Z-Systems Step by Step Surgical Protocol!

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STEP-BY-STEP SURGICAL PROCEDURE


Drilling protocol For Z5m/Z5mlb and Z5c implants

TD285 | max. 600 RPM

3.6 mm 4.0 mm 5.0 mm

RD230 | max. 800 RPM

TD230 | max. 800 RPM

DP220

For Z5m(t) implants

4.0 mm

TD170 | max. 800 RPM

CD355-1 | max. 400 RPM

TD230 | max. 800 RPM

CD455-1 | max. 400 RPM

5.0 mm

RD230 | max. 800 RPM

TD285 | max. 600 RPM

TD325 | max. 500 RPM

TD285 | max. 600 RPM

TD325 | max. 500 RPM


Drilling depth in accordance with implant length: 8 ⁄ 10 ⁄ 12 mm

Z5m-40-12

14 mm 12 mm

T360L-2 | max. 15 RPM optional for D2–D3

10 mm 8 mm 6 mm

max. 1.3 mm TD325

T400-2 | max. 15 RPM optional for D2–D3

Insertion depth

Abutment  5 mm Biological width  2.5 mm Bone level

TD375 | max. 500 RPM

TD425 | max. 500 RPM

T500-2 | max. 15 RPM optional for D2–D3

Z5m /Z5m(t) / Z5c

Drill depths for bone class D3/D4 (in mm) ø 4 mm

ø 5 mm

Implant length (in mm)

8

10

12

TD170

8

10

12

TD230

8

10

12

8

10

12

For drilling protocol bone class D1/D2 please see our surgical manual.


Taking the implant out of the package All Z-SYSTEMS implants are delivered in a stable carton. You

sterilized internal blister and the implant, as well as the IFU

will find an non-sterile outer blister pack with the plasma-

and three detachable label strips for documentation.

1

2

3

Tear at the

Remove the outer blister,

Remove the sterile

lateral perforation

and open the sealed cover

internal blister pack

4

5

Hold the internal blister

6

Open the sealed cover

near the arrow with slight pressure

7

Carefully, gently press to stabilize the white inserts

8

Press on the angle

Remove the one-piece

or ratchet adapter

implant through a sideways movement. Removing the two-piece implant is shown on the following page.


Implant insertion Specific instruments are needed due to the different design

While for the Z5m ⁄ Z5mlb and Z5mlc implants the insertion

geometries for each type of implant. These instruments are

instruments are only plugged in, for Z5c implants we provi-

indicated accordingly in the surgical tray.

de a very firm connection between implant and instrument.

Z5m

Z5mlc

Z5mlb

Z5m(t)

Z5c

RA16 | HA12 | RA24

RA16lc

RA16lb | HA12lb | RA24lb

RA16 | HA12 | RA24

Z5cRA12 | HA12 | RA16 | RA12-1 | RA16-1

Z5c a) The white implant holder is rotated in a clockwise direction, and the implant is freely accessible. b) The clamping wedge can be installed. c) Constant vertical pressure is very important in order to ease insertion of the implant.

a b

Z5m ⁄ Z5mlb ⁄ Z5mlc

Z5c

Insertion speed (RPM)

15

15

Recommended torque

35–70

25–35

Min. torque for sufficient primary stability

20

20

Max. torque

70

50

c

only with a screwed ratchet adapter

Application tip: Turn the implant slightly to the left before insertion. The thread just reaches into the pre-cut-of alveolus, and then follows the threads when turning clockwise.


Healing Z5m ⁄ mlc ⁄ mlb

Z5c

The Z5m-, Z5mlc-, Z5mlb- and Z5c implants heal

The Z5c implant is provided with sterile healing caps

transgingivally.

for after the insertion.

There are various gingival formers available for these

There are various gingival formers available

implants for shaping after healing. These can

for tissue healing.

also be used to create provisional single tooth implants for a maximum of 180 days.

Healing caps

Z5c-HC40, Z5c-HC50

Gingival former

Gingival former 2.8 mm

3.3 mm

G36, G40, G50, G50R G36-0, G40-0, G50-0, G50R-0

Z5c-G40-28/Z5c-G50-28/ Z5c-G40-33/Z5c-G50-33

04/17 626.235

Headquarters Z-SYSTEMS AG | Werkhofstrasse 5 | CH-4702 Oensingen | Tel. +41 62 388 69 69 | support@zsystems.com US Distribution Z-SYSTEMS USA Inc. | 284 Monsponsett Street, Suite 209 | Halifax, MA 02338 | phone +1 (781) 754-6566 | fax +1 (781) 754-6565 | usa@zsystems.com

www.zsystems.com


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