Contents Introduction
152
CTi-mem Components
155
User Guide
159
CTi-mem Selection
163
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Introduction has developed independently by Neobiotech Co., Ltd., Which is the customized titanium membrane with minimum cutting and bending of it for attaching on the location of part used. This product, customized titanium membrane, solved the existed rectangle membrane's own inconvenience of cutting problem.
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Introduction Advantage of CTi-Mem 1. Biocompatibility Cp. Ti material has an excellent biological stability, and it is beneficial to bone formation.
2. Strong Compare to absorbable membrane, it has a superior strength and excellent retention of BMP space.
3. Flexibility Has an excellent flexibility due to the thinness, and it can easily produce a desired shape.
Depending on the location, it provides variety sizes of membrane that are suitable for treatment use. Membrane with a minimum of trimming can be made into the shape you want.
5. Implant fixation Even without the use of membrane fixing screw, it can be fixed directly to Implant.
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4. Customized shape
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6. Vertical Augmentation Vertical Augmentation is adjustable with using 1mm, 1.5mm, 2mm of CTi Spacer.
7. 1-stage Surgery After completing GBR, the CTi-Mem can be easily removed without having 2-stage surgery.
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Introduction CTi-mem Characteristic 1
2
6
3 C
4 Customized Titanium Membrane 154
5 1 Lingual finger Main function is to maintain the efficient space by covering the 2~3mm of lingual defect with easy bending. Simple cutting if necessary. 2 Proximal finger Necessary when vertical augmentation of Misial&distal defect, shape formation available with easy bending. Cut the unnecessary part After measure the width of proximal. 3 Lateral augmentation part - Put the C part as the centre and bending of a curved for 2~3mm thick side bone formation. - Bending the side extrusion inwards in order to protect bone transplant and form the space. Porous exists to minimize the soft tissue exposure. 4 Lateral cover - Cover part of side transplant bone materials. Choose the size depends on defect length. - Three dimensional bending available, no porous exists to be able to remove the CTi-mem with simple 2nd surgery. 5 Foot Protect the transplant material as bending inwards, have membrane fixation by contacting the existing bone. 6 Fixing hole The hole formed to fix the CTi-mem to fixture. Firstly connect the CTi Spacer to fixture, lift up the CTi-mem and then fix with the CTi Healing Abutment or CTi Cover Cap. Vertical bone formation can be decided depends on CTi Spacer height.
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CTi-mem Component 1. CTi-mem CTi-mem has three A types, nine B and C types and three E types. Total of 30 kinds of membranes are customized. P
A-Type 1 Wall Augmentation (Buccal or Lingual)
L
P(mm)
W(mm)
L(mm)
(Proximal Width)
(Buccal Width)
(Buccal Length)
Code
Product Name
8
6
A1
ATMBN 0810S
10
8
A2
ATMBN 0912S
4
10
10
A3
ATMBN 0915S
Code
Product Name
B1
ATMBN 0910L
W
B-Type 2 Wall Augmentation (Buccal - Proximal) P
P(mm)
W(mm)
L(mm)
(Proximal Width)
(Buccal Width)
(Buccal Length)
6 7
10
9
12
L
12
W
12
8
B2
ATMBN 0912L
10
B3
ATMBN 0915L
6
B4
PTMBN 1210S
8
B5
PTMBN 1212S
10
B6
PTMBN 1215S
6
B7
PTMBN 1210L
8
B8
PTMBN 1212L
10
B9
PTMBN 1215L
Code
Product Name
6
C1
ATMLN 0910L
8
C2
ATMLN 0912L
10
C3
ATMLN 0915L
6
C4
PTMLN 1210S
C-Type 3 Wall Augmentation (Buccal-Lingual-Proximal) P
P(mm)
W(mm)
L(mm)
(Proximal Width)
(Buccal Width)
(Buccal Length)
7
9
10
12
L
W
12
12
8
C5
PTMLN 1212S
10
C6
PTMLN 1215S
6
C7
PTMLN 1210L
8
C8
PTMLN 1212L
10
C9
PTMLN 1215L
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4 4
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CTi-mem Component P
D-Type ITI Type (Non-fixed) 1 Wall Augmentation P(mm)
W(mm)
L(mm)
(Proximal Width)
(Buccal Width)
(Buccal Length)
7
9
L
Code
Product Name
6
D1
ATUBN 0910L
8
D2
ATUBN 0912L
10
D3
ATUBN 0915L
Code
Product Name
6
D4
PTUBN 1210S
8
D5
PTUBN 1212S
10
D6
PTUBN 1215S
W
P
D-Type ITI Type (Non-fixed) 2 Wall Augmentation Customized Titanium Membrane
L
P(mm)
W(mm)
L(mm)
(Proximal Width)
(Buccal Width)
(Buccal Length)
10
12
W
156
P
E-Type Universal Type (Submerged & Non-fixed) P
L
(Proximal Width)
(Buccal Length)
12
Code
Product Name
15
E1
CTM 1215
12
20
E2
CTM 1220
15
20
E3
CTM 1520
L
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CTi-mem Component 2. CTi Spacer - By connecting CTi spacer to the implant platform of the head, GBR can be controled. - After mounting the Cti-mem (A, B, C type) in upper part of being entered and placed implant. Fix the CTi-mem with CTi Cover cap or CTi healing abutment. - Available to control the vertical augmentation amount by using optional three types of CTi Spacer that are 1mm, 1.5mm, 2mm. Height
EB CTi Spacer Diameter( )
Height(mm)
Product Name
1
ENCTS 3710
Narrow
3.5
1.5
ENCTS 3715
2
ENCTS 3720
1
ERCTS 4010
1.5
ERCTS 4015
2
ERCTS 4020
1
EICTS 5010
1.5
EICTS 5015
2
EICTS 5020
Diameter
Regular
Wide(3i)
Wide (Branemark)
4.0
5.0
5.0
1
EBCTS 5010
1.5
EBCTS 5015
2
EBCTS 5020
Customized Titanium Membrane
Type
157
Diameter
IS CTi Spacer Height
Diameter( )
Height(mm)
Product Name
0.5
ISCTS 4005
1
ISCTS 4010
1.5
ISCTS 4015
2
ISCTS 4020
4.0
3. CTi Cover Cap Used for fixing the CTi-mem that has been mounting with CTi Spacer, and Submerged purpose. Height
Diameter( ) Diameter
4.0
Heightter(mm)
Product Name
1.5
CTC 40
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CTi-mem Component 4. CTi Healing Abutment Diameter 2
Used for fixing the CTi-mem that has been mounting with CTi Spacer, and Non-Submerged purpose. Diameter 1( )
Diameter 2( )
Height(mm)
Product Name
3.0
CHAG 404030
4.0
CHAG 404040
3.0
CHAG 405030
4.0
CHAG 405040
Height
4.0 4.0 5.0 Diameter 1
Customized Titanium Membrane
5. CTi Cover Cap Driver Used for picking-up the CTi Cover cap, enter in or lossen the CTi cover cap from the CTi Spacer. Product Name MCCD CTi Spacer / CTi Healing Abutment can be close or released by 1.2 Hex Driver.
158
6. CTi-mem Contouring Plier CTi-mem contouring Plier is for bending CTi-mem in right form. Product Name MCCP
7. CTi Guage CTi-guage is for measuring oral proximal width, buccal width and buccal length. Product Name MG 00
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User Guide 1. Finish the implantation of the Fixture.
2. Choose CTi-Mem by using the measurement from CTi gauge and length space of bone graft.
3. Combine the membrane healing post with the fixture. By selecting the post, you need to know the system of the implant, volume of the bone graft and EB and IS implant have two types of height(1mm, 1.5mm, 2mm) which this information can give good selection.
4. Proceed Bone graft.
5. Make model of the selected CTI- Mem. Do not bend rapidly in the same area or it will fracture the CTI- Mem.
- With the gum height use suitable healing cap. - Use cover cap for 2nd stage surgery.
7. Suture the Soft tissue.
Customized Titanium Membrane
6. Stable the CTI-Mem and combine the membrane healing cap or membrane cover cap with below 10 Ncm.
159
1. A type : 1 wall augmentation Placement for buccal in bone defect area
Implant at the area of bone defect
Combine CTi Spacer with implant
Image of CTi Spacer with implant
Bone graft at Bone defect area
Bend Cti-mem with Contouring plier
Bend Suitable Form by Bending CTi-mem
Place the mount at CTi Spacer
Before suture, combine CTi Healing abutment or CTi Cover cap with CTi-mem
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User Guide 2. B type : 2 wall augmentation Placement for buccal, proximal in bone defect area
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Implant at the area of bone defect
Combine CTi Spacer with implant
Image of CTi Spacer with implant
Bone graft at Bone defect area
Bend Cti-mem with Contouring plier
Bend Suitable Form by Bending CTi-mem
Place the mount at CTi Spacer
Before suture, combine CTi Healing abutment or CTi Cover cap with CTi-mem
3. C type : 3 wall augmentaion Placement for buccal, proximal and lingual in bone defect area
Implant at the area of bone defect
Combine CTi Spacer with implant
Image of CTi Spacer with implant
Bone graft at Bone defect area
Bend Cti-mem with Contouring plier
Bend Suitable Form by Bending CTi-mem
Place the mount at CTi Spacer
Before suture, combine CTi Healing abutment or CTi Cover cap with CTi-mem
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User Guide 4. D type : 1 wall agumentation for ITI type Placement for buccal in bone defect area
Combine cover screw or healing abutment
Bend Suitable Form by Bending CTi-mem
Before suture, place CTi -mem at bone defect area
Bone graft at Bone defect area
Bend Cti-mem with Contouring plier
Customized Titanium Membrane
Detect the area of bone defect
5. D type : 2 wall agumentation for ITI type
161
Placement for buccal and proximal in bone defect area
Detect the area of bone defect
Combine cover screw or healing abutment
Bend Suitable Form by Bending CTi-mem
Before suture, place CTi -mem at bone defect area
Bone graft at Bone defect area
Bend Cti-mem with Contouring plier
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User Guide 6. E type : Non-fixed Submerged Placement for large bone defect area
Customized Titanium Membrane
Detect the area of bone defect
Combine cover screw or healing abutment
Bend Suitable Form by Bending CTi-mem
Before suture, place CTi -mem at bone defect area
Bone graft at Bone defect area
Bend Cti-mem with Contouring plier
162
Warning 1. Practitioners should use after fully understand the handling and precautions of the product.
2. Since the product is supplied as sterile, CTi-mem should be used immediately after it is opened from the package.
3. In the case of package is damaged, the condition of sterilization is likely to be damaged. Therefore, it needs to be discarded.
4. Inadvertent exposure by a carelessness of suture can cause a redness, swelling and tissue to be eliminated. Therefore, it needs to be removed.
5. Improper selection of patients or procedures can lead to a failure of treatment.
6. CTi-mem is a disposable single- use product. Do not reuse.
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CTi-mem Selection 1. Depends on the wall situation, choose A, B, C type from the CTi-men. 2. Proximal width (p) of Occlusal part that needs to be covered by Membrane is measured in oral with determination of the 'p' size. If Proximal defect is not existed, amputate the proximal when it's 1wall choose A, and when it's b-l defect choose C for the amputation. 3. W (Buccal Width) can be decided by P (Proximal Width) and P can be measured From B and C.
Customized Titanium Membrane 163
Contents Introduction
166
Type of Ti-mesh
166
Neo Titanium Mesh Go to Index
Introduction Neo titanium mesh can be trimmed by customer’s need (Thickness 0.085mm hole size
0.8)
Type of Ti-mesh Neo Titanium Mesh
20mm 12mm
20mm
25mm
166
35mm 25mm
35mm
50mm
Size
Code
Product Name
20 x 12
T1
TMN 122008
25 x 20
T2
TMN 202508
35 x 25
T3
TMN 253508
50 x 35
T4
TMN 355008