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.
Customized Titanium Membrane 152
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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.
Customized Titanium Membrane
4. Customized shape
153
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.
CTI-mem 1
CTi-mem • A-Type _ITT )]OUMV\I\QWV *]KKIT WZ 4QVO]IT P(mm) Proximal Width
W(mm) Buccal Width
L(mm) Buccal Length
Code
Code
4
8
6
A1
ATMBN0810S
4
10
8
A2
ATMBN0912S
4
10
10
A3
ATMBN0915S
W(mm) Buccal Width
L(mm) Buccal Length
Type
Code
6
B1
ATMBN0910L
8
B2
ATMBN0912L
10
B3
ATMBN0915L
6
B4
PTMBN1210S
8
B5
PTMBN1212S
10
B6
PTMBN1215S
6
B7
PTMBN1210L
8
B8
PTMBN1212L
10
B9
PTMBN1215L
L(mm) Buccal Length
Type
Code
6
C1
ATMLN0910L
• B-Type _ITT )]OUMV\I\QWV *]KKIT 8ZW`QUIT P(mm) Proximal Width
7
10
12
9
12
12
• C-Type _ITT )]OUMV\I\QWV *]KKIT 4QVO]IT 8ZW`QUIT P(mm) Proximal Width
7
10
12
W(mm) Buccal Width
9
12
12
8
C2
ATMLN0912L
10
C3
ATMLN0915L
6
C4
PTMLN1210S
8
C5
PTMLN1212S
10
C6
PTMLN1215S
6
C7
PTMLN1210L
8
C8
PTMLN1212L
10
C9
PTMLN1215L
CTI mem 02
CTi-mem â&#x20AC;¢ D-Type 1<1 <aXM 6WV .Q`ML _ITT )]OUMV\I\QWV P(mm) Proximal Width
7
W(mm) Buccal Width
9
L(mm) Buccal Length
Code
Code
6
D1
ATUBN0910L
8
D2
ATUBN0912L
10
D3
ATUBN0915L
L(mm) Buccal Length
Type
Code
6
D4
PTUBN1210S
8
D5
PTUBN1212S
10
D6
PTUBN1215S
â&#x20AC;¢ D-Type 1<1 <aXM 6WV .Q`ML _ITT )]OUMV\I\QWV P(mm) Proximal Width
10
W(mm) Buccal Width
12
â&#x20AC;¢ E-Type =VQ^MZ[IT <aXM ;]JUMZOML 6WV .Q`ML P(mm) Proximal Width
L(mm) Buccal Length
Type
Code
12
15
E1
CTM1215
12
20
E2
CTM1220
15
20
E3
CTM1520
Type
Diameter
Hight(mm)
Code
1
ENCTS3710
Narrow
Ã&#x2DC;3.5
1.5
ENCTS3715
2
ENCTS3720
1
ERCTS4010
1.5
ERCTS4015
2
ERCTS4020
1
EICTS5010
1.5
EICTS5015
2
EICTS5020
1
EBCTS5010
1.5
EBCTS5015
2
EBCTS5020
â&#x20AC;¢ EB CTi Spacer
Hight
Diameter
Regular
Wide(3i)
Wide (Branemark)
Ã&#x2DC;4.0
Ã&#x2DC;5.0
Ã&#x2DC;5.0
CTI mem 03
CTi-mem • IS CTi Spacer Diameter
Hight(mm)
Code
0.5
ISCTS4005
1
ISCTS4010
1.5
ISCTS4015
2
ISCTS4020
Hight
Ø4.0 Diameter
• Astra Spacer Fixture Size
Diameter
Hight
Ø3.0 (Yellow)
Ø4.5 / Ø5.0 (Lilac)
Code
0.5
ASCTS1405
1.0
ASCTS1410
1.5
ASCTS1415
2.0
ASCTS1420
0.5
ASCTS1605
1.0
ASCTS1610
1.5
ASCTS1615
2.0
ASCTS1620
0.5
ASCTS2005
1.0
ASCTS2010
1.5
ASCTS2015
2.0
ASCTS2020
Hight(mm)
Code
0.5
ZSVCTS3505
1.0
ZSVCTS3510
1.5
ZSVCTS3515
2.0
ZSVCTS3520
0.5
ZSVCTS4505
1.0
ZSVCTS4510
1.5
ZSVCTS4515
2.0
ZSVCTS4520
0.5
ZSVCTS5705
1.0
ZSVCTS5710
1.5
ZSVCTS5715
2.0
ZSVCTS5720
Ø3.5
Diameter
Ø3.5 / Ø4.0 (Aqua)
Hight(mm)
Ø4.0
Ø4.0
• Zimmer Spacer Fixture Size
Diameter
Hight
Taper Screw-Vent. Screw-Vent Plateform Ø3.5 Fixture
Ø3.5
Diameter
Taper Screw-Vent. Screw-Vent Plateform Ø3.5 / Ø4.5 Fixture
Taper Screw-Vent Plateform Ø5.7 Fixture
Ø4.5
Ø5.7
CTI mem 04
CTi-mem • Dentsply Spacer Fixture Size
Diameter
Hight
Ø3.0 Fixture
Ø3.8 / Ø4.5 / Ø5.5 Fixture
Code
0.5
XIVECTS3005
1.0
XIVECTS3010
1.5
XIVECTS3015
2.0
XIVECTS3020
0.5
XIVECTS3405
1.0
XIVECTS3410
1.5
XIVECTS3415
2.0
XIVECTS3420
0.5
XIVECTS4505
1.0
XIVECTS4510
1.5
XIVECTS4515
2.0
XIVECTS4520
Ø3.0
Diameter
Ø3.4 Fixture
Hight(mm)
Ø3.4
Ø4.5
7VTa NWZ @Q^M
• CTi Cover Cap Diameter
Hight(mm)
Code
Ø4.0
1.5
CTC40
Hight
Diameter
• CTi Healing Abutment Diameterv2
Diameter 1(Ø)
Diameter 2(Ø)
Hight(mm)
Code
3.0
CHAG404030
4.0
CHAG404040
3.0
CHAG405030
4.0
CHAG405040
Ø4.0 Hight
Ø4.0 Ø5.0 Diameter 1
CTI mem 05
CTi-mem • CTi Cover Cap Driver
Code
MCCD
Code
MG00
Code
MCCP
• CTi Guage
• CTi-mem Contouring plier
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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
Customized Titanium Membrane 160
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
CTI mem 06
New CTi-mem New CTi-mem provides fixing holes to give smoother access for fixing screws! ;XIKMZ
)LLQ\QWVIT .QVOMZ
After connecting to the fixture, mount CTi-mem on spacer and have statined using Cover Screw 8ZW`QUIT .QVOMZ
.Q`QVO 0WTM
<MV\ ;KZM_ 4I\MZIT <PQKSVM[[ .WZUQVO 8IZ\
Mount CTi-mem on a statined Tent Screw and fasten using Cover Screw
*MVLQVO 8WZ\QWV 8ZW`QUIT .QVOMZ
4I\MZIT +W^MZ
.Q`QVO ;KZM_
After bending or customizing, the CTi-mem, tighten the fixing screw into the foot fixing hoel
.Q`QVO 0WTM
â&#x20AC;¢ New CTi-mem Spec [NA3] ATMBN0915SF
[NB9] PTMBN1215LF
[NC9] PTMLN1215LF
[NE1] CTM1215F
12mm
4mm
12mm
15mm
11mm
10mm
10mm
10mm
12mm
12mm
12mm
[NE2] CTM1220F
[NE3] CTM1520F
[NE4] CTM2023F
[NE5] CTM25F
20mm
12mm
15mm
20mm
20mm
20mm
23mm
30mm
New CTi-mem applicationguide
Fix the Tent Screw at a defect area
Choose the New CTi-mem(NE5)
Tighten the Fixing Screw into each side-foot Fixing hole
Make hole Tent Screw
Tighten the Fixing Screw into the rest of Fixing holes
Bone graft
Tighten the New CTi-mem with Tent Screw by using Cover Screw
Complete the New CTi-mem with bone grafting by using Tent Screw and Fixing screw
CTI mem 07
Ti-mesh(Neo Titanium Mesh) New Ti-mesh can be trimmed which ever form. Thickness 0.085mm / Hole size 0.8
â&#x20AC;¢ Type Of Ti-mesh
20mm 15mm
12mm
25mm
25mm
25mm
35mm
35mm
Size
Code
Code
20 x 12
T1
TMN 122008
25 x 20
T2
TMN 202508
35 x 25
T3
TMN 253508
50 x 35
T4
TMN 355008