Spi Vario Spi Retain Prosthetic Procedure En

8/13/2019 Spi Vario Spi Retain Prosthetic Procedure En

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SWISS PRECISION AND INNOVATION.SWISS PRECISION AND INNOVATION.

SPIVARIOSPIRETAINfor screw-retained restorations and hybrid dentures

Prosthetic procedure


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Notes

RESPONSIBILITY/LIABILITY As part of an overall scheme, Thommen implants

may be used only with the original components and instruments in accordance with

the manufacturer s instructions. The use of unapproved components from other

systems can cause malfunctioning of the implants and abutments and lead to im-

plant failure. The use of the product is the responsibility of the user and, as such,

beyond the control of Thommen Medical AG. We refuse to accept any responsibil-

ity or liability for any damage due to incorrect utilization of the product.

Products labeled For Single-Use Only may not be refurbished and/or reused. The

refurbishment and/or reuse of these products can affect its function (fitting and/or

cutting properties) as well as its safe use (risk of infection, fading of the laser or co-

lor marks, corrosion). Detailed information about the possible consequences,

which may result from negligence to follow this information, is available from your

dealer.

GUARANTEE OF STERILITY OF STERILE PRODUCTS Products of the Thommen

Implant System supplied in sterile packaging must not be resterilized. If the sterile

packaging is damaged during transport or storage, the product must not be used.

Products that have been opened and have not been immediately used for the in-

tended operation must not be used thereafter. After resterilization, the safety, function

and efficacy of the product cannot be guaranteed by the manufacturer.

STORAGE Plastic parts must be stored at room temperature and protected from

exposure to strong light or high heat.

INSTRUCTIONS FOR USE The following information is not intended as compre-

hensive for the Thommen Implant System. New customers are advised to undergo

training by a specia list exper ienced in the use of this system.

VALIDITY This product catalogue replaces all previous editions.

PRODUCT DOCUMENTATION You can find detailed information on the handling

of Thommen implants in our brochures. Ask our national representatives for prod-

uct brochures and instructions for use.

AVAILABILITY NOTE Not all products shown in this brochure are available in all

countries. For further information please contact our subsidiary or distributor in

your country.

COPYRIGHT/REGISTERED SPI, INICELL and APLIQUIQ are registered

trademarks of Thommen Medical AG. Publication or reproduction is permitted only

with the written consent of Thommen Medical AG.

COLORED WARNING STICKER

Application was changed follow the instructions in the corresponding documen-

tation.

New design the application has not been changed.

EXPLANATION OF SYMBOLS

Batch code

Use by date

Date of manufacture

Sterilized using irradiation

Upper limit of temperature

Do not re-use

Non-sterile

Caution

Catalogue number

Consult instructions for use

Do not resterilize

Do not use if package is

damaged

Atmospher ic pressu re l imi tat ion

Manufacturer

COLOR CODE Each implant platform di-

ameter has a color code, which can be

found on a ll implant packs (with the excep-

tion of SPIDIRECT), on the impression

items and on most diameter-specific instru-

ments.

Yellow = platform3.5 mm

Green = platform4.0 mm

Blue = platform4.5 mm

Grey = platform5.0 mm

Violet = platform6.0 mm


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Thommen Medical 3

Contents

Thommen prosthetics 4

Impression at implant level 6

Impression SPIDIRECT 10

SPISELECTION

for case planning 12

SPITEMPORARY

for temporary restorations 15

SPIVARIO

for occlusal screw-retained restorations 18

SPIVARIO T

for transversal screw-retained single crowns 24

SPIRETAIN

for hybrid dentures 28

Abutment screws 35

SPIMONO torque ratchet 37

Care, maintenance, sterilization 40

Product overview 42

General instruments 46

Torque values 47

Other prosthetic systems, including SPIVARIOmulti, SPIEASY, SPIART and ZEST LOCATOR, are

covered in separate brochures that are available upon request.


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4 Thommen Medical

Thommen prosthetics

The comprehensive range of Thommen prosthetics affords maximum flexibility and ease in the fabrication

of cemented and screw-retained restorations, and hybrid dentures.

This manual describes prosthetic procedures for SPIVARIO, SPIVARIO T, and SPIRETAIN.

Thommen implants

SPIELEMENT, SPICONTACT, SPIONETIME SPIVARIO for occlusal screw-retained solutions

The minimal height allows for versatile use in restricted

spaces. The plastic cylinder is easy to shorten to the

desired height which guarantees precise, simple, and

rapid pattern fabrication.

Custom-made abutments for cemented restorations

can be fabricated as well.

VARIO gold abutments are available with a hexagon

connection for single crowns and a cone connection

for bridges.

VARIO

gold abutments

PF 3.5 / 4.0 / 4.5 / 5.0 / 6.0 mm

SPIDIRECT SPIDIRECT for immediate loading

DIRECT implants have an integrated abutment for

a one-stage surgical approach. These implants are

designed exclusively for bar constructions intended

for immediate loading.

Thanks to the one-stage procedure and immediate

loading being possible, treatment time and stress

experienced by the patient are minimized.

Gold and titanium copingsfor bar constructions


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Thommen Medical 5

PIVARIO Tfor transversal screw-retained single crowns SPIRETAINfor hybrid dentures

he transversal lingual screw allows a conditionally remov-

ble solution, even in the region of the anterior teeth, with

o esthetic compromise.

he prefabricated gold blank for direct ceramic application

nsures precision at the margins and saves time since no

etal has to be cast.

The RETAIN product range provides the ideal solution for

the edentulous jaw from reasonably priced retentive

anchors and bar constructions to individually milled

abutments.

Retentive anchor

PF 4.0 / 4.5 / 5.0 mm

Bar abutments

PF 3.5 / 4.0 / 4.5 / 5.0 mm

Milling abutments

PF 3.5 / 4.0 / 4.5 / 5.0 / 6.0 mm

ARIO T

butment and gold blank

F 3.5 / 4.5 / 5.0 / 6.0 mm


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6 Thommen Medical

Impression at implant level

After successful osseointegration of the implant and soft-tissue condition-

ing, remove the healing cap or gingiva former.

Clean and dry the internal connection of the implant thoroughly before

placing the impression coping.

Select the appropriate retentive impression coping:

The conical impression copings closely mimic the emergence profile of the

EASY abutments, while the cylindrical impression copings are suitable for

cases with minimal mesial-distal space. Retentive impression copings are

available in 10 mm and 16 mm lengths.

Place the retentive impression coping in the internal connection of the

implant. Where occlusal space is limited, the retentive impression coping

can be shortened accordingly. At least 1 retention ring must be maintained.

In particular where the space is limited by the adjacent teeth, the following

instruments may simplify the insertion of the impression coping in the inter-

nal connection of the implant:

Art. no. 3.03.522, positioning handle

Art. no. 3.03.550, crown holder

Art. no. 3.03.527, tweezers

Secure the impression coping using the appropriate impression screw (see

table page 42).

If the impression coping was shortened, the suitable length of impression

screw is determined by the impression tray height and/or the available

occlusal space.

Caution

Any rough or sharp edges produced by shortening the impression coping

must be removed with a suitable grinding/polishing tool.

Examples of impression coping/impression screw variations based on

PF4.0 mm.

Using retentive impression copings, screw-retained

(open-tray technique)


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Thommen Medical 7

Modify an impression tray (rigid or custom) to allow access to the

impression screw.

Make the impression using an elastomer impression material (polyvinylsiloxane

or polyether rubber). Hydrocolloid and alginate are not suitable for this

procedure.

Once the impression material is completely set, remove the impression

screw from the implant and take out the impression.

The impression coping remains in the impression material.

Include the impression screw when sending the impression assembly to the

dental technician for fabrication of the master cast in the laboratory.

Master castfabrication

Determine the platform diameter as indicated by the color coding. Place an

implant level analog on the impression coping. Hold the analog firmly in

position to prevent the impression coping from turning while tightening the

impression screw.

Fabricate the master cast. Type 4 (improved dental stone) is recommended

for master cast fabrication.

Note

A gingival mask may simplify pattern fabrication and improve emergence

profile.

Impression copings made of titanium are designed for multiple use.

However, they need to be replaced if: damage or signs of wear are evident in or on the connection geometry

the color of the impression coping is no longer easily identifiable due

to repeated maintenance cycles


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8 Thommen Medical

After successful osseointegration of the implant and soft-tissue condition-

ing, remove the healing cap or gingiva former.

Clean and dry the internal connection of the implant thoroughly before

placing the impression coping.

Select the short or long repositionable impression coping according to

available occlusal space and soft tissue height. The conical impression

copings closely mimic the emergence profile of the EASY abutments.

Place the repositionable impression coping in the internal connection of the

implant. In particular where the space is limited by the adjacent teeth, the

following instruments may simplify the insertion of the impression coping in

the internal connection of the implant:




Secure the impression coping using the appropriate impression screw (see

table page 42).

The protruding screw head prevents the impression material from flowing

into the screw channel of the impression coping.

A custom-made tray is recommended for use with the repositionable

impression coping.

Make the impression using an elastomer impression material (polyvinylsiloxane

or polyether rubber). Hydrocolloid and alginate are not suitable for this

procedure.

Using repositionable impression copings,

screw-retained (closed-tray technique)


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Thommen Medical 9

Master cast fabrication

Carefully remove the impression from the impression copings which will

remain on the implants. Thereafter remove the impression screws and copings

from the implants.

The repositionable impression coping must be submitted to the dental tech-

nician for fabrication of the master cast in the laboratory.

Replace the impression screw with the corresponding abutment screw (art.

no. 4.03.500 for PF 3.5 mm and art. no. 4.03.501 for PF 4.06.0 mm)

and secure the analog to the repositionable impression coping.

Position this unit in the impression again, taking care to align the impression

coping correctly.

Fabricate the master cast. Type 4 (improved dental stone) is recommended

for master cast fabrication.

The short height of the abutment screw eliminates any possible interference

that could occur with the taller impression screw. This technique ensures

accurate repositioning of the impression coping in the impression.

Note

A gingival mask may simplify pattern fabrication and improve emergence

profile.


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10 Thommen Medical

Impression SPIDIRECT

The DIRECT removal screw or closure screw must be removed from the

implant before taking an impression. Thoroughly clean and dry the internal

configuration.

Place the impression coping for bar directly on the cone of the DIRECT

implant using the 4-lobe screwdriver. Apply some occlusal pressure to the

impression coping to keep the integrated holding pin in place.

Make the impression using an elastomer impression material (polyvinylsilo-

xane or polyether rubber). Hydrocolloid and alginate are not suitable for this

procedure.

The impression coping will remain in the impression throughout the

procedure.

Carefully position the DIRECT analog into the impression coping with a

gentle twist. Check to ensure complete seating and stability of the analog

and fabricate the master cast.


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Thommen Medical 11

Carefully pour the impression in type 4 (improved dental stone).

Use caution not to dislodge the analogs during the procedure.

Note

Fabricate the bar on the DIRECT analogs in accordance with the case

plan and instructions regarding RETAIN bar abutments (see page 28 and

subsequent pages).


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12 Thommen Medical

SPISELECTIONfor case planning

Advantages at a glance

Fast and accurate verification of the appropriate abutment

type and size for each case

Snap-in retention for quick placement and removal

Suitable for both intraoral and laboratory use

Color coded for quick and easy identification

The SELECTION abutments from the Thommen Implant System are a

convenient tool for case planning and abutment selection in the clinical and

laboratory setting. A series of SELECTION abutments may be placed on the

implants or analogs to choose the optimal gingiva collar and cone height

from the available abutment range, and to observe other spatial aspects.

The SELECTION abutments have an integrated retention pin that secures the

SELECTION abutment on the implant or analog without requiring the use of

a screw.


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Thommen Medical 13

Simple identification

All SELECTION abutments have an S before the article number, which

stands for SELECTION.

The article number after the S corresponds to the article number of the

actual abutment which simplifies the ordering of the abutment needed.

The VARIO Selection abutments are available only in the cone connection

version for bridges. They can be used equally well for the design of bridges

and single crowns.

The lower edge of the circular undercut on the VARIO Selection abutment

indicates both the junction between gold abutment and plastic cylinder and

the minimal construction height.

The VARIO Selection abutments indicate both the article number of the VARIO

abutment for bridges and the article number of the VARIO abutment for

crowns.

The VARIO T Selection crown is a replica of the assembly consisting of a

VARIO T gold blank and a VARIO T abutment. The lower edge of the circular

undercut on the VARIO T Selection abutment indicates the minimal construc-

tion height.

The S article number given refers to the VARIO T gold blank only.

The VARIO T abutment must be ordered separately.

Example

Bar Selection abutment Art. no.S.4.03.388

Bar abutment Art. no. 4.03.388

VARIO T gold blank Suitable VARIO T abutment

PF 3.5 mm VARIO T abutment for single tooth, art. no. 4.03.370

PF 4.5/5.0/6.0 mm VARIO T abutment for single tooth, art. no. 4.03.371

Note

The SELECTION abutments can be handled and placed using one of thefollowing instruments:





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14 Thommen Medical

Information regarding the use of SPISELECTION abutments

SELECTION abutments must not be waxed-up, because the dimensional

tolerances of these components differ from those of actual abutments.

SELECTION abutments are intended for case planning purposes only. They

may be used in the mouth of the patient only after wound healing is com-

pleted and only momentarily.

Cleaning of SELECTION abutments:

SELECTION abutments must be cleaned thoroughly immediately after intra-oral use. It is particularly important to clean the abutment channel. The

SELECTION abutments must be disinfected with disinfection agent and

sterilized in an autoclave. If the abutment channel appears heavily contami-

nated, the retention pin should be removed to allow proper cleaning and

replaced with a new one.

All SELECTION abutments are prefitted with retention pins made of the plas-

tic material, PPSU, which can be subjected to sterilization. This design ensures

fixation of the SELECTION abutments on the implant or the analog without

a retaining screw. The retention pin has the 4-lobe design. This makes it

possible to pick up and insert the SELECTION abutment using the corre-

sponding screwdrivers.

Retention pins are available as spare parts for PF 3.5 mm (art. no.

2.03.800Q4) and for PF 4.06.0 mm (art. no. 2.03.801Q4).

The convenient organizer box (art. no. 8.03.021) can be used for storage of

all SELECTION abutments in a clearly arranged fashion.

A Art. no. 2.03.800Q4

B Art. no. 2.03.801Q4

A

B


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SPITEMPORARYfor temporary restorations


Temporary restorations can be fabricated intraorally,

or in the laboratory

Especially well suited for the esthetically important

anterior region

Available with hexagon connection for single crowns,

or cone connection for bridges

Includes a fabrication screw for pattern fabrication

TEMPORARY abutments may be used for provisional restorations until the

final restorations are ready for placement. These can also be used as the

basis for customized soft-tissue conditioning.


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Indications

Abutments for temporary crowns (with hexagon connection) are for use

with single teeth only. They cannot compensate for axial divergences.

Abutments for temporary bridges (with cone connection) are for use

with bridges or splinted constructions only. Axial divergences of up to

30 can be bridged.

Processing instructions for manufacture of the superstructure

In-mouth fabricationSecure the selected temporary abutment on the implant using an abutment

screw.

If the height of the abutment prevents maximal intercuspidation, reduce the

cylindrical part, i.e. the screw channel. The opposing tooth must be kept

from being in occlusal contact with the abutment.

The temporary abutment may be fabricated using the impression, a vacuum-

formed matrix or a prefabricated crown form.

Seal the occlusal screw channel opening with wax to prevent liquid plastic

material from flowing into the screw channel. Alternatively, and if occlusal

space permits, the abutment screw may be replaced with the fabrication

screw (lightly coated with Vaseline) before the liquid veneer material is

applied and cured. This method will also keep the screw channel open.

Remove the temporary abutment from the mouth after polymerization is

complete. Fill any remaining voids, refine contours, smooth and polish.


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Thommen Medical 17

Laboratory fabrication

Secure the temporary abutment on the analog using an abutment screw. If

the height of the abutment prevents maximal intercuspidation, reduce the

cylindrical part, i.e. the screw channel. The opposing tooth must be kept

from being in occlusal contact with the abutment.

For esthetic reasons, it is preferable to fabricate the temporary restoration

using prefabricated plastic denture teeth.

A matrix should be fabricated using plaster or silicone. Replace the abutment

screw (art. no. 4.03.500 for PF3.5 mm, art. no. 4.03.501 for PF4.0 6.0 mm)

with the supplied fabrication screw. The screw must only be tightened lightly

by hand using a maximum tightening torque of 5 Ncm. The screw serves astemporary fill-in while the plastic veneering material is being processed and

ensures that the screw channel remains open. Lightly coat this screw with

Vaseline before polymerization.

The fabrication screw supplied is made of black anodized aluminum and

designed exclusively for single use as a modeling aid. It must not be used

for permanent insertion of the temporary restoration in the mouth of the

patient.

The abutment screw used in the laboratory must not be used for definitive

insertion of the temporary restoration in the mouth.

The serviceable life of the temporary abutment in the mouth of the patient

is one year due to its limited mechanical long-term stability.

In order to reduce the forces acting on the abutment, the finished tem-

porary restoration must be out of occlusion.

Only new abutment screws (art. no. 4.03.500 for PF 3.5 mm, art. no.

4.03.501 for PF4.0 6.0 mm) may be used for final placement of the tem-

porary restoration.

Use a torque value of 15 Ncm (PF 3.5 mm) or 25 Ncm (PF4.0 6.0 mm)

to tighten the abutment screw.


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18 Thommen Medical

SPIVARIOfor occlusal screw-retained restorations


Minimal height creates restorative options even if the

available occlusal space is limited

Direct connection to the implant, no intermediary parts

needed

Easy shortening of the plastic cylinder to the desired height

Option of fabricating custom-made abutments

Prefabricated connection geometry and screw seat made

of (nonoxidizing) high gold content alloy

VARIO gold abutments are used to fabricate occlusal screw-retained

solutions. Restorative options include single crowns, custom abutments

and multiunit bridge restorations. They consist of a nonoxidizing cast-on

alloy base and a plastic cylinder that forms the screw channel. The plastic

cylinder will be incorporated into the pattern and leave no residues after

burn-out.


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Thommen Medical 19

Indications

VARIO gold abutments for crowns (with hexagon connection) are

for use with single tooth reconstructions and custom abutments.

They are not suitable for bridges because axial divergences cannot

be compensated.

VARIO gold abutments for bridges (with cone connection) are for use

with bridges and splinted constructions. Axial divergences of up to 30

can be bridged.

Processing instructions for fabrication of the superstructurePlace the VARIO gold abutments on the analogs and secure them using the

matching abutment screws.

Shorten the height of the plastic cylinder such that maximum intercuspida-

tion is possible. Avoid any occlusal contact between the plastic cylinder and

the opposing tooth.

The minimum construction height of VARIO gold abutments for bridges and

for crowns is 2.5 mm.

Gold 60 %Platinum 24 %

Palladium 15 %

Iridium 1 %

Material specification

VARIO gold abutments

Nonoxidizing precious metal cast-on alloy

Melting interval 14001460 C

WAK 25600 C 12.8 m/mk

2.5 mm


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20 Thommen Medical

Initiate pattern fabrication with wax modeling. If ceramic veneer is to be

applied to the framework, a minimum thickness of 0.3 mm of casting alloy

must remain over the VARIO gold abutment after framework finishing. It is

advisable to allow additional wax thickness for casting and finishing.

Please refer to the information provided by the alloy manufacturer for

additional technical information.

Since the VARIO gold abutment does not form an adhesive oxide layer, the

ceramic veneer must not come in contact with the VARIO gold coping.

Porcelain that directly contacts the VARIO gold coping will result in bonding

problems.

In order to prevent casting errors and casting flash, the 0.5 mm collar of the

VARIO gold coping must not be covered in wax.

The 0.5 mm collar and all machined surfaces of the gold abutment must be

scrupulously clean before investing.

The finished pattern should be sprued in preparation for investing.

Conventional and indirect spruing techniques that place the pattern above

the thermal zone will facilitate proper mold fill and alloy solidification.

Do not use any wax surfactant.

A phosphate bonded investment material is recommended. Please refer to

the instructions of the manufacturer of the investment material.


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Thommen Medical 21

After casting, allow the casting ring to cool slowly to room temperature.

Carefully devest the framework using suitable means, e.g. ultrasound, a water

jet, pickling solution or a glass fiber brush.

Connection geometry and screw channel must not be sandblasted under

any circumstances. Modification of the precision connection will jeopardize

the long-term success of both the prosthetic solution and the implants.

The screw seat must not be reworked under any circumstances. The seat

of the abutment screw would thus be shifted deeper into the internal con-

figuration and the mechanical stability of the abutment would no longer be

guaranteed.

If minor casting flash is detected on the machined mating surface of the

base, this surface can be smoothed-off using the corresponding VARIO

reamers for base, preferably under a microscope.

If any casting errors or other forms of damage are detected, in particular

related to the screw seat or connection geometry, the work must be redone.

Special care must be taken when polishing the VARIO collar. In order to

reduce the risk of damaging the collar, an analog should be secured to

protect the connection geometry.

The minimal wall thickness of the cast-on fuse-on alloy must be no less than

0.3 mm after the finishing of the cast superstructure. Exposed sites of the

VARIO gold abutment may lead to fissures in the ceramic veneer.

New abutment screws must be used for permanent insertion of the resto-

ration in the mouth. Always follow the recommended torque values of

15 Ncm in the case of Thommen implants PF 3.5 mm and 25 Ncm in the

case of PF 4.06.0 mm.


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22 Thommen Medical

Clinical case

The VARIO gold abutment for crowns can also be used for fabricating a

custom-made abutment as base for cemented restorations.


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Thommen Medical 23

Case images used with kind

permission of Cesare Ferri, dental

technician, Rome, Italy.

Temporary restoration on

the master cast.


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24 Thommen Medical

SPIVARIO Tfor transversal screw-retained single crowns

Ceramic-veneered single crowns can be made with VARIO T in a time-

saving and highly accurate fashion. VARIO T consists of an abutment with

a hexagon connection and a gold alloy blank that accepts direct ceramic

application. The prefabricated components ensure a precise fit at the

margin and no esthetic compromises.


Removable restoration (conditionally)

No esthetic compromises in the region of the anterior

teeth

Time savings since there is no casting required

direct ceramic application

Precise fit at the margin

No occlusal screw hole


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Thommen Medical 25

VARIO T

lingual/

palatinal

buccal

Indication

Single tooth restorations

Processing instructions for fabrication of the superstructure

For a VARIO T restoration, the implant hexagon is placed such that the

transversal screw access hole is directed towards lingual/palatinal.

Secure the VARIO T abutment on the analog using the abutment screw.

Secure the VARIO T gold blank on the abutment using the transversal screw.

It is recommended to indicate the location of the VARIO T transversal screw

access hole on the master cast.

In order to protect the connection geometry during the grinding of the

VARIO T gold blank, the gold blank must be secured to the VARIO T abut-

ment on the analog. The gingival edge of the VARIO T gold blank must not

be shortened. A fine gold margin of at least 0.3 mm should remain.

The horizontal laser mark (A) on the gold blank indicates the minimum

occlusal height. The vertical mark (B) on the transversal screw channel is

flush with the screw head. Do not grind this area beyond the depth of the

laser mark. The site where the transversal screw contacts the inner surface

of the gold blank is indicated by the labial ring (C) and must not be subjectedto grinding.

Proper framework design will ensure a strong veneer layer.

A

B

C


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Thommen Medical 27

Permanent insertion of the restoration

Remove the abutment from the master cast, clean thoroughly and place

them on the implant in the correct orientation.

A new abutment screw must be used for permanent insertion of the VARIO T

abutment and tightened using a tightening torque of 15 Ncm for Thommen

implants of PF 3.5 mm and 25 Ncm for PF 4.56.0 mm.

A new VARIO T transversal screw must be used for permanent insertion of the

crown. The tightening torque for the VARIO T transversal screws is 10 Ncm.


permission of Dr. Markus Jungo,

private practice, Rheinfelden,

Switzerland, and Dental-Labor

Fischler AG, Mhlin, Switzerland.


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28 Thommen Medical

SPIRETAINfor hybrid dentures


Retentive anchor abutments available in two heights

Bar abutments with a choice of titanium and gold copings

Milling abutments for fabricating custom abutments and

telescopic crowns

Offering options for retentive anchors, bar constructions and milling abut-

ments, the RETAIN product range offers ideal solutions for the edentulous

jaw.

The ZEST LOCATORSystem is also suitable for hybrid denture restorations and is documented

in a separate brochure (Fo_02d111).


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Thommen Medical 29

The purpose of the retentive anchor abutment is to stabilize and retain the

denture in the mouth of the patient using as few anchoring elements as

possible. Optimization of the denture seating depends mainly on the quality

and quantity of the hard and soft tissue at the alveolar ridges.

Retentive anchor abutments are available in two heights (short: 1.8 mm; and

long: 3.0 mm) and have a spherical diameter of 2.25 mm. They are compat-

ible with all matrices having the same geometry (e.g. DallaBona, Supra-

snap, Tima, Eccoetc.; please comply with the processing instructions of

the matrix manufacturers). Matrices with a lamellar geometry are preferable

to those using annular springs, since the male parts are subject to signifi-cantly less wear.

Indications

The edentulous lower jaw (interforaminal) requires two retentive anchor

abutments

The edentulous upper jaw requires two or more retentive anchor

abutments

Mandibular arches forming an acute angle

Contraindications

Combined reconstructions on teeth/implants

Combination with construction elements with different degrees of

freedom

Implants that have not been placed perpendicular to the occlusal plane

and are not parallel

Implants that are unfavorably distributed over the mandibular arch and

prevent a tangential rotation axis

Unilateral dentures without transversal support

Unfavorable alveolar ridge status (e.g. bone deficits, jaw defects, etc.)

Retentive anchor


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30 Thommen Medical


In a case of an edentulous lower jaw, insert retentive anchor abutments on

two implants that were placed interforaminally. The implants should be par-

allel and perpendicular to the plane of occlusion for long-term trouble-free

function of the retentive anchors. There must be a tangential rotation axis.

Secure the retentive anchors in the implants at a tightening torque of 25 Ncm

using the MONO torque ratchet and MONO insertion device (art. no.

3.03.169).

Use a custom-made tray without impression coping to take the impression.

Place the analog for retentive anchor in the spherical profile of the impression

and pour-up the master cast.

The matrices for the retentive anchors are fit into the existing prosthesis in

accordance with normal guidelines.

Cast metal reinforcements are recommended in fabrication of hybrid

dentures.

Note

The hybrid denture must be relined at regular intervals in order to ensure

requisite soft-tissue support and prevent excessive load acting on the

implants.


permission of Dr. Guglielmo Santoro,

Rome, Italy, and Cesare Ferri, dental



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Thommen Medical 31

Both DIRECT implants with their integrated bar abutments and all other

Thommen implants in combination with bar abutments are suitable for use

with bar-supported denture fabrications.

Assuming all other clinical requirements are met, immediate loading is pos-

sible when using a bar construction because it acts as a splint to stabilize the

implants.

Indications

The edentulous lowerjaw withfour Thommen implants The edentulous upperjaw with six Thommen implants


If Thommen implants other than DIRECT are used, secure the correspond-

ing bar abutments to the analogs using the abutment screw.

Secure the gold copings or titanium copings using the occlusal screw for bar.

Fit the individual bar segments in the gaps using a paralleling instrument.

To achieve good joining results in the soldering step, the gap between bar

segment and bar coping should be as narrow as possible.

Maintain a distance of at least 2.0 mm between bar and gingiva.

Minimal construction height of bar solutions is shown in the image to the

right.

Bar abutment and SPIDIRECT

7.3mm

8.8mm

DIRECT Bar abutment


32/48

32 Thommen Medical

Soldering

The bar can be soldered or laser welded.

Soldering pins for bar can be used to improve the fixation and anchoring of

the gold copings in the soldering block.

Occlusal screws that are exposed to heat must not be used for permanent

insertion of the bar.

The bar abutments must not be exposed to heat.

Fabricate dentures and process existing dentures in accordance with thestructural, esthetic and phonetic requirements.

It is recommended to construct hybrid dentures with a cast metal reinforce-

ment processed into the plastic material.

Permanent insertion of the bar

Loosen and remove the occlusal screws and bar from the master cast.

Remove the bar abutments from the analog/master cast (exception:

DIRECT), clean thoroughly, and then position them on the clean implant. The

correct seating of the bar must be checked for fit prior to the final tightening

of the screws (Sheffield test).

In the permanent insertion of the superstructure in the mouth, use new

abutment screws to secure the bar abutments and tighten these screws

using a tightening torque of 15 Ncm for Thommen implants PF 3.5 mm

and 25 Ncm for PF 4.05.0 mm.

Then permanently fix the bar using new occlusal screws for bar, complying

with the recommended using a tightening torque of 15 Ncm.

Material specification

Gold copings, bar

Type IV cast alloy with

a high gold content

Melting interval 905955 C

Gold 71 %

Platinum 4 %

Palladium 2 %

Silver 11.6 %Copper 9.5 %

Zinc 1 %

Other < 1 % Ir, In


33/48

Thommen Medical 33

The milling abutment is made of t itanium, can be custom-modified, and

affords the dental technician optimal flexibility in abutment design.

Indications

Cone and telescopic constructions

Custom-milled abutment for cemented solutions


Following the fabrication of the master cast, secure the selected millingabutments to the analog using the abutment screw. A separate cast is

recommended for the milling process.

The connection geometry of the milling abutment must not be damaged.

In the case of a conical or telescopic crown restoration, the milling abutment

should be prepared so that the crown margins will be supragingival in order

to prevent irritation of the mucosa.

When using the milling abutment as a custom abutment for a cemented re-

storation, it should be prepared such that the cement margin for the crown

is subgingival to achieve proper esthetics.

In all cases, the grinding limit for the milling abutment is 0.5 mm from the bot-

tom edge.

If applicable, the milling abutment can be shortened to the minimal height of

2.3 mm (PF 4.06.0 mm) or 1.9 mm (PF 3.5 mm).

Manufacture the denture in accordance with the structural, aesthetic and

phonetic requirements of the individual case.

Cast metal reinforcements are recommended in fabrication of hybrid dentures.

Permanent insertion of the superstructure

An index made from self-curing resin is recommended for abutment trans-

fer. This ensures accurate transfer from the working cast to the patient.

Remove the milling abutments from the master cast, clean thoroughly and

place them in the transfer index. If an index is not available, be sure to

maintain the same orientation during transfer.

For permanent insertion of the superstructure in the mouth, use new abut-

ment screws and tighten these screws using a tightening torque of 15 Ncm

for Thommen implants PF3.5 mm and 25 Ncm for PF 4.06.0 mm.

Milling abutment

1.9 mm 2.3 mm


34/48

34 Thommen Medical

Clinical case

The milling abutment can also be used for the manufacture of a custom-

made abutment as base for cemented restorations.


permission of Cesare Ferri, dental



35/48

Thommen Medical 35

Abutment screws

All screws of the Thommen Implant System have a unique 4-lobe screw

head geometry for easy pick-up and transport of the screws.

A single screwdriver can be used for placing and removing all components.

The screwdriver is available in three different lengths. 4-lobe screwdrivers

are available with a connection for the MONO torque ratchet and with a latch

type connection for the handpiece.

The long abutment screw is recommended in situations where the vertical

height of the restoration is adequate. If the space inside the mouth (above

the restoration) is limited, being able to select a shorter screwdriver simplifies

the securing of the abutment screw. In addition, the longer abutment screwmay make closing-off the screw channel easier.

The regular (short) abutment screw must be used with the following abut-

ments:

Bar abutment

VARIO T abutment

EASY abutment having a short cone and shoulder height

Angled EASY abutments, short

Always use new abutment screws for permanent insertion of an abutment or

restoration. Tighten them using the defined tightening torque (see page 47).

Superstructures must be checked at regular intervals in order to identify any

damage or loosening of the screws. Do not reuse screws that have come

loose. Retightening may overstrain the material and lead to fracture of the

screw.


36/48

36 Thommen Medical

PF 3.5 mm PF4.0 mm PF4.5 mm PF5.0 mm PF6.0 mm

Abutment screws, 4-lobe, titanium alloy

Length

5.8 mm 4.03.500

7.2 mm 4.03.501

10.2 mm 4.03.502

MONO screwdriver, 4-lobe, stainless steel/PEEK

extra short short long

Length 14.5 mm 22.2 mm 28.2 mm

Shaft length 5.1 mm 10.3 mm 16.3 mm

8.5 mm 3.03.165 3.03.166 3.03.167

Screwdriver for handpiece, 4-lobe, stainless steel

extra short short long

Length 17.0 mm 22.0 mm 28.0 mm

Shaft length 3.5 mm 8.0 mm 14.5 mm

3.03.500 3.03.501 3.03.502


37/48

Thommen Medical 37

SPIMONO torque ratchet


Suitable for both surgery and prosthetics

Manufactured in one piece1

Simple cleaning and maintenance

Highly ergonomic design

Torque range from 10 to 35 Ncm (5 Ncm increments)

High-strength, corrosion-resistant titanium alloy

The MONO torque ratchet is designed for both surgical and prosthetic use.

It is manufactured from a solid billet of high-strength, corrosion-resistant ti-

tanium alloy. The one-piece construction dramatically simplifies regular

maintenance as there are no parts to disassemble for cleaning and no lubri-

cation is required. The new one-piece accessory instruments are similarly

easy to clean. Together with the MONO torque ratchet, they form an excep-

tionally convenient and highly ergonomic instrument system.

1Patent pending


38/48

38 Thommen Medical

The MONO torque ratchet is labeled IN on one side and OUT on the other.

Fortightening, place the MONO torque ratchet on the accessory instru-

ment such that the side labeled IN faces upwards.

For unscrewing, turn the MONO torque ratchet over and place it on the

accessory instrument such that the side labeled OUT faces upwards.

The arrows (2) on either side indicate the direction of rotation to be used.

The guide key (art. no. 3.03.203) can also be used to apply apical pressureto the screwdriver when vertical space is limited. Always apply apical pres-

sure to ensure that the driver is fully seated in the screw.

For tightening Thommen prosthetic components, place the MONO torque

ratchet on the accessory instrument in the direction of the arrow until it

stops.

Do not force the MONO torque ratchet over the accessory instrument

ratchet body. They should slide together easily. If this is not possible, check

that the accessory instrument is compatible. Only accessory instruments

specifically designed for use with the MONO torque ratchet may be used.

Do not attempt to insert any other instruments into the MONO torque ratchet

as damage and/or improper function may result.

Reading the torque values:

The prescribed torque is applied through the bending rod of the MONO

torque ratchet. Upon actuation of the bending rod, the indicator shows the

torque that is being applied on a scale.

The pointer must indicate 0 when no force is being applied to the torque

handle. If the pointer indicates either more or less than 0, then the torque

handle may have been damaged and correct torque measurement may

not be possible. Do not use the instrument in this condition.

Finger plate 2

Finger plate 2


39/48

Thommen Medical 39

The bone contouring instrument is used for easy preparation of the contour

of the bone to fit the prosthetic components, without damaging the implant.

Indications/Intended use

The bone contouring instrument is designed for use where bone prevents

complete seating of the healing cap, impression coping, gingiva former or

abutment.

ApplicationThe bone contouring instrument can be used either with a contra-angle

handpiece or manually using the MONO insertion device, short.

Gently position the guide pin of the bone contouring instrument into the

implant. Ensure that the axis of the instrument is aligned to the axis of the

implant.

Rotate the instrument clockwise to remove excess bone and shape the

emergence cone.

Stop rotation as soon as the bone contouring instrument touches against

the platform of the implant as this indicates all of the interfering bone is

removed.

The internal configuration of the implant must be cleaned thoroughly and

dried prior to taking the impression and before placing any prosthetic com-

ponents.

Note

Please comply with the following instructions when using the handpiece:

Maximum rotational speed is 200 rpm.

Irrigation with cooled (approx. 5 C) sterile physiological saline solution is

recommended.

A surgical handpiece must be used as the drive unit; turbines are not

suitable as torque is insufficient.

For detailed instructions for care, maintenance, and reprocessing of instru-

ments, please refer to pages 40 and 41.

Bone contouring instrument(Only for surgical application)


40/48

40 Thommen Medical

Care, maintenance, sterilization

The products of the Thommen Implant System are fabricated from high-

quality materials and with the highest precision. Well cared-for instruments

not only protect the patient and the practice team from infections, but are

also a prerequisite for the success of the treatment. Insufficient or improper

care can quickly lead to damage. Please comply with the following notes

and working instructions.

The package label shows whether a product is packaged in sterile or non-

sterile condition. Instruments that are supplied in non-sterile condition and

are intended for intraoral use must be cleaned, disinfected, and where

applicable sterilized prior to use.

For cleaning, disinfection, and sterilization, the instruments and components

must be grouped according to their materials. Suitable cleaning and disin-

fection agents for the various materials are commercially available.

Please comply fully with the instructions of the manufacturer with regard to

the suitability of materials, dosage, concentration, exposure time, and

temperature.

The following substances are not suitablefor the cleaning of instruments

made of stainless steel(risk of corrosion):

Cleaning and disinfection solutions with a high chlorine or oxalic acid

content

The following substances are not suitablefor the cleaning of instruments

made oftitanium(risk of discoloration):

All oxidizing acids (nitric acid, sulfuric acid, oxalic acid) and H2O

2(hydrogen

peroxide)

The following substances are not suitablefor use with anodized aluminum

(surface damage):

Alkaline cleaning agents (bases) with a pH > 9. Agents with a pH of

5 to 9 are suitable.

Used instruments must first be disinfected and then cleaned.

Make sure that no blood and/or secretions dry and then adhere to the in-

struments. For this purpose, the instruments should be rinsed with running

cold water and cleaned with a clean cloth as quickly as possible after their

use.

Strongly contaminated instruments should be cleaned by means of ultra-

sound. Clean each instrument using a machine or nylon brush and commer-

cially available cleaning solutions (do not use wire brushes, hard or abrading

cleaning aids or steel wool). If a washing machine is used, make sure that

the instruments do not contact each other as this may lead to damage. The

instruments must not be kept or stored for any period of time in a wet state.


41/48

Thommen Medical 41

Cutting instruments intended for multiple use

Cutting instruments intended for multiple use must be replaced after a max-

imum of 20 maintenance cycles, or immediately should they show signs of

damage or wear.

Notes for cleaning of the MONO torque ratchet

and MONO accessory instruments

We recommend brushing the gaps of the MONO torque ratchet using an

interdental brush (max. bristle of 0.7 mm). This ensures proper cleaning.

The finger rest (made of PEEK) of the MONO insertion instruments andscrewdrivers must be removed prior to cleaning if strong contamination is

evident.

All instruments and components must be checked after cleaning for wear,

damage, and proper function. Replace if necessary.

Abutments made of titanium can be steam-sterilized at 134 C (see table

below). Hot air sterilization is not permissible.

Sterilization

Package each instrument/component/abutment in its separate

protective pouch.

Place the filled protective pouches in a perforated container in the

autoclave.

Place the instruments in the dedicated compartments and holders of

the surgical cassette.

Then place the surgical cassette in a sterilization package that is suitable

for steam sterilization and place both in the autoclave.

Sterilization parameters:

Store instruments and other items in the protective pouches until use.

The user is responsible for assessing the suitability and application options of

the product for the intended purpose prior to its use. Any application of the

products is part of the responsibility of the user and beyond the control of

Thommen Medical AG. We decline any and all responsibility and liability for

any damage that may be caused during the application

Steam

sterilization using

Temperature Sterilization

time

Drying time

Prevacuum 134 C 18 minutes 2060 minutes

Vacuum 134 C 40 minutes 2060 minutes


42/48

Product overview

42 Thommen Medical

SPIELEMENT, SPICONTACT, SPIONETIME

RetentivePF

3.5

PF

4.0

PF

4.5

PF

5.0

PF

6.0

Impression copings for single use cylindrical

H 10.0

cylindrical

H 10.0

3.03.0 10 3.03.0 18 11 12 13

conical

H 10.0

3.03.0 78 71 72 73

Impression copings for multiple use cylindrical

H 16.0

cylindrical

H 16.0

3.04.0 20 3.04.0 21 22 23 24

conical

H 16.0

3.04.0 37 38 39 40

Screws for impression coping extra short

L 12.5

extra short

L 13.2

3.03.5 72 3.03.5 75 75 75 75

short

L 16.5

short

L 17.2

3.03.5 73 3.03.5 76 76 76 76

long

L 21.5

long

L 22.2

3.03.5 74 3.03.5 77 77 77 77

extra long

L 27.5

extra long

L 28.2

3.03.5 80 3.03.5 81 81 81 81

Analogs

3.03.0 90 3.03.0 95 91 92 93

3.03.0 60 3.03.0 61 65 62 63

Temporary restoration

Abutment for crown

4.03.0 80 4.03.0 88 81 82 83

Abutment for bridge

4.03.0 84 4.03.0 89 85 86 87

Abutment screws

4.03.5 00 4.03.5 01 01 01 01

4.03.5 02 02 02 02


43/48

Thommen Medical 43

4.03.0 84 89 85 86 87

Art. no. 4.03.084

Art. no. 4.03.089

Art. no. 4.03.085

Art. no. 4.03.086

Art. no. 4.03.087

Example

The table is based on the color-coded

prosthetic components and the article

numbers thereof.

SPIELEMENT, SPICONTACT, SPIONETIME SPIDIRECT

RepositionablePF

3.5

PF

4.0

PF

4.5

PF

5.0

PF

6.0

short

H 8.0

short

H 8.0

3.03.0 74 3.03.0 79 75 76 77 3.03.1 00

ong

H 12.0

long

H 12.0

3.03.0 14 3.03.0 19 15 16 17

extra short

L 12.5

extra short

L 13.2

3.03.5 72 3.03.5 75 75 75 75

kurz

L 16.5

kurz

L 17.2

3.03.5 73 3.03.5 76 76 76 76

3.03.0 90 3.03.0 95 91 92 93

3.03.0 60 3.03.0 61 65 62 63

4.03.0 80 4.03.0 88 81 82 83

4.03.0 84 4.03.0 89 85 86 87

4.03.5 00 4.03.5 01 01 01 01

4.03.5 02 02 02 02


44/48

44 Thommen Medical

SPIVARIOPF

3.5

PF

4.0

PF

4.5

PF

5.0

PF

6.0

SPIVARIO TPF

3.5

PF

4.0

PF

4.5

PF

5.0

PF

6.0

Abutment/screws Crown

2.03.4 10 14 11 12 13 4.03.3 70 71 71 71

Bridge

2.03.4 00 04 01 02 03 4.03.5 00

4.03.5 01 01 01

2.03.2 10 11 12 13

4.03.5 03

4.03.5 00 4.03.5 04 04 04

4.03.5 01 01 01 01

4.03.5 02 02 02 02SPISELECTION for case planning Crown /

bridge

S.2.03.4 00 04 01 02 03 S.2.03.2 10 11 12 13

Impression taking

Analogs

Reamer/guide pin Base Base

3.03.4 20 20 21 21 21 3.03.4 09 09 09 09

Outermargin

3.03.4 22 25 23 23 23 3.03.4 00 04 05 06

3.03.4 01 08 08 08

Instruments Lab pin

3.03.5 48 49 49 49


45/48

Thommen Medical 45

SPIRETAINPF

3.5

PF

4.0

PF

4.5

PF

5.0

PF

6.0

PF

3.5

PF

4.0

PF

4.5

PF

5.0

PF

6.0

PF

3.5

PF

4.0

PF

4.5

PF

5.0

PF

6.0

Millingabutment

Barabutment

RetentiveanchorsH 1.8

4.03.4 20 28 21 22 23 4.03.3 80 88 81 82 4.03.0 48 40 42

RetentiveanchorsH 3.0

4.03.5 00 4.03.5 00 4.03.0 49 41 43

4.03.5 01 01 01 01 4.03.5 01 01 01Gold coping

4.03.5 02 02 02 02 2.03.3 35Titanium coping

4.03.0 70Occlusalscrew, bar

4.03.5 06

S.4.03.3 80 88 81 82

3.03.1 00

3.03.1 05 3.03.0 33

Solder pin Insertiondevice

3.03.1 51 3.03.1 69


46/48

46 Thommen Medical

General instruments

MONO torque ratchet 3.03.1 60

MONO insertion device, short 3.03.1 62

MONO insertion device, long 3.03.1 63

MONO screwdriver, extra short 3.03.1 65

MONO screwdriver, short 3.03.1 66

MONO screwdriver, long 3.03.1 67

Screwdriver for handpiece, extra short 3.03.5 00

Screwdriver for handpiece, short 3.03.5 01

Screwdriver for handpiece, long 3.03.5 02

Guide key 3.03.2 03

Positioning handle 3.03.5 22

Handle for dental lab 3.03.2 50

VARIO T crown holder 3.03.5 50

Tweezers 3.03.5 27

Prosthetic cassette, screw organizer incl. 1.03.0 22

Screw organizer for prosthetic cassette 8.03.0 19


47/48

Thommen Medical 47

Torque values

All 4-lobe screwdrivers have a predetermined breakage point. If the applied torque is too high

and the screwdriver breaks, the fragments thus formed are easy to remove.

* Customizable gingiva former immediately after implantation10 Ncm

This overview can be ordered in the form of a laminated single sheet under article no.Fo_22d123.02 (available in English only).

PF

3.5mm

PF

4.0mm

PF

4.5mm

PF

5.0mm

PF

6.0mm

+

Healing cap/Gingiva former *

VARIO T transversal screw

Abutment screw for PF3.5 mm

(for all restoration materials)

VARIOmulti abutment

DIRECT closure screw

Occlusal screw, bar

Occlusal screw, VARIOmulti

Abutment screw in combination

with ceramic restorations

(except PF 3.5 mm)

Abutment screw

(except PF 3.5 mm)

VARIOmulti abutment

(except PF 3.5 mm)

Retentive anchor

ZEST LOCATORabutment

20 Ncm

10 Ncm

15 Ncm

25 Ncm

30 Ncm


48/48

10.0711/10

AHA,BASEL

Headquarters

Thommen Medical AG

Hauptstrasse 26d4437 Waldenburg | SwitzerlandPhone +41 (0)61 965 90 20Fax +41 (0)61 965 90 [email protected]

Subsidiaries/National Distributors

Australia

Gunz Dental Pty Ltd.City South Business ParkUnits 3-4, 26-34 Dunning AveRosebery NSW 2018 | AustraliaPhone +61 2 9935 6677Fax +61 2 9935 6666

[email protected]

Austria

Thommen Medical Austria GmbHTechnologiezentrum NeusiedlLudwig Boltzmann Strae 27100 Neusiedl am See | AustriaPhone +43 (0)5 9010 29230Fax +43 (0)5 9010 [email protected]

Benelux

Thommen Medical Benelux B.V.Edisonweg 17B3404 LB IJsselsteinPostbus 4303400 AK IJsselstein | NetherlandsPhone +31 (0)30 68 68 468Fax +31 (0)30 68 68 [email protected]

Canada

Thommen Medical Canada Inc.1100 Burloak Dr. | Suite 300Burlington, ON L7L 6B2 | CanadaPhone +1 (905) 336-8966 +1-877-242-6012 (North America)Fax +1 (905) 332-3007 +1-877-242-6013 (North America)[email protected]

China

Shanghai Yujing Trading Co., Ltd.Room G | Floor 15 | Jia Fa Bldg.No. 129-1 Da Tian Rd.Shanghai 200041 | ChinaPhone +86-21-62723077Fax +86-21-62175264

France

Thommen Medical France10, avenue Piern77680 Roissy-en-Brie | FrancePhone +33 (0) 1 83 64 06 35Fax +33 (0)3 89 33 52 [email protected]

Germany

Thommen Medical Deutschland GmbHAm Rathaus 279576 Weil am Rhein | GermanyPhone +49 (0)7621-4 22 58 30Fax +49 (0)7621-4 22 58 [email protected]

Italy

Dental Trey S.r.l.Via Partisani, 3

47016 Fiumana | Predappio (FC) | ItalyPhone +39 0543 929111Fax +39 0543 [email protected]

Japan/Asia

Thommen Medical Japan Inc.Representative Office Asia3-20-14, Senriyama-Nishi | SuitaOsaka 565-0851 | JapanPhone +81-(0)6-6385-4255Fax +81-(0)[email protected]

Japan

J. Morita Corporation23-28, 1-chome, Esaka-cho

Suita City | Osaka 564-0063 | JapanPhone +81-(0)6-6384-6921Fax +81-(0)6-6384-6746http://spi.dental-plaza.com

Middle East

Star Science International GmbHJupiterstrasse 573015 Bern | SwitzerlandPhone +41 (0)31 941 07 31Fax +41 (0)31 941 07 [email protected]

New Zealand

Gunz Dental Pty Ltd.PO Box 99176 Newmarket

Auckland 1149 | New ZealandPhone +64 9 366 0249Fax +64 9 522 2910

www.gunz.co.nz

Poland

C. Witt i Spka Sp. z.o.o.87-100 Toru, ul. w. Katarzyny 4/4 | PolandPhone +48 56 652 16 95Fax +48 56 655 01 [email protected]

Singapore

FONDACO Pte Ltd7 Kaki Bukit Road 1, #03-06,Eunos Techno LinkSingapore 415937 | SingaporePhone +65 6392 2806Fax +65 6392 1296

[email protected]

South Korea

Dami Medical Co., Ltd.6F, 426-1, Hapjeong-dong, Mapo-guSeoul 121-886 | South KoreaPhone +82-(0)2-3141-2875Fax +82-(0)2-3141-2877www.damimedical.com

Spain/Portugal

ISP Implante Suizo de PrecisinC/ Los quintos n 103350 Cox (Alicante) | SpainPhone +34 (0)96 536 1020Fax +34 (0)96 675 [email protected]

Switzerland

Thommen Medical (Schwei z) A GPostfach 1160 | Neckarsulmstrasse 28

2540 Grenchen | SwitzerlandPhone +41 (0)32 644 30 20Fax +41 (0)32 644 30 [email protected]

Taiwan

Ting Sing Trading Co., Ltd.No. 30 | Sec. 2 | Chang-An East Road

Taipei | Taiwan | R.O.C.Phone +886-2-25420968Fax +886-2-25420969www.tingsing.com.tw

USA

Thommen Medical USA L.L.C.Idea Center | 1375, Euclid AvenueCleveland OH 44115 | USA

Toll-free phone number:

+1-866-319-9800Fax [email protected]

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