infinitas-orthodontic mini implant system for an infinite number of anchorage applications. Infinitas mini implant system from DB Orthodontics. DB Orthodontics’ aim is to provide

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The simple yet comprehensive orthodontic mini implant system for an infinite number of anchorage applications.

Infinitas mini implant system from DB Orthodontics.

DB Orthodontics’ aim is to provide the Orthodontic profession with the most user friendly mini implant system.

We have strived for absolute perfection from the design stage to the manufacturing of the Infinitas mini implant system.

We are continually developing the system, working with leading Orthodontic experts to ensure that we meet the highest standards expected by todays Orthodontic profession.

In essence, the Infinitas mini implant system has been designed by an Orthodontist, for Orthodontists, so that precise, reliable bone anchorage can be achieved using as simple a clinical process as possible.

Infinitas mini implants system has been designed with Dr Richard Cousley who is a Consultant Orthodontist working in the UK hospital service and private practice. He has published papers and lectured widely on the technical aspects of bone anchorage, and developed the Infinitas mini implant system to overcome some of the limitations of existing mini implants, especially in terms of their lack of insertion precision and overly complex inventories.

A combination of clinical and computerised trials have proven that the Infinitas mini implant system is reliable and provides comfort to both patient and clinician.

Dr Richard Cousley

. International patent pending

. U.S. patent pending

. FDA cleared for sale

. CE MarkedWh

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(Image shown 1.5mm ø 9mm Shortneck Infinitas mini implant)

When deciding which mini implant system to purchase there are a number of considerations a clinician will take: How easily will auxiliaries such as closing coil springs or elastomeric chain attach to the head? How comfortable will it be for the patient? How easily will it integrate with my current treatment mechanics? Will I need to drill a pilot hole or will the mini implants self-drill?

With this in mind we have designed all components of the Infinitas mini implant system to meet all the indications for use as we hope to exceed the expectations of the clinician.

The contents of this literature will explain all the features of this sophisticated and intelligently designed system which has already made it the system of choice for many Orthodontists.

Unique head design for universal applications(patent pending)

4 All Infinitas mini implants are self drilling assuring easy insertion andmaximum stability.

Infinitas mini implants do not require a full pilot hole drilling as they have a self drilling thread.

During placement in dense cortical bone excessive torque is avoided with the use of the unique Infinitas bone punch. Details on page 5.

2 Transmucosal neck design

2.5mm

1.5mm

B) Two neck heightsShort neck for areas of thin mucosa.Long neck for areas of thick mucosa.

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3 A) Infinitas Unique Cutting thread continues to the transmucosal neck andtherefore through the cortical bone maximising contact and increasing mini implant stability.

B) The unique tapered design of the 1.5mm diameter mini implant ensures thatit can be placed interproximally and that engagement of the cortical bone is enhanced by the 2mm diameter at the correct aspect.

The head of the Infinitas mini implant is designed for easy and direct attachment of all forms of traction. Auxillaries, such as closing coils springs and elastomeric chain and .021x.025 rectangular wire are held, on one traction level, securely in the undercut of this sophisticated low profile head design.

In particular there is no need for custom made closing coil springs.

A) Angled Transmucosal Neckensuring patient comfort when inserted at any insertion angle.

Unique body design

Self drilling insertion technique

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Each insert fits into the standard handle

Screwdriver Insert

Infinitas mini implants are self drilling and when placed in keratinised gingiva can be placed directly through this tissue using the Infinitas screwdriver.

The internal fit of the Screwdriver securely holds the neck of the Mini-Implant during insertion.

Available as Standard size to fit into the Standard handle or Mini insert for use in a contra-angle speed reducing handpiece

Standard DB10-0021 - 51,45€Mini DB10-0026 - 52,29€

Standard HandleDB10-0020 - 183,75€The ergonomic design of the Standard Handle allows greater stability when placing Infinitas mini implants. The handle is used to hold each standard insert using a simple latch grip method.

The introduction of bone anchorage to Orthodontics has provided the clinician with an increasing number of innovative treatment possibilities.

It is our belief that such innovations should make orthodontic daily practice easier and in order to do this should integrate with minimal effort into both the practice and treatment; Infinitas has been designed to do just this.

Having only one multi-purpose head design simplifies the choice for the clinician and allows you to keep a low inventory. The use of the ergonomically designed standard handle, which houses the Screwdriver, Mucotome and Cortical bone punch inserts, makes the system cost effective for re-equipping and more comfortable for the clinician. The Guidance system, a simple lab technique explained overleaf, gives confidence for difficult access insertions or inexperienced clinicians as the 4mm insertion cylinder guides each of the inserts securely.

Acresce IVA à taxa legal em vigor.

Mucotome

The Mucotome Tissue punch is required for palatal or mobile mucosa insertions to cleanly remove a 2mm diameter window for mini implant placement.



Cortical Bone Punch

During placement in areas of dense cortical bone eg. posterior mandible and mid-palate it is beneficial to use the Cortical bone punch.

Only minimal force is required for the 1mm diameter and 2mm length of this insert to perforate the cortical bone reducing insertion torque and preventing slipping of the mini implant tip when being placed at an oblique angle.



Mini Screwdriver

DB10-0025 - 109,20€

For use in difficult areas such as the palate. The mini manual screwdriver allows the clinician to place mini implants whilst in full control of the insertion torque.

Cross section of bone.

Sterilisation Tray

DB10-0029 - 249,90€

The alluminium sterilisation tray is fully autoclavable and has been designed to securely house each of the inserts to ensure they will not be damaged in transit.

The tray also has an area for non sterile implants to be placed to avoid damage to the thread during sterilisation.


DB10-0025 Infinitas Mini Screwdriver (Manual)

DB10-0026 Infinitas Screwdriver Mini Insert

DB10-0027 Infinitas Mucotome Mini Insert

DB10-0028 Infinitas Cortical Punch Mini Insert

clinical kits

DB10-0020 Infinitas Standard Handle (each)

DB10-0021 Infinitas Screwdriver Standard Insert (each)

DB10-0022 Infinitas Mucotome Standard Insert (each)

DB10-0023 Infinitas Cortical Punch Standard Insert (each)

DB10-0029 Infinitas Surgical Aluminium Tray (each)

DB10-0001 - DB10-0008 Included in Non Sterile KitInfinitas mini implants. Non Sterile (x5)

DB10-0009 - DB10-0016 Included in Sterile KitInfinitas mini implants. Sterile (x5)

Complete Kits

Contents as Introductory Kit plus the following:

DB10-0060 - 1126,13€ StERIlE contains 5 sterile implants

DB10-0065 - 1060,50€non StERIlE contains 5 non sterile implants

DB10-0063 - 832,13€ StERIlE contains 5 sterile implants

DB10-0064 - 766,50€non StERIlE contains 5 non sterile implants

Introductory Kits

Contents:


Colour Coded

Diameter mm

Body Length

mm

Neck Non-sterile Sterile Typical Insertion Sites

1.5 6 short DB10-000129,98€

DB10-000945,15€

Anterior maxilla - perpendicular insertionsMandible - perpendicular insertions

1.5 9 short DB10-000229,98€

DB10-001045,15€

Anterior maxilla - buccal alveolusPosterior maxilla - all insertionsMandible - oblique insertions

1.5 9 long DB10-000429,98€

DB10-0012 Maxilla - palatal alveolus45,15€

2.0 6 long DB10-000729,98€

DB10-0015 Mid-palate45,15€

2.0 9 long DB10-000829,98€

DB10-001645,15€

Edentulous areasTemporary restorative abutment

mini implant selectionThe Infinitas System can be used to provide bone anchorage in virtually any maxillary/mandibular interproximal site and in the hard palate, although the most frequently utilised insertion site is buccal and mesial to the maxillary first molar. The insertion site is determined by individual anchorage demands and anatomical factors (e.g. bone quantity, root and sinus positions). The exact insertion site is selected by studying each patient’s dental model and radiographs (OPT and/or periapical views) together. General guidelines for usage are:

Not shown in diagram as used in Endentulous areas

DB10-0001/9 and DB10-0002/10 may be used in these areas


Infinitas is the only truly complete system featuring mini implants combined with highly specialised instruments and a unique 3D guidance system. The stent contains a guide cylinder which accurately guides all instrumentation to the prescribed position. Patented stent components, available in the Infinitas Guidance Kit, simplify the production of a 3D stent and ensure effortless and accurate mini implant insertion in any location.

the infinitas Stent Guidance System:

>>Provides a reproducible 3D insertion.

>>Provides stable insertion point (no slippage of implant tip on bone) during oblique insertion and especially helpful in difficult to access sites e.g. palate.

>>Reduces perforation risks.

>>Inspires confidence in implant novices and difficult access insertions.

>>Prescribes insertion details for other clinicians.

>>Reduces surgery time & stress!

Infinitas Guidance kit - 252,00€ DB10-0049R (Round Baseplates)DB10-0049S (Square Baseplate)

(Image above shows Infinitas Guidance Kit DB10-0049S)

DB10-0030 Infinitas Stent Analogue (packet of 5)

DB10-0031 Infinitas Stent Abutment (packet of 5)

DB10-0032 Infinitas Stent Guide Cylinder (packet of 5)

DB10-0035Analogue C/A Drill for Plaster Model (1 each)

DB10-0036Analogue S/T Drill for Plaster Model (1 each)

DB10-0037Analogue Lab Drill for Plaster Model (1 each)

DB10-0038 Analogue Screwdriver (1 each)

DB10-0040R -or

DB10-0040S - 7,35

Infinitas Baseplate 1.5mm -Round (packet of 5)

Infinitas Baseplate 1.5mm - Square (packet of 5)

DB10-0049 - 252,00€ Infinitas Plastic Guidance kit box

Guidance Kit Contains:(Product description and order information for individual components.)

Infinitas guidance kit


step

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Fold

Relieved

Use patient X-rays to determine site and angle of insertion.

1

Use patient model to mark insertion site.

2

Drill pilot hole for analogue at pre-planned angle.

3

Place the Infinitas Analogue Screw in the patient model using Analogue screwdriver.

4

Position Abutment onto Analogue.

5

Place Guide Cylinder over Abutment.

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Model placed in pressure/vacuum forming machine with Guide Cylinder in vertical position.

7

Formed thermoforming baseplate over the model and assembled guidance components.

8

Remove baseplate from the model. (NB. Cold cure acrylic can be used to reduce flexing of the guidance cylinder to the Infinitas baseplate if required.)

9

Trimmed baseplate to form Stent with both superficial end and fitting surface of guide cylinder relieved.

10

The guidance system enables you to fabricate wire attachments in advance of the clinical stage.

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AnalogueA metal alloy duplicate of the Infinitas mini implant.

AbutmentA precision fit soft metal alloy extension of theanalogue head.

Guidance CylinderA poly carbonate tube with aninternal diameter of 4mm providing precision fit for all Infinitas clinical instruments (standard and mini)

Key Components

Educational CD-RoMContains clinical application of placing Infinitas mini implant and laboratory application of producing a stent.

DB10-0073

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local anaesthetic application (blanch mucosa)

Soft tissue punch (thick/loose mucosa only)

Chlorhexidine mouthwash for 60 sec.

Cortical bone punch (posterior/mandible/mid-palate only)

Mini implant insertionSlow stabilised hand insertion. If resistance high, then pause for 10-20 seconds after each

full turn. With hand piece insertion keep speed below 100rpm.

IMPLANT FIRM ON INSERTION IMPLANT MOBILE ON INSERTION

Option 1 - choose another site for insertion.

Option 2 - use 2mm diameter (if space available) or 9mm length.

Option 3 - insert elsewhere or wait minimum 4 weeks to insert at same site.

Chlorhexidine mouthwash for 30 sec.

Parallel cone periapical view to confirm mini-implant position without root contact.

Mini implant loading

Always load lightly at insertion visit (esp. if low torque experienced), e.g. powerchain. Use NiTi coil spring or elastomeric on subsequent visits.

Patient instructions

Chlorhexidine mouthwash daily for 5 days / Analgesia prn / Brush gently around mini implant head twice daily (but NOT with an electric toothbrush) / DO NOT manipulate with tongue or

fingers / Return if mobility or pain arises (after 1st 24 hours)

Complete written notes with following details - length / body diameter / neck length of mini implant / area of insertion / records taken / any comments on insertion & clinical stability /

type of traction or force levels used / patient instructions.

DB10-0073

Acresce IVA à taxa legal em vigor.Acresce IVA à taxa legal em vigor.


Clear Chain - 12,84€High elasticity and excellent rebound medical grade polyurethane. Sold on 15ft reel.

Mini implant Educational Model - 231,00€ Clear soft model with two mini implants placed.DB10-0071

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Crimpable Split Hooks - 22,79€These split hooks and stops allow for easy and precise placement without having to remove the archwire. Crimp tubes create strong, non-sliding lock with the archwire and remain firmly in place during treatment. Sold in packs of 10.

E-link Modules - 18,90€Excellent for rotating individual teeth and connecting bracket hooks. Provide continuous gentle forces. Clear in packages of 100 modules. Sizes: 3.7 mm, 4.4 mm, 5.8 mm, 8.3 mm.

Assorted DB03-0031

3.7mm DB03-0032

4.4mm DB03-0033

5.8mm DB03-0034

8.3mm DB03-0035

Force 9mm 12mm

Light DB41-0150 DB41-0151

Medium DB41-0200 DB41-0201

niti Preformed Springs - 32,34€Nickel Titanium Preformed Springs close or open spaces at a level which is unapproachable with stainless steel springs. Sold in packs of 10.

Closed DB03-0011

Open DB03-0013

Open long DB03-0015

Curved hooks left

Curved hooks right

DB22-0480

DB22-0481


Incisor IntrusionThis was an adult patient with absent upper left canine and upper right 1st premolar teeth and previous aggressive periodontal disease. Limited treatment was undertaken for maxillary arch alignment and levelling, whilst avoiding extrusion of the buccal teeth, and this then enabled placement of a bonded retainer. Infinitas mini implants were used to maximize intrusion of the incisors and overbite reduction. These were 1.5mm diameter and 6mm body length versions. Direct traction was applied using powerchain to the lateral and then central incisor brackets.

Intermaxillary TractionThis 15 year old boy presented with a Class II division 2 malocclusion, absent lower right 1st premolar and significant displacement of the lower centreline to the right side. Extraction of the upper right 1st premolar was then required to achieve a Class I buccal occlusion and incisor relationship. Initial fixed appliance treatment involved re-opening the lower right premolar space as the labial segment was advanced in order to normalise the lower centreline and reduce the deep overbite. Full anchorage support was then required for mesialisation of the lower molar teeth and subsequent use of class III traction (to preserve the upper centreline).

A 1.5mm diameter 9mm body length Infinitas mini implant was inserted mesial to the lower right canine (once this tooth was in the correct position) following simple manual perforation of the mandibular cortex using the Infinitas bone punch. Direct traction was applied to the 1st molar attachment hook using elastomeric modules until the 1st premolar space was closed. An inter-maxillary elastic was then worn full-time from the mini implant to the upper right 1st molar hook. Hence, full control was achieved over space closure in relation to preserving the lower, and then the upper centreline corrections.

Indirect AnchorageHypodontia patients frequently have inadequate alveolar bone volume in the areas where permanent teeth fail to erupt. Therefore, mini implants are better inserted in more apical positions as shown in this case where the upper canines erupted in very distal positions. 9mm body length, 1.5 mm diameter mini implants were inserted to assist with mesialisation of the molar teeth. Indirect anchorage was utilised by securing a 19x25 steel wire through the Infinitas head (with composite) and a cross-slot placed on the main archwire.

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Molar IntrusionThis adult patient was originally scheduled for posterior maxillary impaction to correct her anterior open bite. Instead, after initial alignment, Infinitas mini implants were used for intrusion of the upper buccal segments. Extraction of the premolars was also undertaken, but no space closure was undertaken until incisor contact had been achieved. The patient also had extraction of the 3rd molars once the intrusion was proceeding successfully. Prior to this a significant step had developed between the 2nd and 3rd molar crowns, as the former teeth were intruded.

A 1.5mm diameter 9mm body length, long neck mini implant was inserted bilaterally in the palatal alveolus between the 1st and 2nd molar palatal roots (after removal of a circle of mucosa using the Infinitas mucotome). Direct elastomeric traction (to bonded cleats) on the molars produced differential elevation of their palatal cusps (as well as bodily intrusion), whilst arch constriction was counteracted by archwire expansion. Some over-correction of the anterior openbite was achieved as evidenced by posterior openbites at debond.

The pre and post-intrusion lateral radiographs demonstrate the alteration in the maxillary occlusal plane and also the resulting favorable mandibular auto-rotation (and pogonion advancement).

Molar MesialisationThis adult male required orthodontic decompensation and then a mandibular setback osteotomy to correct his Class III malocclusion. The lower right 1st molar had a poor prognosis yet space closure would normally be contra-indicated by the need to advance the lower incisors pre-operatively. Conventionally the lower 3rd molar would also be removed during this jaw surgery. Therefore, it was planned to close the 1st molar space by pre-operative mesialisation of the adjacent molars and hence preserve the 3rd molar in this quadrant.

Normally one mini implant (placed in the premolar area) would suffice for mesio-distal anchorage, but a 2nd was added here because space closure was greatly complicated by a substantial loss of alveolar height in the 1st molar area. The Infinitas mini implants were 1.5mm diameter, and had 6mm and 9mm body lengths, inserted buccal and mesial to each premolar root.

Direct traction was applied, via elastic modules, to both a free-sliding powerarm (distal to the 2nd molar) and to the 3rd molar bracket hook. These powerarms enable better bodily movement of teeth with fewer side-effects such as archwire binding.

Clin

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esIncisor RetractionThis 16 yr old boy presented with a Class II division 1 malocclusion with an absent lower right 2nd molar, moderate anterior crowding, and both centrelines displaced to the left side. Therefore, it was ideal that both upper and lower right canines be retracted for both overjet reduction and centreline correction, but without loss of a further tooth from the lower right quadrant.

The treatment plan included extraction of the upper right 1st premolar and using a mini implant, inserted buccal and mesial to the upper right 1st molar, for direct anchorage. Distalisation of the lower right buccal segment was undertaken using a mini implant placed immediately mesial (and buccal) to the lower right 1st molar. One 1.5mm diameter, 9mm length short neck Infinitas mini implant was inserted in each right quadrant in a self-drilling manner, following initial perforation of the mandibular cortex using the Infinitas manual bone punch.

Elastic modules were used for direct retraction of the upper right canine and then the whole labial segment. In the lower arch, a laceback connected the mini implant to the nearby canine bracket during initial alignment. Simultaneous distalisation of the posterior teeth occurred such that further active traction was not required in this quadrant.

Direct Molar DistalisationThis 13 year old girl had previous surgical exposure of both upper central incisors and removal of severely hypoplastic 2nd molars. The treatment plan could not be finalized until the incisors were brought into the arch, when it became clear that she needed overjet reduction (from 8mm) and correction of ¼ and ½ unit class II buccal segment relationships. Asymmetrical distalisation of the maxillary arch was indicated, but class II elastic traction was contra-indicated because of the short upper incisor root lengths.

A 1.5mm diameter, 9mm body length long neck Infinitas mini implant was inserted, palatal and mesial to the upper 1st molar palatal roots, following removal of a circular piece of mucosa using the Infinitas mucotome. A 3D Infinitas stent was used for accurate positioning of the mini-implants by directly guiding the slow handpiece-driven instruments.

Direct traction was applied to hooks bonded onto the 1st premolar palatal surfaces, and then indirectly to the incisors via labial elastic chain. The buccal teeth were distalised by up to 4mm. Therefore, this case demonstrates the benefit of a customised stent for accurate insertion of mini implants, and the flexibility of this palatal approach for direct distalisation of up to ½ unit.

Tooth Movements and Fixation Without the Use of Fixed AppliancesBoth of these adult patients required orthognathic surgery, but inter-maxillary fixation (IMF) from fixed appliances was contra-indicated because of insufficient root lengths and poor periodontal support. Consequently, multiple mini implants were inserted intra-operatively in both arches for immediate bone-supported IMF (shown here using powerchain fixation). These remained in situ post-operatively until it was clear that no remedial traction was required.

The 2nd patient then required intrusion of an over-erupted upper canine so that the lower arch could be levelled post-operatively. Two 1.5mm diameter, 6mm body length mini implants were inserted mesial and distal to this canine, and powerchain intrusive traction utilised. Subsequently an inter-maxillary elastic was used to extrude the lower buccal teeth, whilst the canine intrusion was allowed to relapse slightly.

Infinitas Mini Implant Courses

The key to successful mini implant placement is knowledge and experience. Our course aims to equip orthodontists with the theoretical and practical knowledge for mini implant anchorage in a wide variety of clinical scenarios, as well as practical experience of placement in bony-like material to simulate actual placement.

Objectives of the course;

>>To consider the history and realise the varied clinical applications of bone anchorage

>>To critically appraise the literature evidence on mini-implant techniques.

>>To explain the design, benefits and clinical usage of the Infinitas mini implant system.

>>To provide practical in vitro teaching on the use of the Infinitas system.

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Recent responses from doctors attending the Infinitas Courses:

”“An excellent and well balanced course, good information regarding technical aspects of the system and its evidence based background

Well presented and engaging with good balance of evidence and clinical tips, would feel happy placing implants now”“

Much appreciated, good, simple well thought design. Liked the attach ability of the screw head ”“

DB Orthodontics will be running Infinitas mini implant Courses throughout the year see www.infinitas-miniimplant.com for details and registration.

Very informative, good for beginners through to advanced user. It has encouraged me to have a go”“

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DB Orthodontics Limited

Ryefield Way Silsden West Yorkshire

BD20 0EF United Kingdom

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Infinitas Mini Implant is a Registered Trademark of DB Orthodontics Limited.

infinitas-orthodontic mini implant system for an infinite number of anchorage applications. Infinitas mini implant system from DB Orthodontics. DB Orthodontics’ aim is to provide

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