OPINION LEADER MEETING
29 SEPTEMBER
ADVAN TISSUE MANAGEMENT
Prof. Magda Mensi
Eng. Mauro Cavenago
CONFERENCES:
IAO Milan | EAO Berlin
Guided bone tissue regeneration and soft tissue management
AN IN-DEPTH LOOK Case Report Dr Kobolt
GLOBAL S HEXAGON
The coordinate measuring machine that increases productivity
FACE TO FACE Editorial Advan at the apex of productivity
Dear readers, welcome back to this new edition of our magazine, an opportunity to take a close look at the world of Advan dental implantology. The aim is promoting the sharing and interaction of ideas with regard to dental surgery approaches, so you will read about clinical cases of practitioners, users and scientific communities. It is an honour for me, as the Chief Executive Officer of Advan S.r.l., to introduce this issue dedicated to the most recent developments in implantology presented at trade fairs and international conferences.
Trade fairs play an e ssential role in nurturing a community of experts, sharing knowledge and highlighting emerging technologies. On these pages, we will take you on a journey to the recent fairs that catalysed the debate and enthusiasm of specialists. What clearly emerges is the convergence of brilliant minds and cutting edge ideas that join forces to constantly push the boundaries of dental implantology.
In this context, we cannot disregard the vital importance of scientific research. We are committed to presenting to you the most recent and significant results that lead to more effective and long-lasting treatments. Our mission is to provide a platform for information and discussion, thus fostering progress and collaboration in the field of dental implantology. Through the training opportunities that we provide on a quarterly basis, you will be able to gain extensive knowledge of the key clinical aspects, maximising the opportunities for clinical discussion. The event that we organised for our opinion leaders in Verona on 29 September was particularly significant. Prof Magda Mensi and Mr Mauro Cavenago, Engineer, presented the scientific rationale on which the GTB implant system is founded, and from which Advanced Tissue Management stems.
Every day, millions of people around the world benefit from the extraordinary results offered by this approach, restoring their smile and confidence in everyday life. Furthermore, our customers are increasingly demanding customised products, with ever shorter lead times. Therefore, productivity has become one of the main competitive factors in terms of precision, speed and costs. That is why our innovation, production, automation and quality process is ongoing, by integrating CNC machines and measuring instruments in our production process, to adapt to the general need to streamline the production cycle. In this issue, we present to you the newcomer, HEXAGON GLOBAL S, designed by Pininfarina in accordance with the Enhanced Productivity Series approach (EPS) of Hexagon, which combines state-of-the-art technologies to provide an optimal measuring solution with several performance levels. Since they produce implants with complex geometries, where tolerances are tight, quality technicians and engineers need to be fully confident that measurement data are under control.
Advan is here for you: give better results to the patient and greater value to the clinician.
Happy reading.
Mario Zearo CEO of Advan Srl
Today’s implantology requires all players to work synergistically together, and the implant manufacturer first and foremost.
Conference Special: IAO MILAN - EAO BERLIN from hard tissue management to soft tissue criticalities
Implantology has experienced a remarkable growth, dealing with ever more complex issues, from the osseointegration concept to the various methods for treating and managing soft tissues. Macro-geometries, surface treatments, prosthetic connections and components have evolved significantly. The potential for improvement is still extremely high, especially with regard to proper tissue management, the achievement of good aesthetics and the optimisation of biomechanical principles.
Increasingly large segments of the population will benefit from implant therapy in the future to deal with the increasingly frequent onset of periodontal diseases, or simply for aesthetic needs. At surgical level, the improvements of the implant site where hard and soft tissues are deficient will be obtained thanks to the advent of new techniques and so-called ‘tissue engineering’ will also make significant contributions in this direction.
In light of that, this year, as Gold Sponsor, we took part in the International Conference organised by IAO (Italian Academy of Osseointegration), which was held in Milan from 5 to 7 October. The main topic was precisely the evolution of GBR: from hard tissue management to soft tissue criticalities. An important opportunity for discussion among the best practitioners, teachers and companies in the sector, and for presenting the ATiM protocol to international stakeholders.
Indeed, this manual provides guidelines, surgical as well as prosthetic, to achieve better healing predictability and preservation of hard and soft tissue around Advan dental implants.
Therefore, indications are provided as to the proper implant placement and prosthetic timing, with regard to the subcrestal approach as well as to One Time One Abutment by means of intermediate components, such as the Gengival Former Abutment and the Multi Unit Abutment.
The EAO Berlin Conference was, before that, another important building block for our international presence, which in 2023 led us to breaking into new markets, seeking a biologically safe and aesthetically perfect implant system. The value and philosophy of the GTB implant system are an important tool to prevent periimplantitis.
EXPODENTAL MEETING
2023
Opportunities for meetings with customers, users, the scientific community and sales representatives to foster the sharing and interaction of ideas
HIGHLIGHTS
Advanced Tissue Management Opinion leaders meeting Verona 29 September
The best way to exchange ideas and celebrate an experience in direct contact with the implant manufacturing company? Obviously, by taking part in our Advan Experience! A high value experience, sharing one’s opinions and experiences in the office, while simultaneously enhancing knowledge and perfecting skills. An opportunity not just for learning, but also for entertainment, by visiting the company and the local area with other practitioners, creating memories, tasting delicious food and making merry.
These meeting opportunities with suppliers, customers, users and the scientific community are important for us, to foster the sharing and interaction of ideas, to gain extensive knowledge of approaches to dental surgery, and to support practitioners as a reliable partner for their training. The event that we organised for practitioners and opinion leaders in Verona on 29 September was particularly significant. Prof Magda Mensi and Mr Mauro Cavenago, Engineer, presented the scientific rationale on which the GTB implant system is founded, and from
which Advanced Tissue Management stems – biologically guided implantology with long-term predictability, safe even in complex cases and with at-risk patients, for excellent clinical results with clear, simple protocols that suit every need.
Together with Prof Mensi, all the essential aspects for planning implant surgery and its consequent biologically guided prosthetic rehabilitation were explored in depth. This means taking into account all the key clinical and anatomical aspects to make the correct decisions regarding positioning of the implant (bone-level or sub-crestal), the use of the different prosthetic techniques (one time abutment or otherwise), and the possible prosthetic components available to the clinician (use of intermediate abutments or otherwise), such as the GFA abutment: a product patented by Advan and an incredibly useful device for the implantologist to manage the most complex anatomical conditions.
Photo: from L Prof Magda Mensi, Engineer Mauro Cavenago and Prof Luigi Baggi.
The day ended with a presentation of the results of the university research work conducted on the comparison between the use of an intermediate abutment with one time abutment technique and a conventional implant workflow. The results, predictably yet thrillingly, reflected the entire clinical experience that Advan has always had with the approach of the GTB system.
Personally – says Engineer Mauro Cavenago – it was a pleasure to see how the intuition and clinical results of Professor Luigi Baggi were confirmed by this paper, backed today by the scientific rationale, precisely consolidated by the outcome of the Nabut (New Abutment) research work, conducted and led by the Researcher, Professor Magda Mensi. We have been able to give a solid scientific basis to that which has always been clinically evident, but too often poorly accepted by the market simply because it differs too widely from the mindset ‘imposed’ by market laws. I found Dr Mensi’s opinion extremely interesting. According to her, the results obtained are not only statistically significant, but clearly reflect clinical effectiveness: something that the clinician is able to appreciate in their daily clinical practice.
The GTB system has been scientifically designed with the aim of improving the biomechanical performance of implant systems with improvements in terms of predictability, stability and aesthetics.
Technical insight into the GTB system
The GTB system has been designed as a Two-Component Implant, allowing both Juxta-Crestal and Sub-Crestal positioning and features Abutments specifically designed for Sub-Crestal positioning (refer to Section 2 Chapter 2).
In addition to the traditional abutments typical of a Two-Component system, the GTB system also includes a specific type of Intermediate Abutments (Gingival-FormerAbutment and Multi-Unit-Abutment) that, from a prosthetic point of view, allows to manage the Two-Component Sub-Crestal Implant as a Single-Component Tissue-Level or Intra-Mucosal Implant. These Intermediate Abutments have an apical connection at the level of the Fixture and a second coronal connection at the level of the prosthesis. For this reason, the GTB system also represents a new type of dental implant referred to as the Modular System, which allows the fixture to be easily adapted to the available bone volume and the prosthetic platform to be repositioned in such a way as to correctly manage the peri-implant soft tissue (refer to Section 1 Chapter 4. and Section 2 Chapter 5.).
The GTB screw fixture has been designed in its macro- geometry to allow a controlled and progressive load transfer in order to transfer greater compressive forces and to reduce tensile forces since the bone withstands the compression much better than the traction7. The thread gradually widens towards the apex of the implant (rounded and atraumatic in the GTB standard version) with a double reverse buttress thread which facilitates the surgical insertion. An helix discharge incision helps removing the fluids that could cause an excessive compression during insertion and allows for less invasive osteotomies while allowing wetting of the entire implant surface using only mechanical arrangements.
The implant crest module prevents cortical bone compression and the platform shifting, with a complex and innovative profile both horizontal and vertical, increases the active surface of the platform itself.
Sources: refer to the Advanced Tissue Management Bibliography
Learn,
Learn, Meet, Share, Explore, Grow.
The culture of implantology inevitably involves the sharing of experience.
Enriching and updating one’s professional toolbox is essential to be able to stand out in today’s market. At Advan, we firmly believe that the training of all our employees, associates and partners is crucial. That is why the courses we provide, either directly or through our partners, are specifically designed to share with you all the knowledge and expertise we have gained in years of research, study and application in the sector, and thanks to the collaborations with leading dental practitioners.
Essential +
These activities allow those who are taking their first steps in the worlds of implantology to perform surgical and prosthetic procedures in less complex cases, with predictable aesthetic and functional results.
Advanced ++
These activities make it possible to reach the next level in dental implantology, starting from the experience gained in simple cases. Activities in which it is possible to perform advanced surgical and prosthetic procedures, share one’s experience and familiarise oneself with immediate loading.
Expert +++
These activities make it possible to deal with demanding situations, by advanced treatment planning and with complex surgical and prosthetic procedures. These activities require considerable experience in implant application.
BOOK YOUR ADVAN EXPERIENCE
In an increasingly more mobile, social and multichannel world, users’ needs and behaviours change, but at Advan we believe that human rapport is always essential. Through the Advan Experiences, scheduled throughout the year, we provide opportunities for interaction, training, brainstorming, fostering enhanced relationships with the brand and among partners. Contact your trusted dealer for more information.
One-time abutment for all kind of cases in dental implantology
Author:
Dr Peter Kobolt
Freelance Professional at Humanikdent d.o.o
Clinic in Mežica, SLO
Abstract
The one-time abutment protocol is to provide a long-term restoration with as less surgery procedures as possible, reducing the abutment unscrewing at once. Patients often come to the outpatient clinic demanding for fast but long-term, stable, functional, and aesthetic solutions. In the article, this protocol will be analyzed and practical use and results will be showed.
With a one-time abutment protocol, a good primary stability and stable, healthy keratinized soft tissue around the implant abutment can be achieved with only one surgery stage.
Another aim is the connection between the implant and abutment protection (platform switching) from bacteria, so the resorption of bone induced due to infection is minimized. Patient’s comfort was also considered. Less surgery means less trauma and, finally, lower costs.
Fig. 1: Connection between implant and abutment, implant with aggressive tracks and MUA abutment
Use of Advan titanium implant with conical connection
Introduction
The one-time abutment is used in dental implant procedures when the definitive abutment is screwed at the time of implant placement. During this process, some rules need to be considered to get a good and reliable result. In addition to the basic principles, an adequate insertion torque needs to be provided for good primary stability for the implant.
This technique can be used for immediate temporary prosthetic rehabilitation, ridge preservation, full-arch rehabilitation or just to save time versus conventional implant treatment.
This technique can be used for post-extractive and remodeled bone ridge cases, as a solution in the aesthetic region as in bridges with two or three implants in posterior maxilla and full arch rehabilitation such as Toronto bridge and all-on techniques.
Itis interesting to underline that the patient’s cooperation is crucial for a good rehabilitation outcome. Therefore, the therapist requires advanced social skills.
Materials and Methods
For the article, five patients were selected with different clinical conditions. A titanium implant with a conical connection and aggressive treads in the apical part to ensure good primary stability was selected. This is needed to place a definitive abutment for the one-time abutment protocol. Furthermore, it is advisable to have a conical connection between the implant and abutment to get an optimal link, a so-called cold weld. Hence, itis possible to get a reduced micro-gap and drop down the micro-movements, so that the whole system would be considered like a one-piece implant (Fig. 1).
For the surgical protocol, subcrestal (minimum 1.5mm) position of implants was used with insertional torque around 35 Ncm (Fig. 2). The diameter of implants was chosen due to bone width and the length to respect the critical anatomical structures like the mandibular nerve, mental foramen, maxillary sinus, etc. In addition, abutments were carefully chosen to ensure the biological width around the implant, without further bone shrinkage.
Fig. 2: Protocol for subcrestal positioning of implants
To evaluate the outcomes, an index of four parameters was considered. The First was bone loss quantity after one year, the second was a loss of soft tissue height, the third was the presence of peri-implantitis, where bleeding on probing was combined with clinical status, and the last was the patient’s satisfaction.
Bone loss (B) was measured through acquired X-rays, at implant placement and after one year from the of the implant platform to the top of the crestal margin. When the measured bone loss was less than 1mm (average of mesial and distal aspect), it was considered a success and marked with “1”; while the bone loss was between 1 and 2mm, was marked with “0.5” score. If the bone loss was more than 2mm, it would be mark it with “0”.
Soft tissue loss (T) was measured by comparing photography taken at the placement of the final restoration and height after one year. If the height was the same, it was considered as a success and marked it with “1”. A loss up to 1mm, was marked with “0.5”; if there was more than 1mm, it was marked with “0”. Occlusal plane (or incisal margin) was taken as reference for measurements. The most coronal portion of free gingival margin as starting point.
The presence of peri-implantitis (P) was marked with “1” if the clinical status looked healthy and there was no bleeding during probing. In the presence of either bleeding or an unhealthy look meant a mark of “0.5” was reported. A ”0” score was assigned in case of both bone loss and bleeding together?
When the patient was satisfied (S) with function and aesthetics, it was marked with “1”. If there was a problem with one of the aforementioned, it was marked “0.5”. In case of unsuccess in both, it was marked “0”.
After summing all marks, itis possible to get BTPS (bone, tissue, peri-implantitis, success) index. An index between 4 to 3.6 was considered as an excellent success. Success was acceptable when the score was between 3.5 to 3; a lower index means an unsuccess.
If there is more than one implant, each was scored, then summed it up and divided it by the number of implants to get only one mark (for categories B, T, and P).
Patients were followed monthly and, after a year of loading of the final restoration, the results were evaluated with the reported index.
SEM analysis: OsseoGRIP surface treatment Advan implants. Courtesy of Prof. Luigi Baggi
FORMULA FOR INDEX (BY PETER KOBOLT)
Index BTPS = B + T + P + S
B (fmi-for more implants) = (B1+B2+…+Bn)/n
T (fmi) = (T1+T2+…+Tn)/n
P (fmi) = (P1+P2+…+Pn)/n
B Bone loss
T Soft tissue loss
X-rays at implant placement and after 1 year comparison, measuring from top of the implant platform to the top of the crestal margin in contact with the implant.
Occlusal plane (or incisal margin) was taken as reference for measurements. The most coronal portion of free gingival margin as starting point.
P Periimplantitis presence
Clinical visual assessment and probing around the abutment.
S Patient satisfaction Patient self-assessment
Table 1: Schematic table for measuring the BTPS index
Index BTPS (fmi) = B(fmi) + T (fmi) + P (fmi) + S (Sum up the values of the variable score achieved)
From 4 to 3,6
Between 3,5 and 3
<3
Healthy and no bleeding
either bleeding or an erythematous and edematous
bleeding and erythematous and edematous together 0,0
function and aesthetics 1,0 either function or aesthetics missing 0,5 function and aesthetics both missing 0,0
Fig.: Platform shifting
Fig.: GTBTzero
Table 2: BTPS index scores
The first patient showed a coronal-radicular fracture of the maxillary first left incisor. A young non-smoker female patient, with no medical issues history, wanted to replace the tooth in a frontal area but did not wish for any removable provisional tooth. After a clinical and radiographical examination, it was decided to proceed with the extraction of the tooth under local anesthesia and immediate placement of a GTB Tzero implant (Advan, Amaro, Udine, Italy) 3.6 mm in width and 12 mm in length and a gingival former abutment (GFA) of 4.5 mm in length and 4 mm of width.
This technique is to obtain a similar situation as a tissue level implant. On the top of GFA, it was placed the provisional crown. In the surgical part of the procedure, after extraction, the drilling was designed more palatal to ensure a good condition for the implant and it was placed in the extra socket bone. The implant was positioned 2.5 mm subcrestally reaching 40 Ncm torque. After that, the GFA was placed on the implant, conically connected with it, and screwed at 25 Nm of torque.
A grafting material, a prehydrated and collagenated porcine bone - Osteobiol Genos (Tecnoss Dental, Torino, Italy) mixed with heterologous type I and III collagen gel and Thermogelling synthetic biocompatible copolymer - Osteobiol TSV gel (Tecnoss Dental, Torino, Italy) , was used because of partial resorption of a labial part of the socket bone.
Then, a provisional crown out of composite material was prepared using a PMMA sleeve and it was screwed on the GFA platform. The crown was prepared to seal the socked wound completely, like the egg-shall or a pontic crown technique. Finally, a surgical glue and two resorbable stitches were used to stabilize the graft.
After four months of healing, the provisional crown was unscrewed and the impression taken. The laboratory prepared the final crown out of monolith zirconia and a labial ceramic layer. Finally, an X-ray control was performed right after the implant placement and after one year. Also a photographic documentation of the whole procedure was realized. Index BTPS was 4.
Fig. 1a
Fig. 1a: pre-treatment photography and X-ray
Fig. 1b: peek sleeve
Fig. 1c: temporisation
Fig. 1b
Fig. 1c
Fig. 1e: before impression, occlusal view
Fig. 1f: before impression, frontal view
Fig. 1d: X-Ray after implant placement
Fig. 1g: definitive restoration
Fig. 1e
Fig. 1d
Fig. 1f
Fig. 1g
Fig. 1h
Fig. 1h: X-ray after one-year placementof a final crown
CASE 2
The second case is similar to the first. Female patient, light smoker (10 cigarettes per day) and no medical health issues. The main difference between cases was that the patient had lost the left lower second molar due to inter radicular infection. The same procedure described above was followed.
Was used an implant GTB Tzero 13.5 mm long and 4.3 mm in width and a 4.5 mm length GFA. The healing phase lasted five months and the final crown was made of titanium-ceramic. X-ray scans were performed right after implant placement and after one year. Index BTPS was 4.
Fig. 2a: pre-treatment X-ray
Fig. 2b: X-ray after implant placement
Fig. 2c: temporisation
Fig. 2d: before impression, occlusal view
Fig. 2e: final restoration, occlusal
Fig. 2f: definitive crown after a year
Fig. 2a
Fig. 2b
Fig. 2c
Fig. 2d
Fig. 2e
Fig. 2f
Fig. 2g: X-ray after one-year placement of a final crown
Fig. 2g
CASE REPORTS
Results
The results were excellent from the patient’s side, and the BTPS index was measured from a medical perspective.First of all, with this protocol, fewer surgical procedures can be performed. A minimum pain and swelling complications after surgery in the first stage was achieved.
Nice results were achieved during healing time with temporary restoration. In the second stage, the osteointegration was completely reached. Then an excellent keratinized mucosa around abutments was obtained. After one year, the remodeling of hard and soft tissues was quite a little or almost no changes at all. All structures were well maintained. In the first case, an outstanding aesthetic was achieved in the front area. The second and third cases also fulfilled the expectations.
Finally, the situations in the fourth and fifth cases were challenging, but the results were more than acceptable.
REFERENCES
Master thesis and project work; One-time abutment; Master student: Peter Kobolt; Supervisors: Prof. Ugo Covani, Prof. Simone Marconchini, Medical faculty Unicamillus, University of Rome
1-Implant placement and provisionalization in extraction, edentulous, and sinus grafted sites: a clinical report on 1,500 sites. Petrungaro PS. Compend Contin Educ Dent. 2005 Dec;26(12):879-90.PMID: 16389775
2-Aesthetics in oral implantology: biological, clinical, surgical, and prosthetic aspects.Sammartino G, Marenzi G, di Lauro AE, Paolantoni G.Implant Dent. 2007 Mar;16(1):54-65. doi: 10.1097/ ID.0b013e3180327821.PMID: 17356372
3-Kois JC Predictable single-tooth peri-implant aesthetics: Five diagnostic keys. Compend. Contin. Educ. Dent. 2004;25:895. - PubMed
4-Influence of subcrestal implant placement compared with equicrestal position on the peri-implant hard and soft tissues around platform-switched implants: a systematic review and meta-analysis.
Valles C, Rodríguez-Ciurana X, Clementini M, Baglivo M, Paniagua B, Nart J.Clin Oral Investig. 2018 Mar;22(2):555-570. doi: 10.1007/s00784-017-2301-1. Epub 2018 Jan 8.PMID: 29313133
5-Qing-Qing Wang , Ruoxi Dai, Chris Ying Cao, Hui Fang, Min Han 1, Quan-Li Li 1
One-time versus repeated abutment connection for platform-switched implant: A systematic review and meta-analysis PMID: 29049323PMCID: PMC5648164 DOI: 10.1371/journal. pone.018638
6-Yeung SC. Biological basis for soft tissue management in implant dentistry. Aust Dent J. 2008;53 Suppl 1:S39–42. Epub 2008/08/09. doi: 10.1111/j.1834-7819.2008.00040.x . - DOI - PubMed
Hermann JS, Buser D, Schenk RK, Higginbottom FL, Cochran DL. Biologic width around titanium implants. -A physiologically formed and stable dimension over time. Clinical oral implants research.
Conclusion
This surgical and prosthetic method requires a learing curve and good surgical and prosthetics skills.
Detailed planning with all newly available technology like CB-CT scan, digital smile design, 3D printing or mook-up models, pre-in-between, and postoperative photographic documentation is advisable.
Patients must understand every detail of rehabilitation and know all possible side effects. In addition, patients must be instructed on providing suitable hygiene protocols and be appropriately monitored lifelong.
Patient consent to the rehabilitation is also necessary. The one-time abutment is a suitable method for shortening implant rehabilitation with predictable excellent long-term results.
2000;11(1):1–11. doi: 10.1034/j.1600-0501.2000.011001001.x . - DOI -PubMed
7-Negri B, Lopez Mari M, Mate Sanchez de Val JE, Iezzi G, Bravo Gonzalez LA, Calvo Guirado JL. Biological width formation to immediate implants placed at different level in relation to the crestal bone: an experimental study in dogs. Clinical oral implants research. 2015;26(7):788–98. Epub 2014/02/08. doi: 10.1111/clr.12345 . - DOI -PubMed
8-van Eekeren PJ, Tahmaseb A, Wismeijer D. Crestal Bone Changes Around Implants with Implant-Abutment Connections at Epicrestal Level or Above: Systematic Review and Meta-Analysis. The International journal of oral & maxillofacial implants. 2016;31(1):119– 24. doi: 10.11607/jomi.4235 . - DOI - PubMed
9-Sculean A, Gruber R, Bosshardt DD. Soft tissue wound healing around teeth and dental implants. Journaof clinical periodontology. 2014;41 Suppl 15:S6–22. Epub 2014/03/20. doi: 10.1111/ jcpe.12206 . - DOIPubMed.4.3. - DOI - PMC – PubMed
10-Javed F., Ahmed H.B., Crespi R., Romanos G.E. Role of primary stability for successful osseointegration of dental implants: Factors of influence and evaluation. Interv. Med. Appl. Sci. 2013;5:162–167. doi: 10.1556/imas.5.2013.4.3. - DOIPMC - PubMed
11-Albrektsson T., Brånemark P.-I., Hansson H.-A., Lindström J. Osseointegrated titanium implants: Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop. Scand. 1981;52:155–170. doi: 10.3109/17453678108991776. - DOI - PubMed
12-Jivraj S., Chee W. Treatment planning of implants in the aesthetic zone. Br. Dent. J. 2006;201:77–89. doi: 10.1038/ sj.bdj.4813820. - DOI – PubMed
Case photograph and x-ray source Peter Kobolt; Index BPTS by Peter Kobolt; fig. 1 Medimpex, Advan All procedures were made in outpatient clinic Humanikdent d.o.o., Smrecnikovo 20, 2392 Mezica, SLO, EU
Use of Advan titanium implant with conical connection
GLOBAL S HEXAGON
The coordinate measuring machine that increases productivity
The coordinate measuring machine (CMM) GLOBAL S is a Cartesian axis measuring machine, with gantry architecture and vertical spindle on which different types of sensors can be fitted: point-to-point probes or scanning probes. It features optimal dynamics and precision for its intended use: the part to be measured is locked on spindles fixed to the worktop by threaded inserts. The movement of the axes is always controlled by the supervision system and can be controlled by the measurement software or by the user via the Jogbox portable terminal (NJB).
The coordinate measuring machine that increases productivity
GLOBAL
Since productivity is the main competitive advantage, it is essential to ensure that the measuring process provides the required data and perfectly suits the production workflow. Thanks to this innovative tool, Advan guarantees the high quality of its products, allowing technicians to immediately measure the diameters and taper of implants and prostheses. Designed by Pininfarina, the GLOBAL S features smart technologies, including an enhanced user experience, state-of-the-art software and energy saving options. A further step towards innovation.
EVEN HIGHER PRECISION
The GLOBAL S structure has been designed for accurate measurements. Its aluminium frame provides high rigidity with minimal weight, which allow the CMM to operate quickly and precisely.
MONITORING
Global S allows us to make use of its sensors to provide real time monitoring of the conditions that might affect the quality of the measured data, thereby enabling corrections to be made more rapidly.
EVEN MORE EFFECTIVE
The flexibility of the measurement strategy allows the quality technicians to use the right sensor at the right time, to ensure that the part features are verified and checked effectively.
GREATER FLEXIBILITY
It maximises efficiency and minimises testing timeframes, automatically changing sensor within the part program.
FACE TO FACE
In this interview we want to celebrate the #leadership of #women by passing the mic to two #people who hold key positions at the company.
Rosanna Quaglia
IDENTITY CARD
Name: Rosanna Surname: Quaglia
“At Advan and at P1H before that for more than 20 years”
MY PASSIONS:
• family
• happy hour with my girlfriends
Let’s start with some basic information. Could you introduce yourself briefly and describe your role at the company?
If I were a dentist…
What do you like about your job?
How do you see the company in 10 years?
At the marketing department we always like using English expressions... is there one in particular which you think best describes Advan?
Hi, my name is Rosanna Quaglia. My task is to manage and develop sales strategies, process purchase orders, liaise with customers and distributors in the various operational steps linked to the marketing of our therapeutic solutions. A particularly rewarding role, which I have held for 20 years now and which allows me to carry out a number of activities, cooperating with all the offices and liaising with our outside partners, which makes my job always dynamic, sometimes unpredictable. The direct contact with the distributor and clinician allows me to deal with different situations, leading over time to a relationship that is not only strictly professional, but also friendly and cooperative.
Thanks to my professional experience at Advan, I have witnessed not only the company’s evolution, but also the evolution of the approach and communication with practitioners and professionals. That is why I believe that, if I were a dentist, I would always like to deal with qualified and skilled personnel, who are able to advise me on the best solution for my needs. Nowadays, I believe an added value is always to offer consistent technical and training support, something we care a lot about at Advan, which can translate into safety, reliability and flexibility.
A positive work environment and good relationships with my colleagues have had a positive effect on my professional satisfaction, and contributed to a strong sense of belonging. That is why I am proud of having contributed to Advan’s development and growth. Working for this company has always been highly stimulating, since the very beginning, and has contributed to my personal growth. The rewards I have obtained over the years make me feel an integral part of the company, which by now is ‘family’ to me. «I love the dynamism of my job, the fact that it is constantly stimulating, and the possibility of transforming something tangible to fulfil its potential».
As far as the sales department is concerned, we aim at consolidating our presence on international markets and further expanding our share of the national market. However, I am a down-to-earth person who likes to focus on the present, translating ideas and assumptions into actions.
I like the idea of ‘Open Factory’ promoted by Advan and I believe that team synergies are essential, and that a spirit of collaboration among colleagues is a driving force. That is why, whenever I have to explain what Advan is and what it does, I like summarising it by analogy with an animated film that I am particularly fond of: here at Advan we are, quite simply, “The Incredibles’ – an ordinary family of superheroes”.
FACE TO FACE
Barbara Traunero
IDENTITY CARD
Name: Barbara
Surname: Traunero
“At Advan for 4 years”
Could you introduce yourself briefly and describe your role at the company?
MY PASSIONS:
chocolate
fashion
Sure, my name is Barbara Traunero and I have been on the Advan Team since 2019, after 25 years of experience in the electronics industry. My role consists in managing procurement operations, negotiating with suppliers to ensure the company has the raw materials required for production and planning the production team’s activities in order to comply with forecasts and deadlines at all times.
What
do you like
your job?
about
Most definitely, accepting the challenge of every purchasing department: bringing home the best quality raw material at the best possible price but more than that... nowadays, the lever is no longer just the lowest price but the supply timeframes which, in recent years, have extended considerably.
Furthermore, Advan only uses high quality and environmentally compatible raw materials, which are sustainable and environmentally friendly. We carry out quality checks throughout the production chain, in order to guarantee that our products are safe for people, streamlining energy resources thanks to the solar panels that cover the entire facility, and reducing the waste of raw materials.
Therefore, for me it is very important to guarantee the long service life and high quality standards of our products.
Which is the main challenge in the procurement of raw materials?
How does the Purchasing department adapt to the new challenges and opportunities of the
market?
How do you see the company in the next 10 years?
Quite definitely, receiving the material on time to guarantee the delivery of orders. Unfortunately, one of the consequences of the pandemic – which affects all sectors and stresses out purchasing departments – is the difficulty in obtaining raw materials quickly, especially for the procurement of certain types of materials that are specific to the dental sector, which have become definitely complicated to obtain.
As a consequence, production planning has become more complicated, and there is a need to match delivery and work time frames at every stage of the production cycle.
By trying to as flexible and as dynamic as possible, debunking the myth of ‘it has always been done this way’. One of the main drivers has been our focus on scientific research, on quality and on the efficiency of procurement activities. On the other hand, the sales team has been working hard to identify new market opportunities and to reach new customers, nationally as well as internationally. Our ability to adapt rapidly to our customers’ needs has been paramount.
We hope to continue this growth, streamlining the production cycle even further, and making employees’ activities easier.
If you could have a super power, which one would you choose and how would you use it at work?
I’d like the power to perfectly match procurement planning and production organisation.
