Professional Documents
Culture Documents
➲ Design
Concept Small but Strong Abutment Screw
Diameter 1.8mm
Maximum preservation
of cortical bone
Important for esthetics and
long-term prognosis
No cutting edge, but strong
self-threading
✔ Sharper cutting flutes slice through
and widen bone gradually
✔ No wobbling on cortical slope in the
case of anterior immediate placement
Taper design
Easy to place and always guarantee Narrow apical diameter
excellent initial stability Bigger fixture through smaller osteotomy socket
(Less invasive surgery)
Important to preserve the biology of
marginal hard and soft tissues.
➲ S-L-A surface with Ca
MegaGen has developed surface treatment based on S-L-A technique with calium
2+
Incorporation
incorporation process. Calcium ion creates a CaTiO3 nanostructure on the surface,
and activates osteoblasts in the live bone.The name of this unique specialized surface
treatment is XPEED®.
30
20
10
0
S-L-A RBM
60 61.6
55.8
highest BIC. Bone contact was measured over
Ncm
40
30.8
surface of Ti implants.
20
0
S-L-A RBM
symbol of purity.
Cell attachment
Nano-thickness
HA coating
0.5 ~ 0.7um 5~10um
Excellent initial stability, even 3.5 4.0 4.5 5.0 5.5 Fixture diameter
at compromised bone density. 2.8 3.3 3.3 3.3 3.3 Core diameter
Core diameter
measured at
3.5mm under
the platform
Core
diameter
• Hard bone
AnyRidge Fixture with its super self-tapping thread design is easier to place than other traditional
®
2. Customized drilling • AnyRidge® Fixture has no fixed protocol for drilling. Make your own drilling protocol ac
cording to patient’s bone quality to attain your preferred initial stability. Or you can simply
Sequence drill an osteotomy socket adequate to the given conditions and then decide the diameter
of the fixture according to the bone density.
• Improved drill design is the secret of simplified drilling sequence. You can even harvest
autogenous bone with these specially designed drills. (Recommended speed : 50 RPM,
50 Ncm with saline solution irrigation)
• The best way to get ideal initial stability with the AnyRidge system is by placing an
implant with a surgical engine, leaving one or two threads above the crest. Then use a
Ratchet Wrench to place the platform at the desired position.
2) Prosthetics Better esthetic outcomes from wide variety of prosthetic options!
Stop worrying about screw loosening!
AnyRidge
Separation force
between fixture
and abutment after
49.49 cold welding.
A Company A
1.5° Connection
25.36 B AnyRidge
5° Connection
11.46 Company B
8° Connection
(n=5)
Performed Retention Test to evaluate the fixture-abutment retention force using Universal Testing Machine
-R&D center in Megagen Implant Co.,Ltd.(2009)-
3. Optimum hex height Your fingers will feel the difference of the AnyRidge connection. It starts with impression taking
and lasts until final restoration.
4. All indications, wide Every case, every shape, every size was considered to satisfy the clinician’s needs.
abutment options
Various
post height
Complete
Cuff height hermetic seal
S-line
Stress(MPa)Stress(MPa)
25
Stress Distribution (Fixture-Bone)
preservation is guaranteed 35
15
Cortical Bone Thickness - 0.8mm
Cancellous bone level - D4
25
5
15
-5
0 2 4 6
5
AnyRidge fixtures do not depend on the cor- Length (mm)
• More cortical bone = More soft tissue volume = Beautiful gingival line
Advanced coronal design allows maximum cortical bone preservation
- Round around
faced and narrow implants.
thread design
Beyond osseointegration, AnyRidge can assure a beautiful gingival line by preserving and
maintaining more cortical bone.
AnyRidge EZ Plus Rescue - Round faced and narrow thread design
300.0
250.0
1)Dimension
Relationship between platform diameter
and Bevel diameter
Bevel diameter
Platform diameter
Internal Hex : 2.3mm Platform Bevel
(Same in all fixtures) Diameter Diameter
Fixture Diameter
[SEM image]
AnyRidge 08 /09
®
2) Size
10 FANIHX4010C L
4.0
11.5 FANIHX4011C
13 FANIHX4013C
4.0
15 FANIHX4015C
• Availability of 7mm product is subject to local approval.
• Europe certified only. Not for Korean domestic users.
10 FANIHX5010C L
5.0
11.5 FANIHX5011C
13 FANIHX5013C
5.0
15 FANIHX5015C
10 FANIHX5510C L
5.5
11.5 FANIHX5511C
13 FANIHX5513C
15 FANIHX5515C 5.5
6.4
Super Wide Ø6.0 Fixture
Diameter (mm)
Length
(mm) Ref.C
- Cover Screw included.
7 FALIHX6007C
4.8
8.5 FALIHX6008C
L
6.0 10 FALIHX6010C
11.5 FALIHX6011C
13 FALIHX6013C 6.0
7.4
Super Wide Ø7.0 Fixture
Diameter (mm)
Length
(mm) Ref.C
- Cover Screw included.
7 FALIHX7007C
4.8
8.5 FALIHX7008C
L
7.0 10 FALIHX7010C
11.5 FALIHX7011C
13 FALIHX7013C
7.0
Handpiece Connector
Perfectly matches the
Fixture Fixture pick-up internal connection of a
fixture : No accidental
dropping!
Lower cover
: access to Cover Screw
Hexagon connection of
AnyRidge Fixture
®
- Coding
Cover Screw
Cover Screw Height (mm)
Height (mm) Ref.C
Ref.C
Height
Height
** Included in fixture package.
Included in package. 0.8 AANCSF3508
1.6 AANCSF3516
2.6 AANCSF3526
•
• Use
Use with
with aa Hand
Hand Driver(1.2 Hex).
Driver(1.2 Hex).
•
• Used
Used for
for submerged
submerged type
type surgery.
surgery.
•
• Protects the inner structure of a fixture.
Protects the inner structure of a
•
• Different heights can be chosen according to the
heights can be chosen according to the
position of fixture below the crest.
position of below the crest.
•
• 1.6mm
1.6mm and
and 2.6mm
2.6mm height
height of
of Cover
Cover Screw
Screw can
can be
be
purchased
purchased separately.
separately.
Healing Abutment
Healing Abutment Profile
Diameter
Diameter
Height
Height
(mm)
(mm) Ref.C
Ref.C
Profile
Diameter
Diameter
Height
Height
(mm)
(mm) Ref.C
Ref.C
3 AANHAF0403 3 AANHAF0703
4 AANHAF0404 Ø7.0 4
5 AANHAF0704
AANHAF0705
P.D
P.D
Ø4.0 5 AANHAF0405 Ø7.0 5
7 AANHAF0705
AANHAF0707
H
H 6 AANHAF0406 6
3 AANHAF0706
AANHAF0803
7 AANHAF0407 Ø8.0 7
5 AANHAF0707
AANHAF0805
Platform
Platform
level
level 3 AANHAF0503 3
7 AANHAF0803
AANHAF0807
4 AANHAF0504 4 AANHAF0804
6 AANHAF0506 6 AANHAF0806
7 AANHAF0507 7 AANHAF0807
3 AANHAF0603 3 AANHAF1003
4 AANHAF0604 4 AANHAF1004
6 AANHAF0606 6 AANHAF1006
7 AANHAF0607 7 AANHAF1007
•
• Use
Use with
with aa Hand
Hand Driver(1.2 Hex).
Driver(1.2 Hex).
•
• Used
Used for
for non-submerged
non-submerged type
type surgery
surgery or
or for
for two
two stage
stage surgery.
surgery.
•
• Choose
Choose appropriate
appropriate diameter
diameter and
and height
height of
of Healing
Healing Abutment
Abutment according
according to
to situation.
situation.
•
• Helps to form suitable emergence profile during period of gingival healing.
Helps to form suitable emergence during period of gingival healing.
▸▸ Connection with a Fixture
• Cover Screws, Healing Abutments, Impression Coping (transfer and pick-up type), Temporary
Cylinders have ledges on the bottom which prevent from cold welding with a fixture.
• Hand Drivers(1.2 Hex) or Impression Drivers can be used easily to screw these components in
and out.
• 25~35Ncm torque force is recommended when permanent abutments are connected into a fixture.
• A fixed abutment cannot be removed with finger force even after complete removal of the
Abutment Screw, because of perfect cold welding. When the removal of a permanent abutment
is needed, the specially designed Abutment Removal Driver should be used.
AnyRidge 14 /15 ®
3. Push down the Hand Driver once again to catch and fix the Abutment Screw.
4. Lift-up the Hand Driver with light force and continue to turn counter-clockwise
until the Abutment Screw engages with the inner screws on the abutment.
Zirconia Abutment Gold Abutment CCM Abutment EZ Post Milling Abutment Angled Abutment Extra EZ Post
Lab Analog
Abutment
Removel Driver
AnyRidge 16 /17 ®
Impression
Impression Coping
Coping Profile
Diameter
Diameter
Height
Height
(mm)
(mm) Type
Type Ref.C
Ref.C
(Transfer Type)
(Transfer Type) 12 AANITH4012T
Ø4.0 12 AANITH4012T
(For Closed-tray Technique)
(For Closed-tray Technique) 16 AANITH4016T
2-Piece
12 AANITH5012T 16
16
Ø5.0 12 AANITH5012T 12
12
16 AANITH5016T
3
3
• Streamlined shape AANITH4012HT
12 ; easy to transfer. Platform
Platform
Ø4.0
• Anti-rotation grooves match with hex structure of
2-Piece level
level
16
• Should be tightened with AANITH4016HT
Impression Driver or
Hand
Hand Driver(1.2 12 Hex). driver AANITH5012HT P.D
P.D
(1.2 Hex)
Ø5.0
16 AANITH5016HT
• Streamlined shape ; easy to transfer.
• Anti-rotation grooves match with hex structure of fixtures.
• Should be tightened with Impression Driver or
Hand Driver(1.2 Hex).
Impression
Impression Coping
Coping Profile
Diameter
Diameter
Height
Height
(mm)
(mm) Type
Type Ref.C
Ref.C
(Transfer Type)
(Pick-up Type) Ø4.0
Ø4.0
12
12
AANITN4012
AANIPH4012T
(For Closed-tray Technique)
(For Open-tray Technique) 16 AANITN4016
16
1-Piece
2-Piece 12 16
- Guide Pins : AANGPP0010 (7mm : Short) / 12
7 AANITN5012
AANIPH5007T 12
AANGPP0015 (12mm : Long) / AANGPP0020 Ø5.0
Ø5.0 7
(20mm : Extra-long) 16
12 AANITN5016
AANIPH5012T
• Square structure AANITN4012H
12 ; strong anti - rotation function. Platform
Ø4.0 for easy and1-Piece
• Designed accurate pick-up impression. level
16
• Extra-long guide pin can AANITN4016H
be purchased separately.
Hand P.D
12 driver AANITN5012H P.D
(1.2 Hex)
Ø5.0
16 AANITN5016H
12 AANIPH5012T
Ø5.0 Platform
level
7 AANIPN5007T
12 AANIPN5012T P.D
Hex Non-Hex
Mesio- Mesio-
distal distal
Labio-lingual Labio-lingual
AnyRidge 18 /19®
Fuse Abutment™
Various Angle :
Straight 15° 25°
Design concept of
Similar to a
customized abutment
Fuse Abutment™ for excellent esthetics!
S-line
Mesio-distal
Labio-lingual
Abutment
area D2 153-201) Therefore, the implant is needed to ment or failure.
0.3
D3 be protected not to move when immediate
0.2 D4 loading is carried out. However, it is not easy
0.1 to manage loading on the fixture, even when
we use a resin temporary with a titanium cyl-
0 50 100 150 200 250 300 350 400 450 500 inder. It was thought that it’s partly because
Force(N)
of the metal component of temporary cylin-
Performed compressive strength test to evaluate the micro movement for
bone density using universal testing machine der, which can deliver excessive forces to the
-R&D center in Megagen Implant Co.,Ltd.(2012)-
fixture. This is one of the reasons which make
clinicians hesitate the immediate loading pro-
Compressive strength test of Fuse Abutment
cedure. So it is necessary to develop a spe-
250 cial temporary cylinder. It should be broken From this experiment, we could developed a
under the force which can lead fibrointegra- special temporary abutment which has lower
Compressive strength(N)
200
tion or failure of osseointegration to protect fracture threshold of less than 200 N (20.4
the fixture. and it will be preferred if it is easy kgf). It was named as Fuse Abutment. Also it
150
Average < 180N
100 Specimen 1
Specimen 2
to make a temporary crown on this particu- has an anatomic profiles to make temporary
50 Specimen 3
Specimen 4
lar temporary cylinder. We tried to measure prosthetics more esthetic.
0
Specimen 5 the force causing movement of 100μm on
1 2
Displacement(mm) a fixture which was placed securely into ad-
Performed compressive strength test to evaluate the yield strength for equate density of bone without defect. First,
AnyRidge implants were placed into the in-
Fuse Abutment using universal testing machine
-R&D center in Megagen Implant Co.,Ltd.(2012)-
➲ AnyRidge Abutment Option ®
EZ
EZ Post
Post
- Multi Post Screw(AANMSF/AANMST) included.
- Multi Post Screw(AANMSF/AANMST) included.
P.H
P.H
C.H
C.H
Platform
Platform
level
level
P.D
P.D
2 AANEPH4025L 2 AANEPH6025L
2 AANEPH4025L
3 AANEPH4035L 3 AANEPH6035L
5.5 5.5
4 AANEPH4045L 4 AANEPH6045L
3 AANEPH4035L
5 AANEPH4055L 5 AANEPH6055L
Ø4.0 Hex
Hex Ø6.0 Hex
2 AANEPH4027L 2 AANEPH6027L
3 AANEPH4037L 3 AANEPH6037L
7 7
4 AANEPH4047L 4 AANEPH6047L
5 AANEPH4057L 5 AANEPH6057L
2 AANEPN4025L 2 AANEPN6025L
AANEPH7027L
2 AANEPH5025L
3 AANEPN4035L 3 AANEPN6035L
AANEPH7037L
5.5
5.5 Ø7.0 5.5
7 Hex
4 AANEPN4045L 4 AANEPN6045L
AANEPH7047L
3 AANEPH5035L
5 AANEPN4055L 5 AANEPN6055L
AANEPH7057L
Ø5.0
Ø4.0 Hex
Non-Hex Ø6.0 Non-Hex
2
2 AANEPH5027L
AANEPN4027L • Four 2 AANEPN6027L
diameters. (Ø4.0, 5.0, 6.0, 7.0)
3 AANEPH5037L • Four heights. (2.0, 3.0, 4.0, 5.0mm)
3 AANEPN4037L 3 AANEPN6037L
7
7 7
4
4 AANEPH5047L
AANEPN4047L 4 AANEPN6047L
5
5 AANEPH5057L
AANEPN4057L 5 AANEPN6057L
2 Driver (1.2 Hex).
• Use with a Hand AANEPH5025L 2 AANEPH7025L
• Esthetic gold coloring.
3 AANEPH5035L 3 AANEPH7035L
• Two 5.5(5.5, 7.0mm)
post heights. 5.5
4 AANEPH5045L 4 AANEPH7045L
5 AANEPH5055L 5 AANEPH7055L
Ø5.0 Hex Ø7.0 Hex
2 AANEPH5027L 2 AANEPH7027L
3 AANEPH5037L 3 AANEPH7037L
7 7
4 AANEPH5047L 4 AANEPH7047L
5 AANEPH5057L 5 AANEPH7057L
2 AANEPN5025L 2 AANEPN7025L
3 AANEPN5035L 3 AANEPN7035L
5.5 5.5
4 AANEPN5045L 4 AANEPN7045L
5 AANEPN5055L 5 AANEPN7055L
Ø5.0 Non-Hex Ø7.0 Non-Hex
2 AANEPN5027L 2 AANEPN7027L
3 AANEPN5037L 3 AANEPN7037L
7 7
4 AANEPN5047L 4 AANEPN7047L
5 AANEPN5057L 5 AANEPN7057L
• Use with a Hand Driver (1.2 Hex). • Four different profile diameters. (Ø4.0, 5.0, 6.0, 7.0)
• Esthetic gold coloring. • Four different cuff heights. (2.0, 3.0, 4.0, 5.0mm)
• Two different post heights. (5.5, 7.0mm)
AnyRidge 20 /21 ®
Hex
Hex Non-Hex
Non-Hex
UCLA
UCLA Abutment
Abutment Profile
Diameter
Diameter
Cuff
Height
Post
Post
(mm) Height
Height(mm) Height(mm)
(mm)
Type
Type Ref.C
Ref.C
(Gold)
(Gold) Ø4.0 1 11
Hex AANGAH4012L
P.H
P.H
- Multi Post Screw(AANMSF/AANMST) included.
- Multi Post Screw(AANMSF/AANMST) included. Non-Hex AANGAN4012L
•
• Useful to make a customized abutment in difficult situations.
Useful to make a customized abutment in situations.
•
• Precious
Precious and
and non-precious
non-precious alloys.
alloys. C.H
C.H
•
• Melting point of gold alloy : 1400 - 1450℃
Melting point of gold alloy : 1400 - 1450 Platform
Platform
level
level
•
• Threaded sleeves for convenient Resin / Wax-up.
Threaded sleeves for convenient Resin / Wax-up.
P.D
P.D
Hex
Zirconia
Zirconia Abutment
Hex
Abutment Profile
Diameter
Diameter
Cuff
Height
Post
Post
(mm) Height
Height(mm) Height(mm)
(mm)
Type
Type Ref.C
Ref.C
Milling
Milling Abutment
Abutment Profile
Diameter
Diameter
Cuff
Height(mm)
Height(mm)
Post
Post
Height(mm)
Height(mm) Ref.C
Ref.C
2
3 AANMAH5029L
AANMAH5039L
Ø5.0 9
3
4 AANMAH5039L
AANMAH5049L P.H
C.H
Ø5.0 9 Platform
4
2 AANMAH5049L
AANMAH6029L level
5
3 AANMAH5059L
AANMAH6039L P.D C.H
Ø6.0 9 Platform
2
4 AANMAH6029L
AANMAH6049L level
3 easier customization by milling.
• Long post enables AANMAH6039L P.D
Ø6.0 9
4 AANMAH6049L
5 AANMAH6059L
2 AANMAH7029L
3 AANMAH7039L
Ø7.0 9
4 AANMAH7049L
5 AANMAH7059L
• Long post enables easier customization by milling.
➲ AnyRidge Abutment Option ®
15°
15° 25°
25° 15°
15° 25°
25°
Angled
Angled Abutment
Abutment
- Multi Post Screw(AANMSF/AANMST) included.
- Multi Post Screw(AANMSF/AANMST) included.
P.H
P.H
C.H
C.H
Platform
Platform
level
level
P.D
P.D
2 AANAAH4215L 2 AANAAH6215L
3 AANAAH4315L 3 AANAAH6315L
Hex 15° Hex 15°
4 AANAAH4415L 4 AANAAH6415L
5 AANAAH4515L 5 AANAAH6515L
Ø4.0 7 15° Ø6.0 7 15°
2
2 AANAAE4215L
AANAAH4225L 2 AANAAE6215L
AANAAH6225L
3
3 AANAAE4315L
AANAAH4325L 3 AANAAE6315L
AANAAH6325L
Hex-E
Hex 25° Hex-E
Hex 25°
4
4 AANAAE4415L
AANAAH4425L 4 AANAAE6415L
AANAAH6425L
5
5 AANAAE4515L
AANAAH4525L 5 AANAAE6515L
AANAAH6525L
Ø4.0 7 Ø6.0 7
2 AANAAH4225L
AANAAH5215L 2
2 AANAAH6225L
AANAAH7215L
3 AANAAH4325L
AANAAH5315L 3
3 AANAAH6325L
AANAAH7315L
Hex 15° Hex
Hex 15°
4 AANAAH4425L
AANAAH5415L 4
4 AANAAH6425L
AANAAH7415L
5 AANAAH4525L
AANAAH5515L 5
5 AANAAH6525L
AANAAH7515L
Ø5.0 7 25° Ø7.0 7 25°
2
2 AANAAE4225L
AANAAH5225L 2 AANAAE6225L
AANAAH7225L
3
3 AANAAE4325L
AANAAH5325L 3 AANAAE6325L
AANAAH7325L
Hex-E
Hex 25° Hex-E
Hex 25°
4
4 AANAAE4425L
AANAAH5425L 4 AANAAE6425L
AANAAH7425L
5
5 AANAAE4525L
AANAAH5525L 5 AANAAE6525L
AANAAH7525L
• Two 2
angulations. (15°, 25°) AANAAH5215L 2
• Esthetic gold coloring. AANAAH7215L
• Four diameters. (Ø4.0, 5.0, 6.0, 7.0) • Minimized screw head length needs minimum height to prevent
3 AANAAH5315L 3 AANAAH7315L
• Four heights. (2, 3, 4, Hex
5mm) milling problems. Hex
• Can cover 12 4 directions. AANAAH5415L 4 AANAAH7415L
[six to the surface(Hex),
5 six to the edge of hex(Hex-E)]
AANAAH5515L 5 AANAAH7515L
15° 15°
2 AANAAE5215L 2 AANAAE7215L
3 AANAAE5315L 3 AANAAE7315L
Hex-E Hex-E
4 AANAAE5415L 4 AANAAE7415L
5 AANAAE5515L 5 AANAAE7515L
Ø5.0 7 Ø7.0 7
2 AANAAH5225L 2 AANAAH7225L
3 AANAAH5325L 3 AANAAH7325L
Hex Hex
4 AANAAH5425L 4 AANAAH7425L
5 AANAAH5525L 5 AANAAH7525L
25° 25°
2 AANAAE5225L 2 AANAAE7225L
3 AANAAE5325L 3 AANAAE7325L
Hex-E Hex-E
4 AANAAE5425L 4 AANAAE7425L
5 AANAAE5525L 5 AANAAE7525L
• Two different angulations. (15°, 25°) • Esthetic gold coloring.
• Four different profile diameters. (Ø4.0, 5.0, 6.0, 7.0) • Minimized screw head length needs minimum height to prevent
• Four different cuff heights. (2, 3, 4, 5mm) milling problems.
• Can cover 12 different directions.
[six to the surface(Hex), six to the edge of hex(Hex-E)]
AnyRidge 22 /23 ®
Ø5.5 1 7 AANEEH5517L
Burn-out Cylinder
Lab Analog
Hand Driver
(1.2 Hex)
AnyRidge 24 /25 ®
Solid Abutment
P.H
C.H
Platform
level
P.D
2 AANSAL4024 2 AANSAL6024
3 AANSAL4034 3 AANSAL6034
4 4
4 AANSAL4044 4 AANSAL6044
5 AANSAL4054 5 AANSAL6054
2 AANSAL4025 2 AANSAL6025
Coping AANSIF440
Ø4.0 AANSIF455
AANSIF470
AANSIF540
Ø5.0 AANSIF555
AANSIF570
AANSIF640
Ø6.0 AANSIF655
AANSIF670
AANSIF740
Ø7.0 AANSIF755
AANSIF770
7
• For impression on Solid Abutments.
• 3 color coded for different post heights.
• 4 different diameters for profile diameters.
P.D
(Ø4, 5, 6, 7)
• Do not use when abutment is trimmed.
4 AANCCF440
7 AANCCF470
4 AANCCF540
7 AANCCF570
4 AANCCF640
7 AANCCF670
4 AANCCF740
P.H
Ø7.0 5.5 AANCCF755
7 AANCCF770 P.D
• Protects the Solid Abutment and minimizes irrita-
tion to tongue and oral mucosa.
• Can be applied under temporary prosthetics.
• Color coded according to post heights.
AnyRidge 26 /27
®
7 AANSLF470
4 AANSLF540
H
7 AANSLF570
4 AANSLF640
7 AANSLF670
P.D
4 AANSLF740
7 AANSLF770
Ø4.0 AANBCB470
Ø5.0 AANBCB570
Multiple
Ø6.0 AANBCB670
Ø7.0 AANBCB770
Ø4.0 AANBCS470
Ø5.0 AANBCS570
Single
Ø6.0 AANBCS670 P.D
Ø7.0 AANBCS770
1. All-In-One Package Solid abutment + Snap impression coping + Comfort Cap + Lab Analog + Burn-out
Cylinder(Single/Bridge)
composition
Snap
Impression Coping
Comfort Cap
Solid Abutment
Burn-out Cylinder
(Single and Bridge)
Lab Analog
(Solid level)
AnyRidge 28 /29
®
Temporary Cylinder
Lab Analog
Octa
Octa Abutment
Abutment Profile Diameter Cuff Height
(mm)
(mm)
Ref.C
Ref.C
C.H
C.H
1
2 AANOAF4010
AANOAF0020
Platform
Platform
Ø5.0 2
3 AANOAF4020
AANOAF0030 level
level
Ø4.0 3
4 AANOAF4030
AANOAF0040
4
5 AANOAF4040
AANOAF0050
• Used in manufacturing5 multiple AANOAF4050
screw-retained
prosthetics. 1 AANOAF0010
• Compatible with Strauman’s Octa Abutment system.
2 AANOAF0020
• Use an Octa Abutment Driver : 35Ncm
Ø5.0 3
• Maximum path angle : 70˚ AANOAF0030
4 AANOAF0040 35°
35° 35°
35°
5 AANOAF0050
1 AANOAF6010 Ø4.0
Ø4.0 Ø5.0
Ø5.0 Ø6.0
Ø6.0
2 AANOAF6020
Ø6.0 3 AANOAF6030 C.H
C.H
4 AANOAF6040 Platform
Platform
level
level
5 AANOAF6050
• Used in manufacturing multiple screw-retained
prosthetics.
• Compatible with Strauman’s Octa Abutment system.
• Use an Octa Abutment Driver : 35Ncm
• Maximum path angle : 70˚
Healing
Healing Cap
Cap Profile Diameter Ref.C
Ref.C
&
& Octa
Octa Cylinder
Cylinder Cap
Cap Ø4.0 AANOHC4000T
Ø5.0 IHC400T
- Cylinder Screw(IRCS200) included.
- Cylinder Screw(IRCS200) included.
Ø6.0 AANOHC6000T
•
• Protects
Protects Octa
Octa Abutment
Abutment and
and minimizes
minimizes irritation
irritation
P.D
P.D
to
to tongue
tongue and
and oral
oral mucosa.
mucosa.
Octa Non-Octa
Octa
Octa Impression
Impression Profile
Diameter
Height
Height
Diameter (mm)
(mm) Type
Type Ref.C
Ref.C
Octa Non-Octa
2.5
Coping
Octa Non-Octa
Coping (Transfer)
(Transfer) 7.5
Octa AAOITO4010T
AAOITO5010T
Octa Non-Octa
-- Guide
Guide Pin
Pin included.
included. Non-Octa AAOITN4010T
AAOITN5010T
Ø4.0
Ø5.0 7.5 9.5
Octa AAOITO4012T
AAOITO5012T Ø4.0
9.5 2.5
Non-Octa AAOITN4012T
AAOITN5012T Octa Non-Octa
Octa Non-Octa
Ø5.0 Ø5.0
Octa AAOITO5010T
7.5
Non-Octa AAOITN5010T 7.5 9.5
Ø5.0
Octa AAOITO5012T
9.5
Non-Octa AAOITN5012T Ø5.0 Ø5.0
Octa AAOITO6010T Octa Non-Octa
7.5 Octa Non-Octa
Non-Octa AAOITN6010T
Ø6.0
Octa AAOITO6012T
9.5
Non-Octa AAOITN6012T
Ø6.0
AnyRidge 30 /31 ®
Octa Non-Octa
Octa Non-Octa
4.8
Impression
Lab Analog Coping Profile
Diameter
Height
(mm) Type Ref.C
Ref.C
12
10
(Pick-Up) Octa AAOIPO4010T
10.0
- Guide Pin included.
Ø4.8 Non-Octa AAOIPN4010T
IOA300
Ø4.0
Octa AAOIPO4012T Ø4.0
12.0 Octa Non-Octa
Non-Octa AAOIPN4012T
Octa Non-Octa
Octa AAOIPO5010T
10.0
Non-Octa AAOIPN5010T
Ø5.0
Temporary Cylinder
Octa Non-Octa
Type Ref.C
Diameter Octa AAOIPO5012T
12.0
- Cylinder Screw(IRCS200) included. Non-Octa AANOTCO5010T
Octa AAOIPN5012T
Ø5.0 Ø5.0
Octa
Non-octa AAOIPO6010T
AANOTCN5010T
10.0
Non-Octa AAOIPN6010T Octa Non-Octa
Octa Non-Octa
Ø6.0 Ø5.0
Octa AAOIPO6012T
12.0
Non-Octa AAOIPN6012T
Ø6.0
Ø3.8 AANOLA4000
Ø4.8 IOA300
Ø5.8 AANOLA6000
Octa Non-Octa
5.5 AAOECO6005T
Octa
7.0 AAOECO6007T
Ø6.0
5.5 AAOECN6005T
Non-Octa Ø6.0
7.0 AAOECN6007T
Gold Cylinder
Gold Cylinder Profile Octa Non-Octa
Diameter
Diameter Type
Type Ref.C
Ref.C
Octa Non-Octa
-- Cylinder Screw(IRCS200) included.
Cylinder Screw(IRCS200) included. Octa AANGCO4000T
Ø4.0 Octa IOGO100T
Non-octa AANGCN4000T 12
Ø5.0
Octa IOGO100T
Ø5.0 Non-octa IOGN100T
Non-octa IOGN100T
Ø4.0
Octa
• For customizing abutment AANGCO6000T
for screw retained multi- Ø5.0
Ø6.0 Octa Non-Octa Octa Non-Octa
unit restoration.Non-octa AANGCN6000T
• Available in both octa(red) and non-octa(white).
•
• For customizing
Melting abutment
point of gold alloy :for
1400screw retained
- 1450° C multi-
• unit restoration.
Threaded sleeves allow for better retention of resin or wax.
•
• Available in both octa(red) and non-octa(white).
Available in three diameters (Ø4.0, 5.0, 6.0).
•
• Melting point of gold alloy : 1400 - 1450℃
Recommend torque : 30Ncm
• Threaded sleeves allow for better retention of resin or wax.
• Available in three diameters (Ø4.0, 5.0, 6.0). Ø5.0 Ø6.0
• Recommend torque : 30Ncm
CCM Cylinder
Octa Non-Octa
Octa IOPH100T
Ø5.0
Non-octa IOPN100T Ø4.0
Temporary Cylinder
Lab Analog
Multi-unit Abutment Multi-unit Angled Abutment Multi-unit Angled Abutment Healing Cap
[Straight] [17°] [29°]
➲ AnyRidge Abutment Option ®
Multi-unit
Multi-unit Angled
Angled Cuff Height (mm) Type
Type Ref.C
Ref.C
Hex
Hex
Abutment
Abutment (17°)
(17°) 1.0 AANMUH50117L
- Multi Post Screw(MUMMSF/MUMMST) included.
- Multi Post Screw(MUMMSF/MUMMST) included.
2.0 AANMUH50217L
C.H
C.H
Hex
3.0 AANMUH50317L
Ø5.0
Ø5.0
4.0 AANMUH50417L
Non-Hex
1.0 AANMUN50117L
2.0 AANMUN50217L
Non-Hex
3.0 AANMUN50317L
4.0 AANMUN50417L
Multi-unit
Multi-unit Angled
Angled Cuff Height (mm) Type
Type Ref.C
Ref.C
Hex
Hex
Abutment
Abutment (29°)
(29°) 1.0 AANMUH50129L
- Multi Post Screw(MUMMSF/MUMMST) included.
- Multi Post Screw(MUMMSF/MUMMST) included.
2.0 AANMUH50229L
Hex C.H
C.H
3.0 AANMUH50329L
2.0 AANMUN50229L
Non-Hex
3.0 AANMUN50329L
4.0 AANMUN50429L
Multi-unit
Multi-unit Cuff Height (mm) Type
Type Ref.C
Ref.C Hex
Hex
Abutment
Abutment (Straight)
(Straight) 2.0 AANMUH5020T
-- Multi-unit
Multi-unit Abutment
Abutment Screw
Screw included.
included. C.H
C.H
3.0 AANMUH5030T
Hex
4.0 AANMUH5040T
Ø5.0
Ø5.0
5.0 AANMUH5050T
Non-Hex
• Use with
2.0 Multi-unit Driver. AANMUN5020T
3.0 AANMUN5030T
Non-Hex
4.0 AANMUN5040T
5.0 AANMUN5050T
Multi-unit Abutment™
Multi-unit Abutment
Prosthetics Design Concept
compatibillity
3i Multi-unit Abutment
Regular Abutment(Mega’Gen) MEGAGEN IMPLANT develops the special
Various Cuff abutment named as Multi-unit Abutment,
Straight Type : 2, 3, 4, 5mm
which can be the solution for the patients with
Angled Type : 1, 2, 3, 4mm
no teeth. With 4 fixtures placed onto patient’s
ridge and over-denture placed onto those four
fixtures, a patient who has no teeth can fully
Various Angle recover his or her dental condition. Multi-unit
Straight, 17°, 29° Abutments are composed of 2 x straight type
abutment for anterior position and 2 x angled
type abutment on posterior position.
Features
You could see how Multi-unit Abutment functions and what benefits you could get by using Multi-unit Abutment with the points below:
• 2 fixtures which are slantly implanted on posterior position are Osseo-integrated with cancellous bone. These fixtures function as dispersing
vertical load on alveolar bone.
• Multi-unit Abutment is only 4 fixtures + 4 abutments. It means that dental surgeon has enough places for surgery. Therefore, it will be easy for you
to find and place 4 fixtures onto ridge where abundant cancellous bone exists.
• Doctor use bone material if patients have no enough alveolar bone. However, Multi-unit Abutment’s angle fixture can overcome the client’s insuf
ficient bone by getting good holding strength by its angle.
• In addition, angle fixture is used to avoid touching a patient’s maxillary nerve and mandibular sinus.
• Using 4 fixtures means shortened healing time. Also, it leads to lessened inconvenience.
Doctor’s Benefits
Healing Cap
Healing Cap Profile Diameter Ref.C
Ref.C
Ø5.0 REC600
5.0
5.0
Non-Hex
Non-Hex
Impressin
ImpressionCoping
Coping Height (mm)
Profile Diameter Type Ref.CRef.C
(Pick-Up)
(Transfer) Ø4.8 RITE480
- Guide Pin (RICG150) included 9.4 Non-Hex RIEN480T
4.8
Hex Non-Hex
Ø4.8 RELA300
4.8
Ø4.8 RELA300
4.8
AnyRidge 36 /37 ®
Hex Non-Hex
CCM CylinderCylinder
Temporary Profile
Profile
Diameter
Diameter
Sleeve Color
Type Ref.CRef.C
Hex Non-Hex
- Cylinder Screw (TASH140) included
- Cylinder Screw (TASH140) included Pink Hex RCA5013HT
ETH100T
Ø4.8Ø4.8
Yellow
Non-Hex RCA5013NT
ETN100T
Hex Non-Hex
Hex Non-Hex
EZ Post
Plastic CylinderCylinder Profile
Profile Type
Diameter Sleeve Color Ref.C
Ref.C
Diameter
- Cylinder Screw (TASH140) included
- Cylinder Screw (TASH140) included Hex RCA900T
Red RPEH100T
Ø5.0
Ø5.2
Non-Hex RCA800T
White RPEN100T
5.0
5.2
Hex Non-Hex
5.2
AnyRidge 38 /39 ®
Flat EZ Post Cylinder Flat Gold Cylinder Flat CCM Cylinder Flat Plastic Cylinder
1 AANFAL3510
C.H
2 AANFAL3520
Ø3.5 3 AANFAL3530
3.5
4 AANFAL3540
5 AANFAL3550
3.5
Ø3.5 FCS3510
2 FHA402
H
3 FHA403
4 FHA404
3.5
12
Ø3.5 12 FLA3512
3.5
AnyRidge 40 /41
®
4.0
7.0 FEC4007T
4.0
➲ AnyRidge Abutment Option
®
Lab Analog
Impression Coping
Meg-Rhein Abutment
AnyRidge 42 /43
®
3 ADR03P
4 ADR04P
5 ADR05P
6 ADR06P
• Perfect compatibility with the Rhein83 from Italy.
• Recommend torque ; 35Ncm.
➲ Meg-Rhein Option
(White) 140CET
(Violet) 140CEV
Housing 141CAE
• 2ea/pack
➲ Meg-Rhein Option
085IAC 83
40
091EC
90
PLA
Overdenture System
Meg-Rhein Package
Pin
kC
Ye ap
Bl llo
ac w
St kC Ca
a
Ho inl p
M u e ap
w eg- sin ss
ith R g Ste
a hei el
Pl n
as Ab
tic u
Ca tme
rri nt
er
Advantage
1. Small & Easy-to-use Housing 2. Tilting Angle & Various Retentive 3. Low Reduction Rate & Uniform
System Caps of the Meg-Rhein Variance of Retentive Force
2.1mm 30º 80
27%
38% 37%
49%
Meg-Rhein 73
60 63
62
51
40
5.5mm
20
2.25mm
0
Product K & L Meg-Rhein Product K Product L Product P
3
Retentive force (kg)
5.2mm 2 R2=0.85
2.3mm
1
Product P
0
1,000 Cycles
*Smaller & more convenient than others, Yellow Pink White Violet
(0.6kg) (1.2kg) (1.8kg) (2.7kg) R2(Coefficient of determination) becomes more reliable
with proven Italian technology. * Seperate purchase available when it is close to “1”.
upon request
➲ AnyRidge Abutment Option ®
Torque Wrench
Ratchet
Connector
Lance Drill (TANRES)
Drill Extension
(TCMSC403)
(TANHCU) (TANHCS)
Marking Drill
option
Torque Wrench
Lance Drill
Handpiece
Connector
Ratchet Connector
Drill Extension Point Trephine Bur Trephine Bur Abutment Hand Driver
Removal Driver
Marking Drill
Stopper Drill
AnyRidge 48 /49 ®
➲ Surgical Components
2.0
Ø2.0 TANTDF2018
Ø2.5 SD2518S
Ø2.8 SD2818S
18
Ø3.3 TANSDF3318
Ø3.8 TANSDF3818
Ø4.3 TANSDF4318
Ø4.8 TANSDF4815
Ø5.4 15 TANSDF5415
Ø5.9 TANSDF5915
7 TANTDF2007
8.5 TANTDF2008
Ø2.0
10 TANTDF2010
11.5 TANTDF2011
7 SD2807M
L
8.5 SD2808M
Ø2.8
10 SD2810M
11.5 SD2811M
7 TANSDF3307
8.5 TANSDF3308
Ø3.3
10 TANSDF3310
11.5 TANSDF3311
7 TANSDF4807
8.5 TANSDF4808
Ø4.8 L
10 TANSDF4810
11.5 TANSDF4811 D
➲ Surgical Components
5.0
Diameter 1
Ø3.5 TANCDL3500
Diameter 2
Ø4.0~ Ø5.5 TANCDL4055
10 Short TANHCS
15 Long TANHCL
a handpiece.
• Easy and secure pick-up and delivery.
• Used to place implant without mount.
• Marks on the shaft can indicate the position of
fixture platform, especially in flapless surgery.
10 Short TANRES
L
15 Long TANREL
Option
15 Short(MiNi) RCS17
10 Short TCMHDS1200
15 Long TCMHDL1200
20 *Extra-long TCMHDE1200
• Used for all Cover Screws, all Abutment Screws and all L
Healing Abutments.
• Available in 4 lengths for added convenience.
• Hand Driver can be directly inserted into the to Torque
Wrench without using an adapter.
• Hex tip can withstand 35-45Ncm of torque without
distorting.
Abutment Removal Length (mm) Ref.C
MDE150
Ø2.8 Ø4.7
10 TANPFF3580 L
Ratchet
Impression
Driver
Abutment
Removal Driver
Ball Driver
Hand Driver
8.5 TANSDS500
Ø5
13.5 *TANSDL500
L
8.5 TANSDS600
Ø6
13.5 *TANSDL600
8.5 TANSDS700
Ø7
13.5 *TANSDL700
• For the delivery of Solid Abutments.
• Color coded for different profile diameters. (Ø4-
magenta, Ø5-blue, Ø6-yellow, Ø7-green)
• Two different heights. (8.5 / 13.5mm)
• Directly connectable to Torque Wrench.
7 MOD300S
L
13 MOD300L
• For seating the Octa Abutment onto the fixture.
Can also be connected to Torque Wrench.
Short TCMID
Long TCMIDE
Ø2.4 TCMBE2413
Ø2.8 TCMBE2813
Ø3.3 TCMBE3313
7 / 8.5 / 10 /
13
11.5
Ø3.8 TCMBE3813
Ø4.3 TCMBE4313
Ø4.8 TCMBE4813
Ratchet
Connector
(TANRES)
Handpiece Connector
(TCMSC403)
(TANHCU) (TANHCS)
option
Ø5 TANBPL50G
Guide pin
Ø6 TANBPS60G
8
Ø7 TANBPS70G
• Removes bone around the fixture to allow adequate L
size of Healing Abutment.
• Place a Guide Pin into a fixture and choose a Bone
Profiler to fit the situation.
• Each package includes a Bone Profiler, a Guide Pin.
Impressi
Driver
AnyRidge 56 /57 ®
Connection
Trephine Bur Stopper Length (mm) Ref.C
7.0 TANTSF2307
8.5 TANTSF2308
10.0 TANTSF2310
11.5 TANTSF2311
TANMI
Ø4.0 TANRDJ40
Ø5.0 TANRDJ50
Center Pin
Ø6.0 TANRDJ60
Ø7.0 TANRDJ70
• Removes inner lip of the cast after casting Burn-out
Cylinders of Solid Abutment.
• Center Pin have 4 different diameters according to
the profile diameter of Solid Abutments.
Bottom Drill Diameter Type Ref.C
Ø3.3 TCMBDS33
Ø3.8 TCMBDS38
Short
Ø4.8 TCMBDS48
(32mm)
Ø5.8 TCMBDS58 Type
Ø6.8 TCMBDS68
Ø3.3 TCMBDL33 13
11.5 (13.5)
Ø3.8 TCMBDL38 8.5 10 (12)
Long
7 (9) (10.5)
(7.5)
Ø4.8 TCMBDL48
(38mm)
Ø5.8 TCMBDL58
D
Ø6.8 TCMBDL68
• It removes remaining bone in osteotomy socket after
trephine drilling.
• It imprints the sizes of fixtures, for example 7, 8.5, 10,
11.5 and 13mm, by laser marker.
15 Long TCMMUDL20
L
10 Short TCMHDS1600
15 Long TCMHDL1600 L
MRW040S
1.0 IA1810
C.H
M1.8 2.0 IA1820
3.0 IA1830
i-Gen Membrane
PL BW BL BD LW LL
Type Proximal Buccal Buccal Buccal Lingual Lingual Ref.C
Length width Length Distance width Length
A1 4 9 11 4.5 - - IG1W4509 A1 B1 C1
A2 4 10 11 5.5 - - IG1W5510
A3 4 11 11 6.5 - - IG1W6511
B1 5 9 11 4.5 - - IG2W0918 A2 B2 C2
B2 6.5 11 11 5.5 - - IG2W1120
B3 9 13 11 6 - - IG2W1323
BW PL LW
BL
i-Gen
>2.5mm
horizontal extension
needed to make >2mm labial
bone after remodeling.
Lingual Extension
should be considered for
a large defect.
>100°blunt angle
≥2mm with bevel should be made to
avoid soft tissue irritation.
Need to have at least
1mm of space above
the platform of a fixture:
Make this space with a
pre-existing abutment,
eg, i-Gen Screw.
0.5~1.0mm
shrinkage will occur
after removal of mem-
brane.
Apical skirt
should be adapted
to the bone.
12
1.8 OSSTELL-AR67
MEG-TORQ Ref.C
MEGA-TORQ
4.2
Ref.C
MEGA ISQ OSSTELL-ISQ
3) EZ Seal
✓Convenient size
: Diameter (Ø2.1, Ø2.2, Ø2.4, Ø3.1)
Length (1, 2, 3, 4, 5mm and free)
✓Convenient tools
: EZ carrier
✓Retrievable material (Silicon)
Implant comple
ted
simple and conv in a
enient way!
3mm
2mm
1mm
3mm
mm
1mm2 FREE
5mm
IMPLA
NT
4mm
mm
Free
TIP! EZ Seal Choice
4mm5
Resin
3mm
EZ
Seal
Implant completed in a
simple and convenient
way!
1. Measure depth 2. Fill the EZ Seal 3. Fill the resin 4. Perfect final prosthetic
Choose appropriately
r r r r
rrie rrie rrie rrie
Ca Ca Ca Ca
Compatible implants
Resin
3mm
Compatible implants
MegaGen
2.2
Neobiotech
Resin
3mm
Compatible implants
MegaGen Astra
2.4
Resin
3mm
Compatible implants
MegaGen
3.1
4) 911kit (KPSCS3000)
Hex
Hex
15 FSS3035
Ø3.0~Ø3.6
20 FSL3035
15 FSS3540
Ø3.7~Ø4.6
20 FSL3540
L
15 FSS4555
Ø4.7~Ø5.6
20 FSL4555
15 FSS6080
Ø5.7~Ø7.0
20 FSL6080
• To remove the fixture. When selecting a Fixture Re-
mover, consider the outer diameter of a Fixture. In
case of AnyRidge Fixture that the thread is formed
under platform, select a Fixture Remover according
to platform size
M1.8(AnyRidge) FSS18
M2.5(Rescue) FSS25
• To connect fixture and Fixture Remover.
• Recommended tightening torque FSS14, FSS16 :
40~50 Ncm FSS18, FSS20, FSS25 : 70~80 Ncm.
5 TD05
15 TD15
L
20 TD20
• To connect fixture to Fixture Remover Screw
300Ncm TW500
70Ncm TW70
• TW500 : To check torque force when removing fixture.
• TW70 : To check torque force when tightening Fixture
Remover Screw.
AnyRidge 64 /65
®
Abutment Remover
Length (mm) Ref.C
22 ASS
L
27 ASL
• On fractured abutment.
• Use screw size M1.8 & M2.0.
45 SSL
L
• To remove fractured screw.
• Use screw size M1.8 & M2.0.
Guide 10 SSIG10
16 SSIG16
Internal
22 SSIG22
22 SSIG22W
Ref.C
Screw Remover
SSGH
Guide Holder • Tool to supporting the Screw Remover Guide.
Remove the prosthesis of the Select a Fixture Capture Screw Select a Fixture Remover that
fi xture to be removed, and the of the same size as the fixture fits the fixture diameter. Turn
surrounding bone. internal screw. Use the Torx the fixed Fixture Remover
Driver to turn the screw clock- Screw counterclockwise until it
wise (40Ncm~70Ncm) to place touches the fixture. (For a torque
in the fixture. (Use of torque of greater than 300Ncm, it is rec-
less than 40Ncm for M1.6, and ommended to use a Trephine bur)
60Ncm for other products may
lead to loosening)
Fixture and Fixture Remover are Using Torque Wrench, turn coun- Removed fixture can be pulled
tightly connected as rising force terclockwise and pull out fixture out, turning Fixture Remover and
and descending force are com- and Fixture Remover. (No more fixture clockwise, holding onto
bined. (Suction is needed; debris than maximum torque per fixture) vice plier.
may happen on removal of a fi-
xture)
Abutment Remover
➲ Can use for abutments that use M1.8 & M2.0 screws.
➲ Cannot use for abutment that use M1.6 and M2.5
Insert the Abutment Remover Use the Ratchet Wrench to Move the Abutment Remover
in the fractured abutment hole. turn clockwise in order to join sideways while pulling up to
the abutment and the Abut- remove it. (Use of excessive
ment Remover as one body. force may traumatize the fi
(Ratchet Wrench is included in xture or the bone)
surgical kit)
Screw Remover
Remove the broken Abutment Select the correct Screw Re- Secure the Screw Remover
Screw and the abutment. mover Guide that fits the fixture Guide and insert the Screw
connection to join. Holder in the Screw Remover
Guide hole.
Push the Screw Remover down- Remove the pieces of broken When separating the holder
wards while rotating counter screw from the fixture internal from the guide, push in the
clockwise to separate it from the screw using forceps. direction of the arrow to
fixture internal screw. separate.
(rpm:30~50, Torque : 30Ncm)
Hex Remover
In case Abutment Screw, Use the Ratchet Wrench to Place the removed abutment
Cover Screw or Healing Abut- turn counterclockwise to join in the vice. Use the Ratchet
ment’s hex is fractured. the abutment with the Abut- Wrench to turn clockwise to
ment Remover as one body. separate the abutment with the
(Use a torque of less than Hex Remover.
40Ncm., Ratchet Wrench is
included in surgical kit.)
Early Loading Guide
with AnyRidge ®
※ independently
evaluated clinical
studies of 100’s
of cases show
stable or increasing
ISQ values conti-
nuously when
using AnyRidge
implants. Case
studies available
on request from
anyridge @
imegagen.com
Protocol for
1. Loading Time Determining Criteria and Conditions for
Early Loading _ Dr. Chang Hoon Han
Dr. Chang Hoon Han Dr. Kwang Bum Park Dr. Seung Yup Lee
·School of Dentistry, Chonnam Nationa University ·CEO, MIR Dental Hospital · Dental School, Kyung Pook National University
·Ph.D., Oral Surgery, Chonnam National University ·Dental School, Kyung Pook National University · Faculty, Periodontology & Implantology, MINEC
·Adjunct Professor, School of Dentistry, Chonnam ·M.D. & Ph.D. in Dentistry -UCLA
National University ·Adjunct Professor, Dental School, Kyung Pook · Member, Korean Association of Oral and
·Adjunct Professor, Dental Hospital, Chonnam National University Maxillofacial Surgeons
National University ·Fellow, Department of Periodontics, UCLA · Director, Daegu Mir Dental Hospital
·Director, Easy Plant Dental Clinic ·Faculty, Harvard School of Dental Medicine
Loading time Determining Criteria and
Conditions for Early Loading - Dr. Chang Hoon Han
Loading time
sured values will rise. ture does not damage the unique
Manufacturers of Smart- architecture of cancellous bone
pegs recommend to dis- and can minimize the compres-
card them after a one time sive force on the surrounding
use, and explain that the more they are used, the more unstable the (Figure 7) KnifeThread
®
bone.
measurements would become. However, a local study on the reuse of
Smartpegs concludes that ISQ values do not change even as they are Also the implant surface is treated with XPEED , and processed with
®
used repeatedly with 400 times of connecting and disconnecting the neutralization in the final step to remove the possibility of residual
Smartpegs, and that they can be reused as long as their screw lines acid which has been a problem in the existing SLA surface treatment.
remain intact and magmatism stay unchanged. Another local study Calcium ions on the fixture surface forms a calcium titanate nano-
on the reuse of Smartpegs shows two or more times of high pressure structure layer by a chemical reaction in uniform 0.5μm thickness,
steam sterilization reduces the stability of ISQ values. The author of solving the problem of surface peeling during the placement or
this paper also experiences that Smartpegs can be reused after dis- absorption of coated layer after the placement. So better BIC and
infection by a low temperature plasma sterilizer, provided their screw removal torque values can be achieved compared to other RBM or
lines are not damaged and magnetism is not lost. SLA surface treatments.
These RFA devices are very useful in determining the loading time
as changes of the initial stability of an implant can be measured re-
peatedly during a treatment period. And it can be said that RFA de-
vices are required for long term maintenance of implants as implant
stability changes can be continuously monitored.
Implant stability can be divided into primary and secondary stability.
The primary stability is mechanical stability obtained at the time of
implant placement and is affected by bone quality and quantity at the
implant site, the form, diameter, and length of an implant, and place-
ment method. The secondary stability refers to the implant stability
resulting from the bone regeneration and remodeling in the interface
between the implant and the tissue after the implant is placed. The
primary stability obtained shortly after the implant placement gradually
decreases while the secondary stability increases, and the total stabil-
(Figure 8) XPEED surface treatment
®
One of the methods that can most objectively assess the level of
clinical implant stability and osseointegration is Resonance Frequency
Analysis (RFA) using the OsstellTM device. AnyRidge 4x11.5mm AnyRidge 4x11.5mm
However the implants with thread design and surface that can mini- (Figure 2)
mize the compressive force on the surrounding bone do not have large
post-op ISQ value reductions and the stability is maintained. If such
implants are used clinically, immediate or early loading can be done
because they can minimize the stability dipping and shorten the time
necessary for osseointegration. For successful immediate or early
loading, we need to pay attention to insertion torque together with ISQ
values at the time of placement, and more than 45 N/cm of insertion
torque and 75 or higher ISQ values are recommended. Let’s look at
some cases of immediate or early loading in light of insertion torque
and ISQ value changes.
The patient was a 60 year old man and it was planned to place im-
(Figure 3)
plants 4 months after the bilateral sinus graft (figure 1). Eight implants
were placed in the upper jaw in a one stage approach with immediate
placement after extraction for the central incisor area (figure 2).
ISQ values were measured right after the placement and also at one
week intervals using OsstellTM. The initial stability at numbers 16, 24
and 26 where sinus lift was performed was low and ISQ values were
also lower than other regions.
However as time progressed, the stability did not go down much
and maintained, and from week 3 continuously went up. In the upper (Figure 4) (Figure 5)
central incisor area where immediate placement was performed, the
initial stability was high and the ISQ values continuously increased as
well from about 70 post-op (figure 3). Final prosthesis was delivered
9 week post-op (figure 4), and the results have been good during the
Case 2 : 43 years of age / Male
follow-up period without distinct symptoms (figure 5).
The patient was a 43 year old male. The broken implant screw at
number 26 could not be removed despite various attempts, so it was
decided to explant the fixture (figure 6). As the previous implant diam-
eter was 5mm, the fixture was pulled out with a 6mm diameter trephine
drill, and 8mm implant was immediately placed. The insertion torque at
the time of placement was 50 N/cm and the ISQ value was 75 (figure
7). Impression was taken at 1 week post-op and the final prosthesis
was delivered at week 2. The ISQ values at week 1 and at the time of
prosthesis delivery were 75, little difference from the immediate post-
(Figure 1) op (figure 8). During the follow-up period, good results were observed
without any particular symptoms (figure 9).
Turning your imagination into reality 74 / 75
#16
100
90
60
50
40
30
20
10
(Figure 8) OP + 2 weeks, SQ 75 → 75 (Figure 9) OP + 2 weeks, OP + 16months 0
OP 1W 2W 3W 4W 5W 6W
A 47 year old female patient lost the upper left first molar region. The Case 5: 56 years of age / Male
pre-op CT showed relatively favorable bone quality and quantity. A 6
mm diameter implant was placed and the insertion torque was 50 N/ A 56 year man received the final prosthesis 1 week post-op in the
cm and ISQ value was 72 at the time of placement (figure 10). lower left second molar region (figure 16). At one week intervals after
Impression was taken right after surgery, final prosthesis was deliv- the delivery of final prosthesis, the prosthesis was disconnected and
ered one week later, and the ISQ value increased to 77 (figure 11). changes in ISQ values under loading were checked. The ISQ values
During the follow-up period, good results were observed without any were confirmed to be stable without big changes even after the loading
particular symptoms (figure 15). (figure 17).
10 11 12
A 41 year old female patient lost the upper right first molar region.
The pre-op CT showed relatively favorable bone width and the height #36
of the residual bone was about 6mm. Sinus lift was performed using a
crestal approach and simultaneously 4.5x10mm implant was placed.
100
90
The insertion torque was 45 N/cm and ISQ value was 76 at the time 80
of placement (figure 13). Impression was taken right after surgery and 70
72 73 73 75 77 78 78 78
70
final prosthesis was delivered one week later, and the ISQ value in- 60
creased to 79 (figure 14). At one week intervals after the delivery of the 50
40
final prosthesis, the prosthesis was disconnected and changes in ISQ 30
values under loading were checked. The ISQ values were confirmed 20
to be stable with no big changes even after the loading (figure 15). 10
0
OP 1W 2W 3W 4W 5W 6W 7W 8W
13 14
No clear objective criteria are established regarding appropriate im- Let’s look at some clinical cases for factors we need to consider for
plant loading time after surgery. The reality is most clinicians rely on immediate or early loading.
radiographs or their data based on their experience for a specific sur-
gery. A rule of thumb for the loading time is 3 to 6 months for the upper
jaw and 2 to 4 months for the lower. Then, what are the more objective
decision criteria for implant loading time?
One of the methods that can most objectively assess the level of
clinical implant stability and osseointegration is Resonance Frequency
Analysis (RFA) using OsstellTM device. The OsstellTM device indi-
cates the Implant Stability Quotient (ISQ) values ranging from 1 to 100.
The primary stability, the mechanical stability obtained at the time of
(Figure 1) Generally initial stability obtained at the time of placement varies de-
implant placement, gradually decreases while the secondary stability pending on bone quality and loading time is roughly determined based on the
by bone remodeling in the surrounding bone slowly increases after stability.
implant placement, creating the dipping phenomenon where the total
stability goes down. As reported by many studies, ISQ values go down
until week 3 after the placement of an implant, fluctuate slightly up to
week 6 to 8, and then slowly go up afterwards. Then, can we deter-
mine the implant loading time based on ISQ values as they represent
implant stability? If there is no dipping phenomenon where ISQ values
gradually decrease after placing the implant and the values are stable
above a certain level without decreasing or even increasing, would
immediate or early loading be possible?
To put the conclusion first, ISQ values are one of the important objec-
tive indicators to determine the implant loading time but it cannot be (Figure 2) If we can achieve high initial stability at the time of implant placement
regardless of bone quality, we can start loading almost at similar time which
the absolute criteria. In other words, the high immediate post-op ISQ would benefit both patients and surgeons.
values cannot guarantee the success of immediate or early loading.
Even so, the ISQ values measured after a certain period of wound
healing after surgery may have some clinical implications. If that is Case 1
the case, what factors other than ISQ values need to be considered
The patient was a 30 year old man. An Implant was planned for the
for immediate or early loading? First is the implant thread design and
lower left second molar region which was extracted three years before.
surface that can obtain high initial stability and minimize the compres-
As oral and radiograph examination revealed sufficient bone width and
sive force on the surrounding bone. In fact, implants with such design
quantity, flapless surgery was planned using a surgical stent. The im-
show no considerable reduction in ISQ values in the initial stage after
mediate post-op ISQ values were very high with 80 or above on both
placing implants and the stability is maintained or even increased. If
buccal and lingual sides, so the initial stability was excellent. Therefore
these implants are clinically applied, they would minimize the dipping
a customized abutment and a temporary crown fabricated considering
of stability and reduce osseointegration time, which makes immediate
the final prosthesis from the diagnostic stage of surgery were con-
or early loading possible.
nected. As the patient complained a little discomfort three weeks later,
Along with the implant design, one of the important factors to be con-
loading was immediately stopped since the new ISQ measurements
sidered for immediate or early loading is the ITV (Insertion TorqueVal-
were lower below 60. Two month post-op, the ISQ value was above 75
ue) at the time of placement. It may be even more important than ISQ
again and stable, so the final prosthesis was delivered.
values. Based on successful clinical results of immediate loading, 45
N/cm or higher insertion torque and 75 or higher ISQ values are rec-
ommended. Next comes the bone density. This should be considered
together with ITV. Appropriate ITVs can be obtained by clinically modi-
fying the drilling sequence when implants are inserted through accu-
rately determining the bone density. Lastly patient’s occlusal factors
and eating habit including a parafunction should also be taken into
account.
(Figure 3) Initial Visit
5 6
(Figure 10) Initial Examination
(Figure 11) Immediate post-op, ISQ value : B/78, L/78
(Figure 12) 7 month follow-up, ISQ value : B/77, L/79
Case 3
A male patient in the 40s presented with slightly deficient keratinized
tissue but good enough vertical and horizontal bone quantity, so flap-
less implant placement surgery with a surgical stent was planned for
the lower left first molar region. The immediate post-op ISQ values
were high with 75 or higher both buccaly and lingually. A customized
abutment and a temporary crown fabricated considering the form of
(Figure 14) Case 2. Color Coding using R2GATE software
the final prosthesis from the diagnostic stage for the surgery were con-
nected. The values were maintained without distinct decreases as time The second case is color coded using R2GATE software for more
went by. Final prosthesis was delivered 4 week post-op. Favorable re- accurate determination of relative density differences of the anatomical
sults were obtained during the 7 month follow-up. structures with color details compared to the conventional CT view
10 11
(Figure 14).
As in the figure, the bone density at the implant site is estimated to
be not high.
There still remain numerous issues in applying immediate loading,
that is, the One Day Implant treatment in all cases. However, highly
12 predictable treatment is definitely possible if implants with the thread
design and surface that can achieve high initial stability, yet minimize
the compressive force on the surrounding bone are used to maintain
proper ITV and stable ISQ values and occlusion can be appropriately
controlled.
In a series of articles for the last three weeks, Dr. Chang Hoon Han
and Dr. Seung Yup Lee have shown objective ways to determine im-
plant stability in bone and relevant clinical cases. It is well known that
implants can be loaded earlier than before thanks to the advancement
of implant design and surgical approaches, and the improvement of
innovative surface treatment techniques. We are not really surprised
or greatly impressed when we see speakers talk about 2 month or 3
month loading in a lecture or symposium. It is because many people
have already published enough data on immediate loading.
In spite of that, if we look back on what we individually have been
doing in clinics, we need to contemplate on how often we really have
used the immediate or early loading. No matter what others are say-
ing, we, clinicians, prefer to remain in the comfort zone using the famil-
iar method that we are used to and think minimizing side effects would
be the best way. Breaking the habit would prove to be really challeng-
ing. The loading protocol concept professor Branemark proposed, that
is, waiting 3 months for mandible and 6 months for maxilla is still vivid
and alive among us, 50 years after the introduction of the concept.
Let’s have a look at one more Chang Hoon Han’s case. When would ▲ AnyRidge implant system and Mega-ISQ should be ready. The patient’s
you start loading in this case? Many people might think basically we lower number 36 is extracted due to cracks and implant treatment is planned.
need to wait for 6 months as it is maxilla but can load ‘a little earlier’
because the bone density looks pretty good on the radiograph. An implant was placed immediately after extraction, which would be
customarily done. 6.0x11.5mm implant was placed and superior sta-
bility was obtained despite it was fixed only by the buccal and lingual
septal bone. After grafting the mesial and distal socket defect with al-
lograft, and connecting the healing abutment, one-stage surgery was
performed. When can you start loading in this case?
In this case, Dr. Chang Hoon Han delivered the final prosthesis in
just 6 weeks in single crowns and not splinted! Many readers may
think it is possible, but not many are ready to adopt this protocol in their
clinic immediately from tomorrow. Why is that so? I think it is because
of lack of solid objective criteria that can guarantee successful results.
Turning your imagination into reality 78 / 79
In the end, the provisional crown was delivered at day 118, over 5
A suggestion on the Loading Time with AnyRidge Implant
month post-op, and the final prosthesis was connected at 8.5 months.
The results were also excellent during the follow-up. (predictable 6 week loading protocol)
Even though the author realizes better than anybody else the Any-
Ridge implant compared to other existing implant systems is superior
in terms of initial stability, does not lower but maintains the ISQ from
the time of placement and facilitates osseointegration faster thanks to
its Xpeed surface treatment, he did not attempt to load with confidence
because of his attitude to play safe and not to risk any side effects. Any
clinician can understand it.
(Table 2)
Ez plus average loading
Case
(without ISQ) time(D)
Max. implant 11 125.6 AnyRidge implant system and Mega-ISQ should be ready. The first
Mand. implant 9 105.8 ISQ values are measured on the day of implant placement right after
Total 20 124.5
surgery which requires just 2 to 3 minutes of clinic time. And ISQ is
measured again at week 1 visit when the patient comes back to take
the stitches out. This also takes less than 5 minutes, a simple step
AnyRidge
Case
average loading AnyRidge
Case
average loading that can be often done by an assistant. The ISQ values are measured
(without ISQ) time(D) (with ISQ) time(D)
again at week 4 when soft tissue is almost healed. Now three ISQ
Max. implant 10 129.6 Max. implant 4 84.8
Mand. implant 9 112.8 Mand. implant 9 53.8 values from a patient are prepared.
Total 19 121.8 Total 13 80.1 Impressions can be taken If these 3 values are almost similar or in-
creasing over time. Today intraoral scanners are available, so precise
(Table 1)
digital impressions can be taken easily without the need for you to pay
much attention to it.
(Table 1) compares the average loading time of EZ Plus and Any- Usually it would take about 1 or 2 weeks to prepare customized abut-
Ridge. The number of days from placement to loading was calculated ments and prosthesis. At most, 2 weeks will be enough. When the pa-
from twenty randomly selected cases and the results are surprising tient comes back 6 week post-op, ISQ values are measured one more
in that similar loading time is habitually used even in cases where the time. If the values are not smaller than those at week 4, prosthesis can
stability was found to be good during surgery. Compared to this, when be confidently delivered. It is not important whether it is temporary or
ISQ values began to be used as an objective indicator, the loading final. The stability of implant is already confirmed, so we can certainly
time was cut almost by one third which is as much as 4 to 5 weeks. proceed with the prosthesis. If you repeat this procedure a few times,
This proves again that old habits die hard. Now how about determin- your confidence in using the One-Day Implant will grow. Today im-
ing the loading time more objectively doing away from the habits? By plants are much different from those 2 or 3 decades ago. With a little
doing so, I believe we can reduce the number of visits per patient attention and positive mindset to incorporate new changes, we will be
considerably, and save your time accordingly too. This will eventually able to make the implant procedures much more interesting and effec-
no doubt show you a new way to step ahead of your competitors. It tive and that will contribute more to our business.
may just be the author’s personal experience, on average 10 to 12
visits are required for the existing treatment pattern from surgery to
※ The clinical cases here are contained in ‘How to get a reliable
completion of prosthesis delivery but they were reduced to half of it,
6 to 7 visits. ISQ value’in the clinical cases of www.R2GATE.com.
Gangnam Office 5F MegaGen Tower, 607 Seolleung-ro, Gangnam-gu, Seoul, Korea T. +82-1566-2338
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