More than pure esthetics.
The natural and strong solution.
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Expand your patient pool
with an innovative solution.
With the StraumannÂŽ PURE Ceramic Implant, clinicians have an additional option to convince patients to choose an implant treatment over conventional tooth replacement. A patient survey in Europe1 conducted with more than 250 participants has shown that many patients would prefer a ceramic implant over a titanium implant.
Patient survey showing implant material preference of patients1 60 % 53
50 % 40 %
35
30 %
3.5 x
20 % 10 % 0%
10 2
N. a.
Metal implant
Ceramic implant
Does not know
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For clinicians the ceramic implant solution is a valuable opportunity to expand their patient base. Consequently, offering treatment with the Straumann® PURE Ceramic Implant will enable you to further differentiate your practice while meeting your patients’ expectations: Esthetic cases can be challenging. What options do you have if patients with a thin gingiva type request an esthetic treatment? Patients’ requests for metal-free implant treatments are increasing constantly. How well equipped are you for treating patients who ask for this kind of treatment? High predictability is key for successful treatments and has a significant impact on the clinic’s reputation. Prerequisites for predictability are mechanical stability and osseointegration. How much emphasis do you grant these factors in your treatment choice?
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The Straumann® PURE Ceramic Implant is based on decades of experience.
The Straumann® PURE Ceramic Implant offers you a unique esthetic solution to treat patients with specific needs. While some patients have a thin gingiva biotype, which requires a specific treatment approach, other patients express their explicit wish for a metal-free alternative.
HIGH PREDICTABILITY WITH REVOLUTIONARY OSSEOINTEGRATION PROPERTIES EQUIVALENT TO ESTABLISHED SLA® SURFACE2,3,4 For successful treatments with high predictability, surface structure plays an important role in achieving osseointegration5 – 8. The Straumann® PURE Ceramic Implant features the ZLA® surface, which is based on the well documented SLA® surface. Both surfaces have very similar topographies. Published research data2,3,4 indicates the same healing pattern, healing time and bone maintenance for the ZLA® and the SLA® surface. The short healing time of 6 – 8 weeks, a revolutionary feature in ceramic implants, helps reduce the early failure risk9. The ZLA® surface demonstrates fast and predictable osseointegration which is beneficial in successful implant treatment. 50 µm ZLA® surface
Mean peri-implant bone density values2 70 % 60 % 50 %
61.1
60.4
63.6
65.4
68.2
63.3
40 %
50 µm
30 %
SLA® surface
20 % 10 % 0% 4 wks
8 wks
12 wks Ti SLA®
Ceramic ZLA®
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100 % PROOF TEST ENSURING RELIABLE IMPLANT STRENGTH Studies have reported implant fractures of all-ceramic implants of certain manufacturers10, demonstrating how important mechanical stability is in the long term for a predictable treatment. The Straumann® PURE Ceramic Implant is designed and produced to mitigate these risks of fracturing and instability. The implants are manufactured from a high-performance Zirconia (Y-TZP). In addition to the specific material choice, highly controlled production processes have been set to guarantee exceptional levels of quality. This is why every single implant has to pass a 360° mechanical strength quality check (proof test) before being packaged and delivered to the customer.
100 %
PROOF-TESTED
The implant’s excellent mechanical strength has been confirmed in a clinical study where zero fractures where reported after the 1-year follow up11. This high product standard and strong study data allow patients and clinicians to be completely confident about the reliability of the treatment.
3 m
m
11 m
m
F
30°
360 °
Fig. 1: Test setup according to ISO 14 801
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High end esthetic solution thanks to the ivory-colored material
Patient demands most often include an uncompromised esthetic outcome of the treatment. In order to support clinicians to meet this need, the StraumannÂŽ PURE Ceramic Implant has a natural like ivory color. This specific feature makes the implant look more like a natural tooth and it supports the clinician in cases of thin gingiva biotype or soft tissue recession.
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Success and survival rates of the Straumann® PURE Ceramic Implant after 1-year follow up within a multicenter study11 Survival
Success
97.6 %
97.6 %
n = 41/42
n = 41/42
Before
After
A courtesy of Dr. Jaquiéry & Dr. Röhling
In addition to the color, the soft tissue also plays an important role in the esthetic outcome. An animal study has shown a reduced pocket depth and higher soft tissue attachment on the Straumann® PURE Ceramic Implant compared with a titanium implant. Pocket depth and biological width measurements of titanium and ceramic implants4 (mean values) 3.0 mm 2.5 mm
2.8
2.0 mm
2.3
1.5 mm 1.0 mm 0.5 mm
1.4 0.8
0.0 mm Sulcus depth (pocket depth)
Biological width (attached ginigva) Ti SLActive®
PURE ceramic implant
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The implant and
its properties
The Straumann® PURE Ceramic Implant has a monotype design based on features of the Straumann® Soft Tissue Level Standard Plus and Straumann® Bone Level Implants.
Abutment design for cementable restorations Ivory color for natural esthetics 1.8 mm machined neck Conical thread in coronal region known from Bone Level Implants ZLA® surface topography comparable to Straumann® SLA® Thread pitch 0.8 mm from Straumann® Bone Level
Apical tip known from Bone Level/ Tapered Effect Implants
The Straumann® PURE Ceramic Implant can be placed with the existing Straumann® Surgical kit while using a very similar surgical procedure as for all other Straumann implants. It is available in two endosteal diameters of 4.1 mm and 3.3 mm, with two abutment heights of 4.0 mm and 5.5 mm. The implant system uses the same unified color code for instruments and implants that is known from working with Straumann® Titanium Implants.
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The product portfolio comprises tools to check proper implant placement, to overcome the healing phase and to create the crown. Specific position indicators will allow clinicians to check the future abutment direction and restorability. These indicators can be used after first drilling and after the final drilling. Specific impression caps and implant analogs are available for the abutment heights to transfer information of the in-situ situation to the dental lab.
∅ 4.1 mm RD* AH: 5.5 mm/ • 4 mm
Position Indicator
Surgical Procedure
Protective Caps
Healing Phase
∅ 3.3 mm ND** AH: 5.5 mm/ • 4 mm
Impression Caps
Analogs
Impression Taking
Temporary Coping
Model Fabrication
Temporarization
*RD = Regular Diameter **ND = Narrow Diameter
Choose the Straumann® PURE Ceramic Implant to benefit from a product based on decades of experience. Gain access to a system offering following benefits: ѹѹ Expand your patient pool with an innovative solution ѹѹ High predictability with revolutionary osseointegration features equivalent to the established SLA® surface2,3,4 ѹѹ 100 % proof test ensuring reliable implant strength ѹѹ High end esthetic solution thanks to ivory-colored material
«Straumann’s new ceramic implant is a very simple
and well-designed system. I like that Straumann, as an established manufacturer, now gives me the opportunity to treat patients who explicitly wish to have a ceramic implant restoration.
»
Dr. med. Dr. med. dent. Roland Rippel, Praxis am Stadtpark, Nürnberg/Germany
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REFERENCES
1 Straumann patient survey, Data on file 2 Gahlert M et al. ‚ In vivo performance of zirconia and titanium implants: a histomorphometric study in mini pig maxillae.’ Clin Oral Implants Res. 2012 Mar;23(3):281-6 3 Bormann KH et al. ‚ Biomechanical evaluation of a microstructured zirconia implant by a removal torque comparison with a standard Ti-SLA implant.’ Clin Oral Implants Res. 2012 Oct; 23(10):1210-6 4 Data on file (Blanco) 5 Buser D. et al ‘Interface shear strength of titanium implants with a sandblasted and acid-etched surface: a biomechanical study in the maxilla of miniature pigs.‘J Biomed Mater Res. 1999 May;45(2):75-83. 6 Buser D. et al. ‘10-year Survival and Success Rates of 511 Titanium Implants with a sandblasted and Acid Etched Surface: A Retrospective Study in 303 Partially Edentulous Patients’ Clin Implant Dent Relat Res. 2012 Dec;14(6):839-51 7 Roccuzzo M. et al ‘Long-term results of a three arms prospective cohort study on implants in periodontally compromised patients: 10-year data around sandblasted and acid etched (SLA) surface.’ Clin Oral Implants Res. 2013 Jul 19. [Epub ahead of print] 8 Cochran D.L. et al. ‘The use of reduced healing times on ITI implants with a sandblasted and acid-etched (SLA) surface: early results from clinical trials on ITI SLA implants.‘Clin Oral Implants Res. 2002 Apr;13(2):144-53 9 Raghavendra S, et al. Int. J. Oral Maxillofac. Implants. 2005 May–Jun;20(3):425–31 10 Gahlert M, et al. ‘Dental zirconia implants up to three years in function: a retrospective clinical study and evaluation of prosthetic restorations and failures.’ Int J Oral Maxillofac Implants. 2013 May-Jun;28(3):896-904 11 Gahlert M. et al. ‘Prospective Open Label Single Arm Study to Evaluate the Performance of Straumann® Ceramic Implants Monotype (CIM) in Single Tooth Gaps in the Maxilla and Mandible’ Poster 252 at the 22nd Annual Scientific Meeting of the European Association of Osseointegration, 17-19 Oct. 2013, Dublin Ireland
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© Institut Straumann AG, 2014. All rights reserved. Straumann® and/or other trademarks and logos from Straumann® mentioned herein are the trademarks or registered trademarks of Straumann Holding AG and/or its affiliates.
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Straumann products are CE marked 490.018/en/B/00 03/15
International Headquarters Institut Straumann AG Peter Merian-Weg 12 CH-4002 Basel, Switzerland Phone +41 (0)61 965 11 11 Fax +41 (0)61 965 11 01 www.straumann.com
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