O.T. Dentalstudio Implant - Catalogue 2010

Spherical evolution

Via E. Zago, 8/5 - 40128 Bologna Tel. (+39) 051 4208111 - Fax 051 4214884 info@otdental.191.it

Catalogue /Manual

Dentists and laboratory technicians 2010

OT Equator universal implant system system multiuse

One brand, multiple solutions.

OT Equator is the most evolved and adaptable titanium attachment for implants.

Born as the evolution of the OT Cap sphere, it wants to maintain the advantages of a small dimensioned attachment. It is also available to be customized for every brand and model of implant. The flexibility of this multiuse system covers everything from overdentures to the single attachment, to the many kinds of bar and to the rehabilitation of fixed prostheses.

In addition, a technique was developed for immediate loading that permits casting the framework for the prosthesis very quickly thanks to prefabricated castable components and to obtain passivity thanks to the “SEEGER ELASTIC� system. Thanks to this innovative characteristic it was decided to use the OT Equator attachment in monoblock for a new series of titanium MINI - MEDIO transmucosal implants. On these fixtures with a smaller diameter it is possible to distribute the stress load more homogeneously thanks to a passive bar.

The range of possibilities extends to all types of implant prostheses, assuring homogeneity in the protocol independently of the implant system.

A project of the MIUR Rhein 83 research laboratory in partnership with

University of Modena and Reggio Emilia

Faculty of Medicine.

Department of Integrated Activities of Specialized Head-Neck Surgery.

Research and Development Center of Diagnostic Methods in Therapeutic Reconstructive Surgery, Dental Materials and Implant Prosthesis.

Director: Prof. Ugo Consolo

OT Equator universal implant system multiuse system

INDEX

Pag. One brand multiple solutions................................................... 2 SEEGER BRIDGE fixed prosthesis................................................. 4 SEEGER BRIDGE for immediate loading....................................... 7 Fixed prosthesis – functional tests............................................ 8 SEEGER BRIDGE for differed loading – System A............................ 9 SEEGER BRIDGE for differed loading – System B.......................... 10 MINI - MEDIO Implant............................................................. 14 Passive bar - ELASTIC SEEGER.................................................. 15 Office-Laboratory-Office system......................................... 16 Office-Laboratory-Office system 1° session.......................... 17 Post surgery protective barrier.............................................. 18 Office-Laboratory-Office system Laboratory......................... 19 Office-Laboratory-Office system 2° session.......................... 20 Titanium overdenture attachments + TiN.................................. 21 Overdenture root canal posts with Equator attachments.............. 22 Components, accessories and tools OFFICE................................ 23 Components, accessories and tools LABORATORY......................... 25

OT Equator universal implant system

SEEGER BRIDGE fixed prosthesis Stress load distributed between Seeger and screw

Ă˜ 2,5 mm

SYSTEM A: Castable abutment

SYSTEM A: Castable abutment Single casting system

SYSTEM B: Titanium abutment + Castable sleeve

SYSTEM B: Titanium abutment + Castable sleeve Casting system + cemented abutment

OT Equator universal implant system SEEGER BRIDGE fixed prosthesis

The SEEGER BRIDGE fixed prosthesis can be considered as the evolution of the concept of a fixed bridge screwed onto implants, while maintaining stability and the ability to easily inspect them.

The revolutionary concept of this type of prosthesis resides in the retention system, which not only relies on screws but also on an elastic element called SEEGER positioned in the undercut of the attachment.

The realization of any pontic is a simple operation thanks to the calculated tolerances between the attachment and the prefabricated components used to construct it. Screwing the prosthesis into place assures a secure stability because the slightly conic connections between the OT Equator attachment and the bridge structures match perfectly to one another. The locking of these two elements is obtained thanks to a slightly elastic snap ring called SEEGER, that is interposed in the undercut of the hemisphere. The system is completed with the traditional titanium screws. With this methodology the stress load is distributed amongst several retentive components and the risk of the screws breaking or coming loose is considerably reduced. This system has the prerogative of simplifying all the phases of the technique of screwing a fixed prosthesis onto implants, whether it be loaded immediately or differed and even with a disparallelism of more than 30째.

The system is presented as a universal technique thanks to the availability of the OT Equator constructed for every implant system being used today.

In addition it can resolve, with incredible simplicity, cases in which different implant systems were used and it is necessary to replace a preexisting fixed overdenture prosthesis with a new one.

OT Equator universal implant system

SEEGER BRIDGE fixed prosthesis Differed loading - immediate loading KIT 42: ASSORTMENT OF OT EQUATOR ABUTMENTS This kit is specifically conceived to answer the needs of immediate loading. It provides the surgeon and the prosthodontist with a complete assortment of attachments, ranging from 1 to 7 mm in height. The objectives of this system are to facilitate the transfer of the prosthetic platform away from the soft tissues and to reestablish a level plane for the attachments parallel to the occlusal plane.

The technique using the SEEGER BRIDGE makes it easy to obtain a precise impression and a permanent bridge in a very short period of time.

The KIT with the assortment of SEEGER BRIDGE OT Equator attachments is supplied upon request for every brand and type of implant being sold today. These attachments are intentionally made of grade 5 E.Li. Titanium (not coated with TiN and supplied without retention caps).

Abutment OT Equator in Titanium G.5 E.Li. For all types and brands of implants with an internal hexagon: abutment heights range from 0,5 mm to 7,0 mm.

For all types and brands of implants with an external hexagon: abutment heights range from 1,7 mm to 7,0 mm.

KIT 42

PACKAGE WITH AN ASSORTMENT OF OT EQUATOR (G.5 E.Li.) Titanium abutments For all types and brands of implants with an internal hexagon: abutment heights range from 0,5 mm to 7,0 mm.

For all types and brands of implants with an external hexagon: abutment heights range from 1,7 mm to 7,0 mm.

For the most widely known implant brands, the single attachments are shipped upon receipt of the order.

For the less popular implant brands, the single attachments are shipped within 5/6 days.

The KIT 42 with the assortment of abutments for the less popular implant brands are shipped within 10/15 days after receipt of the order.

ATTENTION: when ordering the KIT 42 it must be clearly specified:

BRAND OF THE IMPLANT

KIND AND DIAMETER OF THE IMPLANT

OT Equator universal implant system

SEEGER BRIDGE fixed prosthesis immediate loading Dental office

Kit 42 package of assorted autoclavable OT Equator attachments.

Immediate loading: from the surgery to the temporary bridge

The temporary bridge is constructed on the model leaving the teeth (stumps) that will be extracted.

The bridge is tried in the patient’s mouth before the teeth are extracted to check the functionality and articulation.

Manual tightening of the attachments chosen from the assortment in the KIT 42.

Implants inserted into the bone crest OT Equator attachments screwed onto the implants.

Titanium abutments with long screws, SEEGER retentions have to be inserted into the abutments.

Protective dam and titanium abutments stabilized on the OT Equator attachments thanks to the SEEGER and the long screws.

Temporary bridge relined and blocked onto the Titanium abutments with an internal metallic reinforcement.

Temporary bridge attached with SEEGER retentions using short screws.

End of the first session.

OT Equator universal implant system

SEEGER BRIDGE fixed prosthesis differed loading Dental office TITANIUM TRANSFERS FOR THE IMPRESSION LONG TITANIUM SCREWS STAINLESS STEEL OT Equator ANALOGUES STAINLESS STEEL HOUSING AND RETENTION CAP

Functional and aesthetic tests in the patient’s mouth With a stable resin plaque and retentive caps.

Impression and stainless steel OT Equator analogue.

Resin plate with wax block constructed in the laboratory with retentive caps to make it more stable in the mouth and to determine the centric articulation.

Cleaned resin plate. Teeth mounted with wax. The stability will permit a valid test.

Articulator with plate modeled according to the size and the aesthetics of the finished bridge.

The plate locked into position with the caps above the abutments allows verification of the gnathologic data with extreme precision.

The stability permits verifying the articulation, the phonetics and aesthetics with the participation of the patient.

OT Equator universal implant system

SEEGER BRIDGE fixed prosthesis differed loading prosthesis Laboratory technician

SYSTEM A

CASTABLE ABUTMENT WITH SEATING FOR SEEGER RETAINING RING WITH HANDLE FOR INDICATING DIRECTION, LONG AND SHORT TITANIUM SCREWS.

Silicone template taken with the plate positioned on the model.

Castable stump SEEGER holder mounted on top of the analogues with long screws.

Modeling phase of the bar joined section by section with self-curing resin, in order to avoid retractions the modeling will be completed with wax.

Completed structure with teeth in position.

Finished SEEGER BRIDGE fixed prosthesis on the model.

OT Equator universal implant system

SEEGER BRIDGE fixed prosthesis differed loading prosthesis

SYSTEM B

Dental laboratory

TITANIUM ABUTMENT + CASTABLE SLEEVE MODELING OF THE PONTIC, TECHNIQUE WITH ABUTMENT IN TITANIUM + CEMENTED SLEEVE.

Titanium abutment with long screws mounted on the OT Equator attachment.

Castable bar bonded to the sleeve with selfcuring resin, first in small sections which are then united to avoid retraction of the bar.

Castable sleeve in position on the Titanium abutment.

Finished modeled structure using wax.

Cast bridge, one can note the fused sleeves cast larger in order to contain the cement.

OT Equator universal implant system

SEEGER BRIDGE fixed prosthesis differed loading prosthesis dental laboratory

CEMENTATION PROCEDURE Titanium abutment + Castable sleeve

SYSTEM B

Insert the SEEGER to give it stability.

On the basis of the divergence between the implants one can cement one or more sleeves at a time on the abutments.

Use a composite cement. Preferably anaerobic.

Light curing products are contraindicated.

Lubricate the inside of the Titanium abutment before inserting the long screws.

Spread the cement on the abutment and inside the sleeve.

Place the bridge into position and tighten the long screws, wait until the cement hardens.

OT Equator universal implant system

SEEGER BRIDGE fixed prosthesis differed loading prosthesis

dental laboratory

SYSTEM B

CEMENTATION PROCEDURE Titanium abutment + Castable sleeve

After the cement has hardened remove any excess residue, remove the screws and the bridge.

Carefully remove any cementum excess.

Evaluate whether or not the SEEGERS used in the laboratory should be removed and substituted with new ones.

Finished bridge, the dentist will fix it in the mouth using short screws which are never used in the laboratory to avoid wearing out the threads.

OT Equator universal implant system

SEEGER BRIDGE fixed prosthesis differed loading prosthesis

SYSTEM B CEMENTATION PROCEDURE Titanium abutment + Castable sleeve

In case of any doubt about the precision of the impression the titanium abutments can be cemented onto the cast bridge directly in the mouth of the patient.

The method is similar to the one used on the model.

Finished bridge.

When there are many anchorages 2-3 screws will be enough to attach the bridge.

To block it on the remaining fixtures the SEEGER retaining rings are sufficient.

This can be very useful for practical and aesthetic reasons if there is a considerable disparallelism and the screws could create problems.

OT Equator universal implant system Overdenture

MINI - MEDIO implant

OVERDENTURES TRANSMUCOSAL IMPLANTS MINI - MEDIO Titanium IMPLANTS + TiN Fixtures diameter Ø 3,2 mm

Stainless steel housing for caps

Ø 2,7 mm

White cap Standard retention

8 mm

8 mm

11 mm

11 mm

13 mm

13 mm

15 mm

15 mm

Violet cap High retention Pink cap Soft retention Yellow cap Extra soft retention Black cap for laboratory

Overdentures MINI-MEDIO transmucosal implants The MINI-MEDIO implant is a range of transmucosal implants. The shape of these implants and their diameter offer a vast surface area that considerably increases their primary retention in the bone. The external retentive shape of the OT Equator attachment stabilizes the mobile prosthesis. Using the assortment of the retention caps with various retentions and colors it’s possible to manage the retention of the mobile prostheses and adapt it to the case.

The OT Equator attachment with its reduced vertical dimension does not create problems with the construction of the mobile prosthesis or with the adaptation of the old one.

Two MINI - MEDIO implants with an EQUATOR attachment.

If a removable prosthesis needs more resilience on all the OT Equator spheres one can use the elastic retention caps and the stainless steel housings from the OT Equator CAP NORMO line.

The retention of the prosthesis will have the same stability, the connection will be less rigid.

Violet colored elastic retention cap. Rigid retention.

OT Equator universal implant system MINI - MEDIO implant Overdenture

SEEGER PASSIVE ELASTIC CONNECTION BAR This is a new system to gather and block a cast bar to implants in a simple and passive way, even when there is a considerable disparallelism.

The actual systems utilize various techniques that tend to resolve the problems of disparallelism between the fixtures, using conic abutments either prefabricated or made in the laboratory to rigidly block the overstructure with screws. ELASTIC SEEGER is an elastic clip that wedges in the undercut at the base of the hemisphere that is joined to the MINI MEDIO implant (or an OT Equator attachment screwed onto any brand of implant). The SEEGER remains compressed between the hemisphere and the cylinder (which is part of the bar) creating a primary retention.

The locking of the bar is completed with a sealing cap Titanium screw that closes the cylinder while at the same time compresses the SEEGER snap ring, which thanks to its elasticity prevents the screw from coming loose.

Titanium sealing cap

Equator sphere and cast empty cylinder.

White Seeger spring Lab Seeger Castable casing

Seeger spring pushed by the inserter tool during insertion stage.

Ot Equator sphere

Seeger spring in place, compressed by the sealing lid.

OT Equator universal implant system

MINI - MEDIO implant Overdenture

OFFICE - LABORATORY - OFFICE SYSTEM Immediate load prostheTiCs IN 24/48 hours Passive ELASTIC SEEGER connecting bar Guided protocol starting with the implant surgery to the prosthesis for rehabilitating an edentulous patient.

The package contains an assortment of components and accessories for constructing and finishing the prosthesis without any mistake. To perform the surgery to prosthesis protocol the MINI - MEDIO implants are purchased separately.

SPHERICAL RETENTION

BAR RETENTION

OFFICE - LABORATORY - OFFICE SYSTEM The recommended procedure is the one normally used by the dentist for a mobile prosthesis, taking an impression and determining the vertical and centric dimensions. During the next session with the patient the dentist proceeds with trying the teeth mounted on the wax base, verifying the functionality and the aesthetics and with the patient’s approval he then proceeds with the surgical phase and places the implants.

Impression and articulation block.

Teeth mounted in wax.

OT Equator universal implant system MINI - MEDIO implant Overdenture DENTAL OFFICE OFFICE - LABORATORY - OFFICE SYSTEM Immediate load prostheTiCs IN 24/48 hours Passive ELASTIC SEEGER connecting bar From the surgery to the prosthesis This system offers everything needed by the laboratory to construct a prosthesis with a double structure. The four MINI - MEDIO implants are ordered separately by the dentist according to the height and diameter needed to rehabilitate an edentulous patient. The system guarantees a work plan that is completed in two or three sessions without any problem.

SPHERICAL RETENTION DARK BLUE PACKAGE

TEETH TRIAL AND SURGICAL SESSION

INSERTION OF THE MINI - MEDIO IMPLANTS

IMPRESSION WITH PICK-UP TRANSFERS

The assortment available going back and forth from the dentist to the laboratory facilitates and standardizes the procedure without any mistakes.

The laboratory must receive the impression, the articulator and the KIT.

OT Equator universal implant system

MINI - MEDIO implant Overdenture Dental office

OFFICE - LABORATORY - OFFICE SYSTEM Immediate load prostheTiCs IN 24/48 hours Passive ELASTIC SEEGER connecting bar

POST SURGERY PROTECTIVE BARRIER During the 24/48 hours that on the average pass from the time the implants are inserted to when the permanent bridge is fixed, it is recommended to protect the gingival area and the implants from trauma, particularly when eating and during the night.

Even with the possibility of adapting the old prosthesis it is preferable to use a protective plate.

PROTECTIVE RESIN PLATE made in the laboratory with a space in the gingival area above the implants.

Blocking the retention caps with selfcuring resin, it is advised to protect the area with a piece of a rubber dam or glove.

Polished and finished PROTECTIVE RESIN PLATE, it is recommended to use an elastic cap with a low level of retention.

Before inserting the PROTECTIVE RESIN PLATE in the patient’s mouth, it is recommended to apply a medicine or to reline it with a medication.

Removing the PROTECTIVE RESIN PLATE after a few days, the tissues so contained will not be swollen.

It will be possible to check and mount the elastic SEEGER bar.

OT Equator universal implant system MINI - MEDIO implant Overdenture DENTAL LABORATORY OFFICE - LABORATORY - OFFICE SYSTEM Immediate load prostheTiCs IN 24/48 hours Passive ELASTIC SEEGER connecting bar THE REMAINING COMPONENTS OF THE KIT CONTAIN EVERYTHING NEEDED TO CONSTRUCT THE MESOSTRUCTURE AND CAST OVERSTRUCTURE AS WELL AS THE COMPONENTS NEEDED TO FINISH THE RESIN PROSTHESIS.

Insulating Teflon tape.

Bar mesostructure and the modeled overstructure together and isolated with TEFLON.

Structure and overstructure obtained with a single casting.

Finished prosthesis.

The material that remains returning from the laboratory to the dentist facilitates and standardizes the work and avoids any error.

OT Equator universal implant system

MINI - MEDIO implant Overdenture DENTAL OFFICE

OFFICE - LABORATORY - OFFICE SYSTEM Immediate load prostheTiCs IN 24/48 hours Passive ELASTIC SEEGER connecting bar From the surgery to the prosthesis: the residual materials in the KIT serve to apply the prosthesis in the patient’s mouth.

Insertion direction of the Seeger

Positioning of the bar and insertion of the white Seeger elastic retention using the inserter.

Radiographic control.

Passive bar in position.

Tightening the titanium sealing cap on the passive bar, even in presence of elevated disparallelism.

Finished prosthesis.

OT Equator universal implant system Overdenture OT Equator overdenture attachments in Titanium + TiN For every type of implant on market For the most widely used brands of implants the OT Equator attachments are shipped when the order is received.

For less popular brands the shipment is made within 5/6 days.

Ă˜ 2,5 mm

Abutment heights from 0,5 mm to 7,0 mm

The assortment of caps with various degrees of elasticity allows the regulation of retention on the mobile prosthesis.

S/steel box for retentive caps White caps standard retention Violet caps strong retention Pink caps soft retention Yellow caps extra soft retention Three Ot Equator screwed on osteointegrated implants.

Black cap for lab use

OT Equator universal implant system DENTAL STUDIO Overdenture ROOT CANAL POSTS with Equator attachments in Titanium + TiN EQUATOR PIVOT

Equator pivot in Titanium + TiN is a direct overdenture attachment for roots.

Its reduced dimensions permit to stabilize mobile prosthesis even when there is limited vertical height. In the hole on the hemisphere it is possible to place a screw. In particular cases, this makes it possible to design “elastic SEEGER” connection bars between several roots or to passively connect roots with MINI - MEDIO implants in a simple and passive way.

White caps standard retention Ø 1,4 - 7 mm

Ø 1,7 - 9 mm

Ø 1,8 - 10 mm

S/steel box for retentive caps

Pink caps soft retention Yellow caps extra soft retention

Ø 2,5 mm S/steel box for retentive caps Pink caps soft retention Yellow caps extra soft retention Protective disk

COMPONENTS, ACCESSORIES AND INSTRUMENTS OFFICE Ă˜ 2,5 mm

OT Equator attachments 5 grade Eli titanium (for all type of implants with abutment heights from 0,5 to 7 mm)

Kit 42 Ot Equator assorted attachments sterilizable

Blue handle for inserters

S/steel curved inserter (for elastic Seeger) Titanium long screw S/steel straight bilateral support (for retentive caps) Titanium sealing caps Titanium transfer with screw

S/steel box for retentive caps White caps standard retention

Plastic tear off transfer

White Seeger (for bar)

Pink caps soft retention Yellow caps extra soft retention Violet caps strong retention

Seeger with handle Protective disk

COMPONENTS, ACCESSORIES AND INSTRUMENTS OFFICE 8 mm 11 mm 13 mm 15 mm

Drills kit

Perforating drill Ø 1,52 mm

Calibrated drill Ø 1,9 mm

Mini - medio Implant Ø 3,2 mm - Ø 2,7 mm

Ratchet wrench

Support for the surgical key and ratchet wrench

Calibrated drill Ø 2,4 mm Surgical key Bone tap Ø 2,7 mm

Bone tap Ø 3,2 mm

Square allen key Ø 1,25 mm

Vertical stop 15 mm

Vertical stop 13 mm

Short hexagonal allen key Ø 0,9 mm

Vertical stop 11 mm

Vertical stop 8 mm

Long hexagonal allen key Ø 0,9 mm

COMPONENTS, ACCESSORIES AND INSTRUMENTS LABORATORY S/steel analogues Ø 3,7 mm - Ø 4,1 mm

Square allen key Ø 1,25 mm

Long hexagonal allen key Ø 0,9 mm Castable abutment components (for SEEGER BRIDGE fixed prostheses)

Short hexagonal allen key Ø 0,9 mm

Blue handle for inserters Titanium abutment components with castable sleeve (for SEEGER BRIDGE fixed prostheses)

S/steel curved support (for elastic Seeger) S/steel straight bilateral support (for caps)

Assortment of components for Elastic SEEGER structures

Seeger with handle

Stainless steel cap housing White cap standard retention Pink cap soft retention

White SEEGER without handle (for bar prostheses) Red SEEGER for the laboratory Castable connection bar

Yellow cap extra soft retention Violet cap strong retention Black cap for the laboratory

NOTES

OT Equator universal implant system system multiuse

One brand, multiple solutions.

OT Equator is the most evolved and adaptable titanium attachment for implants.

Born as the evolution of the OT Cap sphere, it wants to maintain the advantages of a small dimensioned attachment. It is also available to be customized for every brand and model of implant. The flexibility of this multiuse system covers everything from overdentures to the single attachment, to the many kinds of bar and to the rehabilitation of fixed prostheses.

In addition, a technique was developed for immediate loading that permits casting the framework for the prosthesis very quickly thanks to prefabricated castable components and to obtain passivity thanks to the “SEEGER ELASTIC� system. Thanks to this innovative characteristic it was decided to use the OT Equator attachment in monoblock for a new series of titanium MINI - MEDIO transmucosal implants. On these fixtures with a smaller diameter it is possible to distribute the stress load more homogeneously thanks to a passive bar.

The range of possibilities extends to all types of implant prostheses, assuring homogeneity in the protocol independently of the implant system.

A project of the MIUR Rhein 83 research laboratory in partnership with

University of Modena and Reggio Emilia

Faculty of Medicine.

Department of Integrated Activities of Specialized Head-Neck Surgery.

Research and Development Center of Diagnostic Methods in Therapeutic Reconstructive Surgery, Dental Materials and Implant Prosthesis.

Director: Prof. Ugo Consolo

Spherical evolution

Via E. Zago, 8/5 - 40128 Bologna Tel. (+39) 051 4208111 - Fax 051 4214884 info@otdental.191.it

Catalogue /Manual

Dentists and laboratory technicians 2010