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Straumann Tissue Level Implants

Predictable and Efficient

Name, Function (Arial 20p)

Event, Date (Arial 20p)
 Straumann Implants at Tissue Level

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 Straumann Implants at Tissue Level
Features and Benefits Features Benefits
Optimal load distribution and minimal
45
1 microgap between implant and
shoulder
prosthesis
Smooth
Enables flexible tissue management
2 neck
taking the biologic width into account
section

Morse For uniform load distribution and

3 taper reliable stable implant-to-abutment
connection joints with prevention of rotation

Offers great flexibility and is designed

Internal
4 to ensure accurate repositioning of
octagon
the prosthesis
Macro- and microstructured
SLA
5 osseoconductive surface for
surface
osseointegration after 6-8 weeks
Molecular optimization of the SLA
SLActive surface with hydrophilic and
surface chemically active properties for even
faster osseointegration and higher
treatment predictability

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Restorative Dimensions Built into the Tissue Level
Implant Design

Collar/ gingiva height

Diameter of restorative platform

soft tissue level implants

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Clinical Situations

* It is the clinicians decision to determine which implant deign is most appropriate for treatment. As a general rule, always use the widest endosseous implant
diameter possible. Due to their reduced mechanical stability, small diameter implants are not recommended for a molar region

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Predictable and Efficient - Straumann Tissue Level

Design Fundamental

Product Portfolio

Scientific Overview

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 Bone Control Design
Straumann developed Bone Control Design based on five fundamental biological
principles, thereby designed to assure crestal bone preservation and soft
tissue stability.

Implant surface
Bone Control Design
1 osseoconductivity
5
2 Microgap control

Biomechanical
3 implant design

Respecting the
4 biological distance
crestal bone preservation
Position of smooth soft tissue stability
5 and rough surface

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 Bone Control Design

Standard Standard Plus Tapered Effect

Implant surface
1 osseoconductivity
SLActive

2 Microgap control Straumann synOcta Morse taper

Biomechanical implant Fatigue strength

3 design Optimized force transmission

4 Respecting the
biological distance
Vertical offset: microgap above bone

Optimal position of
Interface located in relation to the biologic
5 smooth and rough
distance.
surface

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Predictable and Efficient - Straumann Tissue Level

Design Fundamental

Product Portfolio

Scientific Overview

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Straumann Tissue Level Portfolio - Implant Lines

Standard Implants (S)

Standard Plus Implants (SP)
Tapered Effect Implants (TE)

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Standard Implant Features and Benefits

Features Benefits
First microgap clearly above bone level
2.8 mm
to take the biologic width into account.
1 smooth neck
Optimized tulip shape for transgingival
section one-stage surgical protocol.

Optimized
Engineered for primary and secondary
2 thread
stability
design

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Standard Implant Options

Neck
diameter

Endosteal
diameter

Available
lengths 8/10/12/14/16 mm 6/8/10/12/14/16 mm 6/8/10/12/14 mm 6/8/10/12 mm

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 Straumann Tissue Level Portfolio - Implant Lines

Standard Implants (S)

Standard Plus Implants (SP)
Tapered Effect Implants (TE)

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Standard Plus Features and Benefits

Features Benefits

1.8 mm For optimal flexible tissue

1 smooth neck management, particularly when
section esthetic demands are high

Optimized Engineered for primary and secondary

2
thread design stability

The flexible solution for trans-, semi- or subgingival implant

placement in the esthetic region.

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 Standard Plus Implant - Options

Neck
diameter

Endosteal
diameter

Available 8/10/12/14 mm 8/10/12/14 mm 6/8/10/12/14 mm 6/8/10/12/14 mm 6/8/10/12 mm

lengths

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Standard vs. Standard Plus

Standard implant Standard Plus implant

1.8 mm
2.8 mm

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 Straumann Tissue Level Portfolio - Implant Lines

Standard Implants (S)

Standard Plus Implants (SP)
Tapered Effect Implants (TE)

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Tapered Effect Implant Features and Benefits

Features Benefits

Designed to enables optimal fit in

Anatomical implant
1 the extraction alveolus and
shape
reliable primary stability

For optimal flexible tissue

1.8 mm smooth management, particularly when
2
neck section esthetic demands are high taking
the biologic width into account

Specific TE thread Self-tapping geometry with low

3
design thread pitch

The specialist for immediate and early implantation

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Tapered Effect Implant

Secondary stability:
Bone-to-implant
contact

Primary stability:
Immediate bone-to-
implant contact

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Tapered Effect Implant - Options

Neck
diameter

Endosteal
diameter

Available 8/10/12/14 mm 8/10/12/14 mm 10/12/14 mm

lengths

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Tapered Effect vs. Standard and Standard Plus

Tapered Effect Standard and

implants Standard Plus
implants
1.25 mm

0.8 mm

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Prosthetic Options

Treatments:
- Crowns
- Bridges
- Overdentures
- Cement-retained restorations
- Screw-retained restorations
- Fixed prostheses

LOCATOR is trademark of Zest Anchors, Inc., California,USA.

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Reliable and Secure Implant-to-Abutment Connection

Straumann Morse taper connection

For uniform load distribution and reliable stable implant-
to-abutment connection with prevention of rotation.

Straumann synOcta Morse taper connection

The mechanically locking friction fit of the Straumann
synOcta internal connection, with its 8 Morse taper
connection, is designed to provide a more secure
implant to abutment connection.

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Healing Caps and Closure Screws
For submucosal healing closure screw or shorter healing cap
For transmucosal healing, taller healing cap
For esthetic region, the labial bevel facilitates exact approximation of
the soft tissue over the healing cap.

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Predictable and Efficient - Straumann Tissue Level

Design Fundamental

Product Portfolio

Scientific Overview

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 Scientific Confidence at Tissue Level
20 years of clinical documentation
More than 9 million implants sold
Limited Lifetime guarantee

SLActive and SLA studies

TE study

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Straumann SLActive - Study Overview
Topic Nr Content Author

1 Evaluation of surface free energy (SFE) and hydrophilicity of different titanium surfaces F. Rupp et al.
Surface
properties
In-vitro

2 Effects of molecular and cellular interactions on various treated titanium surfaces L. Scheideler et al.
&
early cell 3 Comparison of early cellular activity at hydrophilic and hydrophobic surface G. Zhao et al.
response
4 Proliferation of MG63 and primary cells on various treated titanium surfaces X. Raush-Fan et al.

5 Comparison of bone opposition of the surface of SLA and SLActive implants D.Buser et al.

6 Comparison of biomechanical properties of SLA and SLActive implants SJ. Ferguson et al.

7 Effects of surface hydrophilicity and microtopography on early stages of soft and hard tissue integration Schwarz F. et al.

8 Evaluation of initial and early subepithelial connective tissue attachment to SLA and SLActive implants Schwarz F. et al.

Early bone 9 Assessment of initial and early osseous integration at SLA and SLActive implants F. Schwarz et al.
Animal

healing
10 Influences of implant design and surface properties on osteointegration and implant stability J. Gottlow et al.

11 Comparison of bone apposition around SLA and SLActive implants M. Bornstein et al.

12 Bone regeneration with SLActive in dehiscence-type defects F. Schwarz et al.

13 Comparison of bone apposition around SLA and SLActive implants at sites with coronal circumferential defects Lai H-Cet al.

14 Influence of titanium implant surface characteristics on bone regeneration in dehiscence-type defects F. Schwarz et al.

15 Comparison of SLA and SLActive implant stability T.W. Oates et al.

16 Immediate and early loading of SLActive implants in the posterior mandible and maxil J. Ganeles et al.

17 3 weeks loading of SLActive implants in the maxillary molar region M. Roccuzzo/ T.G. Wilson
Human

Clinical
studies 18 Early loading of non-submerged SLActive implants Bornstein M.M. et al.

19 Early loading at 21 days of non-submerged SLActive implants Bornstein M.M. et al.

20 Early loading after 21 days of healing of non-submerged SLActive implants D. Morton et al.
21 A multicenter prospective non-interventional study about Straumann SLActive implants G. Luongo et al.

More details

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Straumann Tapered Effect Implant Selected Studies

Study Setup, Author /

Topic Nr Content
Principal Investigator
cadaver

TE implants have greater initial intraosseous stability (ISQ) Human cadaver study, Akkocaoglu
Initial stability 1
compared to SP 4.1 mm implants et al., 2005

Study complete, publication in

Immediacy 2 TE implants immediately placed in extraction sockets
process

100 % successful function in immediately placed TE 83 implants, 18 months follow up,

Immediacy 3
implants in maxillary molar extraction sites Fugazzotto et al., 2006
human

110 implants, multicenter, 20

Alveolar ridge 97.3% survival rate with mostly immediately placed TE
4 months follow up, Chiapasco et al.,
expansion implants during alveolar ridge expansion 2006

Ridge 100% overall clinical success rate with TE implants placed 42 TE implants, 18 months follow
5
augmentation in combination with a ridge augmentation procedure up, Ferrigno et al., 2005

Tapered Effect implants provide excellent primary stability as well as high success and survival
rates.

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Why Straumann Tissue Level Portfolio?

Predictable

Have science on your side

Efficient

Save time and increase efficiency in your practice

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Have Science on Your Side

High treatment success and patient satisfaction

supported by strong scientific evidence
Peace of mind thanks to high implant survival rates
and extensive scientific documentation
Functional and esthetic prosthetics with long-term
clinical success

Data on file

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Save Time and Increase Efficiency in Your Practice

One-stage surgical procedure enabled by a one-

piece, transmucosal design
Simplified restorative procedures with our streamlined
product portfolio
Built-in soft tissue management due to polished collar
Easy hygiene for patients thanks to height of polished
collar
Tissue level connection designed to simplify
prosthetic handling

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Straumann Soft Tissue Level Implants

Predictable

Efficient

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 Thank you!

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Tapered Effect

Scientific Overview
Straumann Tapered Effect Implant Selected Studies
Study Setup, Author /
Topic Nr Content
Principal Investigator
cadaver

TE implants have greater initial intraosseous stability (ISQ) Human cadaver study, Akkocaoglu
Initial stability 1
compared to SP 4.1 mm implants et al., 2005

Study complete, publication in

Immediacy 2 TE implants immediately placed in extraction sockets
process

100 % successful function in immediately placed TE 83 implants, 18 months follow up,

Immediacy 3
implants in maxillary molar extraction sites Fugazzotto et al., 2006
human

110 implants, multicenter, 20

Alveolar ridge 97.3% survival rate with mostly immediately placed TE
4 months follow up, Chiapasco et al.,
expansion implants during alveolar ridge expansion 2006

Ridge 100% overall clinical success rate with TE implants placed 42 TE implants, 18 months follow
5
augmentation in combination with a ridge augmentation procedure up, Ferrigno et al., 2005

Tapered Effect implants provide excellent primary stability as well as high success and survival
rates.

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Implant design and intraosseous stability of immediately
placed Implants: a human cadaver study
Method:
- 4 cadavers were implanted with Straumann TE ( 4.1/4.8mm) and standard plus ( 4.1 and 4.8
mm) implants in freshly prepared mandibles premolar extraction sites
- Implants were placed in fresh extraction sites in the mandibular premolar region
- Parameters:
- Implant stability quotient (ISQ), installation torque value (ITV) and removal torque value (RTV)
- Vertical defect depth around the collar
- Bone-implant contact (BIC)
Results:
- ISQ of TE implant was higher than 4.1 mm implant, and comparable with the 4.8 mm implants.
- ITVs and RTVs of TE and 4.8 mm implants were higher than 4.1 mm implants, though not
significantly different p>0.05
- Vertical defect depths around all types of implants were similar
- %BIC of TE and 4.8 mm implants were comparable and higher than 4.1 mm implants.
Conclusions: Immediately placed TE implants leads to initial intraosseous stability and interface
mechanical properties comparable with a wide diameter implant

Akkocaoglu M, et al. Clin. Oral Impl. Res. 16, 2005 / 202209

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Implant Placement at the Time of Maxillary Molar Extraction:
Technique and Report of Preliminary Results of 83 Sites
Methods:
- 83 TE implants ( = 4.1/6.5mm) placed in 1st or 2nd
maxillary molar site
- Manipulation of remaining interradicular bone with
osteotomes
- Regenerative materials (grafts and membranes) were placed
A radiograph of the restored implant in function
- Passive soft-tissue primary closure was attained in all cases for 16 months

Results
- Soft-tissue closure maintained until clinical reentry 6 months after insertion in 81 of 83 sites
- All implants were clinically immobile and were restored with single crowns 6 months after
insertion
- All implants were functioning successfully 12 to 18 months (mean: 12.4 months)

Conclusion: Through the use of these methods, all therapeutic compromises may, at worst, be
significantly minimized and, at best, be predictably avoided

Fugazzotto P. J Periodontol 2006; 77:302-309.

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Dental implants placed in expanded narrow edentulous ridges with
Extension Crest device : A 1-3 year multicenter follow-up study
Methods:
- 45 patients treated by means of a sagittal osteotomy and expansion of the ridge with a new
surgical device (Extension Crest)
- 110 Straumann TE implants placed
- 3-4 months later, patients were rehabilitated with implant-supported prostheses
Results
- Implant survival rate of 97.3% (mean follow up of 20.4 months) using the specified surgical
procedure

Preoperative situation Final outcome

Chiapasco M, et al. Clin Oral Implants Res. 2006 Jun;17(3):265-72.

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Surgical advantages with TE implants placement in conjunction with split
crest technique: 18-month results of an ongoing prospective study
Criteria for success

Method:
- 40 Standard solid screw implants placed in 20 patients and 42 TE
( =3.3/4.8mm) in another 20 patients
- Evaluation: 3 to 21 months from loading, with a mean observation
at 12 months.
Results:
- In surgical and implant insertion phases, fracture of labial or
palatal cortical plates was avoided in patients treated with TE.
- Success rate: 100% for TE implants and 95% for S implants

Results of 42 TE implants during the study period

Conclusion
- TEs implants inserted in conjunction with split crest technique seem to be a promising surgical
procedure to treat selected anatomic situations involving insufficient maxillary bone thickness.

Ferrigno N, et al. Clin. Oral Impl. Res. 16, 2005; 147155

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Thank You!
 Presentation links Video links

Straumann Dental Implants Overview Production Video : Birth of an Implant

Straumann Bone Level Portfolio Surgical Procedure

Straumann Roxolid - Surgical simple

- Surgical complex
Straumann SLActive
- Surgical video (clinical)
Surgical Placement TL & BL
- Standard Plus
Straumann Guided Surgery Instruments - Tapered Effect
Overview
Guided Surgery Placement Detailed
Straumann Prosthetics Overview

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