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Presentation of the T.B.R. Group and the T.B.R. system

Perio-Integration and Titanium Zirconium Technology

MANUEL AMARO

Material e Equipamento Dentário

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The T.B.R. Group

• 20 Years of Experience

• Present in more than 25 Countries

• Founded the First European Private Center Training ImplantologistsThe International Implantology Center

• Certifications :– ISO 9001 VS 2000– 13485 VS 2003– CE 0459

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• Competent Technical Assistance- Hot Line- User-friendly catalogues

• Competent Scientific Assistance- Clinical and Prosthetic Stages

• Outstanding Client Assistance

• Innovative approach

• Quality Products – the T.B.R. System

The T.B.R. Group

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• Initiated by Dentists

• Implemented by Biomechanical Engineers

• Use technologies from the Astronautics Industry

• The system is: Simple, Secure and Esthetic

• Excellent Quality/Price ratio

• Business Integrity

The T.B.R. system

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The T.B.R. system

• Type of procedures:

1 surgical stage or 2 surgical stages

• Titanium: Grade 5 - TA6V4 • Surface: Sand Blasted & Acid-Etched/Titanium Zirconium

Surface

• Connections (Morse Tapered):

Internal Octagonal / External Hexagonal

• Esthetics: perio-integration

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• Perfectly Esthetical

• Biocompatibility and excellent gingival tolerance: no bacterial colonization on the zirconium surface

• Strength of the Implant optimized by the Zirconium Ceramic

Simple, Secure and Esthetics

The T.B.R. system

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The Z1 CONIC

• Conical screw type implant• 1 operating stage• Internal Octagonal connection• Cruciform design at the buttom• Transgingival emergence• Zirconium color is Ivory (Color code B2)

Color code: Grey

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The CONIC

• Conical screw type implant• 2 operating stages• Internal Octagonal connection• Cruciform design at the buttom.

Color code: Yellow

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The HEX – CONIC

• Conical screw type implant• 2 operating stages• External Hexagonal connection• Cruciform design at the buttom.

Color code: Red

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1 KIT 3 SYSTEMS

The T.B.R. kit

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Sterilization of the implants

In a Tube In a Thermosealed Blister

- - Double sterile packaging:

- The gamma ray treatment guarantees the sterility of the implants (Gamma irradiation)

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Conic Advantages

• Better initial anchor:– Corner Effect – Allows immediate loading

• Anatomic Design:– Better distribution of occlusion forces on the implant – Adapted in difficult anatomic situations and narrow spaces

• The whorls are inside the implant diameter:– Conic implants are more resistant when using the same diameters

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Titanium Zirconium Surface of the Z1 1 Stage Implant

Sand Blasted & Acid-Etched With Smooth Titanium Collar+ Smooth Integrated BioActive Zirconium Collar

(5 years of experience)

Rough Surface

Smooth Surface

Sand Blasted & Acid-Etched

Smooth BioActive Zirconium Collar

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Body Surface of 2 Stages Implants Sand Blasted & Acid-Etched (15 years of experience)

With Smooth Collar

Rough Surface

Smooth Surface

Sand Blasted & Acid-Etched

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Zirconium Advantages

1 - OSSEO – INTEGRATION

Titanium Zirconium Surface – Precisioned Sand Blasted and Acid Etched (S.L.A.)

+ BioActive Zirconium Collar, which ties and induces the creation of Osteoblasts Cells to the surface of the implant better than any other Titanium Implant (Publication in the JABB).

Z1 implant

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Zirconium Advantages

2 - PERIO – INTEGRATION

- Enhancing Epithelial attachment formation - Creeping Attachment: gain of height

- Biocompatibility of the zirconium / Surface more Smooth: less bacteria than in the titanium (Publication in the JOMI)

- Optimal Peri Implant marginal tissue with Zirconia Collar – which ties and induces the creation of Fibroblasts Cells to the surface of the implant better than any other Titanium Implant (Publication in the JABB)

Z1 implant

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Follow up of Titanium Transmucosal Implants with a Zirconia Collar: an in vitro and in vivo study

Author: A.E. Bianchi, M. Bosetti, G. Dolci, M.T. Sberna, F. Sanfilippo, M. Cannas

In: The Journal of Applied Biomaterials & Biomechanics (JABB).Vol 2, Number 3 , 2004

Publication on the Z1 (JABB)

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Optimal Peri-Implant marginal tissue with Zirconia Collar Results in a more Healthy Tissue

Implant with Zirconia Collar Implant with Titanium Collar

IF: PD < 3mm, PAL< 2.5mm PD/PAL: Peri-Implant = Healthy

IF: DIB < 3.5mm DIB: Peri-Implant = Stable

Publication on the Z1 (JABB)

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A comparison of Cell Growing and Adhesion between: CTR (White), Titanium collar implant (Black) and the Z1 Implant (Grey)

Cell Adhesion:

Zirconia Collar Implant ties more cells of Fibroblast and Osteoblast than CTR (Polimer used to induce cells adhesion) and much more than any Titanium Implant

Cell Proliferation:

Zirconia Collar Implant stimulates more creation of cells of Fibroblast and Osteoblast than CTR (Polimer used to induce cells adhesion) and much more than any Titanium Implant

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Bacterial Colonization of Zirconia Ceramic Surfaces: an in vitro and in vivo study

Author: Lisa Rimondini , Loredana Cerroni , Antonio Carrassi , Paola Torricelli.

In: The international journal oral & maxillofacial implants (JOMI).Vol 17 , Number 6 , 2002

Publication on the Z1 (JOMI)

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The international Journal of Oral & Maxillofacial Implants Comparison between 1 stage titanium implant and 1 stage zircon-titan implant

Magnification x 6000

ZIRCONIUM-TITANIUMVery small colonization of bacteria

TITANIUMSignificant colonization of bacteria

MIRROR STUDYSame patient – Same practitioner

Publication on the Z1 (JOMI)

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SEM micrograph of bacteria colonizing an as-fired Y-TZP surface (Tetragonal Zirconia Polycrystals Stabilized with Yttrium). A cluster of few cocci is Observable (original magnification x 6000; Bar = 1um)

SEM micrograph of bacteria colonizing a TI surface (Commercially pure grade 2 Titanium). An homogeneous layer of cocci covers the specimen surface (original magnification x 6000;Bar = 1um)

Publication on the Z1 (JOMI)

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3 - ESTHETICS

– In case of thin gingiva: natural transparency.

4 - SOLIDITY

– Titanium circled with Zirconium : better resistance to occlusion forces.– The Z1 implants implants are up to a 3.5 times more resistant to

occlusion forces than any other implant.

Zirconium Advantages

Z1 implant

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An implant with no Zironium collar and with good Gingiva

Grey Transparency

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D = 0 D = 6 months6 months after the prosthetics are attached, we notice an enhancement of the epithelial attachment formation

Creeping Attachment

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D = 24 months

24 months after the prosthetics are attached, we notice a confirmation of the epithelial attachment formation

Creeping Attachment

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D = 0 D = 12 months

12 months after the prosthetics are attached, we notice an enhancement of the epithelial attachment formation

Creeping Attachment

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Resistance of the Z1 implants

3.5 timesmore resistant than any titanium implants

Resistibility up to 382 kgResistibility of the titanium implants: 75-120 kg

OPTIMIZED RESISTIBILITY OF THE IMPLANTIN THE WORST-CASE SITUATION

Shortest implant, smallest implant diameter, angulation of 35°

Source COFRAC laboratory – French Ministry of Defense

MANUEL AMARO – Material e Equipamento Dentário

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Presentation of the T.B.R. Group and the T.B.R. system

Perio-Integration and Titanium Zirconium Technology

MANUEL AMAROMaterial Equipamento Dentário