitro methods, and demonstrate the absence of toxic effects at the cell monolayer level, as is evidenced by the general appearance and cell density. In essence the Multysystem® implants do not exert any cytotoxic activity against L929 fibroblasts. This result indicates that the processing cycle does not involve any accumulation of residues on the implants or of substances with toxic effects on the cells.

Mechanical tests Mechanical testing of the Multysystem® implants was carried out at the Milan Polytechnic, Department of Bioengineering. The tests conducted were related to the static stress-strain in single compression with eccentric load applied in axis to the implant, in order to verify the maximum deformation resistance of the screw connection of the abutment and strength tests to cyclic stress (strain). The implant passed the test by withstanding 5,000,000 load cycles. Both tests were passed with very positive results, demonstrating the high quality standard of Multysystem® implants.

Decontamination with cold Argon Plasma After having completed all surface treatment cycles, the Multysystem® implants are subjected to a decontamination process with suitable solvents, subsequently followed by a final cold Argon Plasma treatment. This step is performed in a suitable reactor for plasma treatment. After the decontamination phase, the implants are subjected to an XPS (X-Ray Photoelectron Spectroscopy) technical analysis in order to determine their decontamination status.

Packaging 10

In order to ensure perfect sterility, MultysystemÂŽ implants are packaged in unbreakable plastic bottles with a hermetic cap. In order to ensure a controlled atmosphere environment, packaging takes place in a clean room. The implant pack aging procedures are performed under laminar flow hood in compliance with the highest standards of cleanliness.

Sterilisation MultysystemÂŽ implants undergo a sterilisation treatment with accelerated electrons (beta rays) in compliance with EN 552 and EN 556 standards. The dose audit is validated in accordance with EN 552, ISO 11137 and ISO 13409. Implant samples are periodically subjected to Bioburden control, which determines the microbial load. These tests verify that the sterilisation parameters established by the Multysystem Protocol do not change over time.

Cleaning and sterilising surgical instruments In order to clean instruments properly, first of all it is important to lower the bacterial load by dipping the instruments in a decontaminant liquid, carefully following the dilution and dipping times reported on the Data Sheet of the product used. At the end of the decontamination stage we effect a manual wash with the aid of specific regular and interdental brushes, in order to remove any organic residues. Subsequently the instruments should be immersed in an ultrasonic bath, using an enzymatic cleaner for about 15 minutes. Once the cleansing process has ended, the instruments must be removed and dried with extreme care in order to ensure that any residual moisture does not interfere with the sterilisation phase. We then proceed to bagging them. After bagging, proceed with steam autoclave sterilisation at a temperature of 134 Â° C respecting the validated cycle issued by the manufacturer.

Opening the packaging

The Multysystem速 implants are individually packagedas follows: - External packaging with adhesive label for immediate identification of the implant. - Secondary packaging consisting of a bottle with a removable adhesive label to be attached to the medical records (which then allows identification and traceability of the product). - Primary packaging consisting of a container on which the implant is anchored by means of the specific mount support that facilitates its transfer to the oral cavity. In the case of biphasic implants, the container also acts as a surgical screw cap holder.

Before using the implant, check the integrity of the packaging. If the package shows signs of tampering, sterilisation is no longer guaranteed. Remove the closing cap.

Pull out the primary container

Remove the fixture with the aid of the mount transfer

N.B. The fixture must be pulled out of the primary container using the appropriate mount transfer, in

order to avoid contamination and deterioration of the layer of titanium oxide formed by exposure to air.

Guidelines for biphasic implants with internal hex connection internal hex connection Creating the implant site It is important to ensure that drilling always takes place during copious irrigation with a saline solution at room temperature in order to avoid overheating, with consequent tissue damage, and to maintain perfect visibility of the operating field. To this end, the control unit of the surgical micro-motor must allow a drill rotation of 300-400 rpm in order to avoid necrosis of the bone, which would jeopardise osseointegration. For the same reason the torque is important, which must be 50 Ncm for drilling and 35-40 Ncm for screwing the fixture.

Surgical phases After establishing the design of the incision and the flap dissection, we proceed with creating the bone site. The first drill to be used is that for centring which creates the insertion point, we then proceed with the cortical drill in order to pierce the bone cortex; then the pilot drill, which is used to determine the orientation of the fixture and the drilling depth based on the data obtained through clinical-radiographic evaluation, is employed. The stop point indicated on the drill shows the depth of the hole and consequently the length of the implant chosen. In case of doubts concerning the inclination, we recommend performing an intraoral x-ray using the appropriate direction marker. Any inclination errors can still be corrected at this stage. In order to avoid excessive straining during insertion, the coronal part of the implant site is finished off with a countersink drill, whose diameter corresponds exactly to that of the implant collar. A drilling speed of about 300-400 rpm to reduce friction and consequently the possible coronal bone resorption, is recommended at this stage. The final diameter of the implant site is subsequently defined with a trimming drill. Once the last countersink stages have been carried out, bone tapping of the implant site using the manual millimetre marked bone taps with the diameter of the chosen fixture should be performed.

Summary of the surgical steps for biphasic implants 1. Incision of the mucosa

N.B. This special machining allows them to be used only up to fifteen times.

2. Creation of the insertion point with the centring drill

3. Perforation of the cortical bone with the cortical drill

4. Determining the fixtureâ&#x20AC;&#x2122;s orientation and the drilling depth with the pilot drill

5. Verifying the inclination with the inclination marker

6. Trimming the coronal bone of the implant site with the countersink drill

7. Calibrating the final diameter of the implant site with the trimming drill

8. Tapping the bone site with the manual millimetre marked bone tap inserted in the ratchet

Choosing and placing the implants The fixture must be chosen according to the conditions of the bone area (lax trabecula bone = selftapping screw), to the thickness of the bone and the type of envisaged prosthetic reconstruction (rear zones = larger diameter implants). In general it is a good idea to always insert the fixture with the largest diameter compatible with the implant area so that, once osseointegration has occurred, the occlusal forces tend to be distributed at a cortical level reducing the possibility of bone resorption over time. Once inserted at the entrance of the bone site, the fixture is screwed with the special contra-angle manual or mechanical adapter at a speed of 18-22 rpm under copious irrigation. As soon as excessive resistance is encountered, the calibrated torque of the surgical engine blocks the screw and the operator can complete insertion with a manual ratchet or with a variable torque wrench, proceeding until the edge of the crown margin of the fixture is flush with the bone crest. Finally, the surgical screw cap is screwed to the fixture.

1. Placing the fixture in the bone site with the mount transfer

2. Screwing the fixture with the ratchet complete with adapter

3.Screwing the surgical screw cap on the fixture with the polyvalent screwdriver

N.B. In the event that the chosen implant should belong to the Short measures of the P-ST Line, its use as a mono-implant is discouraged. P.S. Multysystem also provides specific mechanical instrumentation for implant insertion.

Summary of the drill sequence for monophasic implants 1a Table: Common pilot drill sequence Ø 1,8 mm

Ø 2,3 mm

Centring

Guide

2a Table: Tapered Implant drill sequence 1.0 ST - P-ST - 1.0-2.0 NST Ø 2,55 mm

Pilot

Ø 2,85 mm

Countersink

Trimming drill

3a Table: Tapered Implant drill sequence 1.0 P-NST - 1.0-2.0 TM Ø 2,55 mm

Ø 2,85 mm

Ø 4,0 mm

Countersink (for implant neck)

Calibrated trimming drill

N.B. The reference marks on the millimetre marked drills are indicative, it is therefore necessary to apply the appropriate stops in order to determine the correct drilling depth based on the length of the chosen implant. The diameters of the drills are smaller than the effective diameter of the implant in order to favour primary stability. This special machining allows them to be used only up to fifteen times.

Surgical and prosthetic procedures

The chemical and topographic surface features of the fixture allow a reduction of the bone healing time, thereby anticipating the functional load. During the process of bone healing, the fixture should not be subjected to stresses which may cause premature loss. Only when complying with such conditions will the bone be formed in direct contact with the fixture (â&#x20AC;&#x153;osseointegrationâ&#x20AC;?) and, once the prosthetic rehabi lita tio n has been completed, will it bear the loads generated by chewing. Once the bone has healed, it is necessary to uncover the head of the submerged fixture. To do this, the operator has two techniques available: 1) an operculum of the mucosa overlying the fixture is removed with the aid of a tissue pump. 2) In cases of excessive thickness of the gingival tissues, or of poorly attached gingiva, performing an operation with a flap RX of osseointegrated fixture incision on the crest is preferable. After removing the surgical screw cap from the fixture, a healing screw cap with a slightly greater height than the thickness of the gingival tissue must be screwed back on. This will assist the healing of the gum tissue and after 10 days or so the imprint may be taken. If desired, the definitive abutments may be fixed during the re-entry operation; also taking the imprint for making a temporary prosthesis during the same session. Once the implants have been uncovered, it is not always possible to replace the existing prosthesis (fixed or mobile) with considerable discomfort for the patient.

1. Uncovering the head of the submerged fixture with the appropriate tissue punch

2. Removing the surgical screw cap from the fixture with the polyvalent screwdriver

3. Screwing the healing screw cap to the fixture with the polyvalent screwdriver

It is important to emphasise that success and longevity depend not only on the quality of the materials used, but also on the prosthesis design, the balanced distribution of occlusal loads, the absence of centric or eccentric pre-contacts and finally on the patient maintaining oral hygiene

Taking the imprint Taking the imprint is one of the most important steps of the prosthetic implant and it is therefore necessary to give it the utmost attention during preparation procedures, in order to achieve a precise and correct situation of the dental arches. The Multysystem® implant-retained prosthetic method envisages different solutions. A standard transfer is envisaged for the conventional pull-off technique, or a specific transfer for the pick-up technique. After choosing the transfer to be used, we proceed by placing it in the implant and securing it with the through screw. The imprint is taken with the conventional technique, using the preferred elastic material (polyesters or silicones).

Placing the transfers

Indications and prosthetic solutions The implant-retained prosthetic Multysystem® method provides a complete and versatile prosthetic component range. These components are designed to simplify the operational procedures associated with taking the transfer imprint and constructing the prosthetic product and enable facing every clinical solution, both for fixed prosthesis and for removable over denture prosthesis. The final prosthetic restoration is based on wax modelling made on preoperative plaster models. In order to create the plaster model in the laboratory, proceed as follows: • Couple the transfer with the coinciding analogue screwing the appropriate through screw. • Check the correct position of the transfer in the imprint. After completing these two phases, pour the plaster into the imprint, making sure the analogue is locked in order to obtain maximum precision.

Transfer coupled to the analogue

Developing the plaster model

Once the plaster model has been developed, on which the gum line is reproduced with soft resin in order to obtain a correct emerging profile of the prosthesis, choose the necessary final prosthetic abutments, according to the type of prosthetic solution chosen. A set consisting of eight test abutments, with varying angles up to 30째, which reproduce the crown height and the height of the transmucosal neck of the available abutments, is available in order to assist the operator during this phase. Once the verification phase has ended, proceed with using the final abutment corresponding to the one chosen.

Unscrewing the transfers

Placing the test abutments in order to choose the final ones

Placing the final prosthetic abutments

Applying the prosthesis

N.B. Our application guidelines are based on personal experience and experiments and are only intended as general information and guidance. For further information please refer to international protocols.

Surgical procedures for using the Multi-Unit bases for screw prosthesis with immediate loading The Multi-Unit bases of the Multysystem® line allow a minimally invasive therapeutic solution for edentulous patients with jawbone or maxillary atrophy problems. The technique consists in inserting only four implants, two in each half arch, positioned in the rear section with an inclination of up to 35° compared with the two front ones. This procedure is aimed at ensuring the stability of the prosthesis in respect of the masticatory load distribution. In order to properly plan all the surgical procedures, the use of a CT scan is recommended, allowing the three-dimensional maxilla-facial structure evaluation. It is also recommended that the patient should wear a radiopaque implant template, in order to transfer the image of the future prosthetic reconstruction to the x-ray plate. This allows the operator to plan the location of the implants in relation to the prosthetic forecast. In order to prepare the implant site proceed as usual and as is reported in the Multysystem general protocol.

Multi-Unit clinical procedures Once the surgical part has been completed, proceed with placing the Multi-Unit bases required ❶

❷

In order to facilitate placing the MU bases in the mouth, use the mount transfer ❸

Tighten the closing fitting screw of the angled MU base with the polyvalent screwdriver and complete tightening with the 30 Ncm torque wrench, connected to the prosthetic screw adapter

❹

Screw the straight MU base with the appropriate screwdriver and finish tightening with the 30 Ncm torque wrench, connected to the adapter for straight MU bases.

Multi-Unit Prosthetic procedures

Once the clinical phase has ended, proceed with the prosthetic phase utilising the appropriate Multysystem® Multi-Unit products as follows:

➊

Once the connection of the MU bases in the implants has been carried out, screw the specific MU transfers to the MU bases

❷

After connecting the transfers to their bases, take an imprint with the aid of an individual imprint tray and send it to the dental laboratory. In case of delayed loading, after having taken the imprint to protect the MU base, the special healing caps MU in peek must be used. Their use must not exceed a period of 30 hours, after which they must be removed

❸

The plaster model should be reproduced in the lab, screwing the transfers to the appropriate MU analogues, which faithfully reproduce the taper of the MU bases.

❹

Once the plaster model has been created, proceed with choosing the provisional or final MU abutments according to the type of prosthetic solution chosen

Types of Multysystem® prosthetic abutments The range of Multysystem® prosthetic abutments envisages a colour coding system in order to allow quick identification. The prosthetic components are divided into three specific lines: ST (Standard) with a Ø 3.6 mm abutment

NST (New Standard) con base Ø 4,0 mm

P-ST (Platform-Switching) with a Ø 3.6 mm abutment

P-NST (Platform-Switching) with a Ø 4.0 mm TM (Larger head) with a Ø 4.5 mm abutment

Straight abutment h. 6 mm

Pre-angled abutment 10°-20°-30°

Aesthetic abutment for screw-on prosthesis

Straight abutment h. 15 mm

Universal straight adjustable abutment

Ucla abutment with gold alloy base

Castable abutment

Castable abutment with chamfer

Castable abutment h. 15 mm

Universal castable abutment

Castable cementable abutment

Bar abutment

Ball abutment

Equator abutment

Abutment for direct screw-on

Base for zirconia abutments

Multi-Unit prosthetic line Straight MU base

Pre-angled MU base 17°-35°°

Temporary MU abutment

N.B. Before being connected to the implant, the abutments must undergo sterilisation.

Castable MU abutment

Multysystem速 implant ranges with colour coding system Biphasic implants

Tapered implant 1.0 ST

Tapered implant 1.0 NST

Tapered implant 2.0 NST

Tapered implant 1.0 P-ST - P-NST

Tapered implant 1.0 TM

Tapered implant 2.0 TM

Monophasic implants

60 61

Mini Ball Implant

Ball Implant

MFS

Mini straight Implant MFD

Straight Implant MFD

Self-tapping tapered implant 1.0 ST (standard) Ref. Diameter Length 7013208

3,2 mm

08 mm

7013210

3,2 mm

10 mm

7013211

3,2 mm

11,5 mm

7013213

3,2 mm

13 mm

7013215

3,2 mm

15 mm

7013217

3,2 mm

17 mm

7013708

3,7 mm

08 mm

7013710

3,7 mm

10 mm

7013711

3,7 mm

11,5 mm

7013713

3,7 mm

13 mm

7013715

3,7 mm

15 mm

7013717

3,7 mm

17 mm

7014208

4,2 mm

08 mm

7014210

4,2 mm

10 mm

7014211

4,2 mm

11,5 mm

7014213

4,2 mm

13 mm

7014215

4,2 mm

15 mm

7014217

4,2 mm

17 mm

Features: slightly tapered profile, with unified cylindrical-shaped head with a diameter of 3.6 mm, in the apical part there are three longitudinal drillings which allow self-tapping and also aid the anti-rotation function. The 1.0 mm thread-pitch allows immediate primary stability. The neck is polished for a height of 0.8 mm in order to facilitate soft tissue biocompatibility. The tapered 1.0 ST implant is indicated for cases of bone quality D1 and D2, both in the central areas and in the upper and lower lateral ones.

N.B. Each implant is supplied with a surgical titanium screw cap

*the ST line of implants is characterised by the uniformity of the head diameter: 3.6 mm.

Self-tapping tapered implant 1.0 NST (new standard) *

Ref. Diameter Length 7093709

3,7 mm

09 mm

7093711

3,7 mm

11 mm

7093713

3,7 mm

13 mm

7093715

3,7 mm

15 mm

7093717

3,7 mm

17 mm

Ref. Diameter Length 7094209

4,2 mm

09 mm

7094211

4,2 mm

11 mm

7094213

4,2 mm

13 mm

7094215

4,2 mm

15 mm

7094217

4,2 mm

17 mm

Features: Slightly tapered shape, with unified head in a truncated-cone shape with initial diameter of 4.0 mm, in the apical part there are three longitudinal drillings which allow selftapping and also aid the anti-rotation function. The 1.0 mm thread-pitch allows immediate primary stability. The neck is flared to facilitate the emergence profile of the prosthetic product, thereby improving its aesthetic function. The presence of microthroats on the terminal part of the neck, before the 0.8 mm polish which facilitates biocompatibility of the soft tissues, allows a greater primary stability on the cortical tissue. The tapered implant 1.0 NST is indicated for cases of bone quality D1 and D2 including cases of maxillary sinus elevation.

N.B. Each implant is supplied with a surgical titanium screw cap.

The NST line of implants is characterised by the uniformity of the head diameter: 4.0 mm.

Self-tapping tapered implant 2.0 NST (new standard) * Ref. Diameter Length 7094009

4,0 mm

09 mm

7094011

4,0 mm

11 mm

7094013

4,0 mm

13 mm

7094015

4,0 mm

15 mm

7094017

4,0 mm

17 mm

Ref. Diameter Length 7095009

5,0 mm

09 mm

7095011

5,0 mm

11 mm

7095013

5,0 mm

13 mm

7095015

5,0 mm

15 mm

7095017

5,0 mm

17 mm

Features: Tapered profile, with unified head in a truncated-cone shape with initial diameter of 4.0 mm, in the apical part there are two longitudinal drillings for improved vascular trophism. The increased width of the thread and the 2.0 mm pitch favour immediate primary stability in extension. The neck is flared to facilitate the emergence profile of the prosthetic product, thereby improving its aesthetic function. The presence of micro-throats on the terminal part of the neck, before the 0.8 mm polish which facilitates biocompatibility of the soft tissues, allows a greater primary stability on the cortical tissue. The tapered implant 2.0 NST is indicated for cases of bone quality D1 and D2, extraction sites as well as for maxillary sinus elevation cases.

N.B. Each implant is supplied with a surgical titanium screw cap.

*The NST line of implants is characterised by the uniformity of the head diameter: 4.0 mm.

Self-tapping tapered implant 1.0 P-ST (Platform-switching)*

Ref. Diameter Length 7024206

4,2 mm

06 mm

short

7024207

4,2 mm

07 mm

short

7024209

4,2 mm

09 mm

7024211

4,2 mm

11 mm

7024213

4,2 mm

13 mm

Self-tapping tapered implant 1.0 P-NST (Platform-switching)** Ref. Diameter Length 7094706

4,7 mm

06 mm

short

7094707

4,7 mm

07 mm

short

7094709

4,7 mm

09 mm

7094711

4,7 mm

11 mm

7094713

4,7 mm

13 mm

7095206

5,2 mm

06 mm

short

7095207

5,2 mm

07 mm

short

7095209

5,2 mm

09 mm

7095211

5,2 mm

11 mm

7095213

5,2 mm

13 mm

7096006

6,0 mm

06 mm

short

7096007

6,0 mm

07 mm

short

7096009

6,0 mm

09 mm

7096011

6,0 mm

11 mm

7096013

6,0 mm

13 mm

Features: The innovative design of these implants was devised for the platform-switching technique. The Tapered 1.0 P-ST and P-NST Implants are indicated where there is a reduced availability of vertical bone, particularly in the lateral rear areas, avoiding the use of surgical techniques for increasing vertical bone volume. The Tapered 1.0 P-ST and P-NST Implants are indicated for cases of bone quality D1 and D2 as well as for maxillary sinus elevation cases. In the event that the chosen implant should belong to the Short measures of the P-ST Line, its use.as a mono-implant is discouraged. N.B. Each implant is supplied with a surgical titanium screw cap.

*The P-ST implant line envisages a 3.6 mm head diameter. ** The P-NST line of implants is characterised by the uniformity of the head diameter: 4.0 mm.

Self-tapping tapered implant 1.0 TM (Larger head)* Ref.

Diameter Length

7074709

4,7 mm

09 mm

7074711

4,7 mm

11 mm

7074713

4,7 mm

13 mm

7074715

4,7 mm

15 mm

7074717

4,7 mm

17 mm

Ref.

Diameter Length

7075209

5,2 mm

09 mm

7075211

5,2 mm

11 mm

7075213

5,2 mm

13 mm

7075215

5,2 mm

15 mm

7075217

5,2 mm

17 mm

Features: Slightly tapered shape, with unified head in a truncated-cone shape with initial diameter of 4.5 mm, in the apical part there are three longitudinal drillings which allow selftapping and also aid the anti-rotation function. The 1.0 mm thread-pitch allows immediate primary stability. The neck is flared to facilitate the emergence profile of the prosthetic product, thereby improving its aesthetic function. The presence of micro-throats on the terminal part of the neck, before the 0.8 mm polish which facilitates biocompatibility of the soft tissues, allows a greater primary stability on the cortical tissue. The tapered implant 1.0 TM is indicated for cases of bone quality D1 and D2 in the lateral-rear areas.

N.B. Each implant is supplied with a surgical titanium screw cap.

* The TM line of implants is characterised by the uniformity of the head diameter: 4.5 mm.

Self-tapping tapered implant 2.0 TM (Larger head)*

Ref.

Diameter Length

7054509

4,5 mm

09 mm

7054511

4,5 mm

11 mm

7054513

4,5 mm

13 mm

7054515

4,5 mm

15 mm

7054517

4,5 mm

17 mm

7055509

5,5 mm

09 mm

7055511

5,5 mm

11 mm

7055513

5,5 mm

13 mm

7055515

5,5 mm

15 mm

7055517

5,5 mm

17 mm

7056509

6,5 mm

09 mm

7056511

6,5 mm

11 mm

7056513

6,5 mm

13 mm

7056515

6,5 mm

15 mm

7056517

6,5 mm

17 mm

Features: Tapered profile, with unified head in a truncated-cone shape with initial diameter of 4.5 mm, in the apical part there are two longitudinal drillings for improved vascular trophism. The increased width of the thread and the 2.0 mm pitch favour immediate primary stability in extension. The neck is flared to facilitate the emergence profile of the prosthetic product, thereby improving its aesthetic function. The presence of micro-throats on the terminal part of the neck, before the 0.8 mm polish which facilitates biocompatibility of the soft tissues, allows a greater primary stability on the cortical tissue. The tapered implant 2.0 TM is indicated in case of bone quality D3 and D4, in postextraction sites and facilitates immediate surgical procedure techniques..

N.B. Each implant is supplied with a surgical titanium screw cap.

* The TM line of implants is characterised by the uniformity of the head diameter: 4.5 mm.

Surgical instruments 28

Pilot drills Ref. Description 7410125

Short centring drill Ø 1,8 mm L.5,0 mm

7410120

Longcentring drill Ø 1,8 mm L.10,0 mm

Use guidelines: Suitable for creating the insertion point of the implant site.

Ref. Description 7410135

Short cortical drill Ø 2,3 mm L.5,5 mm

7410130

Longcortical drill Ø 2,3 mm L.11,0 mm

Use guidelines: Suitable for drilling through the cortical bone.

Millimetre marked drills

29 Ref. Description 7097491 Short millimetre marked first drill L.36.5 mm Ø 2,55 mm L.17 mm

7097401 Long millimetre marked first drill L.40.5 mm Ø 2,55 mm L.17 mm

7097497

Short millimetre marked trimming drill L.36.5 mm Ø 2,85 mm L.17 mm

7097417 Long millimetre marked trimming drill L.40.5 mm Ø 2,85 mm L.17 mm

Use guidelines: The reference marks on the millimetre marked drills are indicative, it is therefore necessary to apply the appropriate stops in order to determine the correct drilling depth.

Depth stop set Ref. Description 7105102

Depth stop set L.6–7–8–9–10–11–11,5–13–15 mm

Use guidelines: Depth stops must be applied on the millimetre marked drills in order to determine the maximum drilling depth.

Calibrated trimming drills with stops for P-NST – TM implants Ref. Description 7077406 7077407

Calibrated trimming drill da Ø 2,85 a 4,0 mm L.6 mm

7077459 7077451 7077453 7077455

Calibrated trimming drill da Ø 2,85 a 4,0 mm L.9 mm

7077457

Calibrated trimming drill da Ø 2,85 a 4,0 mm L.17 mm

Calibrated trimming drilla da Ø 2,85 a 4,0 mm L.7 mm

Calibrated trimming drill da Ø 2,85 a 4,0 mm L.11 mm Calibrated trimming drill da Ø 2,85 a 4,0 mm L.13 mm Calibrated trimming drill da Ø 2,85 a 4,0 mm L.15 mm

Use guidelines: The stop on the drills indicates the established drilling depth.

Countersink Ref. Description 7410100

Countersink Ø 3,6 mm For tapered ST – P-ST Implants

7097402

Countersink Ø 5,0 mm For tapered P-NST Implants

7077402

Countersink double depth gauge Ø 4,0 – 4,5 mm for tapered NST – TM Implants

Use guidelines: Suitable for preparing the implant site in order to facilitate placing the implant flush to the bone crest

Drills for bone restoration

31 Ref. Description 7105035 Trephine Ø 3,5 mm 7105040 Trephine Ø 4,0 mm 7105045 Trephine Ø 4,5 mm 7105050 Trephine Ø 5,0 mm 7105060 Trephine Ø 6,0 mm 7470190

Bone graft trephine Ø 2,85 mm

Use guidelines: Suitable for the recovery of autologous bone.

Tissue punches Ref. Description 7410110 7077410

Mechanical round tissue punch Ø 4,2 mm For tapered ST – P-ST – NST – P-NST implants

7410116 7077416

Manual round tissue punch Ø 4,2 mm For tapered ST – P-ST – NST – P-NST implants

Mechanical round tissue punch Ø 4,7 mm For tapered TM implants

Manual round tissue punch Ø 4,7 mm For tapered TM implants

Use guidelines: Suitable for uncovering the head of the implants placed beneath the mucosa and for surgical transmucosal approach techniques

Bone taps with 1.0 mm thread-pitch Ref. Description 7232017 Millimetre marked bone tap Ø 3,2 mm L.17 mm per Impianti Conici 1.0 7092317 Millimetre marked bone tap Ø 3,7 mm L.17 mm For tapered 1.0 implants 7092417 Millimetre marked bone tap Ø 4,2 mm L.17 mm For tapered 1.0 implants 7072417 Millimetre marked bone tap Ø 4,7 mm L.17 mm For tapered 1.0 implants 7072517 Millimetre marked bone tap Ø 5,2 mm L.17 mm For tapered 1.0 implants 7092611

Millimetre marked bone tap Ø 6,0 mm L.13 mm For tapered 1.0 implants

Bone taps with 2.0 mm thread-pitch Ref. Description Millimetre marked bone tap Ø 4,0 mm L.17 mm 7092517 For tapered 2.0 implants Millimetre marked bone tap Ø 5,0 mm L.17 mm 7092617 For tapered 2.0 implants Millimetre marked bone tap Ø 4,5 mm L.17 mm 7072617 For tapered 2.0 implants Millimetre marked bone tap Ø 5,5 mm L.17 mm 7072717 For tapered 2.0 implants Millimetre marked bone tap Ø 6,5 mm L.17 mm 7072817 For tapered 2.0 implants Use guidelines: The markings on the bone taps show the tapping depth

Connectors for implants

33 Ref. Description 7101000

Short connector for implants L.12.5 mm

7101010

Long connector for implants L.15.5 mm

7103047

Mechanical implant connector

Use guidelines: They connect to the torque ratchet and contra-angle for placing implants with internal hex connections

Extensions Ref. Description 7102000

Short universal extension L.11.5 mm

7102010

Long universal extension L.15.0 mm

7103048

Universal Mechanical extension

7102015

Extension for straight Multi-Unit bases and for aesthetic abutments for screw-on prosthesis

Use guidelines: They connect to the torque ratchet, the connectors, the bone taps and the contra-angles.

Dynamometric wrenches Ref. Description 7103002

30 Ncm dynamometric wrench* *Manufactured by ITL Dental

7103012

Adjustable Torque dynamometric wrench (Supplied with a 30 Ncm torque control device)

7103016

10 Ncm torque control device

7103017

20 Ncm torque control device

7103018

30 Ncm torque control device

7103019

40 Ncm torque control device

Adjustable torque dynamometric wrench 7103011 set complete with: • Dynamometric wrench • Torque control devices: 10-20-30-40 Ncm • Spare spring • Spare ball

Use guidelines: They connect to the connectors for inserting implants and for tightening abutments.

Connectors for dynamometric wrenches

Ref. Description 7103013

Connectors for Biphasic implants

7103014

Connectors for Monophasic implants

7103015 Connectors for Monophasic Mini MFS-MFD implants

7103103

Connectors for Prosthetic screws Short L.16,5 mm

7103104

Connectors for Prosthetic screws L.22.5 mm

7103105

Connectors for oT Equator abutment

7103005 Connector for ball abutment

7103037

Connector for Straight Multi-Unit bases and for aesthetic abutments for screw-on prosthesis

Use guidelines: They connect to dynamometric wrenches for inserting implants and for tightening abutments.

Drivers Ref. Description 7103035

Universal Mount transfer

7103000 Ratchet

7103040

Angled driver

7103045

Straight driver

Use guidelines: They connect to the connectors, extensions and bone taps.

Screwdrivers Ref. Description 7103020 Polyvalent short screwdriver L.22.5 mm 7103030

Polyvalent long screwdriver L.25.5 mm

7103034

Polyvalent Maxi screwdriver L.28.5 mm

7103049

Polyvalent mechanical screwdriver

7610110

Ball abutment screwdriver

7103029

Screwdriver for Straight Multi-Unit bases and for aesthetic abutments for screw-on prosthesis

Use guidelines: To be used to screw Multysystem速 abutments.

Titanium surgical direction guide Ref. Description 7661034

Surgical direction guide

Features And use guidelines: The marks on the surgical direction guide facilitate the drilling phase ith a maximum inclination of 35°. To fix the guide to the maxillary crest carry out a 10 mm osteotomy in the midline using the appropriate calibrated Ø 2.0 mm drill.

Surgical accessories Ref. Description 7103117

Direction guide a doppio calibro Ø 2,55 – 2,85 mm

Use guidelines: Used to verify the correct alignment of the implants during the preparation of the implant site Ref. Description 7103070 Mechanical € 40.00 drill extension

Use guidelines: It helps drill access should there be natural teeth adjacent to the implant site Ref. Description 7109901 Millimetre marked alveolar probe da L.6 a 17 mm

Use guidelines: les verifying the drilling depth.

Ref. Description 7103050

Titanium tweezers

Use guidelines: Used to avoid contamination of sterile surgical instruments.

Surgical accessories 38

Ref. Description 7104000

Enhancement protractor for biphasic implants (3 piece pack)

Use guidelines: It is used superimposed to the panoramic radiograph during pre-surgical design Ref. Description 7105106

Depth stop L.6 mm

7105107

Depth stop L.7 mm

Depth stop L.8 mm 7105108 7105109 Depth stop L.9 mm 7105110 Depth stop L.10 mm 7105111

Depth stop L.11 mm

7105112

Depth stop L.11,5 mm

7105113

Depth stop L.13 mm

7105115

Depth stop L.15 mm

Use guidelines: Depth stops should be applied on millimetre marked drills in order to determine the maximum drilling depth.

Ref. Description 7103032

Locking rings (24 piece pack)

Use guidelines: It stabilises the connection of the depth stops to the drills and bone taps, adapter and manual extensions of the wrenches. The locking ring must be replaced every ten sterilisations in order to keep tools efficient.

Surgical accessories Surgical boxes (dimensions 21x10x5 cm)

Ref. Description 7103991

Specific box for ST - P-ST

7103992

Specific box for NST

7103993

Specific box for TM - P-NST

Depth stop box

Ref. Description 7105199

Depth stop box

Use guidelines: The boxes for surgical instruments are made of anodized aluminium and can be sterilised in autoclave at 134째 C. The practical order arrangement of the surgical instrumentation divided by type of implant simplifies the operational phases.

Surgical kits for biphasic implants with internal hex connection The Multysystem® implantology kits provide the operator with the equipment required for a correct surgical procedure. The sets consisting of common surgical instruments should be integrated with specific kits based on the type of implant chosen

Basic surgical instrument kit Ref. Description 7100021 Centring drill Pilot drill Millimetre marked cortical drill L.17 Millimetre marked trimming drill L.17 Long implant adapter

Long universal extension Enhancement protractor Long polyvalent screwdriver Universal mount transfer Ratchet

Specific kits for tapered 1.0 ST - P-ST implants Ref. Description 7100022 Fresa per svasatura Ø 3,6 mm Countersink Ø 3.6 mm Millimetre marked bone tap Ø 3.2 mm Millimetre marked bone tap Ø 3.7 mm

Specific kits for tapered 1.0-2.0 NST implants Ref. Description 7100023 Fresa per svasatura Ø 4,0 - 4,5 mm Countersink Ø 4.5 - 4.5 mm Millimetre marked bone tap Ø 3.7 mm Millimetre marked bone tap Ø 4.2 mm Millimetre marked bone tap Ø 4.0 mm Millimetre marked bone tap Ø 5.0 mm Specific box N.B. It is possible to have the kits tailored to your needs.

Millimetre marked bone tap Ø 4.2 mm Specific box

Specific kits for tapered 1.0 P-NST implants Ref. Description 7100024 Fresa a finire calibrata L.06 mm Calibrated trimming drill L.06 mm Calibrated trimming drill L.07 mm Calibrated trimming drill L.09 mm Calibrated trimming drill L.11 mm Calibrated trimming drill L.13 mm Countersink Ø 5.0 mm Millimetre marked bone tap Ø 4.7 mm Millimetre marked bone tap Ø 5.2 mm Millimetre marked bone tap Ø 6.0 mm Specific box

Specific kits for tapered 1.0-2.0 TM implants Ref. Description 7100025 Calibrated trimming drill L.09 mm Calibrated trimming drill L.11 mm Calibrated trimming drill L.13 mm Calibrated trimming drill L.15 mm Calibrated trimming drill L.17 mm Countersink Ø 4.5 - 4.5 mm Millimetre marked bone tap Ø 4.7 mm Millimetre marked bone tap Ø 5.2 mm Millimetre marked bone tap Ø 4.5 mm Millimetre marked bone tap Ø 5.5 mm Millimetre marked bone tap Ø 6.5 mm Specific box

N.B. It is possible to have the kits tailored to your needs.

Multi-Unit prosthetic line 42

The Multysystem® Multi-Unit prosthetic line enables rehabilitation solutions of partial or total upper or lower jaw edentulous patients, even in the presence of strong disparallelism. Clinical cases involving the insertion of distally inclined implants in order to limit reconstructive bone treatments are on the increase.

Multi-Unit titanium bases Ref. Description 7670015

MU straight base c.1.5 mm

7670030

MU straight base c.3.0 mm

7671720

17° MU angled base c.2.0 mm*

7671730

17° MU angled base c.3.0 mm*

7673530

35° MU angled base c.3.0 mm*

7673540

35° MU angled base c.4.0 mm* *Complete with locking passing screw

Featuresand use guidelines: The 17° and 35° MU bases help the parallelisation of different° aimplants with disparallelism problems. N.B. The line of bases for MU prosthetic abutments is characterised by the uniformity of the base diameter of 4.0 mm.

Multi-Unit surgical instruments Ref. Description 7677403

MU straight € 60.00 base countersink

7677404

MU angled base countersink Ø 6,0 mm

Use guidelines: Suitable for preparing the bone crest in order to facilitate positioning the MU bases Ref. Description 7677405

MU base countersink guide (2 piece pack)

Use guidelines: It must be screwed in the implant in order to protect the head during bone crest preparation.

Prosthetic components and Multi-Unit accessories for studio and lab. Ref. Description 7671700

Screw-on peek healing cap MU

Use guidelines: They protect the MU bases before the prosthesis procedure. 7671000

Transfert per Pick-up h.8 mm rotante MU* *Complete with locking passing screw. you may choose between an h. 3 or 6 mm

Use guidelines: they must be placed on the MU bases to take the imprint. 7671090

MU temporary titanium abutment* *Complete with prosthetic locking passing screw

Featurese and use guidelines: The MU temporary abutments rotate in order to protectil the implant from disparallelism. 7671030

Moncone Calcinabile MU* *Complete with prosthetic locking passing screw

Featurese and use guidelines: The MU castable abutments rotate and may be modified at will by prior waxing and moulding in gold or other alloys. 7671500

MU analogue

Use guidelines: MU analogues should be coupled to MU transfers in order to develop the plaster model.

7671033

Digital MU base mount transfer

Use guidelines: Assists in placing the MU bases in the oral cavity during the implant connection phase. N.B. For lab test procedures it is advisable to have spare prosthetic passing screws available.

Multi-Unit spare passing screws (3 piece pack) Ref. Description 7671099

Screw for MU bases

7671098

MU prosthetic screw

7671013 7671016

MU transfer screw h.3 mm MU transfer screw h.6 mm

Prosthetic studio components with colour ode system 44

Titanium healing cap screws (2 piece pack) Ref. Description 7170015

Healing cap screw h.1.5 mm

ST - P-ST

7170030

Healing cap screw h.3.0 mm

ST - P-ST

7170045

Healing cap screw h.4.5 mm

ST - P-ST

7170070

Healing cap screw h.7.0 mm

ST - P-ST

7091715

Healing cap screw h.1.5 mm

NST - P-NST

7091730

Healing cap screw h.3.0 mm

NST - P-NST

7091745

Healing cap screw h.4.5 mm

NST - P-NST

7091770

Healing cap screw h.7.0 mm

NST - P-NST

7071715

Healing cap screw h.1.5 mm

7071730

Healing cap screw h.3.0 mm

7071745

Healing cap screw h.4.5 mm

7071770

Healing cap screw h.7.0 mm

Use guidelines: They are used after implant uncovering in order to obtain an optimal emergence profile.

Imprint transfer Pull-off technique

Ref. Description 7610050

TShort transfer h.7 mm ST - P-ST *

7610000

Standard Transfer h.9 mm

ST - P-ST *

7096100

Standard Transfer h.9 mm

NST - P-NST *

7076100

Standard Transfer h.9 mm TM * * Complete with locking passing screw

Pick-up technique Ref. Description 7610200

Pick-Up transfer h.13 mm

ST - P-ST *

7096120

Pick-Up transfer h.13 mm

NST - P-NST*

7076120

Pick-Up transfer h.13 mm

TM*

* you may choose between an h.0 or 3 mm locking passing screw

Use guidelines: They enable correct imprint taking. The Multysystem速 method envisages two types of transfer: a Standard one for the conventional technique and one for the Pick-up technique.

Prosthetic abutments with colur code system 46

Anti-rotation pre-angled abutments with titanium chamfer Ref. Description 7621115

Pre-angled abutment 10° c.1.5 mm ST - P-ST *

7621130

Pre-angled abutment 10° c.3.0 mm ST - P-ST *

7622115

Pre-angled abutment 20° c.1.5 mm ST - P-ST *

7622130

Pre-angled abutment 20° c.3.0 mm ST - P-ST *

7623115

Pre-angled abutment 30° c.1.5 mm ST - P-ST *

7623130

Pre-angled abutment 30° c.3.0 mm ST - P-ST *

7096611

Pre-angled abutment 10° c.1.5 mm NST - P-NST *

7096613

Pre-angled abutment 10° c.3.0 mm NST - P-NST *

7096621

Pre-angled abutment 20° c.1.5 mm NST - P-NST *

7096623

Pre-angled abutment 20° c.3.0 mm NST - P-NST *

7096631

Pre-angled abutment 30° c.1.5 mm NST - P-NST *

7096633

Pre-angled abutment 30° c.3.0 mm NST - P-NST *

7076611

Pre-angled abutment 10° c.1.5 mm TM *

7076613

Pre-angled abutment 10° c.3.0 mm TM *

7076621

Moncone Preangolato 20° c.1,5 mm TM *

7076623

Pre-angled abutment 20° c.3.0 mm TM *

7076631

Pre-angled abutment 30° c.1.5 mm TM *

7076633

Pre-angled abutment 30° c.3.0 mm TM * * Complete with locking passing screw

Universal straight titanium adjustable abutment Ref. Description 7624580

Universal straight adjustable abutment From Ø 4,5 a 8,0 mm* * Complete with locking passing screw

Features eand use guidelines: Pre-angled abutments should be used in cases of divergent implants.. Adjustable abutments are indicated for cases of disparallelism which cannot be risolvibiliresolved with standard abutments. N.B. For lab test procedures it is advisable to have spare passing screws available.

Anti-rotation straight abutments with titanium chamfer

Ref. Description 7626115 Millimetre marked straight abutment h.6 c.1,5 mm ST - P-ST * 7626130 Millimetre marked straight abutment h.6 c.3,0 mm ST - P-ST * 7096615

Millimetre marked straight abutment h.6 c.1,5 mm NST - P-NST *

7096630

Millimetre marked straight abutment h.6 c.3,0 mm NST - P-NST *

7076615

Millimetre marked straight abutment h.6 c.1,5 mm TM *

7076630

Millimetre marked straight abutment h.6 c.3,0 mm TM *

* Complete with locking passing screw

Featuresand use guidelines: The upper part of the abutment has three 1 mm reference notches in order to simplify possible abutment drilling. There are two lateral grooves which prevent the rotation of the prosthesis after cementation.

Straight abutments with titanium chamfer for direct screw-on Ref. Description 7620115

Straight abutment c.1.5 mm ST - P-ST

7620130 Straight abutment c.3.0 mm ST - P-ST

7096601

Straight abutment c.1.5 mm NST - P-NST

7096603

Straight abutment c.3,0 mm NST - P-NST

7076601

Straight abutment c.1,5 mm TM

7076603

Straight abutment c.3,0 mm TM

Features and use guidelines: The straight abutment has no anti-rotation hex and is screwed directly to the implant. Its use is advised as an intermediate abutment when disparallelism is absent or as a temporary abutment.

Titanium anti-rotation straight abutments Ref. Description 7620090

Straight abutment h.15 mm ST - P-ST *

7096609

Straight abutment h.15 mm NST - P-NST *

7076609

Straight abutment h.15 mm TM *

Titanium rotating straight abutments Ref. Description 7629015

Straight abutment h.15 mm ST - P-ST *

7096915

Straight abutment h.15 mm NST - P-NST *

7076915

Straight abutment h.15 mm TM *

Castable anti-rotation straight abutments Ref. Description 7631160

Straight abutment h.15 mm ST - P-ST *

7096316

Straight abutment h.15 mm NST - P-NST *

7076316

Straight abutment h.15 mm TM *

Castable rotating straight abutments Ref. Description 7631115

Straight abutment h.15 mm ST - P-ST *

7096315

Straight abutment h.15 mm NST - P-NST *

7076315

Straight abutment h.15 mm TM * * Complete with locking passing screw

Features and use guidelines: 15 mm straight abutments are available in titanium or castable with hex and as a rotating type. The latter solution is indicated for several disparallelism implants, when creating a metal mesostructure.

N.B. For lab test procedures it is advisable to have spare passing screws available.

Castable anti-rotation abutments

Ref. Description 7631100

Castable abutment

ST - P-ST *

7096313

Castable abutment

NST - P-NST *

7076313

Castable abutment

TM *

* Complete with locking passing screw

Castable anti-rotation abutments with chamfer Ref. Description 7631110

Castable abutment with Chamfe

ST - P-ST *

7096311

Castable abutment with Chamfe

NST - P-NST *

7076311

Castable abutment with Chamfe

TM *

* Complete with locking passing screw Features and use guidelines: Castable abutments may be modified at will by prior waxing and moulding in gold or other alloys.

Universal anti-rotation castable abutments Ref. Description 7631120

Universal castable abutment

ST - P-ST *

7096312

Universal castable abutment

NST - P-NST *

7076312

Universal castable abutment

TM*

* Complete with locking passing screw

Features and use guidelines: Universal castable abutments have a double function: - they can be changed from 0 째 to 30 째 after drilling and fused as other castable abutments - They can be used as temporary abutments and, thanks to the ease of drilling, they enable preparation in the desired form directly in the studio. we recommend the use of bulb drills for a straight cut. N.B. For lab test procedures it is advisable to have spare passing screws available.

Ucla anti-rotation castable abutments with gold alloy base Ref. Description 7621070

Ucla castable abutment

ST - P-ST *

7096670

Ucla castable abutment

NST - P-NST *

7076670

Ucla castable abutmenta TM *

* Complete with locking passing screw Features and use guidelines: Ucla abutments should be used with the cast-to technique which allows maximum precision without having to change the size of the gold alloy base, also ensuring a precise coupling with the implants.

Anti-rotation castable abutments (2 piece pack) Ref. Description 7631000

Castable abutment

ST - P-ST

7096310

Castable abutment

NST - P-NST

7076310

Castable abutment

Features and use guidelines: Castable abutments may be modified at will by prior waxing and moulding in gold or other alloys.

Titanium bases for zirconia abutments Ref. Description 7621080

Base for Zirconia abutment

ST - P-ST *

7096680

Base for Zirconia abutment

NST - P-NST *

7076680

Base for Zirconia abutment

TM *

* Complete with locking passing screw Features and use guidelines: Titanium bases for zirconia abutments help the preparation of customised abutments with a high aesthetic value. N.B. For lab test procedures it is advisable to have spare passing screws available.

Titanium aesthetic abutments for screw-on prosthesis

Ref. Description 7642001 Abutment for screw-on prosthesis c.1 mm ST - P-ST * 7642002 Abutment for screw-on prosthesis c.2 mm ST - P-ST * 7096421

Abutment for screw-on prosthesis c.1 mm NST - P-NST *

7096422

Abutment for screw-on prosthesis c.2 mm NST - P-NST *

7076421 7076422

Abutment for screw-on prosthesis c.1 mm TM * Abutment for screw-on prosthesis c.2 mm TM * * Complete with fixed crown screw

Castable cylinder for aesthetic abutments for screw-on prosthesis Ref. Description 7641097 Anti-rotation castable cylinder for abutments for screw-on prosthesis 7641096 Rotating castable cylinder for abutments for screw-on prosthesis

Features and use guidelines: The aesthetic abutments for screw-on prosthesis are fitted with screw-threaded heads to enable removing the prosthesis and should be coupled with anti-rotation or rotating castable cylinders according to operational needs

Castable abutments for overdenture bar with titanium base Ref. Description 7641015 Bar abutment c.1,5 mm 7641030 Bar abutment c.3,0 mm

ST - P-ST *

7096671

Bar abutment c.1,5 mm

NST - P-NST *

7096673

Bar abutment c.3,0 mm

NST - P-NST *

7076671 7076673

Bar abutment c.1,5 mm

TM*

Bar abutment c.3,0 mm

TM*

ST - P-ST *

* Complete with locking passing screw

Features and use guidelines: The castable part of bar abutments rotates in order tomultiple parallelisms. The pre-formed titanium base ensures a high precision implant coupling. N.B. For lab test procedures it is advisable to have spare passing screws available.

Overdenture anti-rotation titanium ball abutments 52

Ref. Description 7640001

Ball abutment c.4.0 mm

ST - P-ST *

7640002

Ball abutment c.4.0 mm

ST - P-ST *

7640003

Ball abutment c.4.0 mm

ST - P-ST *

7640004

Ball abutment c.4.0 mm

ST - P-ST *

7096641

Ball abutment c.1.0 mm

NST - P-NST *

7096642

Ball abutment c.2.0 mm

NST - P-NST *

7096643

Ball abutment c.3.0 mm

NST - P-NST *

7096644

Ball abutment c.4.0 mm

NST - P-NST *

7076641

Ball abutment c.1.0 mm

TM *

7076642

Ball abutment c.2.0 mm

TM *

7076643

Ball abutment c.3.0 mm

TM *

7076644

Ball abutment c.4.0 mm

TM *

* Complete with container and micro white retentive cap Features and use guidelines: Ball abutments are indicated for total edentulous cases and represent an effective solution for stabilising removable dentures.

oT equator titanium low profile abutments for overdenture OT Equator abutment kit complete with: 1 OT Equator abutment 1 Container for caps 4 Assorted retentive caps 1 Protection ring Ref. Description 7643001

OT Equator abutment kitc.1,0 mm ST - P-ST

7643002

OT Equator abutment kit c.2,0 mm ST - P-ST

7093641

OT Equator abutment kit c.1,0 mm NST - P-NST

7093642

OT Equator abutment kit c.2,0 mm NST - P-NST

7073641

OT Equator abutment kit c.1,0 mm TM

7073642

OT Equator abutment kit c.2,0 mm TM (Manufactured by Rhein â&#x20AC;&#x2DC;83 Srl)

7610113

Connectors for OT Equator abutment

Features and use guidelines: The OT Equator low profile coupling enables correcting disparallelism between implants up to 25Â°, without altering the operation of the retentive caps.

Lab instruments Lab analogues

53 Ref. Description 7615000

Analogue ST - P-ST

7096150

Analogue NST - P-NST

7076150

Analogue TM

Use guidelines: Analogues must be coupled to the transfers in order to develop the plaster model.

Abutment set for lab testing Ref. Description 7650000

Lab testing kit

Use guidelines: The test abutments in the kit are used to verify the angle, the crown and transmucosal neck height for choosing the final prosthetic abutments.

Prosthetic accessories Ref. Description 7610300

waxing screws (3 piece pack)

Use guidelines: They should be used to screw thâ&#x201A;Ź 15 mm cylindrical straight abutments or the extra-long castable cylinders.

Ref. Description 7615030 Reamer for castable abutments

Use guidelines: Used to ream the inner hole of castable abutments after casting.

Prosthetic spare parts for biphasic implants (2 piece pack)

Ref. Description 7641099

Spare castable cylinders for Bar abutments

7641098

Spare castable cylinders for Ucla abutments

Spare passing screws (3 piece pack) Ref. Description 7610011

Short transfer screw

7610010

Standard transfer screw

7610230

Pick-up transfer screw h.0 mm

7610260

Pick-up transfer screw h.3.0 mm

7609999

Anti-rotation abutment screw

7609964

Bar abutment screw c.1.5 mm

7609965

Bar abutment screw c.3,0 mm

7609920

Crown fixed screw for Aesthetic abutments for Screw-on Prosthesis

Transmucosal mono-phasic MFS - MFD immediate load implants

Immediate load transmucosal mono-phasic implants 56

Use specifications The MFS â&#x20AC;&#x201C; MFD immediate load monophasic transmucosal implants represent an effective solution for stabilising mobile and fixed prosthesis, even in the presence of atrophic mandibular ridges.

Creating the implant site After a thorough evaluation of the morphology and bone consistency, in order to assess whether to take action with or without elevation of the flap (transmucosal surgical approach), proceed to creating the bone site as reported on page 12. Important Once the implant placement procedure has been carried out, make sure that there are no micro movements and that primary stability has been achieved. Incorrect diagnosis assessment and inaccurate planning can cause the loss of the implant.

Summary of the surgical steps for mini transmucosal immediate load MFS â&#x20AC;&#x201C; MFD implants

1. Incision of the mucosa

2. Creation of the insertion point with the centring drill

3. Calibration of the final diameter of the implant site with the trimming drill

4.Verifying the inclination with the inclination marker

5.Placing the fixture in the bone site with the mount transfer

6. Screwing the fixture with the ratchet complete with the specific extension for mini implants

N.B. Multysystem also provides the specific mechanical instrumentation for inserting mini-implants

Summary of the surgical steps for mini transmucosal immediate load MFS â&#x20AC;&#x201C;MDF implants

1.Incision of the mucosa

2. Creation of the insertion point with the centring drill

3. Perforation of the cortical bone with the cortical drill

4. Determination of the fixture orientation and the drilling depth with the millimetre marked pilot drill

5. Inclination inspection with the inclination marker

6. Calibration of the final diameter of the implant site with the trimming drill

7. Tapping the bone site with the manual millimetre marked bone tap inserted in the ratchet

8.Placing the fixture in the bone site with the mount transfer

9. Screwing the fixture with the ratchet complete with the specific extension for mini implants

P.S. Multysystem also provides specific mechanical instrumentation for implant insertion.

Summary of the drill sequence for monophasic implants

1 Table: Drill sequence for mini MFS-MFD implants Ø 1,8 mm

Ø 2,0 mm

Centring

Trimming drill

N.B. The calibrated trimming drills for mini MFS-MFD implants should be chosen according to the length of the implant.

2 Table: Drill sequence for MFS-MFD implants

Ø 1,8 mm

Ø 2,3 mm

Ø 2,55 mm

Ø 2,85 mm

Centring

Cortical drill

Pilot

Trimming drill

Prosthetic procedures Taking the impression is carried out by conventional technique, using the specific transfers designed to simplify operating procedures. The transfers are coupled to the analogues in the laboratory and then the plaster model is developed. Once the plaster model has been created, the prosthetic artefact is prepared.

Placing the mobile prosthesis Check the oral cavity to make sure that the 4.5 mm diameter drain holes in the prosthesis match the implants and ensure there are no pre-contacts. Apply the protection disks to the base of the balls to prevent the relining cold resin from infiltrating in the undercuts. In cases of disparallelism use the directional rings before positioning the retentive cap (which will be incorporated in the prosthesis) over the ball. Fill the appropriate drain holes in the denture with cold resin and wait until it hardens with the prosthesis positioned in the oral cavity. Proceed with the finish and polishing and check occlusion. Where a pre-existing denture is used, only prepare 4.5 mm diameter drain holes on the lower surface of the prosthesis and proceed as already described

1. Placing the transfers

2. Placing the protection disks

3.Posizionamento delle cappette ritentive

4. Retentive caps inserted into the prosthesis

N.B. our application guidelines are based on personal experience and experiments and are intended as general information and guidance only.

Mini transmucosal and self-tapping MFS (ball fixed abutment) implant for overdenture

Micro Ball Ref. Diameter Length 7062509

2,5 mm

09 mm

7062516

2,5 mm

11 mm

7062518

2,5 mm

13 mm

7062520

2,5 mm

15 mm

7062521

2,5 mm

17 mm

Ref. Diameter Length 7063009

3,0 mm

09 mm

7063011

3,0 mm

11 mm

7063013

3,0 mm

13 mm

7063015

3,0 mm

15 mm

7063017

3,0 mm

17 mm

Features: tapered profile, in the apical part there are longitudinal drillings: two in the mini 2.5 mm diameter implants and three in the 3.0 mm diameter ones, which allow self-tapping and also aid the anti-rotation function. The 1.0 mm thread-pitch allows immediate primary stability. The conformation of the 1.8 mm diameter micro ball abutment and the relative retentive cap represent an effective solution even in reduced prosthetic space cases. The Mini MFS implant is indicated in the presence of bone quality D1 and D2 in cases of immediate lower mobile denture stabilising, even in the presence of atrophic mandibular ridges.

Transmucosal and self-tapping MFS (ball fixed abutment) implant for ovendeture

Micro Ball Ref. Diameter Length 7083509

3,5 mm

09 mm

7083511

3,5 mm

11 mm

7083513

3,5 mm

13 mm

7083515

3,5 mm

15 mm

7083517

3,5 mm

17 mm

Ref. Diameter Length 7084009

4,0 mm

09 mm

7084011

4,0 mm

11 mm

7084013

4,0 mm

13 mm

7084015

4,0 mm

15 mm

7084017

4,0 mm

17 mm

Features: tapered profile, in the apical-coronal direction there are two longitudinal drillings for improved vascular tropism. The increased width of the thread and the 2.0 mm pitch favour immediate primary stability in extension. The conformation of the 1.8 mm diameter micro ball abutment and the relative retentive cap represent an effective solution able to provide high prosthetic stability. The MFS implant is indicated in the presence of bone quality D3 and D4 in cases of immediate lower mobile denture stabilising.

Mini transmucosal and self-tapping MFD (straight fixed abutment) implant

Ref. Diameter Length 7082509

2,5 mm

09 mm

7082511

2,5 mm

11 mm

7082513

2,5 mm

13 mm

7082515

2,5 mm

15 mm

7082517

2,5 mm

17 mm

Ref. Diameter Length 7083009

3,0 mm

09 mm

7083011

3,0 mm

11 mm

7083013

3,0 mm

13 mm

7083015

3,0 mm

15 mm

7083017

3,0 mm

17 mm

Features: tapered profile, in the apical part there are longitudinal drillings: two in the mini 2.5 mm diameter implants and three in the 3.0 mm diameter ones, which allow self-tapping and also aid the anti-rotation function. The 1.0 mm thread-pitch allows immediate primary stability. The conformation of the abutment, a straight pre-formed platform 2.0 mm wide and 5.0 mm high, represents an effective solution even in reduced prosthetic space cases. The Mini MFD implants are indicated in the presence of bone quality D1 and D2 in areas of low stress of the incisive region, for the immediate application of temporary fixed implants, for bar prosthesis and as bi-cortical implants.

Transmucosal and self-tapping MFD (straight fixed abutment) implant

Ref. Diameter Length 7063518

3,5 mm

09 mm

7063520

3,5 mm

11 mm

7063522

3,5 mm

13 mm

7063524

3,5 mm

15 mm

7063526

3,5 mm

17 mm

Ref. Diameter Length 7064018

4,0 mm

09 mm

7064020

4,0 mm

11 mm

7064022

4,0 mm

13 mm

7064024

4,0 mm

15 mm

7064026

4,0 mm

17 mm

Ref. Diameter Length 7065018

5,0 mm

09 mm

7065020

5,0 mm

11 mm

7065022

5,0 mm

13 mm

7065024

5,0 mm

15 mm

7065026

5,0 mm

17 mm

Features: tapered profile, in the apical-coronal direction there are two longitudinal drillings for improved vascular tropism. The increased width of the thread and the 2.0 mm pitch favour immediate primary stability in extension. The conformation of the abutment, a straight preformed platform 2.0 mm wide and 5.0 mm high, represents an effective solution for single and multiple rehabilitation procedures. The MFD implant is indicated in the presence of bone quality D3 and D4 in cases of fixed or bar prosthesis.

Surgical instruments 64

Pilot drills

Ref. Description 7410125

Short centring drill Ø 1,8 mm L.5,0 mm

7410120

Longcentring drill Ø 1,8 mm L.10,0 mm

Use guidelines: Suitable for creating the insertion point of the implant site.

Ref. Description 7410135

Short cortical drill Ø 2,3 mm L.5,5 mm

7410130

Longcortical drill Ø 2,3 mm L.11,0 mm

Use guidelines: Suitable for drilling through the cortical bone.

Millimetre marked drills

65 Ref. Description 7097491

Short millimetre marked first drill L.36.5 mm Ø 2,55 mm L.17 mm per Impianti MFS – MFD

7097401

Long millimetre marked first drill L.40.5 mm Ø 2.55 mm L.17 mm per Impianti MFS – MFD

7097497

Short millimetre marked trimming drill L.36.5 mm Ø 2,85 mm L.17 mm per Impianti MFS – MFD

7097417

Long millimetre marked trimming drill L.40.5 mm Ø 2,85 mm L.17 mm per Impianti MFS – MFD

Use guidelines: The reference marks on the millimetre marked drills are indicative, it is therefore necessary to apply the appropriate stops in order to determine the correct drilling depth.

Depth stop set

Ref. Description 7105101 Depth stop set L.9–11–13–15 mm For monophasic implants

Use guidelines: Depth stops may be applied on millimetre marked drills in order to determine the maximum drilling depth

Calibrated trimming drills with stops for mini implants Ref. Description 7062409

Calibrated trimming drill Ø 2,0 mm L.9 mm for mini MFS – MFD implants

70624111

Calibrated trimming drill Ø 2,0 mm L.11 mm for mini MFS – MFD implants

7062413

Calibrated trimming drill Ø 2,0 mm L.13 mm for mini MFS – MFD implants

7062415

Calibrated trimming drill Ø 2,0 mm L.15 mm for mini MFS – MFD implants

7062416

Calibrated trimming drill Ø 2,0 mm L.17 mm for mini MFS – MFD implants

Use guidelines: The stop on the drills indicates the established drilling depth.

Tissue punches Ref. Description 7067111 Mechanical round tissue punch Ø 3,4 mm for mini MFS – MFD implants 7410110

Mechanical round tissue punch Ø 4,2 mm for MFS – MFD implants

Ref. Description 7067116 Mechanical round tissue punchle Ø 3,4 mm for mini MFS – MFD implants 7410116

Mechanical round tissue punch Ø 4,2 mm for MFS – MFD implants

Use guidelines: Suitable for transmucosal surgical approach technique.

Bone taps with 2.0 mm thread-pitch

67 Ref. Description 7062317

Millimetre marked bone tap Ø 3,5 mm L.17 mm for MFS – MFD Implants

7062417

Millimetre marked bone tap Ø 4,0 mm L.17 mm for MFS – MFD Implants

7062517

Millimetre marked bone tap Ø 5,0 mm L.17 mm for MFD implants

Use guidelines: The markings on the bone taps indicate the tapping depth

Direction guide Ref. Description 7063117

Direction guide Double gauge Ø 2.00 – 2.55 mm for Mini monophasic implants

Use guidelines: Used to verify the correct alignment of the implants during the preparation of the implant site

Universal extensions Ref. Description 7102000

Short universal extension L.11.5 mm

7102010

Long universal extension L.15.0 mm

7062000

Extension for Mini implants L.15.0 mm

7103048

Universal Mechanical extension

7062048 Mechanical extension for Mini implants

Use guidelines: They connect to the torque ratchet and the contra-angle in order to position fixed abutment implants.

Drivers (Dynamometric wrenches on pages 34-35) Ref. Descrizione 7103035

Universal Mount transfer

7103000 Ratchet

7103040

Angled driver

7103045

Straight driver

Use guidelines: They connect to the extensions and bone taps and are used to position fixed abutment implants.

Surgical accessories Ref. Description 7064000 Enhancement protractor for monophasic implants (2 piece pack)

Use guidelines: It is used superimposed to the panoramic radiograph during pre-surgical design

Ref. Description 7103994

Specific box for MF (dimensions 21x10x5 cm)

Surgical kits for monophasic implants The Multysystem® implantology kits provide the operator with the equipment required for a correct surgical procedure. The sets consisting of common surgical instruments should be integrated with specific kits based on the type of implant chosen

Basic surgical instrument kit Ref. Description 7060011 Short universal extension Long universal extension Extension for mini implants Universal mount transfer Ratchet Enhancement protractor

Specific kit for mini MFS - MFD implants Ref. Description 7060012

Centring drill Calibrated trimming drill L.09 mm Calibrated trimming drill L.11 mm Calibrated trimming drill L.13 mm Calibrated trimming drill L.15 mm Calibrated trimming drill L.17 mm Specific box

Specific kit for MFS – MFD implants Ref. Description 7060013

Centring drill Pilot drill Millimetre marked cortical drill L.17 Millimetre marked trimming drill L.17 Millimetre marked bone tap Ø 3.5 mm Millimetre marked bone tap Ø 4.0 mm Millimetre marked bone tap Ø 5.0 mm Specific boxo

N.B. It is possible to have the kits tailored to your needs.

MFS prosthetic components 70

Transfers for imprint taking and Healing Caps (3 piece pack)

Ref. Description 7061010

Teflon transfer for Mini Ball MFS implants

7061012

Teflon transfer for Ball MFS implants

Features And use guidelines: The Mini MFS and MFS implant transfers have a double use: - they enable taking the imprint - they work as healing caps.

Lab analogues

Ref. Description 7061505

Analogue for Mini Ball MFS implants

Ref. Description 7061515

Analogue for Ball MFS implants

Use guidelines: Analogues must be coupled to the transfers in order to develop the plaster model.

MFD prosthetic components Transfers for imprint taking, healing caps and castable caps (3 piece pack) Ref. Description 7061000

Castable transfers for Mini Straight MFD implants

7061011

Castable transfers for Straight MFD implants

Features And use guidelines: The Mini MFD and MFD implant transfers have a triple use: - they enable taking the imprint - they work as healing caps. - they may be used as castable caps with prior waxing or lost wax casting.

Titanium Caps (2 piece pack) Ref. Description 7061020

Straight cap for Mini MFD implants

7061021

Straight cap for MFD implants

7061030

Pre-formed cap from 0° to 30° for Mini MFD implants

7061031

Pre-formed cap from 0° to 30° for MFD implants

Features And use guidelines: Titanium caps from 0° to 30° may be drilled and are suitable for disparallelism cases.

Lab analogues

Ref. Description 7061500

Analogue for Mini Straight MFD implants

7061510

Analogue for Straight MFD implants

Use guidelines: Analogues must be coupled to the transfers in order to develop the plaster model.

Prosthetic spare parts and accessories (manufactured by Rhein’83 srl) 72

OT cap spare parts Ref. Description 7640096

Micro Pink retentive caps Soft retention for ball Ø 1,8 mm

7640091

Micro white retentive caps Standard retention for ball Ø 1,8 mm

7640100

Micro Green retentive caps Elastic retention for ball Ø 1,8 mm

7640098

Micro Turquoise Green retentive caps Strong retention for under-dimensioned micro balls Ø 1.6 mm (6 piece pack)

Ref. Description 7640090

Containers for Micro caps Ø 1,8 mm (2 piece pack)

OT Equator Spare parts Ref. Descrizione 7640191

Standard white retentive caps (4 piece pack)

7640190

Container for caps (2 piece pack)

Reconstructive concave spheres Ref. Description 7641087

Reconstructive concave sphere kit Ø 1.8 Complete with: • 2 titanium concave spheres • 2 pink caps (soft retention) • 1 transparent insertion tool • 1 gauge and strip holder

Prosthetic accessories (manufactured by Rhein ‘83 srl) 73

Ref. Description 7640093

0°

Micro castable balls (4 piece pack)

7° 14°

7642099 Disposable directional rings Inclination 0°-7°-14° (Confezioni da 3 pezzi assortiti)

7640099

Protection ring (10 piece pack)

7640092

Cap insertion tool

7640094

Micro parallelometer

How to use the Multysystem® Surgical Kit for maxillary sinus floor elevation The Multysystem® surgical technique in order to achieve elevation of the maxillary sinus floor is characterised by the simplicity of execution and minimal trauma for the patient. To make the operation simple and safe, a specific kit has been designed for implementing a rational surgical procedure. The drills included are characterised by a flat atraumatic head (non-operational), which do not affect the membrane during the opening phase of the sinus floor thanks to their conformation. The series of depth stops supplied ranges from 4 to 10 mm and should be applied to the drills in order to accurately determine the depth of the required drilling , preventing piercing the sinus cavity. It is implicit that a thorough preliminary case study with the help of a horizontal CT scan must be carried out prior to surgery. For proper surgical procedure we recommend following the guidelines described below: • After identifying the sinus area to be elevated, proceed to detaching a minimal mucoperiosteal flap, then use the 3 mm size lance pilot drill so as to create the point of insertion. • Then use the First drill (drill 1) with a diameter of 2.55 mm, applying the chosen Depth Stop which is necessary in order to prevent sudden breakthroughs of the sinus, taking extreme care that the residual crest bone is in no case lower than the cutting depth. For inserting Multysystem® ST, P-ST or NST implants • Proceed with the 2.95 mm Trimming Drill (Drill 2 ST), applying the same Depth Stop used previously, in order to ream the neo-alveolus and open the sinus floor. • Complete the procedure using a 2.95 mm osteotome (Osteotome 1 ST), still applying the Depth Stop mentioned above, and the surgical mallet in order to compact the remaining bone in the alveolus and verify completion of the bone fracture. For inserting Multysystem® P-NST or TM implants • Proceed with the 2.95 mm Trimming Drill (Drill 2 ST), applying the same Depth Stop used previously, in order to ream the neo-alveolus and open the sinus floor. • Proceed with the 3.55 mm Trimming Drill (Drill 3 TM), applying the same Depth Stop used previously, in order to complete the correction of the neo-alveolus and the opening of the sinus floor. • Complete the procedure using a 3.55 mm osteotome (Osteotome 2 TM), still applying the Depth Stop mentioned above, and the surgical mallet in order to compact the remaining bone in the alveolus and verify completion of the bone fracture. At the end of the procedures described above proceed with inserting the chosen implant.

Surgical steps

Pilot drill

First drill

Trimming drill

osteotome

Implant

Surgical kit for maxillary sinus floor elevation

Ref. Description 7105099

Complete surgical kit for low invasiveness maxillary sinus elevation

The complete surgical kit includes: Ref. Description 7450130

Pilot drill

7410050

7410050\tab Ø 2.55 mm First drill for biphasic implants

7470151

Ø 2.95 mm Trimming drill for tapered ST - P-ST - NST implants and Intermediate drill for tapered P-NST – TM implants

7470152

Ø 3.55 mm Trimming drill for tapered P-NST – TM implants

7105120

R.S. depth stops kit L.4 - 5 - 6 - 7 - 8 - 9 - 10 mm

7105002

Ø 2.95 mm Angled osteotome for tapered ST - P-ST – NST implants

7105003

Ø 3,55 mm Angled for tapered PNST – TM implants

7103090

Surgical mallet

7105000

Surgical box

Use guidelines: The technique involves the use of drills increasing in diameter to which it is necessary to apply stops in order to determine the chosen drilling depth without affecting the sinus membrane. once the drilling phases have been carried out, proceed to finishing the implant site with the help of the oste otome to which you can apply the same depth stops, as shown on page.

Warnings 76

Explanation of symbols used pursuant to UNI CEI EN ISo 15223-1 : 2012

LOT

Sterilised by ionizing radiation

Best before year/Month

Do not re-sterilise

Not sterile

Do not re-use

Beware

Multipack

Do not use if packaging is broken

Lot number Carefully follow the instructions

REF

Catalogue reference number Manufacturer

Product marking and reference to the certifying body Cermet

Sales Terms and Conditions Orders In order to avoid mistakes when ordering, please quote the code number of the article you want. Shipments The goods will be sent by courier or fast mail, with delivery costs charged to the recipient in the invoice. Upon receipt of the goods, please check that the packaging is not damaged. In case of malfunction or objections, please notify us within 8 days of receipt. Returns Any returns must first be authorised by Multysystem Srl. Goods returned without the original packaging, or incomplete or deteriorated are not replaceable. Prices All prices listed in this catalogue do not include VAT and are subject to change without notice.

N.B. This catalogue supersedes and cancels any previous catalogue Review 13 Date of last revision: January 2016 速 Copyright Multysystem 2016

MULTY

SYSTEM dental implant Multysystem Unipersonale s.r.l. 20851 Lissone (MB) Italy - Via General Guidoni, 7 Phone +39-039-2302681 - Fax +39-039-2302686 http://www.multysystem.com e-mail: multysystem@multysystem.com