Myanmar Society of Oral Implantology collaborates with Dental Implant system using in Myanmar and celebrates Two days seminar. At this event, as the President of MSOI, I present this topic on Ben-Q Dental Implant System. It was sponsored by Global Asthetic Company.
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Ben-Q Dental Implant System
1. Myanmar Society of Oral Implantology
(MSOI) &
MDA (Mandalay Division) Collaboration
AB Dental
Implant Seminar and Training
Supported by BenQ and MDA ( Mandalay Division)
2. AB Dental ( Israel)
• A.B. Dental has obtained approvals from
regulatory agencies in multiple countries:
• FDA (USA), CE (Europe), Russia Federation,
AMAR (Israel), Chinese FDA, India FDA, Taiwan
FDA, Australian TGA, Ukraine and more
3. BenQ was established in 2001
2010 – A brand new start in the medical
field for BenQ
• Trident Medical Corp. joined BenQ and was
officially changed to “BenQ Medical
Technology Corporation” in 2010.
• Now, BenQ Medical Technology, which is the
largest medical corporation in Taiwan,
provides the best medical solutions
domestically and internationally.
4.
5. • 2014 – A big step forward for BenQ into the
dental industry
• BenQ Medical Technology, a well-known brand in
the domestic region, collaborated with AB Dental
Device Ltd, from Israel, a leading company in
dental implants and oral rehabilitation.
• Together we established “BenQ AB Dentcare
Corporation.”
• Our mission is to lead a new way into the dental
industry in the Asia-Pacific region.
6. BenQ AB DentCare Corp.
7FL, 52 Zhou-z St., Neihu
Dist., Taipei 11493, Taiwan
Tel : +886-2-2658-3588
Fax : +886-2-2658-9788
BenQABDentCare.com
AB Dental Germany UG
Friedrichstrasse 94 Berlin
10117 Germany
Tel : +49 – 030 – 609857880
Ben Q Myanmar
Dr. Lwin Mar Htun
Ph.09 250 571 571
9. BenQ Dental Implant
• Biological Surface
• Implant Characteristics
• Drilling Protocol
• Conical Implant-I 5
• Narrow Integral Implant- I 6
• One Piece Ball Implant- I 6 b
• Integral Implant- I 7
• Short & Wide Implant- I 15
10.
11. Titanium Alloy
Ti-6Al-4V ELI Grade 5
Biological Blasting with
Calcium Phosphate
Sterilization by Gamma irradiation
The smooth part of neck collar is 0.5mm
height to prevent gum retraction
The neck rings are for improving bone to
implant connection
Platform Switching
12. • The wide particle range bioactive ceramic media
blasting with mild gradative multi-step cleaning
assures a moderately rough surface
• Representative three-dimensional topographical
reconstruction showing texturization at the
micrometer and the nanometer level
41. • Two types of traditional impression
• techniques can be used according to the
treatment necessities and objectives, Closed
Tray (Indirect) and Open Tray (Direct).
42. Open Tray Technique
1. The transfer was brought to the impression
2. A custom tray with screw access holes is
required
3. After the impression material sets, the screw
of transfer is removed through the hole
4. The impression is removed from the patients’
mouth with the transfer
5. Then the analog is connected to the transfer
43. • Advantages: more precise, allow splinting
effect
• Disadvantage: Not suitable for posterior areas
with a limited intermaxillary space
Fixture level
52. Closed Tray Impression Technique
1. The transfer is screwed into the implant
2. Impression taking with heavy body
3. The transfer is removed from the mouth and
connected with appropriate analog
4. The transfer+ analog re-inserted into the
impression
Abutment level
66. Step 13: Simulation of Gingiva
1. Insert transfer-analog unit back into
the impression
2. The flat side of the transfer matches
the flat side in the impression
69. Cement- Temporary or permanent
• Advantages:
1.All abutments can be used (straight or angled)
or individualized CAD-CAM
2.Eliminating the access hole (a perfect esthetic
for the abutment screw)
3.The laboratory process is simplified and costs
reduced
4. A passive fit between the bridge and the
abutments is more easily achieved
70. Disadvantages
• In limited interocclusal cases, retention is
difficult
• Excess cement must be totally removed
subgingivally
• Retrievability of the cemented restoration is
difficult in some cases
• Ready made abutment – cement
• Custom made abutment - screw
71. Step 01- Impression taking
-Remove healing cap, measure the gingival
height, choose the proper abutment (G/H)
-Take an impression with (open/closed )
tray
-Take an impression of opposite jaw and a
bite registration
-Send to lab…
- Pours the impression, create a stone
model
- Choose the proper ready made
abutments or custom made abutments
- Fabrication of the framework over the
prepared abutments is carried out
73. Step 02- Expose and Temporary Restoration
Pay attention to the orientation marks
on model and intraoral
Make sure the abutment and margins are
free of all temporary cement
74. Step 03 Metal-coping framework
Try in the metal-coping framework. Verify fit, margins adaptation
and intra- occlusal space.
Adjust as necessary. Take an X-ray to verify that abutment and
metal coping are matched
Put the abutment
over the implant
and tighten the
screw…..
75. If a multiple unit framework does not fit
perfectly…
• Try each part individually
in the patient’s mouth.
• The parts are then cold-
soldered intraorally ( with
pattern resin, composite
and POP)
• Re-soldered in the Lab
• Checked again in the
patient’s mouth
76. Step 04 Tightening the abutment
Take X-ray to verify good connection
Use the torque wrench, applying 30Ncm
Check the proximal contacts, margin and
integrity and occlusion
79. Advantages
• Wide and standard Implants platforms can be
used
• Easier to retrieve for servicing, revisions and
hygiene maintenance
• Avoids undesirable cement accumulation
subgingivally
80. Disadvantages
• May necessitate double impression procedures:
• the first one, an implant level impression
procedure, for constructing a study model for
selecting the proper abutments
• the second one, after abutment connection
intraorally, an abutment level impression
procedure for constructing the working model
81. Step 01: Expose
Remove healing cap from the implant(s) and by using a probe
measure the gingival height surrounding every implant
Choose the proper abutment gingival height according to
these
measures
82. Step 02: Impression Taking
Take an impression of the selected implants using the open or
closed tray technique
Take an impression of the opposite jaw and a bite registration
and send to the laboratory.
84. Step 04: Abutment Level Impression
Step 05: Working Model
• Fabrication of the framework by using proper
plastic sleeve which is being fitted to abutment
• Alternatively, using the CAD/CAM tech by using
“A.B Dental” scanning abutment/base
89. Step 10: Allowing future access
• Put a cotton pellet, was or Teflon tape into
the hole of the screw
• Filling the access hole with composite
• Check the occlusion
90. Need to understand clearly
• Transfer-
• Pick up-
• Fixture level-
• Abutment level-
• Open Tray-
• Close Tray-
Self Tapping
Countersink
Platform switching
Hex- Internal/external
BIC- Bone/Implant con:
Male/Female parts
Wrench/Ratchet
91.
92. Ball and Low connector Retained
Overdenture
• .
STEP 01:
Remove the healing cap
93. Step 02: Selection of the abutment
• The collar height of the ball attachment should
extend 1-2mm above the gingival height
• Screw the ball attachment onto the implant using
30Ncm
95. Step 03: Impression Procedure
Custom made impression
tray
For ball and low connector ,
use close tray
96. Step 04: Insertion of Impression coping
and abutment analog into the impression
Remove ball attachment or low connector from
the patient's mouth connect to an analog
and place correctly inside the impression
Send to the lab: Stone model and fabricating of
an overdenture
97. Step 05: After receiving overdenture
from the lab
Remove
the
healing
cap
98. Step 06: Attaching the ball attachment
Screw the ball attachment onto the
implant . It is male part.
Female – Metal Housing and silicon cap
to overdenture
If dentist will do_ See step 07
Keep clearance between 2-3 mm from
the bottom of the coping
99. Step07: Placing Protective Disk and Silicon Caps
- Protective disk on ball
attachment
- It make sure no acrylic will
flow to the base of the ball
- Place a silicon cap and the
metal cap on the ball
attachment
100. Step 08: Placing the metal cap
Place metal cap over the silicon cap
The metal cap along with the silicon cap
will eventually be part of the
overdenture
101. Step 09: Housing preparation on
denture
Drill a space in the
denture where the
metal cap will fit
Mix acrylic and fill the
space
102. Step 10: Placing the denture
Place the
denture
intraorally using
occlusal force
and guidance
Remove the protective disk and
any excess acrylic material
Instruct the patient for proper
placement and removal
104. Step 01,02:
Exposure and Impression Procedure
- Make custom tray
- Open or closed impression tech:
- Use transfer system of choice
- Fill out the access in the retaining
screw using wax
- Check a free access to the
transfer’s retaining screw through
the impression tray
105. Step 03: Impression material
Put impression material (
light body) around the
transfer, making sure to
leave the top of the
screw exposed
Take impression,
making sure that the
top of the transfer is
completely exposed
and clean
106. Step 04: Final Impression
After set, loosen the long screw and
remove the tray
Make sure that the transfer stays firmly
inside the impression
107. Step 05: Insertion of the analog and
transfer into the impression
- Place analog on the
transfer
- Tighten the screw to
analog to avoid any
movement of the transfer
- Transfer is still in
impression
Replace healing
caps
SEND to Lab for
Metallic Bar
108. Step 06: Framework Try-in
• Try the metallic bar in the
patient's mouth. Check that the
bar fits passively onto the
abutments by screwing it a time
• When passive fit is not
achieved, cut and solder the
metal bar (or)
• Make a new impression and
send to the lab in order to cast
a new bar
109. Step 07: Occlusal Rim
Make an occlusal rim
over the metal bar,
Record the vertical
dimension of the
occlusion
Send to lab together
with tooth color.
110. Step 08: Waxed Denture Try-in
Remove the healing caps
Sit the denture try-in
Verify occlusion, esthetics
and phonetics
Make necessary adjustments
Remove the denture wax try-
in, set it on the lab model
send back to the lab
111. Step 09: Final Result
• Place the bar onto the abutments
• Check passive fit
• Insert the finished denture in the patient’s
mouth, engaging the attachment
• Make occlusal or tissue adjustments as
necessary
• Patient instruction ( removal and hygiene)
112.
113. Indications
• Socket and Ridge Preservation
• Filling of Extraction Socket
• Bone defects
• Lateral Augmentation/Ridge Augmentation
• Lateral Bone Window Closure
• Sinus Augmentation
• Closed Sinus Augmentation (Closed)
• Sinus Augmentation with Implantation
114.
115. Biofill- B
• 100% Bovine Cancellous Substitute without
cortical portion
• Innovative pulverizing technique allows
multiporous structure, maximizing blood
vessel ingrowth
• Size: 0.5-1.2mm..1.2-1.7mm
• It passed Virus inactivation test, Toxicity test,
Biocompatibility test and Gamma Sterilization
116.
117. Biofill-H
• Bone grafts and tissues from Human Source
• Preparation_ Granules, Blocks
• Product of DIZG, the largest European Tissue
Bank…
• DIZG & AB Dental..AB Dental & Ben Q..
118. Human Bone Series
• CORTIFLEX® –Demineralized Cortical Strip
(flexible after rehydration)
• EPIFLEX®- Matrix of Human Skin Allograft,
cell free
• MINERALIZED CORTICAL GRANULES
• CORTICAL/ CANCELLOUS BLOCKS
• DBM-DEMINERALIZED BONE MATRIX-
93% DBM+ 7% Hyaluronic acid, paste
• DEMINERALIZED CORTICAL
GRANULES -
119.
120. • Porous synthetic ceramic- 99.9% beta
tricalcium phosphate (ß TCP)
• Macroporosity and porous interconnectivity
allow an excellent osteointegration and total
vascularization
• Highly bioactive, stimulate the proliferation
and differentiation of osteoblasts
• Total replacement within 1-6 months
127. • AB Dental was awarded the patent by the
European Patent Office for P14 (EP2266498),
first filed in 2009!
This invention is designed especially for screw
retained dentures. The P14 eases the process
and enables the insertion of the dental bridge
in cases where the existing implants are at
extreme angles, 17 degree and 30 degree,
without damaging the esthetics.
128. • Performance of laser sintered Ti–6Al–4V
implants with bone-inspired porosity and
micro/nanoscale surface roughness in the
rabbit femur
• David J Cohen, Alice Cheng, Kaan Sahingur,
Ryan M Clohessy, Louis B Hopkins, Barbara D
Boyan and Zvi Schwartz
• Published: Biomedical Materials, 28 April 2017
129. • While surface roughness at the
micro/nanoscale can promote osteogenesis,
macro-scale porosity is important for
promoting mechanical stability of the implant
over time
• In this study, we used a rabbit femur model to
compare osseointegration of laser sintered
solid and porous implants. Ti–6Al–4V implants
were laser sintered in a clinically relevant size
and shape.
130. • One set of implants had a novel porosity based
on human trabecular bone; both sets had grit-
blasted/acidetched surfaces.
• After characterization, implants were inserted
transaxially into rabbit femora; mechanical
testing, micro-computed tomography
(microCT) and histomorphometry were
conducted 10 weeks post-operatively.
131. • There were no differences in pull-out strength
or bone-to-implant contact.
• However, both microCT and histomorphometry
showed significantly higher new bone volume
for porous compared to solid implants.
• Bone growth was observed into porous implant
pores, especially near apical portions of the
implant interfacing with cortical bone
139. G. 6 GP Markers in the Patient’s Denture for CT
Scan. The ABGuide is a Digital Copy of the Denture
140. H. 3D Printed Model with Analogs before Surgery,
P17 Bar, an Analog Model is 3D printed directly
from the planning. The bar can be transferred to
the mouth, with small adjustments.
141. I. Impression Copings for Open Tray.
Another option is to take an impression, to
position the P17 adaptors and Bar.