Prosthesis

For implant prosthetic rehabilitation to be safe, long-lasting and good-looking, it is not sufficient for the surgical phase to be carried out in an irreproachable manner with quality implants. The patient will judge the overall result according to the appearance and functionality of the prosthesis. 


For this reason Sweden & Martina has developed a range of cutting-edge prosthetic solutions to allow the dentist to achieve excellence with maximum simplicity.

In implant-prosthetic rehabilitations, soft tissues play a very important role in maintaining bone levels. In particular, connective tissue has many functions, including defence, nutrition, support and the maintenance of aesthetic volumes. It is therefore important for the prosthetic components in direct contact with soft tissues to be devised and designed to permit these functions to be performed in the best possible way.
The XA range of prostheses has been developed precisely to satisfy this need, and the microgrooves present at the base of XA abutments promotes the attachment of connective fibres, creating a housing effect that protects the surrounding biological structures and maintains tissue stability over time.

The abutment Locators are a versatile prosthetic solution for attaching overdentures to dental implants easily and safely. The Locator system allows easily correcting misalignment of divergent implants by up to 40° (20° for each implant) in limited occlusal spaces and, given the limited amount of space occupied, is perfect for patients with removable prosthesis. The self-guiding design of the Locator Abutment head allows easy insertion and removal of the prosthesis by the patient every day. The self-alignment of the prosthesis reduces deterioration of the pieces and increases the life of the device. The Locator system also contemplates the combined use of a small metal cap, which remains permanently incorporated in the overdenture, and of replaceable nylon retainers that make maintenance very simple.

Transgingival healing screws, designed with a guiding cylinder that facilitates their insertion in the well, are available in different heights and with a straight or angled emergence profile. Each item has laser markings indicating the diameter and height, so that they are immediately recognisable.

For the impression and model phase, transfers are available for the traditional open and closed tray techniques, as well as the practical Pull-up transfers, made entirely of  radiopaque PEEK, which thanks to their retentive tabs allow an impression to be taken rapidly without using screws.

The SIMPLE prosthetic line offers practical and simple solutions for making temporary posts, which can be used in the conventional way after the bone healing period, or immediately after surgical insertion of the implants, if conditions exist for immediate loading. They can also be used as an alternative to the traditional transgingival healing screws for reconditioning the soft tissues, depending on the prosthetic protocol that is adopted. The repositionable and non repositionable versions allow both single and multiple prostheses to be managed with ease. The Simple post with base in titanium and body in PEEK, an extremely resistant and biocompatible polymer,  easy to drill even in the dentist’s chair, is the ideal solution to support cement-retained single crowns.

Premade posts, available in many straight and angled versions, for direct screw fixing or with a passing screw, in different transgingival heights and with a straight or angled emergence profile, are subjected to a controlled passivation process that changes their surface colour.  The result is a characteristic golden pale yellow colour. This colour is obtained through an oxidation process and, therefore, there is no type of coating, which allows combining the advantages of a highly biocompatible surface with prosthetic reconstructions that are very aesthetically pleasing.

Alongside millable posts, able to solve complex anatomical situations in terms of both narrow spaces and disparallel implants, there are two lines of millable posts designed for specific techniques: millable posts for the interceptive Technique, which have an emergence profile that simplifies  impression taking with closed tray technique and two wide faces that guarantee unequivocal repositioning, and SIMPLE millable posts that have a very wide emergence profile, adaptable to any anatomy obtained with SIMPLE temporary posts in the immediate conditioning phase.

B.O.P.T. Transgingival healing screw in titanium
They replicate the exact profile of B.O.P.T. millable posts, in order to avoid compressions and ischemias to the tissue. The profile is convex, unlike the one of traditional anatomical healing screws, which is concave.

B.O.P.T. millable post in titanium
The morphology of the B.O.P.T. millable post has been designed to allow both centric reduction and different options for the angle of the prosthesis without affecting the sturdiness of the supporting walls. In this way, 360° customisation of the post can be achieved.

Posts are provided with their own fastening screw, as per each different implant system, and with a cap for taking the impression.

For castings, both entirely castable solutions are available and castable posts for overcasting with an alloy base, highly biocompatible and with high resistance to corrosion.

Intermediate abutments come both in a PLAIN version, suitable for ensuring flat-to-flat support, and in the classic version, with a straight emergence profile and a small upper cone with a height of 0.70 mm, the same for all the connection diameters, which allows easy insertion and removal of the over-structures, even in case of slight disparallelism.

The P.A.D. systematics (Disparallel Screwed Prosthesis) was designed to facilitate the production of multiple screwed prostheses, even in the presence of very divergent implants and disparallel prosthetic emergences.
The P.A.D. angled abutments are the simplest and most predictable solutions for implants positioned in distal saddles with high inclination. The P.A.D. prosthetic system is very versatile, starting from the wide range of straight abutments (available in various transgingival heights of 1.5, 3 and 4 mm), angled abutments (available with angles of 30° and 17° and transgingival heights of 3 and 5 mm), and a complete range of components necessary for producing the over-structures.

P.A.D. prostheses for D.P.F. Technique (Direct Prosthetic Framework)

P.A.D. abutments have proven to be a valid support for creating various simplified prosthetic protocols, including the creation of temporary posts for full-arch implant rehabilitations with immediate loading with a very simple and safe procedure. The D.P.F. components have been specially developed for creating a castable resin structure directly in the oral cavity that is absolutely passive, not restricted by connection geometries and with the additional advantage of being made without errors due to the taking of the impression and the development of the model. The intra-oral cementing of the metal truss obtained subsequently by casting allows the times for inserting the reinforced temporary post to be reduced to 8 hours after the end of surgery, while still maintaining the important  properties of resistance and passivity during the first phase of implant loading.
The temporary post created in this way can also be used as a positioning stent for making the final prosthesis.

To anchor the overdenture to the implants, ball attachments are also available with respective male potions in Teflon, titanium, or with O-rings, and a wide range of accessories for making bars.

VIDEOS

Direct Prosthetic Framework

Direct Prosthetic Framework

Maxillary full arch on Premium implants and DPF tecnique on P.A.D. abutments

Maxillary full arch on Premium implants and DPF tecnique on P.A.D. abutments

Use of 3.0 Dynamic Abutment

Use of 3.0 Dynamic Abutment

Direct Prosthetic Framework

Direct Prosthetic Framework

Maxillary full arch on Premium implants and DPF tecnique on P.A.D. abutments

Maxillary full arch on Premium implants and DPF tecnique on P.A.D. abutments

Use of 3.0 Dynamic Abutment

Use of 3.0 Dynamic Abutment

Some products may not be regulatory cleared/released for sale in all markets.Please contact the local Sweden & Martina or distributor sales office for current products availability.

Related scientific publications

Guidi R., Viscioni A., Dattola F., Carinci F.

DENTAL IMPLANTS INSERTED IN NATIVE BONE: CASES SERIES ANALYSES

Dental Research Journal 2012;9:s175-180

In this retrospective analysis on 429 implants of 5 different types, Global implants showed greater survival and success, matched by less...

Lenzi C.C.

REGENERATION OF BONE DEFECTS IN EXTRACTION SOCKETS WITH DEPROTEINIZED BOVINE BONE. EVALUATION OF DIFFERENT SURGICAL PROCEDURES

Implantologia, 1: 51-59, 2009

Branchi R., Vangi D., Virga A., Guertin G., Fazi G.

RESISTANCE TO WEAR OF FOUR MATRICES WITH BALL ATTACHMENTS FOR IMPLANT OVERDENTURES: A FATIGUE STUDY

Journal of Prosthodontics, 19(8):614-619, 2010

Resistance to wear of four matrices with ball attachments for implant overdentures: a fatigue study. This study was conducted by the...

Cicciù M., Beretta M., Risitano G., Maiorana C.

CEMENTED-RETAINED VS SCREW-RETAINED IMPLANT RESTORATIONS: AN INVESTIGATION ON 1939 DENTAL IMPLANTS.

Minerva Stomatologica, 57(4):167-79, 2008

This extensive clinical study compared the result of the screwed prosthesis and cement-retained prosthesis in numerous case reports of...

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