Why A NanoTite Tapered Implant? - Dental-Depot
Why A NanoTite Tapered Implant? - Dental-Depot
Why A NanoTite Tapered Implant? - Dental-Depot
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A Reflection Of<br />
The Latest Advancement<br />
In <strong>Implant</strong> Dentistry –<br />
The Bone Bonding ® * <strong>NanoTite</strong> <strong>Tapered</strong> <strong>Implant</strong><br />
Now Available:<br />
<strong>NanoTite</strong> <strong>Tapered</strong><br />
PREVAIL ® <strong>Implant</strong><br />
*The interlocking of the newly formed cement line matrix of bone with the implant surface.
This <strong>Tapered</strong> <strong>Implant</strong><br />
Makes A Strong Impression<br />
Expanding the universe of dental implant innovations is our<br />
mission. With this in mind, BIOMET 3i has combined our<br />
knowledge of implant dentistry and nanotechnology to<br />
launch a new addition to our <strong>NanoTite</strong> <strong>Implant</strong> Family Of<br />
Products.<br />
Designed for optimal performance, the <strong>NanoTite</strong> <strong>Tapered</strong><br />
<strong>Implant</strong> offers:<br />
A True <strong>Tapered</strong> Shape – The<br />
<strong>NanoTite</strong> <strong>Tapered</strong> <strong>Implant</strong><br />
closely approximates the<br />
shape of a natural tooth root.<br />
An Innovative Thread Design –<br />
Thread angle, depth and pitch<br />
produce an anchoring “bite<br />
in bone” response providing<br />
initial stability throughout the<br />
length of the implant, while<br />
maximizing Bone-To-<strong>Implant</strong> Contact (BIC).<br />
A Domed Apical End – Potentially reduces trauma in areas<br />
where implant placement closely approximates vital<br />
structures such as the alveolar nerve or sinus membrane.<br />
Ease Of Insertion With Spiral Incremental<br />
Cutting Edge – Self-tapping with progressive cutting edges<br />
in a helical pattern with trailing thread relief.<br />
Surgical And Restorative Flexibility – The <strong>NanoTite</strong><br />
<strong>Tapered</strong> <strong>Implant</strong> is conveniently color-coded for easy<br />
identification and is available in the Certain ® QuickSeat ®<br />
Internal Connection and external hex configurations.
In An Atmosphere All Its Own<br />
With the new <strong>NanoTite</strong> <strong>Tapered</strong> PREVAIL ® <strong>Implant</strong>,<br />
clinicians get to the root of the issue.<br />
Integrated platform switching with the<br />
<strong>NanoTite</strong> <strong>Tapered</strong> PREVAIL <strong>Implant</strong>.<br />
Certain® QuickSeat®<br />
Internal Connection<br />
Threads Widen Laterally While<br />
Extending To The Apical End<br />
<strong>NanoTite</strong> <strong>Implant</strong> Surface Technology<br />
The Entire Length Of The <strong>Implant</strong><br />
Spiral Incremental<br />
Cutting Edge<br />
Domed Apical End<br />
<strong>Why</strong> A <strong>NanoTite</strong> <strong>Tapered</strong> <strong>Implant</strong>?<br />
The complex architecture at the nano-scale renders the <strong>NanoTite</strong> <strong>Implant</strong><br />
a Bone Bonding ® Surface by the interlocking of the newly formed cement<br />
line matrix of bone with the implant surface.<br />
Preclinical studies indicate that the <strong>NanoTite</strong> <strong>Implant</strong> nanotopography<br />
provides a greater rate and extent of osseointegration as compared<br />
to the OSSEOTITE Surface*. In addition, the true tapered design of this<br />
implant closely approximates a natural tooth root. The combination of<br />
these features provides clinicians with significant treatment options for<br />
cases to include:<br />
• Immediate And Accelerated Loading Protocols<br />
• Immediate Placement In Extraction Sockets<br />
• Sites With Convergent Roots Of Adjacent Teeth<br />
• Cases With Ridge Concavities<br />
• Simultaneous Grafted Sites And <strong>Implant</strong> Placement<br />
• <strong>Implant</strong> Placement With Sinus Lift Procedures<br />
• Aesthetic Areas Where Bone Preservation Is Critical<br />
• Locations Requiring Short Or Wide <strong>Implant</strong>s<br />
• Soft Bone (Type IV)<br />
A study began in February of 2006 to<br />
evaluate the preparation and placement<br />
of BIOMET 3i’s enhanced <strong>Tapered</strong><br />
OSSEOTITE ® <strong>Implant</strong>s. Twelve centers<br />
reported results on 133 patients and 208<br />
implants (123 tapered implants, 85 nontapered<br />
control implants) with four reported<br />
failures to date. This evaluation has led to the<br />
development of the new <strong>NanoTite</strong> <strong>Tapered</strong><br />
<strong>Implant</strong>s now available from BIOMET 3i.*<br />
*Data on file.
A Bone Bonding ® * Surface That’s Out Of This World<br />
The <strong>NanoTite</strong> <strong>Implant</strong> builds on the success of the OSSEOTITE ® Surface by creating a more complex surface topography<br />
and maximizing the potential biological benefits of Calcium Phosphate (CaP).<br />
For more than 10 years and with documentation from numerous global multicenter clinical evaluations, the OSSEOTITE<br />
Surface has proven to be one of the most predictable and well-researched surfaces 1-8 . Clinical studies on the<br />
OSSEOTITE Surface continue to document the benefits of increased Contact Osteogenesis, especially in poor-quality bone.<br />
OSSEOTITE Surface at 20,000x magnification<br />
<strong>NanoTite</strong> Surface at 20,000x magnification<br />
Through a solution-based form of particle self-assembly called the Discrete Crystalline Deposition (DCD ) Process,<br />
individual deposits of discrete crystals of CaP are deposited onto the implant surface and occupy approximately 50%<br />
of the OSSEOTITE Substrate Surface 9 . In so doing, the DCD Process also increases the micro-surface area by 200% 10 ,<br />
providing greater micro-complexity for new bone attachment and formation.<br />
The DCD Process<br />
1. Nanometer-scale, ultra small particles of highly crystalline<br />
Calcium Phosphate (CaP) are suspended in the solution<br />
2. These particles are then prompted to “Self-Assemble”<br />
onto the implant titanium oxide surface<br />
3. This results in discrete crystal deposits of 20-100 Nanometers<br />
in length on the dual acid etched OSSEOTITE <strong>Implant</strong> Surface.<br />
The shear strength of crystal attachment to the OSSEOTITE<br />
Surface exceeds the minimum shear strength value of 34.5<br />
MPa, set by the ASTM standard (F 1609-03) for attachment<br />
of traditional HA coatings to implant surfaces<br />
1<br />
2<br />
3<br />
*The interlocking of the newly formed cement line matrix of bone with the implant surface.
<strong>Why</strong> is there a need for a tapered implant featuring a more complex surface topography?<br />
“When I have to treat difficult cases, most of the time I use BIOMET 3i’s<br />
<strong>Tapered</strong> <strong>Implant</strong> due to its design to achieve primary stability. This is very<br />
important because the development and the mastery of modern implant<br />
surgery are based on very good implant fixation. For example, in an<br />
immediate implant placement after an extraction, the BIOMET 3i <strong>Tapered</strong><br />
<strong>Implant</strong> can achieve initial stability even with a limited amount of initial<br />
bone; another very good indication is the presence of a thin ridge. For me,<br />
the BIOMET 3i <strong>Tapered</strong> <strong>Implant</strong> contributes to reducing my stress in any kind<br />
of implant surgery.”<br />
“BIOMET 3i’s <strong>Tapered</strong> <strong>Implant</strong> is the most widely used implant in my<br />
practice. Because of its versatility, it is suitable for cases involving poor<br />
quality bone (e.g., Type III and IV). I also use it to increase the level of<br />
primary stability in regenerative procedures with advanced surgical<br />
techniques and with sites that present specific anatomical configurations.”<br />
Dr. Leonello Biscaro<br />
Active Member Of The Italian Society Of Prosthodontics<br />
Dr. Frederic Chiche<br />
Former President Of The French Society Of Esthetic Dentistry<br />
A New Phase Changing The Atmosphere Of Success<br />
A comprehensive series of animal<br />
studies was performed on the<br />
<strong>NanoTite</strong> <strong>Implant</strong>. One animal model<br />
demonstrated 160% increase in BIC 11<br />
versus the OSSEOTITE ® <strong>Implant</strong>.<br />
Additionally, the microtopography<br />
of the OSSEOTITE Surface, combined<br />
with the DCD Process renders the<br />
<strong>NanoTite</strong> <strong>Implant</strong> a Bone-Bonding ®<br />
Surface.<br />
Preclinical Studies<br />
Human histology studies have<br />
also demonstrated an impressive<br />
amount of BIC around the <strong>NanoTite</strong><br />
<strong>Implant</strong> Surface.<br />
Ongoing Preclinical And Clinical Studies<br />
Bone-To-<strong>Implant</strong> Contact Outcome<br />
At Eight Weeks Of Healing<br />
Int J Periodontics Restorative Dent<br />
2007;27:211-219<br />
“Certainly these results are incredible. I don’t think it’s because we’ve discovered a new<br />
phenomenon in biology, but certainly the interface which has been created between bone<br />
and this particular implant surface is quite different from anything ever seen before.”<br />
John E. Davies, BDS, PhD, DSc, FSBE<br />
Toronto, Canada
Site Preparation That Is In A World By Itself<br />
BIOMET 3i’s <strong>NanoTite</strong> <strong>Tapered</strong> <strong>Implant</strong> Surgical Instrumentation provides options that facilitate effective treatment<br />
planning and a successful patient outcome.<br />
Complete Color-Coding For An Intuitive Protocol<br />
Every element of the <strong>NanoTite</strong> <strong>Tapered</strong> <strong>Implant</strong> System — surgical tray, Quad-Shaping Drills (QSDs), Depth/Direction<br />
Indicators (NTDIs), bone taps and implants — is color-coded for easy identification. In addition, the packaging<br />
has been carefully designed to facilitate optimal delivery efficiency.<br />
Precision QSD Shaping Drills And NTDIs<br />
• Designed to match each implant’s diameter and<br />
length for proper preparation, confirmation and<br />
implant placement<br />
• Stepped drill design allows for better visibility of crestal<br />
and subcrestal reference<br />
• Four thin-cutting flutes facilitate cutting stability<br />
and decrease friction<br />
• Pointed end tip allows for vertical downward cutting<br />
“The <strong>NanoTite</strong> <strong>Tapered</strong> <strong>Implant</strong> is designed to achieve<br />
primary stability in all bone qualities, including soft bone.<br />
The implant requires more insertion torque to properly<br />
seat within the osteotomy site. Therefore, it is mandatory<br />
to use the hand ratchet to take full advantage of the<br />
unique design features of this implant.”<br />
Alan Meltzer, DMD<br />
Voorhees, New Jersey<br />
• Corresponding Depth/Direction Indicators (NTDIs) ensure<br />
appropriate depth and angle for every osteotomy performed<br />
Quad Shaping<br />
Drill (QSD)<br />
Depth/Direction<br />
Indicator (NTDI)<br />
Quad Shaping Drill Surgical Kit
Put Order In Your Universe<br />
Optimal Site Preparation, Confirmation And Fit<br />
The specifications of the <strong>NanoTite</strong> <strong>Tapered</strong> <strong>Implant</strong> and<br />
the corresponding QSDs and NTDIs are held to rigorous<br />
tolerances to provide a more closely integrated implantto-osteotomy<br />
fit.<br />
New Full Length Dense Bone Taps<br />
When placing the <strong>NanoTite</strong> <strong>Tapered</strong> <strong>Implant</strong>, the need to<br />
tap the osteotomy may arise, especially in dense bone.<br />
BIOMET 3i has developed a new Dense Bone Tap Kit. This<br />
kit has a specific tap that matches each <strong>NanoTite</strong> <strong>Tapered</strong><br />
<strong>Implant</strong> for optimal site preparation.<br />
What is the significance of improved<br />
surgical instrumentation?<br />
Quad Shaping Drills are designed to improve the<br />
precision of the osteotomy. Depth indicators allow me<br />
to simulate the ultimate position of the implant in the<br />
prepared osteotomy. The combined use of these<br />
instruments is designed to minimize placement<br />
sensitivity of the implant.<br />
Karl Heggland, DDS<br />
Frisco, Colorado<br />
<strong>Tapered</strong> <strong>Implant</strong> Dense Bone Tap Kit<br />
Dense Bone Taps<br />
References<br />
1. Sullivan DY, Sherwood RL, Porter SS. Long-Term Performance of OSSEOTITE ® <strong>Implant</strong>s:<br />
A 6-Year Clinical Follow-Up. Compendium. April 2001;Vol. 22, No. 4.<br />
2. Davarpanah M, Martinez H, Etienne D, Zabalegui I, Mattout P, Chiche F, Michel J. A<br />
Prospective Multicenter Evaluation of 1,538 3i <strong>Implant</strong>s: 1 to 5-year Data.<br />
The International Journal of Oral & Maxillofacial <strong>Implant</strong>s. 2002; Vol. 17, No. 6.<br />
3. Feldman S, Boitel N, Weng D, Kohles SS, Stach RM. Five-Year Survival Distributions<br />
of Short-Length (10mm or less) Machined-Surfaced and OSSEOTITE <strong>Implant</strong>s.<br />
Clinical <strong>Implant</strong> Dentistry and Related Research. 2004; Vol. 6, No. 1.<br />
4. Sullivan D, Vincenzi G, Feldman S. Early Loading of OSSEOTITE <strong>Implant</strong>s 2 Months After<br />
Placement in the Maxilla and Mandible: A 5-year Report. The International Journal<br />
of Oral & Maxillofacial <strong>Implant</strong>s. 2006; Vol. 20, No. 6<br />
5. Stach RM, Kohles SS. A Meta-Analysis Examining the Clinical Survivability of<br />
Machined-Surfaced and OSSEOTITE <strong>Implant</strong>s in Poor-Quality Bone.<br />
<strong>Implant</strong> Dentistry. 2003; Vol. 12, No.1.<br />
6. Testori T, Wiseman L, Woolfe S, Porter SS. A Prospective Multicenter Clinical Study<br />
of the OSSEOTITE <strong>Implant</strong>: Four-Year Interim Report. The International Journal of<br />
Oral & Maxillofacial <strong>Implant</strong>s. 2001;16:193-200.<br />
7. Gaucher H, Bentley K, Roy S, Head T, Blomfield J, Blondeau F, Nicholson L, Chehade A,<br />
Tardif N, Emery R. A Multi-Centre Study of OSSEOTITE <strong>Implant</strong>s Supporting Mandibular<br />
Restorations: A 3-Year Report. Journal of the Canadian <strong>Dental</strong> Association.<br />
October 2001; Vol. 67, No. 9<br />
8. Testori T, Fabbro MD, Feldman S, Vincenzi G, Sullivan D, Rossi R, Anitua E, Bianchi F,<br />
Francetti L, Weinstein RL. A multicenter prospective evaluation of 2-months loaded<br />
OSSEOTITE <strong>Implant</strong>s placed in the posterior jaws: 3-year follow-up results.<br />
Clin. Oral Impl. Res. 2002;13:154-161.<br />
9. Data on file.<br />
10. Suttin Z, Gubbi P. Surface area increase due to discrete-crystalline-deposition of<br />
nanometer-scale CaP crystals. European Association for Osseointegration.<br />
15th Annual Scientific Meeting. October 5-7, 2006. Zurich, Switzerland.<br />
11. Mendes VC, Davies JE. Discrete calcium phosphate nanocrystals enhance<br />
osteoconduction on titanium-based implant surfaces. Canadian Biomaterials Society. 25th<br />
Annual Meeting. May 26-28, 2006. Calgary, Alberta, Canada.<br />
12. Nishimura I, Huang Y, et al. Discrete Deposition of Hydroxyapatite Nano-particles on a<br />
Titanium <strong>Implant</strong> With Predisposing Substrate Microtopography Accelerated Osseointegration.<br />
Nanotechnology. 2007;18:245101(9pp). doi:10.1088/0957-4484/18/24/245101.<br />
13. Mendes VC, Davies JE. Discrete calcium phosphate nanocrystals render titanium<br />
surfaces bone bonding. Int J Oral Maxillofac <strong>Implant</strong>.2007;22:484.
<strong>NanoTite</strong> <strong>Tapered</strong> <strong>Implant</strong><br />
Ordering Information<br />
<strong>NanoTite</strong> <strong>Tapered</strong><br />
Length 3.25mm(D) 4mm(D) 5mm(D) 6mm(D)<br />
8.5mm NINT3285 NINT485 NINT585 NINT685<br />
10.0mm NINT3210 NINT410 NINT510 NINT610<br />
11.5mm NINT3211 NINT411 NINT511 NINT611<br />
13.0mm NINT3213 NINT413 NINT513 NINT613<br />
15.0mm NINT3215 NINT415 NINT515 NINT615<br />
Length 3.25mm(D) 4mm(D) 5mm(D) 6mm(D)<br />
8.5mm<br />
10.0mm<br />
11.5mm<br />
13.0mm<br />
15.0mm<br />
NNT3285 NNT485 NNT585 NNT685<br />
NNT3210 NNT410 NNT510 NNT610<br />
NNT3211 NNT411 NNT511 NNT611<br />
NNT3213 NNT413 NNT513 NNT613<br />
NNT3215 NNT415 NNT515 NNT615<br />
<strong>Tapered</strong> <strong>Implant</strong> Depth/Direction Indicator Kit NTDIK<br />
<strong>NanoTite</strong> <strong>Tapered</strong> Certain PREVAIL ®<br />
Length 4/3mm(P) 5/4mm(P) 6/5mm(P)<br />
8.5mm NIITP4385 NIITP5485 NIITP6585<br />
10.0mm NIITP4310 NIITP5410 NIITP6510<br />
11.5mm NIITP4311 NIITP5411 NIITP6511<br />
13.0mm NIITP4313 NIITP5413 NIITP6513<br />
15.0mm NIITP4315 NIITP5415 NIITP6515<br />
<strong>NanoTite</strong> <strong>Tapered</strong> Certain ®<br />
Quad Shaping Drill Kits (QSD)<br />
Certain Quad Shaping Drill Surgical Kit For <strong>Tapered</strong> <strong>Implant</strong><br />
<strong>Tapered</strong> <strong>Implant</strong> Quad Shaping Drill Premium Upgrade Kit<br />
Quad Shaping Drill Surgical Tray<br />
Depth/Direction Indicator Kit (NTDI)<br />
QNTSK40<br />
QNTSK40U<br />
QNTSKT<br />
Enter A New World In <strong>Dental</strong> <strong>Implant</strong><br />
Technology By Calling Your BIOMET 3i<br />
Sales Representative Today<br />
Dense Bone Tap Kit (NTAPK)<br />
<strong>Tapered</strong> <strong>Implant</strong> Dense Bone Tap Kit<br />
NTAPK<br />
Global Headquarters<br />
4555 Riverside Drive<br />
Palm Beach Gardens, FL 33410<br />
1-800-342-5454<br />
Outside The U.S.: +1-561-776-6700<br />
Fax: +1-561-776-1272<br />
www.biomet3i.com<br />
Sign Up For BIOMET 3i’s Electronic Newsletter “BIOMET 3innovations.” Simply Go Online To www.biomet3i.com/signup<br />
Europe, Middle East & Africa Headquarters<br />
WTC Almeda Park, Ed. 1, Planta 1ª<br />
Pl. de la Pau, s/n<br />
08940, Cornellà de Llobregat<br />
(Barcelona) Spain<br />
Phone: +34-93-470-55-00<br />
Fax: +34-93-371-78-49<br />
Bone Bonding, Certain, OSSEOTITE, PREVAIL and<br />
QuickSeat are registered trademarks and DCD,<br />
<strong>NanoTite</strong> and Platform Switching are trademarks<br />
of BIOMET 3i LLC. BIOMET is a registered<br />
trademark and BIOMET 3i and design are<br />
trademarks of BIOMET, Inc.<br />
©2008 BIOMET 3i LLC. All rights reserved.<br />
ART1007EU<br />
Rev B 07/08<br />
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