Neodent One Step Hybrid brochure by Straumann Group

One Step Hybrid The Definitive Solution For The Immediate Loading Of A Full Arch Prosthesis

My self esteem has improved and my friends tell me that I am like a new person after the surgery. I feel younger and healthier. Now I need to follow the proper home care routine to maintain my new smile. E.L., 51 years old*

Before

After

* The identity of the patient has been changed to protect their privacy.

One Step Hybrid » Unique protocol for a hybrid prosthesis providing a passive fit » Possibility to use multiple implants using straight or angled abutments 17° & 30°

2. Immediate resolution without the need for a provisional prosthesis

1. Greater convenience for the patient, offering a fast and effective final solution

One Step Hybrid 4. High predictability – 98.9% implantsurvival rate at 2-year follow-up1

3. Lower costs for both you and your patient

Multiple Advantages, One Single Treatment Titamax EX Implants » Designed for type III and IV bone » Expander apex designed to facilitate placement and under preparation of the osteotomy » Scientifically validated for immediate-loading procedures2

Morse Taper (CM) Connection » 5.75° Morse Taper » Minimum platform switch of 0.35mm » Designed to reduce the occurrence of micro-movement » Designed for optimal preservation of crestal bone and soft tissue » 17º - and 30º - angled abutments are available

Image taken in the Integrated Laboratory Materials of Neodent (LIM) – Curitiba - PR – Brazil

Passive Adjustment Coping » Copings designed to give excellent passive adjustment between the abutment and the cast framework » The framework can be unscrewed, ensuring minimal micro-movement » Excellent fit, comparable to frameworks made using CAD/CAM

Specially Designed Apex

Titamax Implants » Designed for type I and II bone » V-shaped thread designed to obtain primary stability » New apex design providing excellent cutting power » Scientifically validated for immediate loading procedures 3, 4, 5 and 6

Surgical And Restorative Procedure In The Clinic:

Fig 1. Once the flap has been opened, it is very important to prepare the crest of the alveolar ridge before placing the implants

Fig 2. Before commencing drilling, we recommend using the 7 mm surgical marker to ensure that the distal implants are positioned at the correct distance from the mental foramen

Fig 3. It is recommended that five implants be placed in the mandible and six implants in the maxilla for this protocol

Fig 4. Once the implants have been placed, the CM Mini Conical Abutments can be fitted

Fig 5. Multifunctional Impression Copings (108.068) are placed on the CM Mini Conical Abutments and are joined together using acrylic resin

Fig 6. Take the intermaxillary relationship with the multi-purpose guide in the mouth and take the impression using silicone fluid, which gives a precise registration of the soft tissue

Fig 7. Remove the multipurpose guide and fit the CM Mini Conical Abutment analogs over the registration transfers

Fig 8. Fit the protective copings over the CM Mini Conical Abutments

Fig 9. Once the laboratory phase is completed, the protective cylinders are removed and the final prosthesis is fitted into place

Fig 10. Final x-ray image

Laboratory Procedure

Fig 1. The laboratory should receive the previously prepared multi-purpose guide together with the antagonist prosthesis

Fig 2. The analogs are screwed into the impression copings previously fixed to the multi-purpose guide for making a new working model

Fig 3. Use of the multipurpose guide for making the working model

Fig 4. Once the model has been made, the brass copings should be screwed to the analogs and, over these, the castable copings using the working screws

Fig 5. Carry out the framework wax-up. We recommend creating metal bolts and spheres for better retention of the future metal framework

Fig 6. While the casting of the metal framework is carried out, the brass copings should remain in the model

Fig 7. Application of the acrylic resin over the cast framework

Fig 8. Once the framework has been made, the brass copings are removed and the titanium copings are fitted over the abutment analogs in the model. The framework should adapt passively although it may be necessary to revise the internal part of the framework

Fig 9. Cement the titanium copings to the cast framework. We recommend covering the titanium coping retention screws with wax or teflon. For cementing the framework, we recommend the use of a self-curing cement (e.g. PanaviaÂŽ, Kuraray Med. Tokyo-Japan Inc.)

NEOO

One Step Hybrid The Definitive Solution For The Immediate Loading Of A Full Arch Prosthesis Greater convenience for the patient, offering an immediate final solution without the need for a provisional prosthesis; Lower costs for both you and your patient; Great predictability with a proven 98.9% success rate1.

1 Borges AF, Dias Pereira LA, Thomé G, Melo AC, de Mattias Sartori IA. Prostheses removal for suture removal after immediate load: success of implants. Clin Implant Dent Relat Res. 2010 Sep;12(3):244-8.

Faot F, Hermann C, Sartori EM, Bassi AP. Tilted implants and prototyping: a security option for improving the anchorage in atrophic maxilla. Gen Dent. 2013;61(2):28-31.

Sansone KM, Filho HN, Berretin-Félix G, Brasolotto AG. Oral myofunctional and vocal characteristics in subjects subjected to oral rehabilitation with osseointegrated implants. Clin Oral Implants Res. 2006 Jun;17(3):328-30.

Vieira RA, Melo AM, Sartori IA, Budel L, Gama JC, Thomé G. Benefits of rehabilitation with implants in masticatory function - Is patient perception of change in accordance to the real improvement? J Oral Implantol. 2012 Feb 29. (Epub ahead of print).

Lee HJ, Aparecida de Mattias Sartori I, Alcântara PR, Vieira RA, Suzuki D, Gasparini Kiatake Fontão F, Tiossi R. Implant stability measurements of two immediate loading protocols for the edentulous mandible: rigid and semi-rigid splinting of the implants. Implant Dent. 2012 Dec;21(6):486-90.

6 Borges AF, Dias Pereira LA, Thomé G, Melo AC, de Mattias Sartori IA. Prostheses removal for suture removal after immediate load: success of implants. Clin Implant Dent Relat Res. 2010 Sep;12(3):244-8.

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