Multi-unit abutments - BioHorizons

multi-unit abutmentsimple. flexible. smart.Your patients are unique, shouldn’t your treatment plans be as well? The BioHorizons Multi-unit abutment systemprovides the tools to restore even compromised edentulous cases. With a wide variety of abutment angles,collar heights and platform diameters, no system better equips you to plan for your patients’ individual needs.The Multi-unit abutment’s intelligent design and restorative flexibility is matched only by its ease of use andsurgical efficiency. The Multi-unit abutment system will provide your patients with secure, beautiful smiles.angled multi-unit abutmentsavailable in a wide variety of sizes andangles for difficult to restore cases45° conical connectionprovides maximum angulationcorrection to create a passiveprosthetic fitlow profileabutment emergence profilesseat easily in shallow or deeptissue without the need foradditional remodelingsculpted designprovides optimal soft tissuecontouring with a widevariety of collar heightsTeethXpress immediate load solutionsMulti-unit is featuredin the TeethXpress TM protocol.For more information, seeTeethXpress TM Manual L01021.retained abutment screwfor one-handed delivery of angledabutments with either an .050” Hexor Unigrip Driver

overviewTreatment: Multi-unit prosthetics are intended for use as a support for implant supported prostheses in the maxilla ormandible of partially or fully edentulous patients. The provisional or final prosthesis can be screw-retained or removabledepending on the ideal restoration for the patient.Implant system compatibility: BioHorizons Tapered Internal, Internal and Laser-Lok 3.0 implants, as well asZimmer® Dental ScrewVent® and Tapered ScrewVent® dental implantsProsthetic flexibility:• Fixed provisional utilizing existing denture• Fixed final prosthesis• Removable final prosthesis- Bar Overdenture- Prosthesis with LocatorsAdvantages:• A single, reliable prosthetic connection and a broad assortment of abutment angles, collar heights, and platform sizesto address a wide range of restorative challenges using a hassle-free restorative protocol• Reduces the need for bone grafting by making use of available bone while avoiding vital anatomical structures,optimizing surgical efficiency and decreasing patient discomfort• Where appropriate, immediate temporization decreases treatment times and improves overall patient satisfactionMulti-unit abutments are ideal for the following restorative plansfixed hybrid restorationon angled implantsTeethXpress 2shop online at www.biohorizons.com

MULTI-UNIT ABUTMENTSStraight Multi-unit Abutments3.0mmplatform3.5mmplatform4.5mmplatform1mmcollar2mmcollar3mmcollar4mmcollar5mmcollarTP3MU1 TP3MU2 TP3MU3 - -PYMU1 PYMU2 PYMU3 - PYMU5PGMU1 PGMU2 PGMU3 PGMU4 PGMU54.5mm1mm2.2mm4.5mm2.2mm2mm5.7mmplatformPBMU1 PBMU2 PBMU3 - -Comes with a cover cap (PXMUCC) pre-mounted on a color-coded carrier. Final torque: 30 Ncm using a Multi-unit Hex Adapter. Titaniumalloy. Carrier is high-density polyethylene (HDPE).17° Angled Multi-unit Abutments3.0mmplatform2.25mmcollar3mmcollar4mmcollarTP3MU172 TP3MU173 -4.5mm17°4.5mm17°3.5mmplatformPYMU172 PYMU173 -2.25mm3mm4.5mmplatformPGMU172 PGMU173 PGMU174Comes with a cover cap (PXMUCC) and pre-mounted abutment screw (PXMUAS) on a color-coded carrier. Final torque: 30 Ncm. Titanium alloy.Conveniently deliver abutment one-handed using an .050” hex or Unigrip driver or two-handed using the long prosthetic screw (PXMUPSL).30° Angled Multi-unit Abutments3.5mmplatform4.5mmplatform3mmcollar4mmcollar5mmcollar- PYMU304 PYMU305PGMU303 PGMU304 PGMU3054.5mm30°3mm4.5mm30°4mmComes with a cover cap (PXMUCC) and pre-mounted abutment screw (PXMUAS) on a color-coded carrier. Final torque: 30 Ncm. Titanium alloy.Conveniently deliver abutment one-handed using an .050” hex or Unigrip driver or two-handed using the long prosthetic screw (PXMUPSL).shop online at www.biohorizons.com3

MULTI-UNIT COMPONENTSMulti-unit Cover CapPXMUCCCover Cap, Multi-unitPackaged with all Multi-unit abutments. Hand-tighten with .050” (1.25mm)Hex Driver or Unigrip screw driver. Titanium alloy.Multi-unit CopingsPXMUTCPXMUGCTitaniumGold Custom CastableUse for fabricating acrylic temporaryand final prostheses. May be trimmedfor height. Packaged with prostheticscrew (PXMUPSR). Titanium alloy.12mm4.5mm totop of screwUse for fabricating metal-reinforcedacrylic prostheses or bar overdentures.May be trimmed for height. Packagedwith prosthetic screw (PXMUPSR).Coping has a gold alloy base with naturalacetyl (Delrin® or Pomalux®) sleeve.12mm4.5mm totop of screwPXMUPCPXMUPFCPlastic Custom CastablePassive FitUse for fabricating metal-reinforcedacrylic prostheses or bar overdentures.May be trimmed for height. Packagedwith prosthetic screw (PXMUPSR).Natural acetyl (Delrin® or Pomalux®).12mm4.5mm totop of screwUse for fabricating metal-reinforcedacrylic prostheses or bar overdentures,cemented using the passive-fit technique.May be trimmed for height. Packagedwith regular and long prosthetic screws(PXMUPSR, PXMUPSL). Coping has atitanium alloy base with natural acetyl(Delrin® or Pomalux®) sleeve.12mm4.5mm totop of screwMulti-unit Locators®LMUTC-2Locator Multi-unit Abutment w/ Ti Collar (2 pack)LMUTC-10Locator Multi-unit Abutment w/ Ti Collar (10 pack)LMUDC-2Locator Multi-unit Abutment w/ Delrin Collar (2 pack)LMUDC-10Locator Multi-unit Abutment w/ Delrin Collar (10 pack)Abutment w/Ti CollarAbutment w/Delrin CollarLMUBPP-2Locator Multi-unit Bar Processing Package (2 pack)LMUBPP-10Locator Multi-unit Bar Processing Package (10 pack)Locator attachments are appropriate for use as either a free-standing resilient attachment connection (LMUTC) or splinted bar attachmentconnector (LMUDC) with angled or straight Multi-unit abutments for retaining overdentures. The Locator Multi-unit Bar Processing Packageincludes Denture Cap with Yellow Bar Processing Male, Dual Retentive Replacement Males: Clear, Pink, Blue, and Block-Out Spacer. Offered in 2packs and 10 packs. For complete instructions, visit the Zest Anchors web site.4shop online at www.biohorizons.com

MULTI-UNIT COMPONENTSMulti-unit Impression CopingsPXMUDCDirect Pick-up Coping, Multi-unitUse to make a direct pick-up impression (open-tray) at the abutment level.Packaged with a prosthetic screw, long (PXMUPSL). Titanium alloy. Hand tighten.PXMUICIndirect Transfer Coping, Multi-unit18mmUse to make an indirect transfer (closed-tray) impression at the abutmentlevel. Titanium alloy. Hand tighten.8mm8mmDirect Pick-upIndirect TransferMulti-unit Angled Abutment ScrewPXMUASAbutment Screw, Multi-unitFor Angled Multi-unit abutments only. Final torque: 30 Ncm with .050”(1.25mm) Hex Driver or Unigrip screw driver. Titanium alloy. Included withabutment but can also be ordered separately.Multi-unit Coping ScrewsPXMUPSRPXMUPSLProsthetic Screw, Multi-unit, Regular (pack of 5)Prosthetic Screw, Multi-unit, Long (pack of 5)For attaching copings to the Multi-unit abutments. Hand-tighten or torque to15 Ncm with .050” (1.25mm) Hex Driver or Unigrip screw driver, dependingon application. Titanium alloy. Included with copings where indicated but canalso be ordered separately.15mmMulti-unit Abutment ReplicaPXMUARAbutment Replica, Multi-unitUse at lab to represent the Multi-unit/Implant assembly in the working cast.Not for use with implant-level impressions. Titanium alloy.Multi-unit Protection AnalogPXMUPAProtection Analog, Multi-unit (pack of 5)Use to protect abutment-coping interface when polishing the metalframework. Titanium alloy.shop online at www.biohorizons.com5

PROSTHETIC INSTRUMENTATIONParalleling Pins144-100144-200144-230Straight Parallel Pins20º Angled Parallel Pin30º Angled Parallel PinUse parallel pins to assess implant angulation and estimate which angledabutment is appropriate for the restoration.Multi-unit Hex Adapters for Straight AbutmentsPXMUHAMManual Multi-unit Hex AdapterUse to hand tighten Straight Multi-unit abutments.PXMUHAHHandpiece Multi-unit Hex AdapterUse to torque Straight Multi-unit abutments. Driven by latch-typehandpiece. Do not exceed 30 Ncm.PXMUHAR4mm Square Multi-unit Hex AdapterUse to torque Straight Multi-unit abutments. Driven by 4mm squaredrive handwrench, ratchet, or torque wrench. Do not exceed 30 Ncm.Manual Handpiece 4mm SquareTorque WrenchesATWITL Precise Adjustable Torque WrenchPlace both implants and abutments with 9 distinct torque settings(15, 20, 25, 30, 35, 40, 45, 50 and 60 Ncm). A simple twist of thehandle locks in precision-engineered torque values and guaranteesaccuracy and repeatability. Use with 4mm square drive instruments.WH-16934000IA-400 Prosthodontic ScrewdriverCordless handpiece with precise torque control from 8-40 Ncm, 80:1contra-angle handpiece with hexagon chucking system, charging station,rechargeable Li-ion battery, and power cable..050” (1.25mm) Hex Drivers135-351135-451134-350134-450300-350300-351300-354Manual Hex DriverManual Hex Driver, LongHandpiece Hex DriverHandpiece Hex Driver, Long4mm Square Hex Driver4mm Square Hex Driver, LongFor installation and removal of cover caps,prosthetic and abutment screws.4mm Square Hex Driver, Extra Long8.5mm 13.5mm 6.5mm 11.5mm 6.25mm 12.5mm 23mmManual Handpiece 4mm Square6shop online at www.biohorizons.com

RESTORATIVE OPTIONSSurgical Technique for Multi-unit AbutmentsBioHorizons Multi-unit abutments are intended for multi-unit screw-retained restorations including screw-retained crown and bridge,bar-overdentures and hybrids. They can accommodate highly divergent implants and are available in a variety of collar heights.Clinician judgement for any specific case must always supersede any recommendations made in this or any BioHorizons literature.Prosthetic OptionsBioHorizons provides a wide range of prosthetic components for the Multi-unit abutments. Flexibility in component selection andrestorative protocol simplifies planning for any case. The 45° conical prosthetic connection is designed to ensure the prosthesis seatspassively and predictably. Simply choose from a selection of titanium, passive fit, plastic or gold-plastic custom castable copings accordingto the clinical situation.· Titanium Copings (PXMUTC) may be used to fabricate all-acrylic bridges· Gold Copings (PXMUGC) or Plastic Copings (PXMUPC) may be used for standard metal-reinforced acrylic prostheses· Passive Fit Copings (PXMUPFC) may be used for a passive cemented framework for a metal-reinforced acrylic prosthesis· Locators may be used for either a free-standing resilient attachment connection (LMUTC) or splinted bar attachment connector (LMUDC)The Multi-unit Prosthetic Screws, Long (PXMUPSL) may be temporarily used when trying on copings and to maintain a clear screw accesschannel during fabrication. Prosthetic screws (PXMUPSR) shall receive a final torque of 15 Ncm with a .050” (1.25mm) Hex Driver or aUnigrip screw driver. Permanent and temporary restorations should be manufactured according to the generally accepted procedure.BioHorizons Prosthetic Platform ColoringMulti-unit abutment carriers are color-coded to match BioHorizons implant prosthetic platforms. To ensure compatibility:(1) determine the BioHorizons implant system from the patient’s record (e.g. Internal, Tapered Internal, Laser-Lok 3.0)(2) verify that the prosthetic component is intended for that system(3) match the carrier color with the implant prosthetic platform.Symbol Descriptions for Product LabelingProsthetic platformREFLOTReference/articlenumberLot/batch numberUse before expirationdate (YYYY-MM)Manufacture date(YYYY-MM)4.5 x 2mm StraightMulti-unit AbutmentBirmingham, AL 35244 USAREF PGMU2Internal Multi-unit Abutment4.5 plat, 2mm Collar, StraightLOT YYXXXXX3.03.54.55.73.0mm Prosthetic Platform3.5mm Prosthetic Platform4.5mm Prosthetic Platform5.7mm Prosthetic PlatformSingle use onlySTERILE RNON-STERILERx OnlyCaution: Federal (USA)law restricts thesedevices to the sale,distribution and useby, or on the order of,a dentist or physician.Artwork label numberSterile bygamma irradiationNon-sterileYYYY-MMexpiresYYYY-MMmanufacture dateSTERILE Rgamma irradiatedRx OnlyLPGMU2 Rev Ado not re-usesee instructionsfor use0473BioHorizons Multi-unit AbutREF PGMU2 LOT YYXXXXX4.5 plat, 2mm Collar, StraightBioHorizons Multi-unit AbutREF PGMU2 LOT YYXXXXX4.5 plat, 2mm Collar, Straight0473Refer to Instructions for UseBioHorizons productscarry the CE mark andfulfill the requirementsof the Medical DevicesDirective 93/42/EECEU Authorised RepresentativeQuality First InternationalSuites 317/318 Burford Business Centre11 Burford Road, StratfordLondon E15 2ST United KingdomTel. +44-208-221-2361Telefax +44-208-221-1912shop online at www.biohorizons.com7

MULTI-UNIT PLACEMENTDelivering Straight Multi-unit Abutmentscover capcolor-codedcarrierStraight Multi-unitabutmentThe cover cap and Straight Multiunitabutment are mounted to thecolor-coded carrier for easy deliveryto the site. Place the abutment bythreading clockwise into the implantbody. Once seated, the abutmentcan be released by bending thehandle until it releases from theabutment. Complete delivery bytightening to 30Ncm using a MultiunitHex Adapter.Delivering Angled Multi-unit AbutmentsAngled Multi-unitabutment & screwcolor-codedcarriercover capThe cover cap, Angled Multi-unit abutmentand screw are mounted to the colorcodedcarrier for easy delivery to the site.Engage the abutment screw with an .050”Hex or Unigrip screw driver and turncounterclockwise to release the abutmentand screw from the carrier. Place theabutment by threading the abutment screwclockwise into the implant body. Tighten to30 Ncm with a .050” (1.25mm) Hex Driver ora Unigrip screw driver.Special ConsiderationsSpecial considerationsfor angled abutmentsWhen placing an implantat a diverging angle, makesure to orient one internalhex flat in the direction ofthe implant tilt. Doing soensures that the AngledMulti-unit abutment iscorrectly aligned.Delayed Loading (optional)If the required initial stabilityfor immediate loading ofimplants cannot be met,place the cover caps on theMulti-unit abutments for aconventional healing phase.Hand tighten only. An existingdenture may be used as atemporary prosthesis whenhollowed out and placedusing a soft reline material.8shop online at www.biohorizons.com

IMMEDIATE LOAD STEPSImmediate Temporization1) Select and seat the appropriatediameter and collar height Multi-unitabutment. The margin should be 1to 2mm supragingival. Hand tightenduring healing phase and then tightento 30Ncm after healing has occurred.2) Place the temporary copings.Hand-tighten using a .050” Hex orUnigrip driver.3) Place a sheet of rubber dam inthe shape of an arch over all thetemporary copings to protect thetissue during the acrylic phase.4) Place holes in the denture to match thelocation of the temporary copings untilthe denture fully seats.5) Use a flowable composite oracrylic to secure each coping tothe denture while making sure tokeep the screw-access holes freefrom composite.6) Disconnect the denture, removethe flanges and fill in the voids withacrylic on the tissue side.Deliver Denture1) Place the all acrylic bridge on theMulti-unit abutments and torque theprosthetic screws to 15 Ncm.2) Fill in the screw-access holes with thematerial of choice. Check occlusion.3) Follow conventional prostheticprocedures to fabricate the finalrestoration.shop online at www.biohorizons.com9

ORDERING & WARRANTY INFORMATIONProduct Support Specialist:Cell phone:Fax:BioHorizons Lifetime Warranty on Implants and Prosthetics: All BioHorizons implants and prosthetic components include a LifetimeWarranty. BioHorizons implant or prosthetic components will be replaced if removal of that product is due to failure (excluding normal wear tooverdenture attachments).Additional Warranties: BioHorizons warranties instruments, surgical drills, taps, torque wrenches and Virtual Implant Placement (VIP) treatmentplanning software.(1) Surgical Drills and Taps: Surgical drills and taps include a warranty period of ninety (90) days from the date of initial invoice. Surgicalinstruments should be replaced when they become worn, dull, corroded or in any way compromised. Surgical drills should be replaced after12 to 20 osteotomies.*(2) Instruments: The BioHorizons manufactured instrument warranty extends for a period of one (1) year from the date of initial invoice.Instruments include drivers, sinus lift components, implant site dilators and BioHorizons tools used in the placement or restoration ofBioHorizons implants.(3) VIP treatment planning software: VIP treatment planning software warranty extends for a period of ninety (90) days from the date ofinitial invoice. The warranty requires that VIP be used according to the minimum system requirements.(4) Compu-Guide surgical templates: Compu-Guide surgical templates are distributed without making any modifications to the submittedCompu-Guide Prescription Form and VIP treatment plan (“as is”). BioHorizons does not make any warranties expressed or implied as it relatesto surgical templates.Return Policy: Product returns require a Return Authorization Form, which may be acquired by contacting Customer Care. The completedReturn Authorization Form must be included with the returned product. For more information, please see the reverse side of the invoice thatwas shipped with the product.Disclaimer of Liability: BioHorizons products may only be used in conjunction with the associated original components and instrumentsaccording to the Instructions for Use (IFU). Use of any non-BioHorizons products in conjunction with BioHorizons products will void anywarranty or any other obligation, expressed or implied.Treatment planning and clinical application of BioHorizons products are the responsibility of each individual clinician. BioHorizons stronglyrecommends completion of postgraduate dental implant education and adherence to the IFU that accompany each product. BioHorizons isnot responsible for incidental or consequential damages or liability relating to use of our products alone or in combination with other productsother than replacement or repair under our warranties.Compu-Guide surgical templates are ordered under the control of a Clinician. The Clinician recognizes responsibility for use. Therefore,regardless of the real or proven damages, the liability to BioHorizons is limited to the price of the product directly related to the reason forthe claim.Distributed Products: For information on the manufacturer’s warranty of distributed products, please refer to their product packaging.Distributed products are subject to price change without notice.Validity: Upon its release, this literature supersedes all previously published versions.Availability: Not all products shown or described in this literature are available in all countries. BioHorizons continually strives to improve itsproducts and therefore reserves the right to improve, modify, change specifications or discontinue products at any time.Any images depicted in this literature are not to scale, nor are all products depicted. Product descriptions have been modified for presentationpurposes. For complete product descriptions and additional information, visit shop.biohorizons.com.* Heat production by 3 implant drill systems after repeated drilling and sterilization.Chacon GE, Bower DL, Larsen PE, McGlumphy EA, Beck FM. J Oral Maxillofac Surg. 2006 Feb;64(2):265-9.10shop online at www.biohorizons.com

Direct OfficesBioHorizons Canada866-468-8338BioHorizons USA888-246-8338 or205-967-7880BioHorizons Spain+34 91 713 10 84BioHorizons UK+44 (0)1344 752560BioHorizons Germany+49 761-556328-0BioHorizons Australia+61 2 9317 6800BioHorizons Chile+56 2 361 9519DistributorsFor contact information in our 85 markets, visit www.biohorizons.comBioHorizons®, Laser-Lok®, MinerOss®, AutoTac®, Mem-Lok® and TeethXpress TM are registered trademarks of BioHorizons. Unigrip is a trademark of Nobel Biocare AB. Zimmer® DentalScrewVent® and Tapered ScrewVent® are registered trademarks of Zimmer, Inc. AlloDerm® and AlloDerm GBR® are registered trademarks of LifeCell Corporation. The ARTISAN SpaceMaintenance System and Grafton® DBM are registered trademarks of Medtronic, Inc. INFUSE® Bone Graft, the PROGENIX® Family of Grafts, and the MASTERGRAFT® Family of Products areregistered trademarks of Medtronic Sofamor Danek Inc. Spiralock® is a registered trademark of Spiralock Corporation. Pomalux® is a registered trademark of Westlake Plastics Co. Locator is aregistered trademark of Zest Anchors, Inc. Delrin® is a registered trademark of E.I. du Pont de Nemours and Company. LADDEC® is a registered trademark of OST-Développement. LADDEC® ismanufactured by OST-Développement. MinerOss® Cancellous and MinerOss® Cortical are processed by DCI Donor Services Tissue Bank. Mem-Lok® is manufactured by Collagen Matrix, Inc.Not all products shown or described in this literature are available in all countries. As applicable, BioHorizons products are cleared for sale in the European Union under the EU Medical DeviceDirective 93/42/EEC and the tissues and cells Directive 2004/23/EC. We are proud to be registered to ISO 13485:2003, the international quality management system standard for medicaldevices, which supports and maintains our product licences with Health Canada and in other markets around the globe. Original language is English. ©BioHorizons. All Rights Reserved.*L01022* *REV B JUN 2013*L01022 REV B JUN 2013shop online atwww.biohorizons.com