Zeramex Knowledge Base

Knowledge Base

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Surgical phase

Surgical phase

> How deep may a Zeramex XT implant be placed?

> What is the effective drilling depth?

> What is the drilling protocol for SB 3.5 mm?

> What is the drilling protocol for RB 4.2 mm?

> What is the drilling protocol for WB 5.5 mm?

> What should be done if adjacent superstructures such as natural teeth prevent the angled head from being used?

> How do I correctly remove the implant with the appropriate healing cap from the packaging?

> What torque should be used to insert and tighten the implant?

> What must be considered when positioning the implant if an angled abutment is to be used?

> What healing methods are available and which healing method is recommended?

> What healing time must be observed for Zeramex implants?

 

How deep may a Zeramex XT implant be placed?

The Zeramex XT implant may be placed 1.6 mm supracrestally.

Depending on the soft tissue level, the implant may also be positioned 0.6 mm supracrestally. To do this, drill 1 mm deeper using the drill and thread cutter. For implant lengths of 14 mm, it is recommended not to place the implant 0.6 mm supracrestally.

 

What is the effective drilling depth?

The effective drilling depth is up to 1 mm deeper than the respective implant. Please note the different maximum speeds for the drills.

 

What is the drilling protocol for SB 3.5 mm?

The drilling protocol for SB 3.5 mm (1.6 mm and 0.6 supracrestal) can be found on pages 21 and 22 of the user manual.

Please note the different maximum speeds for the drills:

Rosedrill ø2.3 mm max. 800 rpm
Zeradrill Pilot ø2.3 mm max. 800 rpm
Zeradrill S8 (Small 8 mm) max. 700 rpm
Zeradrill Extension Small max. 700 rpm
Zeramex Profile Drill SB max. 350 rpm
Zeramex Profile Drill SB max. 350 rpm
Zeratap Small ø3.5 mm max. 15 rpm

 

What is the drilling protocol for RB 4.2 mm?

The drilling protocol for SB 4.2 mm (1.6 mm and 0.6 supracrestal) can be found on page 23 of the user manual.

Please note the different maximum speeds for the drills:

Rosedrill ø2.3 mm max. 800 rpm
Zeradrill Pilot ø2.3 mm max. 800 rpm
Zeradrill S8 (Small 8 mm) max. 700 rpm
Zeradrill R8 (Regular 8 mm) max. 600 rpm
Zeradrill Extension Regular max. 600 rpm
Zeratap Regular ø4.2 mm max. 15 rpm

It is recommended to use the thread cutter as follows:

  • Zeramex RB 4.2: full length for bone class 1; for bone class 2, only drill into the cortical bone

 

What is the drilling protocol for WB 5.5 mm?

The drilling protocol for SB 5.5 mm (1.6 mm and 0.6 supracrestal) can be found on page 23 of the user manual.

Please note the different maximum speeds for the drills:

Rosedrill ø2.3 mm max. 800 rpm
Zeradrill Pilot ø2.3 mm max. 800 rpm
Zeradrill S8 (Small 8 mm) max. 700 rpm
Zeradrill R8 (Regular 8 mm) max. 600 rpm
Zeradrill W8 (Wide 8 mm) max. 500 rpm
Zeradrill Extension Wide max. 500 rpm
Zeratap Wide ø5.5 mm max. 15 rpm

It is recommended to use the thread cutter as follows:

  • Zeramex WB 5.5: full length

 

What should be done if adjacent superstructures such as natural teeth prevent the angled head from being used?

In situations where adjacent structures (natural teeth) would obstruct the angle head and prevent the drill from reaching the desired depth, the Elos Drill Extender can be used.

 

How do I correctly remove the implant with the appropriate healing cap from the packaging?

Check the desired implant dimensions before opening the package. Open the ball by turning it and open the blister pack (sterile inside) shortly before use. Pick up the implant using the pickup (inserted into the ratchet adapter) (lock into the square).

The healing cap matching the implant is also contained in the sterile secondary blister pack in the cavity provided for this purpose. It is recommended to place the healing cap on the sterile area and pick it up with a prosthetic key or pickup.

Further information on the procedure can be found on page 25 of the user manual.

 

What torque should be used to insert and tighten the implant?

Screw the implant into the pre-cut osteotomy at a maximum of 15 RPM. Never use the rescue pickup to insert the implant.

Then tighten the implant with the ratchet. The recommended torque is 20–30 Ncm. The maximum torque for all SB implants is 35 Ncm. For all RB and WB implants, the maximum torque is 45 Ncm. The specified torques must never be exceeded. Please note that the pickup has a predetermined breaking point. The pickup breaks at approx. 50 Ncm. This prevents the bone from overheating. Further information on the procedure can be found on page 26 of the user manual.

 

What must be considered when positioning the implant if an angled abutment is to be used?

 

The arrows indicate the possible positions of the angled abutment. Take these into account when inserting the implant. For more information on the procedure, see page 26 of the user manual.

 

What healing methods are available and which healing method is recommended?

You can choose between open and closed healing. Closed healing is recommended.

 

What healing time must be observed for Zeramex implants?

All Zeramex implants require a minimum healing period of 3 months in the lower jaw and 6 months in the upper jaw.

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