SINGLE PART IMPLANTS
IMMEDIATE LOADING
DENTAL IMPLANT SYSTEM
KOS® AND BCS®
Your demand is our drive
Dr. Ihde Dental has been a reliable partner for over 60 years providing a wide range of implant systems and consumables. We supply dentists and dental technicians with precisely coordinated materials and systems, which are easy and reliable to use. We always ensure high quality and an excellent price-performance ratio so that you can guarantee all-roand treatment for your patients that is cost-effective and highly efficient. The following catalog gives you an overview and all the essential information about our implant systems. You can also contact us personally any time using the hotlines provided. Further information can be foand on our websites:
www.implant.com II www.ihde-dental.de II www.boi.ch The company was foanded in 1954 in Berlin by the dental technician Klaus Ihde. The company relocated to Bavaria in the 1960s. At the end of the 1980s, Dr. Ihde Dental GmbH (Germany) and Dr. Ihde Dental AG (Switzerland) were formed from the Klaus Ihde retail company. Ihde Dental is now represented in four locations in Europe and over 45 countries. The company group is one of the most innovative implant companies in the world ‒ based on new developments and patents issued or pending. The core activities of Ihde Dental are the development, procurement and distribution of medical products. We use a large number of suppliers in consumables, but we have produced implants in our own factory for many years. All components are manufactured quickly, precisely and economically thanks to state-of-the-art production technology and well-equipped machinery. Our partners Users and customers provide us with many new ideas and excellent suggestions. Collaboration with our customers is extremely important to us. Contact us at any time if you have any improvements or questions. Your ideas and opinions help us all to meet the daily wishes of patients to a greater and better extent. We also put the needs of the patient first. Our market performance and work ethic Since it was founded, the company has focused on innovative ideas and advanced technology, premium quality, an excellent priceperformance ratio, optimal patient and user friendly products and durability. Our range combines the latest findings from research and practices in many countries around the world.
Customer orientated to us means Available for you! • We provide training courses, refresher courses and user advice. • We provide customers with comprehensive and technically soand advice. • We also visit you in your practice upon request.
Please call us to arrange an appointment or send us an email.
Dr. Ihde Dental AG Dorfplatz 11 CH - 8737 Gommiswald / SG Tel. +41 (0)55 293 23 23 Fax +41 (0)55 293 23 00
[email protected]
Dr. Ihde Dental GmbH Erfurter Str. 19 D - 85386 Eching / Munich Tel. +49 (0)89 319 761-0 Fax +49 (0)89 319 761-33
[email protected]
4
KOS®
APPLICATIONS OF IMPLANT SYSTEM FOR ENDOSSEOUS DENTAL IMPLANTS
Suitable for crowns, bridges and bars. The compression screw design, when used with a correct surgical approach and good bone quality, permits restoration with immediate loading (integration of the prosthesis within max. three days). KOS® implants are now used routinely for immediately loaded bridge structures. The single-piece design reduces costs, effort and the problem of screw loosening. In extraction cases, KOS® and BCS® are combined. The prescribed or recommended tightening torques for implants, abutments and screws can be found on our website: www.implant.com/de/instructions
KOS®
PREPARATORY WORK Angle piece-drill 2 mm Ø
Get your lab to make a drilling template with the specified drill holes for the marking hole. For the pilot hole, use DOS 1 or BCD 1 (yellow) as the primary reamer. Prepare the implant bed with the form drills at full length. Please use an intermittent drilling technique with good NaCl cooling. If necessary, the laboratory can insert guide sleeves can in the drill holes (code BFH) through which the precise direction of drilling can be set.
Drill hole with guide sleeve
Surgical guide
If, due to high drilling resistance in hard bone, it is difficult to reach the complete drilling depth with DOS 1, the correct depth can be reached with the cylinder drill DS 2 (diameter 2 mm).
DOS 1
DS 2
Jaw
SURGERY 1. Drilling and preparation/compaction of the implant site
or
Example KDS 3.7 15
DOS 2 Depth drill black
IT K insertion tool
DRILL SEQUENCE FOR IMPLANTS WITHOUT MICROTHREAD / WITHOUT MICROGROOVE
and
BCD 2 black
Angle piece
DS 2 Pilot drill
KDS 3.7 15 for example
or
ITW K insertion tool
TW 2
5
KOS® Micro
Angle piece
Example KOS® Micro 3.7 15
DOS 2 Depth drill black
and
BCD 2 black
or
C-Drill KM1 3.0 - 3.2
or
C-Drill KM2 3.7 - 4.1
C-Drill KM3 5.0
KOS® Micro 3.7 15 for example
TW 2
IMPLANTS WITH SMALL HEAD AND MICROTHREAD
or
Example KOS® Micro 3.0 12
DOS 2 Depth drill black
and
BCD 2 black
C-Drill KM1 3.0 - 3.2
or
Angle piece
or
ITW K insertion tool
or
IT2 BCS insertion tool
IMPLANTS WITH LARGE HEAD, MICROTHREAD AND MICROGROOVE
IT2W insertion tool
TW 2
IT K insertion tool
6
KOS® Micro 3.0 12 for example
DOS 2/BCD 2
Direction and depth calculation; alternatively BCD 1 „Pathfinder drill.
Pilot drill DS 2
For use in hard bone in the cortical region only.
KDS
Prepare the implant bed in the maxilla stepwise using the appropriate bone-expanding screw and ratchet or motorised insertion tool. Maximum 40-45 Ncm. Remove the bone-expanding screw again.
KOS® B
To create the definitive implant cavity for KOS® B implants, it is imperative to use bone-expanding screws. These screws must be screwed to their full depth. They generate the compression and ensure that sufficient space is created for the implant thread in the cortical regio.
All KOS® implants are used as compression screws. If possible, the hole should be created substantially thinner than the core diameter of the implant, since only in this way can good bone condensation be achieved. The minimum hole diameter depends on the bone density. For this reason, it is not possible to specify drill sequences that can be used favourably for all bone qualities. As a rule, it is necessary to drill much less into the soft maxilla (e.g. the DOS1 drill only can be used for KOS® implants with diameter 3.0-5.0) than into the well-mineralised mandible, which requires the use of a drilling sequence adjusted to the bone density.
KOS®
2. Implant packaging
Original packaging
Open the sealed cover at the lid. Remove the label and place it into the patients record.
The open pack contains the implant in a sterile tube (primary packaging).
3. Remove the implant from its packaging 1. Open the lid. 2. The implant is fixed to the lid by a break joint. 3. Remove the implant without touching the inner wall of the tube.
4. Handling Hold the implant by the holder and place the insertion tool on the implant head. The endosseous implant surface must not be touched. Pull out the implant with the plug and then twist off the plug with the needle holder at the predetermined breaking point.
IMPLANTS WITH LARGE HEAD
KOS® / KOS® Micro
KOS® K (for ball attachment)
Predetermined break line KOS® implant with insertion tool IT2W (for angle piece) and IT2 BCS (manual)
KOS® K implant with insertion tool IT TB K
Twisting off the bracket with the needle holder
7
8
KOS®
IMPLANTS WITH SMALL HEAD
KOS® (straight) / KOS® B (flexible)
Predetermined break line KOS® / KOS® B implants with insertion tool ITW K (for angle piece) and IT K (manual)
Twisting off the bracket with the needle holder
5. Insertion using manual tools Insert the implant by hand until it is firmly seated in the jaw.
IMPLANTS WITH LARGE HEAD IT2 BCS KOS® / KOS® Micro
implant Jaw
IMPLANTS WITH SMALL HEAD IT K KOS® implant Jaw
IT TB K KOS® K implant Jaw
KOS®
6. Definitive implant insertion Using the ratchet, torque ratchet or contra-angle, screw the implant clockwise into the cavity. With KOS® B, the use of the torque ratchet is mandatory. The endosseous (blasted) part of the implant must be completely covered by bone. The polished implant neck is located in the mucosa. We recommend screwing the implant into the bone up to 1 mm deeper into the implant neck.
IMPLANTS WITH LARGE HEAD
KOS® / KOS® Micro / KOS® B
KOS® / KOS® Micro / KOS® B
implant
implant
KOS® K implant
Jaw
Jaw
Jaw
The bendable KOS®, KOS® Micro and KOS® B screws can be bent into the desired position after insertion with the aid of the mounted insertion tool and ratchet. Maximum bend: approx. 15°. Only one bending operation may be performed. In the maxilla, the motorised insertion tool should be used due to its better implant guidance during insertion.
IMPLANTS WITH SMALL HEAD
KOS® implant
KOS® implant
Jaw
Jaw
IMPORTANT NOTE KOS B® implants have a predetermined breaking point integrated into the head. If the preparation with bone-expanding screws was not performed sufficiently, high screwing forces can cause the upper head portion to be torn off. So that the implant can be screwed out again, an additional square is milled below the breaking point, into which the emergency tool ET KOS can be inserted. The ET KOS instrument may only be used to remove the implant.
9
10
KOS®
7. Removing the placement aid from the implant IMPLANTS WITH LARGE HEAD IT2W
IT2 BCS
IT TB K
KOS® / KOS® Micro / KOS® B
KOS® / KOS® Micro / KOS® B
implant
implant
KOS® K implant
Jaw
Jaw
Jaw
ITW K
IT K
KOS® / KOS® B implant
KOS® / KOS® B implant
Jaw
Jaw
IMPLANTS WITH SMALL HEAD
8. Result All implant heads (except for the KOS® K) can be reshaped by grinding. The implants can be prosthetically supplied immediately if indicated. The definitive superstructure should be cemented within a few days. Immediate prosthetic splinting with a provisional bridge is recommended.
IMPLANTS WITH LARGE HEAD
KOS® / KOS® Micro / KOS® B
IMPLANTS WITH SMALL HEAD
implant
KOS® K implant
Jaw
Jaw
KOS®
9. Impression IMPLANTS WITH LARGE HEAD Bridges
Individual crowns Alternatively, for KOS® the impression can also be made using the direct impression method without TSPA 5. For KOS® E, only a direct impression is possible.
Attachment of the impression post TSPA 5, internally round, for KOS®
Bridge
Attachment of the Pressureless impression Removal of the individual scoop from the implant impression post TSPA 5, taking e.g. with post. The impression post is located in the impreswith anti-rotation protecSafeprint® sion material. The impression can be sent to the tion, for KOS® Micro laboratory.
Button
Individual crown
Pressureless impression taking e.g. with Safeprint®
Bridge
Button
Individual crown
Removal of the individual scoop from the implant post. The impression post is located in the impression material. The impression can be sent to the laboratory.
IMPLANTS WITH SMALL HEAD Bridges / Individual crowns
Ball-headed anchored prostheses
Individual crowns
Alternatively, for KOS®, KOS® B and KOS® T, the impression can also be made using the direct impression method without TSPA 4/TSKPA 4. For KOS® E, only a direct impression is possible.
Individual crown
Attachment of the impression post TSPA 4, Internally round, for KOS®, KOS® B and KOS® T
Button
Fill TSPA 4 inside with Safeprint IM
Individual crown
Attachment of the impression post TSKPA 4, with anti-rotation protection, for KOS®, KOS® B and KOS® T
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12
KOS®
LABORATORY PROCEDURES Attachment of the impression post onto lab analogues IMPLANTS WITH LARGE HEAD Bridges
Dentures
Individual crowns
Create plaster model Lab analogue
Fill in plaster
TSPA 5 on IAK M/462111
TSPA 5 on IAK
POB
TSPA 5 on 462111
TPB B Nylon cap
IAK M/462111
Pull impression from the model. The impression post and analogue are now separated again.
462111
Sleeve H
IAK with nylon cap (pink) and sleeve
The modelling is performed on the castable parts PO4 (internally round; for bridges and bars) or PO4A (edged inside; for individual crowns).
Polymerisation of the sleeve H into the prosthesis. Press NC/NC1/NC2 into the sleeve. For initial restorations, NC1 or NC2 should be used.
IMPLANTS WITH SMALL HEAD Bridges
Dentures
Individual crowns
Create plaster model Lab analogue
Fill in plaster
TSPA 4 on IAK M/462111
TSPA 4 on IAK
PO4
IAK M/462111
TSKPA 4 on 462111
Pull impression from the model. The impression post and analogue are now separated again.
PO4 A
462111
The modelling is performed on the castable parts PO4 (internally round; for bridges and bars) or PO4A (edged inside; for individual crowns).
IAK with nylon cap (pink) and Sleeve Polymerisation of the sleeve H into the prosthesis. Press NC/NC1/NC2 into the sleeve. For initial restorations, NC1 or NC2 should be used.
KOS®
STRAIGHT KOS® IMPLANTS WITH SMALL HEAD FOR CROWNS AND BRIDGES e
d g c
f
Description
Enossal Ø
Length
Neck Ø
REF
Price cat.
KOS 3.0 10
3.0 mm
10 mm
2 mm
455108
F
KOS 3.0 12
3.0 mm
12 mm
2 mm
455109
F
KOS 3.0 15
3.0 mm
15 mm
2 mm
455110
F
KOS 3.2 12
3.2 mm
12 mm
2 mm
455111
F
KOS 3.2 15
3.2 mm
15 mm
2 mm
455112
F
KOS 3.7 6
3.7 mm
6 mm
2.5 mm
455106
F
KOS 3.7 8
3.7 mm
8 mm
2.5 mm
455107
F
KOS 3.7 10
3.7 mm
10 mm
2.5 mm
455114
F
KOS 3.7 12
3.7 mm
12 mm
2.5 mm
455115
F
KOS 3.7 15
3.7 mm
15 mm
2.5 mm
455120
F
KOS 4.1 8
4.1 mm
8 mm
2.8 mm
455129
F
KOS 4.1 10
4.1 mm
10 mm
2.8 mm
455130
F
KOS 4.1 12
4.1 mm
12 mm
2.8 mm
455132
F
KOS 4.1 15
4.1 mm
15 mm
2.8 mm
455135
F
KOS 5.0 10
5.0 mm
10 mm
2.8 mm
455171
F
a
b
a) enossal length
6 - 15 mm
b) enossal Ø
3.0 / 3.2 / 3.7 / 4.1
c) neck length
3 mm
KOS® implants are delivered incl. lab-set consisting of REF 462111, 462029 and 462088
d) length abutment
6.8 mm
e) square SW
1.9 mm
f) neck Ø
2.0 / 2.5 / 2.8 mm
KOS 3.0 - 3.2:
Max. insertion torque 50 Ncm
g) Ø abutment
3.35 mm
KOS 3.7 - 4.1:
Max. insertion torque 80 Ncm
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14
KOS® A & B
KOS® A IMPLANTS ANGLED FOR BRIDGES KOS® A is always used together with bone-expanding screws.
f
Description c
e
Code KDS
KOS A 3.7 12-15 F
d
enossal Ø
Length
REF
Price cat.
3.7 mm
12 mm
455139
G
KOS A 3.7 15-15 G
3.7 mm
15 mm
455140
G
KOS A 4.1 10-15 I
4.1 mm
10 mm
455145
G
KOS A 4.1 12-15
K
4.1 mm
12 mm
455146
G
KOS A 4.1 15-15
L
4.1 mm
15 mm
455147
G
a The predetermined breaking point integrated into the abutment prevents the twisting off of the abutment head of the endosseous implant part. However, the implant cavity must always be pre-compressed with the bone-expanding screw. Max. insertion torque 45 Ncm.
b a) enossal length
10 - 15 mm
b) max. enossal Ø
3.7 / 4.1 mm
c) length abutment
6.8 mm
d) neck length
3 mm
e) neck Ø
1.8 mm
f) square SW
1.9 mm
KOS® A implants are delivered incl. lab-set consisting of REF 462111, 462029 and 462088
KOS® B IMPLANTS WITH SMALL HEAD FOR BRIDGES KOS® B implants with bendable neck (use after pre-drilling and preparation with the bone-expanding screw). Suitable for bridges in the reduced-load range (no individual tooth restorations). The bendable implant now offers dual safety: 1. Torque reduction by pre-compression with the congruent bone-expanding screw 2. Safety head with predetermined breaking point and dual square (Pat. Pend.)
c
d
e
a
Description
Code KDS
enossal Ø
Length
REF
Price cat.
KOS B 3.2 12
D
3.2 mm
12 mm
455162
F
KOS B 3.2 15
E
3.2 mm
15 mm
455161
F
KOS B 3.7 12
F
3.7 mm
12 mm
455164
F
KOS B 3.7 15
G
3.7 mm
15 mm
455165
F
KOS B 4.1 15
L
4.1 mm
15 mm
455166
F
KOS B 4.1 17
M
4.1 mm
17 mm
455167
F
The predetermined fracture site integrated in the abutment prevents the twisting off of the abutment head from the enossal implant part. The implant socket has to however always be pre-compressed using the bone-expanding screw. Max. insertion torque 45 Ncm. b a) enossal length
12 - 15 mm
b) enossal Ø
3.2 / 3.7 mm
c) length abutment
7 mm
d) neck length
3 mm
e) neck Ø
1.8 mm
KOS® B implants are delivered incl. lab-set consisting of REF 462111, 462029 and 462088
KOS®
IMPRESSION TAKING AND LABORATORY ACCESSORIES
or
Description
Unit
Impression post castable, Internally round
Code
REF
Price cat.
Pack of 5
TSPA 4
462029
B
Impression post castable, internal edges
Pack of 5
TSKPA 4
462028
B
Double analogue
Pack of 5
plastic
IA4/IAU
462111
B
metal
IA4/IAU
462112
A
Double analogue
Material
Castable abutment and base for provisionals. 7 mm high, white, Internally round
Pack of 5
PO4
462088
B
Castable abutment and base for provisionals. 7 mm high, white, internally edged
Pack of 5
PO4A
462089
B
*TSPA 4 & 5 For impressions on ground-down implant heads. The ring transfer constitutes the lower limit of the head, so that the impression can be poured with die stone or epoxy. The use of an implant analogue together with transfer 4 is not possible with ground-down implant heads. Material: PP
SCAN ANALOGUE Scanner analogue for large and small implant head, self-descriptive. These analogues do not need to be sprayed with spray paint. They can be pulled out of the model with anti-rotation protection. Matching impression posts: TSPA 4 and TSPA 5.
IAS 4 IAS 5
Description
REF
Price cat.
Scan analogue IAS 4
462019
B
Scan analogue IAS 5
462020
B
Use example for self-descriptive scanner analogue.
15
16
KOS®
TEMPBASE® TEMPORARY BASE Provisional base with internal and external grooves. Can be clipped directly onto the head of the KOS® implant and additionally secured with a little provisional cement if necessary. Polymerised directly into the long-term provisional bridge. Intended life 6 months
Description
Material
Code
REF
Price cat.
Temporary base, for small head
PEEK
TPB K
455261
C
Description
Code
REF
Price cat.
Cementable ball
ZKK3
462038
C
CEMENTABLE BALL FOR KOS® AND KOS® B
ZKK3 is glued to KOS® implants (roughen head and abutment). The protruding part of the implant head can subsequently be reduced if the vertical dimension requires this. The counterpart is formed by permanently soft relining material or the NC 3 nylon cap is used.
Description
Material
Code
REF
Price cat.
Nylon coping NC 3
Bio PEEK
NC 3
465035
B
NC 3 is polymerised into the prosthesis directly or indirectly. When using the indirect procedure, place ZKK3 on a (possibly shortened) lab analogue (IA4).
KOS®
CEMENTABLE ANGULATION ADAPTER (TI6AL4V) These adapters are mounted on KOS® implants to compensate for the insertion direction. Plastic cements are preferably used. The implant head must be roughened beforehand. The protruding head parts are then removed. The impression is taken directly on the adapter.
Description
Hight
Code
REF
Price cat.
Adapter, 15°
7.5
AA15 KK
462036
C
Adapter, 25°
7.8
AA25 KK
462046
C
Adapter short, for large head
AA5 15°
462052
C
Adapter short, for large head
AA5 25°
462053
C
AA15 KK AA25 KK
AA5 15° AA5 25°
CASTABLE CROWN BASE These adapters are used by the dental technician for modelling of bridge frames. In the metal try-in, the protruding head parts are removed by the dentist.
Description
Hight
Code
REF
Price cat.
Adapter Reducible Pack of 5
7.5
AAL 15 KK
462045
E
LAB ANALOGUE Description
Code
REF
Price cat.
Abutment analogue for angulation adapter 15°and 25°
AAA
462049
B
Description
Code
REF
Price cat.
Castable abutment and transfer for AAA Pack of 5
PA AAA
462050
A
CASTABLE PART AND IMPRESSION CAP
17
18
KOS®
PREPCAPS MATERIAL ZIRCONIUM, COLOUR A2 Description
Max. hight
Max. Ø
For head
Type
REF
Price cat.
PCK4
7 mm
5.8 mm
small
straight
462140
C
PCK5
7.5 mm
6.4 mm
large
straight
462141
C
PCK4-15
8.9 mm
5.6 mm
small
15°
462142
C
PCK5-15
8.9 mm
5.5 mm
large
15°
462143
C
PCK4-25
9.4 mm
5.7 mm
small
25°
462144
C
PCK5-25
9.5 mm
6.1 mm
large
25°
462145
C
Massive reverse cone large
11 mm
7 mm
large
conical
462148
C
Massive reverse cone small
7.8 mm
4 mm
small
conical
462149
C
Stepless No. 1
7.8 mm
4 mm
small
straight
462150
C
Stepless No. 2
9.5 mm
5 mm
small
straight
462151
C
Stepless No. 3
11.5 mm
5.5 mm
small
straight
462152
C
Stepless No. 4
13.5 mm
5 mm
small
straight
462153
C
Stepless No. 5
8.4 mm
4.3 mm
small
15°
462154
C
Stepless No. 6
9 mm
4.3 mm
small
25°
462155
C
KOS®
WIRES FOR INTRAORAL WELDING Description
Material
Ø
REF
Price cat.
Titanium wire (5 pieces á 15cm / pack)
TiGr.2
1.5 mm
462001
B
Titanium wire (5 pieces á 15cm / pack)
TiGr.2
2.0 mm
462002
B
Titanium wire (5 pieces á 15cm / pack)
Ti6Al4V
2.0 mm
462003
B
Provisional
Provisional
Nanda S., Ihde S., Nanda P. Intra-oral welding ‒ A usefull adjunct in immediate loading implantology using BCS implants CMF Impl. Dir. Vol 9, No.2, 13 - 24, 2014
19
KOS®
20
TITANIUM CAPS AND BAR PROFILES
NEW
Multi-use titanium caps for: • • • • •
FOR WELDING
use in immediately lasered bridge frames, together with the bar profiles (without bar matrices) the radiological control of plastic modelling for direct polymerisation into the bridge prosthesis direct veneering with titanium ceramic material: Ti Grade 4
Description
Code
REF
Price cat.
Titanium cap, radio opaque for KOS, KOS B, BCS 3.5, BCS 4.5
MA4
462090
B
Titanium cap, radio opaque for KOS X, KOS Plus, BCS 3.6, BCS 4.6-BCS 12
MA5
462093
B
Bar sleeve, titanium, large; 3.0 mm high, 2.2 mm wide, 55 mm long
SP1
B
Bar sleeve, titanium, small; 2.3 mm high, 1.6 mm wide, 55 mm long
SP2
B
Titanium bar matrix for SP 1, length 55 mm
SP6
G
Titanium bar matrix for SP 2, length 55 mm
SP7
G
SCAN BODY Description
Material
Systems
REF
Price cat.
Scankörper-4
Peek
KOS, BCS
462054
B
Scankörper-5
Peek
KOS, BCS
462055
B
KOS® E
STRAIGHT SINGLE-PIECE KOS® E IMPLANTS FOR CROWNS AND BRIDGES KOS® E implants are manufactured in one piece. They are used in areas with high aesthetic requirements. The bone cavity is prepared with KOS® instruments. The prosthetic parts of the laboratory accessories of S-Class implants are fully compatible with KOS® E. Made of titanium alloy Ti6Al4V, doubly sand-blasted. Tightening in with IT TCA and RAT2. e
d
f c
Description
Code KDS
Enossal Ø
KOS E 3.0 10
A
3.0 mm
KOS E 3.0 12
B
3.0 mm
Length
Neck Ø
REF
Price cat.
10 mm
2 mm
455190
G
12 mm
2 mm
455189
G
KOS E 3.7 12
F
3.7 mm
12 mm
2.5 mm
455191
G
KOS E 3.7 15
G
3.7 mm
15 mm
2.5 mm
455192
G
KOS E 4.1 10
I
4.1 mm
10 mm
2.8 mm
455193
G
KOS E 4.1 12
K
4.1 mm
12 mm
2.8 mm
455194
G
KOS E 4.1 15
L
4.1 mm
15 mm
2.8 mm
455195
G
a
b
a) enossal length
10-15 mm
b) enossal Ø
3.0 / 3.7 / 4.1 mm
c) neck hight (non-blasted)
3 mm
d) length abutment
7.0 mm
e) max Ø abutment
4.8 mm
f) neck Ø
2 / 2.5 / 2.8 mm
Max. insertion torque 80 Ncm.
SURGICAL INSTRUMENTS AND TOOLS KOS® E Provisional base with internal and external grooves. Can be clipped directly onto the head of the KOS® implant and additionally secured with a little provisional cement if necessary. Polymerised directly into the long-term provisional bridge. Intended life 6 months. Description
Code
REF
Price cat.
TempBase® protective cap White plastic, can be cemented and supplemented 8 mm high Pack of 5
CSTK7
420336
B
460230
A
Patented gingiva retractor (used instead of retraction thread) Material: PE (Polypropylen). Pack of 4 Lab analogue Reducible
AA TCA 7
420409
B
Insertion tool IT TCA Use with RAT2 or TW2
IT TCA
425065
D
Metal base made of CoCrMo 10 mm high, reducible can be veneered with ceramic directly brazing and lasering possible
MB TCA
420410
C
Castable abutment 10 mm high Reducible, white
PA TCA
420332
A
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22
KOS® LOC
STRAIGHT, SINGLE-PIECE KOS® LOC IMPLANTS FOR REMOVABLE PROSTHESES KOS® LOC implants are made of a single piece. Made of titanium alloy Ti6Al4V, doubly sand-blasted.
d
c
Description
Code KDS
Enossal Ø
Length
Neck Ø
REF
Price cat.
KOS LOC 3.0 12
B
3.0 mm
12 mm
2 mm
455200
G
KOS LOC 3.0 15
C
3.0 mm
15 mm
2 mm
455201
G
KOS LOC 3.2 12
D
3.2 mm
12 mm
2 mm
455209
G
KOS LOC 3.2 15
E
3.2 mm
15 mm
2 mm
455210
G
KOS LOC 3.7 12
F
3.7 mm
12 mm
2.8 mm
455202
G
KOS LOC 3.7 15
G
3.7 mm
15 mm
2.8 mm
455203
G
e
a
b
a) enossal length
12 - 15 mm
b) enossal Ø
3.0 / 3.7 mm
c) neck hight (non-blasted)
3 mm
d) max. Ø abutment
3.8 mm
e) neck Ø
2 / 2.8 mm
Localicer® compatibility Insertion tool IT LOC K/REF 462333. In the case of use with LOC abutments and KOS® LOC, the insertion of at least 6 implants in the maxilla and mandible and splinting with a prosthesis bridge is recommended.
INSERTION TOOL Description
Code
REF
Price cat.
IT LOC K insertion tool for KOS® LOC implants
IT LOC K
462333
E
ACCESSORIES FOR LOCALICER® Description
Code
REF
Price cat.
Instrument for mounting and de-mounting Localicer caps
LOC Tool
462335
C
Analogue + impression transfer set
AA LOC
462337
C
Set with 4 nylon caps + 1 housing
NCS
462338
D
Set of 2, yellow. With increased friction strength
R-Cap
462336
B
Pull-off force: *black 125 g, red 350 g, blue 500 g, pink 1000 g *Black cap is for temporary solutions up to one month.
KOS® Plus
KOS® PLUS IMPLANTS KOS® PLUS are made in one piece and have a polished apical cutting thread for anchorage in the opposite cortical. KOS® Plus combines the advantages of the compression screw with the advantages of the bicortical screw: in addition to bone compression, there is also anchorage in the 2nd cortical (opposite cortical). Can be used in the maxilla and mandible. Made of titanium alloy Ti6Al4V, doubly sand-blasted. Tighten with IT2 BCS. g
Description
f
e
d
a
c
b
Compression thread
Enossal length
Neck length
REF
Price cat.
KOS 3.7 9+3
9 mm
12 mm
3 mm
455800
G
KOS 3.7 11+3
11 mm
14 mm
3 mm
455801
G
KOS 3.7 13+3
13 mm
16 mm
3 mm
455802
G
KOS 3.7 16+3
16 mm
19 mm
3 mm
455803
G
KOS 3.7 20+3
20 mm
23 mm
3 mm
455804
G
KOS 3.7 23+3
23 mm
26 mm
3 mm
455805
G
KOS 4.1 6+3
6 mm
9 mm
3 mm
455810
G
KOS 4.1 9+3
9 mm
12 mm
3 mm
455811
G
KOS 4.1 11+3
11 mm
14 mm
3 mm
455812
G
KOS 4.1 13+3
13 mm
16 mm
3 mm
455813
G
KOS 4.1 20+3
20 mm
23 mm
3 mm
455814
G
KOS 5.0 6+3
6 mm
9 mm
3 mm
455820
G
KOS 5.0 9+3
8 mm
12 mm
3 mm
455821
G
KOS 5.0 11+3
11 mm
14 mm
3 mm
455822
G
KOS 5.0 13+3
13 mm
16 mm
3 mm
455823
G
Max. insertion torque 80 Ncm.
a) enossal length
9 - 19 mm
b) enossal Ø
3.7 / 4.1 / 5.0 mm
c) area for 2. cortical
3.0 mm
KOS® Plus implants are delivered incl. lab-set consisting of REF 462111, 462136 and 462086
d) endosseous compression region 6 - 13 mm e) mucosal zone
3 mm
f) hight of head
7.2 mm
g) max head Ø
3.9 mm
EXAMPLE OF USE OF KOS® PLUS IMPLANTS
Bicortical anchorage of a KOS® Plus implant in the atrophied distal mandible.
Bicortical anchorage of a KOS® Plus implant in the area of the nasal floor.
Bicortical anchorage of KOS® Plus implants (Ø 3.7 and 4.1) in the area of the maxillary sinus.
NOTE KOS® Plus may only be operated/used by validly authorised users. Only polished implant parts may penetrate a maximum of 1.5 mm into the opposite cortical. For a given indication (min. three stable implants, sufficient bone quality, etc.). KOS® Plus are suitable for immediate loading.
23
24
KOS® TX & X
KOS® TX IMPLANTS KOS® TX is a compression screw implant with an extended polished neck (6 mm) for anchorages in the tuberosity and in regions with large mucosal thickness. The roughened thread parts must be completely submerged in the bone. KOS® TX is preferably used without flap preparation. The nominal diameter is reached at the widest part of the compression thread.
c
e d
Description
enossal Ø
Necklength
REF
Price cat.
KOS TX 4.0 12
4 mm
6 mm
455175
F
KOS TX 4.0 15
4 mm
6 mm
455176
F
KOS TX 4.0 18
4 mm
6 mm
455177
F
KOS TX 4.0 21
4 mm
6 mm
455178
F
Max. insertion torque 80 Ncm.
a
a) enossal length
12, 15, 18, 21 mm
b) enossal Ø
4 mm
c) length abutment
7.2 mm
d) neck Ø
2 mm
e) neck length
6 mm
KOS® TX implants are delivered incl. lab-set consisting of REF 462111, 462136 and 462086
b
KOS® X IMPLANTS KOS® X implants are prosthetically compatible with BCS® implants with diameters 3.6 mm, 4.6 mm and > 5.5 mm, and also with BOI implants.
g
d f c
e
a
b
a) enossal length
Description
enossal Ø
Length
Neck Ø
REF
Price cat.
KOS X 3.0 10
3.0 mm
10 mm
2 mm
455700
F
KOS X 3.0 12
3.0 mm
12 mm
2 mm
455701
F
KOS X 3.0 15
3.0 mm
15 mm
2 mm
455702
F
KOS X 3.2 12
3.2 mm
12 mm
2 mm
455710
F
KOS X 3.2 15
3.2 mm
15 mm
2 mm
455711
F
KOS X 3.7 10
3.7 mm
10 mm
2.5 mm
455720
F
KOS X 3.7 12
3.7 mm
12 mm
2.5 mm
455721
F
KOS X 3.7 15
3.7 mm
15 mm
2.5 mm
455722
F
KOS X 4.1 8
4.1 mm
8 mm
2.8 mm
455730
F
KOS X 4.1 10
4.1 mm
10 mm
2.8 mm
455731
F
KOS X 4.1 12
4.1 mm
12 mm
2.8 mm
455732
F
KOS X 4.1 15
4.1 mm
15 mm
2.8 mm
455733
F
KOS X 4.1 19
4.1 mm
19 mm
2.8 mm
455735
F
KOS X 5 10
5 mm
10 mm
2.8 mm
455740
F
KOS X 5 12
5 mm
12 mm
2.8 mm
455741
F
KOS X 5 15
5 mm
15 mm
2.8 mm
455742
F
8 - 15 mm
b) enossal Ø
3.0 / 3.2 / 3.7 / 4.1 / 5 mm
c) neck length
3 mm
d) length abutment
7.2 mm
e) neck Ø
2.0/2.5/2.8 mm
f) Ø abutment
3.9 mm
KOS® X implants are delivered incl. lab-set consisting of REF 462111, 462136 and 462086
KOS® XB
KOS® XB IMPLANTS KOS® XB implants provide the same prosthetic platform (cementing head) as BCS implants with Ø 3.6 mm, 4.6 mm and > 5.5 mm, as well as BOI implants.
d f e
c
a
Description
enossal Ø
Length
Neck Ø
REF
Price cat.
KOS XB 3.0 15
3.0 mm
15 mm
1.9 mm
455750
F
KOS XB 3.2 12
3.2 mm
12 mm
1.9 mm
455760
F
KOS XB 3.2 15
3.2 mm
15 mm
1.9 mm
455761
F
KOS XB 3.7 12
3.7 mm
12 mm
1.9 mm
455770
F
a) enossal length
12 - 15 mm
b) enossal Ø
3.0 / 3.2 / 3.7 / 4.1 mm
c) neck length
3 mm
d) length abutment
7.2 mm
e) neck Ø
1.9 mm
f) Ø abutment
3.9 mm
KOS® XB implants are delivered incl. lab-set consisting of REF 462111, 462136 and 462086
b
INSERTION TOOLS Description
Code
REF
Price cat.
For BCS implants with > Ø 5.5 mm KOS X, KOS XB, KOS Plus
IT2 BCS
900030
E
For BCS implants with > Ø 5.5 mm KOS X, KOS XB, KOS Plus
IT2 S BCS
900038
E
Length 23 mm, for KOS and BCS implants
IT2W
900039
C
Adapter for implants > Ø 5.5 mm, for handgrips REF 311430, 311431 / KOS X, KOS XB
AHB
900037
F
IMPRESSION TAKING AND LABORATORY ACCESSORIES Description
Unit
Material
Code
REF
Price cat.
Impression post Internally round
Pack of 5
plastic
TSPA 5*
462030
B
Impression and castable abutment
Pack of 5
PA X
462136
B
Double analogue
Pack of 5
plastic
IA4/IAU
462111
B
metal
IA4/IAU
462112
A
POB
462086
B
or Double analogue or Castable abutment
Pack of 5
*TSPA 4 & 5 For impressions on ground-down implant heads. This ring-transfer exposes the lower border of the abutment head. The impression is then poured with extra-strong gypsum or epoxi-resin. For this techniques no implant analogues are needed. Material: PP
25
26
KOS® MU
TEMPBASE® TEMPORARY BASE Description
Material
Code
REF
Price cat.
Temporary base, for large head
PEEK
TPB B
462026
C
Provisional base with internal and external grooves. Can be clipped directly onto the head of the KOS® implant and additionally secured with a little provisional cement if necessary. Polymerised directly into the long-term provisional bridge. Intended life 6 months.
KOS® MULTIUNIT IMPLANTS KOS® MU has a production-side fixed pre-angulation of 15 degrees. KOS® MU can also be bent using the insertion tool, which means that angulations relative to the endosseous implant axis of 0 to over 30 degrees are possible. In conjunction with the clinically possible rotational positions of the head, all possible angulations can thus conceivably be realised. Both implant types have the advantage of an enhanced screw thread that prevents the otherwise frequent screw fractures Description
Material
REF
Price cat.
KOS® MU 3.0 15
Ti6Al4V
455830
L
KOS® MU 3.7 15
Ti6Al4V
455831
L
KOS® MU 4.1 12
Ti6Al4V
455832
L
KOS® MU 4.1 15
Ti6Al4V
455833
L
KOS® MU 5.0 10
Ti6Al4V
455834
L
KOS® MU 5.0 12
Ti6Al4V
455835
L
Description
Code
REF
Price cat.
Insertion tool short. Total length 10,8 mm For RAT 2
IT1 MU15
418166
F
Insertion tool medium. Total length 23,8 mm Use with IT ITV (REF 500854)
IT2 MU15
418201
F
Insertion tool long. Total length 33,8 mm Use with IT ITV (REF 500854)
IT3 MU15
418202
F
Insertion tool for KOS MU & BCS MU Use with IT2 BCS, IT2 S BCS, AHB
ITX MU15
418203
F
Adapter For handgrip 311430 or 311431
Adapter IT MU 15
418167
D
Titanium base Use with SF K MU (REF 418164)
T-Base MU
418188
B
Castable abutment
PA2 MU
418189
B
Lab analogue for MU-implants
IA K MU
418159
A
Prosthetic screw for KOS® MU and BCS® MU
SF K MU
418164
B
Long screw for TC MU and TS MU (Tool: HT 1.25). Material Ti6Al4V
SFL MU
418168
B
UCLA castable abutment for MU-implants SF K MU must be ordered separately
PA MU
418119
B
Transfer Coping (Temporary base) SF K MU must be ordered separately
TC MU
418161
D
Transfer, straight SF K MU must be ordered separately
TS MU
418162
C
ACCESSORIES
KOS® K
KOS® K IMPLANTS Perfectly manufactured precision implant that is double-sandblasted on the endosseous part made of highly fracture-resistant titanium alloy Ti6Al4V. KOS® K implants with ball head are used for fixation of prostheses with nylon caps. f
d c
f
a
Description
Code KDS
Enossal Ø
Length
Neck Ø
REF
Price cat.
KOS K 3.0 12
B
3.0 mm
12 mm
2.0 mm
455152
KOS K 3.0 15
C
3.0 mm
15 mm
2.0 mm
455150
F
KOS K 3.7 12
F
3.7 mm
12 mm
2.8 mm
455154
F
F
KOS K 3.7 15
G
3.7 mm
15 mm
2.8 mm
455155
F
KOS K 4.1 15
L
4.1 mm
15 mm
2.8 mm
455156
F
Description
Code
REF
Price cat.
Cementable base for KOS® K, Material Ti6Al4V
CAK
462059
B
455180
B
a) enossal length
12-15 mm
b) enossal Ø
3.0 / 3.7 / 4.1 mm
c) length (non-blasted)
7 mm
d) length abutment
4 mm
e) hight of hexagon
2 mm
f) ballhead Ø
2.85 mm
b
IMPRESSION TAKING AND LABORATORY ACCESSORIES
Use with Lab analogue AAA (REF462049 Castable abutment PA AAA (REF462050) IAK lab analogue
REMOVING FORCE Nylon cap NC ca. 1200 g, white
NC
465028
A
ca. 800 g, pink
NC 1
465029
A
ca. 500 g, yellow
NC 2
465030
A
Nylon cap R-NC with increased friction strength (for usage with worn-out ball only) green, strong
NC 3
465034
A
pink, medium
R-NC
465033
A
orange, soft
R-NC 1
465032
A
Sleeve for all NC
R-NC 2
465031
B
PA SB
A
Castable ball for single-piece cast with bar connector
27
28
KOS®
INSERTION TOOL Description
REF
Price cat.
IT TB K
462327
D
Description
REF
Price cat.
Ball head adapter for KOS® K implants, cementable
462051
B
BALL HEAD ADAPTER (SPARE BALL)
KDS BONE EXPANDING SCREWS For all KOS® B screw implants, bone-expanding screws are available as tools to create the definitive implant cavity. Basically, for each implant prior to insertion of a KOS® B screw implant, a bone compression with the bone-expanding screw should be performed. In addition, with a narrow alveolar ridge, an expansion of the alveolar ridge can be performed with the bone-expanding screw. By inserting the bone-expanding screw, it can be checked whether the KOS® B screw implant can be inserted into the bone easily and fully. Titanium alloy Ti6Al4V Eli, non-blasted. Tighten with IT K, ITS K or ITX K using the torque ratchet TW2 (max. 45 Ncm), or alternatively RAT2. Package unit: 1 piece, non-sterile.
d c f
e
a
Description
Code KDS
Enossal Ø
Length
Neck Ø
REF
Price cat.
KDS 3.0 10
A
3.0 mm
10 mm
2.0 mm
455212
F
KDS 3.0 12
B
3.0 mm
12 mm
2.0 mm
455213
F
KDS 3.0 15
C
3.0 mm
15 mm
2.0 mm
455214
F
KDS 3.2 12
D
3.2 mm
12 mm
2.5 mm
455223
F
KDS 3.2 15
E
3.2 mm
15 mm
2.5 mm
455224
F
KDS 3.7 12
F
3.7 mm
12 mm
2.8 mm
455233
F
KDS 3.7 15
G
3.7 mm
15 mm
2.8 mm
455234
F
KDS 4.1 8
H
4.1 mm
8 mm
2.8 mm
455241
F
KDS 4.1 10
I
4.1 mm
10 mm
2.8 mm
455242
F
KDS 4.1 12
K
4.1 mm
12 mm
2.8 mm
455243
F
KDS 4.1 15
L
4.1 mm
15 mm
2.8 mm
455244
F
KDS 4.1 17
M
4.1 mm
17 mm
2.8 mm
455245
F
KDS 4.1 19
N
4.1 mm
19 mm
2.8 mm
455246
F
b a) enossal length
8 - 19 mm
b) enossal Ø
3.0 / 3.2 / 3.7 / 4.1 / 5 mm
c) length (non-blasted)
10 mm
d) length abutment
6.8 mm
The bone-expanding screws can easily be screwed in using suitable insertion tools and immediately screwed out again after reaching the full insertion depth. Subsequently, the KOS® B implant is inserted. With the KOS® B (bendable), the use of bone-expanding screws is mandatory regardless of the region, so that the shear forces occurring during insertion do not twist the implant neck.
e) neck Ø
2.0 mm
Do not use for KOS® implants with microthread.
f) neck length
3 mm
KOS®
INSERTION TOOLS Description
Type
Length
Code
REF
Price cat.
For KOS, KOS B, KDS
long
20 mm
IT K
462320
C
For KOS, KOS B, KDS
extra long
45 mm
ITX K
462321
C
For KOS, KOS B, KDS
short
7 mm
ITS K
462322
C
For KOS, KOS B, KDS
contra-angle / hex
23 mm
ITWH K *
462323
C
For KOS, KOS B, KDS
contra-angle
23 mm
ITW K
462331
C
For KOS K
long
20 mm
IT TB K
462327
D
For KOS B **
long
20 mm
Tool E **
462377
D
For KOS E
long
20 mm
IT TCA
425065
D
Hex
* Only for W+H contra-angles with new drive ** Emergency tool for KOS® and BCS®
INSTRUMENTS AND TOOLS Description
Length
Code
REF
Price cat.
DX 2
500704
D
PDG
425400
A
Radiol. measure pin Fits to DOS 1
CDG
420329
A
Ratchet for all hex instruments and insertion tools
RAT2
425051
K
Torque wrench 10-70 Ncm
TW2 *
425402
S
Drill extension extends by 19 mm
Standardized probe 1-mm scale for radiological measurements
22 mm
* It is recommended to have the torque ratchets recalibrated by us once a year.
29
KOS®
30
HANDGRIP DISMOUNTABLE
HANDGRIP NOT DISMOUNTABLE
Please note the cleaning instructions on p. 61-62 of this system application brochure.
Please note the cleaning instructions on p. 61-62 of this system application brochure.
Length
REF
Price cat.
Length
REF
Price cat.
110 mm
311430
V
110 mm
311431
V
DRILLS
ADAPTER
INSERTION TOOLS
Adapter for all contra-angle instruments, suitable for handgrip
For KOS®, KOS® B, KOS® T, KOS® KDS, BCS 3.5, BCS 4.5
For KOS® X KOS® XB, KOS® Plus, BCS 3.6, BCS 4.6, ab > 5.5
For KOS MU, BCS MU
100 mm
60 mm
70 mm
70 mm
60 mm
Description
Length
100mm
100 mm
Code
BCD 1 Adapter Twist Drill 2.0
Twist Drill 2.5
Adapter RA
Adapter AHK
Adapter AHB
Adapter IT MU 15
REF
310511
310512
310513
310530
462319
900037
418167
Price cat.
F
F
F
D
B
F
D
KOS®
HANDGRIP TRAY
Size of closed tray B 195 mm T 90 mm H 45 mm For all autoclaves
Description
Length
REF
BCD 1 Adapter
100 mm
310511
Twist Drill 2.0
100 mm
310512
Twist Drill 2.5
100 mm
310513
Adapter RA
60 mm
310530
Adapter AHK
70 mm
462319
Adapter AHB
70 mm
900037
Handgrip
110 mm
311430
Price €
Handgrip tray empty
60043
69,90
Handgrip tray with content
S60043
609,20
Description
REF
Price €
Replacement O-ring for handgrip 311430
311430-OR
2,20
ACCESSORIES
Please read our detailed instructions for cleaning and re-sterilisation of surgical instruments on www.implant.com/images/Instructions/GA/Implantate/996-Hygmblatt.pdf
31
KOS®
32
INSTRUMENT TRAY FOR KOS® & BCS®
Size of closed tray B 175 mm T 145 mm H 65 mm For all autoclaves. Autoclavable up to 134°C, not suitable for dry heat sterilizers.
Description
System
Head
REF
Description
System
REF
IT2 BCS
KOS/BCS
large
900030
Twist Drill 2.0 30
BCS
90020
IT2 S BCS
KOS/BCS
large
900038
Twist Drill 2.0 21
BCS
90022
IT2 W
KOS/BCS
large
900039
Twist Drill 2.5 21
BCS
90026
IT K
KOS/BCS
small
462320
BCD 1
KOS/BCS
900240
IT15 K
KOS/BCS
small
462325
BCD 2
KOS/BCS
900241
ITS K
KOS/BCS
small
462322
BCD 3
KOS/BCS
900242
ITS15 K
KOS/BCS
small
462328
BCDX 1
KOS/BCS
900243
ITW K
KOS/BCS
small
462331
BCDX 2
KOS/BCS
900244
ITWH K
KOS/BCS
small
462323
BCDX 3
KOS/BCS
900245
DOS 1
KOS
455311
CDG
KOS/BCS
420329
DOS 2
KOS
455312
CDG
KOS/BCS
420329
DOS 3
KOS
455313
DX 2
KOS/BCS
500704
DOS 4
KOS
455314
TW 2
KOS/BCS
425402
Price €
DOS 5
KOS
455315
C-Drill KM 1
KOS
455300
C-Drill KM 2
KOS
455301
C-Drill KM 3
KOS
455302
IT LOC K
KOS
462333
DS 2
KOS
425001
Instrument tray empty
60006-K
299,90
IT TB K
KOS
462327
Instrument tray with content
S60006-K
1.726,60
The content for the system BCS® is optional
KOS®
DRILLSTOPP TRAY Not suitable for dry heat sterilizers.
Depth Drills
Drills Drillstop
KOS 3.0 (3.2)
Depth Drills
Drillstop
KOS 4.1
10
DOS 1
K
8
DOS 3
L
12
DOS 1
H
10
DOS 3
K
15
DOS D 1
D
12
DOS 3
H
15
DOS 4
K
17
DOS 4
H
19
DOS 4
F
KOS 3.7 10
DOS 2
K
12
DOS 2
H
15
DOS 2
D
KOS 5.0 10
DOS 5 (6)
K
12
DOS 5 (6)
H
15
DOS 5 (6)
D
Description
REF
Price €
Drillstopp B
500882
Drillstopp C
500883
Drillstopp D
500884
Drillstopp F
500886
Drillstopp H
500888
Drillstopp K
500891
Drillstopp L
500892
Drill DOS 1
455311
Drill DOS 2
455312
Drill DOS 3
455313
Drill DOS 4
455314
Drill DOS 5
455315
Drill DOS 6
455316
Drillstopp tray empty
60033-K
119,90
Drillstopp tray with content
S60033-K
498,00
IT HAS BEEN SCIENTIFICALLY PROVEN Heatless® drills by Dr. Ihde Dental generate 55 % less heat than traditional bone drills from other manufacturers. This makes it possible to use higher rotational speeds: between 3,000 and 5,000 rpm are recommended with good external cooling and intermittent drill technique.
STARTER TRAY Autoclavable up to 134°C, not suitable for dry heat sterilizers. This surgical kit contains all drills and tools for first works with the system KOS®. Material: autoclavable plastic.
Description
REF
IT K
462320
ITS K
462322
ITW K
462331
IT LOC K
462333
C-Drill KM 1
455300
C-Drill KM 2
455301
C-Drill KM 3
455302
IT MU 15
418166
IT ITV
500854
IT 2 BCS
900030
IT 2 S BCS
900038
DOS 1
455311
DOS 2
455312
DOS 3
455313
BCDX 1
900243
Torque wrench TW2
425402
Price €
Starter tray empty
60041-K
119,90
Starter tray with content
S60041-K
919,90
33
KOS®
34
KOS® IMPLANTATIONS Minimally invasive immediate load implantology with KOS® implants 1. Insertion of 21 KOS® implants in three hours. 2. Maxilla restoration with new motorised screwing technology. 3. Minimally invasive approach for beginners. Authors Dr. Werner Mander, (IMF) Dr. Thomas Fabritius
Description
REF
Price cat.
DVD
6668
A
APPLICATION AREAS (INDICATIONS) KOS® • • • •
Anchorage of crowns, bridges and bars, with the presence of adequate bone supply in terms of bone quality, bone width and bone height. There are no findings for use with simultaneous augmentations. Anchorage of prostheses via bar and button anchorage systems. Individual tooth restorations (KOS® implants only!).
USE RESTRICTIONS FOR KOS® A AND KOS® B • • • • • • • • • • • •
These two implant types may only be used as support implants in the reduced-load area. The interlocking of at least three and possibly several implants and „corner stiffening are required. At least one KOS® implant must be involved in the construction. The prosthetic restoration must be securely fixed (with definitive cements). Not to be used for segmented bridges without the involvement of at least two KOS® screws. If in doubt, angulation adapters on KOS® screws are preferable to the KOS® B implant. Avoid combining with basal implants for elasticity reasons. Not to be used for additional abutments in combination with natural teeth. Not to be used under diagonal load (off-axis load) as well as in deep-bite cases in the maxillary and mandibular anterior region. Max. width of occlusal surface 5 mm. Not to be used as terminal abutments. Bendable up to 13 degrees.
NOTES ON THE CARE OF SURGICAL STEEL INSTRUMENTS Surgical steel instruments can quickly become damaged if inadequately or improperly cared for. Only the special solvents for cleaning surgical steel should be used; in case of doubt, consult Dr. Ihde Dental GmbH / AG. The following are not recommended: • Disinfectants/cleaners with a high chlorine content. • Disinfectants/cleaners with a high oxalic acid content. For instruments with colour coding, the following are not recommended: • Excessively high solvent concentrations, disinfectants/cleaners with the components mentioned above. • Excessive temperatures in machine cleaning and sterilisation. • Never autoclave at higher than 134°C, and do not use a hot air steriliser.
KOS® Mini
KOS® MINI IMPLANTS KOS Mini 1.8 10
KOS Mini 1.8 12
KOS Mini 1.8 15
5,4 mm
5,4 mm
5,4 mm
10 mm
12 mm
15 mm
Description
Enossal Ø
Enossal length
Hight above bone
Material
Max. insertion torque
KOS® Mini 1.8 10
1.8 mm
10 mm
5.4 mm
Ti6AL4V
25 Ncm
KOS® Mini 1.8 12
1.8 mm
12 mm
5.4 mm
Ti6AL4V
25 Ncm
KOS® Mini 1.8 15
1.8 mm
15 mm
5.4 mm
Ti6AL4V
25 Ncm
KOS® Mini 2.4 12
2.4 mm
12 mm
5.4 mm
Ti6AL4V
40 Ncm
KOS® Mini 2.4 15
2.4 mm
15 mm
5.4 mm
Ti6AL4V
40 Ncm
KOS® Mini 2.4 18
2.4 mm
18 mm
5.4 mm
Ti6AL4V
40 Ncm
KOS® Mini 2.8 12
2.8 mm
12 mm
5.4 mm
Ti6AL4V
60 Ncm
KOS® Mini 2.8 15
2.8 mm
15 mm
5.4 mm
Ti6AL4V
60 Ncm
KOS® Mini 2.8 18
2.8 mm
18 mm
5.4 mm
Ti6AL4V
60 Ncm
35
KOS® Mini
1. DRILLING AND DRILL DEPTH KOS® Mini implants are inserted into the bone with self-tapping and with bone compression. As a rule, an under-sized pilot hole is sufficient. Recommended drill-speed: min. 3.000 Rpm, with sufficient cooling and intermittent drilling technique. Note regarding hard bone: The torque must not exceed 45 Ncm during insertion. Should this be the case, the implant must be rotated out and the drilling depth extended to 2/3 of the implant length.
15 mm 12 mm 10 mm
GINGIVA
18 mm
18 mm
15 mm
15 mm
12 mm
12 mm
Drill for KOS® Mini 1.8, ø 1.3 mm
Drill for KOS® Mini 2.4, ø 1.9 mm
Drill for KOS® Mini 2.8, ø 2.3 mm
REF455318
REF455319
REF455320
GINGIVA
BONE
Drilling in hard bone: 1/2 of the enossal implant length
BONE
36
Drilling in soft bone: 1/3 of the enossal implant length
KOS® Mini
37
1
2
3
4
SAME PROCEDURE WITH REF462374 / REF462376!
2. TO REMOVE THE IMPLANT FROM THE PACKAGE
3. INSERTION AND PLACEMENT TW 2
IT K KOS® Mini (long, 20 mm) REF462374
IT H KOS® Mini for manual insertion REF462375
GINGIVA
BONE
IT K KOS® Mini (short, 12 mm) REF462376
38
KOS® Mini
KOS® MINI SET 1.8 10
KOS® MINI SET 2.4 12 REF
Price cat.
KOS® Mini 1.8 10 (pack of 4) Drill for KOS® Mini DS, ø 1.3 mm
455050
Q
Sleeve and O-ring (set of 4)
Price cat.
455056
Q
REF
Price cat.
Drill for KOS® Mini DS, ø 1.3 mm
455051
Q
REF
Price cat.
455057
Q
REF
Price cat.
455055
Q
KOS® MINI SET 2.8 15 REF
Price cat.
KOS® Mini 2.4 15 (pack of 4)
KOS® Mini 2.8 15 (pack of 4) 455054
Q
Sleeve and O-ring (set of 4)
Drill for KOS® Mini DS, ø 2.3 mm Sleeve and O-ring (set of 4)
KOS® MINI SET 1.8 15
KOS® MINI SET 2.4 18 REF
Price cat.
KOS® Mini 1.8 15 (pack of 4)
KOS® Mini 2.4 18 (pack of 4) 455052
Q
Sleeve and O-ring (set of 4)
Drill for KOS® Mini DS, ø 1.9 mm Sleeve and O-ring (set of 4)
KOS® MINI SET 2.8 18 REF
Price cat.
455058
Q
KOS® Mini 2.8 18 (pack of 4)
Sleeve and O-ring (set of 4)
Q
Sleeve and O-ring (set of 4)
KOS® MINI SET 2.4 15
Drill for KOS® Mini DS, ø 2.3 mm
455053
KOS® Mini 1.8 12 (pack of 4)
Sleeve and O-ring (set of 4)
Drill for KOS® Mini DS, ø 1.3 mm
Drill for KOS® Mini DS, ø 1.9 mm
KOS® MINI SET 1.8 12 REF
KOS® Mini 2.8 12 (pack of 4)
Drill for KOS® Mini DS, ø 1.9 mm
Price cat.
Sleeve and O-ring (set of 4)
KOS® MINI SET 2.8 12
Drill for KOS® Mini DS, ø 2.3 mm
REF KOS® Mini 2.4 12 (pack of 4)
KOS® Mini
ACCESSORIES Description
Working length
Code
REF
Price cat.
Insertion tool short, 12 mm
IT K KOS® Mini
462376
C
Insertion tool long, 20 mm
IT K KOS® Mini
462374
C
Insertion tool (2-piece) for manual insertion
IT H KOS® Mini
462375
D
Torque wrench, 10 - 70 Ncm
TW2
425402
S
Impression coping KOS® Mini Pack of 4
462117
A
Analogue KOS® Mini Pack of 4
462116
A
Sleeve KOS® Mini for polymerizing into the prosthesis, delivery with inserted O-ring
462113
B
O-ring for sleeve REF 462113 for replacement. Pack of 4
462114
B
Depth-measurement-probe for KOS® Mini
462115
A
Drill for KOS® Mini, ø 1.3 mm
15 mm
455318
C
Drill for KOS® Mini, ø 1.9 mm
18 mm
455319
C
Drill for KOS® Mini, ø 2.3 mm
18,4 mm
455320
C
39
KOS® Micro
KOS® MICRO IMPLANTS
Small head 3.3 mmd x 6.8 mmh, with square
Large head 3.9 mmd (max.) x 7.2 mmh, with three vertical grooves for the insertion procedure
Cylindrical neck, 3.5 mmh with No-Itis® surface. 2.0 mm Ø, sracture-proof up to 80 Ncm insertion torque, bendable up to 15°.
Minimum insertion depth
455914 KOS Micro 3.7 15
Nominal length
455954 KOS MicroD 3.7 15
Microthread area 2.5 mmh, with No-Itis®-surface
455906 KOS Micro 3.2 15
40
Single compression thread in diameters 3.0 - 3.2
Compression thread area with triple treatment: blasted / etched / No-Itis®
Compression double thread with aggressive tip, available in diameters 3.7-5.0
CORTICAL MILLING FOR KOS® MICRO Description
Code
REF
Price cat.
C-Drill KM1 3.0 - 3.2
Cortical milling
C-Drill KM1
455300
E
C-Drill KM2 3.7 - 4.1
Cortical milling
C-Drill KM2
455301
E
C-Drill KM3 5.0
Cortical milling
C-Drill KM3
455302
E
KOS® Micro
MATERIAL Ti6AL4V, also known as „Grade 5 , is the high-purity version of the conventional 6/4 Ti alloy, which is used for more than 50% of all metallic human implants. This material is the first choice for all applications which require high stability, corrosion resistance and mechanical strength. This is why today s most modern dental implant designs are made of this material. This titanium alloy is superior to the alternatively used pure titanium in terms of stability by more than 25%. Also regarding biocompatibility and the support of bone cell growth, this titanium alloy shows advantages compared to pure titanium.
FUNCTIONALITY The one-piece KOS® Micro dental implant is preferably used in immediate loading. Unlike other compression screws, the polished neck has a cylindrical shape. Thus, the cortical is sealed, good retention is achieved in the cortical and the bone is protected against infections. At the same time, the endosseous implant part compresses the cancellous bone areas.
NOTE The smooth microthread must be completely submerged below the bone level. The cylindrical neck must extend into the bone at least 1 mm deep. Therefore, the implant must be selected so that at least 1.5 mm more usable vertical bone is present than the nominal length of the implant. Example For KOS Micro 3.7 15, 17 mm of usable vertical bone must be present. If in doubt, a shorter implant should be selected so as to ensure a sufficient insertion depth.
DRILLING PROCEDURE The pilot hole is made with the drills of the KOS® system. Except in very dense mandibular bone, the pilot hole is usually sufficient with BCD1 or DOS1.
INSERTION The implant can be inserted most easily with the handgrip (REF 311430) and the adapter (REF 900 037). When using the ratchet RAT2, small or medium insertion tools are used. Max. torque is 80 Ncm.
THE IMPLANTS ARE SUPPLIED WITH TWO DIFFERENT HEAD SIZES • Diameters 3.0 mm and 3.2 mm are supplied with a small head; they also fit in small individual tooth gaps • Diameters 3.7 mm, 4.1 mm and 5.0 mm are supplied with a large head. This head permits easy and speedy prosthetic restoration.
All KOS® Micro implants have circular grooves on the abutment head with a radius that fits 1.5mmd titanium rods. In this way, several implants can be joined together in the mouth directly through syncrystallisation (intraoral welding) and splinted immediately. This means that no metal splint needs to be incorporated into the provisional. The head of the implant is large enough to connect two stacked titanium wires each of diameter 1.5 mm by intraoral welding.
Even after years, almost no crestal bone loss occurs with the KOS® Micro due to the macro designs.
41
42
KOS® Micro
KOS® MICRO IMPLANTS WITH SMALL HEAD KOS® Micro with small head for the anterior tooth region and tight gaps
g
d
Description
Enossal Ø
Length
Neck Ø
KOS Micro 3.0 10
3.0 mm
10 mm
2.0 mm
KOS Micro 3.0 12
3.0 mm
12 mm
2.0 mm
KOS Micro 3.2 12
3.2 mm
12 mm
2.0 mm
KOS Micro 3.2 15
3.2 mm
15 mm
2.0 mm
Drill *
REF
Price cat.
455900
F
DOS 1
455901
F
or
455905
F
455906
F
BCD 1
c Max. insertion torque for KOS® Micro implants is 80 Ncm. * In very hard bone, it may be additionally necessary to make a cylindrical hole with a twist Drill 2.5 mmd to a depth of 2.5 mm. a
b
a) enossal length
10 - 15 mm
b) max enossal Ø small head
3.2 mm
c) neck Ø
2.0 mm
d) hight of head
6.8 mm
Material
Ti6Al4V
KOS® Micro implants are delivered incl. lab-set consisting of REF 462111, 462029 and 462088
KOS® MICRO IMPLANTS WITH LARGE HEAD KOS® Micro with large head for all applications
d
c
a
b
Description
Enossal Ø
Length
Neck Ø
Drill *
REF
Price cat.
KOS Micro 3.7 6
3.7 mm
6 mm
2.0 mm
DOS 2 / BCD 2
455910
F
KOS Micro 3.7 8
3.7 mm
8 mm
2.0 mm
DOS 2 / BCD 2
455911
F
KOS Micro 3.7 10
3.7 mm
10 mm
2.0 mm
DOS 2 / BCD 2
455912
F
KOS Micro 3.7 12
3.7 mm
12 mm
2.0 mm
DOS 2 / BCD 2
455913
F
KOS Micro 3.7 15
3.7 mm
15 mm
2.0 mm
DOS 2 / BCD 2
455914
F
KOS Micro 4.1 8
4.1 mm
8 mm
2.0 mm
DOS 3 / BCD 3
455920
F
KOS Micro 4.1 10
4.1 mm
10 mm
2.0 mm
DOS 3 / BCD 3
455921
F
KOS Micro 4.1 12
4.1 mm
12 mm
2.0 mm
DOS 3 / BCD 3
455922
F
KOS Micro 4.1 15
4.1 mm
15 mm
2.0 mm
DOS 3 / BCD 3
455923
F
KOS Micro 5 10
5 mm
10 mm
2.0 mm
DOS 5
455925
F
KOS Micro 5 12
5 mm
12 mm
2.0 mm
DOS 5
455926
F
Max. insertion torque for KOS® Micro implants is 80 Ncm. * In very hard bone, it may be additionally necessary to make a cylindrical hole with a twist Drill 2.5 mmd to a depth of 2.5 mm.
a) enossal length
6 - 15 mm
b) max enossal Ø large head
3.9 mm
c) neck Ø
2.0 mm
d) hight of head
7.2 mm
Material
Ti6Al4V
KOS® Micro implants are delivered incl. lab-set consisting of REF 462111, 462136 and 462086
KOS® Micro
KOS® MICRO D IMPLANTS WITH LARGE HEAD KOS® Micro with self-tapping double thread
Description
Enossal Ø
Length
Neck Ø
Drill *
REF
Price cat.
KOS MicroD 3.7 6
3.7 mm
6 mm
2.0 mm
DOS 2 / BCD 2
455950
G
KOS MicroD 3.7 8
3.7 mm
8 mm
2.0 mm
DOS 2 / BCD 2
455951
G
KOS MicroD 3.7 10
3.7 mm
10 mm
2.0 mm
DOS 2 / BCD 2
455952
G
KOS MicroD 3.7 12
3.7 mm
12 mm
2.0 mm
DOS 2 / BCD 2
455953
G
KOS MicroD 3.7 15
3.7 mm
15 mm
2.0 mm
DOS 2 / BCD 2
455954
G
KOS MicroD 4.1 8
4.1 mm
8 mm
2.0 mm
DOS 3 / BCD 3
455957
G
KOS MicroD 4.1 10
4.1 mm
10 mm
2.0 mm
DOS 3 / BCD 3
455958
G
KOS MicroD 4.1 12
4.1 mm
12 mm
2.0 mm
DOS 3 / BCD 3
455959
G
KOS MicroD 4.1 15
4.1 mm
15 mm
2.0 mm
DOS 3 / BCD 3
455960
G
KOS MicroD 5 10
5 mm
10 mm
2.0 mm
DOS 5
455963
G
KOS MicroD 5 12
5 mm
12 mm
2.0 mm
DOS 5
455964
G
g d
c
a
b
Max. insertion torque for KOS® Micro implants is 80 Ncm. * In very hard bone, it may be additionally necessary to make a cylindrical hole with a twist Drill 2.5 mmd to a depth of 2.5 mm.
a) enossal length
6 - 15 mm
b) max enossal Ø large head
3.9 mm
c) neck Ø
2.0 mm
d) hight of head
7.2 mm
Material
Ti6Al4V
KOS® Micro D implants are delivered incl. lab-set consisting of REF 462111, 462136 and 462086
43
44
KOS® Micro
IMPRESSION TAKING AND LABORATORY ACCESSORIES Description
Unit
Material
Code
REF
Price cat.
Impression cap
Pack of 5
POM
TSPA 4
462029
B
Castable abutment
Pack of 5
PO4
462088
B
Double analogue
Pack of 5
IA4/IAU
462111
B
Impression- and castable
Pack of 5
PA X
462136
A
Pack of 5
POB
462086
B
for small head
plastic
for large head
abutment
Castable abutment
PO4/MA4 POB/MA5
Gipsum
TITANIUM CROWN BASE Description
Material
Code
REF
Price cat.
Titanium cap, radio opaque
Ti6Al4V, weldable
MA4
462090
B
Titanium cap, radio opaque
Ti6Al4V, weldable
MA5
462093
B
Description
Material
Systems
REF
Price cat.
Scankörper-4
Peek
KOS, BCS
462054
B
Scankörper-5
Peek
KOS, BCS
462055
B
SCAN BODY
KOS® Micro
HEATLESS® DRILLS DOS FOR IMPLANTS WITH CONICAL CORE
-55% heat
Surgical steel, colour-coded, depth-coded and autoclavable. The drill is marked with laser depth markings. Use between 3,000 and 5,000 rpm with good cooling and intermittent drill technique. Due to the extremely high cutting performance, you can work without pressure. Description
Colour
Max. working length
REF
Price cat.
DOS 1
yellow
17 mm
455311
D
DOS 2
black
17 mm
455312
D
DOS 3
red
17 mm
455313
D
DOS 4
blau
21 mm
455314
D
DOS 5
green
17 mm
455315
D
DOS 6
transparent
15 mm
455316
D
DOS 6 This drill is 2 mm shorter at the tip. It can therefore drill up to 2 mm deeper into hard bone than nominally indicated on the drill. Therefore, the conical bone cavity is only circularly extended in the crestal area without increasing the drilling depth.
INSTRUMENTS AND TOOLS Description
Length
Code
REF
Price cat.
Insertion tool short, for large head. Use with RAT2 and TW2.
7 mm
IT2 S BCS
900038
E
Insertion tool medium, for large head. Use with RAT2 and TW2.
19 mm
IT2 BCS
900030
E
Insertion tool for large head. Use with angle piece.
23 mm
IT2W
900039
C
Insertion tool long, for small head. Use with RAT2 and TW2.
20 mm
IT K
462320
C
Insertion tool short, for small head. Use with RAT2 and TW2.
7 mm
ITS K
462322
C
Insertion tool for small head. Use with angle piece.
23 mm
ITW K
462331
C
TW2
425402
S
Torque wrench 10 - 70 Ncm. It is recommended to have the torque ratchets recalibrated by us once a year. Adapter for large head, use with handgrip.
70 mm
AHB
900037
F
Adapter for small head, use with handgrip.
70 mm
AHK
462319
B
Handgrip. Can be disassembled and cleaned manually.
110 mm
311430
V
Handgrip. For machine processing in the ultrasonic bath.
110 mm
311431
V
45
46
BCS®
APPLICATIONS OF IMPLANT SYSTEM FOR ENDOSSEOUS DENTAL IMPLANTS
BCS® implants can be used immediately diately in extrac extraction sockets if the basal support is sufficient. The anti-rotation tability against unintentional ntentional u protection ensures immediate stability unscrewing before prosthetic loading. The fore the 3rd post-operative po perative day. BCS® implants are made of high-strength, prosthesis should be inserted before Al4V (ASTM F 13 biocompatible titanium alloy Ti6Al4V 136). At least three im implants must be interlocked together. BCS® plants. Their use is permitted ermitted only by authorised users. belong to the basal (strategic) implants. ne Anzugsmom e for Implant Vorgeschriebene, bzw. empfohlene Anzugsmomente Implants, Abutments and Befestigungsschrauben finden Sie auf unserer Homepage unter www.implant.com/de/instructions
BCS®
BCS® IMPLANTS WITH SMALL HEAD FIELD OF APPLICATION enossal dental implant. These implants are used for the following indications. • Support implants for cortical anchorages of bridges • Manufacturing of a three-point support in individual regions of the jaw, for the cortical anchorage of dental prostheses
d
c
e
Description
a
b
e
g
Drill *
REF
Price €
BCS 2.7 10
2.7
10
2.55
4.5
DOS1 and / or DOS2
900200
599,90
BCS 2.7 12
2.7
12
2.95
4.5
DOS1 and / or DOS2
900201
599,90
BCS 2.7 14
2.7
14
2.95
5.5
DOS1 and / or DOS2
900202
599,90
BCS 2.7 17
2.7
17
2.95
5.5
DOS1 and / or DOS2
900203
599,90
BCS 2.7 20
2.7
20
2.95
5.5
DOS1 and / or DOS2
900204
599,90
BCS 2.7 23
2.7
30
2.95
5.5
DOS1 and / or DOS2
900205
599,90
f b
g
a
USE LIMITATIONS BCS 2.7 must not be used as an individual tooth implant. If only BCS 2.7 must be used in very thin jaws, then at least 12 implants per jaw must be inserted in the cortical anchorage.
a) thread Ø
max. 2.7 mm
b) enossal length
10 - 23 mm
c) Abutment hight
6.8 mm
d) max. abutment Ø
3.35 mm
e) length of flexible zone
2.55 & 2.95 mm
f) max. crestal Ø of shaft
1.9 mm
g) length of thread
4.5 & 5.5 mm
Tool
for BCS® with small head
BCS 2.7 implants are supplied exclusively in units of ten implants.
47
48
BCS®
BCS® IMPLANTS WITH SMALL HEAD BCS® implants 3.5 mmd - 12 mmd FIELD OF APPLICATION enossal dental implant. For anchorage in the 1st, 2nd and if necessary 3rd cortical, for the cortical anchorage of dental prostheses. BCS® implants can be used in sockets for a given indication immediately after extraction and loaded immediately in many cases. Mechanically smoothed surface in all areas. The abutment head is identical to the head of KOS® implants and the TSD4 abutment. Self-tapping thread with endosseous with anti-rotation protection. Conditionally suitable for individual tooth prostheses.
BCS 3.5 17
d
c
Description
a
b
e
f
g
REF
Price cat.
BCS 3.5 10
3.5
10
3
2.0
5.5
900208
G
BCS 3.5 12
3.5
12
5
2.0
5.5
900226
G
BCS 3.5 14
3.5
14
5
2.0
7.5
900210
G
BCS 3.5 17
3.5
17
8
2.0
7.5
900211
G
BCS 3.5 20
3.5
20
11
2.0
7.5
900212
G
BCS 3.5 23
3.5
23
14
2.0
7.5
900213
G
BCS 3.5 26
3.5
26
17
2.0
7.5
900214
G
BCS 3.5 29
3.5
29
20
2.0
7.5
900215
G
BCS 3.5 32
3.5
32
23
2.0
7.5
900216
G
BCS 3.5 35
3.5
35
26
2.0
7.5
900217
G
BCS 3.5 38
3.5
38
29
2.0
7.5
900218
G
BCS 4.5 14
4.5
14
5
2.3
7.5
900220
G
BCS 4.5 17
4.5
17
8
2.3
7.5
900221
G
BCS 4.5 20
4.5
20
11
2.3
7.5
900222
G
BCS 4.5 23
4.5
23
14
2.3
7.5
900223
G
BCS 4.5 26
4.5
26
17
2.3
7.5
900224
G
BCS 4.5 29
4.5
29
20
2.3
7.5
900225
G
f e b g
a
Insertion tools: IT KOS, ITX KOS, ITS KOS, Adapter AHK
a) thread Ø
3.5-4.5 mm
b) enossal length
10-38 mm
c) length abutment
6.8 mm
d) max. abutment Ø
3.35 mm
e) length of polished shaft
3-29 mm
f) max. crestal Ø of shaft
2-2.3 mm
g) length of thread
5.5-7.5 mm
Square key width
1.9 mm
BCS® implants are delivered incl. lab-set consisting of REF 462111, 462029 and 462088
Max. insertion torque 80 Ncm
BCS®
BCS® IMPLANTS WITH LARGE HEAD
BCS 3.6 17
d
c
f e b
g
a
BCS 4.6 14 BCS 5.5 14
Description
a
b
e
f
g
REF
Price cat.
BCS 3.6 10
3.6
10
4
2.0
5.5
900285
H
BCS 3.6 12
3.6
12
6
2.0
5.5
900284
H
BCS 3.6 14
3.6
14
5
2.0
7.5
900286
H
BCS 3.6 17
3.6
17
8
2.0
7.5
900287
H
BCS 3.6 20
3.6
20
11
2.0
7.5
900288
H
BCS 3.6 23
3.6
23
14
2.0
7.5
900289
H
BCS 3.6 26
3.6
26
17
2.0
7.5
900290
H
BCS 3.6 29
3.6
29
20
2.0
7.5
900291
H
BCS 4.6 8
4.6
8
3
2.1
5.5
900299
H
BCS 4.6 10
4.6
10
4
2.1
5.5
900292
H
BCS 4.6 12
4.6
12
6
2.1
5.5
900300
H
BCS 4.6 14
4.6
14
5
2.1
7.5
900293
H
BCS 4.6 17
4.6
17
8
2.1
7.5
900294
H
BCS 4.6 20
4.6
20
11
2.1
7.5
900295
H
BCS 4.6 23
4.6
23
14
2.1
7.5
900296
H
BCS 4.6 26
4.6
26
17
2.1
7.5
900297
H
BCS 4.6 29
4.6
29
20
2.1
7.5
900298
H
BCS 5.5 8
5.5
8
3
2.1
5.5
900255
K
BCS 5.5 10
5.5
10
4.5
2.1
5.5
900281
K
BCS 5.5 12
5.5
12
4.5
2.1
6.0
900250
K
BCS 5.5 14
5.5
14
6.5
2.1
6.0
900251
K
BCS 5.5 17
5.5
17
9.5
2.1
6.0
900252
K
BCS 5.5 20
5.5
20
12.5
2.1
6.0
900253
K
BCS 5.5 23
5.5
23
15.5
2.1
6.0
900265
K
BCS 5.5 26
5.5
26
18.5
2.1
6.0
900266
K
BCS 5.5 29
5.5
29
21.5
2.1
6.0
900267
K
Insertion tools: IT2 BCS, IT2 S BCS, Adapter AHB
a) thread Ø
3.6-4.6 mm
b) enossal length
10-29 mm
c) length abutment
7.2 mm
d) abutment Ø
3.9 mm
e) length of polished shaft
3-20 mm
f) max. crestal Ø of shaft
2.0-2.3 mm
g) length of thread
5.5-7.5 mm
BCS® Implants with large head are delivered incl. lab-set consisting of REF 462111, 462136 and 462086
Max. insertion torque 80 Ncm
49
BCS®
50
BCS® IMPLANTS WITH LARGE HEAD Description BCS 12 12
d
c
f e b
g
a
BCS 7 12 BCS 9 14 BCS 10.5 14
a
b
e
f
g
REF
Price cat.
BCS 7 8
7
8
3
2.1
5.5
900258
K
BCS 7 10
7
10
4.5
2.1
5.5
900282
K
BCS 7 12
7
12
5
2.1
5.5
900260
K
BCS 7 14
7
14
7
2.1
5.5
900261
K
BCS 7 17
7
17
10
2.1
5.5
900262
K
BCS 7 20
7
20
13
2.1
5.5
900263
K
BCS 9 8
9
8
2.4
2.3
5.5
900269
M
BCS 9 10
9
10
2.8
2.3
5.5
900270
M
BCS 9 12
9
12
4.8
2.3
5.5
900274
M
BCS 9 14
9
14
6.8
2.3
5.5
900271
M
BCS 10.5 10
10.5
10
2.8
2.3
6.5
900276
M
BCS 10.5 12
10.5
12
4
2.3
6.5
900277
M
BCS 10.5 14
10.5
14
6
2.3
6.5
900278
M
BCS 10.5 17
10.5
17
9
2.3
6.5
900280
M
BCS 12 8
12
8
2.5
2.3
5.5
900279
O
BCS 12 10
12
10
2.7
2.3
5.5
900272
O
BCS 12 12
12
12
4
2.3
6.5
900275
O
BCS 12 14
12
14
6
2.3
6.5
900273
O
Insertion tools: IT2 BCS, IT2 S BCS, Adapter AHB
a) thread Ø
5.5-12 mm
b) enossal length
10-20 mm
c) length abutment
7.2 mm
d) abutment Ø
3.9 mm
e) length of polished shaft
3-13 mm
f) max. crestal Ø of shaft
2.3-2.4 mm
g) length of thread
5.5-6.5 mm
BCS® Implants with large head are delivered incl. lab-set consisting of REF 462111, 462136 and 462086
Max. insertion torque 80 Ncm
USE OF THE HANDGRIP IN THE EXAMPLE OF A LARGE HEAD BCS® IMPLANT
1.0
Use of the handgrip
1.1
Break off and implant immediately in the designated place
AHB
Handgrip
BCS®
ACCESSORIES FOR BCS® 3.5 TO 12 BCS® with the sizes 3.5 / 4.5 are compatibel with the following analogues and impression posts of the KOS® systems:.
Description
Amount
Code
REF
Price cat.
Impression post castable Internally round For small head
Pack of 5
TSPA 4
462029
B
Impression post (plastic) Internally round For large head
Pack of 5
TSPA 5
462030
B
IA4/IAU
462112
A
Double analogue (metal)
or
Double analogue (plastic)
Pack of 5
IA4/IAU
462111
B
Castable abutment 7 mm high, white Internally round For small head
Pack of 5
PO4
462088
B
Castable abutment For large head
Pack of 5
POB
462086
B
51
52
BCS®
BCS® MULTIUNIT IMPLANTS FIELD OF APPLICATION enossal dental implant. BCS® MU has a production-side fixed pre-angulation of 15 degrees. BCS® MU can also be bent after insertion using the insertion tool, whereby angulations relative to the endosseous implant axis of 0 to over 30 degrees are possible. Since the implant head itself can be positioned in any direction, directional changes for the prosthetic screw of between -15 and +15 degrees are possible due to the preangulation. In addition, if the neck is bent by max. 15 degrees, angulations of the prosthetic screw of between -30 and +30 degrees over the implant axis can be achieved. BCS® MU implants may be used by authorised users only. Material Ti6Al4V. Description
REF
Price cat.
Description
REF
Price cat.
BCS® MU 3.6 8
900397
N
BCS® MU 3.6 26 900377
N
BCS® MU 3.6 10 900398
N
BCS® MU 3.6 29 900378
N
BCS® MU 3.6 12 900376
N
BCS® MU 5.5 10 900334
N
BCS® MU 3.6 14 900330
N
BCS® MU 5.5 12 900335
N
BCS® MU 3.6 17 900331
N
BCS® MU 5.5 14 900336
N
BCS® MU 3.6 20 900332
N
BCS® MU 7.0 10
900337
N
BCS® MU 3.6 23 900333
N
BCS® MU 7.0 12
900338
N
Description
Code
REF
Price cat.
Insertion tool short. Total length 10,8 mm For RAT 2
IT1 MU 15
418166
F
Insertion tool medium. Total length 23,8 mm Use with IT ITV (REF 500854)
IT2 MU15
418201
F
Insertion tool long. Total length 33,8 mm Use with IT ITV (REF 500854)
IT3 MU15
418202
F
Insertion tool for KOS MU & BCS MU Use with IT2 BCS, IT2 S BCS, AHB
ITX MU15
418203
F
Adapter For handgrip 311430 or 311431
Adapter IT MU 15
418167
D
Titanium base Use with SF K MU (REF 418164)
T-Base MU
418188
B
Castable abutment
PA2 MU
418189
B
Lab analogue for MU-implants
IA K MU
418159
A
Prosthetic screw for KOS® MU and BCS® MU
SF K MU
418164
B
Long screw for TC MU and TS MU (Tool: HT 1.25). Material Ti6Al4V
SFL MU
418168
B
UCLA castable abutment for MU-implants SF K MU must be ordered separately
PA MU
418119
B
Transfer Coping (Temporary base) SF K MU must be ordered separately
TC MU
418161
D
Transfer, straight SF K MU must be ordered separately
TS MU
418162
C
ACCESSORIES
BCS®
PATHFINDER DRILLS Conical 3-edge drill as initial drill, ideally suited for all crestal implant systems. The drill also passes between narrow cortical areas without pressure.
I I
I
39 mm
47 mm
15 mm
I
Description
Colour
Max. working length
REF
Price cat.
BCD 1
yellow
15 mm
900240
C
BCD 2
black
15 mm
900241
C
BCD 3
red
15 mm
900242
C
BCDX 1
yellow
15 mm
900243
C
BCDX 2
black
15 mm
900244
C
BCDX 3
red
15 mm
900245
C
310511
F
I
I BCD 1 Adapter pathfinder for handgrip length 100 mm
TWIST DRILLS Description
Ø
Max. working length
REF
Price cat.
Twist Drill 2.0/21
2.0 mm
21 mm
90022
D
Twist Drill 2.0/30
2.0 mm
30 mm
90020
D
Twist Drill 2.0/40
2.0 mm
40 mm
90019
D
Twist Drill 2.5/21
2.5 mm
21 mm
90026
D
Description
Length
REF
Price cat.
Twist Drill 2.0 cylindrical drill 2.0 mm for handgrip
100 mm
310512
F
Twist Drill 2.5 cylindrical drill 2.5 mm for handgrip
100 mm
310513
F
310515
F
310516
F
Pilot drill for surgical handgrip Twist Drill 2.0/30 for surgical handgrip
110 mm
53
54
BCS®
INSERTION TOOLS AND ADAPTER Description
Code
REF
Price cat.
For BCS® implants with Ø 3.5 mm + 4.5 mm
IT K
462320
C
For BCS® implants with Ø 3.6, 4.6, 5.5, 7, 9, 10.5, 12 mm
IT2 BCS
900030
E
For BCS® implants with Ø 3.6, 4.6, 5.5, 7, 9, 10.5, 12 mm
IT2 S BCS
900038
E
For BCS® implants with Ø 3.6, 4.6, 5.5, 7, 9, 10.5, 12 mm. For handgrip REF 311430 & 311431
AHB
900037
F
310530
D
462319
B
Adapter for contra-angle instruments For handgrip REF 311430 & 311431
Adapter zu BCS 3.5/4.5 & KOS® For handgrip REF 311430 & 311431
AHK
WIRES FOR INTRAORAL WELDING
Description
Material
Ø
REF
Price cat.
Titanium wire (5 pieces á 15cm / pack)
TiGr.2
1.5 mm
462001
B
Titanium wire (5 pieces á 15cm / pack)
TiGr.2
2.0 mm
462002
B
Titanium wire (5 pieces á 15cm / pack)
Ti6Al4V
2.0 mm
462003
B
BCS®
Provisional
Provisional
Nanda S., Ihde S., Nanda P. Intra-oral welding-A usefull adjunct in immediate loading implantology using BCS implants. CMF Impl. Dir. Vol 9, No.2, 13-24, 2014
TITANIUM CAPS AND BAR PROFILES
NEW
Multi-use titanium caps for: • use in immediately lasered bridge frames, together with the bar profiles (without bar matrices) • the radiological control of plastic modelling • for direct polymerisation into the bridge prosthesis • direct veneering with titanium ceramic • material: Ti Grade 4
FOR WELDING
Description
Code
REF
Price cat.
Titanium cap, radio opaque for KOS, KOS B, BCS 3.5, BCS 4.5
MA4
462090
B
Titanium cap, radio opaque for KOS X, KOS Plus, BCS 3.6, BCS 4.6-BCS 12
MA5
462093
B
Bar sleeve, titanium, large; 3.0 mm high, 2.2 mm wide, 55 mm long
SP1
B
Bar sleeve, titanium, small; 2.3 mm high, 1.6 mm wide, 55 mm long
SP2
B
Titanium bar matrix for SP 1, length 55 mm
SP6
G
Titanium bar matrix for SP 2, length 55 mm
SP7
G
SCAN BODY Description
Material
Systems
REF
Price cat.
Scankörper-4
Peek
KOS, BCS
462054
B
Scankörper-5
Peek
KOS, BCS
462055
B
55
56
BCS®
CEMENTABLE ANGULATION ADAPTER (TI6AL4V) These adapters are mounted on BCS® implants to compensate for the insertion direction. Plastic cements are preferably used. The implant head must be roughened beforehand. The protruding head parts are then removed. The impression is taken directly on the adapter. Description
Hight
Code
REF
Price cat.
Adapter, 15°
7.5
AA15 KK
462036
C
Adapter, 25°
7.8
AA25 KK
462046
C
Adapter short, for large head
AA5 15°
462052
C
Adapter short, for large head
AA5 25°
462053
C
AA15 KK AA25 KK
AA5 15° AA5 25°
CASTABLE CROWN BASE These adapters are used by the dental technician for modelling of bridge frames. In the metal try-in, the protruding head parts are removed by the dentist.
Description
Hight
Code
REF
Price cat.
Adapter, pack of 5, reducible
7.5
AAL 15 KK
462045
E
LAB ANALOGUE Description
Code
REF
Price cat.
Abutment analogue for angulation adapter 15°and 25°
AAA
462049
B
Description
Code
REF
Price cat.
Castable abutment and transfer for AAA (pack of 5)
PA AAA
462050
A
CASTABLE ABUTMENT AND IMPRESSION TRANSFER
CEMENTING ABUTMENT Replacement abutment for cementing. For BCS implants up to a shaft diameter of 2.1 mm. Larger shafts must be ground down. Allows the vertical correction of the abutment position. Mounting e.g. with Fuji Plus. With drain hole, machined surface. Material Ti6Al4V.
B21
B21 ANA
Description
Code
REF
Price cat.
Replacement abutment for BCS, internal diameter 2.15 mm
B21
900316
A
Replacement abutment for BCS, anatomically shaped, can be ground down, height above gingiva 7.55 mm, transgingival height 1.5 mm
B21 ANA
462021
C
BCS®
HANDGRIP DISMOUNTABLE
HANDGRIP NOT DISMOUNTABLE
Please note the cleaning instructions on p. 61-62 of this system application brochure.
Please note the cleaning instructions on p. 61-62 of this system application brochure.
Length
REF
Price cat.
Length
REF
Price cat.
110 mm
311430
V
110 mm
311431
V
DRILLS
ADAPTER
INSERTION TOOLS
Adapter for all contra-angle instruments, suitable for handgrip
For KOS®, KOS® B, KOS® T, KOS® KDS, BCS 3.5, BCS 4.5
For KOS® X KOS® XB, KOS® Plus, BCS 3.6, BCS 4.6, ab > 5.5
For KOS MU, BCS MU
100 mm
60 mm
70 mm
70 mm
60 mm
Description
Length
100mm
100 mm
Code
BCD 1 Adapter Twist Drill 2.0
Twist Drill 2.5
Adapter RA
Adapter AHK
Adapter AHB
Adapter IT MU 15
REF
310511
310512
310513
310530
462319
900037
418167
Price cat.
F
F
F
D
B
F
D
57
58
BCS®
HANDGRIP TRAY
Size of closed tray B 195 mm T 90 mm H 45 mm For all autoclaves
Description
Length
REF
BCD 1 Adapter
100 mm
310511
Twist Drill 2.0
100 mm
310512
Twist Drill 2.5
100 mm
310513
Adapter RA
60 mm
310530
Adapter AHK
70 mm
462319
Adapter AHB
70 mm
900037
Handgrip
110 mm
311430
Price €
Handgrip tray empty
60043
69,90
Handgrip tray with content
S60043
609,20
Description
REF
Price €
Replacement O-ring for handgrip 311430
311430-OR
2,20
ACCESSORIES
Please read our detailed instructions for cleaning and re-sterilisation of surgical instruments on www.implant.com/images/Instructions/GA/Implantate/996-Hygmblatt.pdf
BCS®
INSTRUMENT TRAY FOR KOS® & BCS®
Size of closed tray B 175 mm T 145 mm H 65 mm For all autoclaves. Autoclavable up to 134°C, not suitable for dry heat sterilizers.
Description
System
Head
REF
Description
System
REF
IT2 BCS
KOS/BCS
large
900030
Twist Drill 2.0 30
BCS
90020
IT2 S BCS
KOS/BCS
large
900038
Twist Drill 2.0 21
BCS
90022
IT2 W
KOS/BCS
large
900039
Twist Drill 2.5 21
BCS
90026
IT K
KOS/BCS
small
462320
BCD 1
KOS/BCS
900240
IT15 K
KOS/BCS
small
462325
BCD 2
KOS/BCS
900241
ITS K
KOS/BCS
small
462322
BCD 3
KOS/BCS
900242
ITS15 K
KOS/BCS
small
462328
BCDX 1
KOS/BCS
900243
Price €
ITW K
KOS/BCS
small
462331
BCDX 2
KOS/BCS
900244
ITWH K
KOS/BCS
small
462323
BCDX 3
KOS/BCS
900245
DOS 1
KOS
455311
CDG
KOS/BCS
420329
DOS 2
KOS
455312
CDG
KOS/BCS
420329
DOS 3
KOS
455313
DX 2
KOS/BCS
500704
DOS 4
KOS
455314
TW 2
KOS/BCS
425402
DOS 5
KOS
455315
C-Drill KM 1
KOS
455300
C-Drill KM 2
KOS
455301
C-Drill KM 3
KOS
455302
IT LOC K
KOS
462333
DS 2
KOS
425001
Instrument tray empty
60006-K
299,90
IT TB K
KOS
462327
Instrument tray with content
S60006-K
1.726,60
The content for the system KOS® is optional
59
60
BCS®
INSERTION TOOLS Description
Type
Length
For implant
REF
Price cat.
IT K
long
20 mm
BCS, KOS, KOS B, KDS
462320
C
ITX K
extra long
45 mm
BCS, KOS, KOS B, KDS
462321
C
ITS K
short
7 mm
BCS, KOS, KOS B, KDS
462322
C
IT2 BCS
long
20 mm
BCS, KOS, KOS B, KDS
900030
H
IT2 S BCS
short
7 mm
BCS, KOS X, KOS Plus
900038
D
23 mm
KOS, BCS
900039
C
IT2W
Tool E Emergency tool for KOS® and BCS®
long
20 mm
BCS, KOS B
462377
D
IT TCA
long
20 mm
BCS, KOS E
425065
D
Description
REF
Price €
IT K
462320
ITS K
462322
IT 2 BCS
900030
IT 2 S BCS
900038
BCD1
900240
Twist Drill 2.0 21
90022
Twist Drill 2.0 30
90020
Twist Drill 2.5 21
90026
BCDX 1
900243
IT2 MU 15
418166
IT ITV
500854
Torque wrench TW2
425402
STARTER TRAY Autoclavable up to 134°C, not suitable for dry heat sterilizers. This surgical kit contains all drills and tools for first works with the system BCS®. Material: autoclavable plastic.
Starter tray empty
60040-K
119,90
Starter tray with content
S60040-K
708,80
BCS®
61
Basal implants may only be used and operated by qualified persons with valid authorisation (para. 2 MedProdAnw Ordinance). We are certified according to DIN EN ISO 13485 and Annex II of Directive 93/42 EEC. The product dimensions shown in this brochure may differ from reality for technical reasons. KOS® and BCS® are registered trademarks. Pat. Pend. If implants are reprocessed, there is a risk of the development of infections, because no validated method for processing exists. Implants therefore may not be reprocessed.
Compilation and explanation of possible symbols on the packaging:
Rx ONLY Production No.
Sterilized by gamma radiation
Sterilization Ethylene oxide
Nonsterile
Intended for use by dentists or surgeons only
Single use product
Instruction for use
Store tightly keep closed
Do not use if packing is damaged
Do not resterilize
Manufacturer
Production date
25°C -5°C Store in a dry place
Temperature range from -5°C to 25°C
Expiry date
KOS®
KOS® MU
KOS® PLUS
BCS®
BCS® MU
1st cortical
2nd cortical Application in healed bone areals
Dr. Ihde Dental AG Dorfplatz 11 CH - 8737 Gommiswald / SG Tel +41 (0)55 293 23 23 Fax +41 (0)55 293 23 00
[email protected] www.implant.com
Dr. Ihde Dental GmbH Erfurter Str. 19 D - 85386 Eching / Munich Tel +49 (0)89 319 761 0 Fax +49 (0)89 319 761 33
[email protected] www.ihde-dental.de
Application in fresh extraction sockets
REF 6641_KOS-BCS_EN_03/16_V031