immediate loading immed dental implant …...2020/07/16 · in the 1990s, rough surfaces on dental...

SINGLE PART IMPLANTS IMMEDIATE LOADING

DENTAL IMPLANT SYSTEM KOS® AND BCS®

SINGLE PART IMPLANTS IMMED

DENTASYSTEKOS®

YOUR DEMAND IS OUR DRIVE

Company building and production site of Dr. Ihde Dental AG in Gommiswald / Switzerland

Dr. Ihde Dental has been a reliable partner for over 60 years providing a wide range of implant systems and consumables. We supply dentists and dental technicians with precisely coordinated materials and systems, which are easy and reliable to use. We always ensure high quality and an excellent price-performance ratio so that you can guarantee allround treatment for your patients that is cost-effective and highly efficient. The following catalog gives you an overview and all the essential information about our implant systems. You can also contact us personally any time using the phone numbers provided. Further information can be found on our websites:

www.implant.com II www.ihde-dental.de II www.ihde.com

The company was founded in 1954 in Berlin by the dental technician Klaus Ihde. The company relocated to Bavaria in the 1960s. At the end of the 1980s, Dr. Ihde Dental GmbH (Germany) and Dr. Ihde Dental AG (Switzerland) were formed from the Klaus Ihde retail company. Ihde Dental is now represented in four locations in Europe and over 45 countries. The company group is one of the most innovative implant companies in the world ‒ based on new developments and patents issued or pending.

The core activities of Ihde Dental are the development, procurement and distribution of medical products. We use a large number of suppliers in consumables, but we have produced implants in our own factory for many years. All components are manufactured quickly, precisely and economically thanks to state-of-the-art production technology and well-equipped machinery.

Our partnersUsers and customers provide us with many new ideas and excellent suggestions. Collaboration with our customers is extremely important to us. Contact us at any time if you have any improvements or questions. Your ideas and opinions help us all to meet the daily wishes of patients to a greater and better extent. We also put the needs of the patient first..

Our market performance and work ethic Since it was founded, the company has focused on innovative ideas and advanced technology, premium quality, an excellent price-performance ratio, optimal patient and user friendly products and durability. Our range combines the latest findings from research and practices in many countries around the world.

Customer orientated to us means ‒ available for you!

• We provide training courses, refresher courses and user advice.• We provide customers with comprehensive and technically sound advice.• We also visit you in your practice upon request.

Please call us to arrange an appointment or send us an email.

Dr. Ihde Dental AGDorfplatz 11CH - 8737 Gommiswald / SGTel. +41 (0)55 293 23 23Fax +41 (0)55 293 23 [email protected]

Dr. Ihde Dental GmbHErfurter Str. 19D - 85386 Eching / MunichTel. +49 (0)89 319 761-0Fax +49 (0)89 319 [email protected]

“FOR ME, IMPLANTOLOGY BEGINS

WHERE OTHERS HAVE GIVEN UP.“

- Dr. Stefan Ihde

CONTENT

KOS® implants 6 KOS® Micro implants with large abutment head 49

NO-ITIS® LASER ‒ The new surface generation 7 Impression taking and laboratory accessories 50

KOS® instruction for application 10 Scanbodies 51

KOS® Classic and Classic X implants 19 Instruments and tools 52

KOS® B implants with small head for bridges 22 Overview drilling depth and max. working length 53

Impression taking and laboratory accessories 24 BCS® implants 54

KDS bone expanding screws 26 Fitting and cementing of prosthetics 55

KOS® PLUS implants 27 BCS® implants with small abutment head 57

Example of use of KOS® Plus implants 29 BCS® implants with large abutment head 58

KOS® TX implants 30 Use of the handgrip 60

Insertion tools 32 Accessories for BCS® and KOS® implants 61

Impression taking and laboratory accessories 32 Pathfinder and Twist drills 62

KOS® Multi-Unit implants 33 Insertion tools and adapter 63

Accessories KOS® Multi-Unit implants 35 Intra-oral welding 64

Application of KOS® Multi-Unit implants 36 Instrument tray for KOS® & BCS® 66

KOS® K implants 37 Insertion tools 67

Insertion tools 39 Starter tray 67

Handgrip 40 BCS® Multi-Unit implants 68

Handgrip tray 41 Accessories BCS® Multi-Unit implants 70

Instrument tray for KOS® and BCS® 42 Application of BCS® Multi-Unit implants 71

Drillstop tray 43 ZSI implants 72

Starter tray 43 Accessories for ZSI implants 75

KOS® implantations 44 ZSI MU implants 76

KOS® M and Micro implants 45 Accessories for ZSI MU implants 73

Material / functionality / drilling procedure / insertion 46 Reprocessing of tools and drills 75

KOS® M implants with small abutment head 47

KOS®6 KOS®6

APPLICATION AREAS OF THE ENDOSSEOUS DENTAL IMPLANT SYSTEM KOS®

Suitable for crowns, bridges and bars. With the correct surgical procedure and good bone quality, the compression screws design permits to incorporate the restoration in an immediate loading protocol (incorporation of the prosthesis within a maximum of three days). Today, KOS® implants are routinely used for immediately loaded bridge constructions. The single-piece design saves costs, effort and prevents the problem of screw loosening. In extraction cases, KOS® and BCS® are combined.

The prescribed or recommended tightening torques for implants, abutments and screws can be found on our website:

www.implant.com/en/downloads

KOS® 7

No-Itis® LASER ‒ THE NEW SURFACE GENERATION

The new surface treatment for Dr. Ihde Dental AG implants is created with the latest generation of robotic toolsfor laser ablation. This new technology of high precision creates roughness in the implant through a mesh ofhemispherical micrometric pores, with a defined, always identical size and shape and with a symmetrical dis-tribution.

The result is a more adequate topography, which provides the most suitable conditions for the osseointegrationof the implant, but at the same time it is, and behaves like, a smooth surface at a micrometric (cellular) level. Thismeans that while bone grows well on this surface, the adhesion of bacteria to the same surface is significantlyreduced.

In the 1990s, rough surfaces on dental implants became increasingly popular ‒ while the risk of bacterial adhe-sion was blissfully disregarded. This caused the appearance of a new disease, peri-implantitis, which severely compromises the survival of the implants in the long term and which, as a result, requires a renewed intervention on a dissatisfied patient, wasting time and increasing costs. Surfaces like that are not patient-friendly!

The use of the laser technology we developed allows us to create an exactly defined micromorphology on the treated surface, leaving no residue and without altering the properties or composition of the titanium alloy. This creates a mesh of very perfect cavities in terms of the (hemispherical) shape and its dimensions (of 20 to 30 μm), as well as their distance and distribution. The surface of these cavities as well as the retentions created by laser ablation are smooth as experienced by the bacteria, a characteristic that is assumed to improve the resistance of the implant against bacterial colonisation. This characteristic might also radically limit the incidence of peri-implantitis. In contact with the bone, however, the laser-ablated surface behaves like a rough surface. Rough implants (e.g., KOS®, Hexacone®) and smooth implants (e.g., BCS®, KOS®) therefore have the same recovery rate.

No-Itis® LASER A SMOOTH SURFACE THAT, INCONTACT WITH THE BONE, IS

SHAPED LIKE A ROUGH SURFACE

No-Itis® LASER THE SURFACE THAT INCREASES

SURVIVAL RATIOS

KOS®8

According to the classification of surface roughness by Albrektsson and Wenneberg, the Ra value corresponds to a smooth surface, and our lasered surface actually has the characteristics and many of the advantages of a smooth implant surface. The NO-ITIS® LASER surface allows the adhesion of the uniform and extended fibrin clot, which then leads to the formation of woven bone. The distribution and size of the concavities favours the accommodation and activity of the osteoblasts, promoting effective osseointegration

STABLE FIBRIN MESHWith the NO-ITIS® LASER, as with traditional rough surface, fibrin filaments are almost exclusively attached to surface peaks forming bridges between them (distance osteogenesis). On the NO-ITIS® LASER surface, fibrin forms as a well developed and defined grid mesh even within the concavities, which favours colonisation of the osteogenic cells directly on the surface of the implant (contact osteogenesis).

Rugosity (Ra) Definition

0,4 μm Smooth

0,5 - 1,0 μm Machined

1,0 - 2,0 μm Moderately rough

> 2,0 μm Rough

Rugosity (Ra) No-Itis® Laser

0,9 μm Smooth

No-Itis® LASER THE MOST ADVANCED SURFACE A SAFE ANSWERAGAINST PERI-IMPLANTITIS, MAINTAINING THE

OSSEOINTEGRATION LONG TERM

Machined surface

Rough surface

No-Itis® Laser Surface

Osteogenesis of contact

Distant osteogenesis

Improved contact osteogenesis

KOS® 9

MAXIMUM CONTACT OSTEOGENESISThanks to the good cell adhesion, a normal fibrin mesh can be created, adapted and extended on the surface of the NO-ITIS® LASER. This process activates the formation of osteonal bone, also directly in contact with the implant.

RAPID OSSEOINTEGRATIONThe perfectly symmetrical and reproducible topography of the NO-ITIS® LASER surface attracts a greater number of osteogenic cells, allowing them to settle and to proliferate on the implant

surface in a stable and uniform manner. This process activates the formation of bone directly in contact with the implant, resulting in a more dynamic and favourable osseointegration, with greater BIC (Bone implant Contact), and it allows true bone engineering.

• Smooth implant surface• Less bacterial adhesion LOWER RISK OF INFECTIONS

• Increased fibrin adhesion• More contact osteogenesis on a larger surface PERFECT OSSEOINTEGRATION

No-Itis® LASER ‒ A CLEAN SURFACEUnlike standard-surface implants (sandblasting and etching, or blasting and anodising), the implants with the NO-ITIS® LASER surface have a completely clean surface without residues nor contaminants. Due to this modern manufacturing process, no residues of jet particles or traces of the chemicals (acids) or anodisation (oxides) used in the etching process can come into contact with the implant. Eliminating the anodisation also eliminates the risk that the top layer of the coloured implant dissolves mechanically.

No-Itis® LASER ‒ THE IDEAL SURFACE FOR BONE CONTACTThe total cleanliness of the NO-ITIS® LASER allows the endosseous implant surface to be increased without having to accept the disadvantages of all the traditional methods for surface roughening.

No-Itis® LASER A UNIQUE SURFACE

No-Itis® LASER THE IDEAL SURFACE FOR IMMEDIATEOR EARLY LOADING

This new surface generation can coexist for some time with others developed by Ihde Dental AG, while regularization of production and stocks, andtherefore any reference may not be available on the new No-Itis® Laser surface.

No-Itis® LASER A CLEAN SURFACE

KOS®10

Angle piece-drill 2 mm Ø

DOS 1 DS 2Jaw

IT KInsertion tool

ITW K

Insertion tool

KOS® - INSTRUCTION FOR APPLICATION

PREPARATORY WORK

Get your lab to make a drilling template with the specified drill holes for the marking hole.

For the pilot hole, use DOS 1 or BCD 1 (yellow) as the primary reamer. Prepare the implant bed with the form drills at full length.

Please use an intermittent drilling technique with good NaCl cooling. If nec-essary, the laboratory can insert guide sleeves can in the drill holes (code BFH) through which the precise direction of drilling can be set.

If, due to high drilling resistance in hard bone, it is difficult to reach the com-plete drilling depth with DOS 1, the correct depth can be reached with the cylinder drill DS 2 (diameter 2 mm).

SURGERY

1. Drilling and preparation/compaction of the implant site

TW 2 Angle Piece

DRILL SEQUENCE FOR IMPLANTS WITHOUT MICROTHREAD / WITHOUT MICROGROOVE

or and or

ExampleKOS 3.7 15

DOS 2 Depth drill black

BCD 2 black

DS 2 Pilot drill

KDS 3.7 15 for example

DRILL SEQUENCE normal / hard bone DRILL SEQUENCE soft bone

Pilot drill Form drill KDS Implant Pilot drill Form drill KDS Implant

DOS 1

--- KDS 3.0 KOS 3.0

DOS 1

--- --- KOS 3.0

DOS 2 KDS 3.2 KOS 3.2 --- KDS 3.0 KOS 3.2

DOS 3 (4)KDS 3.7 KOS 3.7

DOS 2KDS 3.2 KOS 3.7

KDS 4.1 KOS 4.1 KDS 3.7 KOS 4.1

DOS 5 KDS 5.0 KOS 5.0 DOS 3 (4) KDS 4.1 KOS 5.0

In very hard bone the implants should be inserted slighty deeper and then turned back 1/2 round.

Drill hole withguide sleeve

Surgical guide

IT2WInsertion tool

IT KInsertion tool

ITW K

Insertion tool

IT2 BCS

Insertion tool

or or

TW 2 Angle Piece

IMPLANTS WITH LARGE HEAD,MICROTHREAD AND MICROGROOVE

or and or

KOS® Micro 3.7 15 DOS 2 Depth drill black

BCD 2 black

C-Drill KM13.0 - 3.2


C-Drill KM35.0

KOS® Micro 3.7 15for example

TW 2 Angle Piece

IMPLANTS WITH SMALL HEADAND MICROTHREAD

and or

KOS® M 3.0 12 DOS 2 Depth drill black


KOS® M 3.0 12for example

DOS 2/BCD 2 Direction and depth calculation; alternatively BCD 1 „Pathfinder“ drill.

Pilot drill DS 2 For use in hard bone in the cortical region only.

KDS Prepare the implant bed in the maxilla stepwise using the appropriate bone-expanding screw and ratchet or motorized insertion tool. Maximum 40-45 Ncm. Remove the bone-expanding screw again.

KOS® B To create the definitive implant cavity for KOS® B implants, it is imperative to use bone-expanding screws. These screws must be screwed to their full depth. They generate the compression and ensure that sufficient space is created for the implant thread in the cortical region.

All KOS® implants are used as compression screws. If possible, the hole should be created substantially thinner than the core diameter of the implant, since only in this way can good bone condensation be achieved. The minimum hole diameter depends on the bone density. For this reason, it is not possible to specify drill sequences that can be used favorably for all bone qualities. As a rule, it is necessary to drill much less into the soft maxilla (e.g. the DOS1 drill only can be used for KOS® implants with diameter 3.0-5.0) than into the well-mineralized mandible, which requires the use of a drilling sequence adjusted to the bone density.

KOS®12

or

2. Implant packaging

Original packaging Open the sealed cover at the lid. Remove the label and place it into the patients record.

3. Remove the implant from its packaging

The open pack contains the implant, mounted to a plastic holder. The pack also contains the lab-set.

Remove the implant by holding onto the plastic holder

The implant is fixed to the holder by a break joint.

4. Handling

Hold the implant by the holder and place the insertion tool on the implant head. The endosseous implant surface must not be touched. Pull out the implant with the plug and then twist off the plug with the needle holder at the predetermined breaking point.

IMPLANTS WITH LARGE HEAD

KOS® / KOS® Micro KOS® K (for ball attachment)

Predetermined break line

KOS® implant with insertion tool IT2W (for angle piece) and IT2 BCS

(manual)

KOS® K implant with insertion tool IT TB K

Twisting off the bracket with the needle holder

KOS® 13

IMPLANTS WITH SMALL HEAD

KOS® (straight) / KOS® B (flexible)

Predetermined break line

KOS® / KOS® B implants with insertion tool ITW K

(for angle piece) and IT K (manual)

Twisting off the bracket with the needle holder

5. Insertion using manual tools

Insert the implant by hand until it is firmly seated in the jaw.


IT2 BCS IT TB K

KOS® / KOS® Micro implant

KOS® K implant

Jaw Jaw


IT K

KOS® implant

Jaw

KOS®14

6. Definitive implant insertion

Using the ratchet, torque ratchet or contra-angle, screw the implant clockwise into the cavity. With KOS® B, the use of the torque ratchet is mandatory. The endosseous (blasted) part of the implant must be completely covered by bone. The polished implant neck is located in the mucosa. We recommend screw-ing the implant into the bone up to 1 mm deeper into the implant neck.


KOS® / KOS® Micro / KOS® B

implant


implant

KOS® K implant

Jaw Jaw Jaw

The head of the bendable KOS® 3.0 & 3.2, KOS® Micro (all diameters) and KOS® B screws can be bent into the desired position after insertion with the aid of the mounted insertion tool and ratchet.

Maximum bend: approx. 15°. Only one bending operation may be performed. In the maxilla, the motorised insertion tool should be used due to its better implant guidance during insertion.


KOS®implant

KOS®implant

Jaw Jaw

IMPORTANT NOTE

KOS B® implants have a predetermined breaking point integrated into the head. If the preparation with bone-expand-ing screws was not performed sufficiently, high screwing forces can cause the upper head portion to be torn off.

So that the implant can be screwed out again, an additional square is milled below the breaking point, into which the emergency tool ET KOS can be inserted. The ET KOS instrument may only be used to remove the implant.

KOS® 15

7. Removing the placement aid from the implant


IT2W IT2 BCS IT TB K


implant


implant

KOS® K implant

Jaw Jaw Jaw


ITW K IT K

KOS® / KOS® B implant

KOS® / KOS® B implant

Jaw Jaw

8. Result

All implant heads (except for the KOS® K) can be reshaped by grinding. The implants can be prosthetically supplied immediately if indicated. The definitive superstructure should be cemented within a few days. Immediate prosthetic splinting with a provisional bridge is recommended.


KOS® Micro

implantKOS® K implant

Jaw Jaw


KOS® / KOS® B

implant

KOS®16

9. Impression


Bridges Individual crowns

Attachment of the impression post TSPA 5, internally round, for KOS®

Attachment of the impression post TSPA 5, with anti-rotation protec-tion, for KOS® Micro

Pressureless impression taking

e.g. with Safeprint®

Removal of the individual scoop from the implant post. The impression post is located in the

impression material. The impression can be sent to the laboratory.

Bridge Button Individual crown Bridge Button Individual crown

Pressureless impression taking e.g. with Safeprint® Removal of the individual scoop from the implant post. The impression post is located in the impression material.

The impression can be sent to the laboratory.


Bridges / Individual crowns

Ball-headed anchored prostheses

Individual crowns

Individual crown ButtonIndividual crown

Attachment of the impression post TSPA 4, Internally round, for KOS®, KOS® B and KOS® T

Fill TSPA 4 inside with Safeprint® IM

Attachment of the impression post TSKPA 4, with anti-rotation protection, for KOS®, KOS® B

and KOS® T

KOS® 17

LABORATORY PROCEDURES Attachment of the impression post onto lab analogues


Bridges Dentures Individual crowns Create plaster model

Lab analogue

Fill in plaster

TSPA 5 on IA4/IAU TSPA 5 on IAK TSPA 5 on IA4/IAU Pull impression from the model.The impression post and analogue

are now separated again.

POB PO4A or PO4Nylon cap Sleeve H

IA4/IAU IA4/IAU IAK with nylon cap (pink) and sleeve

The modeling is performed on the castable parts PO4/POB (internally round; for bridges and bars) or PO4A (edged inside; for individual crowns).

Polymerization of the sleeve H into the prosthesis.Press NC/NC1/NC2 into the sleeve.

For initial restorations, NC1 or NC2 should be used.


Bridges Dentures Individual crowns Create plaster model

Lab analogue

Fill in plaster

TSPA 4 on IA4/IAU TSPA 4 on IAK TSKPA 4 on IA4/IAU Pull impression from the model.The impression post and analogue

are now separated again.

PO4 PO4 A

IA4/IAU IA4/IAU IAK with nylon cap (pink) and Sleeve

The modeling is performed on the castable parts PO4 (internally round; for bridges and bars) or PO4A (edged inside; for individual crowns).

Polymerization of the sleeve H into the prosthesis.Press NC/NC1/NC2 into the sleeve.

For initial restorations, NC1 or NC2 should be used.

KOS®18 KKKOOOOSS®111888

KOS® 19

THE ADVANTAGES OF KOS® CLASSIC AND CLASSIC X IMPLANTS

SMALL HEAD LARGE HEAD

Immediate loadingprotocol

Very fewworking steps

No micro gap

Compression thread

Made of highlyresistant

titanium alloy

KOS®20

KOS® CLASSIC IMPLANTS

Implants with small head for crowns and bridges.

a Description Enossal Ø Enossal length Neck Ø REF Price cat.

g KOS 3.0 10 3.0 mm 10 mm 2.0 mm 455108 F

b KOS 3.0 12 3.0 mm 12 mm 2.0 mm 455109 F

KOS 3.0 15 3.0 mm 15 mm 2.0 mm 455110 F

KOS 3.2 12 3.2 mm 12 mm 2.0 mm 455111 F

c f KOS 3.2 15 3.2 mm 15 mm 2.0 mm 455112 F

KOS 3.7 6 3.7 mm 6 mm 2.5 mm 455106 F

KOS 3.7 8 3.7 mm 8 mm 2.5 mm 455107 F

d KOS 3.7 10 3.7 mm 10 mm 2.5 mm 455114 F

KOS 3.7 12 3.7 mm 12 mm 2.5 mm 455115 F

KOS 3.7 15 3.7 mm 15 mm 2.5 mm 455120 F

KOS 4.1 8 4.1 mm 8 mm 2.8 mm 455129 F

KOS 4.1 10 4.1 mm 10 mm 2.8 mm 455130 F

e KOS 4.1 12 4.1 mm 12 mm 2.8 mm 455132 F

KOS 4.1 15 4.1 mm 15 mm 2.8 mm 455135 F

a) Abutment Ø 3.35 mm KOS 4.1 17 4.1 mm 17 mm 2.8 mm 455136 F

b) Abutment height 6.8 mm KOS 4.1 19 4.1 mm 19 mm 2.8 mm 455137 F

c) Neck length 3.5 mm KOS 5.0 10 5.0 mm 10 mm 2.8 mm 455171 F

d) Enossal length 6 - 19 mm KOS 5.0 12 5.0 mm 12 mm 2.8 mm 455172 F

e) Enossal Ø 3.0 - 5.0 KOS 5.0 15 5.0 mm 15 mm 2.8 mm 455173 F

f) Neck Ø 2.0 / 2.5 / 2.8 mm

g) Square SW 1.9 mm

KOS 3.0 - 3.2 Max. insertion torque 50 Ncm

KOS 3.7 - 5.0 Max. insertion torque 80 Ncm

f

KOS® implants are delivered incl. lab-set REF 462353, consisting of

Double analogue, plastic

IA4/IAU

462111

Impression and castable abutment, internally edged, for large headPA X

462136

Impression post castable, internally round, for small headTSPA 4

462029

NOTE This is a standard lab-set and therefore contains parts for both LARGE abutment heads (PA X) and SMALL abutment heads (TSPA 4).

INCLUSIVE

KOS® 21

KOS® CLASSIC X IMPLANTS

Large head for easy prosthetic handling.

a Description Enossal Ø Enossal length Neck Ø REF Price cat.

KOS X 3.0 10 3.0 mm 10 mm 2.0 mm 455700 F

b KOS X 3.0 12 3.0 mm 12 mm 2.0 mm 455701 F

KOS X 3.0 15 3.0 mm 15 mm 2.0 mm 455702 F

KOS X 3.2 12 3.2 mm 12 mm 2.0 mm 455710 F

c f KOS X 3.2 15 3.2 mm 15 mm 2.0 mm 455711 F

KOS X 3.7 10 3.7 mm 10 mm 2.5 mm 455720 F

KOS X 3.7 12 3.7 mm 12 mm 2.5 mm 455721 F

d KOS X 3.7 15 3.7 mm 15 mm 2.5 mm 455722 F

KOS X 4.1 8 4.1 mm 8 mm 2.8 mm 455730 F

KOS X 4.1 10 4.1 mm 10 mm 2.8 mm 455731 F

KOS X 4.1 12 4.1 mm 12 mm 2.8 mm 455732 F

KOS X 4.1 15 4.1 mm 15 mm 2.8 mm 455733 F

e KOS X 4.1 17 4.1 mm 17 mm 2.8 mm 455734 F

KOS X 4.1 19 4.1 mm 19 mm 2.8 mm 455735 F

a) Abutment Ø 3.9 mm KOS X 5.0 10 5.0 mm 10 mm 2.8 mm 455740 F

b) Abutment height 7.2 mm KOS X 5.0 12 5.0 mm 12 mm 2.8 mm 455741 F

c) Neck length 3.0 mm KOS X 5.0 15 5.0 mm 15 mm 2.8 mm 455742 F

d) Enossal length 8 - 19 mm

e) Enossal Ø 3.0 - 5.0 mm

f) Neck Ø 2.0, 2.5, 2.8 mm

f



IA4/IAU

462111


462136


462029


INCLUSIVE

ACCESSORIES

Analogue IAB Impression post TSPA 5

Pack of 5 Pack of 5

REF 462106 REF 462030

Price cat. B Price cat. B

The red impression cap and the red analogue are round (not secured against rotation).

KOS®22

THE ADVANTAGES OF KOS® B IMPLANTS

Suitable for bridges in the reduced-load range

The bendable implant offers dual safety:

1. Torque reduction bypre-compressionwith the congruentbone-expanding

screw

2. Safety head withpredetermined breaking point anddual square

KOS® 23

KOS® B IMPLANTS WITH SMALL HEAD FOR BRIDGES

KOS® B implants with bendable neck (use after pre-drilling and preparation with the bone-expanding screw). Suitable for bridges in the reduced-loadrange (no individual tooth restorations). The bendable implant now offers dual safety:

1. Torque reduction by pre-compression with the congruent bone-expanding screw 2. Safety head with predetermined breaking point and dual square

a Description Code KDS Enossal Ø Enossal length REF Price cat.

KOS B 3.0 15 C 3.0 mm 15 mm 455160 F

b KOS B 3.2 12 D 3.2 mm 12 mm 455162 F

KOS B 3.2 15 E 3.2 mm 15 mm 455161 F

KOS B 3.7 12 F 3.7 mm 12 mm 455164 F

c f KOS B 3.7 15 G 3.7 mm 15 mm 455165 F

KOS B 4.1 15 L 4.1 mm 15 mm 455166 F

KOS B 4.1 17 M 4.1 mm 17 mm 455167 F

dThe predetermined fracture site integrated in the abutment prevents the twisting off of the abutment head from the endosseous implant part. The implant socket has to however always be pre-compressed using the bone-expanding screw.

e

a) Abutment Ø 3.35 mm

b) Abutment height 6.8 mm

c) Neck length 3.0 mm



f) Neck Ø 1.8 mm

Max. insertion torque 45 Ncm

f



IA4/IAU

462111


462136


462029


INCLUSIVE

After insertion, the bendable KOS® B screws can be bent into the desired position using the inserted insertion aid and ratchet. Maximum bend: approx. 15 °. Only one bending process may take place. The motor inser-tion aid should be used in the upper jaw because of the better implant guidance when screwing in.

KOS®24

IMPRESSION TAKING AND LABORATORY ACCESSORIES

Description Unit Code REF Price cat.

Impression post made of POMCastable, internally round

Pack of 5 TSPA 4 462029 B

ALTERNATIVE Impression post made of POMCastable, internally round


Impression post Castable, internally edged

Pack of 5 TSKPA 4 462028 B

Double analogue, plastic For large and small head

Pack of 5 IA4/IAU 462111 B

Double analogue, metal For large and small head

1 piece IA4/IAU 462112 A

Castable abutment and base for provisionalsFor small head7 mm high, white, internally round

Pack of 5 PO4 462088 B

Castable abutment and base for provisionals7 mm high, white, internally edged

Pack of 5 PO4A 462089 B

*TSPA 4 and 5 For impressions on ground-down implant heads. This ring-transfer exposes the lower border of the abutment head. The impression is then poured with extra-strong gypsum or epoxi-resin. For this techniques no implant analogues are needed. Material: PP

SCANNER ANALOG

Scanner analogue for large and small implant head, self-descriptive. These analogues do not need to be sprayed with spray paint. They can be pulled out of the model with anti-rotation protection. Matching impression posts: TSPA 4 and TSPA 5

Description REF Price cat.

IAS 4 Scanner analogue IAS 4For small head

462019 B

IAS 5 Scanner analogue IAS 5For large head

462020 B

Use example for self-descriptivescanner analogue

KOS® 25

CEMENTABLE ANGULATION ADAPTER (TI6AL4V)

These adapters are mounted on KOS® implants to compensate for the insertion direction. Plastic cements are preferably used. The implant head must be roughened beforehand. The protruding head parts are then removed. The impression is taken directly on the adapter.

Description Code REF Price cat.

Adapter, 15°For small head

AA15 KK 462036 C

AA15 KK

AA25 KK


AA25 KK 462046 C

Adapter, 15°For large head

AA5 15° 462052 C

AA5 15°

AA5 25°

Adapter, 25°For large head

AA5 25° 462053 C

CASTABLE CROWN BASE

These adapters are used by the dental technician for modeling of bridge frames. In the metal try-in, the protruding head parts are removed by the dentist.

Description Height Code REF Price cat.

Adapter 15°For small headReducible and castable Pack of 5

7.5 AAL 15 KK 462045 C

LAB ANALOGUE


Abutment analogue for angulation adapterFor small head15°and 25°

AAA 462049 B

CASTABLE PART AND IMPRESSION CAP


Castable abutment and transfer for AAA Pack of 5

PA AAA 462050 B

KOS®26

KDS BONE EXPANDING SCREWS

For all KOS® B screw implants, bone-expanding screws are available as tools to create the definitive implant cavity. Basically, for each implant prior to in-sertion of a KOS® B screw implant, a bone compression with the bone-expanding screw should be performed. In addition, with a narrow alveolar ridge, an expansion of the alveolar ridge can be performed with the bone-expanding screw. By inserting the bone-expanding screw, it can be checked whether the KOS® B screw implant can be inserted into the bone easily and fully. Titanium alloy Ti6Al4V Eli, machined. Tighten with IT K, ITS K or ITX K using the torque ratchet TW2 (max. 45 Ncm), or alternatively RAT 2. Package unit: 1 piece, non-sterile

a Description Code KDS Enossal Ø Enossal length Neck Ø REF Price cat.

KDS 3.0 10 A 3.0 mm 10 mm 2.0 mm 455212 F

b KDS 3.0 12 B 3.0 mm 12 mm 2.0 mm 455213 F

KDS 3.0 15 C 3.0 mm 15 mm 2.0 mm 455214 F

c f KDS 3.2 12 D 3.2 mm 12 mm 2.5 mm 455223 F

KDS 3.2 15 E 3.2 mm 15 mm 2.5 mm 455224 F

KDS 3.7 12 F 3.7 mm 12 mm 2.8 mm 455233 F

KDS 3.7 15 G 3.7 mm 15 mm 2.8 mm 455234 F

d KDS 4.1 8 H 4.1 mm 8 mm 2.8 mm 455241 F

KDS 4.1 10 I 4.1 mm 10 mm 2.8 mm 455242 F

KDS 4.1 12 K 4.1 mm 12 mm 2.8 mm 455243 F

KDS 4.1 15 L 4.1 mm 15 mm 2.8 mm 455244 F

KDS 4.1 17 M 4.1 mm 17 mm 2.8 mm 455245 F

e KDS 4.1 19 N 4.1 mm 19 mm 2.8 mm 455246 F

a) Abutment Ø 3.35 mm The bone-expanding screws can easily be screwed in using suitable insertion tools and immediately screwed out again after reaching the full insertion depth. Subsequently, the KOS® B implant is inserted. With the KOS® B (bendable), the use of bone-expanding screws is mandatory regardless of the region, so that the shear forces occurring during insertion do not fracture the implant neck.

Do not use for KOS® implants with microthread.


c) Neck length 3 mm



f) Neck Ø 2.0 - 2.8 mm

KOS® 27

THE ADVANTAGES OF KOS® PLUS IMPLANTS

Vertical groovesfor anti-rotation protection

No micro gap

Polished apicalcutting thread foranchorage in theopposite cortical

Combinesthe advantages of the compres-sionscrew withthe advantages ofthe bicorticalscrew

In addition to bone compres-sion, there is also anchorage in the 2nd

(opposite) cortical

Enossal part withspecial No-Itis® laser

surface

Optimalprimary stability thanks to the micro thread and aggressiveapical thread

Can be used in the maxilla and mandible

Made of highly resistant titanium

alloy

KOS®28

KOS® PLUS IMPLANTS

KOS® PLUS are made in one piece and have a polished apical cutting thread for anchorage in the opposite cortical. KOS® Plus combines the advantages of the compression screw with the advantages of the bicortical screw: in addition to bone compression, there is also anchorage in the 2nd cortical (opposite cortical). Can be used in the maxilla and mandible. Made of titanium alloy Ti6Al4V, laserd. Tighten with IT2 BCS.

a Description Neck Ø Compression thread Enossal length REF Price cat.

KOS 3.7 9+3 2.5 mm 9 mm 12 mm 455800 G

b KOS 3.7 11+3 2.5 mm 11 mm 14 mm 455801 G

KOS 3.7 13+3 2.5 mm 13 mm 16 mm 455802 G

KOS 3.7 16+3 2.5 mm 16 mm 19 mm 455803 G

c i KOS 3.7 20+3 2.5 mm 20 mm 23 mm 455804 G

h KOS 4.1 6+3 2.8 mm 6 mm 9 mm 455810 G

KOS 4.1 9+3 2.8 mm 9 mm 12 mm 455811 G

g KOS 4.1 11+3 2.8 mm 11 mm 14 mm 455812 G

d KOS 4.1 13+3 2.8 mm 13 mm 16 mm 455813 G

KOS 4.1 20+3 2.8 mm 20 mm 23 mm 455814 G

f KOS 5.0 6+3 2.8 mm 6 mm 9 mm 455820 G

KOS 5.0 9+3 2.8 mm 9 mm 12 mm 455821 G

e KOS 5.0 11+3 2.8 mm 11 mm 14 mm 455822 G

KOS 5.0 13+3 2.8 mm 13 mm 16 mm 455823 G





e) Apical thread Ø 4.5 mm

f) Area for 2nd cortical engagement 3.0 mm

g) Enossal compression region 6 - 20 mm

h) Enossal Ø 3.7 / 4.1 / 5.0 mm

i) Neck Ø 2.5 / 2.8 mm



IA4/IAU

462111


462136


462029


INCLUSIVE

ACCESSORIES


Pack of 5 Pack of 5

REF 462106 REF 462030



i

KOS® 29

EXAMPLE OF USE OF KOS® PLUS IMPLANTS

Bicortical anchorage of a KOS® Plus implantin the atrophied distal mandible.

Bicortical anchorage of a KOS® Plus implant in the area of the nasal floor.

Bicortical anchorage of KOS® Plus implants(Ø 3.7 and 4.1) in the area of the maxillary sinus.

NOTE - KOS® Plus may only be operated/used by validly authorized users. Only polished implant parts may penetrate a maximum of 1.5 mm into the opposite cortical. For a given indication (min. three stable implants, sufficient bone quality, etc.). KOS® Plus are suitable for immediate loading.

KOS®30

THE ADVANTAGES OF KOS® TX IMPLANTS

Compressionscrew implantwith an extendedpolished andbendable neck

Foranchorages inthe tuberosity andin regions withlarge mucosalthickness

Is preferablyused without flappreparation

The nominal Øis reached at thewidest part of thecompressionthread

KOS® 31

KOS® TX IMPLANTS

KOS® TX is a compression screw implant with an extended polished and bendable neck (6 mm) for anchorages in the tuberosity and in regions with large mucosal thickness. The roughened thread parts must be completely submerged in the bone. KOS® TX is preferably used without flap preparation. The nominal diameter is reached at the widest part of the compression thread.

Cementing platform Description Enossal Ø Enossal length REF Price cat.

a KOS TX 3.0 12 3 mm 12 mm 455001 F

KOS TX 3.0 15 3 mm 15 mm 455002 F

b KOS TX 3.0 18 3 mm 18 mm 455003 F

KOS TX 3.7 12 3.7 mm 12 mm 455005 F

KOS TX 3.7 15 3.7 mm 15 mm 455006 F

c f KOS TX 3.7 18 3.7 mm 18 mm 455007 F

KOS TX 4.0 12 4 mm 12 mm 455175 F

KOS TX 4.0 15 4 mm 15 mm 455176 F

KOS TX 4.0 18 4 mm 18 mm 455177 F

d KOS TX 4.0 21 4 mm 21 mm 455178 F

e



c) Neck length 6 mm


e) Max. enossal Ø 4 mm

f) Neck Ø 2 mm




IA4/IAU

462111


462136


462029


INCLUSIVE

ACCESSORIES


Pack of 5 Pack of 5

REF 462106 REF 462030



f

KOS®32

INSERTION TOOLS


Insertion tool medium, for large headUse with RAT 2 or TW2

IT2 BCS 900030 E

Insertion tool short, for large headUse with RAT 2 or TW2

IT2 S BCS 900038 E

Length 23 mm, for KOS and BCS implants IT2W 900039 E

Adapter for implants with large headFor handgrip 311431 (see page 50)

AHB 900037 F



Impression post made of POM Internally round

Pack of 5 TSPA 5* 462030 B

Impression and castable abutment Internally edged

Pack of 5 PA X 462136 B



Double analogue aus Metal For large and small head


Castable abutment for large head Internally round

Pack of 5 POB 462086 B

*TSPA 4 and 5 For impressions on ground-down implant heads.This ring-transfer exposes the lower border of the abutment head. The impression is then poured with extra-strong gypsum or epoxi-resin. For this techniques no implant analogues are needed. Material: PP

KOS® 33

THE ADVANTAGES OF KOS® MU IMPLANTS

Feature a pre-angulation of 15°

May be bent additionally, using the insertion tool

In conjunctionwith the clinicallypossible rotationalpositions of the head,virtually all possibleangulations can be

realized

Made of highly resistant titanium

alloy

KOS®34

KOS® MU IMPLANTS

KOS® MU implants feature a pre-angulation of 15 degrees. KOS® MU may be bent additionally, using the insertion tool. In conjunction with the clinically possible rotational positions of the head, virtually all possible angulations can be realized. Material Ti6Al4V.

a Description Enossal Ø Enossal length REF Price cat.

b g KOS MU 3.0 15 3.0 mm 15 mm 455830 L

KOS MU 3.2 12 3.2 mm 12 mm 455838 L

c f KOS MU 3.2 15 3.2 mm 15 mm 455839 L

KOS MU 3.7 10 3.7 mm 10 mm 455840 L

KOS MU 3.7 12 3.7 mm 12 mm 455841 L

KOS MU 3.7 15 3.7 mm 15 mm 455831 L

d KOS MU 4.1 8 4.1 mm 8 mm 455842 L

KOS MU 4.1 10 4.1 mm 10 mm 455843 L

KOS MU 4.1 12 4.1 mm 12 mm 455832 L

KOS MU 4.1 15 4.1 mm 15 mm 455833 L

e KOS MU 5.0 10 5.0 mm 10 mm 455834 L

KOS MU 5.0 12 5.0 mm 12 mm 455835 L



c) Trans-mucosal height 3 mm



f) Neck Ø 2 mm

g) Height of connecting part 2 mm

Prosthetic screw SFK MU

MULTI-UNIT LAB SET


Titanbasis Use with SF K MU

T-Base MU 418188

Castable abutment Use with T-Base and SF KMU

PA2 MU 418189

Prosthetic screw For KOS® MU and BCS® MU

SF K MU 418164

COMPLETE SET 418289 E

f

KOS® 35

ACCESSORIES SINGLE-PIECE MULTIUNIT IMPLANTS


Insertion tool for KOS® MU, BCS® MU &Hexacone Plus MU 15°Use with IT2 BCS, IT2 S BCS, AH MUTool HT 1.25

ITX MU15 418203 F

EXTENSION SET FO

R KOS® TRAY

Insertion tool mediumFor large headUse with RAT2 and TW2, length 19 mm

IT2 BCS 900030 E

Insertion tool shortFor large headUse with RAT2 and TW2, length 7 mm

IT2 S BCS 900038 E

Adapter for handgripFits ITX MU15 (REF 418203)

AH-MU 900041 F

Description Code REF

Hex Instrument 1.25, length 14 mm short HTS 1.25 425101 C

Hex Instrument 1.25, length 21 mm medium HT 1.25 425100 C

Hex Instrument, length 45 mm long HTX 1.25 425102 C

Scan abutment for MU implantsIncl. screw SSA MU Sterilisable, two-part, material Ti6Al4V

SAB MU 418205 D

Parts for passive connectionof the bridge frame

Prosthetic screw for KOS® MU and BCS® MU SF K MU 418164 B

Castable abutment Use with T-Base and SF K MU

PA2 MU 418189 B

Titanium base *Use with SF K MU (REF 418164)For Hexacone Plus MU, BCS® MU, KOS® MU

T-Base MU 418188 B

Prosthetic screwFor KOS® MU and BCS® MU

SF K MU 418164 B

Parts for UCLA technique Castable abutment UCLAFor direct use on MU-implantsSF K MU sold separately

PA MU 418119 B

Part for UCLA technique &passive connection

Digital lab analogue for MU-implants*For BCS MU, KOS MU, Hexacone MU

IA K MU 418159 B

Long screw for prosthetic use or as pick-up screw for use with HLT MUTool: HT 1.25, material Ti6Al4V

Works with all MU implants

SFL MU 418168 B

Transfer for pick-up impressionsStraightDelivery incl. SFL MU

HLT MU 418162 C

Temporary baseSF K MU or SFL MU sold separately

TC MU 418161 D

* PLEASE GO TO HTTPS://IMPLANT.COM/EN/DOWNLOADS TO DOWNLOAD THE CORRESPONDING STL FILESSEE PAGE 51 FOR SCANBODIES FOR DIGITAL IMPRESSIONS ON MU IMPLANTS

Temporary base

KOS®36

Abdrucklöffel

APPLICATION OF SINGLE-PIECE MULTI-UNIT IMPLANTS

1.

Tighten screw SFL MU with the tool HT 1.25.

Fix the transfer with the long screw, then take pick-up-im-pression.

SFL MU

HLT MU

BCS MU 20

Bone

4.

T-Base is sandblasted from the outside and cleaned.

The bridge frame is sandblasted from below in the area of the implants.

2.

Connect the transfer to the im-plant analogue (IA K MU) and pour the impression with gyp-sum.

Impression

IA K MU

Gypsum

5.

All T-Base are fixed to the im-plants with SF K MU or the long screw SFL MU. Then all T-Base are glued with adhesive cement to the bridge frame.

This guarantees a passive fit. Composite excess is removed and the site is polished.

3. a

Connect PA MU with SF K MU on the analogue IA K MU. Tighten screw SFL MU with the tool HT 1.25.

Now the modulation can be created and the frame is venee-red. Veneering is possible with acryl, composite and ceramics.

SF K MU

PA MU

IA K MU

Fix castablewith screw.

Gypsum

6.

Now the bridge may be scre-wed on passive with SF K MU.

Screw canals are closed with temporary filling material or composite, taking into conside-ration that later access must be possible.

3. b

T-Base is positioned over the analogue and screwed on with SF K MU. The cartable PA2 MU is then fitted on top of the T-Base.

Now the modulation is made. Veneering is possible with acryl, composite and ceramics.

PA2 MU

SF K MU

T-Base

IA K MU

Castable ispositionedon T-Base.

Gypsum

Example for insertiontool ITX MU15 on theimplant BCS® MU /KOS® MU.

AH-MU Adapteror

IT2 BCS/IT BCS+ RAT 2

HT 1.25

ITX MU15

BCS MU

AAApplicationof insertion tool MU

KOS® 37

THE ADVANTAGES OF KOS® K IMPLANTS

With ball head

Perfectlymanufacturedprecision implant

Used for fixationof prostheses withnylon caps

Made of titaniumalloy Ti6Al4V

KOS®38

ACCESSORIES


IAK Lab analogue IAK 455180 B

Nylon cap transparent, Pull-off force ca. 1200g (EXTERNAL PRODUCT)

Pack of 2 NC 465028 A1

Nylon cap pink, Pull-off force ca. 800g(EXTERNAL PRODUCT)

Pack of 2 NC 1 465029 A1

Nylon cap yellow, Pull-off force ca. 500g(EXTERNAL PRODUCT)

Pack of 2 NC 2 465030 A1

Green, strong Nylon caps R-NC With increased friction strength Only with reduced diameter ball 2.3 mm

(EXTERNAL PRODUCT)

Pack of 2 R-NC 465034 A1

Pink, medium Pack of 2 R-NC 1 465033 A1

Orange, soft Pack of 2 R-NC 2 465032 A1

Metal sleeve for all nylon caps (EXTERNAL PRODUCT)

H 465031 B

Giessbare Kugel for einteiligen Abdruck with Stegverbindung PA SB A

KOS® K IMPLANTS

Perfectly manufactured precision implant made of highly fracture-resistant titanium alloy Ti6Al4V. KOS® K implants with ball head are used for fixation of prostheses with nylon caps.

a Description Code KDS Enossal Ø Enossal length Neck Ø REF Price cat.

bKOS K 3.0 12 B 3.0 mm 12 mm 2.0 mm 455152 F

fKOS K 3.0 15 C 3.0 mm 15 mm 2.0 mm 455150 F

c KOS K 3.7 12 F 3.7 mm 12 mm 2.8 mm 455154 F

KOS K 3.7 15 G 3.7 mm 15 mm 2.8 mm 455155 F

KOS K 4.1 15 L 4.1 mm 15 mm 2.8 mm 455156 F

da) Ball head Ø 2.5 mm


c) Length 5.6 mm


e) Enossal Ø 3.0 / 3.7 / 4.1 mm

e f) Height of hexagon 1.8 mm

KOS® 39

BALL ADAPTER (SPARE BALL)


Ball adapter for KOS® K implants, cementable 462051 B

INSERTION TOOLS

Description Type Length Code REF Price cat.

For KOS, KOS B, KDS long 20 mm IT K 462320 D

For KOS, KOS B, KDS extralong 45 mm ITX K 462321 D

For KOS, KOS B, KDS short 7 mm ITS K 462322 D

Hex

For KOS, KOS B, KDSOnly for W+H contra-angle with new drive

contra-angle/hex

23 mm ITWH K 462323 D

For KOS, KOS B, KDS contra-angle 23 mm ITW K 462331 D

For KOS K long 20 mm IT TB K 462327 D

For KOS BEmergency tool forretrieving KOS® B

long 20 mm Tool E 462377 D

KOS®40

INSTRUMENTS AND TOOLS

Description Length Code REF Price cat.

Drill extensionExtends by 19 mm

DX 2 500704 D

Standardized probe. 1 mm scale For radiological measurements

22 mm PDG 425400 A

Radiological measure pinFits DOS 1

CDG 420329 A

Ratchet for all Hex instruments and insertion tools

RAT 2 425051 K

Torque wrench10-70 Ncm

TW2 * 425402 S

* It is recommended to have the torque ratchets recalibrated by us once a year.

HARD METAL BONE CUTTER

Description Length Code REF

Hard metal bone cutter short, for FG 30 mm SHMC S 90030 F

Hard metal bone cutter long, for FG 36 mm SHMC L 90031 F

HANDGRIP SELF LOCKING, CANNOT BE DISMANTLED

Please note the cleaning instructions on www.implant.com/en/downloads

DRILLS


Adapter 100 mm BCD 1 Adapter 310511 F

Twist Drill 110 mm Twist Drill 2.0 310512 F

Length

110 mm

REF

311431 INSERTION TOOLSPrice cat.

V Description Length Code REF Price cat.

For KOS®, KOS® B, KDS, BCS 3.5, BCS 4.5

70 mm Adapter AHK 462319 D

For KOS® X, KOS® TX, KOS® Plus, BCS 3.6, BCS 4.6, ab > 5.5

70 mm Adapter AHB 900037 F

KOS® 41

HANDGRIP TRAY

Size of closed tray W 195 mm D 90 mm H 45 mm For all autoclaves

Description Length REF Price €

BCD 1 Adapter 100 mm 310511

Twist Drill 2.0 110 mm 310512

Adapter AHK 70 mm 462319

Adapter AHB 70 mm 900037

Handgrip 110 mm 311431

Handgrip tray w/o content 60043 upon request

Handgrip tray with content S60043 upon request

Please read our detailed instructions for cleaning and re-sterilization of surgical instruments onhttps://implant.com/en/downloads

KOS®42

INSTRUMENT TRAY FOR KOS® AND BCS®

Size of closed tray W 175 mm D 145 mm H 65 mm For all autoclaves. Autoclaveable up to 134°C, not suitable for dry heat sterilizers.

Description System Head REF Description System REF Price €

IT2 BCS KOS/BCS large 900030 Twist Drill 2.0 30 BCS * 90020

IT2 S BCS KOS/BCS large 900038 Twist Drill 2.0 21 BCS * 90022

IT2 W KOS/BCS large 900039 Twist Drill 2.5 21 BCS * 90026

IT K KOS/BCS small 462320 BCD 1 KOS/BCS 900240

ITS K KOS/BCS small 462322 BCD 2 KOS/BCS 900241

ITW K KOS/BCS small 462331 BCD 3 KOS/BCS 900242

ITWH K KOS/BCS small 462323 BCDX 1 KOS/BCS 900243

DOS 1 KOS 455311 BCDX 2 KOS/BCS 900244

DOS 2 KOS 455312 BCDX 3 KOS/BCS 900245

DOS 3 KOS 455313 CDG KOS/BCS 420329

DOS 4 KOS 455314 CDG KOS/BCS 420329

DOS 5 KOS 455315 DX 2 KOS/BCS 500704

C-Drill KM 1 KOS 455300 TW2 KOS/BCS 425402

C-Drill KM 2 KOS 455301

C-Drill KM 3 KOS 455302 Instrument tray w/o content 60006-K upon request

DS 2 KOS 425001 Instrument tray with content S60006-K upon request

IT TB K KOS 462327* The content for the system BCS® is optional

KOS® 43

STARTER TRAY

Autoclaveable up to 134°C, not suitable for dry heat sterilizers.This surgical kit contains all drills and

tools for first works with the system KOS®.Material: autoclaveable plastic.

Description REF Price €

IT K 462320

ITS K 462322

C-Drill KM 1 455300

C-Drill KM 2 455301

C-Drill KM 3 455302

IT 2 BCS 900030

IT 2 S BCS 900038

DOS 1 455311

DOS 2 455312

DOS 3 455313

BCDX 1 900243

Torque wrench TW2 425402

optional

content

HT 1.25 425100

ITX MU 15 418203

Starter tray w/o content 60041-K upon request

Starter tray with content S60041-K upon request

Aunot suitaThis surgica

tools for first woMate

Tiefe Drills Drillstop Tiefe Drills Drillstop

KOS 3.0 (3.2) KOS 4.110 DOS 1 K 8 DOS 3 L12 DOS 1 H 10 DOS 3 K15 DOS 1 D 12 DOS 3 H

15 DOS 4 KKOS 3.7 17 DOS 4 H10 DOS 2 K 19 DOS 4 F12 DOS 2 H15 DOS 2 D KOS 5.0

10 DOS 5 (6) K12 DOS 5 (6) H15 DOS 5 (6) D

Tiefe Drills Drills

KOS 3.0 (3.2)1010 DOS 1 K12 DOS 1 H15 DOS 1D D

KOS 3.710 DOS 2 K12 DOS 2 H15 DOS 2 D

DRILLSTOP TRAY

Not suitable for dry heat sterilizers Description REF Price €

Drillstopp B 500882

Drillstopp C 500883

Drillstopp D 500884

Drillstopp F 500886

Drillstopp H 500888

Drillstopp K 500891

Drillstopp L 500892

Drill DOS 1 455311

Drill DOS 2 455312

Drill DOS 3 455313

Drill DOS 4 455314

Drill DOS 5 455315

Drill DOS 6 455316

Tray with content 60033-K upon request

IT HAS BEEN SCIENTIFICALLY PROVEN

Heatless® drills by Dr. Ihde Dental generate 55 % less heat than traditional bone drills from other manufacturers. This makes it possible to use higher rotational speeds: between 3,000 and 5,000 rpm are recommended with good external cooling and intermittent drill technique.

KOS®44

INDICATIONS KOS® II KOS® MICRO

• Anchorage of crowns, bridges and bars, with the presence of adequate bone supply in terms of bone quality, bone width and bone height• Anchorage of prostheses via bar and button anchorage systems• Not for use in combination with simultaneous bone augmentations

RESTRICTIONS FOR KOS® B APPLICATION

• These two implant types may only be used as support implants in the reduced-load area• Splinting of at least three and possibly several implants for cross arch stabilisation• At least one KOS® or KOS® Micro implant must be involved in the construction• The prosthetic restoration must be securely fixed (with definitive cements)• Not to be used for segmented bridges without the involvement of at least two KOS® screws• If in doubt, angulation adapters on KOS® screws are preferable to the KOS® B implant• Not to be used for additional abutments in combination with natural teeth• Not to be used under off-axis load as well as in deep-bite cases in the maxillary and mandibular anterior region• Max. width of occlusal surface 5 mm• Not to be used as terminal abutments• Bendable up to 13 degrees

NOTES ON THE CARE OF SURGICAL STEEL INSTRUMENTS

Surgical steel instruments can quickly become damaged if inadequately or improperly cared for. Only the special solvents for cleaning surgical steel should be used; in case of doubt, consult Dr. Ihde Dental GmbH / AG.

The following are not recommended:• Disinfectants/cleaners with a high chlorine content• Disinfectants/cleaners with a high oxalic acid content

For instruments with colour coding, the following are NOT recommended:• Excessively high solvent concentrations, disinfectants/cleaners with the components mentioned above• Excessive temperatures during cleaning and sterilization (no dry heat sterilization)

KOS® 45

THE ADVANTAGES OF KOS® M IMPLANTS

SMALL HEAD

For the anteriortooth region andtight gaps

Preferably used inimmediate loading

Unlike othercompression

screws, the polished neck has a cylindricalshape

The corticalis sealed, good

retention is achieved in the cortical and the bone is protected against

infections

The endosseousimplant part compresses the cancellous bone

areas

KOS®46

KOS® M AND MICRO IMPLANTS

Cylindrical neck, 3.5 mmh, 2.0 mm Ø, fracture-proof up to 80 Ncm insertion torque, bendable up to 15°

Enossal length

Minimum insertion depth

Small head 3.3 mmd x 6.8 mmh, with square

Large head 3.9 mmd (max.) x 7.2 mmh, with three

vertical grooves for the insertion procedure

Compression thread area,lasered

Microthread area 2.5 mmh,polished

455901 KOS M 3.0 12

455914 KOS Micro 3.7 15

MATERIALTi6AL4V, also known as „Grade 5“, is the high-purity version of the conventional 6/4 Ti alloy, which is used for more than 50% of all metallic human implants. This material is the first choice for all applications which require high stability, corrosion resistance and mechanical strength. This is why today‘s most modern dental implant designs are made of this material. This titanium alloy is superior to the alternatively used pure titanium in terms of stability by more than 25%. Also regarding biocompatibility and the support of bone cell growth, this titanium alloy shows advantages compared to pure titanium.

FUNCTIONALITYThe one-piece KOS® M / KOS® Micro dental implant is preferably used in immediate loading. Unlike other compression screws, the polished neck has a cylindrical shape. Thus, the cortical is sealed, good retention is achieved in the cortical and the bone is protected against infections. At the same time, the endosseous implant part compresses the cancellous bone areas.

NOTE The smooth microthread must be completely submerged below the bone level. The cylindrical neck must extend into the bone at least 1 mm deep. Therefore, the implant must be selected so that at least 1.5 mm more usable vertical bone is present than the nominal length of the implant. Example For KOS Micro 3.7 15, 17 mm of usable vertical bone must be present. If in doubt, a shorter implant should be selected so as to ensure a sufficient insertion depth.

DRILLING PROCEDUREThe pilot hole is made with the drills of the KOS® system. Except in very dense mandibular bone, the pilot hole is usually sufficient with BCD1 or DOS1.

INSERTIONThe implant can be inserted most easily with the handgrip (REF 311431) and the adapter (REF 900 037). When using the ratchet RAT2, small or medium insertion tools are used. Max. torque is 80 Ncm.

THE IMPLANTS ARE SUPPLIED WITH TWO DIFFERENT HEAD SIZESKOS® M implants are supplied with a small head; they also fit in small individual tooth gaps.KOS® Micro implants are supplied with a large head. This head permits easy and speedy prosthetic restoration.

KOS® 47

KOS® M IMPLANTS WITH SMALL ABUTMENT HEAD

KOS® M with small head for the anterior tooth region and tight gaps. Material Ti6Al4V.

a Description Enossal Ø Enossal length Neck Ø Bohrer * REF Price cat.

KOS M 3.0 10 3.0 mm 10 mm 2 mm

DOS 1 oder BCD 1

456108 F

b KOS M 3.0 12 3.0 mm 12 mm 2 mm 456109 F

KOS M 3.0 15 3.0 mm 15 mm 2 mm 456110 F

KOS M 3.2 12 3.2 mm 12 mm 2 mm 456111 F

c f KOS M 3.2 15 3.2 mm 15 mm 2 mm 456112 F

KOS M 3.7 6 3.7 mm 6 mm 2.5 mm 456106 F

KOS M 3.7 8 3.7 mm 8 mm 2.5 mm 456107 F

d KOS M 3.7 10 3.7 mm 10 mm 2.5 mm 456114 F

KOS M 3.7 12 3.7 mm 12 mm 2.5 mm 456115 F

KOS M 3.7 15 3.7 mm 15 mm 2.5 mm 456120 F

e* In very hard bone, it may be additionally necessary to make a cylindrical hole with a twist Drill 2.5 mmd to a depth of 2.5 mm.






f) Neck Ø 2.0 - 2.5 mm


f



IA4/IAU

462111


462136


462029


INCLUSIVE

KOS®48

THE ADVANTAGES OF KOS® MICRO IMPLANTS

LARGE HEAD

Vertical grooves for anti-rotation protection

Single-piecedesign reducescosts, the danger

of peri-implantitis and eliminates the haz-zles of screwloosening

For all applications, crowns, bridges and

bars

Optimal primary stability thanks to the micro thread

Compression screw design for perfect stability

Enossal partwith specialNo-Itis® lasersurface

KOS® 49



IA4/IAU

462111


462136


462029


INCLUSIVE

ACCESSORIES


Pack of 5 Pack of 5

REF 462106 REF 462030



KOS® MICRO IMPLANTS WITH LARGE ABUTMENT HEAD

KOS® Micro with large head for all applications. Material Ti6Al4V.

a Description Enossal Ø Enossal length Neck Ø Bohrer * REF Price cat.

KOS Micro 3.7 6 3.7 mm 6 mm 2.0 mm DOS 2 / BCD 2 455910 F

b KOS Micro 3.7 8 3.7 mm 8 mm 2.0 mm DOS 2 / BCD 2 455911 F


c KOS Micro 3.7 12 3.7 mm 12 mm 2.0 mm DOS 2 / BCD 2 455913 F

f KOS Micro 3.7 15 3.7 mm 15 mm 2.0 mm DOS 2 / BCD 2 455914 F



d KOS Micro 4.1 12 4.1 mm 12 mm 2.0 mm DOS 3 / BCD 3 455922 F


KOS Micro 5.0 10 5.0 mm 10 mm 2.0 mm DOS 5 455925 F

KOS Micro 5.0 12 5.0 mm 12 mm 2.0 mm DOS 5 455926 F

e* In very hard bone, it may be additionally necessary to make a cylindrical hole with a twist Drill 2.5 mmd to a depth of 2.5 mm.






f) Neck Ø 2.0 mm


f

KOS®50



FOR SMALL HEAD Impression post, POMCastable, internally round


ALTERNATIVE Impression post made of POMCastable, internally round








FOR LARGE HEAD Impression and castable abutment Internally edged

Pack of 5 PA X 462136 B

Castable abutment for large head Internally round


PO4/MA4 POB/MA5

TITANIUM CAPS

Description Material Code REF Price cat.

Titanium cap, radio opaqueFor small head

Ti6Al4V weldable

MA4 462090 B

Titanium cap, radio opaqueFor large head

Ti6Al4V weldable

MA5 462093 B

Gypsum

CORTICAL MILLING FOR KOS® M AND KOS® MICRO


C-Drill KM1 3.0 - 3.2 Cortical milling C-Drill KM1 455300 E

C-Drill KM2 3.7 - 4.1 Cortical milling C-Drill KM2 455301 E

C-Drill KM3 5.0 Cortical milling C-Drill KM3 455302 E

KOS® 51

SCANBODIES MATERIAL PEEK/POM

View from top

Description Scanbody-4Cylyndrical, for small head

Description Scanbody-5Cylyndrical, for large head

Description Scanbody-MUCylyndrical

Systems KOS, BCS Systems KOS, BCS Systems BCS MU, KOS MU, Hexacone MU

REF 462054 REF 462055 REF 462056

Price cat. B (Pack of 5) Price cat. B (Pack of 5) Price cat. B (Pack of 5)

View from top

Description Flag-Scanbody SCB4 For small head For intra-oral scans

Description Flag-Scanbody SCB5 For large head For intra-oral scans

Description Flag-Scanbody SCB MU Incl. screw SFK MU (418164) For intra-oral scans

Systems KOS, BCS Systems KOS, BCS Systems BCS MU, KOS MU, Hexacone MU

REF 462071 REF 462072 REF 462073

Price cat. C (Pack of 5) Price cat. C (Pack of 5) Price cat. B (1 piece)

Please go to https://implant.com/en/downloads to download the corresponding STL files.

rom top

KOS®52

HEATLESS® DRILLS DOS FOR IMPLANTS WITH CONICAL CORE

Surgical steel, colour-coded, depth-coded and autoclaveable. The drill is marked with laser depth markings.Use between 3,000 and 5,000 rpm with good cooling and intermittent drill technique.Due to the extremely high cutting performance, you can work without pressure.

Description Colour Max. working length REF Price cat.

DOS 1 yellow 17 mm 455311 D

DOS 2 black 17 mm 455312 D

DOS 3 red 17 mm 455313 D

DOS 4 blue 21 mm 455314 D

DOS 5 green 17 mm 455315 D

DOS 6 transparent 15 mm 455316 D

DOS 6 This drill is 2 mm shorter at the tip. It can therefore drill up to 2 mm deeper into hard bone than nominally indicated on the drill. Therefore, the conical bone cavity is only circularly extended in the crestal area without increasing the drilling depth.

INSTRUMENTS AND TOOLS


Insertion tool short, for large headUse with RAT 2 and TW2

7 mm IT2 S BCS 900038 E

Insertion tool medium, for large headUse with RAT 2 and TW2

19 mm IT2 BCS 900030 E

Insertion tool for large headUse with contra-angle

23 mm IT2W 900039 E

Insertion tool long, for small headUse with RAT 2 and TW2

20 mm IT K 462320 D

Insertion tool short, for small headUse with RAT 2 and TW2

7 mm ITS K 462322 D

Insertion tool for small headUse with contra-angle

23 mm ITW K 462331 D

Torque wrench 10 - 70 Ncm TW2 425402 S

Adapter for large headUse with handgrip

70 mm AHB 900037 F

Adapter for small headUse with handgrip

70 mm AHK 462319 D

Handgrip Self lockingFor machine processing in the ultrasonic bath

110 mm 311431 V

-55%heat

KOS® 53

Heatless® Drill Heatless® Drill Heatless® Drill Heatless® Drill Heatless® DrillDOS 1 REF455311 DOS 2 REF455312 DOS 3 REF455313 DOS 4 REF455314 DOS 5 REF455315

21 mm 19 mm

17 mm 15 mm

17 mm 15 mm

17 mm 15 mm

17 mm 17 mm15 mm

15 mm

12 mm10 mm

12 mm10 mm

12 mm10 mm

12 mm10 mm

8 mm 6 mm 8 mm 8 mm

Max. workinglength17 mm


6 mm Max. workinglength17 mm



Twist Drillø 2.0 mm



Twist Drill for ZSI

Twist Drill for ZSI

Twist Drill for ZSI

Twist Drill 2.0/21 REF90022



Twist Drill 2.2 /50REF90021

Twist Drill 2.2 /55REF90023

Twist Drill 2.2 REF310514

55 mm

50 mm52.5 mm50 mm 50 mm

47.5 mm 47.5 mm47.5 mm45 mm

45 mm42.5 mm

45 mm42.5 mm 42.5 mm

29 mm29 mm

40 mm37.5 mm

40 mm37.5 mm

40 mm37.5 mm

26 mm26 mm

35 mm 35 mm 35 mm

20 mm23 mm

23 mm 29 mm17 mm

20 mm20 mm 26 mm

14 mm17 mm

17 mm23 mm

14 mm14 mm

20 mm17 mm14 mm







BCS®54

APPLICATION AREAS OF THE STRATEGIC IMPLANT® FOR ANCHORAGE IN THE UPPER AND LOWER JAW

BCS® implants can be used immediately in extraction sockets if the basal support is sufficient. The anti-rotation protection ensures immediate stability against unintentional unscrewing before prosthetic loading. The prosthesis should be inserted before the 3rd post-operative day. BCS® implants are made of strong, biocompatible titanium alloy Ti6Al4V ELI. BCS® implants are used typically for segments and circular bridges in an immediate splinting protocol. Their use is permitted only for authorized users.

The prescribed or recommended tightening torques for implants, abutments and screws can be found on our website: www.implant.com/en/downloads

BCS® 55

FITTING AND CEMENTING OF PROSTHETICS

The lower border of the abutment head of the Strategic implant® is (only) used as a margin to hold the transfer during impression-taking. Because the implant and the abutment head are both polished, the lower margin of the implant does not typically serve as a crown margin as we know it from teeth or conventional 2-stage implants. There are no medical or technical reasons why the crown margin (or the margin of the technical abutment) should reach the lower border of the abutment head.

It is important however that enough distance between the lower margin of the prosthetic workpiece and the gums (or the bone respectively) is left after cementation. We recommend to use only strong permanent cements (e.g. Fuji Plus, GC Corp.) and to have a vertical cementing surface/zone of at least 4 mm on the abutments. The abutment head may be shortened/adjusted vertically and/or laterally in order to achieve a good aesthetic result and to allow good phonetics.

Those surfaces on the abutment head which will provide retention for the cement must be roughened and cleaned before cementation. All other surfaces of the abutment head must remain fully polished.

The main aim of this step of the treatment is the incorporation of a prosthetic workpiece which is easily cleanable or which allows self-cleaning (on the lingual or palatal side) in function.

Fig. 1The transfer cap (3) is positioned on the abutment head until the lower border of the abutment head (1) is reached. The transfer will sit firmly in this position. Then the impression is taken with silicone putty or heavy body silicone material. This allows the transfer of the implant position to the model.

Fig. 2 The implant head was placed approximately 1.8 mm above the bone level (4). The mucosa level (5) reaches higher than the lower bor-der of the abutment head (1). The level of the crown margin (6) and the lower border of the abutment head (1) are in a distance to each other. This avoids retention of cements and debris in the submucosal area. This is a cor-rect result. On the x-ray the crown will appear however as "too short”, considering not ap-plicable criteria from conventional dentistry.

Fig. 3The crown margin (6) will be the same level as the lower border of the abut-ment head (1) if the abutment head sits on the mucosa line (5).

Fig. 4If the abutment head is positioned on a mucosal slope, the lower border of the abutment head is on one side (1a) deeper in the mucosa than on the other side (1b). In such a case the crown margin (6) will also run oblique, in order to avoid submo-sal postion of parts of the crown. See the clincial example in Fig. 9. Also in this case the crown may appear as "too short" on the x-ray, considering not applicable cri-teria from conventional dentistry.

Fig. 5For aesthetic reasons it may be neces-sary to create vestibular overhangig portions of the prosthetic workpiece (7).

Fig. 6It is not allowed to create such prosthetic overhangs (7a, 7b) on both sides of the prosthetic workpice, because this would lead to an non-hygienic situation without the possibility of self cleaning. Food and debris will get stuck in the area of the mu-cosal penetration area of the implant and this will create an inflammation.

Fig. 7If vertical height is missing, the top part of the abutment head may be shortened (region 8 is removed). At the same time it might be necessa-ry to keep a distance between the lower margin of the abutment head (1) and the lower crown margin (6). Nevertheless the vertical cementati-on area (9) should be not less than 9 mm heigh.

Fig. 8If abutment heads are used as technical abutments, they are shortened after the final cementation of the prosthetic wor piece (region 8 is removed) and after the cement has fully set. This adjustment may be done at the first control appointment. They remain «open». The height of the cementing surface (9) should be not less than 4 mm. The lower margin of the ab-utment does not necessarily concide with the lower border of the abutment head.

Fig. 9The implant crowns 43 and 44 have been shortened more than 3 mm on the lingual side and on the vestibular side an overhang has been modelled. The necessary height for cementa-tion is given both on the vestibular and the lingual side on the abutment head.

CONCLUSIONThe question if the prosthetic construction is propperly fitted to the abutment of the Strategic implant® depends on the spational relationship between the crown margin to the mucosa much more than on anything else. Relevant for any judgement about the length of the crown is the moment of the cementa-tion. Only for selected bridge materials and bridge designs, subgingival con-nection between implant abutment and prosthetics is possible. In such cases the final connection between the two components requires an open surgical cementation.

3

2

1 11.8 mm6

5

4

56, 1

1

11 1

1

1

1a

5

6

1b

7

6

7a 7b

5 5

55

88

9

9

9

A

B

6

e

X

BCS®56

THE ADVANTAGES OF BCS® IMPLANTS

SMALL HEAD LARGE HEAD

For anchorage in the 1st, 2nd and if necessary 3rd cortical

For the corticalanchorage of dental

prostheses

Can be used insockets for a given

indication immediatelyafter extraction andloaded immediatelyin many cases

Mechanicallysmoothed surface in

all areas

Self-tappingthread withendosseousanti-rotationprotection

Conditionallysuitable for

individual toothprostheses


titanium alloy

BCS® 57

BCS® IMPLANTS WITH SMALL ABUTMENT HEAD

BCS® implants 3.5 mmd - 4.5 mmd

For anchorage in the 1st, 2nd and if necessary 3rd cortical, for the cortical anchorage of dental prostheses. BCS® implants can be used in sockets for a given indication immediately after extraction and loaded immediately in many cases. Mechanically smoothed surface in all areas. The abutment head is identical to the head of KOS® implants. Self-tapping thread with endosseous anti-rotation protection. Conditionally suitable for individual tooth prostheses. Insertion tools: IT KOS, ITX KOS, ITS KOS, Adapter AHK.

a Description c d e REF Price cat.

g BCS 3.5 10 10 5.5 3.5 900208 G

b BCS 3.5 12 12 5.5 3.5 900226 G

BCS 3.5 14 14 7.5 3.5 900210 G

BCS 3.5 17 17 7.5 3.5 900211 G

f BCS 3.5 20 20 7.5 3.5 900212 G

BCS 3.5 23 23 7.5 3.5 900213 G

c BCS 3.5 26 26 7.5 3.5 900214 G

BCS 3.5 29 29 7.5 3.5 900215 G

BCS 3.5 32 32 7.5 3.5 900216 G

d BCS 3.5 35 35 7.5 3.5 900217 G

BCS 3.5 38 38 7.5 3.5 900218 G

BCS 4.5 14 14 7.5 4.5 900220 G

e BCS 4.5 17 17 7.5 4.5 900221 G

a) Max. abutment Ø 3.35 mm BCS 4.5 20 20 7.5 4.5 900222 G

b) Abutment height 6.8 mm BCS 4.5 23 23 7.5 4.5 900223 G

c) Nominal length 10 - 38 mm BCS 4.5 26 26 7.5 4.5 900224 G

d) Length of thread 5.5 - 7.5 mm BCS 4.5 29 29 7.5 4.5 900225 G


f) Neck Ø at the top 2.0 mm

g) Square key width 1.9 mm

Max. insertion torque 80 Ncm FIELD OF APPLICATION Enossal dental implant for cortical anchorage.

BCS® implants are delivered incl. lab-set REF 462353, consisting of


IA4/IAU

462111


462136


462029


INCLUSIVE

BCS®58

BCS® IMPLANTS WITH LARGE ABUTMENT HEAD

a Description c d e REF Price cat.

BCS 3.6 10 10 5.5 3.6 900285 H

b BCS 3.6 12 12 5.5 3.6 900284 H

BCS 3.6 14 14 7.5 3.6 900286 H

BCS 3.6 17 17 7.5 3.6 900287 H

f BCS 3.6 20 20 7.5 3.6 900288 H

BCS 3.6 23 23 7.5 3.6 900289 H

c BCS 3.6 26 26 7.5 3.6 900290 H

BCS 3.6 29 29 7.5 3.6 900291 H

BCS 4.6 8 8 3.5 4.6 900299 H

d BCS 4.6 10 10 5.5 4.6 900292 H

BCS 4.6 12 12 4.5 4.6 900300 H

BCS 4.6 14 14 7.5 4.6 900293 H

e BCS 4.6 17 17 7.5 4.6 900294 H

BCS 4.6 20 20 7.5 4.6 900295 H

a) Abutment Ø 3.9 mm BCS 4.6 23 23 7.5 4.6 900296 H

b) Abutment height 7.2 mm BCS 4.6 26 26 7.5 4.6 900297 H

c) Nominal length 8 - 29 mm BCS 4.6 29 29 7.5 4.6 900298 H

d) Length of thread 3.5 - 7.5 mm BCS 5.5 8 8 3.5 5.5 900255 K

e) Enossal Ø 3.6 - 5.5 mm BCS 5.5 10 10 5.5 5.5 900281 K

f) Neck Ø at the top 2.0 mm BCS 5.5 12 12 6.0 5.5 900250 K

Max. insertion torque 80 Ncm BCS 5.5 14 14 6.0 5.5 900251 K

BCS 5.5 17 17 6.0 5.5 900252 K

BCS 5.5 20 20 6.0 5.5 900253 K

BCS 5.5 23 23 7.5 5.5 900265 K

BCS 5.5 26 26 7.5 5.5 900266 K

BCS 5.5 29 29 7.5 5.5 900267 K



IA4/IAU

462111


462136


462029


INCLUSIVE

f

ACCESSORIES


Pack of 5 Pack of 5

REF 462106 REF 462030



BCS® 59

BCS® IMPLANTS WITH LARGE ABUTMENT HEAD

a Description c d e f REF Price cat.

BCS 7.0 8 8 5.5 7 2.0 900258 K

b BCS 7.0 10 10 5.5 7 2.0 900282 K

BCS 7.0 12 12 5.5 7 2.0 900260 K

BCS 7.0 14 14 5.5 7 2.0 900261 K

c f BCS 7.0 17 17 5.5 7 2.0 900262 K

BCS 7.0 20 20 5.5 7 2.0 900263 K

d BCS 9.0 8 8 5.5 9 2.1 900269 M

BCS 9.0 10 10 5.5 9 2.1 900270 M

BCS 9.0 12 12 5.5 9 2.1 900274 M

e BCS 9.0 14 14 5.5 9 2.1 900271 M

BCS 10.5 10 10 6.5 10.5 2.1 900276 M

a) Abutment Ø 3.9 mm BCS 10.5 12 12 6.5 10.5 2.1 900277 M

b) Abutment height 7.2 mm BCS 10.5 14 14 6.5 10.5 2.1 900278 M

c) Enossal length 8 - 20 mm BCS 10.5 17 17 6.5 10.5 2.1 900280 M

d) Length of thread 5.5 - 6.5 mm BCS 12.0 8 8 5.5 12 2.1 900279 O

e) Enossal Ø 7 - 12 mm BCS 12.0 10 10 5.5 12 2.1 900272 O

f) Neck Ø at the top 2.0, 2.1 mm BCS 12.0 12 12 6.5 12 2.1 900275 O

Max. insertion torque 80 Ncm BCS 12.0 14 14 6.5 12 2.1 900273 O

insertion tools: IT2 BCS, IT2 S BCS, Adapter AHB



IA4/IAU

462111


462136


462029


INCLUSIVE

ACCESSORIES


Pack of 5 Pack of 5

REF 462106 REF 462030



BCS®60

USE OF THE HANDGRIP (see page 50)ON THE EXAMPLE OF A LARGE ABUTMENT HEAD BCS® IMPLANT

1. Use of the handgrip

2. Break off and implant immediatelyin the designated place

BCS® 61

IMPRESSION TAKING AND LABORATORY ACCESSORIES FOR BCS® AND KOS® IMPLANTS


Impression post, POMFor small head Castable, internally round


ALTERNATIVE Impression post, POMFor small head Castable, internally round


Impression post, POM For large head Internally round


Double analogue, metal 1 piece IA4/IAU 462112 A

Double analogue, plastic Pack of 5 IA4/IAU 462111 B



Castable abutment For large head Internally round


GUIDE JACKET

Description Unit Material REF Price cat.

BFH 2.0 guide jacket 2.0mmd Pack of 5 Ti6Al4V 425410 C

BFH 2.5 guide jacket 2.5mmd Pack of 5 Ti6Al4V 425411 C

c a) Length 5 mm

b b) Height of step 0.7 mm

a c) Max. Ø top 3.7 / 4 mm

e d) Nominal Ø 3 / 3.35 mm

d e) Ø of drilling in the drill template 2.05 /2.55 mm

Model with residual teeth for the fabrication of a drill guide for creating cavities for fixating the later drill guide

for implant cavities.

Drill guide for creating cavities for laterfixation of the surgical dill guide.

Surgical drill guide for safe BCS® placement. The drill sleeves are designed for 2.0 mm Twist drills.

BCS®62

PATHFINDER DRILLS

Conical 3-edge drill as initial drill, ideally suited for all crestal implant systems. The drill also passes between narrow cortical areas without pressure.

Description Colour Max. working length REF Price cat.

BCD 1 yellow 15 mm 900240 C

BCD 2 black 15 mm 900241 C

BCD 3 red 13 mm 900242 C

BCDX 1 yellow 15 mm 900243 C

BCDX 2 black 15 mm 900244 C

BCDX 3 red 15 mm 900245 C

BCD 1 AdapterPathfinder for handgripLength 100 mm

310511 F

TWIST DRILLS

Description Ø Max. working length REF Price cat.

Twist Drill 1.8/23 1.8 mm 23 mm 90024 D





Description Max. working length REF Price cat.

Twist Drill 2.0 Cylindrical drill 2.0 mm For handgrip, length 110 mm

35 mm 310512 F

Pilot drill For surgical handgripFor chuck 2.35 mmd

310515 F

Twist Drill 2.0/30 For surgical handgripFor chuck 2.35 mmd

30 mm 310516 F

I 47 mm I

I 15 mm I

I 39 mm I

BCS® 63

INSERTION TOOLS AND ADAPTER


For BCS® implants with Ø 3.5 mm + 4.5 mm

IT K 462320 D

Adapter for BCS 3.5 / 4.5Use with handgrip REF 311431

AHK 462319 D

Insertion tool medium, for large headUse with RAT 2 and TW2

IT2 BCS 900030 E

For BCS® implants with Ø 3.6, 4.6, 5.5, 7, 9, 10.5, 12 mm

IT2 S BCS 900038 E

For BCS® implants with Ø 3.6, 4.6, 5.5, 7, 9, 10.5, 12 mmUse with handgrip REF 311431

AHB 900037 F

WIRES FOR INTRA-ORAL WELDING

Description Material Ø REF Price cat.

Titanium wire (5 piece á 15cm/pack) TiGr.2 1.5 mm 462001 B

Titanium wire (5 piece á 15cm/pack) TiGr.2 2.0 mm 462002 B

Titanium wire (5 piece á 15cm/pack) Ti6Al4V 2.0 mm 462003 B

a u (5 p á 5 /pa )

Titanium wire (5 piece á 15cm/pack)

Titanium wire (5 piece á 15cm/pack)

HARD METAL CUTTER


Hard metal cutter short 30 mm SHMC S 90030 F

Hard metal cutter long, for FG 36 mm SHMC L 90031 F

BCS®64

TITANIUM CAPS FOR LASER CONNECTION

Multi-use titanium caps for:• use in immediately lasered bridge frames, together with the bar profiles (without bar matrices)• the radiological control of plastic modeling• for direct Polymerization into the bridge prosthesis• direct veneering with titanium ceramics• material: Ti Grade 4


Titanium cap, radio opaqueFor small head For KOS, KOS B, BCS 3.5, BCS 4.5

MA4 462090 B

Titanium cap, radio opaqueFor large head For KOS X, KOS Plus, BCS 3.6, BCS 4.6-BCS 12

MA5 462093 B

Provisorium

Provisorium

Nanda S., Ihde S., Nanda P. Intra-oral welding-A usefull adjunct in immediate loading implantology using BCS implants. CMF Impl. Dir. Vol 9, No.2, 13-24, 2014

INTRA-ORAL WELDING

ACCESSORIES

Description Material Systeme REF Price cat.

Scanbody-4For small head

Peek KOS, BCS 462054 B

Scanbody-5For large head

Peek KOS, BCS 462055 B

BCS® 65

CEMENTABLE ANGULATION ADAPTER (TI6AL4V)

These adapters are mounted on BCS® implants to compensate for the insertion direction. Plastic cements are preferably used. The implant head must be roughened beforehand. The protruding head parts are then removed. The impression is taken directly on the adapter.



AA15 KK 462036 C

AA15 KK

AA25 KK


AA25 KK 462046 C

Adapter 15°For large head

AA5 15° 462052 C

AA5 15°

AA5 25°

Adapter 25°For large head

AA5 25° 462053 C

CASTABLE CROWN BASE

These adapters are used by the dental technician for modeling of bridge frames. In the metal try-in, the protruding head parts are removed by the dentist.

Description Height Code REF Price cat.

Adapter 15°For small headReducible and castablePack of 5

7.5 mm AAL 15 KK 462045 C

LAB ANALOGUE


Abutment analogue for angulation adapterFor small head15°and 25°

AAA 462049 B

CASTABLE ABUTMENT AND IMPRESSION TRANSFER


Castable abutment and transfer for AAA Pack of 5

PA AAA 462050 B

CEMENTING ABUTMENT

Replacement abutment for cementing. For BCS implants up to a shaft diameter of 2.1 mm. Larger shafts must be ground down. Allows the vertical correctionof the abutment position. Mounting e.g. with Fuji Plus. With drain hole, machined surface. Material Ti6Al4V.


B21 Replacement abutment for BCSinternal diameter 2.15 mm

B21 900316 A

B21 ANA Replacement abutment for BCSAnatomically shaped, can be ground downHeight above gingiva 7.55 mmTransgingival height 1.5 mm

B21 ANA 462021 C

BCS®66

INSTRUMENT TRAY FOR KOS® AND BCS®

Size of closed tray W 175 mm D 145 mm H 65 mm For all autoclaves. Autoclavable up to 134°C, not suitable for dry heat sterilizers.

Description System Head REF Description System REF Price €

IT2 BCS KOS/BCS large 900030 Twist Drill 2.0 30 BCS 90020

IT2 S BCS KOS/BCS large 900038 Twist Drill 2.0 21 BCS 90022

IT2 W KOS/BCS large 900039 Twist Drill 2.5 21 BCS 90026

IT K KOS/BCS small 462320 Twist Drill 1.8/23 BCS 90024

ITS K KOS/BCS small 462322 BCD 1 KOS/BCS 900240

ITW K KOS/BCS small 462331 BCD 2 KOS/BCS 900241

ITWH K KOS/BCS small 462323 BCD 3 KOS/BCS 900242

DOS 1 KOS * 455311 BCDX 1 KOS/BCS 900243



DOS 4 KOS * 455314 CDG KOS/BCS 420329

DOS 5 KOS * 455315 CDG KOS/BCS 420329

C-Drill KM 1 KOS * 455300 DX 2 KOS/BCS 500704

C-Drill KM 2 KOS * 455301 TW2 KOS/BCS 425402

C-Drill KM 3 KOS * 455302 Instrument tray w/o content 60006-K upon request

DS 2 KOS * 425001 Instrument tray with content S60006-K upon request

IT TB K KOS * 462327

* The content for the system KOS® is optional

BCS® 67

INSERTION TOOLS

Description Type Length For implant REF Price cat.

IT K long 20 mm BCS, KOS,KOS B, KDS

462320 D

ITX K extralong 45 mm BCS, KOS, KOS B, KDS

462321 D

ITS K short 7 mm BCS, KOS, KOS B, KDS

462322 D

Tool E Emergency toolfor KOS® and BCS®

long 20 mm BCS, KOS B 462377 D

IT2 BCS long 20 mm BCS, KOS, KOS B, KDS

900030 H

IT2 S BCS short 7 mm BCS, KOS X, KOS Plus

900038 D

IT2W 23 mm KOS, BCS 900039 E

STARTER TRAY

Autoclavable up to 134°C, not suitable for dry heat sterilizers.This surgical kit contains all drills and tools for first works

withthe system BCS® and BCS® MU.Material: autoclavable plastic.

Description REF Price €

IT K 462320

ITS K 462322

IT 2 BCS 900030

IT 2 S BCS 900038

BCD 1 900240

Twist Drill 2.0 21 90022



Twist Drill 1.8/23 90024

BCDX 1 900243

optional

content

HT 1.25 425100

ITX MU 15 418203

Torque wrench TW2 425402

Starter tray w/o content 60040-K upon request

Starter tray with content S60040-K upon request

BCS®68

THE ADVANTAGES OF BCS® MU IMPLANTS

For occlusalscrewed bridges

Feature apre-angulation of 15°

May be bentadditionally, using the insertion tool

In conjunc-tion with the clinically possible rotational positions of the head, virtually all possible angulati-ons can berealized

May be used by authorized users

only


titanium alloy

BCS® 69

BCS® MU IMPLANTS

BCS® MU implants feature a pre-angulation of 15 degrees. BCS® MU may be bent additionally, using the insertion tool. In conjunction with the clinically possible rotational positions of the head, virtually all possible angulations can be realized. BCS® MU implants may be used by authorized users only. Material Ti6Al4V.

a Description REF Price cat. Description REF Price cat.

bg BCS MU 3.6 8 900397 N BCS MU 4.6 23 900385 N

BCS MU 3.6 10 900398 N BCS MU 4.6 26 900386 N

c BCS MU 3.6 12 900376 N BCS MU 4.6 29 900387 N

f BCS MU 3.6 14 900330 N BCS MU 4.6 32 900388 N

BCS MU 3.6 17 900331 N BCS MU 4.6 35 900389 N

BCS MU 3.6 20 900332 N

d BCS MU 3.6 23 900333 N BCS MU 5.5 10 900334 N

BCS MU 3.6 26 900377 N BCS MU 5.5 12 900335 N

BCS MU 3.6 29 900378 N BCS MU 5.5 14 900336 N

BCS MU 3.6 32 900399 N BCS MU 5.5 17 900357 N

e BCS MU 3.6 35 900339 N BCS MU 5.5 20 900358 N

BCS MU 3.6 38 900340 N BCS MU 5.5 23 900341 N

a) Abutment Ø 4.8 mm BCS MU 5.5 26 900342 N

b) Abutment height 3.7 mm BCS MU 4.6 8 900379 N

c) Trans-mucosal height 0.8 mm BCS MU 4.6 10 900380 N BCS MU 7.0 10 900337 N

d) Enossal length 8 - 38 mm BCS MU 4.6 12 900381 N BCS MU 7.0 12 900338 N

e) Enossal Ø 3.6 - 7.0 mm BCS MU 4.6 14 900382 N BCS MU 7.0 14 900360 N

f) Neck Ø 2 mm BCS MU 4.6 17 900383 N BCS MU 7.0 17 900361 N

g) Height of connecting part 2 mm BCS MU 4.6 20 900384 N BCS MU 7.0 20 900362 N

Prosthetic screw SFK MU

MULTI-UNIT LAB SET


Titanium base Use with SF K MU

T-Base MU 418188

Castable abutment Use with T-Base and SF KMU

PA2 MU 418189

Prosthetic screw for KOS® MU and BCS® MU

SF K MU 418164

COMPLETE SET 418289 E

f

BCS®70

ACCESSORIES SINGLE-PIECE MULTIUNIT IMPLANTS


Insertion tool for KOS® MU, BCS® MU &Hexacone Plus MU 15°Use with IT2 BCS, IT2 S BCS, AH MUTool HT 1.25

ITX MU15 418203 F

EXTENSION SET FO

R BCS® TRAY

Insertion tool mediumFor large headUse with RAT2 and TW2, length 19 mm

IT2 BCS 900030 E

Insertion tool shortFor large headUse with RAT2 and TW2, length 7 mm

IT2 S BCS 900038 E

Adapter for handgripFits ITX MU15 (REF 418203)

AH-MU 900041 F

Description Code REF

Hex Instrument 1.25, length 14 mm short HTS 1.25 425101 C

Hex Instrument 1.25, length 21 mm medium HT 1.25 425100 C

Hex Instrument, length 45 mm long HTX 1.25 425102 C

Scan abutment for MU implantsIncl. screw SSA MUSterilisable, two-part, material Ti6Al4V

SAB MU 418205 D

Parts for passive connectionof the bridge frame

Prosthetic screw for KOS® MU and BCS® MU SF K MU 418164 B

Castable abutment Use with T-Base and SF K MU

PA2 MU 418189 B

Titanium base *Use with SF K MU (REF 418164)For Hexacone Plus MU, BCS® MU, KOS® MU

T-Base MU 418188 B

Prosthetic screwFor KOS® MU and BCS® MU

SF K MU 418164 B

Parts for UCLA technique Castable abutment UCLAFor direct use on MU implantsSF K MU sold separately

PA MU 418119 B

Part for UCLA technique &passive connection

Digital lab analogue for MU implants*For BCS MU, KOS MU, Hexacone MU

IA K MU 418159 B

Long screw for prosthetic use or as pick-up screw for use with HLT MUTool: HT 1.25, material Ti6Al4V

Works with all MU implants

SFL MU 418168 B

Transfer for pick-up impressionsStraightDelivery incl. SFL MU

HLT MU 418162 C

Temporary baseSF K MU or SFL MU sold separately

TC MU 418161 D

* PLEASE GO TO HTTPS://IMPLANT.COM/EN/DOWNLOADS TO DOWNLOAD THE CORRESPONDING STL FILESSEE PAGE 51 FOR SCANBODIES FOR DIGITAL IMPRESSIONS ON MU IMPLANTS

Temporary base

BCS® 71

Abdrucklöffel

APPLICATION OF SINGLE-PIECE MULTI-UNIT IMPLANTS

1.

Tighten screw SFL MU with the tool HT 1.25.

Fix the transfer with the long screw, then take pick-up-im-pression.

SFL MU

HLT MU

BCS MU 20

Bone

4.

T-Base is sandblasted from the outside and cleaned.

The bridge frame is sandblasted from below in the area of the implants.

2.

Connect the transfer to the im-plant analogue (IA K MU) and pour the impression with gyp-sum.

Impression

IA K MU

Gypsum

5.

All T-Base are fixed to the im-plants with SF K MU or the long screw SFL MU. Then all T-Base are glued with adhesive cement to the bridge frame.

This guarantees a passive fit. Composite excess is removed and the site is polished.

3. a

Connect PA MU with SF K MU on the analogue IA K MU. Tighten screw SFL MU with the tool HT 1.25.

Now the modulation can be created and the frame is venee-red. Veneering is possible with acryl, composite and ceramics.

SF K MU

PA MU

IA K MU

Fix castablewith screw.

Gypsum

6.

Now the bridge may be scre-wed on passive with SF K MU.

Screw canals are closed with temporary filling material or composite, taking into conside-ration that later access must be possible.

3. b

T-Base is positioned over the analogue and screwed on with SF K MU. The cartable PA2 MU is then fitted on top of the T-Base.

Now the modulation is made. Veneering is possible with acryl, composite and ceramics.

PA2 MU

SF K MU

T-Base

IA K MU

Castable ispositionedon T-Base.

Gypsum

Example for insertiontool ITX MU15 on theimplant BCS® MU /KOS® MU.

AH-MU Adapteror

IT2 BCS/IT BCS+ RAT 2

HT 1.25

ITX MU15

BCS MU

AAApplicationof insertion tool MU

ZSI72

ZSI ZYGOMA SCREW IMPLANTS

ZSI implants are inserted either trans-sinusally (between the membrane and outer bones) or submucosal in the lateral upper jaw and anchored in the area of the Os Zygomaticum. In this case, the smooth parts of the implant are submucosal. These implants are only used by experienced practitioners with a good knowledge of anatomy. ZSI implants have a bending area below the cementing abutment and can therefore be inserted into the dental arch according to the axis even after palatal insertion into the upper jaw. A separate vertical os-teotomy may be necessary for this. See scheme. In one-sided free-end situations, it can be combined with one or more BCS implants in the area of the tubero-pterygoid region. The treatment should be carried out in immediate loading protocol. Immediate splinting of the implants is necessary.

Material highly resistant titanium alloy Ti6AI4V ELI.

a Description Enossal Ø Length REF Price cat.

b Allfit ZSI 4.6 35 4.6 35 900100 K

Allfit ZSI 4.6 37.5 4.6 37.5 900101 K

Allfit ZSI 4.6 40 4.6 40 900102 K

g Allfit ZSI 4.6 42.5 4.6 42.5 900103 K

Allfit ZSI 4.6 45 4.6 45 900104 K

Allfit ZSI 4.6 47.5 4.6 47.5 900105 K

c Allfit ZSI 4.6 50 4.6 50 900106 K

f Allfit ZSI 4.6 52.5 4.6 52.5 900107 K

Allfit ZSI 4.6 55 4.6 55 900108 K

d a) Abutment Ø 3.9 mm


e c) Enossal length 35 - 55 mm

d) Length of thread 10 mm

e) Enossal Ø 4.6 mm

f) Neck Ø above thread 2.2 mm

g) Neck Ø at the top 2.0 mm

ZSI implants may be used in a trans-sinusal or sub-mucosal manner. The abutment head is aligned with the tooth arch through bending.

g

f

ZSI implants are delivered incl. lab-set REF 462353, consisting of


IA4/IAU

462111


462136


462029


INCLUSIVE

ZygomaZygomaZygoma

KieferhöhleKieferhöhleKieferhöhle

ZSI 73

TWIST DRILL


Twist Drill 2.2 / 50 for Zygoma implants, SS 90021 F

Twist Drill 2.2 / 55 for Zygoma implants, SS 90023 F

Twist Drill 2.2 for handgrip for Zygoma implantsLength 100 mm

310514 F

IMPRESSION TAKING AND LABORATORY ACCESSORIES FOR ZSI


Impression post, POM Internally round






Castable abutment For large head Internally round


BCS®74

SINGLE PIECE IMPLANT PRO KIT

All trays are delivered WITHOUT CONTENT. The tray offers a quick overview of the different lengths and diameters at hand, as well as the available amount of the corresponding implants.

Description Suitable for implant size REF Price cat.

Single Piece Implant Pro Kit BCS® 2.7 - 3.0 BCS® 2.7 - 3.0 60062-A R




Single Piece Implant Pro Kit BCS® 5.5 / 7 / 9 / 10.5 / 12 BCS® 5.5 / 7 / 9 / 10.5 / 12 60065-A R

Quick and easy check of implant legths thanks to the measurement chart

Reprocessing of tools and drills 75

REPROCESSING OF TOOLS AND DRILLS

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Re-

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Dr. Ihde Dental AGDorfplatz 11CH-8737 GommiswaldTel. +41 (0)55 293 23 23Fax +41 (0)55 290 23 [email protected]

2 Ratschenkopf 3 Skalenhülse 7 Skala Scheibe 5 Einstellmutter

- Schaltklinke - Gelenk - Gewinde - 4 Feder

Schematic diagram of the TW/TW2 torque wrench

• After use the instrument should be disassembled into its individual parts – no tool is required for disassembly

• Pre-clean the individual parts under running cold water using a soft brush. Do not allow blood residue and other adhering deposits to dry on the components.

Schematic diagram of the RAT2 ratchet


• Pre-clean the individual parts under running cold water using a soft brush. Do not allow blood residue and other adhering depositsto to dry on the components. The ratchet should be autoclaved in the disassembled state and reassembled immediately before use.

Schematic diagram of the handle REF 311430 (can be disassembled)


• Pre-clean the individual parts under running cold water using a soft brush. Do not allow blood residue and other adhering deposits to dry on the components. The handle should be autoclaved in the disassembled state and reassembled immediately before use.

Schematic diagram of the handle REF 311431 (cannot be disassembled)

• Pre-clean the instrument under running cold water using a soft brush. Do not allow blood residue and other adhering deposits to dry on the handle. The handle should be thoroughly cleaned manually using an ultraso-nic cleaner before mechanical cleaning.

• Manual cleaning including ultrasonic cleaner (see above) and mechanical cleaning should be performed in sequence.

MANUFACTURER’S INFORMATION regarding the prepa-ration of resterilisable medical devices complies with EN ISO 17664

Please read carefully!

Medical devices which may be re-processed are• tools for abutments and screws• torques control instruments and ratchets• Instruments for preparing endosseous bone cavities

(drills, cutters)• Bone expansion screws and distractors• Drill guide sleeves• Abutments and screws, provided they do not remain

in/with the patient between individual treatment appointments and are not used on other patients. They should be stored by the operator between the treatment appointments, e.g. together with the

• Manual instruments for the placement of implants and bone preparation.

Re-usability

especially if high temperatures are applied for sterili-sation. Drills for bone cavities should be used only 10 times. Tools and ratchets may be used aslong as they

nd part. In general the operator is responsi-ble for the decision of re-using and re-processing of instruments. Damaged instruments and instruments showing signs of wear must be discarded. Liability of the manufacturer is void, if these restictions are not regarded.

Legal basesThe following legal bases, regulations and recommen-dations are applied with regard to the products menti-oned above: (Germany)• • Medical device regulations (which is valid in the

country where the medical device is used for treat-ment or where the functionality of the medical de-vice is being evaluated)

• Bundesgesundheitsblatt (Federal Health Gazette)

Hygiene requirements for the processing of medical -

pital Hygiene [Kommission für Krankenhaushygiene] at the Robert-Koch Institute and the Federal Ministry for Drugs and Medical Devices [Bundesministeriums für Arzneimittel und Medizinprodukte]).

Legal information:Implants and other components of the implant system

--

tegic Implants as issued by the International Implant Foundation/Munich, see www.implantfoundation.org/en/consensus-papers) are sold only to licensed practitioners with valid authorisation of the manufac-turer (or ussued by the IF) for the use of the system. This demand for further and continuous education is also valid for advising patients before and after the place-ment of the implants.

General principlesAll reusable products must be cleaned, disinfected and sterilised before each use; this also applies to the initial

cleaning and disinfection is essential for effective

should be obtained from the instructions for use. The operating instructions of the practice units must also be observed. As the operator is responsible for the sterility of instruments during use, please ensure that only ade-

product are constantly maintained during each cycle. Please also observe all valid legal and hygiene regula-tions of the dental practice and dental hospital.This applies in particular to the different guidelines regarding effective prion inactivation. Important: Al-ways wear protective gloves for your own safety when handling contaminated instruments!• Instruments made from different materials should

never be disinfected, cleaned or sterilised together. This also applies when using an ultrasonic cleaner.

• During mechanical cleaning, instruments should be arranged so that they cannot come into contact, as otherwise there is the risk of damage.

• Multi-part instruments such as ratchets, trephine drills, screw-drivers etc. should be disassembled into their component parts and these should be indivi-dually disinfected, cleaned or sterilised.

• These instruments should also be stored disassem-bled until the next use.

Care instructions of surgical steel instruments-

ged with inadequate or incorrect care. Only commer-cially available solvents should be used for surgical steel; if in doubt contact Dr. Ihde Dental AG.The following are not recommended:• Disinfection/cleaning agent with a high chlorine

content• Disinfection/cleaning agent with a high oxalic acid

contentThe following are not recommended for instruments with colour coding• Too high solvent concentrations, disinfection/clea-

ning agent with the ingredients mentioned above• Too high temperatures with mechanical cleaning

Conditioning

-cal residue (blood, secretions, tissue residue) should not be allowed to dry on the products. Instruments should be placed in a disinfectant solution immedia-tely after surgery. For temporary storage and pre-dis-infection/cleaning immediately after use on patients

-nation should then be cleaned from the instruments under running water or in a disinfectant solution; the

--

-table for instrument disinfection and compatible with

Follow the disinfectant instructions for use. For manual removal of contamination use only a clean, soft brush

purpose. Never use metal brushes or steel wool.• Please note that the disinfectant used for condi-

tioning is only for personal protection and cannot replace the subsequent disinfection step to be per-formed after cleaning.

• Never allow instruments to remain wet or moist for a longer period of time.

• ultrasonic cleaner. If the corrosion cannot be remo-ved, the instrument should be discarded and may no longer be used.

Legend

Read instructions

Gamma-sterilized

Only use once

Do not resterilize

non sterile

Keep in a dry place

Do not use if packing is damaged

Manufacturer

• nylon brushes.

• peroxide 3%

• Instrument disinfectant residues can be removed by rinsing several times with water.

Cleaning/disinfectionFor cleaning and disinfection Dr. Ihde Dental recom-mends the use of:Instrument disinfectant (reaction time with high bacte-

disinfectant (reaction time with high bacterial loading

disinfection,• that the products are basically suitable for the clea-

ning and disinfection of instruments• that the cleaning and disinfection agent – if appli-

cable – is suitable for ultrasonic cleaning (no foa-ming)

• that a cleaning and disinfection agent with proven

is used• that the chemicals used are compatible with the

instruments; alkaline cleaning solutions should be preferred. A prerequisite for the use of a combined cleaning/disinfection agent is very low bacterial preloading (no visible contamination) due to effec-tive pre-cleaning of the instruments. The concentra-tions and reaction times given by the manufacturer of the cleaning-disinfection agent must be strictly adhered to.

-

be autoclaved must be disinfected before each use.

Process: Cleaning and disinfection

Automatic cleaning in a cleaning and disinfection unit in combination with the cleaning agent recommen-ded by the unit manufacturer.Procedure:

-here to the unit manufacturer’s wash and rinse times. The cleaned components should be examined for vi-sible dirt when removing the instruments. If necessary, repeat the cycle or clean manually.

Manual cleaning1. Thoroughly clean disinfection/cleaning agent

from the instruments by rinsing them with water and, if required, with the aid of a soft nylon brush.

: Place the components in a bas-ket, avoid acoustic shadows. Add an enzymatic cleaning agent to the water and clean the compo-

components are immersed completely in the water without bubbles.Then remove the instruments from the cleaning so-lution and rinse them thoroughly (minimum 1 min.)

this stage, if possible.3. Then dry the instruments with compressed air4. -

ning stage, if necessary.Pack the instrument as soon as possible after re-

drying again at a clean location).Document the approval.

Mechanical cleaning

Pre-cleaning: Place the disassembled instruments in

instruments with a soft nylon brush under water to re-move coarse impurities.Mechanical cleaning

an enzymatic cleaner.

Important points • All instruments must be sterilised after cleaning.• When sterilising multi-part instruments in an autocla-

ve without a drying programme, it is essential that the instruments are always sterilised in a disassem-bled state!

• The instruments should always be checked for corro-sion after sterilisation.

• The scaling of the instruments must still be visible after sterilisation; otherwise the instruments should be replaced.

• New instruments must be cleaned and sterilised wit-

• Preparation of all instruments with cavities is parti-cularly critical. This applies especially to internally cooled drills, placement aids and instruments with blind holes. As the water supply cavity cannot be checked with internally cooled drills and bone chips and debris could be carried from patient to patient, we recommend using these instruments as single-use products only or using them exclusively on one patient. With all other instruments it must be ensured that the cavities are completely clean. Multi-part placement aids should be disassembled for clea-ning, if possible.

Control-

infection for corrosion, damaged surfaces, chipping, damage to the shape (e.g. bent and non-concentric running instruments, damaged or blunt blades) as well as contamination and discard any damaged instru-ments. Instruments that are still contaminated must be cleaned and disinfected again. Then check the func-tion and integrity of the instruments. It is not necessary to apply care products (e.g. oil) to instruments and abutments or screws.

Special aspects to observe with drills and cutters

Thoroughly check these instruments after each use for cleanliness (including the internal cooling sections in particular) and the sharpness of the blades. The wear of bone drills depends on the hardness of the bone at the site. If in doubt, drills should only be used once. There is a considerable loss of cutting performance if the tip is damaged. To ensure care of the drills it is the-refore essential to observe the following points:• During the operation drills should be placed gently

-logical saline solution. Drills should not be kept in the physiological saline solution for longer than 1 hour to avoid corrosion.

• Never drop the drills directly on the tip• The drills should not come into contact during ultra-

sonic cleaning

Packaging

then pack them in single-use sterilisation packaging (single or double packaging) and/or sterilisation con-tainer, which•

• is suitable for steam sterilisation (temperature re-

permeability)• provides adequate protection of the instruments

and sterilisation packaging against mechanical damage

• is regularly serviced according to the manufacturer’s instructions (sterilisation container)

SterilisationMethod: Fractional pre-vacuum procedure

Temperature:Pressure: -bar pressureHold time:Drying time: minimum 10 min.

after sterilisation, check the sterilisation indicators.To avoid staining and corrosion the steam must not contain any ingredients. The disinfectant therefore has to have been thoroughly removed. The recom-mended threshold limits of the ingredients for drinking

sterilizersis not advised, as the high temperatures blunt the cutting surfaces of the drills.Instruments should be sterilised in the trays recommen-ded by the autoclave manufacturers if there is not a

StorageAfter sterilisation, the instruments must be stored dry and dust-free in the sterilisation packaging. The instru-ments should also be protected against sunlight and heat. The maximum storage period (expiry date) de-pends on several factors and must be determined and validated by the user.

Information on handling multi-part instrumentsMulti-part instruments must be disassembled before sterilisation. Please note the schematic diagram be-low.

The push-rod and ratchet housing (inner and outer) must be thoroughly cleaned and then dried. The indi-vidual components of the ratchet are shrink-wrapped

that the paper side of the sterilisation bag is placed so that the water vapour can escape and that the rat-chet or its parts are not lying in water. After sterilisation, - generally just before the beginning of implant place-ment, the ratchet should be thinly lubricated using a si-licone oil and reassembled. The function of the ratchet should then be checked before beginning surgery.

WarningsWe do not know of any warnings, provided the instruc-tions for use are followed for the products to be used as well as the corresponding disinfection and cleaning agent.

Dr. Ihde Dental AG reserves the right to change the design of the products and components or their pa-ckaging, adapt instructions for use as well as renego-tiate prices and delivery conditions. Liability is limited to the use of defective products.Any further claims are excluded.

Further information about the preparation of medical products is available in the Internet at www.rki.de or www.a-k-i.org.

2 Ratchet head 3 Scale sleeve 7 Scale Washer 5 Adjustment nut

- Latch - Hinge - Thread - 4 Spring

EN

Distributed by Dr. Ihde Dental GmbH

[email protected] [email protected]

onewaybiomed GmbHDorfplatz 11

[email protected]

Basal implants may only be used and operated by qualified persons with valid authorisation (para. 2 MedProdAnw Verordnung). We are certified according to DIN EN ISO 13485 and Annex II of Directive 93/42 EEC. The product dimensions shown in this brochure may differ from reality for technical reasons. KOS® and BCS® are registered trademarks. Pat. Pend. If implants are reprocessed, there is a risk of the development of infections, because no validated method for processing exists. Implants therefore may not be reprocessed.

Compilation and explanation of symbols on the packaging:

Production No. Sterilized bygamma radiation

Non-sterile Intended for useby dentists orsurgeons only

Single useproduct

Instructionfor use

Expiry date

Storein a dryplace

Store tightlykeep closed

Do not use ifpacking isdamaged

Do notresterilize

Manufacturer Productiondate

Catalogue number

Rx ONLY

(The products of this catalogue are CE marked (class I) and CE 1936 marked (class IIa and IIb) according to 93/42/EC Directive).

Dr. Ihde Dental AGDorfplatz 11CH - 8737 Gommiswald / SGTel +41 (0)55 293 23 23Fax +41 (0)55 293 23 [email protected]

Dr. Ihde Dental GmbHErfurter Str. 19D - 85386 Eching / MunichTel +49 (0)89 319 761 0Fax +49 (0)89 319 761 [email protected]

1st cortical

2nd cortical

KOS® BCS® KOS® MU BCS® MUKOS® PLUS

COMPRESSION SCREWS COMBINATION IMPLANT

BASAL SCREW

REF 6641_KOS-BCS_EN_20200716_V067

immediate loading immed dental implant …...2020/07/16 · in the 1990s, rough surfaces on dental...

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