Multysystem catalogue 2017 eng by Netweek

General Catalog

2017

Index 1

Introduction

Features

Bibliography

Packaging

Biphasic implants 6

Handbook

Biphasic Implants – Classic Connection

Prosthetic lines – Classic Connection

Biphasic implants - Tapered Connection

Prosthetic lines – Tapered Connection

Monophasic implants 49

One stage implants

Handbook

Monophasic Implants

Prosthetic lines – Monophasic Implants

Surgical and prosthetic instruments 65

Surgical instruments

Surgical accessories

Prosthetic spare parts and accessories

Osteo-regeneration 78

Sinus lift surgical set

SKIN-HYXA® Beta-tricalcium phosphate granules

Warnings

Multysystem Company 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 implant technologies in collaboration with universities, medical specialists, dentists and dental technicians. The company’s production processes are optimized and aligned to quality standards set by ISO 9001: 2008 and ISO 13485:2003. The synergies between research, clinical application and the extensive know-how in biomechanical field also ensure high quality implant products, in compliance with European Regulations set out by Directive 93/42 EEC concerning medical devices.

Multysystem® Implant prosthetic system The intense commitment has enabled us to develop the Multysystem® implant retained prosthetic method, which stands out with following features: - High quality of production processes - High quality of raw materials, treatment and sterilisation - Ease of use - Surgical instruments and prosthetic optimization - Wide range of implants - Completeness prosthetic solutions Multysystem’s products goal is to offer various alternatives to different clinical and operating situations which the operator is faced with when designing a correct prosthetic rehabilitation plan. 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 morphological and structural features which allow interventions to every dental arch quadrants. High-Frequency Roughness (HFR) innovative treatment of surface on all the Multysystem® implants provides a surface topography that positively affects biological response and amplifies platelet response, accelerating bone healing processes and osseous integration, consequently allows anticipating the functional load.

Certifications Reg. Numero

7264- A

Reg. Numero

7264- M

Data di rilascio

2008-08-27

Data di ultima modifica

2016-01-13

Data di rilascio

2008-08-27

Data di prossimo rinnovo

2017-08-26

Settore

EA: 17

Data di prossimo rinnovo

2017-08-26

Via Cadriano, 23

2016-01-13

Certificato del Sistema di Gestione per la qualità

ISO 9001:2008

ISO 13485:2003

Si dichiara che il sistema di gestione per la Qualitá dell’Organizzazione:

MULTYSYSTEM S.r.l.

è conforme alla norma UNI EN ISO 9001:2008 per i seguenti prodotti/servizi:

è conforme alla norma UNI CEI EN ISO 13485:2012 per i seguenti prodotti/servizi:

Progettazione, gestione della produzione di prodotti per implantologia dentale, frese, maschiatori e relativo strumentario chirurgico e protesico

Chief Operating Officer Giampiero Belcredi

Il mantenimento della certificazione è soggetto a sorveglianza annuale e subordinato al rispetto dei requisiti contrattuali Kiwa Cermet Italia.

Riferirsi al manuale qualità per i dettagli delle esclusioni ai requisiti della norma UNI CEI EN ISO 13485:2012 Il presente certificato è costituito da 1 pagina.

Il presente certificato è costituito da 1 pagina.

Kiwa Cermet Italia S.p.A. Società con socio unico, soggetta all’attività di direzione e coordinamento di Kiwa Italia Holding Srl

Data di ultima modifica

MULTYSYSTEM S.r.l. Via Generale Guidoni, 7 20851 Monza MB Italia - Largo Esterle, 4 20900 Monza ( MB ) Italia (Sede Legale)

Kiwa Cermet Italia S.p.A. Società con socio unico, soggetta all’attività di direzione e coordinamento di Kiwa Italia Holding Srl Via Cadriano, 23

40057 Granarolo dell’Emilia (BO)

Tel +39.051.459.3.111

Fax +39.051.763.382

E-mail: info@kiwacermet.it

www.kiwacermet.it

MULTYSYSTEM S.r.l. Via Generale Guidoni, 7 20851 Monza MB Italia - Largo Esterle, 4 20900 Monza ( MB ) Italia (Sede Legale)

Features 2

Surface treatment with High-Frequency Roughness (HFR) Innovative osteo-conductive treatment surface with High Frequency roughness (HFR), submitted to all Multysystem® Implants, 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.

Electron microscope analysis (SEM) 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

In SEM images, HFR surface treatment creates a characteristic homogeneous roughness which further increases the bone-implant contact surface supporting osteo-integration process.

Bibliography 3 • 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 analysis

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

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

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

Packaging 4 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 sterilisating surgical instruments In order to clean instruments properly, first of all it is important to lower the bacterial load by dipping instruments in decontaminant liquid, carefully following the dilution and dipping times reported on the Data Sheet of the product used. Completed 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.

Packaging Opening

The MultysystemÂŽ implants are individually packed 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 product identification and traceability). - 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 i plants, the container also acts as a surgical screw cap holder.

Before using, check packaging integrity. If 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 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.

Handbook 6

Multysystem biphasic dental implants guide Fixture site

It’s 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 prupose, the control unit of 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. In order to increase results predictability successful rate is essential DI FreSa PAssAGGI a proper assesment of bone density. Multysystem ossEA implants range allow deal with any bonedenSità cases.

Gli Impianti

BONE DENSITY INDEXe according to the traditional Zarb-Lekholm*classification: Densità ossea passaggi di fresa per il posizionamento dell’impianto

• Type I: compact and homogenous bone INDICE DI DENSITÀ OSSEA secondo la classificazione tradizionale di Zarb-Lekholm: • Type II: A thick layer of compact bone plays the part of dense trabecular bone Tipo I: Osso compatto e omogeneo • Type III: A thin layer of compact bone plays the part of dense trabecular bone Tipo II: Uno strato spesso di osso compatto riveste la parte di osso trabecolare denso • Type IV: A thin layer, or near absence, of compact bone plays the part of Tipo III: Uno strato sottile di osso compatto riveste la parte di osso trabecolare denso • theTipo trabecular bone of poor density IV: Uno strato sottile, o quasi assente, di osso compatto riveste la parte di osso trabecolare di scarsa densità

Tipo I: D1

Tipo II:

Tipo III:

Tipo IV:

La disponibilità di nuove teconologie, come ad esempio la CT e la CBCT, ha premesso a Rebaudi ** di introdurre u *Lekholm U, Zarb G.A, (1985). Patient selection and preparation. In: Branemark PI, Zarb GA, Albrektsson nuovo sistema di classificazione della qualità/densità ossea (classificazione HNS) che divide l’osso in 3 classi: T, editors. Tissue-integrated prostheses: osseointegration in clinical dentistry. pp. 199-209, Chicago: • Duro/Compatto (H), che corrisponde a Q1 e D1 = Osso duro (>1.000 HU) Quintessence. Zarb-Lekholm* • Normale (N), che corrisponde a Q2/Q3 e D2/D3 = (400-1.000 HU) • Morbido (S), che corrisponde a Q4 e D4 = osso morbido (<400HU)

Surgical phases After establishing incision design 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 clinicalradiographic 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 consequentlyNormale: the possible coronal bone resorption, is Morbido: Compatto: recommended at this stage. X>1,000 HU 400UH< X <1000HU X<400HU 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.

*Lekholm U, Zarb G.A, (1985). Patient selection and preparation. In: Branemark PI, Zarb GA, Albrektsson T, editors. Tissue-integrated prostheses: osseointegration in clinical dentistry. pp. 199-209, Chicago: Quintessence. **A. Rebaudi, P. Trisi, R. Cella, and G. Cecchini, “Preoperative evaluation of bone quality and bone density using a novel CT/microCT-based

Surgical procedures 7 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. 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

Fixture choice and placement 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

Surgical procedures 8

Surgical and prosthetic procedures The chemical and topographic surface features of the fixture allow a reduction of the bone healing time, thereby anticipatingthe 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 incision on the crest is preferable. Integrated fixture RX 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 hygie.

Prosthetic procedures 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 copy is envisaged for the conventional pull-off technique, or a specific transfer copy for the pick-up technique. After choosing the transfer copy 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). Transfer copy placement

Prosthetic solutions indications 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. Transfert coupled to analogue

Prosthetic procedures 10

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 30Â°, 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

Multi Unit procedures Surgical procedures for using the Multi-Unit bases for screwed 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 procedures 12

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 copy to the MU bases.

❷

After connecting the transfers copy 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.

Features of Multysystem biphasic implants 13

Classic Connection 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

Features of Multysystem biphasic implants Classic Connection 14

Classic Connection Multysystem® classic connection implants are divided into five specific lines ST – P-ST – NST – P-NST – TM which include seven 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 preprepared 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.

Features biphasic implant Classic Connection Self-tapping tapered implant 1.0 ST (standard)

th Leng

Ă&#x2DC; 3,6

2,3

Ref. Diameter Length

Features and indications:

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

1 1.0 mm of thread for primary stability 2 0.8 mm polish collar for soft tissue compatibility 3 micro-throats on the neck 4 common cylindrical head of 3.6 mm 5 three longitudinal drillings for self tapping and anti-rotation function 6 frontal and lateral sectors use 7 D1 and D2 bone

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

t Leng

Ă&#x2DC; 3,6

2,3

th Leng

Ă&#x2DC; 3,6

2,3 m

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

Foreword biphasic implant Classic Connection Self-tapping tapered implant 1.0 NST (new standard)

th Leng

Ø 4,0

2,35

Ref. Diameter Length

Features and indications:

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

1 1.0 mm of thread for primary stability 2 0.8 mm polish collar for soft tissue compatibility 3 micro-throats on the neck 4 common tapered head of 4.0 mm 5 three longitudinal drillings for self tapping and anti-rotation function 6 frontal and lateral sectors and sinus lift use 7 D1 and D2 bone

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

t Leng

Ø 4,0

m ,35 m

Self-tapping tapered implant 2.0 NST (new standard)

th Leng

m Ø 4,0

2,35

Features and indications:

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

1 2.0 mm of thread for primary stability 2 0.8 mm polish collar for soft tissue compatibility 3 micro-throats on the neck 4 common tapered head of 4.0 mm 5 three longitudinal drillings for self tapping and anti-rotation function 6 all sectors, post-extractive and sinus lift use 7 D3 and D4 bone

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

th Leng

Ø 4,0

Ref. Diameter Length

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

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

Ref. Diameter Length mm

th Leng

Ø 3,6

2,3 m

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

Features and indications: 1 1.0 mm of thread for primary stability 2 platform switching solution 3 total surface treatment 4 head of 3.6 mm 5 three longitudinal drillings for self tapping and anti-rotation function 6 all sectors use and avoiding sinus lift 7 D1 and D2 bone

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

Leng

Ø 4,0

3,0 m

th Leng

Ø 4,0

3,0 m mm

th Leng

Ø 4,0

m 3,0 m

Features and indications:

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

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

1 1.0 mm of thread for primary stability 2 platform switching solution 3 total surface treatment 4 common head of 4.0 mm 5 three longitudinal drillings for self tapping and anti-rotation function 6 lateral and posterior sectors and avoiding sinus lift use 7 D1 and D2 bone

Self-tapping tapered implant 1.0 TM (Larger head) mm

th Leng

Ø 4,5

2,75

,5 m

g Len

Ø4

2,75

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

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 and indications: 1 1.0 mm of thread for primary stability 2 0.8 mm polish collar for soft tissue compatibility 3 micro-throats on the neck 4 common tapered head of 4.5 mm 5 three longitudinal drillings for self tapping and anti-rotation function 6 lateral and posterior sectors and post-extractive use 7 D1 and D2 bone

Self-tapping tapered implant 2.0 TM (Larger head) Ref. Diameter Length

t Leng

Ø 4,5

m 4,5 m

Length

2,75

2,75 mm

Ø 4,5

t Leng

2,75

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

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

Features and indications: 1 2.0 mm of thread for primary stability 2 0.8 mm polish collar for soft tissue compatibility 3 micro-throats on the neck 4 common cylindrical head of 4.5 mm 5 three longitudinal drillings for self tapping and anti-rotation function 6 post-extractive use 7 D3 and D4 bone

Surgical sets for biphasic implants classic connection The Multysystem® implantology sets 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 set 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 set 1.0 ST - P-ST Ref. Description 7100022

Countersink Ø 3,6 mm Bone tap Ø 3,2 mm

Bone tapw Ø 3,7 mm Bone tap Ø 4,2 mm

Specific set 1.0 - 2.0 NST Ref. Description 7100023

Countersink Ø 4,0 - 4,5 mm Bone tap Ø 3,7 mm Bone tap Ø 4,2 mm

Bone tap Ø 4,0 mm Bone tap Ø 5,0 mm

Specific set 1.0 P-NST Ref. Description 7100024

Calibrated drills L.06 mm Calibrated drills L.07 mm Calibrated drills L.09 mm Calibrated drills L.11 mm Calibrated drills L.13 mm

Countersink Ø 5,0 mm Bone tap Ø 4,7 mm Bone tap Ø 5,2 mm Bone tap Ø 6,0 mm

Specific set 1.0 - 2.0 TM Ref. Description 7100025

Calibrated drills L.09 mm Calibrated drills L.11 mm Calibrated drills L.13 mm Calibrated drills L.15 mm Calibrated drills L.17 mm Countersink Ø 4,0 - 4,5 mm

Bone tap Ø 4,7 mm Bone tap Ø 5,2 mm Bone tap Ø 4,5 mm Bone tap Ø 5,5 mm Bone tap Ø 6,5 mm

Drills sequence for Biphasic Implants Classic Connection 20

BIPHASIC IMPLANTS CLASSIC CONNECTION - DRILL SEQUENCES

 1,8 mm  2,3 mm  2,55 mm  2,85 mm  3,6 mm  4,o/4,5 mm  5,0 mm  2,85/4,0 mm Pilot Pilot Final Final Countersink Countersink Countersink Calibrated Trimming

Implant Types

1.0 ST  3,2/3,7/4,2

1.0 P-ST

• • • • •

•

• •

•

• •

 4,7/5,2/6,0

•

• •

•

• • •

•

• • •

 3,7/4,2 mm

1.0 NST

 3,7/4,2 mm

2.0 NST

 4,0/5,0 mm

1.0 P-NST

1.0 TM

 4,7/5,2 mm

2.0 TM  4,5/5,5/6,5 mm

•

Prosthetic lines 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) Ø 3,6 mm

NST (New Standard) Ø 4,0 mm

P-ST (Platform-Switching) Ø 3,6 mm

P-NST (Platform-Switching) Ø 4,0 mm

TM (Large Head) Ø 4,5 mm

Straight abutment h. 6 mm

Pre-angled 10°-20°-30°

Straight abutment h. 15 mm

Abutment for direct screw-on

Ucla castable abutment gold base

Ucla castable abutment CrCo base

Castable abutment

Castable abutmen with chamfer

Castable abutment h. 15 mm

Universal castable abutment

Bar abutment titanium collar

Ball attachment

OT Equator attachment

Universal straight adjustable

Castable cementable abutment

Abutment base for Zirconia - Pmma - Peek

Multi-Unit prosthetic line

Straight MU base

Base MU pre-angled 17°-35°

Temporary abutment MU

Castable Abutment MU

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

Prosthetic components with colour code system 22

Titanium healing cap screws (2 piece pack)

Ref. Description 7170015

Healing cap h.1.5 mm ST - P-ST

7170030

Healing cap h.3.0 mm ST - P-ST

7170045

Healing cap h.4.5 mm ST - P-ST

7170070

Healing cap h.7.0 mm ST - P-ST

7091715

Healing cap h.1.5 mm NST - P-NST

7091730

Healing cap h.3.0 mm NST - P-NST

7091745

Healing cap h.4.5 mm NST - P-NST

7091770

Healing cap h.7.0 mm NST - P-NST

7071715

Healing cap h.1.5 mm TM

7071730

Healing cap h.3.0 mm TM

7071745

Healing cap h.4.5 mm TM

7071770

Healing cap h.7.0 mm TM

Transfer copy Ref. Description 7610050

Short standard transfert h.7 mm ST - P-ST*

7610000

Transfert Standard h.9 mm ST - P-ST

7096100

Transfert Standard h.9 mm NST - P-NST

7076100

Transfert Standard h.9 mm TM*

Pick-up transfer copy 7610200

Transfert per Pick-Up h.13 mm ST - P-ST*

7096120

Transfert per Pick-Up h.13 mm NST - P-NST*

7076120

Transfert per Pick-Up h.13 mm TM*

Analogue 7615000

Analogue ST - P-ST

7096150

Analogue NST - P-NST

7076150 Analogue TM *locking screw included

Prosthetic abutments with colur code system Anti-rotation pre-angled abutments in titanium with 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

Pre-angled abutment 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 *

Universal straight titanium adjustable abutment Ref. Description 7624580

Universal straight adjustable abutment from Ø 4,5 a 8,0 mm* *locking screw included

Features eand use guidelines: Pre-angled abutments should be used in cases of divergent implants adujstable 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.

Prosthetic abutments with colur code system 24

Anti-rotation straight abutments in titanium with 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 *

*locking screw included

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 prsthesis after cementation.

Straight abutments in titanium with 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

70966033

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.

Prosthetic abutments with colur code system Titanium anti-rotation straight abutments

Ref. Descripion 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* *locking screw included

Prosthetic abutments with colur code system 26

Castable anti-rotation abutments Ref. Description 7631100

Castable abutment

ST - P-ST *

7096313

Castable abutment

NST - P-NST *

7076313

Castable abutment

TM*

Castable anti-rotation abutments with chamfer Ref. Description 7631110

Castable abutment con Chamfer ST - P-ST *

7096311

Castable abutment con Chamfer NST - P-NST *

7076311

Castable abutment con Chamfer TM*

Universal anti-rotation castable abutments Ref. Description 7631120

Castable abutment Universale

7096312

Castable abutment Universale NST - P-NST *

7076312

Castable abutment Universale TM*

ST - P-ST *

*locking screw included Features and use guidelines: Universal castable abutments have a double function: - they can be changed from 0 Â° to 30 Â° 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 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

Anti-rotation cementing castable abutments Ref. Description 7631000

Castable abutment

ST - P-ST

7096310

Castable abutment

NST - P-NST

7076310

Castable abutment

Ucla anti-rotation castable abutments

(2 piece pack) Ref. Description 7622070

Ucla castable abutment CrCo base ST - P-ST*

7096270

Ucla castable abutment CrCo base NST- P-NST*

7076270

Ucla castable abutment CrCo TM*

7621070

Ucla castable abutment gold base ST - P-ST*

7096670

Ucla castable abutment gold base NST - P-NST*

7076670

Ucla castable abutmenta gold base TM*

Titanium bases for Zirconia - PMMA - Peek abutments Ref. Description 7621080

Anti-rotational base h.4,5 ST - P-ST *

7096680

Anti-rotational base h.4,5 NST - P-NST * *

7076680

Anti-rotational base h.4,5 TM * *

Features and use guidelines: Titanium bases abutments help the preparation of customised abutments with a high aesthetic value.

Ref. Description 7621085

Rotational base h.15 ST - P-ST *

7096685

Rotational base h.15 NST - P-NST *

7076685

Rotational base h.15 TM *

*locking screw included

Multi-Unit prosthetic line 28 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 classic connection 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*

*locking screw included Features and 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 classic connection surgical instruments Ref. Description 7677403

MU straight base countersink

7677404

MU angled base countersink

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

MU countersink guide (2 pieces pack)

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

Ref. Description 7671700

Screw-on healing cap MU in peek

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

Transfer for Pick-up h.8 mm rotating 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

Castable abutment 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 classic connection 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

Overdenture anti-rotation titanium ball abutments Ref. Description 7640001 Ball abutment c.1.0 mm Ball abutment c.2.0 mm 7640002 Ball abutment c.3.0 mm 7640003 Ball abutment c.4.0 mm 7640004 Ball abutment c.1.0 mm 7096641 7096642 Ball abutment c.2.0 mm 7096643 Ball abutment c.3.0 mm Ball abutment c.4.0 mm 7096644 Ball abutment c.1.0 mm 7076641 Ball abutment c.2.0 mm 7076642 7076643 Ball abutment c.3.0 mm Ball abutment c.4.0 mm 7076644

ST - P-ST ** ST - P-ST ** ST - P-ST ** ST - P-ST * NST - P-NST * NST - P-NST * NST - P-NST * NST - P-NST * TM * TM * TM * TM *

* Complete with container and micro white retentive cap

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 kit c.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

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

ST - P-ST *

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

Bar abutment c.1,5 mm

TM*

7076673

Bar abutment c.3,0 mm

TM*

*locking screw included

Proshtetic accessories 31

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 screw for castable abutment (3 pieces pack) Use guidelines: They should be used to screw the 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 (2 pieces 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

Features of Multysystem biphasic implants 33

Tapered Connection

Activated tapered connection

Apical taper with self-tapping ant anti-rotation sysytem

High frequency roughness H.F.R.

Threaded short hex connection 0.3 polish collar to facilitate biocompatibility of soft tissues

Features of Multysystem biphasic implants 34

Tapered Connection Multysystem Tapered Connection implants with internal hex are composed of conical biphasic implants. The TC-N (narrow) and TC-R (regular) lines are composed of tapered biphasic systems, selftapping and with internal hex connection. The terminal part of the neck is polished for 0.3 mm in order to facilitate biocompatibility of the soft tissues. Cono Morse - Hex internal threaded features with conical hole 4,5° angled per side, followed by antirotational internal hex. Cono Morse principle to guarantee: -antibacterical closing -abutment stability improvement – antirotational action -strenght improvement The TC-N line implant diameter 3.2 four different lengths with a unified head of a diameter of 2.8 mm mainly indicated both for upper and lower central areas in case of reduced bone availability. Thanks to its morphology and 1.0 mm thread-pitch it ensures immediate primary stabilising. The TC-R line implant diameters 3.7 – 4.2 with five lenght, thanks to its morphology 1.0 mm threadpitch mainly indicated both for upper and lower central and lateral areas in case of sinus maxillary sinus elevation. The TC-R 4.7 – 5.2 diameters, and six different lengths with a unified head of a diameter of 3.6 mm mainly indicated both rear and lateral areas in case of reduced bone availability. Thanks to its morphology and 1.0 mm thread-pitch it ensures immediate primary stabilising. The TC-R 4.5 – 5.5 diameters, and six different lengths with a unified head of a diameter of 3.6 mm mainly indicated both frontal, rear and lateral areas as post-extraction implants.

Biphasic tapered implant Tapered Connection Tapered Implant 1.0 TC-N (Tapered Connection Narrow) Ref. Diameter Length

h Lengt

Ø 2,9

Ø 2,3

9013210

3.2 mm

10 mm

9013211

3.2 mm

11,5 mm

9013213

3.2 mm

13 mm

9013215

3.2 mm

15 mm

35 Features and indications: 1 1.0 mm of thread for primary stability 2 0.3 mm polish collar for soft tissue compatibility 3 micro-throats on the neck 4 common cylindrical head of 2.9 mm 5 three longitudinal drillings for self tapping and anti-rotation function 6 frontal sectors 7 D1 and D2 bone

Tapered Implant 1.0 TC-R (Tapered Connection Regular) mm

th Leng

Ø 3,6

Ø 2,3

3.7 mm

8,5 mm

9013710

3.7 mm

10 mm

9013711

3.7 mm

11,5 mm

9013713

3.7 mm

13 mm

9013715

3.7 mm

15 mm

9014208

4.2 mm

8,5 mm

9014210

4.2 mm

10 mm

9014211

4.2 mm

11,5 mm

9014213

4.2 mm

13 mm

9014215

4.2 mm

15 mm

th Leng

Ø 3,6

9013708

Ø 2,3

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

Features and indications: 1 1.0 mm of thread for primary stability 2 0.3 mm polish collar for soft tissue compatibility 3 micro-throats on the neck 4 common cylindrical head of 3.6 mm 5 three longitudinal drillings for self tapping and anti-rotation function 6 all sectors sinus lift use 7 D1 and D2 bone

Foreword biphasic implant Tapered Connection Tapered Implant 1.0 TC-R (Tapered Connection Regular) Ref. Diameter Length mm

th Leng

Ø 4,0

Ø 2,75

th Leng

Ø 4,0

Ø 2,75

Features and indications:

9014707

4.7 mm

7 mm

9014708

4.7 mm

8,5 mm

9014710

4.7 mm

10 mm

9014711

4.7 mm

11,5 mm

9014713

4.7 mm

13 mm

9014715

4.7 mm

15 mm

9015207

5.2 mm

7 mm

9015208

5.2 mm

8,5 mm

9015210

5.2 mm

10 mm

9015211

5.2 mm

11,5 mm

9015213

5.2 mm

13 mm

9015215

5.2 mm

15 mm

1 1.0 mm of thread for primary stability 2 0.3 mm polish collar for soft tissue compatibility 3 micro-throats on the neck 4 common cylindrical head of 3.6 mm 5 three longitudinal drillings for self tapping and anti-rotation function 6 lateral and posterior, postextractive use 7 D1 and D2 bone

Tapered Implant 2.0 TC-R (Tapered Connection Regular)

th Leng

mm Ø 4,0

Ø 2,75

Ø 4,0

th Leng

Ø 2,75

9054507

4.5 mm

7 mm

9054508

4.5 mm

8,5 mm

9055507

5.5 mm

7 mm

9055508

5.5 mm

8,5 mm

9055510

5.5 mm

10 mm

9055511

5.5 mm

11,5 mm

9055513

5.5 mm

13 mm

9055515

5.5 mm

15 mm

Features and indications:

1 2.0 mm of thread for primary stability 2 0.3 mm polish collar for soft tissue 9054510 4.5 mm 10 mm compatibility 3 micro-throats on the neck 9054511 4.5 mm 11,5 mm 4 common cylindrical head of 3.6 mm 9054513 4.5 mm 13 mm 5 three longitudinal drillings for self tapping and anti-rotation function 9054515 4.5 mm 15 mm 6 lateral and posterior, postextractive use 7 D3 and D4 bone

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

Surgical Set for Tapered Tonnection implants Ref. Description 9100021

Basical surgical set for TC implants

Centring drill Pilot drill Initial millimitrate marked L.17 mm Ø 2,55 Millimetre marked trimming drill L.17 mm Ø 2,85 Millimetre marked trimming drill L.7 mm Ø 2,3 - 4,0 mm Millimetre marked trimming drill L.8,5-9 mm Ø 2,3 - 4,0 mm Millimetre marked trimming drill L.10-11 mm Ø 2,3 - 4,0 mm Millimetre marked trimming drill L.11,5-13 mm Ø 2,3 - 4,0 mm Millimetre marked trimming drill L.15 mm Ø 2,3 - 4,0 mm Connector for implants long TC-N Connector for implants long TC-R Universal extension long Enhancement protractor for implants Polyvalent screwdriver long TC Universal mounter Ratchet Surgical box Countersink Ø 3,6 Countersink Ø 4,0 Bone tap Ø 3,2 mm Bone tap Ø 3,7/4,2 mm Bone tap Ø 4,7/5,2 mm Bone tap Ø 4,5 mm Bone tap Ø 5,5 mm

Foreword Biphasic Implants Tapered Connection - Drill sequences 38

BIPHASIC IMPLANTS TAPERED CONNECTION - DRILL SEQUENCES

 1,8 mm  2,3 mm  2,55 mm  2,85 mm  3,6 mm  4,0/4,5 mm  2,85/4,0 mm Pilot Pilot Initial Final Countersink Countersink Calibrated Trimming

Implant Types

1.0 TC-N  3,2 MM

o o o o

1.0 TC-R  3,7/4,2 o o o

1.0 TC-R

 4,7/5,2 mm

2.0 TC-R

 4,5/5,5 mm

o o o o o o

Prosthetic lines 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 twp specific lines: TC -N (narrow) Ø 2,9 mm

TC-R (regular) Ø 3,6 mm

Straight abutment anti-roation

Pre-angled abutment anti-rotation 15°-25°

Temporary abutment rotation

Premilled abutment not cono morse

Premilled abutment cono morse

Castable abutment rotation and anti-rotation

Aesthetic anti-rotation bar abutment

Ball attachment

Titanium rotation base for Zirconia-PMMA-Peek not conomorse

Temporary abutment anti-rotation

OT Equator attachment

Titanium base for Zirconia-PMMA-Peek anti-rotation

Multi-Unit prosthetic line

MU straight base

MU pre-angled base 17°-35°

MU temporary abutment

Castable MU abutment

Prosthetic lines 40

Titanium healing cap screws (2 piece pack)

Ref. Description 9171730

Healing cap h.3,0

TC-N

9171745

Healing cap h.4,5

TC-N

9171760

Healing cap h.6,0

TC-N

9181730

Healing cap h.3,0

TC-R

9181745

Healing cap h.4,5

TC-R

9181760

Healing cap h.6,0

TC-R

Transfer copy (closed tray) Ref. Description 9610000

Transfert closed tray TC-N*

9611000

Transfert closed tray TC-R*

Pick-up transfer (open tray) Ref. Description 9610200

Transfer pick-up

TC-N*

9611200

Transfer pick-up

TC-R*

*locking screw included

Analogue Ref. Descrizione 9611500

Analogue TC-N

9615000

Analogue TC-R

Prosthetic lines 41

Ref. Description 9626120

Straight abutment c. 2,0 mm TC-N*

9626130

Straight abutment c. 3,0 mm TC-N*

9626140

Straight abutment c. 4,0 mm TC-N*

9096620

Straight abutment c. 2,0 mm TC-R*

9096630

Straight abutment c. 3,0 mm TC-R*

9096640

Straight abutment c. 4,0 mm TC-R*

Features and guidelines: The coronal portion of the abutment and Di 6 mm height, neck transmucosal But variable based on the need. Laterally are present due grooves What serve to avoid the prosthesis rotation after cementing.

Pre-angled anti-rotation abutment Ref. Description 9621520

Pre-angled abutment 15° C.2 mm TC-N*

9621530

Pre-angled abutment 15° C.3 mm TC-N*

9621540

Pre-angled abutment 15° C.4 mm TC-N*

9622520

Pre-angled abutment 25° C.2 mm TC-N*

9622530

Pre-angled abutment 25° C.3 mm TC-N*

9622540

Pre-angled abutment 25° C.4 mm TC-N*

9096612

Pre-angled abutment 15° C.2 mm TC-R*

9096613

Pre-angled abutment 15° C.3 mm TC-R*

9096614

Pre-angled abutment 15° C.4 mm TC-R*

9096622

Pre-angled abutment 25° C.2 mm TC-R*

9096623

Pre-angled abutment 25° C.3 mm TC-R*

9096624

Pre-angled abutment 25° C.4 mm TC-R*

*locking screw included

Prosthetic lines 42

Pre-milled titanium abutment Ref. Description 9626000

Pre-milled cono morse abutment anti-rotation TC-N*

9628000

Pre-milled cono morse abutment anti-rotation TC-R*

9626001

Pre-milled not cono morse anti-rotation TC-N*

9628001

Pre-milled not cono morse anti-rotation TC-R*

Temporary titanium abutment Ref. Description 9620015

Temporary rotating abutment TC-N*

9096601

Temporary rotating abutment TC-R*

9620016

Temporary anti-rorating abutment

TC-N*

9096602

Temporary anti-rorating abutment

TC-R*

Castable abutment Ref. Description 9631100

Castable anti-rotation screw abutment TC-N*

9631101

Castable anti-rotation screw abutment TC-R*

9631160

Castable rotating screw abutment TC-N*

9631161

Castable rotating screw abutment TC-R*

*locking screw included

Multi Unit prosthetic line

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 TC bases Ref. Description 9670020

Straight base c.1,0 mm MU

9670030

Straight base c.2,0 mm MU

9670040

Straight base c.3,0 mm MU

9671720

Pre-angled base 17° c.2,0 mm MU*

9671730

Pre-angled base 17° c.3,0 mm MU*

9673530

Pre-angled base 35° c.3,0 mm MU*

9673540

Pre-angled base 35° c.4,0 mm MU*

*locking screw included

Multi-Unit TC prosthetic accesories Ref. Description 9671700

Screw-on peek healing cap MU

9671000

MU Pick-up transfer rotating h.8 mm *locking screw included

7671500

Analogue MU

Multi-Unit TC Prosthetic abutment Ref. Description 9671090

MU Temporary titanium abutment

9671030

MU Castable abutment

*Prosthetic locking passing screw

Featurese and use guidelines: The MU temporary abutments rotate in order to protectil the implant from disparallelism The MU castable abutments rotate and may be modified at will by prior waxing and moulding in gold or other alloys.

Multi Unit prosthetic line 44

Multi-Unit surgical and prosthetic instruments Ref. Description 7671033

Base mounter MU

Use guidelines: Assists in placing the MU bases in the oral cavity during the implant connection phase. Ref. Description 9677405

drill screwdriver for MU base (2 pieces pack)

Indicazioni di utilizzo: Va utilizzata per l’avvitamento delle basi diritte Multi-Unit sugli impianti.

Ref. Description 7677403

MU straight base countersink

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

7677404

MU angled base countersink

Ref. Description 7103029

Multi Unit straight base screwdriver

Use guidelines: Assists in placing the MU bases in the oral cavity during the implant connection phase.

Ref. Description 7661034

Surgical direction guide

Use guidelines: Suitable for adjusting phases with max inclination 35°. For fixing the guide to the maxillary make an osteotomy of approximately 10 mm in the midline using the appropriate calibrated drill Ø 2 mm.

Overdenture component Ball abutment screw

45 Ref. Description 9640001

Ball abutment Ø 1,8 mm c.1 mm

TC-N*

9640002

Ball abutment Ø 1,8 mm c.2 mm

TC-N*

9640003

Ball abutment Ø 1,8 mm c.3 mm

TC-N*

9096641

Ball abutment Ø 2,2 mm c.1 mm

TC-R*

9096642

Ball abutment Ø 2,2 mm c.2 mm

TC-R*

9096643

Ball abutment Ø 2,2 mm c.3 mm

TC-R*

9096644

Ball abutment Ø 2,2 mm c.4 mm

TC-R*

*Container and retention cap inside

Equator screw abutment (by Rhein’83 Srl) Ref. Description 9096771

OT Equator abutment mm c.1 mm TC-R**

9096772

OT Equator abutment mm c.2 mm TC-R**

9096773

OT Equator abutment mm c.3 mm TC-R**

9096774

OT Equator abutment mm c.4 mm TC-R**

**Container and four retention cap inside

Bar aesthetic screw abuement Ref. Description 9641020

Bar aesthetic abutment c.2 TC-N***

9641030

Bar aesthetic abutment c.3 TC-N***

9641040

Bar aesthetic abutment c.4 TC-N***

9096672

Bar aesthetic abutment c.2 TC-R***

9096673

Bar aesthetic abutment c.3 TC-R***

9096674

Bar aesthetic abutment c.4 TC-R***

***Prosthetic locking passing screw N.B. For laboratory testing procedures are also advisable to carry through screws spare prosthetic

CAD-CAM Prosthetic components 46

T - bases Ref. Description 9621081 Rotating titanium base Zirconia - PMMA - PEEK

TC-N*

9096681

Rotating titanium base Zirconia - PMMA - PEEK

TC-R *

9621181

Rotating CoCr base Zirconia - PMMA - PEEK

TC-N*

9096781

Rotating CoCr base Zirconia - PMMA - PEEK

TC-R *

9621080

Anti-rotational titanium base Zirconia - PMMA - PEEK TC-N*

9096682

Anti-rotational titanium base Zirconia - PMMA - PEEK TC-R*

9621180

Anti-rotational CoCr base Zirconia - PMMA - PEEK TC-N*

9096782

Anti-rotational CoCr base Zirconia - PMMA - PEEK TC-R*

*locking screw included

Scan body for CAD-CAM use Ref. Description 9600001

Scan Body TC-N*

9090001

Scan Body TC-R*

9670001

Scan Body Multi-Unit*

*locking screw included

Prosthetic spare parts and accessories Cylinder aesthetic bar abutment

Ref. Description 9641099

Spare castable cylinder * for aesthetic abutment bar

9641098

Temporary peek cylinder * for aesthetic abutment bar

9641097

Temporary CoCr cylinder * for aesthetic abutment bar

*2 pieces pack

Spare screw Ref. Desciption 9609901

Abutment screw TC-N**

9609902

Abutment screw TC-R**

9609962

Aesthetic abutment screw c.2

TC-N**

9609963

Aesthetic abutment screw c.3

TC-N**

9609964

Aesthetic abutment screw c.4

TC-N**

9609992

Aesthetic abutment screw c.2

TC-R**

9609993

Aesthetic abutment screw c.3

TC-R**

9609994

Aesthetic abutment screw c.4

TC-R**

9671099

MU bases screw TC**

9671098

MU prosthetic screw TC**

**3 pieces pack

Prosthetic spare parts and accessories 48

Transfer spare screws Ref. Description 9610010

Transfert Closed Tray screw

TC-N*

9610011

Transfert Closed Tray screw

TC-R*

9610230

Pick-Up transfer screw h.3 mm

TC-N*

9610260

Pick-Up transfer screw h.6 mm

TC-N*

9610231

Pick-Up transfer screw h.3 mm

TC-R*

9610261

Pick-Up transfer screw h.6 mm

TC-R*

9671013

MU Pick-Up transfer screw h.3 mm TC*

*3 pieces pack

Plastic snap cap for closed tray transfer Ref. Description 9610012

Plastic snap cap for closed tray transfer*

*3 piece pack

Extractor for TC abutment Ref. Descrizione 9609000

Abutment extractor TC-N

9090900

Abutment extractor TC-R

Use guidelines: They should be used for the removal of the provisionally activated abutments on implants or similar. It is used as a digital or coupled to the multi-purpose screwdrivers.

One Stage Implants

Transmucosal monophasic MFS â&#x20AC;&#x201C; MFD immediate load implants 50

Handbook 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.

Fixture 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 page 6. 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

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

Prosthetic procedures 52

Imprint 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

Transfer placement

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 30Â°, which reproduce the crown height and the height of thetransmucosal 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.

Plaster model with analogues

Transfer coupled to the analogue

Prosthesis placement

Prosthetic procedures with spherical one stage implants 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.Placement ritention caps

4. Retentive caps inserted into the prosthesis

Monophasical

Transmucosal monophasic MF immediate load implants Features Transmucosal monophasic self-tapping one stage immediate load implants, with two different abutments allow immediate load fixed or mobile prosthetis. One stage ball abutment for mobile prosthesis, mini MFS 2.5 - 3.0 mm and MFS 3.5 - 4.0 diameters with five different lenghts. One stage straight abutment for fixed prosthesis, mini MFD 2.5 - 3.0 mm and MFD 3.5 - 4.0 mm diameters with five different lenghts. One stage extra long straight abutment MFD-L 1.0 3.2 - 3.7 - 4.2 - 4.7 and MFD-L 2.0 3.5 - 4.0 - 5.0 diameters with six lengths.

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

Micro ball 0 1,8

Ball

Neck

2x2

1,5 m

th Leng

Squa

Ă&#x2DC; 1,8

Ball

Ă&#x2DC; 1,8

Neck

t Leng

re 2x

Squa

mm m

1,5 m

Ref. Diameter Lenght

Features and indications:

7062509

2,5 mm

09 mm

7062516

2,5 mm

11 mm

7062518

2,5 mm

13 mm

1 1.0 mm for primary stability 2 1.5 mm polish collar for soft tissue compatibility 3 frontal sectors, atrophic jaws 4 D1 and D2 bone

7062520

2,5 mm

15 mm

7062521

2,5 mm

17 mm

Ref. Diameter Lenght

Features and indications:

7063009

3,0 mm

09 mm

7063011

3,0 mm

11 mm

7063013

3,0 mm

13 mm

1 1.0 mm for primary stability 2 1.5 mm polish collar for soft tissue compatibility 3 frontal and lateral sectors 4 D1 and D2 bone

7063015

3,0 mm

15 mm

7063017

3,0 mm

17 mm

Transmucosal and self-tapping MFS (ball fixed abutment) implant for overdenture Micro ball 0 1,8

,8 m ll Ă&#x2DC; 1

Neck

th Leng

Features and indications:

7083509

3,5 mm

09 mm

7083511

3,5 mm

11 mm

7083513

3,5 mm

13 mm

1 2.0 mm for primary stability 2 2.5 mm polish collar for soft tissue compatibility 3 frontal and lateral sectors 3 D3 and D4 bone

7083515

3,5 mm

15 mm

7083517

3,5 mm

17 mm

Ă&#x2DC; Ball

2,5 Neck

re 3x

Squa

1,8 m

t Leng

e 3x quar

m 2,5 m

Ref. Diameter Lenght

Features and indications:

7084009

4,0 mm

09 mm

7084011

4,0 mm

11 mm

7084013

4,0 mm

13 mm

1 2.0 mm for primary stability 2 2.5 mm polish collar for soft tissue compatibility 3 frontal and lateral sectors 4 D3 and D4 bone

7084015

4,0 mm

15 mm

7084017

4,0 mm

17 mm

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

m ,0 m th. 5 x2 Leng quare 2 S

1,5 m

th. Leng

Neck

Ref. Diameter Lenght

Features and indications:

7082509

2,5 mm

09 mm

7082511

2,5 mm

11 mm

7082513

2,5 mm

13 mm

7082515

1 1.0 mm for primary stability 2 1.5 mm polish collar for soft tissue compatibility 3 frontal and lateral sectors atrophic jaws 3 D1 and D2 bone

2,5 mm

15 mm

7082517

2,5 mm

17 mm

m ck 1,5

m ,0 m th. 5 x2 Leng quare 2 S

t Leng

Ref. Diameter Lenght

Features and indications:

7083009

3,0 mm

09 mm

7083011

3,0 mm

11 mm

7083013

3,0 mm

13 mm

7083015

1 1.0 mm for primary stability 2 1.5 mm polish collar for soft tissue compatibility 3 frontal and lateral sectors atrophic jaws 3 D1 and D2 bone

3,0 mm

15 mm

7083017

3,0 mm

17 mm

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

.0 m

3 Neck

th. Leng

m ,0 m th. 5 x3 Leng quare 3 S

Ref. Diameter Lenght

Features and indications:

7063518

3,5 mm

09 mm

7063520

3,5 mm

11 mm

7063522

3,5 mm

13 mm

1 2.0 mm for primary stability 2 4.0 mm polish collar for soft tissue compatibility 3 all sectors and post-extractive use 3 D3 and D4 bone

7063524

3,5 mm

15 mm

7063526

3,5 mm

17 mm

Ref. Diameter Lenght m ,0 m th. 5 x3 Leng quare 3 S

3.0 m

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

t Leng

Neck

Ref. Diameter Lenght

m ,0 m th. 5 x3 Leng quare 3 S

3.0 m

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

t Leng

Neck

Transmucosal and self-tapping MFD-L 1.0 (straight fixed abutment) implant

Ref. Diameter Lenght m ,0 m th. 8 x4 Leng cone 4 ed t a c Trun

m ck 3,0

h Leng

m ,0 m th. 8 x4 Leng cone 4 d e t a c Trun

3,0 m

ht Leng

Neck

m ,0 m th. 8 x4 Leng cone 4 d e t a c Trun

3,0 m

h Leng

Neck

m ,0 m th. 8 x4 Leng cone 4 d cate n u r T ht Leng

3,0 Neck

7163208

3,2 mm

8,5 mm

7163210

3,2 mm

10 mm

7163211

3,2 mm

11,5 mm

7163213

3,2 mm

13 mm

7163215

3,2 mm

15 mm

7163708

3,7 mm

8,5 mm

7163710

3,7 mm

10 mm

7163711

3,7 mm

11,5 mm

7163713

3,7 mm

13 mm

7163715

3,7 mm

15 mm

7164207

4.2 mm

7 mm

7164208

4,2 mm

8,5 mm

7164210

4,2 mm

10 mm

7164211

4,2 mm

11,5 mm

7164213

4,2 mm

13 mm

7164215

4,2 mm

15 mm

7164707

4.7 mm

7 mm

7164708

4,7 mm

8,5 mm

7164710

4,7 mm

10 mm

7164711

4,7 mm

11,5 mm

7164713

4,7 mm

13 mm

7164715

4,7 mm

15 mm

Features and indications: 1 1.0 mm for primary stability 2 3.0 mm polish collar for soft tissue compatibility 3 all sectors, post-extractive use 3 D1 and D2 bone

Transmucosal and self-tapping MFD-L 2.0 (straight fixed abutment) implant Ref.

m ,0 m th. 8 x4 Leng cone 4 ted a c n Tru

,0 m

7163508

3,5 mm

8,5 mm

7163510

3,5 mm

10 mm

7163511

3,5 mm

11,5 mm

7163513

3,5 mm

13 mm

7163515

3,5 mm

15 mm

7164007

4,0 mm

7 mm

7164008

4,0 mm

8,5 mm

7164010

4,0 mm

10 mm

7164011

4,0 mm

11,5 mm

7164013

4,0 mm

13 mm

7164015

4,0 mm

15 mm

Features and indications: 1 2.0 mm for primary stability 2 3.0 mm polish collar for soft tissue compatibility 3 all sectors, post-extractive use 3 D3 and D4 bone

h Leng

3 Neck

Diametro Lunghezza

m ,0 m th. 8 x4 Leng cone 4 ted a c n Tru

3,0 m

h Leng

Neck

m ,0 m th. 8 x4 Leng cone 4 d e t a c Trun

h Leng

Neck

m 3,0 m

7165007

5,0 mm

7 mm

7165008

5,0 mm

8,5 mm

7165010

5,0 mm

10 mm

7165011

5,0 mm

11,5 mm

7165013

5,0 mm

13 mm

7165015

5,0 mm

15 mm

Monofasical Surgical Set 62

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

Base Surgical Set for one stage implant Ref. Description 7060011

Universal extension short Universal extension long Universal mounter

Ratchet Enhancement protractor for biphasic implants Surgical box

Specific set for mini implants MFS - MFD Ref. Description

7060012

Calibrated trimming drill L.13 mm Calibrated trimming drill L.15 mm Calibrated trimming drill L.17 mm

Mini implant extension Centring drill Calibrated trimming drill L.09 mm Calibrated trimming drill L.11 mm

Specific set for implants MFS - MFD Ref. Description 7060013 Centring drill Bone tap Ø 3,5 mm Pilot drill Bone tap Ø 4,0 mm Millimetre marked first drill L.17 Bone tap Ø 5,0 mm Millimetre marked trimming drill L.17

Specific set for extra long abutment implants MFD-L Ref. Description 7060014

Extension for MFD-L implants Centring drill Pilot drill Millimetre marked first drill L.17 Millimetre marked first drill L.17

Millimetre marked trimming drill L.15 mm per Ø 4,7 Bone tap Ø 3,2 mm Bone tap Ø 3,7 mm Bone tap Ø 4,2 mm Bone tap Ø 4,7 mm

Prosthetic Monophasic Implants - Drill sequences 63

MONOPHASIC IMPLANTS - DRILL SEQUENCES

 1,8 mm

 2,3 mm  2,0 mm  2,55 mm  2,85 mm  2,85/4,0 mm Pilot Pilot Calibrated Initial Final Calibrated Trimming Trimming

Implant Types

1.0 MINI MFS

 2,5/3,0/5,0 mm

2.0 MFS  3,5/4,0 mm

o o o o

1.0 MINI MFD

 2,5/3,0 mm

2.0 MFD

 3,5/4,0 mm

1.0 MFD-L

 3,2/3,7/4,2 mm

1.0 MFD-L

o o

 4,7 mm

2.0 MFD-L

 3,5/4,0/5,0 mm

o o

o o o o

o o o o o

o o o o

Prosthetic line MFS 64

Transfert and cap for MFS implants Ref. Description 7061010

Teflon transfer for mini one stage implant MFS

7061012 Teflon transfer for mini one stage implant MFS (3 pieces packi)

Features and guidelines: MFS MFS transfer and Mini systems have a dual use - Allow Impression Taking - Act as healing caps.

Analogue

Ref. Description 7061505

Analogue for mini spherical implant MFS

Ref. Description 7061515

Analogue for spherical implant MFS

Guidelines: The analogues are to be coupled to the transference to develop the plaster model.

Prosthetic components for MFD implants Imprint components

65 Ref. Description 7061000

Castable transfer for Mini Implants MFD

7061011

Castable transfer for Implants MFD

8061011

Castable transfer for Implants MFD-L

(3 pieces pack)

Features and guidelines: The transfer to MFD and MFD Mini implants have a threefold use: - Allow Impression Taking - Act as healing caps - They can be used as copings prior castable wax-up and casting intraoral.

Titanium cap Ref. Description 7061020

Straight cap for mini implant MFD

7061021

Straight cap for implant MFD

7061030

Pre-milled cap 0° - 30° for Mini Implants MFD

7061031

Pre-milled cap 0° - 30° for Implants MFD (2 pieces pack)

Use and guidelines: copings titanium from 0 ° to 30 ° are drillable and indicated in the cases of parallelism.

Analogues (lab implant) Ref. Description 7061500

Analogue for straight mini implant MFD

7061510

Analogue for straight implant MFD

8061510

Analogue fro straight implant MFD-L 0 3,2 - 3,7

8061511

Analogue fro straight implant MFD-L 0 4,2 - 4,7

Surgical instruments 66

Pilot drills Ref. Description 7410125 Short centering drill Ø 1,8 mm L.5,0 mm 7410120

Long centering drill Ø 1,8 mm L.10,0 mm

Ref. Description 7410135 Short cortical drill Ø 2,3 mm L.5,5 mm 7410130

Long cortical drill Ø 2,3 mm L.11,0 mm

Millimetre marked drills for implants 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

7097417

Ø 2,85 mm L.17 mm

7097497

Ø 2,85 mm L.17 mm

Short millimetre marked trimming drill L.36.5 mm

Long millimetre marked trimming drill L.40,5 mm

Depth stop set Ref.

Description

7105103

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

Surgical instruments Marked drills for implants Ref. Description 7077406 7077407 7077459

Trimming marked drill da Ø 2,85 a 4,0 mm L.6 mm

7077451

Trimming marked drill da Ø 2,3 a 4,0 mm L.10-11 mm

7077453

Trimming marked drill da Ø 2,3 a 4,0 mm L.11,5-13 mm

7077455

Trimming marked drill da Ø 2,3 a 4,0 mm L.15,0 mm

Trimming marked drill da Ø 2,85 a 4,0 mm L.7 mm Trimming marked drill da Ø 2,3 a 4,0 mm L.8,5-9 mm

Countersink Ref. Description 7410100

Countersink Ø 3,6 mm

7077402

Countersink double diameter Ø 4,0 – 4,5 mm

7097402

Countersink Ø 5,0 mm

Calibrated trimming drill with stop for implants Ref. Description 7062409

Calibrated trimming dirll Ø 2,0 mm L.9 mm

70624111

Calibrated trimming dirll Ø 2,0 mm L.11 mm

7062413

Calibrated trimming dirll Ø 2,0 mm L.13 mm

7062415

Calibrated trimming dirll Ø 2,0 mm L.15 mm

7062416

Calibrated trimming dirll Ø 2,0 mm L.17 mm

Surgical instruments 68

Trephine 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

Tissue punch Ref. Description 7606711

Mechanical tissue punch Ø 3,4 mm

7410110

Mechanical tissue punch Ø 4,2 mm

7077410 Mechanical tissue punch Ø 4,7 mm 7067116 Manual tissue punch Ø 3,4 mm 7410116

Manual tissue punch Ø 4,2 mm

7077416

Manual tissue punch Ø 4,7 mm

Indicazioni di utilizzo: Sono indicati nella fase di scopertura della testa degli impianti posizionati sotto mucosa e per la tecnica di approccio chirurgico transmucoso

Surgical instruments Bone tap threading 1.0 mm

69 Ref. Description 7232017 Manual Bone Tap Ø 3,2 mm 7092317 Manual Bone Tap Ø 3,7 mm 7092417 Manual Bone Tap Ø 4,2 mm 7072417 Manual Bone Tap Ø 4,7 mm 7072517 Manual Bone Tap Ø 5,2 mm 7092611 Manual Bone Tap Ø 6,0 mm 9012315

Mechanical Bone tap Ø 3,7/4,2 mm

9012415

Mecanical Bone tap Ø 4,7/5,2 mm

Bone tap threading 2.0 mm Ref. Description 7062317 7092517

Manual Bone Tap Ø 3,5 mm Manual Bone Tap Ø 4,0 mm

7072617 Manual Bone Tap Ø 4,5 mm 7092617 Manual Bone Tap Ø 5,0 mm 7072717 Manual Bone Tap Ø 5,5 mm 7072817 Manual Bone Tap Ø 6,5 mm

Surgical instruments 70

Drivers Ref.

Description

7103035 Universal Mount transfer 7103000 Rachet 7103040 Angled driver 7103045

Straight driver

Connectors for implants Ref. Description 7101000

Short connector for implants L.12.5 mm

7101010 Long connector for implants L.15.5 mm 7103047

Mechanical implant connector

Extensions Ref. Description 7102000

Short universal extension L.11.5 mm

7102010

Long universal extension L.15.0 mm

8062010

Long universal extension L.15 mm MFD-L

7062000

Long universal extensione L. 15 mini MF

7103048

Mechanical Universal Extension

7062048

Mechanical Extension for Mini MF

7102015

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

Surgical instruments Connectors for implants

Ref. Description 7101000

Short connector for implants L .12.5 mm

7101010

Long connector for implants L .15.5 mm

9113046

Short connector for implants TC-N L. 17,5 mm

9113047

Long connector for implants TC-N L. 20,5 mm

9113048

Maxi connector for implants TC-N L. 23,5 mm

9113146

Short connector for implants TC-R L. 18 mm

9113147

Long connector for implants TC-R L. 21 mm

9113148

Maxi connector for implants TC-R L. 24 mm

7103047

Mechanical implant connector

9103046

Short mechanical connector for implants TC-N L. 23 mm

9103047

Long mechanical connector for implants TC-N L. 27 mm

9103048

Maxi mechanical connector for implants TC-N L. 31 mm

9103146

Short mechanical connector for implants TC-R L. 23 mm

9103147

Long mechanical connector for implants TC-R L. 27 mm

9103148

Maxi mechanical connector for implants TC-R L. 31 mm

Extension Ref.

Description

7102000

Short universal extension L.11,5 mm

7102010

Long universal extension L.15,0 mm

7102015

MU straight base extension

7103048

Mechanical universal extension

Surgical instruments 72

Torque Wrench Ref.

Description

7103012

Adjustable Torque dynamometric wrench (10/20/30/40 Ncm)

Connectors for torque wrenches Ref. Description 7103013

Connector for Biphasic implants CC

9103113

Connector for Biphasic implants TC-N

9113113

Connector for Biphasic implants TC-R

7103103

Short Connector for Prosthetic screws CC L.16,5 mm

7103104 Long Connector for Prosthetic screws CC L.22.5 mm 7103107

Extra Long Connector for prosthetic screw CC L.26,5 mm

9103103

Short Connector for Prosthetic screws TC L.16,5 mm

9103104

Long Connectors for Prosthetic screws TC L.22,5 mm

9103105

Extra Long Connector for Prosthetic screws TC L.26,5 mm

7103005

Connector for ball abutments CC

9103005

Connector for ball abutments TC

7103105

Connectors for OT Equator abutments

7103037

Connector for Straight Multi-Unit bases

7103015

Connectors for Monophasic Mini implants

Surgical instruments Screwdrivers Ref. Description 7103020

Short screwdriver CC - L.22.5 mm

7103030

Long screwdriver CC - L.25.5 mm

7103034

Extra Long screwdriver CC - L.28.5 mm

9103020

Short screwdriver TC - L.21 mm

9103030

Long screwdriver TC - L.26 mm

9103034

Extra Long screwdriver TC - L.31 mm

7103049

Mechanical Screwdriver CC

9103120

Short Mechanical Screwdriver TC - L.20 mm

9103130

Long Mechanical Screwdriver TC - L.25 mm

9103134

Extra Long Mechanical Screwdriver TC - L.30 mm

Long grip for mechanical polyvalent 7103036 screwdriver 7103136

7610110

Manual/Mechanical Switcher

Screwdriver for ball abutment CC

9610110

Screwdriver for ball abutment TC

7610113

Screwdriver for abutment OT Equator

Mock-ups Ref. Description MODAO4

Mock-up All on four

MODOVE

Mock-up overdenture spherical fix abutment

MODAFIX

Mock-up on fix prosthesis

Surgical accessories 74 Ref. Description 7063117

Direction guide Ø 2,00 – 2,55 mm

7103117

Direction guide Ø 2,55 – 2,85 mm

Ref. Description 7103070

Mechanical drill extension

Ref. Description 7109901

Ref. 7103050

Millimetre marked alveolar probe da L.6 a 17 mm

Description Titanium tweezers

Surgical accessories Ref. Description 7105106

Stop depth L.6 mm

7105107

Stop depth L.7 mm

7105108

Stop depth L.8 mm

Stop depth L.8,5 mm 7105185 7105109 Stop depth L.9 mm 7105110 Stop depth L.10 mm 7105111

Stop depth L.11 mm

7105112

Stop depth L.11,5 mm

7105113

Stop depth L.13 mm

7105115

Stop depth L.15 mm

Ref. Description 7103032

Locking rings (24 pieces pack)

Surgical boxes Ref. Description 7103995

Surgical box for implants

7063999

Surgical box for mini implants

Ref. Description 7105199

Stop depth box

Prosthetic spare parts and accessories 76

(manufactured by rhein 83)

OT Equator spare parts Ref. Description 7640190

Cap container OT Equator (2 pieces pack)

7640191

White retention caps standard OT Equator (4 pieces 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

0°

7° 14°

7640093

Micro castable balls

(4 pieces pack)

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

7640099

Protection ring (10 pieces pack)

7640092

Cap insertion tool

7640094

Micro parallelometer

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

77 Ref. Description 7640090

Container for Micro caps (2 pieces pack)

7642090

Container for Normo caps (2 pieces pack)

Retentive caps for Micro ball Ø 1,8 mm Ref. Description 7640096

Micro Pink retentive caps Soft retention for ball Ø 1,8 mm (6 pieces pack)

7640091

Micro white retentive caps Standard retention for ball Ø 1,8 mm (6 pieces pack)

7640100

Micro Green retentive caps Elastic retention for ball Ø 1,8 mm (6 pieces pack)

7640098

Micro Light Green retentive caps Strong retention for under-dimensioned Micro balls Ø 1.6 mm (6 pieces pack)

Retentive caps for Normo ball Ø 2,2 mm Ref. Description 7642196 Normo Pink retentive caps Soft retention for ball Ø 2,2 mm (6 pieces pack)

7642198

Normo Light Green retentive caps Strong retention Normo balls Ø 2.2 mm (6 pieces pack)

Multysystem® Sinus Lift Surgical Set 78

The introduction of osseointegrated dental implants 50 years ago revolutionized dental or scientific evaluation of their use showed more encouraging results for successful treatments. The assumption, however, and the availability of bone volume sufficient to ensure the integration and acceptable cosmetic results. The use of biocompatible materials, which act as supports to hold the bone regeneration, has had an exponential development in recent years. Minimally invasive surgical techniques, which lead to a lower risk of morbidity and reduce the treatment time, can be applied through the use of the surgical set Multysystem® for the rise of the sinus floor. The set is characterized by an extreme simplicity of execution and a minimum trauma to the patient. The cutters in each are characterized by a flat head (not working) atraumatic, which due to their shape do not adversely affect the membrane in the opening phase of the sinus floor. The series of depth stops are in each of 4 to 10 mm variable length and should be applied to milling cutters to accurately determine the depth of established milling, preventing the wearing in the sinus cavity. E 'implied that before the surgical act is carried out an in-depth preliminary study of the case by means of a horizontal scan TAC. For proper surgical procedure is recommended to follow the directions below: • After identifying the area to be lifted, proceed with the detachment of a minimum mucoperiosteal flap, then use the pilot drill lance of 3 mm measured in such a way as to create the insertion point. • Then use the Initial Drill(Drill 1 Ø 2.55 mm), applying the Stop Depth chosen, it needs to avoid sudden breakthroughs of the maxillary sinus, taking extreme care that the crestal bone residue is absolutely no less than the depth cutting For Fixture site for Multysystem® Dental Implants ST, P-ST, NST, TC-N e TC-R until Ø 4,2 • Drill 2 Ø 2.95 mm with proper depth stop, then Osteotome 1 Ø 2.95 with same depth stop using Surgical Hammer For Fixture site for Multysystem® Dental Implants P-NST, TM e TC-R over Ø 4,2 • Drill 3 Ø 3.55 mm with proper depth stop, then Osteotome 2 Ø 3.55 with same depth stop using Surgical Hammer • Proceed with insertion of chosen implant

Pilot

Initial

Final

Osteotome

Implant

Multysystem® Sinus Lift Surgical Set Ref.

Description

7105009

Sinus lift surgical set

Ref.

Description

7450130

Pilot drill

7410050

Initial drill Ø 2.55 mm

7470151

Final drill Ø 2.95 mm

7470152

Final drill Ø 3.55 mm

7105024

Depth Stop L.4 mm

7105025

Depth Stop L.5 mm

7105026

Depth Stop L.6 mm

7105027

Depth Stop L.7 mm

7105028

Depth Stop L.8 mm

7105029

Depth Stop L.9 mm

7105030

Depth Stop L.10 mm

7105002

Ø 2.95 mm Angled Osteotome

7105003

Ø 3,55 mm Angled Osteotome

7103090

Surgical Mallet

7105000

Surgical Box

Osteo-regenerators 80

SKIN-HYXAÂŽ Beta-tricalcium phosphate granules Skin-Hyxa Beta-tricalcium phosphate improves osteogenesis and establish osteo-regenerators of bone tissue, mixed with saline or autologous plasma protein denatured in 20% solution. Action The technique has the aim to increase the bone volumes and increase the support of hypotonic soft tissue. The Medical Device used for this purpose contains - Calcium Phosphate tribasic which mineral component of bone tissue. Principle Calcium Phosphate Tribasic is mixed with saline or plasma proteinâ&#x20AC;&#x2122;s patient. The application of SkinHyxa in the periosteum or subcutaneously allows formation of a volume of fibrotic collagen which improves the massing of treated area. Product Medical Device Class III CE mark issued by the Ministry of Health and containing: Calcium Phosphate tribasic anhydrous sterile with granules of about 50 microns to uneven surface but rounded Package The package contains 3 bottles of 500 mg each, provided in a double pack made sterile by gamma irradiation. Ref. Description Skinhyxa500

Package of 3bottles of 500 mg each

Warnings UNI CEI EN ISO 15223-1 : 2012 Symbols

Sterililised by ionised ray

Expire Date year/month

Not risterilise

Not sterilised

Non-reusable

Warning Do not use if pack damaged

Multiple pack Batch code

LOT

Read handbook before use

REF

Reference item code Producer

Product mark by Certification authority - Kiwa Cermet

Terms of sale

Orders encourage the use by operators of any appropriate codes. Shipment Shipment will be by carrier 24-48 hour after receiving payment. Returns Any returns must first be authorized by the Multysystem Srl. The goods without original packaging, incomplete or deteriorated will be not replaceable. Prices Required minimum of quantity for any offer contact info@multysystem.com

Multysystem Unipersonale s.r.l. 20851 Lissone (MB) Italy - Via Gen. Guidoni, 7 Tel. +39-039-2302681 - Fax +39-039-2302686 www.multysystem.com e-mail: info@multysystem.com

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