Straumann Dental Implant System

• Straumann Dental Implant System provides essential steps for surgical treatment, planning, and procedure, aimed at dental practitioners and specialists.
• Brochures with information on the Straumann Bone Level Tapered Implant (702167/en), and Guided Surgery System (702083/en) are available.

StraumannⓇ Dental Implant System

• Offers various implant lines differing in body, neck design, and material.
• Information on Tissue Level, Bone Level implants (Titanium, Roxolid) with parallel-walled endosteal design is included.
• Implants can be placed with Straumann Surgical Cassette instruments using similar surgical procedures.
• Tissue Level and Bone Level Implants diameters: Ø3.3mm, Ø4.1mm, and Ø4.8mm.
• Color coding aids in instrument and implant identification.
  • Yellow indicates 3.3 mm endosteal implant diameter.
  • Red indicates 4.1 mm endosteal implant diameter.
  • Green indicates 4.8 mm endosteal implant diameter.

Implant Lines

Straumann Standard Implant

• Have a 2.8 mm smooth neck section.
• Suited for classic single-stage procedures with soft tissue-level placement.
• Uses the Straumann synOcta connection, synOcta portfolio, and Solid Abutment.
• The thread pitch is 1 mm for Ø3.3 mm implants and 1.25 mm for others.

Straumann Standard Plus Implant

• Feature a shorter 1.8 mm smooth neck.
• Allows for flexible coronoapical placement, suitable for trans- or subgingival healing.
• Utilizes Straumann synOcta connection with Straumann synOcta portfolio, Straumann Solid Abutment.
• The thread pitch is 1 mm for Ø3.3 mm implants, and 1.25 mm for other diameters.

Straumann Standard Plus Narrow Neck CrossFit Implant

• This is a 3.3 mm diameter implant with a narrow prosthetic platform.
• Possesses an internal connection that provides expanded prosthetic options for the upper/lower jaw where space is constrained.
• It has a 1.8 mm machined neck height.
• Incorporates a internal CrossFit connection
• Utilizes a Roxolid material, which provides strength in a small-diameter implant and adds confidence for the operator.
• Narrow Neck CrossFit Implants use Narrow Neck CrossFit prosthetic components.

Straumann Standard Plus 4 mm Implant

• Shortest implant.
• Standard Plus design for easy oral hygiene in posterior regions, synOcta internal connection compatibility with existing tissue-level prosthetic portfolio, and a bone-level thread for implant-to-bone contact.

Straumann Bone Level Implant

• Apply the expertise applied to bone level.
• Suitable for bone-level treatments with trans- or subgingival healing.
• Has the rough surface extends to the top of the implant and the connection shifted inwards.
• Utilizes a conical-cylindrical CrossFit connection together with corresponding prosthetic CrossFit components from the Bone Level product portfolio.
• Outer contour is cylindrical, with a 0.8 mm thread pitch that tapers off in the coronal part to provide stability.

Implant-Abutment Connections

Straumann synOcta Morse taper connection

• Morse taper design principle introduced in 1999 and developed in 1986.
• Mechanically locking friction fit of Straumann synOcta internal connection, with an 8° cone and an octagon.
• Allows for repositioning of prosthetic parts and shows improved performance over traditional external connections.
• Abutment loosening eliminated.
• Available for Straumann Standard and Standard Plus Implants with Regular Neck (RN) and Wide Neck (WN) platforms.

Straumann Narrow Neck CrossFit connection

• Narrow Neck CrossFit Implant is a 3.3 mm diameter implant with a narrow prosthetic platform.
• Standard Plus Tissue Level Implant featuring 1.8 mm machined neck.
• Implant body and thread design same as Straumann 3.3 mm Bone Level NC Implant.

Straumann Bone Level CrossFit connection

• Applies know-how/benefits from Straumann synOcta Morse taper connection to connection requirements at bone level.
• The mechanically locking friction fit of the 15° conical-cylindrical CrossFit connection with four internal grooves provides excellent long-term stability.
• Prevents screw loosening.
• Available for Straumann Bone Level Implants only.
• Bone Level Ø4.1mm/Ø4.8mm Implants have Regular CrossFit connection (RC), and share the same components.
• The Bone Level Ø3.3mm Implants use a narrow CrossFit connection (NC).
  • Yellow denotes NC connection.
  • Magenta denotes RC connection.
• Types of connection.
  • NNC Narrow Neck CrossFit 3.5 mm.
  • RN Regular Neck Ø 4.8 mm.
  • WN Wide Neck Ø 6.5 mm.
  • NC Narrow CrossFit® 3.3 mm.
  • RC Regular CrossFit® 4.1 and Ø 4.8 mm.

Material

• Roxolid.
  • Designed for dental implantology.
  • Stronger than pure titanium.
  • Excellent osseointegration.
• Roxolid implants offer more options than titanium implants due to biological/mechanical properties.

Surface

• SLActive speeds up osseointegration.
• Key Notes.
  • High success/survival rates in compromised patients.
  • Reduces initial healing time to 3-4 weeks.
  • Increases treatment predictability in protocols.
• Implant bone-to-contact greater (2 weeks), significantly greater (4 weeks) for SLActive (p-value < 0.05).

Transfer Piece

• Bone Level Tapered Implants delivered Loxim Transfer Piece which connects with a snap-in mounting.
• Key notes.
  • Snap-in mounting for easy handing.
  • Blue color for visibility.
  • Compact dimensions easy access.
  • Height markings correct implant placement.
  • Pre-determined breaking point avoids bone overcompression.

Indications and Contraindications

• Refer to instructions for use regarding indications/contraindications related to each implant, found at www.ifu.straumann.com.

List of abbreviation

• SCS - Screw Carrying System.
• HDD - Horizontal Defect Dimension.
• NNC - Narrow Neck CrossFit connection (3.5 mm).
• RN - Regular Neck (4.8 mm).
• WN - Wide Neck (6.5 mm).
• NC - Narrow CrossFit connection (for Bone Level Implants).
• RC - Regular CrossFit connection (for Bone Level Implants).
• S - Standard.
• SP - Standard Plus.
• BL - Bone Level.
• SPS - Standard Plus Short.

Implant types and bone dimensions

• Straumann implants come in Roxolid with SLActive/SLA surface, or titanium with SLA surface.
• Refer to IFU for intended use/indication information.

Preoperative Planning

Implant position

• The implant is the basis for planning the surgical procedure.
• Communication between the patient, dentist, surgeon and technician is needed.
• Recommendations.
  • Make a wax-up/set-up on the previously prepared study cast.
  • Define the type of superstructure.
• The wax-up/set-up can be the base for X-ray/drill template and for a temporary restoration.
• Implant abutments loaded axially aligned with the cusps of the opposing tooth to avoid unphysiological loading.
• Implant diameter, type, position and number selected individually.
• Hard/soft tissue response influenced by the position of the implant and proposed restoration.
• Implant position viewed in three dimensions, which are: mesiodistal, orofacial and coronoapical.

Mesiodistal implant position

• The mesiodistal bone availability decides the diameter for type/inter-implant distances (multiple implants).
• Point of reference on the implant measuring mesiodistal distances always shoulder.
• Minimal distance adjacent tooth (bone level) needs 1.5 mm from the shoulder to the adjacent tooth for mesial/distal.
• Minimal distance must be 3 mm between two adjacent implant shoulders.

Examples for single-tooth gaps

• Implant placed centered within a single-tooth gap.
• For Tissue Level Implants, consider the gap size selecting the shoulder diameter.

Orofacial implant position

• Bone 1mm thick (stable hard/soft tissue conditions).
• Implant orofacial position/axis restores retained restorations.

Planning aids

Diagnostic T for Straumann Standard and Standard Plus Implants

• Using the Diagnostic T in the patient's mouth/cast, an initial reading for the implant shoulder's spatial relations/diameter/prosthetic reconstruction is obtained.
• The pictograms on the instruments reveal what arm is used for which type of measurement.

Straumann Implant Distance Indicator

• Available, Two types of distance indicator offered.
  • Straumann Standard/Standard Plus Implants (art. no. 046.148).
  • Straumann Bone Level Implants (art. no. 026.0901).

Determining the vertical bone availability

• Vertical bone availability maximizes the allowable implant length.
• To make it easier to determine the vertical bone make sure you grab a X-ray Template with X-ray Reference Spheres is highly recommended.

X-ray Template

• Used to measure and compare and is the tool that will assist the user to choose suitable diameter and length.
• Straumann Standard/Standard Plus Implants (art. no. 150.215).
• Straumann Bone Level Implants (art. no. 150.216).

Surgical Procedures

Implant Bed Preparation

• Implant diameter, type, position and number of implants selected individually considering anatomy/spatial surroundings.
• Specific measurements act as guidelines.

Bone implantation

• Basic implant bed preparation.
  • Ridge preparation.
  • Twist drilling Needle Drill and Round Bur.
  • Needs to be set for implant.
• Fine implant bed preparation.
  • Profile drilling SP/BL/NNC Profile Drill.
  • Tapping S/SP Tap BL/NNC Tap.

Basic implant bed preparation

• Preperation begins with preperation of the alveolar ridge (step 1).
• Marking of the implantation site with a Round Bur/Needle Drill is preformed (step 2).
• For both the preparations Pilot Drills/Twist Drills (steps 3-7) should be set according to the endosteal implant diameter preselected in the preoperative planning.

Fine implant bed preparation

• Profile drilling can prepare the implant bed designated Straumann implant.
• Standard Plus and Bone Level Implants need special profile drilling with the specific instruments.
• Drill Extender (art. no. 040.563) works with Profile Drills to provide instrument length(15mm).

Tapping

• Tapping set prepares the implant bed for thread type/surgeon adjusts accordingly.
• Straumann Taps are to only be used with the correct implant type which should be noted

Opening the Implant Package

• Sterile barrier system: Blister.
  • Open the blister, take out the vial.
  • Open the vial, turning lid.
  • Take off the implant carrier.

Placing the Implant

• Placed manually with Ratchet or with Handpiece (15 rpm is recommended).
• Pre-breaking points on the Loxim help prevent damage and ensure integrity while mounting a prosthesis.

Soft Tissue Management

• After inserting the implant it is closed by hand (SCS Closure Screw, Healing Cap or Healing Abutment)
• Submucosal healing for indicated esthetic restorations.
• Transmucosal healing portfolio Healing Caps/Healing Abutments.

Healing Phase

Healing phase duration

• Follow the below recommended timeline.
  • Good bone quality/quantity
    • SLActive 3-4 weeks.
    • SLA 6 weeks.
  • Cancellous bone quality.
    • SLActive 8 weeks.
    • SLA 12 weeks.
  • Straumann Standard Plus Short Implant 10-12 weeks n/a.

Additional Information on Instruments

Surgical Instruments

• Instruments should be checked functionality is adequate/sterile instruments available.
• Disassemble instruments for sterilization.
• Instrument Tweezers grip instrument (art. No. 046.110).

Depth marks on Straumann Instruments

• Provide depth marks (2mm is the fixed interval) with available implant lengths.
• Marks are continuous between 10/12mm.

Single-patient Drills

• Indicated during preparation to ensure implan
• Supplied sterile minimized risk for infection.

Straumann Drill Stop

• Provides control over the drilling depth during implement preparation with Straumann dental implements.
• Supplied in sterile sets and must be used with the use with single patient drills.
• Ratchet helps support operations for: manual thread capping, manual placement, manual screwing etc.

Torque Control Device

• Determines torque through measuring force which is then transferred.

Appendix

Related documentation

• List includes guides for different systems (e.g., Narrow Neck, synOcta, Solid Abutment, Bone Level).

Instrument care and maintenance

• See brochure Straumann Surgical/Prosthetic Instruments guide. (702000/en).

The straumann guarantee

• Provided by swiss company product is of the highest quality.

Explanation

• Refer to removal guidelines- Guidance for Implant Removal (702085/en), required components found in current product catologue.