Zsystems product catalog

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The world of safe ceramic implants

Welcome to the world of safe ceramic implants Z-SYSTEMS is the global leader in ceramic implants.

Z-SYSTEMS products are CE- and FDAcertified.

Trusted pioneering advances.

Constant innovation, based on solid scientific

We are pleased to present you our complete product

Tens of thousands of successfully placed implants and over

We obtained the first CE certification for one-piece

experimentation, our unique product range and personal

range on the following pages, and to win you over with

15 years’ experience have brought us significant advances

ceramic implants in 2004. These are manufactured with

advice – your satisfaction is our goal. The road to

our safe ceramic implants.

in manufacturing, quality and know-how. We value clinical

our safe Zirkolith® process. In 2007, we were the first

reliable, safe material and design is a long one. We follow

documentation, and are certified as per ISO 13485.

ceramic implant manufacturer to meet the requirements

significant quality demands and continue successive

to obtain FDA certification. Four years later, we continued

developments. Safety without compromise is our highest

this success with our Z5c two-piece ceramic implant.

motto, because we are convinced that only sustainable

The Z5m(t) conical ceramic implant with active threads

Your Z-SYSTEMS Team

and safe implants ensure your success.

was certified by the FDA in 2015, and successfully introduced around the world.

The benefits of Z-SYSTEMS – ceramic implants at a glance ✓ Survival rate comparable to that of titanium implants ✓ Secure osseointegration thanks to the hydrophilic SLM® surface ✓ Implant and abutment can be prepped ✓ Higher material strength than titanium ✓ Less plaque, better gum attachment ✓ Not electrically conductive, no galvanic elements, no currents ✓ Sustained aesthetic results

Ceramic implants – The alternative to titanium implants.

Z-SYSTEMS is the first name in ceramic implants.

Z-SYSTEMS implants consist of a pure zirconium oxide, high-performance ceramic as per ISO 13356, and are superior to titanium implants in many areas.

Z-SYSTEMS makes no compromise in quality. Our implants not only demonstrate important advantages as compared to titanium implants, but they also are significantly different from other ceramic implants.

More natural.

Bones and gums integrate better with zirconium oxide ceramics.1

Safe.

Our unique Zirkolith® manufacturing process layers the raw material in many steps, then it is processed and ground to make implants. This process significantly increases breakage- and age-resistance. .

More sustainable.

Less plaque accretion than on titanium. This reduces the risk of perimplantitis as well as cardiovascular diseases and strokes.2

Flexible.

Both one- and two-piece Z-SYSTEMS implants can be ground in the mouth.

Thus optimized shapes as well as individual adjustments to the gums are possible.

More aesthetic.

Hydrophilic.

Thanks to the white material, no gray shadows are visible even with thin

Z-SYSTEMSimplants are plasma-sterilized, which is gentle to the material. Thus the surface

or receding gums.

is hydrophilic. Other ceramic implant producers use lower-cost steam- or ionizing gamma

3

ray sterilization. We stopped using material-stressing steam sterilization in 2009.5

Z-SYSTEMS implants are metal-free, biocompatible, conduct neither heat nor electrical energy, and cause no irritation to the immune system.4

Fast.

The patented surface is sand-blasted and laser-modified with an SLM® process.

This trusted process has been used since 2011. This not only roughens the sides of

Stronger.

the threads, it also achieves the optimal

Ceramic is much stronger than titanium.

(2–3 µ).6

More visible.

Ceramic implants are opaque to X-rays, and easier to recognize in critical situations.

degree of micro and macro roughness

6 4 2 0 -2 -4 Measurements: Alicona Infinte Focus IFM Ra = 3,10 µm -8 100 200 300 400 500 Profile lenght [µm]

-6

600

700

800

Successful.

The survival rate for Z-SYSTEMS’ Z5 generation of ceramic implants is at > 98 %, and comparable to leading titanium implants.7

1. J. Mellinghoff, «Quality of the periimplant soft tissue attachment of zirconia implants»; ZZI Zeitschrift für Zahnärztliche Implantologie, 2010; 26 (1).

4. G. Bayer, «Patienentenführung und Materialwahl bei subjektiv empfundener Titanunverträglichkeit»; Quintessenz, 2014; 65(3): 303310

2. Scarano A1, Piattelli M, Caputi S, Favero GA, Piattelli A; «Bacterial adhesion on commercially pure titanium and zirconium oxide disks: an in vivo human study»; J Periodontol.

2004 Feb; 75(2): 292–296. – J. Holländer, Dissertation Uni Frankfurt 2009.

Liñares A et al. Histological assessment of hard and soft tissues surrounding a novel ceramic implant: a pilot study in the minipig. J Clin Periodontol. 2016 Jun;43(6):538–46.

5. O. Hoffmann et al, «Osseointegration of Zirconia Implants with Different Surface Characteristics»; JOMI 2012; 27: 352–358.

3. Jung RE, Sailer I, Hämmerle CH, Attin T, Schmidlin P.: In vitro color changes of soft tissues caused by restorative materials. Int .J. Periodontics Restorative Dent. 2007 Jun; 27(3): 251–257.

4

Rawness profile Z5 – ZrO2 sand-blasted and laser-modified 8 Profile height [µm]

Healthier.

6. Dr. D. Duddeck und PD Dr. J. Neugebauer, Uni Köln, BDIZ/EDI Implant study, «quantitative and qualitative element-analysis of implant-surfaces by SEM and EDX»; 2014/2015 7. M. Lambrich, G. Iglhaut, «Comparison oft he survival rates for zirconia and titanium implants»; ZZI, Zeitschrift für Zahnärztliche Implantologie, 2008; 24 (3) – J. Mellinghoff, C. Cacaci, F. Detsch, «Einteilige Keramikimplantate – eine Longitudinalstudie über zwei Jahre Beobachtungsdauer»; Quintessenz Implantologie, 2015; 23 (1), 89–100.

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Z-SYSTEMS implant variety at a glance There are six different types of implants. Z-SYSTEMS offers the optimal solution for every indication. The outer geometry of our one- and two-part implants is identical, except for the Z5m(t) and Z5s in the upper thread area.

One-piece implant types

Two-piece implant

Z5m

Z5mlc

Z5mlb

Z5m(t)

Z5c

The trusted implant

The solution for

The solution for

The implant

The successful implant

for a variety

edentolous restorations

edentolous restorations

for immediate implantation

for cemented tissue-level

of indications

with locators

with ball anchors

and soft bone qualities

restoration

Ø 3,6 mm 8

Ø 4,0 mm

Ø 5,0 mm

Ø 3,6 mm

Ø 4,0 mm

Ø 3,6 mm

Ø 4,0 mm

Ø 4,0 mm

Ø 5,0 mm

Z5m-40-08

Z5m-50-08

8

Z5m-36-08lc

Z5m-40-08lc

8

Z5m-36-08lb

Z5m-40-08lb

8

Z5m(t)-40-08

Z5m(t)-50-08

8

Z5c-40-08

Z5c-50-08

10

Z5m-36-10lc

Z5m-40-10lc

10

Z5m-36-10lb

Z5m-40-10lb

10

Z5m(t)-40-10

Z5m(t)-50-10

10

Z5c-40-10

Z5c-50-10

12

Z5m(t)-40-12

Z5m(t)-50-12

12

Z5c-40-12

Z5c-50-12

10

Z5m-36-10

Z5m-40-10

Z5m-50-10

12

Z5m-36-12

Z5m-40-12

Z5m-50-12

Ø 4,0 mm

Ø 5,0 mm

= length in mm

What makes Z-SYSTEMS’ implants distinctive?

Abbreviations::

All Z-SYSTEMS implants are manufactured using the

Our process is many times higher than with titanium or

unique Zirkolith® process, and consist of Y-TZP-A Bio-

other ceramics. Our expensive manufacturing process

m means monotype, lc means locator, lb is lockball,

HIP® zirconium oxide. The material fulfills ISO 13356

forms the basis to fill our high quality requirements – and

t for tapered, c for cemented.

requirements for surgical implants, and achieves its

makes Z-SYSTEMS implants the first choice for ceramics.

high stability in several steps, also using a “Hot Isostatic Postcompaction” process.

6

7

2

8

7

Gingival level

6

3

Biological width

5

Bone level

1

4

Similarities and special items 1 The optimal combination of the conical basic form

3 This unique material makes it possible to prep the

6 The Z5c implant can be prepped.* Zirkolith®

shoulder on a custom basis to defined preparation

material’s high stability makes it possible to prep

achieves high primary stability even in soft D3

limits.* The shoulder design makes it possible to

the implant to defined preparation limits. This

bone.

produce the optimal soft tissue shape for a safe

unique ability in implantology means a great deal

and aesthetic solution.

of freedom for the user for individual adjustment

with dynamic, active and self-cutting threads

2 The abutment can be directly prepped in-situ. Thus one can provide customized, fast and low-cost

care. The connection geometries of our structures are filed in the most-available CAD libraries (3D Diagnostix, Carestream, Materialise, Planmeca, Sicat, Vatech).

4 The conical, self-cutting threads ensure primary stability.

5 The extraordinarily stable implant-abutment

connection plus outstanding break resistance ensure the highest level of safety.

hydrophilic surface! The laser-structured SLM®surface has been shown to promote osseointegration due to its demonstrable increased roughness. Very good long-term results with over98 % survival rates

to existing anatomical circumstances.

are documented. All implant geometries are filed in 3D

7 The secure form-fit of the abutment is achieved

with its internal cone connection. The visible gap is by design, necessary for clean cementing.

8 Straight and angled abutments in different

abutment and gingival heights are available for aesthetically superior restorations.

8

All Z-SYSTEMS implants are provided with a

planning software programs.

* Z-SYSTEMS has had the safety of manually-prepped Z-SYSTEMS implants tested by the renowned Fraunhofer Institute for Material Engineering. The results are clear. No significant impairment was found in the prepped implants. Manually prepped implants do not have a higher risk of breakage.

9

Clearly arranged surgical cassette The surgical cassette contains all of the instruments needed for implants, and is constructed in a user-friendly manner. The rotating instruments are sorted to correspond to the treatment course, and completely labeled with color-coding. The instruments as well as the space for them are provided with item numbers in order to avoid confusion.

Drill

Material characteristics All instruments which come into direct contact with

This zirconium oxide, which is reinforced with aluminum

the operating field are made of zirconium oxide. The

oxide, is ideal for manufacturing drills and thread cutters.

cutting instruments consist of high-strength ATZ high-

The ATZ drills cut in an excellent manner, and have little

performance ceramics (alumina-toughened zirconia).

wear.

Insertion instruments

RD230

TD170

TD230

TD285

TD325

TD375

TD425

CD355-1

CD455-1

ZT-MD

ZT-HA-8

ZT-RA10-8

ZT-RA20-8

Z5m-HA12lb

Z5m-RA16lb

Z5m-RA24lb

Z5m-RA16lc

Z5c-RA12

Rose drill 2,3 x 16 mm

Twist Drill 1,7 – 4,0 x 16 mm Z5m(t)

Twist Drill 2,3 x 16 mm

Twist Drill 2,85 x 16 mm

Twist Drill 3,25 x 16 mm

Twist Drill 3,75 x 16 mm

Twist Drill 4,25 x 16 mm

Cortical drill 3,55 x 12 mm Z5m(t)

Cortical drill 4,55 x 12 mm Z5m(t)

Mandrel

Handpiece adapter (for Tap)

Ratchet adapter 10 mm

Ratchet adapter 20 mm

LB Handpiece adapter 12 mm

Ratchet adapter LB 16 mm

Ratchet adapter LB 24 mm

Ratchet adapter LC 16 mm

Ratchet adapter Z5c 12 mm

Counter sinks

Thread cutter

CS360

CS400

CS500

T360-2

T400-2

T500-2

Counter sink 3,6 mm

Counter sink 4 mm

Counter sink 5 mm

Tap 3,6 mm

Tap 4 mm

Tap 5 mm

Z5c-RA16

Z5c-RA12-1

Z5c-RA16-1

HA12

RA16

RA24

Ratchet adapter Z5c 16 mm

Ratchet adapter screwed Z5c 12 mm

Ratchet adapter screwed Z5c 16 mm

Z5m Handpiece adapter

Ratchet adapter Z5m 16 mm

Ratchet adapter Z5m 24 mm

Accessories

The meaning of the colors: ZT-O3X 1 W

ZT-O3X 1.5 S

O-Ring white, for adapter tools, 10 Stk.

O-Ring black, for adapter tools 10 Stk.

Measuring

DP220 Depth probe 2,2 mm

10

Z5cPeek Ring O-Ring for Z5c adapter tools

ZT-8379

TS-RA12-1

TS-RA16-1

ZT-HE18

Red ring diamondfinisher

Replacement­ screw for Z5c-RA12-1

Replacement­ screw for Z5c-RA16-1

handpiece extension

Yellow = ø 3,6 mm, red = ø 4 mm, green = ø 5 mm, purple = Z5m(t)

Ratchet

TR-70 Ratchet

11

4,0

5,0

4,0 mm

5,0 mm

4,8 mm

6,0 mm

6,0 mm

7,0 mm

7, 10 24, 23, 25, 26

5,8 mm

8, 7, 5, 4, 3, 2 9, 10, 12, 13, 14, 15 (22), 21, 20, 19, 18 (27), 28, 29, 30, 31

7,0 mm

8, 6, 5, 4, 3, 2 9, 11, 12, 13, 14, 15 22, 21, 20, 19, 18 27, 28, 29, 30, 31

6 11

Telescope

5,6 mm

Bridge

5,6 mm

Extension bridge

4,6 mm

Bridge (max span, 1 intermediate member)

3,6 mm

Blocking

3,6

Individual tooth

recommended, depending upon bone quality.

Further possible tooth planning indications

requires a proven and standardized procedure, and

Optimal indication for tooth planning

diameter series. The use of thread cutters is

Minimal mesio-distal space needs (prosthetics)

is kept very slender. The drill is used in an increasing

Z-SYSTEMS implants. The implant bed preparation

Minimal orovestibular space needs (surgery)

High-quality ceramic instruments are used to insert

Shoulder diameter

Optimal planning is important for long-term successful restorations.

The implant dimensions given here should be seen as minimum values.

Gewinde­durchmesser

Surgical procedure

Implant size

The right choice at the right place

+

+

–

–

–

–

The drill protocol at a glance m ⁄ mlc ⁄ mlb ⁄ c Standard Optional

Max. RPM

3,6 mm

+

+

+

–

+

(+)

4,0 mm 5,0 mm

+

+

+

+ recommended | (+) not recommended | – not possible

–

+

(+)

RD230

TD230

TD285

TD325

TD375

TD425

T360L-2

T400-2

T500-2

800

800

600

500

500

500

15

15

15

D1 D2–D3 D1 D2–D3 D1 D2–D3

m(t) Counter-sinks are available for the m-, mlcand mlb implants.

Standard Optional

Max. RPM

Z-SYSTEMS warranty

4,0 mm

D3–D4

5,0 mm

D3–D4

RD230

TD170

TD230

CD355-1

CD455-1

800

800

800

400

400

The drilling protocol for D1 and D2 bones can be found in the manual.

Z-SYSTEMS is convinced of its outstanding product quality. Therefore, we provide a life-long warranty on the implants, as well as a 10-year warranty on the ceramic abutments (Z5c/Z5s). The warranty includes the replacement of Z-SYSTEMS products and no additional costs, especially for any treatment required. The Z-SYSTEMS warranty and general business terms apply.

General Safety and Warnings The descriptions in this brochure are not sufficient to allow immediate use of Z-SYSTEMS’ implant

The following points are to be noted when preparing the implant bed:

systems. It is recommended that you are instructed by an experienced operator; one must

• The length of the implant is calculated

study the manual. Not all products are available in all countries.

Z5m-40-12

14 mm 12 mm

from the crestal bone level to the apical

10 mm

lower end

Patient material We are glad to support you with informational material for your patients. Please contact us if you need implant passports, patient brochures, 5:1 models or other helpful material.

12

8 mm 6 mm

• The apical overhang of the drill tip is up to 1.3 mm

max. 1,3 mm TD325

13

General overview Implant

Abutment

Healing cap

Gingiva former

Impression caps

Laboratory analogue

G36, G40, G50, G50R G36-0, G40-0, G50-0, G50R-0

I36, I40, I50, I50R

L36, L40, L50, L50R

Novaloc™ impression matrix**

Novaloc™ Laboratory analogue**

Matrix

Instruments

Z5m

HA12

RA16*

RA24*

*also for safe handling of the Z5c abutment when gluing in

Z5m(t)

Z5mlc

Z5mlb

Novaloc™ Peek matrix**

Z5mlb-M2 matrix

Z5m-RA16lc

Z5m-HA12lb Z5m-RA16lb Z5m-RA24lb

Z5c

5 mm

4 mm

2,8 mm

Z5c-A00-4mm, Z5c-A00, Z5c-A15-4mm, Z5c-A15

3,3 mm

Z5c-HC40, Z5c-HC50

Z5c-G40-28/Z5c-G50-28/ Z5c-G40-33/Z5c-G50-33

Z5c-RA12 Z5c-RA16

Z5c-RA12-1 incl. screw

Z5c-RA16-1 incl. screw

**Orders placed with Valoc™ (www.valoc.ch)

14

15

✔

EG-Zertifikat

Headquarters Z-SYSTEMS AG | Werkhofstrasse 5 | CH-4702 Oensingen | Tel. +41 62 388 69 69 | Fax +41 62 388 69 70 | support@zsystems.com

03/17 606.234

US Distribution Z-SYSTEMS USA Inc. | B284 Monsponsett Street, Suite 209 | Halifax, MA 02338 | phone +1 (781) 754-6566 | fax +1 (781) 754-6565 | usa@zsystems.com

www.zsystems.com