Regeneration

Eureka R2
Special edition for Jeju Symposium, 2012
The future is already here.
Best choice of
Bone Graft Material 01
02
Best selection for
Sinus graft
18
MICAkit
TM
Crestal approach
Auto-Max
TM
Autogenous
Bone Harvester
06
13
Mega-Oss Bovine
TM
Xenograft
12
Mega-Oss
TM
Allograft
14
Mega-TCP
TM
Synthetic
15
Bone Plus
TM
Synthetic
Ideal Ridge
Reconstruction
24
MILAkit
TM
Lateral approach
03
04
Best combination for
narrow ridge
GBR membrane for
ideal regeneration
29
51
i-Gen
TM
Thor
& BonEx kit
TM

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Auto-Max
TM

Autogenous
Bone Harvester
Mega-Oss Bovine
TM
Xenograft
Mega-Oss
TM
Allograft
A
A
Mega-TCP
TM
Synthetic
Bone Plus
TM
Synthetic
Auto-Max
TM
Autogeneous
Bone Harvester
Auto-Max
TM
6 | 7 MEGAGEN Implant
Auto-Max
TM
Design Concept
Easy and Fast Insertion
1) Sufcient cutting force can be obtained even at low RPM.
Autogenous bone can be harvested within 10 seconds!
2) Amount of bone harvested may be equivalent to the size of Auto-Max!
3)Enables quick, easy bone harvesting in a single procedure!
4) It can be cleaned thoroughly as the Stopper is easily disconnectable!
5) V shaped opening completely prevents bone chips from splattering during drilling!
6) May be used in any type of bone with excellent durability!
Connection status
when start.
Stopper
- Material : Ti-6Al-4V(Titanium alloy)
- Coating : TiN Coating
Wide opening to permit easy removal of harvested
bone
Designed for easy connection &
disconnection
Optimally designed so that bone
does not escape.
4mm Stop
Unique sliding design for smooth lifting of Stop-
per with appropriate resistance as drilling pro-
gresses
Designed to connect the Stopper securely.
A ledge to secure the position of Stopper at start
Center guide to prevent slippery during drilling
Equipped with optimal blade area,
bone can be harvested with low RPM
Auto-Max
Material : S42010
1. Connect an Auto-Max
o the handpiece and
position a stopper on
the Auto-Max.
2. The Auto-Max should meet the bone surface perpen-
dicularly. Press the handpiece to x the sharp point
on the bone and start drilling at about 500RPM with
copious irrigation.
3. Do not pump during harvest. Pumping may scatter
the harvested bone.
4. The Auto-Max will automatically stop advancing into the bone at
a depth of 4mm.
5. Disconnect the stopper from Auto-Max and collect particulated
autogenous bone at in a sterilized tray.

5
How to use
[e.g.]
(O) (X) (X)
Ref. Code Diameter()
AM2535 3.5
AM4050 5.0
Ref. Code Diameter()
AM5060 6.0
AM6070 7.0
4mm
3.5 5.0 6.0 7.0
Products
Repeat steps 1~5 until the desired volume of bone is ob-
tained.
6. Bone should be harvested from a new site each time
avoiding overlap with other harvest sites.
Package
8 | 9 MEGAGEN Implant
Auto-Max
TM
Clinical case 1
Clinical case 2
#34 was extracted and the socket
was degranulated thoroughly.
Auto-Max was prepared for bone
harvesting.
Autogenous bone was harvested from the ramus.
Severe periodontitis on # 34. # 35 was extracted 2 months before.
The prosthetics on mandibular right molar were broken with secondary
caries.
Three implants were placed after extraction and degranulation of
residual roots. All the implants showed bone defects.
Auto-Max harvested autogenous bone from edentulous area.
The autogenous bone was mixed with Mega-Oss bovine to increase volume of graft.
The defects were lled with the graft mixture and covered with a collagen membrane.
The panoramic
radiograph taken
immediately after
surgery
Intraoral radiographs
taken after delivery of
customized abutments.
The defect was lled with shaved autogenous bone following
implant placement.
Intraoral radiograph im-
mediate after surgery.
Bone graft materials
Bone graft
materials
Allograft Xenograft
10 | 11 MEGAGEN Implant
Bone graft materials
We understand your CONCERNS about bone graft materials
and we have prepared All options for ideal regeneration.
We are proud of the world-class quality of our bone products and
are sure you will be happy with our competitive prices.
We strictly control particle size of graft materials (400-750 ),
and maintain higher interconnected porosity for angiogenesis.
Megagens suggestion for
Bone Graft Material
Autogenous
Allograft
Xenograft
Synthetic
Auto-Max
Mega-Oss
Mega-Oss Bovine
Mega-TCP( -TCP 100%)
Bone Plus(BCP, HA: -TCP)
Synthetic Synthetic
Allograft
- 100% healthy US donor for US & world market, 100% healthy Korean donor for Korean market.
- FDBA (Freeze Dried Bone Allograft)
- Ideal Combination of Cancellous (60%) & Cortical (40%) bone.
- Selected particle size(400~710 )
small particles()250 ) may provoke inammatory response rather than osseous regeneration.
Does your current graft material consider this point?
Cancellous Powder (60%)
Promotes cell adhesion, bone
remodeling and re-formation of
blood vessels.
Cortical Powder(40%)
Cortical Bone has a slow inltra-
tion capacity, enabling the main-
tenance of space in grafted areas.
volume of package
0.25cc
0.5cc
1.0cc
Selected particle size
(400 ~ 710 )
12 | 13 MEGAGEN Implant
Bone graft materials
Xenograft
volume of package
0.25cc
0.5cc
1.0cc
2.0cc
Superior porous structure
No crystallization with standard fusion temperature
Mega-Oss Bovine
TM
is an inorganic natural bone material extracted from bovine bone from
Australia which is recognized by BSE as safe and clean region. (Korea is not recognized by BSE
as clean area.) The organic part of the bovine bone is effectively removed through various pro-
cesses, no additives are added during processing, and it has no immunological rejection.
All the products are produced in sterile processes from safe raw materials. Mega-Oss Bovine
TM
is
biocompatible bone graft material with porous structure similar to human cancellous bone and
stimulates new bone formation and growth in grafted site. It has more and wider pores offering
excellent hydrophilicity and angiogenesis.
The Low-Temperature deproteinizing process eliminates proteins effectively, but maintains the
natural topography of cancellous bone with superior porosity.
The new gold standard for Xenograft
Mega-Oss Bovine
TM
sincerely wants to be compared in quality with Bio-Oss (Geistlich, switzerland), which has the biggest market
share in the world.
proof of
High multiporous
structures
Synthetic
(100% -TCP, Tri Calcium Phosphate)
volume of package
0.25g
0.5g
- Optimal porous structure similar to cancellous bone
3 0|reus|oua| lue|couueced lo|ous '|ucu|e (3 0ll')
!|e po|es a|e op|r|.ed o| uew |ssue aud .esse| |ow|(100~300 in diameter)
[Reference: B.S. Chang et al., Biomaterials, 2000. 21(12);1291-1298]
(Korean Patent No. 10-0401941)
75% rac|opo|os|, aud ro|e |au 99% |ue|couuec|.|, oe|s ousaud|u corp|ess|.e s|eu|.
- Outstanding stability
Couo|r|u o |e |ue|ua|oua| sauda|d (/'!V f1088 - 04 'auda|d 'pec||ca|ou o| 8ea
Tricalcium Phosphate for Surgical Implantation), highly pure beta TCP is sintered at high tem-
perature during production and gamma sterilized.
No couce|u abou |rruue |espouse o| |uec|.e d|sease (|epa||s, ube|cu|os|s, /l0', '/R', ec.)
lassed a|| 9ess |ers o |ue|ua|oua| red|ca| de.|ce sauda|d l'C 109931 8|o|o|ca| e.a|u-
a|ou o red|ca| de.|ces - la| 1. E.a|ua|ou aud es|u (KCL/' ce|||ed Ko|ea !es|u aud
Research Institute)
- Biodegradable and resorbable material
Vea!Cl
TM
is made of 100% biodegradable -TCP, and has similar resorption speed with new
bone formation. Thus over time (6-18months) Mega-TCP will be completely replaced with new
bone.
- Animal tests for the amount(%) of newly formed bone tissue(NB %) (Mouse, 4 and 8 week results)
(compared with Bio-Oss, Geistlich, Switzerland)
New bone formation(%)
4 weeks 8 weeks
Mega TCP 11.92% 25.08%
Bio-Oss 11.24% 14.47%
14 | 15 MEGAGEN Implant
Bone graft materials
- Histomorphometric results
(4 weeks, mouse skull)
Amout of newly formed mineralized Bone tissue (NB%), 4weeks
Bone Plus
TM
Group N Mean
Bone Plus
TM
5 21.52.7
MBCP(BCP) 5 10.34.6
Osteon(BCP) 5 11.83.0
Bio-Oss(Bovine) 5 11.54.6
Cerasorb( -TCP) 5 7.61.4
Macropore of 400-500 is ideal for
angiogenesis and bone ingiowth.
Micropore, interconnected, of 10-50
provide spaces for ion-exchange.
Bone Plus
TM
[x60]
Micro-pore
[x5000]
Trichrome stain
Small biopsy material was harvested from the
ridge between two xtures to verify the quality
of regeneration with a trephine.
Synthetic
- Ideal combination of HA & -TCP(60:40)
'pec|a||, des|ued pa||c|e s|ap- corp|ee|, uou||||-
tating to recipient tissue.
- Harmony of macro- and micro- pores.
volume of package
0.25g
0.5g
1.0g
2.0g
- A human biopsy to show excellent bone ingrowth into macro- and micro- pores.
(BCP, Biphasic Calcium Phosphate)
Best selection for Sinus graft
02
MICAkit
TM
Crestal approach
MILAkit
TM
Lateral approach Creessttaall aapppppprroacchh LLaateraal apppproach pppprrooaacchh
Surgical Method Classied by Sinus Condition
by Samuel Lee, DDS. MS
Class : High and Wide
H > 6mm, W > 12mm
Class : Low and Wide
H < 6mm, W > 12mm
Short and Wide Implant (5 ~ 7mm)
Class : High and Narrow
H > 6mm, W < 12mm
Class : Low and Narrow
H < 6mm, W < 12mm
MICAKit MILAKit
Class : High and Wide
M MIC
MICAKit
Crestal approach
MICAkit
TM
(MegaGen Implant Crestal Approach Kit)
Drill safely with condence!
mplant Crestal Approach Kit)
ly with condence! dence!
MICAkit
TM
[REV.04]
h con n
18 | 19 MEGAGEN Implant
MICAkit
TM
1. Cleansibility
The smooth surface makes cleaning easy and leaves
no residues after cleaning.
3. Repeated use
Bone chips are easily removed without getting stuck,
so continuous use is possible.
4. Cutting capability
Its excellent bone cutting capability eliminates the
need to use the pointed or ASBE trephine burs.
Diamond Drill Express Bur
Diamond Drill Express Bur
Diamond Drill Egg shell test Express Bur
Innovation of Samuel Lees Internal Sinus Graft System REV.04
Combined function of Diamond Drill and Reamer Drill
Express Bur
2. Safety
Stopper provides safe drilling without damaging the
membrane even when visibility is poor.
2 4 5 6 8
D
2
D
ASBE Trephine Bur
|
Scale 2:1
Diameter (D) Length (mm) Ref. C
3.5/ 4.0
2/4/5/6/8
Marking
ASBESS34
4.0/ 5.0 ASBESS45
5.0/ 6.0 ASBESS56
Point Trephine Bur
|
Scale 2:1
Diameter (D) Length (mm) Ref. C
3.5/ 4.0
2
Marking
SPTB3540
4.0/ 5.0 SPTB4050
5.0/ 6.0 SPTB5060
Mushroom
|
Scale 2:1
Diameter (D) Length (mm) REF
2.8/ 3.8
2/4/5/6/8/10
Marking
SMR2838
4.8/ 5.8 SMR4858
Hand Driver
|
Scale 2:1
Type Length (mm) Ref. C
1.2 Hex 10 TCMHDS1200
20 | 21 MEGAGEN Implant
MICAkit
TM
2 4 5 6 8 10
D
Cobra
|
Scale 1:1
Diameter Length (mm) Ref. C
2.8/ 3.8 - SCB401
Spreader & Condenser
|
Scale 1:1
Diameter Length (mm) Ref. C
2.8/ 3.8
2/4/5/6/8/10
Marking
SSC3828
Express Bur
|
Scale 2:1
Diameter Length (mm) Ref. C
2.8
2/4/5/6/8/10
Marking
EB28
3.4 EB34
4.2 EB42
4.8 EB48
5.8 EB58
Fow o use - C|esa| app|oac|
Drill with a Point trephine bur : 2mm at a time
until the laser marking is reached.
Adjust the position of the stopper to 1mm lon-
ger than the remaining bone height and drill
with a Express bur 0.7-1mm smaller in size than
the diameter of the xture.
Graft the harvested bone and alloplastic mate-
rial using the Spreader.
Use the Mushroom to lift the membrane
through the hole made.
Adjust the stopper of Condenser and press the
bone up to desired depth.
Lift membrane using the Cobra.
Insert xtures into the holes.
Drill with ASBE Trephine bur until 1-2mm of bone is left and break the bone by slightly tilting the
bur. Remove the collected bone in the trephine by unscrewing the Mini Screw and rotating the
shank.
22 | 23 MEGAGEN Implant
MICAkit
TM
Clinical case 1
Clinical case 2
ASBE Trephine Bur & Express Bur :
expand the hole
Express Bur : expand the hole Intra-oral radiograph(Before) Point Trephine Bur : initial drill ASBE Trephine Bur : make a hole
Spreader & Condenser :
bone graft
Spreader & Condenser :
bone graft
Place a xture
Place a xture Intra-oral radiograph(After) Postoperative Panoramic View
Postoperative Intra-oral
radiograph
Diagnosis with CT Before surgery Flap reection
Graft any buccal defect
and place a collagen membrane
Primary closure
MILAkit
TM
[REV.01]
Lateral approach
MILAkit
TM
(MegaGen Implant Lateral Approach Kit)
Drill safely with condence!
p pp )
safely with condence!
24 | 25 MEGAGEN Implant
MILAkit
TM
Fow o use - Lae|a| app|oac|
Identify the position to drill accurately using
Point Trephine bur.
Completely remove the remaining window wall
with Express Bur.
Graft autogenous bone collected or alloplastic
material.
Use Elevator 001 through the hole to perform
the rst membrane lift.
Choose Trephine depending on the thickness
of the remaining bone and drill again over the
hole made by Point Trephine bur.
Close the window wall
Use Elevator 002 to lift the membrane further.
Use Window Opener to fracture and remove
the window wall.
Suture
Diameter Length (mm) REF
7.5 0.5 TLSTBU6705
1. Point Trephine Bur
|
Scale 2:1
Diameter Length (mm) REF
7.5 1 TLSTBU6710
7.5 1.5 TLSTBU6715
2. Lateral Trephine Bur
|
Scale 2:1
Diameter Length (mm) REF
7.5 1.7 TLSWO6710
3. Window Opener
|
Scale 2:1
1
D
7.5
1.7
1
D
26 | 27 MEGAGEN Implant
MILAkit
TM
Diameter Length (mm) REF
7.0
2/4/5/6/8/10
Marking
EB70
4. Express Bur
|
Scale 2:1
Diameter Length (mm) REF
7.0, 3 - TLSME001
2.8 - TLSME002
5. Membrane Elevator
|
Scale 1:1
1
D
Clinical case
Point Trephine Bur : Initial drill Trephine with 1mm external stopper
Elevator : Lift membrane. Graft : autogenous bone collected
or alloplastic material
Window Opener : Remove the wall Window Opener to detach window wall
Completely remove the remaining
window wall with Express Bur
Previously detached window wall is tapped
into the position to prevent soft tissue migra-
tion into the sinus bone grafting
28 | 29 MEGAGEN Implant
MILAkit
TM
BonEx kit
TM
Thor
0
3
B
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Thor
< Simple >
< Strong >
1. Simple & Strong
Why Thor?
Measurements of vibration wave
transmitted to the tips
End of saw
Vibrator
Smart Thor
(dmetec
Sample)
BS01Tip
PiezoSurgery
(Mectron)
OT6Tip
Smart Thor
(White)
BS01Tip
Piezon
Master
(EMS)
SL1Tip
Smart Thor
(Red)
BS01Tip
PiezoSurgery
(Mectron)
BS01Tip
Surgystar
(dmetec
Sample)
BS01Tip
Surgybone
(Silfradent)
SAWTip
Piezotome
(Acteon)
BS1Tip
350
300
250
200
150
100
50
0
Devices used
Measurements of Tip End
Vibration Frequency
Thor 28.18 kHz
Dmetec 28.09 kHz
Mectron 27.14 kHz
EMS 27.94 kHz
Silfradent 28.33 kHz
Acteon 29.88 kHz
FootSwoch free Boost on Error FootSwoch Lock Boost off
Only Three buttons!
: On & Off, Foot switch, Power Boost
Too many buttons & controllers
Measurement of vibration fre-
quency at the end of saw
30 | 31 MEGAGEN Implant
Thor

& BonEx kit
TM
6
8
10
4
2. Saw specially Designed Saw for Ridge Splitting
Calibrations to see the depth of cut!
: 4, 6, 8 and 10 mm
Extremely Thin
: 0.36 mm only!
: allows sawing even in extremely thin bone
Saw compatability with other piezo machines
Brand Thickness
Thor 0.36mm
Mectron 0.79mm
EMS 0.56mm
Piezo tome 0.61mm
Company Product
Mectron PiezoSurgery
Silfradent Surgy Bone
ESACRO Surgy Sonic
DIT Sonic Surgeon300
3. Perfect match with AnyRidge Implants
4. Economical
Well tapered, Knife Threads, Narrow Platform make Ridge Splitting more effective!
Only One Ridge Splitting Case can cover the cost of a Thor!
AnyRidge, Thinking Mans Privilege
Guarantee excelllent initial stability always!
Less reduction and better preservation of cortical bone
Wider implant possible than the cortical width
Strong body and greater surface surface area
The powerful self tapping thread provides incredible initial stability with increased resistance to
compressive force while minimizing the generation of shear force.
As the core is narrow & uniform, the implant can be placed into a horizontal bone incision during ridge splitting resulting in
better initial stability and less stress to the bone.

AnyRidge macro shape helps maintain more buccal and lingual cortical bone than any other implant system in the market today.
The unique shape of the implant with a narrow core and varying thread depths enables wider diameter implants to be placed
into narrow ridges.
s+NIFE$EEPTHREAD
s4APEREDBODY
s,ESSREDUCTIONAND"ETTER0RESERVATIONOFCORTICALBONE
2 mm osteotomy guides
xture placement
Sawing with Thor
to the depth of implant length
2.3mm
Tapered body works as an
Expander!
Narrow platform gives
no stress to split cortical
bone!
Knife Threads make
insertion easier, but have
excellent engagement into
bone!
0.36mm
2mm
32 | 33 MEGAGEN Implant
Thor

& BonEx kit
TM
Perfect for the exceptionally difcult cases
Useful in very narrow bone (<2mm)
Try before lance drilling and expanders to avoid bone defects due to drilling
Can be tapped on the end with a Mallet
Ref. C Diameter Length(mm) Marking line(mm)
TCMBE2813 2.8
13 7 / 8.8 / 10 / 11.5
TCMBE3313 3.3
TCMBE3813 3.8
TCMBE4313 4.3
TCMBE4813 4.8
Handpiece connector
M
M
H
C
2
5
0
U
M
M
H
C
2
5
0
S
Expander
Chisel and Handle
Chisel (TCMSC403) Chisel (TCMSC403)
Ratchet ext.
M
T
R
D
1
0
0
E
M
T
R
D
1
0
0
L
Step- by-step ridge expander can be placed with a handpiece
& a ratchet extension matching with the core shape of
AnyRidge
Procedures of Ridge Split Technique
Step 1.
Indications
Ridge Splitting techniques may be used
in any cases presenting a narrow ridge.
Single implant or limited space cases
however, offer less room for explansion.
If the narrow ridge consists solely of cortical
bone, with no intervening ancellous bone, it will
be difcult to achieve a good ridge split.
Caution is also advised in the maxillary anterior
as ridge splitting may cause the labial cortical
bone to move too labially, resulting in severe
angulation of the implant.
Step 2
Incision
Incision line is recommended to be at the
center of remaining keratinized tissue.
A longer horizontal incision is better to per-
mit adequate sawing for ridge splitting. -- one
tooth-size more, mesially and distally.
Step 3
Flap reection
Full thickness or Full-to-partial thickness
ap is recommended.
If the ridge crest is less than 2 mm, it is advis-
able to reduce the crestal bone until the width
is at least 2mm.
34 | 35 MEGAGEN Implant
Thor

& BonEx kit
TM
Step 5
Drilling
Now drill the desired position and axis of implant.
In ridge expansion technique, lance and 2mm drilling is enough in
most cases. Its only to guide the implant path. If a at-bottomed
implant was planned, drilling should be extended to the diameter
recommended by the manufacturer.
Step 4-1
Chiseling (optional)
If the crest is less than 2
mm, its better to expand
with a chisel rst.
It is to avoid bone defects
which can be made with drill-
ing on the thin ridge.
Light tapping with a mallet
will be enough.
Step 4
Sawing
Sawing starts from the center of ridge.
The ridge should be cut at a slightly buccal angulation, because resorption oc-
curs on buccal bone. If the lingual bone is too thin after sawing, splitting may
occur to the lingual side, making implant position too far lingual.
Thin ridged bone should be cut to the depth of implant length. For example,
if the intended implant length is 8.5mm, the incision should be cut to 8.5mm.
In most cases, vertical bone cutting is not necessary when you place AnyRidge
implant. Only small offsets at the ends of horizontal bone cutting are enough
to guide the direction of ridge expansion, if needed.
Try to maintain lingual bone thicker than buccal to expand thin
ridge buccally
Slightly angulated cutting is recommended.
Step 5-1
Expanding with BonEx kit
(optional)
When the wider inside, slow expansion with BonEx kit is recom-
mended.
The Expanders can be engaged easily with bone by a handpiece(50 Ncm). If it
stops before the depth of osteotomy, use a hand wrench and a ratchet exten-
sion. Same procedure can be repeated with wider diameter of BonEx Expander.
Step 7
Bone graft & Membrane
The remaining bone defects can be lled with
any kind of bone graft material. Resorbable
membrane is recommendable for better bone
lling.
Closing ap
One stage or two stage approach can be
chosen according to the conditions, but
it is recommended to nish several cases
with successful result before trying one
stage surgical approach.
Adequate periosteal releasing incision is need-
ed if primary closure is planned.
Step 8 Step 6
Implant placement
When the ridge is expanded adequately or has
enough exibility, place the implants.
If you use BonEx Expanders, its better to leave an Ex-
pander during placement of the rst implant to keep
the ridge expanded.
Torque force up to 60-70 Ncm will be ne to place an
implant.
36 | 37 MEGAGEN Implant
Thor

& BonEx kit
TM
&DVH Mandibular Posterior
Clinical case
A 79 year-old female patient visited with a chief complaint of chewing difculty on the mandibular molar area. She had been using a denture
for more than 30 years. The ridge stal bone, which needs ridge augmentation. She was physically healthy. Considering her age, the ridge split
technic was decided to do.
The ridge width was about 3mm on the crest.
The ridge was splitted with a thin saw only horizontally to the depth of
implant length (11.5, 10, 8.5 and 7mm from front to back, respectively),
then 2mm lance drilling was done. Compare the drilling site with ridge
width.
Preoperative panoramic radiograph
Fixtures were placed with a handpiece which was set on 40 Ncm
torque force. Each xture stopped at the level shown on the pic-
ture. Then the xtures were screwed down with a torque wrench,
one full turn on each xture sequentially.
All the xtures were placed completely, 1 mm under the crest in con-
sideration of bone remodeling. The crestal bone was split enough to
make ideal width.
38 | 39 MEGAGEN Implant
Thor

& BonEx kit
TM
The gap defect was lled with Mega-Oss allograft and covered with a collagen membrane. Then primary closure was made.
Postoperative panoramic radiograph. The other
side was done with same procedure of ridge
splitting.
Intraoral radiographs taken at the following procedures. The crestal bone was
well maintained with excellent bone regeneration following the ridge split technique.
The healing was uneventful, and the second
stage surgery was done with simple incision in
3 months.
6 wks
4.5 mns
4 mns
nal restoration
&DVH Mandibular Posterior
A 74 year-old female patient visited with chief complaints of denture discomfort and chewing difculty on the mandible. On the intraoral and
radiographic examinations, she showed problems on many teeth, but she wanted to treat edentulous area rst. Both mandibular molar area
showed thin ridges which needed to be augmented for implant placement.
Preoperative panoramic radiograph and intraoral views.
When the ap was reected on the right side, the ridge width was less than 3mm.
The ridge was saw with a Thor horizontally to the depth of 10 mm.
Only a lance drilling (2mm in diameter) was made on the anterior two implant sites, and 2.9mm drilling was done on the second molar area.
Then 4.5 x 10 mm AnyRidge implant were placed for the two molars. The 50Ncm-set handpiece stopped at the level shown at the center
picture. Compare the ridge width and the size of AnyRidge xtures on the right.
40 | 41 MEGAGEN Implant
Thor

& BonEx kit
TM
Only a lance drilling (2mm in diameter) was made on the anterior two implant sites, and 2.9mm drilling was done on the second molar area.
Then 4.5 x 10 mm AnyRidge implant were placed for the two molars. The 50Ncm-set handpiece stopped at the level shown at the center
picture. Compare the ridge width and the size of AnyRidge xtures on the right.
Small amount of Mega-Oss allograft and collagen membrane were placed to enhance regeneration, and primary closure was made.
Postoperative panoramic radiograph.
The rst molar implant was placed. Due to the special structure ofthe AnyRidge Implant system,
the cortical bone on the top showed green-stick fracture during placement, but when the
implant was placed completely under the crest, the fractured bone came back to the original
position.
3 months after the ridge split and
implant placement, the second
stage surgery was made with simple
incision and ap, just by splitting
the remaining keratinized tissue into
two, despite its being limited. The
bone was regenerated excellently.
4mm diameter healing abutments
were connected. Smaller diameter
healing abutments are recommend-
ed in the case of limited keratinized
tissue in order to help preserve the
tissue.
Final restorations were delivered
following routine procedure. All
implant prosthetics were made as
single crowns.
At the rst follow-up visit after 3
months from nal restoration de-
livery, the gingival condition had
improved. The patient was very sat-
ised with the result, and wanted to
have more implants for other teeth.
42 | 43 MEGAGEN Implant
Thor

& BonEx kit
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Intraoral radiographs with clinical procedures and follow-up.
All the implants were restored as a single crown. The crestal bone
showed excellent response at all implants.
1 mn postop
Provisional restorations
6 months after nal restorations
4 mns postop- before second stage surgery
Final restorations
&DVH Maxillary premolar
A 53 year-old female patient visited with
chief complaints of discomfort during
chewing on the maxillary left posterior. On
the clinical and radiographic examination,
the rst premolar which was an abutment
of three unit bridge revealed subgingival
decay under the crown. So it was decided
to extract it and place two implants on the
premolars.
Upon extraction and ap reection, the
ridge on the second premolar showed thin
ridge.
Two 3.5mm implants were placed with
excellent stability. During placement, green
stick fracture was made on the second
premolar area.
Thin ridge was splitted with a Thor, and drillings up to 2.9mm were made.
44 | 45 MEGAGEN Implant
Thor

& BonEx kit
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Postoperative panoramic radiograph.
Intraoral radiographs showing excellent
bone response after ridge split procedure.
Mega-Oss (Allograft) and Bone Plus (Synthetic, BCP) were mixed and grafted around the bone defect, and a collagen membrane was placed
following healing abutment connection. Simple interrupted suture was made for close adaptation of aps.
1 month after surgery
Final restoration
3 months after surgery
1.5 yr after nal restoration
&DVHExtremely thin mandibular posterior
11.5
10
8.8
7
This patient showed extremely thin ridge on the mandibular posterior. The
ridge width was less than one mm on the crest. In a case like this, the alveolar
process is mainly composed with cortical bone without cancellous bone inside.
It needs careful splitting to prevent total fracture of the cortical plate.
A specially designed Thors saw can start splitting even on this narrow ridge
without reduction of the sharp edge. The horizontal cut went down to the
depth of implant xture, but no vertical incisions were done.
After 2 mm drilling to guide the path of bone expanders, three expanders
from 2.4 to 3.3 were used. The rst implant was placed while an expander
was in position to keep the expanded ridge.
The Ridge Expander kit was used to expand the thin ridge slowly.
46 | 47 MEGAGEN Implant
Thor

& BonEx kit
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Four implants were placed completely with excellent initial stability. A green
stick fracture was made on the mesial of rst premolar.
Mega-Oss allograft was grafted into the bone defects between implants.
Three months after ridge split and implant placement, a simple second stage
surgery was made. The alveolar bone around implant was regenerated fabu-
lously with enough width. Compare with the initial photo.
&DVH Maxillary lateral incisor case
A 52 year-old gentleman wanted to exchange his old PFM bridge on the
maxillary anteriors. During treatment, he wanted to place an implant on the
missing area of lateral incisor to make single crowns on each teeth.
The ridge was thin due to resorption
with a big undercut on the labial
plate.
The thin ridge was splitted with a
Thor. In this case, due to limited
space, a vertical bony cut was made
on the mesiolabial margin of canine.
The vertical cut was oblique in the
bone not to make damage on the
root of canine.
A 2mm diameter of drill was used to
guide the path of an implant.
48 | 49 MEGAGEN Implant
Thor

& BonEx kit
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A 3.5x15mm AnyRidge implant was partially inserted into the socket, and the
40Ncm set handpiece stopped the xture at the level on the right photo.
The implant was completely placed with a
hand wrench. During placement, a small
green stick fracture was made on the mesial
side.
Mega-Oss allograft and a collagen membrane was placed to cover the defect.
Primary closure was made and the healing
was uneventful.
Intraoral radiographs taken at 1month after
surgery, during impression taking, after nal
restoration.
Second stage surgery was made with simple 3 corner ap. And nal restoration was delivered following routine procedures.
110105 110525 110722
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Thor

& BonEx kit
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i-Gen
TM
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Design Concept
Design Concept
Var i ous hei ght of Heal i ng
abutment and Cover scr ew
shoul d be pr epar ed to al l ow one or two
stage sur gi cal appr oach accor di ng to
si tuati on.
>2.5mm
hor i zontal extensi on
needed to make >2mm l abi al
bone af ter r emodel i ng
Li ngual Extensi on
shoul d be consi der ed f or a
l ar ge def ect
Need to have at l east 1mm
space above the pl atf or m of
a f i xtur e
: tempti ng to make thi s space
wi th a pr e-exi sti ng abutment,
eg, Fl at abutment...
>100bl unt angl e
wi th bevel shoul d be made
to avoi d sof t ti ssue i r r i tati on.
shr i nkage wi l l occur af ter
r emoval of membr ane!
shoul d be adapted
to the bone.
0.5~1.0mm
Api cal ski r t
Ideal
r egener ati on l i ne
PP
52 | 53 MEGAGEN Implant
i-Gen
TM
How to use
Ideal + Regeneration membrane i-Gen membrane
1. Place an implant into the recipient site.
3. selection of i-Gen and placement. According to the size and shape of
bone defect, an i-Gen can be chosen from 12 different i-Gens. Match
the hole of i-Gen with the screw hole of at abutment.
2. Connect a at abutment to the implant and bone grafting. Usually
1 mm cuff height is good enough for vertical space, but 2 or 3 mm
cuff height of at abutment can be chosen according to situation. The
amount of graft material should be enough to ll the space between
i-Gen and the xture.
4. Fixate i-Gen with a healing abutment. Choose a healing abutment
or cover screw to x i-Gen membrane depend on the need of one
or two stage surgery. And tight adaptation of soft tissue ap is
recommended.
maxilla
mandible
Type
i-GEN membrane Dimension
Code
Small Regular Wide
PL
(Proximal Length)
BW
(Buccal width)
BL
(Buccal Length)
BD
(Buccal Distance)
Single
A type
4 9 11 4.5 IG1W4509
4 10 11 5.5 IG1W5510
4 11 11 6.5 IG1W6511
B type
5 9 11 4.5 IG2W0918
6.5 11 11 5.5 IG2W1120
9 13 11 6.5 IG2W1323
C type
5 9 11 4.5 IG3W0921
6.5 11 11 5.5 IG3W1125
9 13 11 6.5 IG3W1328
Multiple D type
13 15 15 4 IGM1522
15 17 16 5 IGM1725
20 22 17.5 6.5 IGM2229
i-Gen membrane has 12 different size and shapes.
As seen on the gure left, alveolar bone has different widths according
to locations. It can be divided into three categories; Anterior(Pink dots),
Premolar(Blue dots) and Molar(Green dots). For Anteriors, narrow mem-
branes can be used, which has 4.5mm buccal horizontal extension from the
center of xture. For Premolars, Regular membranes which has 5.5mm buc-
cal extension, can be selected. The molar area usually needs wide membrane
(6.5mm from xture center), especially at the immediate placement case with
wall defects.
Type A and B membranes are only to cover single wall defects. Type C has a
lingual extension to cover lingual wall defect. Type C has a lingual extension
to cover lingual wall defect. Type D has no hole for a Flat abutment, so it can
be used for ridge augmentation of multiple teeth, Due to the need to xate
the membrane with tags, Type D has 4 small holes at each corner.
Which i-Gen?
54 | 55 MEGAGEN Implant
i-Gen
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Clinical case
&DVH. Mandibular premolar
This 65 year-old male patient visited
with a chief complaint of discomfort
on #24 during chewing. On the pan-
oramic view, large bone defect was
observed.
The tooth was extracted and socket
was degranulated thoroughly. A 4.5
mm AnyRidge xture was placed at
the center of socket with excellent
initial stability.
The combined image of i-Gen, a at abut-
ment and a healing abutment.
A at abutment, 1 mm cuff height, was connected with the xture. A 1.6mm hex driver is
needed to place a at abutment, which is included in the kit. Mega-Oss allograft was grafted
into the defect.
A healing abutment was connected on the Flat abutment to x the i-Gen for one stage surgical approach. Watch the horizontal extension
of i-Gen.
Simple suture was made to adapt the buccal ap against the healing abutment.
3 months after surgery. Gingival healing was excellent and intraoral radiograph showed considerable increase in radiopacity.
Usually ap opening is not necessary to remove i-Gen, but in this case the ap was elevated
to check the bone regeneration. The i-Gen was maintained very stable in the tissue, and it
was easily removed with a hemostat.
The defect was lled with healthy regener-
ated bone. From the occlusal view, the buc-
cal bone has more than 3mm width at the
level of implant platform.
Flap was closed with simple suture.
Postoperative panoramic
and intraoral radiograph.
56 | 57 MEGAGEN Implant
i-Gen
TM
&DVH. Maxillary premolar
The rst premolar was extracted due to severe periodontitis. Due to the inam-
mation around that tooth, the implant surgery was delayed almost a month.
When the aps were elevated, there found two dif-
ferent bone defects: The rst premolar showed large
extraction socket defect due to periodontitis, and the
second premolar showed quite big undercut on the
buccal bone.
Ostetotomy sockets were made. A big fenestration de-
fect on twas made he second premolar due to bony
undercut.
Two 4 x 13 AnyRidge Xpeed xtures were
placed at thwith excellent initial xation.
Look e defects around both implants.
Flaps were closed with simple interrupted sutures, and panoramic and intraoral radiographs were taken after surgery.
Healing was uneventful for a month. Intraoral radiograph was taken one month later from surgery.
Two regular size i-Gen (Type A) was xated with healing abutments.
The defects were grafted with the mixture of Mega-
Oss(allograft) and Bone Plus (synthetic, BCP)
Two Flat abutmentscuff height, were, 2mm connected due to the irregularity on the
crestal bone.
58 | 59 MEGAGEN Implant
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&DVH. Mandibular incisor area
The rst premolar was extracted due to severe periodontitis. Due to the inam-
mation around that tooth, the implant surgery was delayed almost a month.
Two xtures were placed on into
both lateral incisors. Due to the ver-
tical defect, xture platforms were
positioned about 3 mm above the
crest. And again 3mm cuff height Flat
abutments were connected to the x-
tures to make more space under the
membrane.
Mega-Oss bovine was grafted on the horizontal and
vertical defects.
Two narrow Type C i-Gen membranes were positioned
and xated with cover screws. Then a collagen mem-
brane was placed at the center of the defect.
Intraoral radiographs taken 1
month after surgery. Find the
position of xture platform,
a Flat abutment and i-Gen
membrane.
A panoramic radiograph
taken immediate after
surgery.
Primary closure was made with the periosteal releasing.
Starting package
Individual items can be ordered separately to ll up the package.
Different connections of Flat abutment for Different implant system are available upon special orden.
Ask to your sales reps.
Due to the difculty to recognize the size and shape of bone defects before surgery, it is not easy to order an
i-Gen membrane and components on each patient whenever needed.
So a starting package which includes everything for i-Gen, should be set at surgery room.
And it is strongly recommended to ll up the empty space immediately after surgery for the next case.
22 i-Gen membranes
15 Flat abutments (1mm, 2mm, 3mm cuff x 5 each)
5 Cover screws
10 Healing abutments (2.5 & 3.5 mm height)
i-Gen starting package includes
60 | 61 MEGAGEN Implant
i-Gen
TM
Auto-Max
TM
Mega-Oss
TM
Mega-Oss Bovine
TM
Mega-TCP
TM
Bone Plus
TM
MICAkit
TM
MILAkit
TM
Thor

& BonEx kit
TM
i-Gen
TM
Regeneration
Head Ofce
377-2 Kyochon-Ri, Jain-Myun, Gyeongsan, Gyeongbuk, Korea, 712-852
T. +82-53-857-5770 F. +82-53-857-5432 www.imegagen.com