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SWISS PRECISION AND INNOVATION.SWISS PRECISION AND INNOVATION.
SPIVARIOSPIRETAINfor screw-retained restorations and hybrid dentures
Prosthetic procedure
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Notes
RESPONSIBILITY/LIABILITY As part of an overall scheme, Thommen implants
may be used only with the original components and instruments in accordance with
the manufacturer s instructions. The use of unapproved components from other
systems can cause malfunctioning of the implants and abutments and lead to im-
plant failure. The use of the product is the responsibility of the user and, as such,
beyond the control of Thommen Medical AG. We refuse to accept any responsibil-
ity or liability for any damage due to incorrect utilization of the product.
Products labeled For Single-Use Only may not be refurbished and/or reused. The
refurbishment and/or reuse of these products can affect its function (fitting and/or
cutting properties) as well as its safe use (risk of infection, fading of the laser or co-
lor marks, corrosion). Detailed information about the possible consequences,
which may result from negligence to follow this information, is available from your
dealer.
GUARANTEE OF STERILITY OF STERILE PRODUCTS Products of the Thommen
Implant System supplied in sterile packaging must not be resterilized. If the sterile
packaging is damaged during transport or storage, the product must not be used.
Products that have been opened and have not been immediately used for the in-
tended operation must not be used thereafter. After resterilization, the safety, function
and efficacy of the product cannot be guaranteed by the manufacturer.
STORAGE Plastic parts must be stored at room temperature and protected from
exposure to strong light or high heat.
INSTRUCTIONS FOR USE The following information is not intended as compre-
hensive for the Thommen Implant System. New customers are advised to undergo
training by a specia list exper ienced in the use of this system.
VALIDITY This product catalogue replaces all previous editions.
PRODUCT DOCUMENTATION You can find detailed information on the handling
of Thommen implants in our brochures. Ask our national representatives for prod-
uct brochures and instructions for use.
AVAILABILITY NOTE Not all products shown in this brochure are available in all
countries. For further information please contact our subsidiary or distributor in
your country.
COPYRIGHT/REGISTERED SPI, INICELL and APLIQUIQ are registered
trademarks of Thommen Medical AG. Publication or reproduction is permitted only
with the written consent of Thommen Medical AG.
COLORED WARNING STICKER
Application was changed follow the instructions in the corresponding documen-
tation.
New design the application has not been changed.
EXPLANATION OF SYMBOLS
Batch code
Use by date
Date of manufacture
Sterilized using irradiation
Upper limit of temperature
Do not re-use
Non-sterile
Caution
Catalogue number
Consult instructions for use
Do not resterilize
Do not use if package is
damaged
Atmospher ic pressu re l imi tat ion
Manufacturer
COLOR CODE Each implant platform di-
ameter has a color code, which can be
found on a ll implant packs (with the excep-
tion of SPIDIRECT), on the impression
items and on most diameter-specific instru-
ments.
Yellow = platform3.5 mm
Green = platform4.0 mm
Blue = platform4.5 mm
Grey = platform5.0 mm
Violet = platform6.0 mm
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Thommen Medical 3
Contents
Thommen prosthetics 4
Impression at implant level 6
Impression SPIDIRECT 10
SPISELECTION
for case planning 12
SPITEMPORARY
for temporary restorations 15
SPIVARIO
for occlusal screw-retained restorations 18
SPIVARIO T
for transversal screw-retained single crowns 24
SPIRETAIN
for hybrid dentures 28
Abutment screws 35
SPIMONO torque ratchet 37
Care, maintenance, sterilization 40
Product overview 42
General instruments 46
Torque values 47
Other prosthetic systems, including SPIVARIOmulti, SPIEASY, SPIART and ZEST LOCATOR, are
covered in separate brochures that are available upon request.
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4 Thommen Medical
Thommen prosthetics
The comprehensive range of Thommen prosthetics affords maximum flexibility and ease in the fabrication
of cemented and screw-retained restorations, and hybrid dentures.
This manual describes prosthetic procedures for SPIVARIO, SPIVARIO T, and SPIRETAIN.
Thommen implants
SPIELEMENT, SPICONTACT, SPIONETIME SPIVARIO for occlusal screw-retained solutions
The minimal height allows for versatile use in restricted
spaces. The plastic cylinder is easy to shorten to the
desired height which guarantees precise, simple, and
rapid pattern fabrication.
Custom-made abutments for cemented restorations
can be fabricated as well.
VARIO gold abutments are available with a hexagon
connection for single crowns and a cone connection
for bridges.
VARIO
gold abutments
PF 3.5 / 4.0 / 4.5 / 5.0 / 6.0 mm
SPIDIRECT SPIDIRECT for immediate loading
DIRECT implants have an integrated abutment for
a one-stage surgical approach. These implants are
designed exclusively for bar constructions intended
for immediate loading.
Thanks to the one-stage procedure and immediate
loading being possible, treatment time and stress
experienced by the patient are minimized.
Gold and titanium copingsfor bar constructions
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Thommen Medical 5
PIVARIO Tfor transversal screw-retained single crowns SPIRETAINfor hybrid dentures
he transversal lingual screw allows a conditionally remov-
ble solution, even in the region of the anterior teeth, with
o esthetic compromise.
he prefabricated gold blank for direct ceramic application
nsures precision at the margins and saves time since no
etal has to be cast.
The RETAIN product range provides the ideal solution for
the edentulous jaw from reasonably priced retentive
anchors and bar constructions to individually milled
abutments.
Retentive anchor
PF 4.0 / 4.5 / 5.0 mm
Bar abutments
PF 3.5 / 4.0 / 4.5 / 5.0 mm
Milling abutments
PF 3.5 / 4.0 / 4.5 / 5.0 / 6.0 mm
ARIO T
butment and gold blank
F 3.5 / 4.5 / 5.0 / 6.0 mm
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6 Thommen Medical
Impression at implant level
After successful osseointegration of the implant and soft-tissue condition-
ing, remove the healing cap or gingiva former.
Clean and dry the internal connection of the implant thoroughly before
placing the impression coping.
Select the appropriate retentive impression coping:
The conical impression copings closely mimic the emergence profile of the
EASY abutments, while the cylindrical impression copings are suitable for
cases with minimal mesial-distal space. Retentive impression copings are
available in 10 mm and 16 mm lengths.
Place the retentive impression coping in the internal connection of the
implant. Where occlusal space is limited, the retentive impression coping
can be shortened accordingly. At least 1 retention ring must be maintained.
In particular where the space is limited by the adjacent teeth, the following
instruments may simplify the insertion of the impression coping in the inter-
nal connection of the implant:
Art. no. 3.03.522, positioning handle
Art. no. 3.03.550, crown holder
Art. no. 3.03.527, tweezers
Secure the impression coping using the appropriate impression screw (see
table page 42).
If the impression coping was shortened, the suitable length of impression
screw is determined by the impression tray height and/or the available
occlusal space.
Caution
Any rough or sharp edges produced by shortening the impression coping
must be removed with a suitable grinding/polishing tool.
Examples of impression coping/impression screw variations based on
PF4.0 mm.
Using retentive impression copings, screw-retained
(open-tray technique)
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Thommen Medical 7
Modify an impression tray (rigid or custom) to allow access to the
impression screw.
Make the impression using an elastomer impression material (polyvinylsiloxane
or polyether rubber). Hydrocolloid and alginate are not suitable for this
procedure.
Once the impression material is completely set, remove the impression
screw from the implant and take out the impression.
The impression coping remains in the impression material.
Include the impression screw when sending the impression assembly to the
dental technician for fabrication of the master cast in the laboratory.
Master castfabrication
Determine the platform diameter as indicated by the color coding. Place an
implant level analog on the impression coping. Hold the analog firmly in
position to prevent the impression coping from turning while tightening the
impression screw.
Fabricate the master cast. Type 4 (improved dental stone) is recommended
for master cast fabrication.
Note
A gingival mask may simplify pattern fabrication and improve emergence
profile.
Impression copings made of titanium are designed for multiple use.
However, they need to be replaced if: damage or signs of wear are evident in or on the connection geometry
the color of the impression coping is no longer easily identifiable due
to repeated maintenance cycles
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8 Thommen Medical
After successful osseointegration of the implant and soft-tissue condition-
ing, remove the healing cap or gingiva former.
Clean and dry the internal connection of the implant thoroughly before
placing the impression coping.
Select the short or long repositionable impression coping according to
available occlusal space and soft tissue height. The conical impression
copings closely mimic the emergence profile of the EASY abutments.
Place the repositionable impression coping in the internal connection of the
implant. In particular where the space is limited by the adjacent teeth, the
following instruments may simplify the insertion of the impression coping in
the internal connection of the implant:
Art. no. 3.03.522, positioning handle
Art. no. 3.03.550, crown holder
Art. no. 3.03.527, tweezers
Secure the impression coping using the appropriate impression screw (see
table page 42).
The protruding screw head prevents the impression material from flowing
into the screw channel of the impression coping.
A custom-made tray is recommended for use with the repositionable
impression coping.
Make the impression using an elastomer impression material (polyvinylsiloxane
or polyether rubber). Hydrocolloid and alginate are not suitable for this
procedure.
Using repositionable impression copings,
screw-retained (closed-tray technique)
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Thommen Medical 9
Master cast fabrication
Carefully remove the impression from the impression copings which will
remain on the implants. Thereafter remove the impression screws and copings
from the implants.
The repositionable impression coping must be submitted to the dental tech-
nician for fabrication of the master cast in the laboratory.
Replace the impression screw with the corresponding abutment screw (art.
no. 4.03.500 for PF 3.5 mm and art. no. 4.03.501 for PF 4.06.0 mm)
and secure the analog to the repositionable impression coping.
Position this unit in the impression again, taking care to align the impression
coping correctly.
Fabricate the master cast. Type 4 (improved dental stone) is recommended
for master cast fabrication.
The short height of the abutment screw eliminates any possible interference
that could occur with the taller impression screw. This technique ensures
accurate repositioning of the impression coping in the impression.
Note
A gingival mask may simplify pattern fabrication and improve emergence
profile.
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10 Thommen Medical
Impression SPIDIRECT
The DIRECT removal screw or closure screw must be removed from the
implant before taking an impression. Thoroughly clean and dry the internal
configuration.
Place the impression coping for bar directly on the cone of the DIRECT
implant using the 4-lobe screwdriver. Apply some occlusal pressure to the
impression coping to keep the integrated holding pin in place.
Make the impression using an elastomer impression material (polyvinylsilo-
xane or polyether rubber). Hydrocolloid and alginate are not suitable for this
procedure.
The impression coping will remain in the impression throughout the
procedure.
Carefully position the DIRECT analog into the impression coping with a
gentle twist. Check to ensure complete seating and stability of the analog
and fabricate the master cast.
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Thommen Medical 11
Carefully pour the impression in type 4 (improved dental stone).
Use caution not to dislodge the analogs during the procedure.
Note
Fabricate the bar on the DIRECT analogs in accordance with the case
plan and instructions regarding RETAIN bar abutments (see page 28 and
subsequent pages).
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12 Thommen Medical
SPISELECTIONfor case planning
Advantages at a glance
Fast and accurate verification of the appropriate abutment
type and size for each case
Snap-in retention for quick placement and removal
Suitable for both intraoral and laboratory use
Color coded for quick and easy identification
The SELECTION abutments from the Thommen Implant System are a
convenient tool for case planning and abutment selection in the clinical and
laboratory setting. A series of SELECTION abutments may be placed on the
implants or analogs to choose the optimal gingiva collar and cone height
from the available abutment range, and to observe other spatial aspects.
The SELECTION abutments have an integrated retention pin that secures the
SELECTION abutment on the implant or analog without requiring the use of
a screw.
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Thommen Medical 13
Simple identification
All SELECTION abutments have an S before the article number, which
stands for SELECTION.
The article number after the S corresponds to the article number of the
actual abutment which simplifies the ordering of the abutment needed.
The VARIO Selection abutments are available only in the cone connection
version for bridges. They can be used equally well for the design of bridges
and single crowns.
The lower edge of the circular undercut on the VARIO Selection abutment
indicates both the junction between gold abutment and plastic cylinder and
the minimal construction height.
The VARIO Selection abutments indicate both the article number of the VARIO
abutment for bridges and the article number of the VARIO abutment for
crowns.
The VARIO T Selection crown is a replica of the assembly consisting of a
VARIO T gold blank and a VARIO T abutment. The lower edge of the circular
undercut on the VARIO T Selection abutment indicates the minimal construc-
tion height.
The S article number given refers to the VARIO T gold blank only.
The VARIO T abutment must be ordered separately.
Example
Bar Selection abutment Art. no.S.4.03.388
Bar abutment Art. no. 4.03.388
VARIO T gold blank Suitable VARIO T abutment
PF 3.5 mm VARIO T abutment for single tooth, art. no. 4.03.370
PF 4.5/5.0/6.0 mm VARIO T abutment for single tooth, art. no. 4.03.371
Note
The SELECTION abutments can be handled and placed using one of thefollowing instruments:
Art. no. 3.03.522, positioning handle
Art. no. 3.03.550, crown holder
Art. no. 3.03.527, tweezers
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14 Thommen Medical
Information regarding the use of SPISELECTION abutments
SELECTION abutments must not be waxed-up, because the dimensional
tolerances of these components differ from those of actual abutments.
SELECTION abutments are intended for case planning purposes only. They
may be used in the mouth of the patient only after wound healing is com-
pleted and only momentarily.
Cleaning of SELECTION abutments:
SELECTION abutments must be cleaned thoroughly immediately after intra-oral use. It is particularly important to clean the abutment channel. The
SELECTION abutments must be disinfected with disinfection agent and
sterilized in an autoclave. If the abutment channel appears heavily contami-
nated, the retention pin should be removed to allow proper cleaning and
replaced with a new one.
All SELECTION abutments are prefitted with retention pins made of the plas-
tic material, PPSU, which can be subjected to sterilization. This design ensures
fixation of the SELECTION abutments on the implant or the analog without
a retaining screw. The retention pin has the 4-lobe design. This makes it
possible to pick up and insert the SELECTION abutment using the corre-
sponding screwdrivers.
Retention pins are available as spare parts for PF 3.5 mm (art. no.
2.03.800Q4) and for PF 4.06.0 mm (art. no. 2.03.801Q4).
The convenient organizer box (art. no. 8.03.021) can be used for storage of
all SELECTION abutments in a clearly arranged fashion.
A Art. no. 2.03.800Q4
B Art. no. 2.03.801Q4
A
B
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Thommen Medical 15
SPITEMPORARYfor temporary restorations
Advantages at a glance
Temporary restorations can be fabricated intraorally,
or in the laboratory
Especially well suited for the esthetically important
anterior region
Available with hexagon connection for single crowns,
or cone connection for bridges
Includes a fabrication screw for pattern fabrication
TEMPORARY abutments may be used for provisional restorations until the
final restorations are ready for placement. These can also be used as the
basis for customized soft-tissue conditioning.
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16 Thommen Medical
Indications
Abutments for temporary crowns (with hexagon connection) are for use
with single teeth only. They cannot compensate for axial divergences.
Abutments for temporary bridges (with cone connection) are for use
with bridges or splinted constructions only. Axial divergences of up to
30 can be bridged.
Processing instructions for manufacture of the superstructure
In-mouth fabricationSecure the selected temporary abutment on the implant using an abutment
screw.
If the height of the abutment prevents maximal intercuspidation, reduce the
cylindrical part, i.e. the screw channel. The opposing tooth must be kept
from being in occlusal contact with the abutment.
The temporary abutment may be fabricated using the impression, a vacuum-
formed matrix or a prefabricated crown form.
Seal the occlusal screw channel opening with wax to prevent liquid plastic
material from flowing into the screw channel. Alternatively, and if occlusal
space permits, the abutment screw may be replaced with the fabrication
screw (lightly coated with Vaseline) before the liquid veneer material is
applied and cured. This method will also keep the screw channel open.
Remove the temporary abutment from the mouth after polymerization is
complete. Fill any remaining voids, refine contours, smooth and polish.
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Thommen Medical 17
Laboratory fabrication
Secure the temporary abutment on the analog using an abutment screw. If
the height of the abutment prevents maximal intercuspidation, reduce the
cylindrical part, i.e. the screw channel. The opposing tooth must be kept
from being in occlusal contact with the abutment.
For esthetic reasons, it is preferable to fabricate the temporary restoration
using prefabricated plastic denture teeth.
A matrix should be fabricated using plaster or silicone. Replace the abutment
screw (art. no. 4.03.500 for PF3.5 mm, art. no. 4.03.501 for PF4.0 6.0 mm)
with the supplied fabrication screw. The screw must only be tightened lightly
by hand using a maximum tightening torque of 5 Ncm. The screw serves astemporary fill-in while the plastic veneering material is being processed and
ensures that the screw channel remains open. Lightly coat this screw with
Vaseline before polymerization.
The fabrication screw supplied is made of black anodized aluminum and
designed exclusively for single use as a modeling aid. It must not be used
for permanent insertion of the temporary restoration in the mouth of the
patient.
The abutment screw used in the laboratory must not be used for definitive
insertion of the temporary restoration in the mouth.
The serviceable life of the temporary abutment in the mouth of the patient
is one year due to its limited mechanical long-term stability.
In order to reduce the forces acting on the abutment, the finished tem-
porary restoration must be out of occlusion.
Only new abutment screws (art. no. 4.03.500 for PF 3.5 mm, art. no.
4.03.501 for PF4.0 6.0 mm) may be used for final placement of the tem-
porary restoration.
Use a torque value of 15 Ncm (PF 3.5 mm) or 25 Ncm (PF4.0 6.0 mm)
to tighten the abutment screw.
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18 Thommen Medical
SPIVARIOfor occlusal screw-retained restorations
Advantages at a glance
Minimal height creates restorative options even if the
available occlusal space is limited
Direct connection to the implant, no intermediary parts
needed
Easy shortening of the plastic cylinder to the desired height
Option of fabricating custom-made abutments
Prefabricated connection geometry and screw seat made
of (nonoxidizing) high gold content alloy
VARIO gold abutments are used to fabricate occlusal screw-retained
solutions. Restorative options include single crowns, custom abutments
and multiunit bridge restorations. They consist of a nonoxidizing cast-on
alloy base and a plastic cylinder that forms the screw channel. The plastic
cylinder will be incorporated into the pattern and leave no residues after
burn-out.
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Thommen Medical 19
Indications
VARIO gold abutments for crowns (with hexagon connection) are
for use with single tooth reconstructions and custom abutments.
They are not suitable for bridges because axial divergences cannot
be compensated.
VARIO gold abutments for bridges (with cone connection) are for use
with bridges and splinted constructions. Axial divergences of up to 30
can be bridged.
Processing instructions for fabrication of the superstructurePlace the VARIO gold abutments on the analogs and secure them using the
matching abutment screws.
Shorten the height of the plastic cylinder such that maximum intercuspida-
tion is possible. Avoid any occlusal contact between the plastic cylinder and
the opposing tooth.
The minimum construction height of VARIO gold abutments for bridges and
for crowns is 2.5 mm.
Gold 60 %Platinum 24 %
Palladium 15 %
Iridium 1 %
Material specification
VARIO gold abutments
Nonoxidizing precious metal cast-on alloy
Melting interval 14001460 C
WAK 25600 C 12.8 m/mk
2.5 mm
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20 Thommen Medical
Initiate pattern fabrication with wax modeling. If ceramic veneer is to be
applied to the framework, a minimum thickness of 0.3 mm of casting alloy
must remain over the VARIO gold abutment after framework finishing. It is
advisable to allow additional wax thickness for casting and finishing.
Please refer to the information provided by the alloy manufacturer for
additional technical information.
Since the VARIO gold abutment does not form an adhesive oxide layer, the
ceramic veneer must not come in contact with the VARIO gold coping.
Porcelain that directly contacts the VARIO gold coping will result in bonding
problems.
In order to prevent casting errors and casting flash, the 0.5 mm collar of the
VARIO gold coping must not be covered in wax.
The 0.5 mm collar and all machined surfaces of the gold abutment must be
scrupulously clean before investing.
The finished pattern should be sprued in preparation for investing.
Conventional and indirect spruing techniques that place the pattern above
the thermal zone will facilitate proper mold fill and alloy solidification.
Do not use any wax surfactant.
A phosphate bonded investment material is recommended. Please refer to
the instructions of the manufacturer of the investment material.
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Thommen Medical 21
After casting, allow the casting ring to cool slowly to room temperature.
Carefully devest the framework using suitable means, e.g. ultrasound, a water
jet, pickling solution or a glass fiber brush.
Connection geometry and screw channel must not be sandblasted under
any circumstances. Modification of the precision connection will jeopardize
the long-term success of both the prosthetic solution and the implants.
The screw seat must not be reworked under any circumstances. The seat
of the abutment screw would thus be shifted deeper into the internal con-
figuration and the mechanical stability of the abutment would no longer be
guaranteed.
If minor casting flash is detected on the machined mating surface of the
base, this surface can be smoothed-off using the corresponding VARIO
reamers for base, preferably under a microscope.
If any casting errors or other forms of damage are detected, in particular
related to the screw seat or connection geometry, the work must be redone.
Special care must be taken when polishing the VARIO collar. In order to
reduce the risk of damaging the collar, an analog should be secured to
protect the connection geometry.
The minimal wall thickness of the cast-on fuse-on alloy must be no less than
0.3 mm after the finishing of the cast superstructure. Exposed sites of the
VARIO gold abutment may lead to fissures in the ceramic veneer.
New abutment screws must be used for permanent insertion of the resto-
ration in the mouth. Always follow the recommended torque values of
15 Ncm in the case of Thommen implants PF 3.5 mm and 25 Ncm in the
case of PF 4.06.0 mm.
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22 Thommen Medical
Clinical case
The VARIO gold abutment for crowns can also be used for fabricating a
custom-made abutment as base for cemented restorations.
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Thommen Medical 23
Case images used with kind
permission of Cesare Ferri, dental
technician, Rome, Italy.
Temporary restoration on
the master cast.
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24 Thommen Medical
SPIVARIO Tfor transversal screw-retained single crowns
Ceramic-veneered single crowns can be made with VARIO T in a time-
saving and highly accurate fashion. VARIO T consists of an abutment with
a hexagon connection and a gold alloy blank that accepts direct ceramic
application. The prefabricated components ensure a precise fit at the
margin and no esthetic compromises.
Advantages at a glance
Removable restoration (conditionally)
No esthetic compromises in the region of the anterior
teeth
Time savings since there is no casting required
direct ceramic application
Precise fit at the margin
No occlusal screw hole
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Thommen Medical 25
VARIO T
lingual/
palatinal
buccal
Indication
Single tooth restorations
Processing instructions for fabrication of the superstructure
For a VARIO T restoration, the implant hexagon is placed such that the
transversal screw access hole is directed towards lingual/palatinal.
Secure the VARIO T abutment on the analog using the abutment screw.
Secure the VARIO T gold blank on the abutment using the transversal screw.
It is recommended to indicate the location of the VARIO T transversal screw
access hole on the master cast.
In order to protect the connection geometry during the grinding of the
VARIO T gold blank, the gold blank must be secured to the VARIO T abut-
ment on the analog. The gingival edge of the VARIO T gold blank must not
be shortened. A fine gold margin of at least 0.3 mm should remain.
The horizontal laser mark (A) on the gold blank indicates the minimum
occlusal height. The vertical mark (B) on the transversal screw channel is
flush with the screw head. Do not grind this area beyond the depth of the
laser mark. The site where the transversal screw contacts the inner surface
of the gold blank is indicated by the labial ring (C) and must not be subjectedto grinding.
Proper framework design will ensure a strong veneer layer.
A
B
C
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Thommen Medical 27
Permanent insertion of the restoration
Remove the abutment from the master cast, clean thoroughly and place
them on the implant in the correct orientation.
A new abutment screw must be used for permanent insertion of the VARIO T
abutment and tightened using a tightening torque of 15 Ncm for Thommen
implants of PF 3.5 mm and 25 Ncm for PF 4.56.0 mm.
A new VARIO T transversal screw must be used for permanent insertion of the
crown. The tightening torque for the VARIO T transversal screws is 10 Ncm.
Case images used with kind
permission of Dr. Markus Jungo,
private practice, Rheinfelden,
Switzerland, and Dental-Labor
Fischler AG, Mhlin, Switzerland.
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28 Thommen Medical
SPIRETAINfor hybrid dentures
Advantages at a glance
Retentive anchor abutments available in two heights
Bar abutments with a choice of titanium and gold copings
Milling abutments for fabricating custom abutments and
telescopic crowns
Offering options for retentive anchors, bar constructions and milling abut-
ments, the RETAIN product range offers ideal solutions for the edentulous
jaw.
The ZEST LOCATORSystem is also suitable for hybrid denture restorations and is documented
in a separate brochure (Fo_02d111).
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Thommen Medical 29
The purpose of the retentive anchor abutment is to stabilize and retain the
denture in the mouth of the patient using as few anchoring elements as
possible. Optimization of the denture seating depends mainly on the quality
and quantity of the hard and soft tissue at the alveolar ridges.
Retentive anchor abutments are available in two heights (short: 1.8 mm; and
long: 3.0 mm) and have a spherical diameter of 2.25 mm. They are compat-
ible with all matrices having the same geometry (e.g. DallaBona, Supra-
snap, Tima, Eccoetc.; please comply with the processing instructions of
the matrix manufacturers). Matrices with a lamellar geometry are preferable
to those using annular springs, since the male parts are subject to signifi-cantly less wear.
Indications
The edentulous lower jaw (interforaminal) requires two retentive anchor
abutments
The edentulous upper jaw requires two or more retentive anchor
abutments
Mandibular arches forming an acute angle
Contraindications
Combined reconstructions on teeth/implants
Combination with construction elements with different degrees of
freedom
Implants that have not been placed perpendicular to the occlusal plane
and are not parallel
Implants that are unfavorably distributed over the mandibular arch and
prevent a tangential rotation axis
Unilateral dentures without transversal support
Unfavorable alveolar ridge status (e.g. bone deficits, jaw defects, etc.)
Retentive anchor
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30 Thommen Medical
Processing instructions for fabrication of the superstructure
In a case of an edentulous lower jaw, insert retentive anchor abutments on
two implants that were placed interforaminally. The implants should be par-
allel and perpendicular to the plane of occlusion for long-term trouble-free
function of the retentive anchors. There must be a tangential rotation axis.
Secure the retentive anchors in the implants at a tightening torque of 25 Ncm
using the MONO torque ratchet and MONO insertion device (art. no.
3.03.169).
Use a custom-made tray without impression coping to take the impression.
Place the analog for retentive anchor in the spherical profile of the impression
and pour-up the master cast.
The matrices for the retentive anchors are fit into the existing prosthesis in
accordance with normal guidelines.
Cast metal reinforcements are recommended in fabrication of hybrid
dentures.
Note
The hybrid denture must be relined at regular intervals in order to ensure
requisite soft-tissue support and prevent excessive load acting on the
implants.
Case images used with kind
permission of Dr. Guglielmo Santoro,
Rome, Italy, and Cesare Ferri, dental
technician, Rome, Italy.
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Thommen Medical 31
Both DIRECT implants with their integrated bar abutments and all other
Thommen implants in combination with bar abutments are suitable for use
with bar-supported denture fabrications.
Assuming all other clinical requirements are met, immediate loading is pos-
sible when using a bar construction because it acts as a splint to stabilize the
implants.
Indications
The edentulous lowerjaw withfour Thommen implants The edentulous upperjaw with six Thommen implants
Processing instructions for fabrication of the superstructure
If Thommen implants other than DIRECT are used, secure the correspond-
ing bar abutments to the analogs using the abutment screw.
Secure the gold copings or titanium copings using the occlusal screw for bar.
Fit the individual bar segments in the gaps using a paralleling instrument.
To achieve good joining results in the soldering step, the gap between bar
segment and bar coping should be as narrow as possible.
Maintain a distance of at least 2.0 mm between bar and gingiva.
Minimal construction height of bar solutions is shown in the image to the
right.
Bar abutment and SPIDIRECT
7.3mm
8.8mm
DIRECT Bar abutment
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32 Thommen Medical
Soldering
The bar can be soldered or laser welded.
Soldering pins for bar can be used to improve the fixation and anchoring of
the gold copings in the soldering block.
Occlusal screws that are exposed to heat must not be used for permanent
insertion of the bar.
The bar abutments must not be exposed to heat.
Fabricate dentures and process existing dentures in accordance with thestructural, esthetic and phonetic requirements.
It is recommended to construct hybrid dentures with a cast metal reinforce-
ment processed into the plastic material.
Permanent insertion of the bar
Loosen and remove the occlusal screws and bar from the master cast.
Remove the bar abutments from the analog/master cast (exception:
DIRECT), clean thoroughly, and then position them on the clean implant. The
correct seating of the bar must be checked for fit prior to the final tightening
of the screws (Sheffield test).
In the permanent insertion of the superstructure in the mouth, use new
abutment screws to secure the bar abutments and tighten these screws
using a tightening torque of 15 Ncm for Thommen implants PF 3.5 mm
and 25 Ncm for PF 4.05.0 mm.
Then permanently fix the bar using new occlusal screws for bar, complying
with the recommended using a tightening torque of 15 Ncm.
Material specification
Gold copings, bar
Type IV cast alloy with
a high gold content
Melting interval 905955 C
Gold 71 %
Platinum 4 %
Palladium 2 %
Silver 11.6 %Copper 9.5 %
Zinc 1 %
Other < 1 % Ir, In
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Thommen Medical 33
The milling abutment is made of t itanium, can be custom-modified, and
affords the dental technician optimal flexibility in abutment design.
Indications
Cone and telescopic constructions
Custom-milled abutment for cemented solutions
Processing instructions for fabrication of the superstructure
Following the fabrication of the master cast, secure the selected millingabutments to the analog using the abutment screw. A separate cast is
recommended for the milling process.
The connection geometry of the milling abutment must not be damaged.
In the case of a conical or telescopic crown restoration, the milling abutment
should be prepared so that the crown margins will be supragingival in order
to prevent irritation of the mucosa.
When using the milling abutment as a custom abutment for a cemented re-
storation, it should be prepared such that the cement margin for the crown
is subgingival to achieve proper esthetics.
In all cases, the grinding limit for the milling abutment is 0.5 mm from the bot-
tom edge.
If applicable, the milling abutment can be shortened to the minimal height of
2.3 mm (PF 4.06.0 mm) or 1.9 mm (PF 3.5 mm).
Manufacture the denture in accordance with the structural, aesthetic and
phonetic requirements of the individual case.
Cast metal reinforcements are recommended in fabrication of hybrid dentures.
Permanent insertion of the superstructure
An index made from self-curing resin is recommended for abutment trans-
fer. This ensures accurate transfer from the working cast to the patient.
Remove the milling abutments from the master cast, clean thoroughly and
place them in the transfer index. If an index is not available, be sure to
maintain the same orientation during transfer.
For permanent insertion of the superstructure in the mouth, use new abut-
ment screws and tighten these screws using a tightening torque of 15 Ncm
for Thommen implants PF3.5 mm and 25 Ncm for PF 4.06.0 mm.
Milling abutment
1.9 mm 2.3 mm
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34 Thommen Medical
Clinical case
The milling abutment can also be used for the manufacture of a custom-
made abutment as base for cemented restorations.
Case images used with kind
permission of Cesare Ferri, dental
technician, Rome, Italy.
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Thommen Medical 35
Abutment screws
All screws of the Thommen Implant System have a unique 4-lobe screw
head geometry for easy pick-up and transport of the screws.
A single screwdriver can be used for placing and removing all components.
The screwdriver is available in three different lengths. 4-lobe screwdrivers
are available with a connection for the MONO torque ratchet and with a latch
type connection for the handpiece.
The long abutment screw is recommended in situations where the vertical
height of the restoration is adequate. If the space inside the mouth (above
the restoration) is limited, being able to select a shorter screwdriver simplifies
the securing of the abutment screw. In addition, the longer abutment screwmay make closing-off the screw channel easier.
The regular (short) abutment screw must be used with the following abut-
ments:
Bar abutment
VARIO T abutment
EASY abutment having a short cone and shoulder height
Angled EASY abutments, short
Always use new abutment screws for permanent insertion of an abutment or
restoration. Tighten them using the defined tightening torque (see page 47).
Superstructures must be checked at regular intervals in order to identify any
damage or loosening of the screws. Do not reuse screws that have come
loose. Retightening may overstrain the material and lead to fracture of the
screw.
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36 Thommen Medical
PF 3.5 mm PF4.0 mm PF4.5 mm PF5.0 mm PF6.0 mm
Abutment screws, 4-lobe, titanium alloy
Length
5.8 mm 4.03.500
7.2 mm 4.03.501
10.2 mm 4.03.502
MONO screwdriver, 4-lobe, stainless steel/PEEK
extra short short long
Length 14.5 mm 22.2 mm 28.2 mm
Shaft length 5.1 mm 10.3 mm 16.3 mm
8.5 mm 3.03.165 3.03.166 3.03.167
Screwdriver for handpiece, 4-lobe, stainless steel
extra short short long
Length 17.0 mm 22.0 mm 28.0 mm
Shaft length 3.5 mm 8.0 mm 14.5 mm
3.03.500 3.03.501 3.03.502
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Thommen Medical 37
SPIMONO torque ratchet
Advantages at a glance
Suitable for both surgery and prosthetics
Manufactured in one piece1
Simple cleaning and maintenance
Highly ergonomic design
Torque range from 10 to 35 Ncm (5 Ncm increments)
High-strength, corrosion-resistant titanium alloy
The MONO torque ratchet is designed for both surgical and prosthetic use.
It is manufactured from a solid billet of high-strength, corrosion-resistant ti-
tanium alloy. The one-piece construction dramatically simplifies regular
maintenance as there are no parts to disassemble for cleaning and no lubri-
cation is required. The new one-piece accessory instruments are similarly
easy to clean. Together with the MONO torque ratchet, they form an excep-
tionally convenient and highly ergonomic instrument system.
1Patent pending
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38 Thommen Medical
The MONO torque ratchet is labeled IN on one side and OUT on the other.
Fortightening, place the MONO torque ratchet on the accessory instru-
ment such that the side labeled IN faces upwards.
For unscrewing, turn the MONO torque ratchet over and place it on the
accessory instrument such that the side labeled OUT faces upwards.
The arrows (2) on either side indicate the direction of rotation to be used.
The guide key (art. no. 3.03.203) can also be used to apply apical pressureto the screwdriver when vertical space is limited. Always apply apical pres-
sure to ensure that the driver is fully seated in the screw.
For tightening Thommen prosthetic components, place the MONO torque
ratchet on the accessory instrument in the direction of the arrow until it
stops.
Do not force the MONO torque ratchet over the accessory instrument
ratchet body. They should slide together easily. If this is not possible, check
that the accessory instrument is compatible. Only accessory instruments
specifically designed for use with the MONO torque ratchet may be used.
Do not attempt to insert any other instruments into the MONO torque ratchet
as damage and/or improper function may result.
Reading the torque values:
The prescribed torque is applied through the bending rod of the MONO
torque ratchet. Upon actuation of the bending rod, the indicator shows the
torque that is being applied on a scale.
The pointer must indicate 0 when no force is being applied to the torque
handle. If the pointer indicates either more or less than 0, then the torque
handle may have been damaged and correct torque measurement may
not be possible. Do not use the instrument in this condition.
Finger plate 2
Finger plate 2
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Thommen Medical 39
The bone contouring instrument is used for easy preparation of the contour
of the bone to fit the prosthetic components, without damaging the implant.
Indications/Intended use
The bone contouring instrument is designed for use where bone prevents
complete seating of the healing cap, impression coping, gingiva former or
abutment.
ApplicationThe bone contouring instrument can be used either with a contra-angle
handpiece or manually using the MONO insertion device, short.
Gently position the guide pin of the bone contouring instrument into the
implant. Ensure that the axis of the instrument is aligned to the axis of the
implant.
Rotate the instrument clockwise to remove excess bone and shape the
emergence cone.
Stop rotation as soon as the bone contouring instrument touches against
the platform of the implant as this indicates all of the interfering bone is
removed.
The internal configuration of the implant must be cleaned thoroughly and
dried prior to taking the impression and before placing any prosthetic com-
ponents.
Note
Please comply with the following instructions when using the handpiece:
Maximum rotational speed is 200 rpm.
Irrigation with cooled (approx. 5 C) sterile physiological saline solution is
recommended.
A surgical handpiece must be used as the drive unit; turbines are not
suitable as torque is insufficient.
For detailed instructions for care, maintenance, and reprocessing of instru-
ments, please refer to pages 40 and 41.
Bone contouring instrument(Only for surgical application)
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40 Thommen Medical
Care, maintenance, sterilization
The products of the Thommen Implant System are fabricated from high-
quality materials and with the highest precision. Well cared-for instruments
not only protect the patient and the practice team from infections, but are
also a prerequisite for the success of the treatment. Insufficient or improper
care can quickly lead to damage. Please comply with the following notes
and working instructions.
The package label shows whether a product is packaged in sterile or non-
sterile condition. Instruments that are supplied in non-sterile condition and
are intended for intraoral use must be cleaned, disinfected, and where
applicable sterilized prior to use.
For cleaning, disinfection, and sterilization, the instruments and components
must be grouped according to their materials. Suitable cleaning and disin-
fection agents for the various materials are commercially available.
Please comply fully with the instructions of the manufacturer with regard to
the suitability of materials, dosage, concentration, exposure time, and
temperature.
The following substances are not suitablefor the cleaning of instruments
made of stainless steel(risk of corrosion):
Cleaning and disinfection solutions with a high chlorine or oxalic acid
content
The following substances are not suitablefor the cleaning of instruments
made oftitanium(risk of discoloration):
All oxidizing acids (nitric acid, sulfuric acid, oxalic acid) and H2O
2(hydrogen
peroxide)
The following substances are not suitablefor use with anodized aluminum
(surface damage):
Alkaline cleaning agents (bases) with a pH > 9. Agents with a pH of
5 to 9 are suitable.
Used instruments must first be disinfected and then cleaned.
Make sure that no blood and/or secretions dry and then adhere to the in-
struments. For this purpose, the instruments should be rinsed with running
cold water and cleaned with a clean cloth as quickly as possible after their
use.
Strongly contaminated instruments should be cleaned by means of ultra-
sound. Clean each instrument using a machine or nylon brush and commer-
cially available cleaning solutions (do not use wire brushes, hard or abrading
cleaning aids or steel wool). If a washing machine is used, make sure that
the instruments do not contact each other as this may lead to damage. The
instruments must not be kept or stored for any period of time in a wet state.
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Thommen Medical 41
Cutting instruments intended for multiple use
Cutting instruments intended for multiple use must be replaced after a max-
imum of 20 maintenance cycles, or immediately should they show signs of
damage or wear.
Notes for cleaning of the MONO torque ratchet
and MONO accessory instruments
We recommend brushing the gaps of the MONO torque ratchet using an
interdental brush (max. bristle of 0.7 mm). This ensures proper cleaning.
The finger rest (made of PEEK) of the MONO insertion instruments andscrewdrivers must be removed prior to cleaning if strong contamination is
evident.
All instruments and components must be checked after cleaning for wear,
damage, and proper function. Replace if necessary.
Abutments made of titanium can be steam-sterilized at 134 C (see table
below). Hot air sterilization is not permissible.
Sterilization
Package each instrument/component/abutment in its separate
protective pouch.
Place the filled protective pouches in a perforated container in the
autoclave.
Place the instruments in the dedicated compartments and holders of
the surgical cassette.
Then place the surgical cassette in a sterilization package that is suitable
for steam sterilization and place both in the autoclave.
Sterilization parameters:
Store instruments and other items in the protective pouches until use.
The user is responsible for assessing the suitability and application options of
the product for the intended purpose prior to its use. Any application of the
products is part of the responsibility of the user and beyond the control of
Thommen Medical AG. We decline any and all responsibility and liability for
any damage that may be caused during the application
Steam
sterilization using
Temperature Sterilization
time
Drying time
Prevacuum 134 C 18 minutes 2060 minutes
Vacuum 134 C 40 minutes 2060 minutes
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Product overview
42 Thommen Medical
SPIELEMENT, SPICONTACT, SPIONETIME
RetentivePF
3.5
PF
4.0
PF
4.5
PF
5.0
PF
6.0
Impression copings for single use cylindrical
H 10.0
cylindrical
H 10.0
3.03.0 10 3.03.0 18 11 12 13
conical
H 10.0
3.03.0 78 71 72 73
Impression copings for multiple use cylindrical
H 16.0
cylindrical
H 16.0
3.04.0 20 3.04.0 21 22 23 24
conical
H 16.0
3.04.0 37 38 39 40
Screws for impression coping extra short
L 12.5
extra short
L 13.2
3.03.5 72 3.03.5 75 75 75 75
short
L 16.5
short
L 17.2
3.03.5 73 3.03.5 76 76 76 76
long
L 21.5
long
L 22.2
3.03.5 74 3.03.5 77 77 77 77
extra long
L 27.5
extra long
L 28.2
3.03.5 80 3.03.5 81 81 81 81
Analogs
3.03.0 90 3.03.0 95 91 92 93
3.03.0 60 3.03.0 61 65 62 63
Temporary restoration
Abutment for crown
4.03.0 80 4.03.0 88 81 82 83
Abutment for bridge
4.03.0 84 4.03.0 89 85 86 87
Abutment screws
4.03.5 00 4.03.5 01 01 01 01
4.03.5 02 02 02 02
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Thommen Medical 43
4.03.0 84 89 85 86 87
Art. no. 4.03.084
Art. no. 4.03.089
Art. no. 4.03.085
Art. no. 4.03.086
Art. no. 4.03.087
Example
The table is based on the color-coded
prosthetic components and the article
numbers thereof.
SPIELEMENT, SPICONTACT, SPIONETIME SPIDIRECT
RepositionablePF
3.5
PF
4.0
PF
4.5
PF
5.0
PF
6.0
short
H 8.0
short
H 8.0
3.03.0 74 3.03.0 79 75 76 77 3.03.1 00
ong
H 12.0
long
H 12.0
3.03.0 14 3.03.0 19 15 16 17
extra short
L 12.5
extra short
L 13.2
3.03.5 72 3.03.5 75 75 75 75
kurz
L 16.5
kurz
L 17.2
3.03.5 73 3.03.5 76 76 76 76
3.03.0 90 3.03.0 95 91 92 93
3.03.0 60 3.03.0 61 65 62 63
4.03.0 80 4.03.0 88 81 82 83
4.03.0 84 4.03.0 89 85 86 87
4.03.5 00 4.03.5 01 01 01 01
4.03.5 02 02 02 02
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44 Thommen Medical
SPIVARIOPF
3.5
PF
4.0
PF
4.5
PF
5.0
PF
6.0
SPIVARIO TPF
3.5
PF
4.0
PF
4.5
PF
5.0
PF
6.0
Abutment/screws Crown
2.03.4 10 14 11 12 13 4.03.3 70 71 71 71
Bridge
2.03.4 00 04 01 02 03 4.03.5 00
4.03.5 01 01 01
2.03.2 10 11 12 13
4.03.5 03
4.03.5 00 4.03.5 04 04 04
4.03.5 01 01 01 01
4.03.5 02 02 02 02SPISELECTION for case planning Crown /
bridge
S.2.03.4 00 04 01 02 03 S.2.03.2 10 11 12 13
Impression taking
Analogs
Reamer/guide pin Base Base
3.03.4 20 20 21 21 21 3.03.4 09 09 09 09
Outermargin
3.03.4 22 25 23 23 23 3.03.4 00 04 05 06
3.03.4 01 08 08 08
Instruments Lab pin
3.03.5 48 49 49 49
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Thommen Medical 45
SPIRETAINPF
3.5
PF
4.0
PF
4.5
PF
5.0
PF
6.0
PF
3.5
PF
4.0
PF
4.5
PF
5.0
PF
6.0
PF
3.5
PF
4.0
PF
4.5
PF
5.0
PF
6.0
Millingabutment
Barabutment
RetentiveanchorsH 1.8
4.03.4 20 28 21 22 23 4.03.3 80 88 81 82 4.03.0 48 40 42
RetentiveanchorsH 3.0
4.03.5 00 4.03.5 00 4.03.0 49 41 43
4.03.5 01 01 01 01 4.03.5 01 01 01Gold coping
4.03.5 02 02 02 02 2.03.3 35Titanium coping
4.03.0 70Occlusalscrew, bar
4.03.5 06
S.4.03.3 80 88 81 82
3.03.1 00
3.03.1 05 3.03.0 33
Solder pin Insertiondevice
3.03.1 51 3.03.1 69
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46 Thommen Medical
General instruments
MONO torque ratchet 3.03.1 60
MONO insertion device, short 3.03.1 62
MONO insertion device, long 3.03.1 63
MONO screwdriver, extra short 3.03.1 65
MONO screwdriver, short 3.03.1 66
MONO screwdriver, long 3.03.1 67
Screwdriver for handpiece, extra short 3.03.5 00
Screwdriver for handpiece, short 3.03.5 01
Screwdriver for handpiece, long 3.03.5 02
Guide key 3.03.2 03
Positioning handle 3.03.5 22
Handle for dental lab 3.03.2 50
VARIO T crown holder 3.03.5 50
Tweezers 3.03.5 27
Prosthetic cassette, screw organizer incl. 1.03.0 22
Screw organizer for prosthetic cassette 8.03.0 19
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Thommen Medical 47
Torque values
All 4-lobe screwdrivers have a predetermined breakage point. If the applied torque is too high
and the screwdriver breaks, the fragments thus formed are easy to remove.
* Customizable gingiva former immediately after implantation10 Ncm
This overview can be ordered in the form of a laminated single sheet under article no.Fo_22d123.02 (available in English only).
PF
3.5mm
PF
4.0mm
PF
4.5mm
PF
5.0mm
PF
6.0mm
+
Healing cap/Gingiva former *
VARIO T transversal screw
Abutment screw for PF3.5 mm
(for all restoration materials)
VARIOmulti abutment
DIRECT closure screw
Occlusal screw, bar
Occlusal screw, VARIOmulti
Abutment screw in combination
with ceramic restorations
(except PF 3.5 mm)
Abutment screw
(except PF 3.5 mm)
VARIOmulti abutment
(except PF 3.5 mm)
Retentive anchor
ZEST LOCATORabutment
20 Ncm
10 Ncm
15 Ncm
25 Ncm
30 Ncm
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10.0711/10
AHA,BASEL
Headquarters
Thommen Medical AG
Hauptstrasse 26d4437 Waldenburg | SwitzerlandPhone +41 (0)61 965 90 20Fax +41 (0)61 965 90 [email protected]
Subsidiaries/National Distributors
Australia
Gunz Dental Pty Ltd.City South Business ParkUnits 3-4, 26-34 Dunning AveRosebery NSW 2018 | AustraliaPhone +61 2 9935 6677Fax +61 2 9935 6666
Austria
Thommen Medical Austria GmbHTechnologiezentrum NeusiedlLudwig Boltzmann Strae 27100 Neusiedl am See | AustriaPhone +43 (0)5 9010 29230Fax +43 (0)5 9010 [email protected]
Benelux
Thommen Medical Benelux B.V.Edisonweg 17B3404 LB IJsselsteinPostbus 4303400 AK IJsselstein | NetherlandsPhone +31 (0)30 68 68 468Fax +31 (0)30 68 68 [email protected]
Canada
Thommen Medical Canada Inc.1100 Burloak Dr. | Suite 300Burlington, ON L7L 6B2 | CanadaPhone +1 (905) 336-8966 +1-877-242-6012 (North America)Fax +1 (905) 332-3007 +1-877-242-6013 (North America)[email protected]
China
Shanghai Yujing Trading Co., Ltd.Room G | Floor 15 | Jia Fa Bldg.No. 129-1 Da Tian Rd.Shanghai 200041 | ChinaPhone +86-21-62723077Fax +86-21-62175264
France
Thommen Medical France10, avenue Piern77680 Roissy-en-Brie | FrancePhone +33 (0) 1 83 64 06 35Fax +33 (0)3 89 33 52 [email protected]
Germany
Thommen Medical Deutschland GmbHAm Rathaus 279576 Weil am Rhein | GermanyPhone +49 (0)7621-4 22 58 30Fax +49 (0)7621-4 22 58 [email protected]
Italy
Dental Trey S.r.l.Via Partisani, 3
47016 Fiumana | Predappio (FC) | ItalyPhone +39 0543 929111Fax +39 0543 [email protected]
Japan/Asia
Thommen Medical Japan Inc.Representative Office Asia3-20-14, Senriyama-Nishi | SuitaOsaka 565-0851 | JapanPhone +81-(0)6-6385-4255Fax +81-(0)[email protected]
Japan
J. Morita Corporation23-28, 1-chome, Esaka-cho
Suita City | Osaka 564-0063 | JapanPhone +81-(0)6-6384-6921Fax +81-(0)6-6384-6746http://spi.dental-plaza.com
Middle East
Star Science International GmbHJupiterstrasse 573015 Bern | SwitzerlandPhone +41 (0)31 941 07 31Fax +41 (0)31 941 07 [email protected]
New Zealand
Gunz Dental Pty Ltd.PO Box 99176 Newmarket
Auckland 1149 | New ZealandPhone +64 9 366 0249Fax +64 9 522 2910
www.gunz.co.nz
Poland
C. Witt i Spka Sp. z.o.o.87-100 Toru, ul. w. Katarzyny 4/4 | PolandPhone +48 56 652 16 95Fax +48 56 655 01 [email protected]
Singapore
FONDACO Pte Ltd7 Kaki Bukit Road 1, #03-06,Eunos Techno LinkSingapore 415937 | SingaporePhone +65 6392 2806Fax +65 6392 1296
South Korea
Dami Medical Co., Ltd.6F, 426-1, Hapjeong-dong, Mapo-guSeoul 121-886 | South KoreaPhone +82-(0)2-3141-2875Fax +82-(0)2-3141-2877www.damimedical.com
Spain/Portugal
ISP Implante Suizo de PrecisinC/ Los quintos n 103350 Cox (Alicante) | SpainPhone +34 (0)96 536 1020Fax +34 (0)96 675 [email protected]
Switzerland
Thommen Medical (Schwei z) A GPostfach 1160 | Neckarsulmstrasse 28
2540 Grenchen | SwitzerlandPhone +41 (0)32 644 30 20Fax +41 (0)32 644 30 [email protected]
Taiwan
Ting Sing Trading Co., Ltd.No. 30 | Sec. 2 | Chang-An East Road
Taipei | Taiwan | R.O.C.Phone +886-2-25420968Fax +886-2-25420969www.tingsing.com.tw
USA
Thommen Medical USA L.L.C.Idea Center | 1375, Euclid AvenueCleveland OH 44115 | USA
Toll-free phone number:
+1-866-319-9800Fax [email protected]