Teeth implant non metallic

Z-Look3

systems

Evo SLM*

2 1 0 2 h c r a M e u g o l a t a C t c u d o r P >

Experience and Innovation Z-Look3 implants – zirconia zirconia implants made of ZrO2 TZP-A HIP, proven in use over many years

www.z-systems.biz

E CA T T I F I C E R E

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A

S W S S M I

*Surface Laser Modified

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Z-Look3 Evo SLM :: Implants

New surface – all at a glance 2<

Z-Look3 Evo SLM is based upon the established, sandblasted surface Z-Look3. The modification of the surface is achieved by a patented procedure (patent pending). The material removal is realised by laser technology and results in an enlargement of the surface by increased macro- and micro-roughness. The laser treatment on the thread flank follows the thread lead (red marked area). This patented procedure (patent pending) makes sure that the excellent breaking strength of the Z-Look3 Evo implants stays unaltered high.

Z-Look3 Evo rapide SLM, the next generation of zirconia implants* Revolutionary surface technology :: Unique laser modified surface (patent pending) :: Increased surface roughness: SRa of Z-Look3 Evo SLM rises by + 143 % from 1,49 µm to 3,62 µm in comparison to the sandblasted standard Z-Look3 Evo surface :: Based on clinical experience since 2004 with zirconia implants (first placed in 2001)

* An extensive preclinical study is completed and accepted for publication (JOMI / Journal of Oral and Maxillofacial Implants)

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systems


Technology > 3

Fig. 1 + 2 :: ESEM* picture of the peak of the thread flank. The surface is sandblasted.

Fig. 3 + 4 :: ESEM* picture of the peak of the thread flank. The surface is sandblasted and laser modified.

Fig. 1: Surface of Z-Look3 and Z-Look3 Evo implants (x 500)

Fig. 3: New Surface of Z-Look3 Evo SLM implants (x 500)

Fig. 2: Surface of Z-Look3 and Z-Look3 Evo implants (x 2.000)

Fig. 4: New Surface of Z-Look3 Evo SLM implants (x 2.000)

8

8

6

6

] 4 m µ [ 2 e h ö0 h l i f o-2 r P

] 4 m µ [ 2 e h ö 0 h l i f -2 o r P

-4

-6

-4

Mesurments: Alicona Infinte Focus IFM Ra = 0.670µm

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-8 100

Mesurments: Alicona Infinte Focus IFM Ra = 3.10µm

-8

200

300

400

500

600

Profillänge [µm]

Roughness profile Z-Look3 Evo – ZrO 2 sandblasted

* ESEM: Environmental Scanning Electron Microscope

700

800

100

200

300

400

500

600

700

800

Profillänge [µm]

Roughness profile Z-Look3 Evo SLM – ZrO 2 sandblasted and laser modified

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:: A uniform CAD-CAM optimised conical abutment for all standard implants without insertion hexagon :: Optimised insertion by large-surface transmission of force on two parallel surfaces :: Retention groove for holding tools and accessories securely :: Angulation and individualisation by simple grinding*

4<

:: Optimised possibilities of indication thanks to new implant sizes with reduced shoulder width :: Perfect individual aesthetics by grindable preparation border* :: Tapering thread with widened core diameter in the upper part of the thread for optimum mechanical strength and better primary stability

:: Revolutionary surface technology by patented laser modified surface (patent pending). Increased surface roughness.

:: Improved self-tapping thread :: Newly designed bone chip reservoir

n o i t a c fi i n g a M

Z3 Evo-40-10 SLM > Implant 4

mm x 10 mm

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The essentials at a glance Z-Look3 Evo SLM

Z-Look3 Evo SLM :: Z-Look3 Evo SLM implants are based on the experience of more than 20.000 Z-Look3 and Z-Look3 Evo implants made of ZrO 2 TZP-A HIP, sold since August 2004. The new abutment has been designed uniformly for all standard implants, an integrated retention groove ensures secure retention of the insertion tool and accessory parts. The insertion hexagon known from the Z-Look3 implant is not required. Occlusal grinding of the abutment postoperatively is not necessary. The variable implant insertion depth – due to countersinking the implant shoulder to a differing depth – does not apply. New insertion tools with improved force transmission onto the abutment are available. Excellent red-white aesthetics can be achieved by the possibility of simple individual grinding* of the abutment (preparation border and/or angulation). Details of the proven thread design have been optimised, the known implantation procedure has been largely retained and the existing surgical tray can still be used. Additional implant sizes and shoulder diameters simplify selecting the right implant for difficult indications. Impression caps, laboratory analogues and gingiva formers simplify prosthetic handling.

> 5

Z-Look3 Evo SLM implant/sectional drawing of abutment/sectional drawing of abutment with angle piece adapter

Surface marked red shows the abutment area that must be ground for an angulation of 20°, depending on implant diameter.

Gingiva former

Impression cap

* Z-System has had the manual grinding ability investigated for you by the renowned Fraunhofer Institute of Material Mechanics . The results show no impairment in use of the ground Z-Look3 implants, manually ground implants have no increased risk of fracture. Z-Systems grinding procedure: use exclusively red ring (47 µm) diamond instruments, maximum water cooling, working without pressure. Z-Systems will be pleased to make the results available to you on request.

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Z-Look3 Evo SLM

Many people are satisfied with what is available. We are not. Many follow the maxim: no experiments. We have successfully tested our implants. That is why Z-Systems is here today: We develop and produce metal-free solutions in dental implantology made from high performance special ceramics. Certified and approved: white aesthetics thanks to zirconia (zirconium dioxide).

Material :: All Z-Look3 ceramic components are produced from zirconia (zirconium dioxide). However, there is more than one grade of zirconia to choose from. In the production of the components, the selection of the raw materials as well as control during the cleaning and production processes are extremely important. Only leading manufacturers of dental ceramic products are choosen as manufacturer of Z-Look3 Evo SLM implants and components produced from zirconia. They must meet Z-Systems’ quality criteria. Depending on the requirements for the system component, whether it is an implant, a cutting tool or other surgical tool, the composition and the production processes for the zirconia will vary.

Information about the different types of zirconia used can be found with the descriptions of the individual components. Certification :: Medical devices from Z-Systems bear the CE marking and are manufactured according to the specifications of ISO 9001, ISO 13485, as well as MDD 93/42/EEC. Z-Systems is registered with the US Food and Drug Administration (FDA).

An overview of the Z-Look3 implant system features: :: Implants and surgical instruments are produced from zirconia. :: The Z-Look3 implant system enables completely metal-free treatment. :: Four different one-piece implant designs for a broad range of indications. :: Abutments easily modifiable, no specific prosthetic parts required. :: The design and material allow the prosthetic procedure and treatment to be carried out in a similar manner as for natural teeth. The abutments can be ground easily in the mouth. :: The implant design is ideal for treatment with CAD-CAM prosthodontics. :: The design allows compensation of implant divergences of up to 20º (by simple intraoral grinding).

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systems

Implants > 7

Material :: All zirconia implants are produced from ZrO2 TZP-A HIP bioceramics according to ISO 13356. This material has been in use for a long time in the production of hip joint prostheses. Among other things, the material reaches its bending strength, which is much higher than with commonly used titanium, due to the «Hot Isostatic Post Compaction» process. The material is reprocessed after the sintering process by being further compacted in industrial furnance for three days at 2000 bar, which significantly improves the physical characteristics of the base material. Indications :: Z-Look3 Evo SLM implants are designed for surgical implantation into the upper and lower jaw for the attachment of prosthodontic appliances to replace missing teeth. Osseointegration and healing time :: The unique patented (patent pending) laser modified Z-Look3 Evo SLM surface has an increased surface roughness. Due to the one-piece design, the implants must be protected from load during healing. Longterm temporaries, protective splints or hollowed out interim prostheses can be used for this purpose. A healing time of three months for the lower jaw and six months for the upper jaw is recommended. Note :: Please note our detailed instructions for surgical and prosthetic procedures.

Insertion. The prerequisites :: Sufficient bone quantity must be available. The thread must be covered by at least 1 mm of healthy bone. Simultaneous sinus floor elevation with implantation is only indicated if there is at least 7 mm of remaining bone available in the vertical dimension. The Z-Look3 Evo SLM implants are selftapping. For bones in category D1/D2 or hard cortical bone, pre-cutting with appropriate tap is recommended. When inserting the implant, we recommend a torque of 35 Ncm. Implant characteristics – an overview :: The abutment can be ground in the same way as natural teeth. Special care should be taken with the treatment protocol i.e. red diamond, max. red hand piece rotational speed, max. water cooling and low pressure.* :: One-piece design, therefore no microgap, reduces the possibility of bone loss. :: The apical part of the implant is conical to improve introduction into the cavity. :: The star-shaped apical cut-out serves to receive bone chips. :: The rounded thread prevents tension and notching effects. :: The implant can be inserted manually or with the angle piece. :: Implants can be inserted further or unscrewed even after the abutment is modified. :: The wide implant shoulder enables compensation of implant divergence of up to 20º.

* Z-System has had the manual grinding ability investigated for you by the renowned Fraunhofer Institute of Material Mechanics . The results show no impairment in use of the ground Z-Look3 implants, manually ground implants have no increased risk of fracture. Z-Systems grinding procedure: use exclusively red ring (47 µm) diamond instruments, maximum water cooling, working without pressure. Z-Systems will be pleased to make the results available to you on request.

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Implant configurations 8<

In lengths and diameters

Z-Look3 Evo SLM :: is available in various lengths and diameters. Please note :: In the selection of implant length, the excess length of the drill (drill tip = max. 1.3 mm) must always be taken into consideration. (See sketch on page 10).

Z-Look3 Evo SLM implants are currently available in the following dimensions:

fig. 1

fig. 2

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Z3 Evo-36-10 SLM ø 3.6 mm ø shoulder 4.6 mm insertion depth 10 mm

Z3 Evo-36-11 SLM ø 3.6 mm ø shoulder 4.6 mm insertion depth 11.5 mm

Z3 Evo-40-08 SLM ø 4 mm ø shoulder 4.8 mm insertion depth 8 mm


Z3 Evo-40-11 SLM ø 4 mm ø shoulder 4.8 mm insertion depth 11.5 mm


With reduced thread diameter and reduced length, especially for limited alveolar ridge width with reduced vertical bone availability. Upper jaw: lateral incisors, lower jaw: central/ lateral incisors. Not suitable for :: – Upper jaw: central incisors – Upper/lower jaw: canines, premolars and molars as well as bridge restoration.

With reduced thread diameter, especially for limited alveolar ridge width with sufficient vertical bone availability. Upper jaw: lateral incisors, lower jaw: central/ lateral incisors. Not suitable for :: – Upper jaw: central incisors – Upper/lower jaw: canines, premolars and molars as well as bridge restoration.

Suitable for most indications with reduced vertical bone availability.

With standard thread diameter for universal use in the upper and lower jaw.

With standard thread diameter for universal use in the upper and lower jaw.

With standard thread diameter for universal use in the upper and lower jaw with especially good vertical bone.

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systems

3.6

4/5R

3.6 3.6 4/5R 4/5R 4/5R

Ideal implant selection for Z-Look3 Evo SLM (with respect to thread diameter) ::

4/5R

> 9 4/5R

Left illustration: upper jaw Right illustration: lower jaw 4 ::

Ø 4 mm = 4.8 mm shoulder Ø

5 ::

Ø 5mm = 6mm shoulder Ø

5R ::

Ø 5 mm = 5.4 mm shoulder Ø

3.6 ::

4/5R

5 5

5

5

Ø 3.6 mm = 4.6 mm shoulder Ø

Our implant system is manufactured from zirconia ZrO 2 TZP-A HIP.

fig. 7

fig. 8

fig. 9

fig. 10

fig. 11

fig. 12

Z3 Evo-50-08 SLM ø 5 mm ø shoulder 6 mm insertion depth 8 mm


Z3 Evo-50-10R SLM ø 5 mm ø shoulder 5.4 mm insertion depth 10 mm

Z3 Evo-50-11 SLM ø 5 mm ø shoulder 6 mm insertion depth 11.5 mm

Z3 Evo-50-11R SLM ø 5 mm ø shoulder 5.4 mm insertion depth 11.5 mm


With enlarged thread diameter, particularly suitable for wide alveolar ridges with reduced vertical bone availability.

With enlarged thread diameter, especially for wide alveolar ridges.

With reduced shoulder diameter for use with good bone availability and narrow interdental space, particularly in the premolar-/anterior region.

With enlarged thread diameter, especially for wide jaws, with particularly good vertical bone availability.

With reduced shoulder diameter, for use with particularly good vertical bone availability and reduced interdental space, especially in the premolar-/anterior region.

Due to its length and its diameter, especially suitable as immediate implant* in the upper anterior jaw and the cuspids.

* see http://www.eao.org/conference/past

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Implant

Drill

Depth Gauge

10 <

15 mm 13 mm 11.5 mm 10 mm 8 mm 6 mm

n o i t a c fi i n g a M

max. 1.3 mm Z3 Evo-40-11 SLM

Z3-TD325

Z-Tools :: Surgical instruments

TZ-DP220

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Z-Tools :: Surgical Instruments

systems

Surgical/cutting instruments Metal-free implantology begins with the instruments

Material :: The cutting instruments are made from high-tensile ATZ high-performance ceramic (Alumina Toughened Zirconia). This aluminium oxide reinforced zirconia is ideal for the production of drills and taps. The instruments have excellent cutting performance and lifetime.

> 11

Characteristics of the surgical instruments: :: Cutting instruments are produced from high-tensile ATZ high-performance ceramic. :: The instruments have excellent cutting performance and lifetime. :: Can be autoclaved up to 20 times at 134ºC standard programme. :: Recommended drill speeds for preparing the implant bed: 400 to 800 rpm. :: Disinfection with commercially available products. :: Easily visible depth markings.

fig. 13

Surgical tray Fully equipped surgical tray Contains :: round drill 2.3 mm x 16 mm, twist drill 2.3 mm x 16mm, twist drill 2.85 mm x 16 mm, twist drill 3.25 mm x 16 mm, twist drill 3.75 mm x 16 mm, twist drill 4.25 mm x 16 mm, tap 3.6 mm, tap 4 mm, tap 5 mm, scalpel no. 12, scalpel no. 15, periosteal elevator, depth gauge 2.2 mm x 20 mm, mandrell, *ratchet adapter 10 mm, *ratchet adapter 20 mm, *angle piece adapter 8 mm, **ratchet adapter 16 mm, **ratchet adapter 24 mm, **angle piece adapter 12 mm, angle piece extension, torque ratchet. *Adapters with black O-ring receive the taps. **Adapters with white O-ring are used for insertion of Z-Look3 Evo SLM i mplants.

Autoclavable at 134ºC standard programme. Note :: Please pay attention to our detailed instructions for surgical and prosthetic procedures as well as to the instructions for care and maintenance of Z-Look instruments.

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12 <

Drills :: The drills are three-fluted (low in vibrations) and have a maximum overlength of 1.3 mm. The markings on the drills correspond to the insertion depths of 6, 8, 10, 11.5, 13 and 15 mm. The drills are all equal in length and can be extended with the angle piece extension.

Tap :: The implants are self-tapping for bone classes D3 – D4. For bone class D1 – D2 or hard cortical bone, the tap must be used. When inserting the implant, we recommend a torque of 35 Ncm for the implants in order to avoid placing too much pressure on the bone. The taps can be used with the ratchet or the angle piece. Corresponding adapters are available in a variety of lengths.

The versions of the drills

Tap design

fig. 14

fig. 15

fig. 16

fig. 17

fig. 18

fig. 19

fig. 20

fig. 21

fig. 22

Z3-RD230

Z3-TD230

Z3-TD285

Z3-TD325

Z3-TD375

Z3-TD425*

Z3-T360

Z3-T400

Z3-T500

Round drill 2.3 mm x 16 mm

Twist drill 2.3 mm x 16 mm





Tap 3.6 mm

Tap 4 mm

Tap 5 mm

For marking the implant position

For length and pilot drilling

For the final drilling of the 3.6 mm implant bed

For the final drilling of the 4 mm implant bed

For the final drilling of the 5 mm implant bed

*Optional drill final crestal osteotomy of the 5.0 mm implant bed for bone class D1/D2

For all 3.6 mm implants

For all 4 mm implants

For all 5 mm implants

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Auxiliary surgical instruments Metal-free implantology begins with the instruments

Scalpels, periosteal elevator :: Due to their complex shape, these instruments are produced from zirconia using the injection molding process. These instruments must be handled carefully, since it is possible that they may break if subjected to a hard blow. There is no risk of breakage during normal use.

Auxiliary surgical instruments

fig. 23

fig. 24

fig. 25

ZT-SC 12

ZT-SC15

ZT-PE

Scalpel No. 12

Scalpel No. 15

Periostal elevator

Zirconia, 12 mm blade

Zirconia, 15 mm blade

Zirconia

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Z-Tools :: Auxiliary Surgical Instruments

Auxiliary surgical instruments 14 <

Metal-free implantology begins with the instruments

Depth gauge :: The depth gauge is produced from ATZ high-performance ceramic ( Alumina Toughened Zirconia) and is used to verify the drilling axis as well as for X-ray depth measurement for Z-Look3 Evo SLM implants.

Inserting instruments and ratchet :: The inserting instruments (ratchet- and angle piece adapters) and torque ratchet are made from stainless steel.

Auxiliary surgical instruments

fig. 26

fig. 27

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fig. 32

ZT-DP220

ZT-MD

ZT-HA8

ZT-HE18

TR35

ZT-RA 10-8

ZT-RA20-8

Depth gauge 2.2 mm x 20 mm

Mandrell

Angle piece adapter

Angle piece extension

Ratchet adapter 10mm

ATZ high-performance ceramic, verification of the drilling axis as well as X-ray depth measurement for Z-Look3 Evo SLM implants

Stainless steel, accepts angle piece adapter

Stainless steel, receives the taps

Stainless steel, extension of the angle piece shaft

Torque ratchet reier Stah l, Stainless steel, receives the ratchet adapters

Ratchet adapter 20mm reier Stahl, Stainless steel, receives and extends the taps

Stainless steel, receives the taps

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Z-Look3 Evo SLM :: Evo

systems

Insertion instruments and accessories For Z-Look3 Evo SLM implants

> 15

Insertion instruments :: The insertion instruments for Z-Look3 Evo SLM implants are not compatible with Z-Look3. They are manufactured from stainless steel and may be differentiated by the white colour of the O-ring.

Accessories :: Impression caps, lab analogues and gingiva formers are suitable only for unground Z-Look3 Evo SLM abutments.

fig. 33

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ZT Evo-HA12

ZT Evo-RA16

ZT Evo-RA24

Angle piece adapter

Ratchet adapter 16 mm

ZT-L36 ZT-L40 ZT-L50 ZT-L50R

ZT-G36 ZT-G40 ZT-G50 ZT-G50R

Stainless steel, for insertion of Z-Look3 Evo SLM implants with the angle piece

Stainless steel, for insertion of Z-Look3 Evo SLM implants with the torque ratchet

Ratchet adapter 24 mm reier Stahl, Stainless steel, for insertion of Z-Look3 Evo SLM implants with the torque ratchet

ZT-I36 ZT-I40 ZT-I50 ZT-I50R Impression cap reie X-ray opaque PEEK

Laboratory analogue

Gingiva former reier Stahl, X-ray opaque PEEK

Titanium, each size colour-coded

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Z-Systems :: User Information

You and us Z-Systems for users

4 6 1 . 0 0 1 2 1 / 3 0

Become a user :: To assure the correct use of Z-Look3 Evo SLM implants, Z-Systems sells Z-Look3 Evo SLM implants only to qualified users. Dentists and implantologists who – apart from membership in a professional implantological association – fulfil at least two of the following conditions can become qualified:

Z-Training :: Share experience and learn from and with colleagues – Z-Systems offers its users and anyone interested extensive options for continuous professional development. Z-Look3 courses are offered withand without live surgeries. All information about our courses can be found under «News» on our web page or contact the Z-Systems service centre directly.

:: Regular participation in Z-Look3 further training events :: Participation in implantological further training courses :: Implantological experience :: Implantology as main area of activity :: Acceptance of the support of an experienced user of Z-Systems

Personal visits :: Z-Systems has a customer service team covering all of Germany and Switzerland and is represented in the international market by selected distributors. We will be pleased to advise you individually through our service hotline for Switzerland and internationally +41 62 388 69 69.

Internet www.z-systems.biz :: There is a multitude of information about Z-Systems available to you: detailed product information, literature, presentations, training, research results as well as patient cases of many treatments which have thus far been carried out with Z-Look3.

www.z-systems.biz

Headquarter Z-Systems AG Bittertenstrasse 15 CH-4702 Oensingen Switzerland

USA Z-Systems USA, Inc. 284 Monponsett Street, Suite 208 Halifax, Ma. 02338-1432

Phone Fax Mail Web

+41 (0)62 388 69 69 +41 (0)62 388 69 70 [email protected] www.z-systems.biz

Phone Fax Mail Web

1-877-874-9407 1-781-754-6565 [email protected] www.z-systems.biz

Teeth implant non metallic

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