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The world of safe ceramic implants
Welcome to the world of safe ceramic implants Z-SYSTEMS is the global leader in ceramic implants.
Z-SYSTEMS products are CE- and FDAcertified.
Trusted pioneering advances. Constant innovation, based on solid scientific
We are pleased to present you our complete product
Tens of thousands of successfully placed implants and over
We obtained the first CE certification for one-piece
experimentation, our unique product range and personal
range on the following pages, and to win you over with
15 years’ experience have brought us significant advances
ceramic implants in 2004. These are manufactured with
advice – your satisfaction is our goal. The road to
our safe ceramic implants.
in manufacturing, quality and know-how. We value clinical
our safe Zirkolith® process. In 2007, we were the first
reliable, safe material and design is a long one. We follow
documentation, and are certified as per ISO 13485.
ceramic implant manufacturer to meet the requirements
significant quality demands and continue successive
to obtain FDA certification. Four years later, we continued
developments. Safety without compromise is our highest
this success with our Z5c two-piece ceramic implant.
motto, because we are convinced that only sustainable
The Z5m(t) conical ceramic implant with active threads
Your Z-SYSTEMS Team
and safe implants ensure your success.
was certified by the FDA in 2015, and successfully introduced around the world.
The benefits of Z-SYSTEMS – ceramic implants at a glance ✓ Survival rate comparable to that of titanium implants ✓ Secure osseointegration thanks to the hydrophilic SLM® surface ✓ Implant and abutment can be prepped ✓ Higher material strength than titanium ✓ Less plaque, better gum attachment ✓ Not electrically conductive, no galvanic elements, no currents ✓ Sustained aesthetic results
Ceramic implants – The alternative to titanium implants.
Z-SYSTEMS is the first name in ceramic implants.
Z-SYSTEMS implants consist of a pure zirconium oxide, high-performance ceramic as per ISO 13356, and are superior to titanium implants in many areas.
Z-SYSTEMS makes no compromise in quality. Our implants not only demonstrate important advantages as compared to titanium implants, but they also are significantly different from other ceramic implants.
More natural. Bones and gums integrate better with zirconium oxide ceramics.1
Safe. Our unique Zirkolith® manufacturing process layers the raw material in many steps, then it is processed and ground to make implants. This process significantly increases breakage- and age-resistance. .
More sustainable. Less plaque accretion than on titanium. This reduces the risk of perimplantitis as well as cardiovascular diseases and strokes.2
Flexible. Both one- and two-piece Z-SYSTEMS implants can be ground in the mouth. Thus optimized shapes as well as individual adjustments to the gums are possible.
More aesthetic.
Hydrophilic.
Thanks to the white material, no gray shadows are visible even with thin
Z-SYSTEMSimplants are plasma-sterilized, which is gentle to the material. Thus the surface
or receding gums.
is hydrophilic. Other ceramic implant producers use lower-cost steam- or ionizing gamma
3
ray sterilization. We stopped using material-stressing steam sterilization in 2009.5
Z-SYSTEMS implants are metal-free, biocompatible, conduct neither heat nor electrical energy, and cause no irritation to the immune system.4
Fast. The patented surface is sand-blasted and laser-modified with an SLM® process. This trusted process has been used since 2011. This not only roughens the sides of
Stronger.
the threads, it also achieves the optimal
Ceramic is much stronger than titanium.
(2–3 µ).6
More visible. Ceramic implants are opaque to X-rays, and easier to recognize in critical situations.
degree of micro and macro roughness
6 4 2 0 -2 -4 Measurements: Alicona Infinte Focus IFM Ra = 3,10 µm -8 100 200 300 400 500 Profile lenght [µm]
-6
600
700
800
Successful. The survival rate for Z-SYSTEMS’ Z5 generation of ceramic implants is at > 98 %, and comparable to leading titanium implants.7
1. J. Mellinghoff, «Quality of the periimplant soft tissue attachment of zirconia implants»; ZZI Zeitschrift für Zahnärztliche Implantologie, 2010; 26 (1).
4. G. Bayer, «Patienentenführung und Materialwahl bei subjektiv empfundener Titanunverträglichkeit»; Quintessenz, 2014; 65(3): 303310
2. Scarano A1, Piattelli M, Caputi S, Favero GA, Piattelli A; «Bacterial adhesion on commercially pure titanium and zirconium oxide disks: an in vivo human study»; J Periodontol. 2004 Feb; 75(2): 292–296. – J. Holländer, Dissertation Uni Frankfurt 2009. Liñares A et al. Histological assessment of hard and soft tissues surrounding a novel ceramic implant: a pilot study in the minipig. J Clin Periodontol. 2016 Jun;43(6):538–46.
5. O. Hoffmann et al, «Osseointegration of Zirconia Implants with Different Surface Characteristics»; JOMI 2012; 27: 352–358.
3. Jung RE, Sailer I, Hämmerle CH, Attin T, Schmidlin P.: In vitro color changes of soft tissues caused by restorative materials. Int .J. Periodontics Restorative Dent. 2007 Jun; 27(3): 251–257.
4
Rawness profile Z5 – ZrO2 sand-blasted and laser-modified 8 Profile height [µm]
Healthier.
6. Dr. D. Duddeck und PD Dr. J. Neugebauer, Uni Köln, BDIZ/EDI Implant study, «quantitative and qualitative element-analysis of implant-surfaces by SEM and EDX»; 2014/2015 7. M. Lambrich, G. Iglhaut, «Comparison oft he survival rates for zirconia and titanium implants»; ZZI, Zeitschrift für Zahnärztliche Implantologie, 2008; 24 (3) – J. Mellinghoff, C. Cacaci, F. Detsch, «Einteilige Keramikimplantate – eine Longitudinalstudie über zwei Jahre Beobachtungsdauer»; Quintessenz Implantologie, 2015; 23 (1), 89–100.
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Z-SYSTEMS implant variety at a glance There are six different types of implants. Z-SYSTEMS offers the optimal solution for every indication. The outer geometry of our one- and two-part implants is identical, except for the Z5m(t) and Z5s in the upper thread area.
One-piece implant types
Two-piece implant
Z5m
Z5mlc
Z5mlb
Z5m(t)
Z5c
The trusted implant
The solution for
The solution for
The implant
The successful implant
for a variety
edentolous restorations
edentolous restorations
for immediate implantation
for cemented tissue-level
of indications
with locators
with ball anchors
and soft bone qualities
restoration
Ø 3,6 mm 8
Ø 4,0 mm
Ø 5,0 mm
Ø 3,6 mm
Ø 4,0 mm
Ø 3,6 mm
Ø 4,0 mm
Ø 4,0 mm
Ø 5,0 mm
Z5m-40-08
Z5m-50-08
8
Z5m-36-08lc
Z5m-40-08lc
8
Z5m-36-08lb
Z5m-40-08lb
8
Z5m(t)-40-08
Z5m(t)-50-08
8
Z5c-40-08
Z5c-50-08
10
Z5m-36-10lc
Z5m-40-10lc
10
Z5m-36-10lb
Z5m-40-10lb
10
Z5m(t)-40-10
Z5m(t)-50-10
10
Z5c-40-10
Z5c-50-10
12
Z5m(t)-40-12
Z5m(t)-50-12
12
Z5c-40-12
Z5c-50-12
10
Z5m-36-10
Z5m-40-10
Z5m-50-10
12
Z5m-36-12
Z5m-40-12
Z5m-50-12
Ø 4,0 mm
Ø 5,0 mm
= length in mm
What makes Z-SYSTEMS’ implants distinctive? Abbreviations::
All Z-SYSTEMS implants are manufactured using the
Our process is many times higher than with titanium or
unique Zirkolith® process, and consist of Y-TZP-A Bio-
other ceramics. Our expensive manufacturing process
m means monotype, lc means locator, lb is lockball,
HIP® zirconium oxide. The material fulfills ISO 13356
forms the basis to fill our high quality requirements – and
t for tapered, c for cemented.
requirements for surgical implants, and achieves its
makes Z-SYSTEMS implants the first choice for ceramics.
high stability in several steps, also using a “Hot Isostatic Postcompaction” process.
6
7
2
8
7
Gingival level
6
3
Biological width
5
Bone level
1
4
Similarities and special items 1 The optimal combination of the conical basic form
3 This unique material makes it possible to prep the
6 The Z5c implant can be prepped.* Zirkolith®
shoulder on a custom basis to defined preparation
material’s high stability makes it possible to prep
achieves high primary stability even in soft D3
limits.* The shoulder design makes it possible to
the implant to defined preparation limits. This
bone.
produce the optimal soft tissue shape for a safe
unique ability in implantology means a great deal
and aesthetic solution.
of freedom for the user for individual adjustment
with dynamic, active and self-cutting threads
2 The abutment can be directly prepped in-situ. Thus one can provide customized, fast and low-cost
care. The connection geometries of our structures are filed in the most-available CAD libraries (3D Diagnostix, Carestream, Materialise, Planmeca, Sicat, Vatech).
4 The conical, self-cutting threads ensure primary stability.
5 The extraordinarily stable implant-abutment
connection plus outstanding break resistance ensure the highest level of safety.
hydrophilic surface! The laser-structured SLM®surface has been shown to promote osseointegration due to its demonstrable increased roughness. Very good long-term results with over98 % survival rates
to existing anatomical circumstances.
are documented. All implant geometries are filed in 3D
7 The secure form-fit of the abutment is achieved
with its internal cone connection. The visible gap is by design, necessary for clean cementing.
8 Straight and angled abutments in different
abutment and gingival heights are available for aesthetically superior restorations.
8
All Z-SYSTEMS implants are provided with a
planning software programs. * Z-SYSTEMS has had the safety of manually-prepped Z-SYSTEMS implants tested by the renowned Fraunhofer Institute for Material Engineering. The results are clear. No significant impairment was found in the prepped implants. Manually prepped implants do not have a higher risk of breakage.
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Clearly arranged surgical cassette The surgical cassette contains all of the instruments needed for implants, and is constructed in a user-friendly manner. The rotating instruments are sorted to correspond to the treatment course, and completely labeled with color-coding. The instruments as well as the space for them are provided with item numbers in order to avoid confusion.
Drill
Material characteristics All instruments which come into direct contact with
This zirconium oxide, which is reinforced with aluminum
the operating field are made of zirconium oxide. The
oxide, is ideal for manufacturing drills and thread cutters.
cutting instruments consist of high-strength ATZ high-
The ATZ drills cut in an excellent manner, and have little
performance ceramics (alumina-toughened zirconia).
wear.
Insertion instruments
RD230
TD170
TD230
TD285
TD325
TD375
TD425
CD355-1
CD455-1
ZT-MD
ZT-HA-8
ZT-RA10-8
ZT-RA20-8
Z5m-HA12lb
Z5m-RA16lb
Z5m-RA24lb
Z5m-RA16lc
Z5c-RA12
Rose drill 2,3 x 16 mm
Twist Drill 1,7 – 4,0 x 16 mm Z5m(t)
Twist Drill 2,3 x 16 mm
Twist Drill 2,85 x 16 mm
Twist Drill 3,25 x 16 mm
Twist Drill 3,75 x 16 mm
Twist Drill 4,25 x 16 mm
Cortical drill 3,55 x 12 mm Z5m(t)
Cortical drill 4,55 x 12 mm Z5m(t)
Mandrel
Handpiece adapter (for Tap)
Ratchet adapter 10 mm
Ratchet adapter 20 mm
LB Handpiece adapter 12 mm
Ratchet adapter LB 16 mm
Ratchet adapter LB 24 mm
Ratchet adapter LC 16 mm
Ratchet adapter Z5c 12 mm
Counter sinks
Thread cutter
CS360
CS400
CS500
T360-2
T400-2
T500-2
Counter sink 3,6 mm
Counter sink 4 mm
Counter sink 5 mm
Tap 3,6 mm
Tap 4 mm
Tap 5 mm
Z5c-RA16
Z5c-RA12-1
Z5c-RA16-1
HA12
RA16
RA24
Ratchet adapter Z5c 16 mm
Ratchet adapter screwed Z5c 12 mm
Ratchet adapter screwed Z5c 16 mm
Z5m Handpiece adapter
Ratchet adapter Z5m 16 mm
Ratchet adapter Z5m 24 mm
Accessories
The meaning of the colors: ZT-O3X 1 W
ZT-O3X 1.5 S
O-Ring white, for adapter tools, 10 Stk.
O-Ring black, for adapter tools 10 Stk.
Measuring
DP220 Depth probe 2,2 mm
10
Z5cPeek Ring O-Ring for Z5c adapter tools
ZT-8379
TS-RA12-1
TS-RA16-1
ZT-HE18
Red ring diamondfinisher
Replacement screw for Z5c-RA12-1
Replacement screw for Z5c-RA16-1
handpiece extension
Yellow = ø 3,6 mm, red = ø 4 mm, green = ø 5 mm, purple = Z5m(t)
Ratchet
TR-70 Ratchet
11
4,0
5,0
4,0 mm
5,0 mm
4,8 mm
6,0 mm
6,0 mm
7,0 mm
7, 10 24, 23, 25, 26
5,8 mm
8, 7, 5, 4, 3, 2 9, 10, 12, 13, 14, 15 (22), 21, 20, 19, 18 (27), 28, 29, 30, 31
7,0 mm
8, 6, 5, 4, 3, 2 9, 11, 12, 13, 14, 15 22, 21, 20, 19, 18 27, 28, 29, 30, 31
6 11
Telescope
5,6 mm
Bridge
5,6 mm
Extension bridge
4,6 mm
Bridge (max span, 1 intermediate member)
3,6 mm
Blocking
3,6
Individual tooth
recommended, depending upon bone quality.
Further possible tooth planning indications
requires a proven and standardized procedure, and
Optimal indication for tooth planning
diameter series. The use of thread cutters is
Minimal mesio-distal space needs (prosthetics)
is kept very slender. The drill is used in an increasing
Z-SYSTEMS implants. The implant bed preparation
Minimal orovestibular space needs (surgery)
High-quality ceramic instruments are used to insert
Shoulder diameter
Optimal planning is important for long-term successful restorations. The implant dimensions given here should be seen as minimum values.
Gewindedurchmesser
Surgical procedure
Implant size
The right choice at the right place
+
+
–
–
–
–
The drill protocol at a glance m ⁄ mlc ⁄ mlb ⁄ c Standard Optional
Max. RPM
3,6 mm
+
+
+
–
+
(+)
4,0 mm 5,0 mm
+
+
+
+ recommended | (+) not recommended | – not possible
–
+
(+)
RD230
TD230
TD285
TD325
TD375
TD425
T360L-2
T400-2
T500-2
800
800
600
500
500
500
15
15
15
D1 D2–D3 D1 D2–D3 D1 D2–D3
m(t) Counter-sinks are available for the m-, mlcand mlb implants.
Standard Optional
Max. RPM
Z-SYSTEMS warranty
4,0 mm
D3–D4
5,0 mm
D3–D4
RD230
TD170
TD230
CD355-1
CD455-1
800
800
800
400
400
The drilling protocol for D1 and D2 bones can be found in the manual.
Z-SYSTEMS is convinced of its outstanding product quality. Therefore, we provide a life-long warranty on the implants, as well as a 10-year warranty on the ceramic abutments (Z5c/Z5s). The warranty includes the replacement of Z-SYSTEMS products and no additional costs, especially for any treatment required. The Z-SYSTEMS warranty and general business terms apply.
General Safety and Warnings The descriptions in this brochure are not sufficient to allow immediate use of Z-SYSTEMS’ implant
The following points are to be noted when preparing the implant bed:
systems. It is recommended that you are instructed by an experienced operator; one must
• The length of the implant is calculated
study the manual. Not all products are available in all countries.
Z5m-40-12
14 mm 12 mm
from the crestal bone level to the apical
10 mm
lower end
Patient material We are glad to support you with informational material for your patients. Please contact us if you need implant passports, patient brochures, 5:1 models or other helpful material.
12
8 mm 6 mm
• The apical overhang of the drill tip is up to 1.3 mm
max. 1,3 mm TD325
13
General overview Implant
Abutment
Healing cap
Gingiva former
Impression caps
Laboratory analogue
G36, G40, G50, G50R G36-0, G40-0, G50-0, G50R-0
I36, I40, I50, I50R
L36, L40, L50, L50R
Novaloc™ impression matrix**
Novaloc™ Laboratory analogue**
Matrix
Instruments
Z5m
HA12
RA16*
RA24*
*also for safe handling of the Z5c abutment when gluing in
Z5m(t)
Z5mlc
Z5mlb
Novaloc™ Peek matrix**
Z5mlb-M2 matrix
Z5m-RA16lc
Z5m-HA12lb Z5m-RA16lb Z5m-RA24lb
Z5c
5 mm
4 mm
2,8 mm
Z5c-A00-4mm, Z5c-A00, Z5c-A15-4mm, Z5c-A15
3,3 mm
Z5c-HC40, Z5c-HC50
Z5c-G40-28/Z5c-G50-28/ Z5c-G40-33/Z5c-G50-33
Z5c-RA12 Z5c-RA16
Z5c-RA12-1 incl. screw
Z5c-RA16-1 incl. screw
**Orders placed with Valoc™ (www.valoc.ch)
14
15
✔
EG-Zertifikat
Headquarters Z-SYSTEMS AG | Werkhofstrasse 5 | CH-4702 Oensingen | Tel. +41 62 388 69 69 | Fax +41 62 388 69 70 | support@zsystems.com
03/17 606.234
US Distribution Z-SYSTEMS USA Inc. | B284 Monsponsett Street, Suite 209 | Halifax, MA 02338 | phone +1 (781) 754-6566 | fax +1 (781) 754-6565 | usa@zsystems.com
www.zsystems.com