IMPLANTIUM SURGICAL

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Specifications are subject to change without notice.

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HOMEPAGE
www.dentium.com / www.implantium.com

ISM-08 [Rev.2]

SURGICAL MANUAL
S.L.A. (Sandblasting with large grit and acid etching)

Table of Contents
Quick View of Surgical Procedure

04

Design Concept

06

Color Code

07

Surgical Kit []

08

Surgical Kit []

09

Surgical Drill Sequence

10

Drilling Depth Guide

11

Fixture Installation

12

Fixture Connection

13

Determination of Fixture Top Level

14

Cover Screw Installation

15

Healing Abutment Installation

16

Retrieval of Installed Fixture

17

Warnings

17

Surgical Kit Maintenance

18

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04

05

Quick view of surgical procedure

Quick view of surgical procedure

1. Drilling

3. Cover Screw
18

14
12
10
8

Installed fixture

1000rpm

1000rpm

1000rpm

Lindemann Guide Drill

Lindemann First Drill

Final Drill

30~45Ncm
with irrigation

30~45Ncm
with irrigation

30~45Ncm
with irrigation

Cover Screw seating

Two Stage

One Stage

Less than 5Ncm

Depending on bone density,

the rpm can be adjustable

Countersink

4. Uncover

2. Insertion(Mount Free Fixture)

Detection

Cover Screw

Make incision above fixture equal to the width of fixture top.

Ratchet adapter

Uncover after 2-6 months

bone profiling is unnecessary.

Avoid applying
100 Ncm
torque or more

Fixture connection

By Handpiece

By Ratchet

5. Healing Abutment

Healing Abutment

Suture can be avoided when installing Healing Abutment

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06

07

Design Concept

Color Code

Biological Connection

Color Coding by Diameter

18

Biological connection between implant and abutment interfaces

Cover screw is not included.

Length: 8, 10, 12, 14

for hermetic sealing

Minimal bone loss by even load-distribution to the fixture

(Unit:mm)

Minimized gap
helps to decrease
micromovement

Cap color

Optimal Fixation Threads

Synchronized positive neck thread
Initial stability & maximum sealing between the cortical bone and fixture
Optimal fixation threads reduce stress of marginal cortical bone and minimize mirginal bone loss.

Yellow

Green

Blue

Red

Black

3.6

4.0

4.5

5.0

5.5

3.4

3.8

4.3

4.8

4.8

Fixture
IMPLANTIUM MF
(Mount Free)

S.L.A. Surface & Root Form

Platform

Makes the implant surface rough and increases the surface area of the fixture.

Fixture
Platform

Enhance the bone cell adherence resulting in improved stability.

Enough Bone Filling Space

Diameter

Biological Thread
Rich bone housing design

Fixture
Body
Diameter
Bacteria resistant high polished surface

Body

Flat End

No needs bone profiling

when 1st, 2nd stage

In vivo test

40X

100X

Bone
Implant (S.L.A.)

O
Ti
C

Binding Energy (eV)

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08

09

Surgical Kit []

Surgical Kit []
Instrument / Kit / Surgical Kit / Surgical Kit []

Instrument / Kit / Surgical Kit / Surgical Kit []

18

XIFN

XIF

Kit Contents

Kit Contents
Lindemann drill

XLD 22 33

XMF 23 H

MF fixture adapter

XMF 31 H

XLD 26 33

Final drill (Short)

XFD 34 29

MF ratchet adapter

XMF 18 W

XFD 38 29
XFD 43 29
XFD 48 29

Final drill (Long)

Lindemann drill

XMFPA1

Hex driver

XHD 21T

XMF 23 H

MF fixture adapter

XMF 31 H

XLD 26 33

Final drill (Long)

XMF 28 W

MF path pin x2

XLD 22 33

XFD 34 33

MF ratchet adapter

XMF 18 W
XMF 28 W

XFD 38 33
XFD 43 33

MF path pin x2

XMFPA1

Hex driver

XHD 21T

Drill extension

XDE

XFD 48 33

XFD 34 33
XHD 25 H

Countersink

XFD 38 33

XCS 34 29

XHD 21W
XCS 38 29

XFD 43 33
XFD 48 33

Countersink

XCS 34 29
XCS 38 29

Drill extension

XDE

XCS 43 29

Slot driver

SDA 17 R

XCS 48 29

Adapter T/W

XMA 20 W

XCS 43 29
XCS 48 29

Parallel pin

XPP 162220 T
XPP 162226 T

Parallel pin

XPP 162220 T

Depth gauge
XDGL

Ratchet

XPP 162226 T

Depth gauge
XDGL

Ratchet
XRCA1

XRCA1

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10

11

Drilling Depth Guide

Surgical Drill Sequence

Lindemann
guide
drill

Countersink Depth Guide

Lindemann

first
drill

Lindemann Lindemann
guide drill 18 first drill

Final drill
Countersink drill

Final drill
3.4

Countersink
3.4

D1~D3 ( I )

3.4

D4

FX 3410
3.6

( II )

0.5

10mm

3.4

3.8

4.3

4.8

Drilling Depth of the countersink depends

on the patients bone quality.

3.4

3.4

3.8

4.3

4.8

4.8W

3.4

Lindemann
guide drill

Lindemann
first drill

Final drill
3.4

Final drill
3.8

If bone density is D1~D3, it is recommended

to drill up to the top line ( I ) of laser mark
on the countersink.

Countersink
3.8

3.8

3.8

FX 3810

If bone density is D4, it is recommended to

drill up to the bottom line ( II ) of laser mark
on the countersink.

4.0
0.5

4.3

10mm
3.8

4.8
Lindemann
guide drill

4.8W

Lindemann
first drill

Final drill
3.4

Final drill
3.8

Final drill
4.3

Countersink
4.3

4.3
FX 4310

When the bone density is high.

4.5
0.5

During fixture insertion, 30~45N cm torque is recommended.

10mm

Countersink drill is used in cases with dense cortical bone.

4.3

If the bone density is D1, it is recommended to countesink after final drill.

Lindemann
guide drill

The countersink drills actual size is 0.1mm larger than the fixture platform.
When the 4.8 fixture is not tight enough, replace it with 4.8W which has a wider neck portion.

Lindemann
first drill

Final drill
3.4

Final drill
3.8

Final drill
4.3

Final drill
4.8

Countersink
4.8

4.8
FX 4810
5.0
0.5

Depth Indication

10mm
4.8

Depth Gauge

Lindemann
guide drill

Lindemann
first drill

Final drill
3.4

Final drill
3.8

Final drill
4.3

Final drill
4.8

Countersink
4.8

Countersink
4.8W

4.8W
FX 4810 W
5.5
0.5

10mm

Depth gauge measuring method after Lindemann first drill

4.8

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12

13

Fixture Installation
Crestal Incision

Flap Reflection

Fixture Connection
Lindemann Drill

IMPLANTIUM MF
18

Lindemann guide drill

1000rpm/30~45Ncm with irrigation

Final Drill 3.4 fixture

Caution_ When opening the MF pack, hold the fixture container upward and engage the MF adapter into the fixture.
Checking drill path
(Parallel pin or depth gauge)

3.8 fixture

Lindemann first drill

1000rpm/30~45Ncm with irrigation

4.3 fixture

3.4 Final Drill

1000rpm/30~45Ncm with irrigation

4.8 fixture

By Handpiece

3.8 Final Drill

1000rpm/30~45Ncm with irrigation

Countersink

4.3 Final Drill

1000rpm/30~45Ncm with irrigation

4.8 Final Drill

1000rpm/30~45Ncm with irrigation

By Ratchet

Directions Using the MF Adapter

Fixture Installation
If bone density is D1~D3, it is recommended to countersink after
final drill.

Connection

Depending on bone density,

the rpm can be adjustable

MF fixture MF ratchet
adapter
adapter

The rachet adapter and the fixture interal hex

must be connected firmly together.

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14

15

Determination of Fixture Top Level

Determination of Fixture Top Level
Final drill

Cover Screw Installation

18

The top level of fixture should be located 0.5mm below

the marginal crestal bone to help minimize marginal
crestal bone loss.

0.5mm

10mm

By Hex driver

Final Stage of Fixture Insertion

The implantium MF is much more straightforward as
the adapter is easily attached and removed. It also
permits unscrewing of the fixture if necessary.
Caution_ An insertion torque of 30- 45 N cm is
recommended
When using the ratchet, connect the adapter firmly to
the fixture and maintain a light apical pressure during insertion.
By Handpiece_100rpm/5Ncm

Two Stage: Cover Screw

One Stage: Healing Abutment

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16

17

Healing Abutment Installation

Retrieval of Installed Fixture

Healing Abutment Line-up

IMPLANTIUM MF
18

Gingival Height (Healing Abutment & Abutment)

Healing abutment

Abutment

Healing abutment

1.5

G/H 2.0

3.5

Healing abutment

1.5

G/H 3.0

H 5.0

3.5

Abutment
1.5

2.5

2.5
H 3.5

Abutment

G/H 4.0

H 7.0

2.5

By handpiece

By ratchet

3.5

4.5

4.5

4.5

5.5

5.5

5.5

Warnings
Dental Implant surgery and restoration involve complex dental procedures. Appropriate and adequate training in
proper technique is strongly recommended prior to use.
Improper medical examination and/or treatment plan can result in implant failure and/or loss of supportive bone.

Healing Abutment

Improper initial stability and/or excessive occlusal forces during healing period may lead to osseointergration failure.
Excessive insertion torque may lead to mechanical failure or implant biologic failure due to bone compression and
necrosis.
When forces or loads are greater than its design, implant or abutment fracture could happen. Therefore clinicians
should consider possibility of fractures properly and be requested to prevent it. Appropriate implant quantity,
occlusal interface and a nightguard are essential. Potential excessive loading conditions may include the following:
01
02
03
04

By Hex driver

By Handpiece less than_100rpm/10Ncm

05
06
07
08
09
10
11

Inadequate number of implants are placed.

Implant width and/or length are inappropriate for a treatment site.
Prosthesis which has excessive cantilever length due to inadequate biomechanical design.
Continuous occlusal force are generated by incomplete connection between implant and abutment and/or abutment screw loosening.
Direct casting abutment angles are greater than 30from the vertical axis of the implant. Angled abutment is
excessively eliminated.
Occlusal interferences causing excessive lateral forces
Patient parafunctions such as bruxism
Inadequate dental laboratory casting procedures
Improper prosthesis fitness
Trauma from patient habits or accidents
Excessive marginal bone loss caused by inadequate bone width and/or advanced periimplantitis

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18

Surgical Kit Maintenance

Sterilization Procedure for Surgical Instrument

Surgical Handpiece
01 Pour distilled water into a cup and spin the handpiece for 3-5 minutes, then air spray
to eliminate any remaining water.
02 Lubricate the handpiece with oil properly. Pack it in a sterilization pouch.
03 Autoclave it with the proper cycle. (121
C recommended)
04 Separate the handpiece periodically and wipe off any residual buildups on the inside
blades with a alcohol gauze or Q-tips.(recommended for both sides)

Surgical Kit Instruments

01 Use a soft brush with detergent and rub gently against the surface. Then rinse them with
running water. Or ultrasonic cleanser is recommended.
Caution: To prevent any possible corrosions immerse them in the chlorhexidine rather
than soak in the water or saline solution when immediate sterilization is not
available.
02 Dry them completely with air dry.

Dentium developed by clinicians for clinicians

03 Place them in the surgical kit tray accordingly. And pack it with sterilization wraper.

Maintenance Period for Surgical Drills

All surgical drills shall be replaced after approximately 40

uses

Lindemann Drill
(1000rpm, 30~45Ncm with Irrigation)

Final Drill

Countersink Drill

(1000rpm, 30~45Ncm with Irrigation)

Depending on bone density,

the rpm can be adjustable

Copyright 2008. AUGUST DENTIUM