Straumann
®
Soft tiSSue LeveL impLant SyStem
Simplicity and efficiency by integrated Soft tiSSue management
straumann® soft Tissue Level implants have a built-in smooth
neck that shapes the soft tissue, thus eliminating the need for healing abutments and time-consuming soft tissue man-agement procedures. designed for one-stage surgery, it avoids the second surgical procedure required to access submerged implants placed at bone level. Overall, the inte-grated soft tissue management is designed to minimize both surgical and prosthetic treatment complexity, and makes the workflow simple and efficient.
p straumann soft Tissue Level implant aims to reduce chair
time and minimize treatment complexity.
p streamlined prosthetic portfolio supported by the
implant design.
p Abutment-level impressions make workflows efficient
and can minimize the number of patient visits.1 p simple impression taking and abutment placement
due to the connection at soft tissue level.
p Provides clear implant view and accessibility in the
challenging posterior region.
p Clinical evidence shows high treatment success.2,3
Why A sOfT Tissue LeveL imPLAnT?
i find The sTrAumAnn sOfT Tissue LeveL imPLAnT sysTem simPLe TO resTOre in my
PrACTiCe. The deCreAse in ChAir Time And inCreAsed PrediCTAbiLiTy Led TO higher
PrOfiTs And The eAse Of use hAs mAde iT my fAvOriTe imPLAnT TO PLACe in The
POsTeriOr regiOn. my exPerienCe hAs been ThAT iT is even eAsier TO resTOre
one of the moSt uSed and well-eStabliShed working SyStemS in implant dentiStry The straumann® soft Tissue Level system is one of the most used and well-established working systems
in implant dentistry and has been available in its current design for more than 10 years. The implant has been complemented over time by straumann’s innovative technologies, such as the sLActive® implant
surface, designed for faster osseointegration and the roxolid® material, with it’s high tensile4 and
fatigue5 strengths, for confidence when placing small diameter implants.
p more than 10 million straumann® implants sold to date. p more than 48 ,000 users.
p 10-year clinical data available.2,3,6
A LOng hisTOry Of reCOgniTiOn
And APPreCiATiOn
1974 – 1986
straumann develops its first one-stage implant.
solid abutments and cementable abutments offer prosthetic handling closest to a natural tooth preperation.
1999
straumann® sLA® implants on tissue
level are born:
p sLA pioneering surface
tech nology cuts in half the timing of provisionalization versus the previous TPs surface.7,8,9 p synOcta® morse taper connection
provides a new level of flexibility in prosthetics.
2006
implementation of sLActive, innovative surface technology further reducing healing times, down to 3–4 weeks.10
2009
release of straumann® soft Tissue
Level 3.3 mm implants in roxolid®
alloy with higher tensile4 and fatigue5
strengths than straumann titanium for more confidence when placing small diameter implants.
2011
Publication of the first 10-year pro-spective clinical data on straumann®
soft Tissue Level system.2,3
2012
release of straumann® narrow
neck Crossfit® implant, straumann’s
soft Tissue Level solution for treating limited inter-dental space.
sTrAumAnn COnTinues TO deveLOP PrOduCTs And sOLuTiOns ThAT enAbLe us
TO TreAT Our PATienTs bAsed On The LATesT reseArCh. mOsT imPOrTAnTLy, These
sOLuTiOns And PrOduCTs Are WeLL dOCumenTed And evidenCe bAsed.
PrediCTAbLe LOng-Term resuLTs
10-year proSpective clinical data on Straumann® Soft tiSSue level implantS in
the edentulouS maxilla2,3
due to its long history and usage by dentists worldwide, the straumann soft Tissue Level system is currently one of the most documented systems available. recently, 10-year follow-up prospective clinical data on the straumann soft Tissue Level implant with the sLA® surface in the edentulous maxilla have been published.
The studies show predictable long-term results, on implant-supported full-arch maxillary prostheses, and high implant survival rate2,3.
p Predictable long term results supporting full-arch maxillary prostheses. p high implant survival rate (95.1 %).2
p no fracture of straumann® Abutments or abutment screws during the 10 years of function.3 p bone loss well within accepted criteria for implant success2 (according to Albrektsson et al.9). p no implants were lost between 5 and 10 years.2*
p no signs of peri-implantitis were noted at 10 years (except in one patient with severe periodontitis2).
“AT The 10-yeAr fOLLOW-uP, PATienTs sAid: ‘geTTing This TreATmenT hAs been One
Of my besT deCisiOns ever, And i ALWAys TeLL friends WhO miss One Or severAL
TeeTh TO gO fOr An imPLAnT TreATmenT.’”
Dr. Kerstin Fischer, FaLUn, sweDen
1 2 3 4 5 6 7 8 9 10 M A RG IN A L B O N E H EI G H T C H A N G ES FR O M BA SE LIN E (M M ) YEARS 0 –0.24 (±0.68) –0.39 (±0.90) –0.71 (±1.63) –1.07 (±0.98) – 0.2 – 0.4 – 0.6 – 0.8 – 1 – 1.2
BONE HEIGHT CHANGES FROM BASELINE2
EXAMPLE OF ACCEPTED BONE LOSS2,9
– 1.4 – 1.6 – 1.8 – 2 – 2.2 – 2.4 – 2.6 – 2.8 – 3
10-year retroSpective clinical data on the Straumann® Soft tiSSue level SyStem of
partially edentulouS patientS Showed predictable long term reSultS6
This retrospective study showed predictable 10-year survival and success rates of titanium implants with the sLA® surface in a large cohort of partially edentulous patients.
p high survival (98.8 %) and success (97.0 %) rates were demonstrated over 10 years. p no implant fractures were observed.
p Low prevalence of peri-implantitis (1.8 %).
p Previously published 5-year survival and success rates can be maintained over 10 years. p The majority of implants (60.8%) exhibited either no bone loss, minimal bone loss, or bone gain.
100 % 80 % 60 % 40 % 20 % 0 % 10 YEAR DATA SUCCESS RATE (97 %) SURVIVAL RATE (98.8 %)
synocta®, flexible and reliable
p The combination of taper and octagon combines
anti-loosening protection with exact repositionability
p suitable for cement-retained and screw-retained
restorations.
p streamlined prosthetic portfolio for all indications.*
deSigned for optimal preServation of the creSt-al bone and Soft tiSSue Stability
p 45° shoulder: Optimal load distribution and fit between
implant and prosthesis to minimize the microgap.
p smooth neck: designed to respect the biological
dis-tance.
anti-looSening protection with great flexibility
p The internal octagon offers secure and flexible
(re)posi-tioning of individual abutments in the implant.
p morse taper connection: uniform load distribution and
reliable, stable implant-to-abutment joints preventing rotation.
innovative Surface technologieS
p sLA®:
– reliable and scientifically well documented surface, with predictable long-term clinical data.2,3,6
– Able to cut in half the timing of provisionalization versus the previous TPs surface.7,8,9
p sLActive®:
– next generation in surface technology reducing healing times down to 3– 4 weeks.10
Scientifically Supported materialS
p Titanium grade 4: A well documented material in implant
dentistry.
p roxolid®: A titanium zirconium alloy with higher tensile4
and fatigue5 strengths than titanium and designed to
meet the needs of clinicians:
– Confidence when placing small diameter implants. – flexibility of having more treatment options. – designed to increase patient acceptance of implant
treatment.
suCCess is A resuLT Of COmmiTmenT,
quALiTy And PreCisiOn
sTrAumAnn
®sOfT Tissue LeveL imPLAnT sOLuTiOns
Standard implant – a pioneer in one-Stage or tranSgingival healing neck section of 2.8 mm for classic single stage procedures, where the implant is placed at soft tissue level and not covered with soft tissue during the healing phase.
Standard pluS implant – the flexible Solution
shorter neck section of 1.8 mm, allows flexible coronoapical implant placement in combination with trans- or subgingival healing. This offers the dental surgeon additional options that are particularly useful in the anterior tooth region of the maxilla, where esthetic demands are high.
tapered effect implant – a SpecialiSt for immediate and early implantation special anatomical design, for imme-diate or early implantation following extraction or loss of natural teeth. With the smooth neck section of 1.8 mm, healing can occur trans- or subgingivally.
ti ta ni u m p or tf ol io re g u la r n ec k 3.3 mm/4.1 mm/4.8 mm sLA®/sLActive® 3.3 mm/4.1 mm/4.8 mm sLA®/sLActive® 3.3 mm/4.1 mm sLA®/sLActive® w id e n ec k 4.8 mm sLA®/sLActive® 4.8 mm sLA®/sLActive® 4.8 mm sLA®/sLActive® rox o li d ® p or tf ol io re g u la r n ec k 3.3 mm sLActive® 3.3 mm sLActive® 3.3 mm sLActive® c o n fi d en c e i n Sm a ll d ia m et er i m pl a n tS n a rr o w n ec k c ro ss fit ® 3.3 mm, sLActive®
Straumann® narrow neck
crossfit® implant
The straumann® soft Tissue
Level solution for treating limited inter-dental space
sTrAumAnn
®sOfT Tissue LeveL
PrOsTheTiC sOLuTiOns
Streamlined proSthetic portfolio for all indicationS*
p number of prosthetic components streamlined thanks to the implant design.
p A solution for all indications* with respect to working preferences and the patient’s needs.
Solid synocta® careS® abutmentS
and Screw-retained barS & bridgeS
attachment SyStemS solid abutment synOcta® Cementable abutment synOcta® Angled abutment synOcta® 1.5 abutment synOcta® gold abutment CAres® screw-retained bridge CAres® screw-retained bar LOCATOr® retentive anchor
“AT The universiTy Of genevA We Are using The sOfT Tissue LeveL sysTem
sinCe eArLy 1989, And WiLL COnTinue TO use iT, PrimAriLy in The POsTeriOr
segmenTs Of The jAWs. The fOLLOWing feATures, inherenT TO This imPLAnT
TyPe, Were deCisive fOr Our ChOiCe: eAsiLy ACCessibLe PrOsThOdOnTiC
inTer-fACe; PreCisiOn meChAniCs Of The COnneCTiOn beTWeen imPLAnT And
AbuT-menT (‘mOrse TAPer’ COnfigurATiOn); POssibiLiTy fOr bOTh CeAbuT-menT-reTAined
Or sCreW-reTAined resTOrATiOns; high versATiLiTy Assured by A COmPLeTe
(buT neverTheLess ‘sTrAighTfOrWArd’) rAnge Of AbuTmenTs And AuxiLiAry
COm-POnenTs.”
ProF. Urs beLser, DMD, chairMan DePartMent oF ProsthoDontics & ProF. Jean-Pierre bernarD, DMD, chairMan DePartMent oF oraL sUrgery, schooL oF DentaL MeDicine, University oF geneva, geneva, switzerLanD
*from single teeth to edentulous solutions **not available in Wn or nnC ***not available in nnC CAres® Ceramic abutment** CAres® Titanium abutment***
convenience for Straightforward caSeS with Straumann® Solid abutment and all-in-one Set
The straumann® solid Abutment portfolio is designed for
cementable crowns and bridges in any position in the mouth. The straumann® All-in-One set adds convenience by
offering all components you need for the restoration in a single package.
careS® abutmentS and Screw-retained barS
and bridgeS – the cuStomized Solution for your implant reStorationS
Customized straumann® CAres® Abutments are designed
to offer patient-specific emergence profiles and anatomical shape. in addition, the margin can be ideally placed to help clear excess cement. straumann® CAres®
screw-retained bars and bridges are directly connected to the implant and are designed to provide a highly precise fit. The design is made by the dental technician then sent to straumann to mill the framework in its state-of-the-art, central-ized milling center.
designed TO sAve Time And inCreAse
effiCienCy in yOur PrACTiCe
SolutionS for edentulouS caSeS
simplicity and easy implant accessibility are relevant when it comes to solutions for edentulous patients. Practitioners and patients benefit from a simple placement of the prosthesis and for hygiene procedures. The straumann® soft Tissue Level
system includes a complete prosthetic portfolio for fixed and removable overdentures, and ranges from stock to custom-izable solutions. The LOCATOr® system with self-locating
design allows patients to easily seat their dentures.
eaSy and reliable impreSSion taking
straumann offers both a “snap-on” mechanism of the closed tray impression and a screw-retained impression system .The “snap-on” mechanism makes impression taking easy and reliable, as you get a clear feedback if the impression com-ponent is correctly seated. in addition, the “snap-on” mecha-nism offers a very cost-efficient solution.
Straumann® proSthetic componentS for implantS placed after 1974
The first straumann® One-stage implant was developed and commercialized by straumann in 1974.
millions of patients are wearing straumann® implants in their mouths. As a global leader in implant and
restorative dentistry, producing high-quality products, straumann supplies prosthetic components for all implants placed since 1974*.
lifetime guarantee period on Straumann® implantS**
Only original straumann® implants and prosthetic components are designed using straumann’s engineering
specifications to fit and function together, with the benefits of a long-lasting performance and a long-term guarantee.
p Lifetime guarantee period on straumann® implants
10-year guarantee period on metal abutments/restorations**
p 5-year guarantee period on ceramic abutments/restorations**
LAsTing PerfOrmAnCe
WiTh LOng-Term suPPOrT
**see product catalog for straumann® components
fixed denTAL PrOsThesis using sTrAumAnn
®sOfT Tissue LeveL imPLAnT sysTem
From a case report by Dr. W. martin anD proF. J. ruskin11
Periapical radiograph 6 weeks after implant placement
(site 21: 4.1 x 12 mm regular neck Tapered ef-fect implant, site 19: 4.8 x 12 mm Wide neck Tapered effect implant)
easy access at soft tissue level for impression components; impression caps and synOcta®
positioning cylinders in place
Lateral view of the fixed dental prosthesis
built-in soft tissue management thanks to machined neck; lateral view 6 weeks after implant placement
synOcta® Abutments
Courtesy of quintessence
Courtesy of dr. W. martin and Prof. j. ruskin
“The sTrAumAnn
®sOfT Tissue LeveL imPLAnT hAs been The imPLAnT Of ChOiCe
in Our PrACTiCe fOr Over A deCAde. iTs sTrengTh, PrediCTAbiLiTy, versATiLiTy And
eAse Of use hAve been key deTerminAnTs fOr seLeCTing This imPLAnT And hAve
Led TO reALized CLiniCAL suCCess.”
Dr. wiLL Martin, DMD, Ms – cLinicaL Director oF the center For iMPLant Dentistry, University oF FLoriDa, gainesviLLe, FL, Usa
referenCes
1 Applicable to simple cases according to the iTi rating and using a solid abutment.
2 fischer k and stenberg T. Prospective 10-year Cohort study based on a randomized Controlled Trial (rCT) on implant-supported
full-Arch maxillary Prostheses. Part 1: sandblasted and Acid-etched implants and mucosal Tissue. Clin implant dent relat res. 2012 dec;14(6):808-15. doi: 10.1111/j.1708-8208.2011.00389.x. epub 2011 Oct 18.
3 fischer k and stenberg T. Prospective 10-year Cohort study based on a randomized, Controlled Trial (rCT) on implant-supported full-Arch
maxillary Prostheses. Part ii: Prosthetic Outcomes and maintenance. Clin implant dent relat res. 2011 Aug 11. doi: 10.1111/j.1708- 8208.2011.00383.x.[epub ahead of print]
4 norm AsTm f67 (states min. tensile strength of annealed titanium) and data on file
5 Titanium cold worked Tigr4 and roxolid tensile strength: data on file.
6 buser d, et al. 10-year survival and success rates of 511 Titanium implants with a sandblasted and Acid-etched surface:
A retrospective study in 303 Partially edentulous Patients. Clin implant dent relat res. 2012 mar 30. doi: 10.1111/j.1708- 8208.2012.00456.x. [epub ahead of print]
7 Cochran dL, et al. The use of reduced healing times on iTi implants with a sandblasted and acid-etched (sLA) surface: early results
from clinical trials on iTi sLA implants. Clin Oral implants res. 2002 Apr;13(2):144-53.
8 roccuzzo m and Wilson T. A prospective study evaluating a protocol for 6 weeks’ loading of sLA implants in the posterior maxilla:
one year results. Clin Oral implants res. 2002 Oct;13(5):502-7.
9 salvi ge, et al. early loading (2 or 6 weeks) of sandblasted and acid-etched (sLA) iTi implants in the posterior mandible. A 1-year
randomized controlled clinical trial. Clin Oral implants res. 2004 Apr;15(2):142-9.
10 Oates TW, et al. enhanced implant stability with a chemically modified sLA surface: a randomized pilot study. int j Oral maxillofac
implants. 2007 sep-Oct;22(5):755-60.
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