preprosthetic surgery - dental xp rx.pdf · preprosthetic surgery ... becoming carbon dioxide and...

Preprosthetic Surgery

GUIded BONe ReGeNeRATION

ANd PRePROSTHeTIC AUGMeNTATION CONCePTS

Barrier fixation with SonicWeld Rx™ is very simple: drill a pilot hole (1) and seat the tip of the SonicPin Rx into the hole (2). Place slight forward pressure on the SonicPin Rx then

activate the switch and push into the bone (3). Allow the structure to consolidate for a moment, then twist and remove the sonotrode. Subsequently apply the foil or membrane and

sonicweld a barrier to the pre-placed SonicPins Rx with similar insertion steps (4).

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SonicWeld Rx™ is a ground-breaking new technology in

resorbable fixation. The revolutionary characteristics of this

technology allow the polymer material of the pins to

actually flow into the trabecular structures of the bone.

Additionally, the pins weld to the barrier, effectively creating

a welded, three-dimensionally stable construct. This results

in a faster, stronger and more reliable way to apply

resorbable fixation.

The process is applied to a special resorbable polymer;

100% amorphous non-crystalline Resorb-x® poly-D-L-lactic

acid, or PDLLA. Resorb-x® is a chemical substance made

up of lactic acid molecular chains, which are, in fact,

natural constituents of the human body. Resorb-x® breaks

down first by hydrolysis, then by metabolic processes,

becoming carbon dioxide and water. This polymer has been

proven over many studies and years of clinical use in

craniomaxillofacial bone fixation.

Innovative Technique

Preprosthetic augmentation with

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No risk or damage caused by a second intervention:

No scarring, no risk of an infection, no damage to tissue

and nerves, no anesthetic risk.

distinctly reduced intervention times:

Implantation with SonicWeld Rx™ requires half the

time of conventional resorbable screw systems.

For the user, the SonicWeld Rx™ method

has a number of very significant advantages:

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extraordinarily high initial strength which is due to two

important factors:

Three-dimensional infiltration of the pin into the

osseous structure. This may be referred to as

a proper material-tissue interdigitation.

Locking mechanism between the mesh or foil and

the SonicPin Rx. The head of the SonicPin Rx

welds to the mesh or foil forming a

three-dimensionally stable unit.

Overall, the fixation method has far less complications

than previous technologies and anchors well in all types

of bone.

500 µm

Three months after the intervention.

The decomposition process – what you cannot see:

The complex polymer chains (1) of the PdLLA absorb the H2O content of the surrounding body fluid (2) (hydrolysis). The

embedded water splits the polymer chains into ever-shorter molecule chains (3) and (4). Human metabolism then transforms the D

and L lactides into carbon dioxide and water, which are finally discharged through the metabolic channels. The decomposition takes

place in a controlled manner free from residues.

Molecular structure of the

basic material: poly (D, L-lactide)

Histological findings

No thermal damage or necrosis has been observed.

No histological evidence of inflammatory response

to SonicWeld Rx™ application has been found.

No damage to the surrounding bone.

Proven non-irritating soft tissue reactions.

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Mechanical findings

SonicPins Rx have a distinctly higher mechanical strength then conventional resorbable fixing systems.

Particularly striking is the increased primary stability of the SonicPins Rx due to a direct anchorage of the polymer in the trabecular meshwork of the bone.

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n

(C3H4O2)n

CO2 + H2O

PDLLA Hydrolyse

Abbau-zyklus

CO2 + H2O

PDLLA Hydrolysis

Degradationcycle

CO2 + H2O

PDLLA Idrolisi

Ciclo dismaltimento

n

(C3H4O2)n

CO2 + H2O

PDLLA Hydrolyse

Abbau-zyklus

CO2 + H2O

PDLLA Hydrolysis

Degradationcycle

CO2 + H2O

PDLLA Idrolisi

Ciclo dismaltimento

5

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The program with a system

SonicWeld Rx™ is a modular and flexible system, fully compatible with

KLS Martin®'s Resorb-x® foil barriers, meshes and plates. All SonicWeld Rx™ foil barriers,

meshes and plates can be freely combined as required. The entire system has been validated.

It carries the CE-mark and has obtained FDA approval.

Foils and meshes

100% intrinsically amorphous PdLLA material.

Perfect contouring properties; foils, meshes and plates

can be heat shaped. They become malleable at 55° C,

then cool in seconds to form a rigid structure.

Completely transparent – perfect overview at any

point in time, even after the intervention.

When welded in place, the result is a three-dimensional

structure that is stable and resistant to pressure, thus

making a collapse of the membrane impossible. The

bone graft is always stationary in the desired volume.

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SonicPins Rx

The SonicPins Rx are available in diameters

of 1.6 mm and 2.1 mm.

The SonicPins Rx are self-retaining by friction-fit.

They are picked up with the sonotrode tip.

The optimized shape of the SonicPins Rx guarantees

easy insertion with one hand and no twisting motion.

Clip magazines

Pins are available in cartridges of 2 or 5.

Sterile, ready-to-use delivery.

Safe removal from the clip magazine.

SonicPins Rx anchor in cortical as well as

cancellous osseous structures.

even small fragments can be fixated and become

rotationally stable without screw-in resistance.

SonicPins Rx can be placed in narrow spaces and at

different angles – including right angles using

the angled sonotrode.

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Validated and Compatible

Smoothing sonotrodes

Guarantee perfect adaptation of the foil barrier to the bony surface by allowing changes to the shape of the polymer.

Apply the same process as SonicWeld Rx™ fixation;

1. Apply pressure then activation

2. Leave Sonotrode in position and stop activation

3. Allow material to consolidate

4. Remove sonotrode and move to next position

Sonotrodes

Self-retaining SonicPins Rx and a handle that illuminates

the surgical site offer maximum safety and convenience.

Completely sterilizable (134° C / 273° F, 2 bar) according

to EN 285/ANSI/AAMI/ISO 11134-1993, ANSI/AAMI

ST46-1993.

easy replacement of all components.

An angled sonotrode permits safe work in regions difficult

to access.

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SonicWelder Rx

User hand pressure oriented into the pilot hole

combined with micro-vibration generated by a defined

ultra-sonic frequency cause the edges of the SonicPin

Rx to liquify and flow into the bony structures.

The SonicWelder Rx adjusts automatically to direct the

ideal amount of energy based on the situation. The

SonicWelder is automatically on Level 2 at startup,

ideal for SonicPin Rx placement.

Simple operation can be accomplished using the Level

2 automatic setting. There is no need to change

settings or provide irrigation during the SonicWeld Rx™

fixation process.

The SonicWeld Rx™ Handpiece & Cable are fully

sterilizable after hand cleaning. Sonotrodes should be

removed during sterilization. (134oC, 273oF, 2 bar)

Maintenance free, no lubrication or other steps are

needed before or after cleaning & sterilization.

Activation by foot switch.

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SonicWelder Rx is the heart of the SonicWeld Rx™ system.

500 µm 500 µm200 µm

Longitudinal section through SonicPin Rx and supporting

tissue twelve days after the intervention.

Two weeks after the intervention. Thirty-two days after insertion of SonicPin Rx.

due to the biomechanical properties of the initial

PdLLA material, excellent biocompatibility and a safe

degradation process are obtained. Biocompatibility

and degradation behavior have been proven with

numerous animal and clinical studies, substantiating the

following statements for SonicWeld Rx™:

- Excellent biocompatibility and safe degradation

due to the biomechanical properties of PdLLA

material.

- No inflammatory reaction in the drill hole.

- No signs of thermal damage or necrosis.

- Uneventful cell reactions around the implants.

- No signs of plate dislocations or dehiscences.

- Complete resorption and bony healing.

- Completely intact carrier bone at all times during

the degradation process.

Clinical testing and histological examination:

Technical University of Dresden, Faculty of Medicine,

Hospital and Policlinic for Oral and Maxillofacial Surgery

Professor Dr. Dr. Uwe Eckelt (M.D.)

Dr. Eckart Pilling (M.D.)

Dr. Ronald Mai (M.D.)

Mechanical basic research:

Technical University of Dresden, Faculty of Medicine,

Policlinic for Prosthetic Dentistry

Professor Dr. Bernd Reitemeier (M.D.)

Dr. Gert Richter (engineer)

Heike Meißner (certified engineer)

Clinical findings

Biological basic research, comprehensive mechanical and histological test series and clinical validation

give you the confidence and peace of mind you need as a user: SonicWeld Rx™ has excellent initial

strength, is perfectly biocompatible and is characterized by a calculable and safe biological degradation

process.

Questions and Answers

Shell technique according to dr. Iglhaut

Original situation of a buccal defect in region 34-36

Laterally supported immediate implantation of the 0.1 mm PdLLA membrane

Complete 3d volume reconstruction

Stable reconstruction result even 6 months after the operation

Advancement flap plasty for stable soft tissue structure

Prosthesis in place

Case example*

A completely novel approach must be seen in the “shell” technique invented by Dr. Iglhaut. It makes conscious use of the

rigidity of PDLLA membranes for building lateral volume. The required SonicPins Rx are prefixed and the membrane is

then welded in place. Particulate autogenous bone and bone substitute materials are used for the bone graft. Crestal

barrier and closure of the alveolar ridge is achieved with diffusion-open collagen membranes. These membranes offer

the best soft tissue tolerance and counteract potential dehiscences. The “shell” technique not only avoids time-consuming

dissection by bone splitting, but also eliminates the resorption risk associated with the transplantation of small bone grafts.

* Case photos provided by Dr. Gerhard Iglhaut, Memmingen (Germany)

Methods of Bone Augmentation

Tension-free wound closure is key

OPG 1 year after the operation

Order recommendation – Shell technique according to Dr. Iglhaut

SonicPins Rx

Dimensions in mm Order No. Order No.

Pack of 2 Pack of 5

1.6 x 4 52-516-24-04 52-516-54-04

1.6 x 5 52-516-25-04 52-516-55-04

Rx membrane/mesh t=0.1 mm

Dimensions in mm Order No.

25 x 25 52-301-28-04

50 x 20 52-301-20-04

Pilot drill for angle unit with dental attachment

for 1.6 mm SonicPins Rx


1.0 x 20 x 5 52-509-05-07

Sonotrodes

straight 52-501-01-04

angled 52-501-02-04


straight 52-501-03-04

angled 52-501-04-04

zylindr

Stryker

DENTAL

A. O.

Collagen barrier membrane

PdLLA barrier foil for lateral support (shell technique)

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Guided bone regeneration

The patient before the intervention. Incision line and flap. Pre-drilling of the implant site and placing of the lateral SonicPins Rx.

- The 0.1 mm foil is transparent, making the full area visible to the user.- After exposure to heat, the foil can be shaped for a few seconds with only finger pressure.- After cooling, the custom structure forms a hard shell again. - The 0.1 mm foils are flexible in two dimensions and require minimal contouring with heat.- Once welded on either side of the defect, the entire structure is very rigid.

- Using the scalpel, the membrane can be cut to shape in situ.- If and when necessary, another membrane can be welded on top.

After wound closure.

Case example*

The development of the membrane technique for the regeneration of bone in dentistry is well known.

A mechanical barrier is used to prevent the fibroblasts and other soft tissue cells to penetrate the bone defect so that

the slower migrating cells can occupy the defect with osteogenetic potency (Dahlin et al., 1988). At the beginning

of the 1980s, Nyman et al. (1982a, 1982b) recognized the significance of this technique in dentistry.

* Case photos by courtesy of Dr. Ulrich Volz, Konstanz, Germany


The implant placed is laterally supported by autologous bone, the patient's own blood plus bone replacement materials if required.

Order recommendation – Guided bone regeneration

SonicPins Rx


Pack of 2 Pack of 5

1.6 x 4 52-516-24-04 52-516-54-04

1.6 x 5 52-516-25-04 52-516-55-04



25 x 25 52-301-28-04

50 x 20 52-301-20-04




1.0 x 20 x 5 52-509-05-07

1.0 x 20 x 6 52-509-06-07

Sonotrodes

straight 52-501-01-04

angled 52-501-02-04


straight 52-501-03-04

angled 52-501-04-04

zylindr

Stryker

DENTAL

A. O.

11

After traditional fixation is placed to secure a typical membrane, the operating site is usually invisible for the surgeon because the commercially available membranes are opaque. Thus, there is always some uncertainty as to where the pin is placed.

When using collagen or flexible membranes, it is usually difficult to drill through the membrane into the carrier bone. The resorbable membrane can wind around the drill and is thus destroyed.

The SonicWeld Rx™ system offers an innovative solution...

The SonicPins Rx are placed into exact position first. The Rx foil is then positioned to cover the SonicPin Rx heads. The SonicWelder Rx is used to weld the foil to the head of the SonicPin Rx. This process is very easy and stable.

As all SonicWeld Rx™ implants are transparent, the operating site can be viewed completely at all times.

Membrane fixation with SonicPins Rx

If the bone to be augmented is ground and enriched with the patient's own blood, bone replacement material or

growth factors, it is sensible to use a membrane to protect the augmentation against the masticatory forces. The

membrane prevents the migration of epithelial cells and is used as a placeholder for periodontal ligament and for

bone regeneration. Usually, this membrane is laterally fixed by metal pins. However, these titanium pins have to be

removed in a second intervention that can be very time-consuming. Fixation with SonicWeld Rx™ eliminates this

time-consuming second intervention and permits the surgeon to work with a clear view of the site throughout.

Sinus lift procedure with SonicWeld Rx™.

Window is created.

Then SonicPins Rx are welded in around the sinus. Only now is the bone graft inserted into the sinus.

Subsequently, the site is safely closed with a 0.1mm Rx Foil.

In the process, the membrane is welded onto the pins.

Case example*

* Case photos by courtesy of Dr. Ulrich Volz, Konstanz, Germany


distinctly faster than conventional resorbable pins or

screws.

No risk of pin breakage.

Foils can be contoured very well with the aid of heat

above 55°C.

0.1 mm foils may be slightly contoured in two

dimensions without heat.

Free view of the augmentation region at any time, even

after the intervention.

No risk of membrane getting tangled.

No rotational forces on the foil barrier.

Advantages of this special method:

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Order recommendation – Membrane fixation

SonicPins Rx


Pack of 2 Pack of 5

1.6 x 4 52-516-24-04 52-516-54-04

1.6 x 5 52-516-25-04 52-516-55-04

2.1 x 4 52-521-24-04 52-521-54-04

2.1 x 5 52-521-25-04 52-521-55-04



25 x 25 52-301-28-04

50 x 20 52-301-20-04




1.0 x 20 x 5 52-509-05-07



1.6 x 20 x 5 52-515-05-07

Sonotrodes

straight 52-501-01-04

angled 52-501-02-04


straight 52-501-03-04

angled 52-501-04-04

zylindr

Stryker

DENTAL

A. O.

13

Special advantages of this method for the patient.

Onlay grafts

The model shows several augmentation regions that have all been treated completely with SonicWeld Rx™

Core hole Ø 1.6 mm for SonicPins Rx Ø 2.1 mm

Typical traumatic anterior tooth defect in the maxilla Lateral appositioning of two onlay grafts, fixed in place with

SonicWeld Rx™

Where access is difficult, an angled sonotrode

can be very helpful

Case example*

* Case pictures furnished by Dr. Richard Loukota, Leeds (UK)

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By means of special long SonicPins Rx, it is possible to weld bone grafts in

place horizontally or vertically. For this purpose, a gliding hole is created in

the proximal bone, and a normal SonicWeld™ core hole in the distal. The

SonicPin is seated in the bone graft and then welded in. As the head of the

pin meets the proximal bone during the end of the insertion, it is also

creating a secure fixation of the block.

No second intervention is required as the augmentation pin is completely resorbed and no metal parts have to be removed.

Perfect initial stability, even when placed at difficult angles.

even very shallow anchoring depths are sufficientfor a stable pin fixation.

Only one surgery is required for resorbable materials, minimizing trauma to the soft tissue.

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Onlay graft

Bone base

Gliding hole Ø 2.1 mm

Order recommendation – Onlay grafts

SonicPins Rx


(Pack of 2)

2.1 x 7 52-521-27-04

2.1 x 9 52-521-29-04

2.1 x 11 52-521-31-04

2.1 x 13 52-521-33-04

2.1 x 15 52-521-35-04

2.1 x 17 52-521-37-04

Pilot drill for angle unit with dental attachment*

Core hole drill for 2.1 mm SonicPins Rx


1.6 x 20 x 5 52-515-05-07

1.6 x 20 x 6 52-515-06-07

1.6 x 20 x 10 52-515-10-07

Gliding hole drill for 2.1 mm SonicPins Rx


2.1 x 24 x 12 52-522-10-07

* Optionally segmented twist drill, as shown on page 16-17

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zylindr

Stryker

DENTAL

A. O.

15

The principle of core hole and gliding hole

Use the drill Ø 1.6 x 20 x 10 mm (52-515-10) to drill

through the bone block into the receiving bone.

Attention: extend the hole in the receiving bone, still using

the drill Ø 1.6 x 20 x 10 mm (52-515-10), maintaining the

previous angulation.

Use the drill Ø 2.1 x 24 x 12 mm (52-522-10) to enlarge

the gliding hole in the bone block. Also extend 1mm into

the receiving bone.

Proceed the fixation with the SonicPin Rx of your choice.

Insert the SonicPin Rx through the gliding hole until you

reach resistance of the core hole. The sonotrode is

not activated yet.

After the tip of the SonicPin Rx is seated in the receiving

bone, place slight forward pressure and activate the

SonicWelder Rx. There may be a slight delay, but the

SonicPin Rx will glide in - allow the head to penetrate into

the block, then stop. It must be done in one complete

motion.

Leave the sonotrode in place for five seconds. Rotate and

remove the sonotrode and wait a few more moments for the

welds to solidify completely.

Onlay grafts –

Segmented Step drill

Shaft length 16 mm

Adjusting sleeve

Knurled nut

example: SonicPin Rx with a diameter of 2.1 mm, 17 mm long: 52-521-37-04

Pinhead1 mm

0

2 mm

6 mm

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15 16 17 18 19

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10 11 12 13 14

15 16 17 18 19

2.1 mm

Onlay graftBone base

The new segmented step drill represents the different

diameters of core hole and gliding hole for pins with a

diameter of 2.1 mm. With this drill the surgeon can

predrill in one step without changing twist drills. With

the help of the adjusting sleeve the user can easily define

the working length of his choice.

details

Simply transfer the length of your SonicPin Rx minus 1mm (to account for

the head).

For example, the 17mm length SonicPin will travel 16mm into the bone,

therefore the drill is adjusted to 16mm depth. 6mm will be in the bone

base, 10mm in the onlay graft.

Predrill down to the stop of the segmented twist drill.

Rinse burr residues after drilling.

Loosen the adjustable sleeve by rotating the opposing

portions. Slide the sleeve until the 16 is exposed on the

shaft. Re-tighten the sleeve by rotating the parts

together again.

Ø 2.1 m

Ø 1.9 m

Ø 1.6 m

2 mm

4 mm

Intermediate zone

Core hole(welding zone)

Gliding hole


Segmented step drill for 2.1 mm SonicPins Rx

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6 7 8 9 10

10 11 12 13 14

15 16 17 18 19

1 2 3 4 5

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10 11 12 13 14

15 16 17 18 19

1 2 3 4 5

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10 11 12 13 14

15 16 17 18 19

1 2 3 4 5

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10 11 12 13 14

15 16 17 18 19

α

α

5 Se

c.

52-516-52-07

52-516-51-07

1 2 3 4 5

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10 11 12 13 14

15 16 17 18 19

1 2 3 4 5

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10 11 12 13 14

15 16 17 18 19

0

2 mm

6 mm

0

2 mm

6 mm

0

2 mm

6 mm

Insert the SonicPin Rx until you reach the resistance

of the burr hole in the intermediate zone.

The sonotrode is not activated yet.

Based on proper adjustment, the user has created a 6mm welding area comprised of 1-2mm intermediate zone for tip introduction and a 4mm welding zone.

Apply pressure at the exact angle of the drill hole and

activate the sonotrode to weld in the SonicPin Rx.

Allow at least 5 seconds for consolidation of the pin.

17

1/1

SonicWeld Rx™

Unit Order No.

SonicWelder Rx basic set 52-500-00-04

consisting of:

SonicWelder Rx –

Foot switch 52-500-02-04

Handpiece 52-500-03-04

Sonotrode, straight 52-501-01-04

Open-ended wrench for sonotrode 52-502-01-04

separately available:

Sonotrode, angled 52-501-02-04

Extension cable for handpiece – 3 m 52-500-33-04

Smoothing electrode, straight 52-501-03-04

Smoothing electrode, angled 52-501-04-04

Level One storage and processing tray

Unit Order No.

Storage and processing tray, complete 55-969-42-04

consisting of:

Storage tray 26 x 26 cm 55-964-30-04

Silicone mat 55-969-93-04

Lid for storage tray 55-963-38-04

Component tray (also compatible with Level One)

Option 1: Order No.

Component tray 55-969-44-04

consisting of:

Bottom part for twist drills 55-962-44-04

Upper part for sonotrodes and small parts 55-962-43-04

Sliding cover, transparent 55-963-51-04

Option 2:

Small parts module 55-969-46-04

Storage rack for cartridges 55-962-45-04

52-501-01-04 52-501-02-04

52-501-03-04 52-501-04-04

55-962-44-04

55-969-46-04

55-962-45-04

55-962-43-04

Caution: for large sterilizers only!

Order and Set Recommendations

55-963-51-04

including small parts module

including component tray

Category Scope Order No.

Water bath complete 52-400-10-04

consisting of:

Thermal unit alone –

Water container* alone 52-400-12-04

Cover* alone 52-400-13-04

* steam sterilizable (134° C, 273° F, 2 bar)

Xcelsior water bath

Category Order No.

Miniset Tray

277 x 171 x 54 mm (L x W x H) including lid 55-015-30-01

including small parts module 55-969-46-04

Miniset Tray

Category Order No.

MiniSet Tray

277 x 171 x 54 mm (L x W x H) including lid 55-015-30-01

Storage component tray

Sliding cover 55-963-51-04

Component tray 55-969-44-04

Miniset Tray

19

Pilot drill for the angle unit with dental attachment

Category Order No.


1.0 x 20 mm, stop 5 mm 52-509-05-07

1.0 x 20 mm, stop 6 mm 52-509-06-07


1.6 x 20 mm, stop 5 mm 52-515-05-07

1.6 x 20 mm, stop 6 mm 52-515-06-07

1.6 x 20 mm, stop 10 mm 52-515-10-07

Gliding hole drill

2.1 x 24 x 12 mm 52-522-10-07

Pilot drill for J-notch* attachment

Category Order No.


1.0 x 50 mm, stop 4 mm 52-510-04-07

1.0 x 50 mm, stop 5 mm 52-510-05-07


1.6 x 50 mm, stop 4 mm 52-516-04-07

1.6 x 50 mm, stop 5 mm 52-516-05-07

Gliding hole drill for long 2.1 mm pins

2.2 x 70 mm 50-022-01-07

* for J-notch coupling or compatible cylindrical handpieces

52-509-05-07

Pilot drill for SonicPins RxØ 1.6 mm

Pilot drill for SonicPins RxØ 2.1 mm

Gliding hole drill Ø 2.1 mm

52-515-05-0752-515-06-0752-515-10-07

52-522-10-07

Segmented step drill for 2.1 mm SonicPins Rx

J-notch* attachment w/o adjusting sleeve

1.6 x 70 mm 52-516-51-07

BOS attachment w/o adjusting sleeve

1.6 x 70 mm 52-516-52-07

Adjusting sleeve 52-516-60-07

* for J-notch coupling or compatible cylindrical handpieces

zylindr

Stryker

DENTAL

A. O.

zylindr

Stryker

DENTAL

A. O.

52-516-52-07

52-516-51-07


52-301-20-04 Rx Foil 50 x 20 mm

= 0.1 mm

52-303-28-04 Rx Foil 26 x 26 mm

= 0.3 mm

Icon explanations: Packaging unit(s)

52-303-52-04 Rx Foil 51 x 51 mm

= 0.3 mm

1/1

1/1

1/1

1/1

52-303-25-04 Rx Mesh, 26 x 26 mm, Small Grid

= 0.3 mm

1/1

52-313-25-04 25 x 25 mm

Template

52-313-50-04 50 x 50 mm

Template

1/1

52-303-50-04 Rx Mesh, 51 x 51 mm, Small Grid

= 0.3 mm

1/1

1/1

52-301-28-04 Rx Foil 25 x 25 mm

= 0.1 mm

1/1

52-303-26-04 Rx Mesh, 29 x 29 mm, Large Grid

= 0.3 mm

unit(s)1

unit(s)1 Plate profile Titanium Sterile packed implants

unit(s)1

unit(s)1

unit(s)1

unit(s)1

unit(s)1

unit(s)1

unit(s)1

unit(s)1

21

SonicPins Rx

Category Order No. Order No.

Pack of 2 Pack of 5

1.6 x 4 mm 52-516-24-04 52-516-54-04

1.6 x 5 mm 52-516-25-04 52-516-55-04

2.1 x 4 mm 52-521-24-04 52-521-54-04

2.1 x 5 mm 52-521-25-04 52-521-55-04

2.1 x 7 mm 52-521-27-04 52-521-57-04

2.1 x 9 mm 52-521-29-04 52-521-59-04

2.1 x 11 mm 52-521-31-04

2.1 x 13 mm 52-521-33-04

2.1 x 15 mm 52-521-35-04

2.1 x 17 mm 52-521-37-04


we will be glad to answer them anytime, for example with additional information in the form of product

brochures and a CD-ROM that vividly describe and illustrate the SonicWeld Rx™ principle – exactly as it works

in practice. Of course, you can also reach us personally, either by e-mail or through our customer hotline.

If you still have any questions...

Additional Info 23

Additional product brochures and information materials

SonicWeld Rx™CD-ROM

SonicWeld Rx™ BOS driver & drill

Customer hotline: 800.625.1557E-mail: [email protected]: www.sonicweldrx.com

The KLS Martin SonicWeld RX™ solution is based on the BoneWelding® technology1) protected by the industrial property rights of WoodWelding AG, Switzerland, and has been licensed by this company.

1) "BoneWelding" is a registered Swiss trademark

07.09 . Printed in the United States · Copyright by KLS Martin® L.P. · We reserve the right to make alterations.

KLS Martin L.P.A member of the KLS Martin GroupP.O. Box 16369Jacksonville, FL 32245Tel. 904.641.7746 • 800.625.1557 • Fax 904.641.7378www.klsmartinusa.com

KLS Martin Group

Karl Leibinger GmbH & Co. KG78570 MühlheimGermanyTel. +49 7463 [email protected]

KLS Martin France SARL 68000 Colmar France Tel. +33 3 89 21 6601 [email protected]

Stuckenbrock Medizintechnik GmbH 78532 TuttlingenGermanyTel. +49 7461 16 11 [email protected]

Martin Italia S.r.l.20059 Vimercate (MB) ItalyTel. +39 039 605 6731 [email protected]

Martin Nederland/Marned B.V.1270 AG HuizenThe NetherlandsTel. +31 35 523 45 [email protected]

Gebrüder Martin GmbH & Co. KGRepresentative Office 121471 MoscowRussiaTel. +7 (499) [email protected]

Gebrüder Martin GmbH & Co. KGLudwigstaler Str. 132D-78532 TuttlingenPostfach 60 · D-78501 TuttlingenTel. +49 7461 [email protected]

KLS Martin GmbH + Co. KG79224 UmkirchGermanyTel. +49 7665 98 [email protected]

Nippon Martin K.K.Osaka 541-0046JapanTel. +81 6 62 28 [email protected]

Orthosurgical Implants Inc. Miami, Fl 33186USAOffice phone +1 877 969 [email protected]

Rudolf Buck GmbH 78570 MühlheimGermanyTel. +49 74 63 99 [email protected]

preprosthetic surgery - dental xp rx.pdf · preprosthetic surgery ... becoming carbon dioxide and...

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