Acuris - conometric concept - Manual and product catalog - Dentsply Sirona
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Xive® Acuris™ – conometric concept Manual and product catalog
Xive®
Smartness in practice
Easy and versatile
Xive provides flexibility, smartness and user- prosthetics
friendliness to dental professionals favoring the
advantages of a hexagon interface connection.
The system was originally developed in a unique A range of prefabricated and patient-
and pioneering collaboration between clinicians specific abutments provides versatility
and industry. in prosthetics, at both implant and
abutment level, including immediate
Experience met innovation with one common restorations for almost any possible
purpose – to develop an implant system that is indication. Deep internal hexagon
as intuitive as it is efficient, delivering reliability connection with self-guiding properties
and peace of mind to dental professionals and and color-coded or laser-marked
their patients worldwide. components supports error-free
workflow.
What makes Xive® unique?
It’s a good thing, when the whole is greater than
the sum of its parts. Nevertheless, it’s important
to know the elements too. Xive can trace its Bone care with
versatility and flexibility attributes to these four
platform-switch
components:
Integrated platform-switch option
supports improved preservation of
crestal bone levels with concurrent
favorable soft tissue conditions.
Friadent® plus surface
The grit-blasted and high
temperature-etched Friadent plus
ActiveBone Control™ microstructure excels through
rapid bone formation on the
High primary stability in all types implant surface. This results in
of bone can be achieved with the early osseointegration and high
patented combination of bone- bone-to-implant contact.
specific preparation protocol and
bone-condensing thread design.
Xive®
CONTENTS
Acuris™ – conometric concept 4
Treatment planning
Pre-operative considerations 5
Implant assortment for conometric concept 6
Abutment assortment for conometric concept 6
Step-by-step procedures
Conometric concept – Step-by-step 7
Implant placement – Abutment connection – Step-by-step 8
Immediate temporization – Step-by-step 9
Prosthetic and laboratory procedures – Step-by-step 10
Product catalog 14
Torque guide 19
Explanation of the symbols on labels and instructions for use 19
Conometric Fixation tool –
Cleaning and sterilization instructions 20
Index 21
This manual is designed for use by clinicians who have undergone appropriate
education and training in surgical and prosthetic implant treatment. Staying current
on the latest trends and treatment techniques in implant dentistry through continued
education is the responsibility of the clinician.
This manual only addresses the additional information needed to work with the
Conometric concept. For all other instructions and/or a full description of implant
Xive®
Produ
ct Catal
og
placement and restorative procedures for the Xive Implant System as well as all the
instruments and components needed, please refer to the appropriate manual and
catalog.
All products may not be regulatory cleared/released/licensed in all markets.
Please contact your local Dentsply Sirona sales office for current product
assortment and availability.
Xive®
Surgica
l Manu
al
To improve readability, Dentsply Sirona does not use ® or ™ in body copy.
However, Dentsply Sirona does not waive any right to the trademark and nothing
herein shall be interpreted to the contrary.
Product illustrations are not to scale.
3
Acuris™ – conometric concept
Acuris™ – conometric concept
Acuris is a paradigm shift in prosthetic retention of single
crowns that are fixed yet retrievable by the clinician. The
friction-based retention offers a fixation mode providing
the esthetics of a cement-retained crown, maintaining
retrievability and excluding the risk of submucosal
residual cement.
The ease of using Acuris™
■ A time-saving and easy-to-use solution for single crowns
■ Fixed retention, yet retrievable by the clinician
■ Cement-free mode of retention
■ No screw access holes/fillings
■ Provides a simplified restorative concept to reduce
chair time
4
Treatment planning
Pre-operative considerations
Acuris is an implant-prosthetic procedure for the ■ Xive conometric abutments need to be tightened
cementless restoration of single-tooth implants. with 24 Ncm torque to secure a stable screw joint
and pre-load. Thus implants need to be stable
■ Bone quality and quantity, primary implant stability, enough to withstand this tightening torque if you
design of restoration and loading conditions should consider immediate temporization. If in doubt, healing
always be carefully examined and assessed by the abutments or even a two stage surgical approach can
clinician when deciding the appropriate time to load be an alternative.
the implant in the individual case.
■ In order to facilitate the seating of the final crown, it
■ If possible, posterior implants should be placed using is important to avoid interference from the mucosa
maximum diameter and length within the limitations surrounding the abutment. Ensure sufficient space
of available bone. for the final restoration by designing the temporary
crown in a way that allows the mucosa to heal in a
suitable shape.
No screw access holes No cement
■ Easier handling ■ Easier handling
■ Enhanced esthetics ■ Faster delivery of crown
– no excess cement to handle
■ Angulation of implant less critical,
allowing for better use of available ■ Safeguarding/protecting implant-
bone. supporting tissues
Easier, quicker and reduced Abutments in different gingival heights,
maintenance available as straight and with 15° angulation.
■ Retrievable crown for corrections/
repairs/periimplantitis treatment
■ All corrections/repairs easily done
extra-orally
■ No need to replace screw access
hole fillings
5
Treatment planning
Implant assortment for conometric concept
Xive implant diameters and lengths Color-coded
Xive offers a comprehensive range of implants from A separate color is allocated to every Xive implant
3.4 mm up to 5.5 mm diameter and 8 mm up to 18 mm diameter, and it can be found on all implant packages,
length. Xive makes optimum use of the available bone instruments and prosthetic components. The color-
volume and density thanks to bone-specific preparation coding makes it easy to identify the diameter and select
protocol and adapts to variations in jaw anatomy, with a the right prosthetic components without danger of
wide range of diameters and lengths, that combine with confusion.
the cylindrical implant body.
Diameter 3.4 mm 3.8 mm 4.5 mm 5.5 mm
Lengths – 8 mm 8 mm 8 mm
D 3.4 D 3.8 D 4.5 D 5.5
9.5 mm 9.5 mm 9.5 mm 9.5 mm
Silver Yellow Blue Red
11 mm 11 mm 11 mm 11 mm
13 mm 13 mm 13 mm 13 mm
Xive S
15 mm 15 mm 15 mm 15 mm
18 mm 18 mm 18 mm –
Conometric abutments for Xive
are available in the following dimensions
Conometric Abutment Xive
Axis: straight or 15° angled
Diameter: D 3.4 D 3.8
Diameter at the abutments equator: 4.5 mm
Gingival height: 1.0 mm, 2.0 mm or 3.0 mm
Indexing options: All abutments will seat in six available
positions of the hexagon connection.
Note: The Xive Conometric Abutments have to be tigthtened with the 1.22 hex driver
and 24 Ncm tightening torque. The Xive Conometric Abutments are available for the
implant interfaces D 3.4 and D 3.8. Please perform Platform Switch by using D 3.8 for
larger diameter as well.
6Step-by-step conometric concept
Step-by-step conometric concept
The following describes a chairside technique where a
Conometric Temporization Cap is used as the base for a
temporary restoration.
When a provisional crown is not needed, an alternative is
to use a Conometric Healing Cap which can be snapped
on to the abutment.
Visit 1 Visit 2 Lab Visit 3
Temporization Temporary Impression Lab Final Final
Abutment Analog
Cap crown Cap Cap Cap crown
7Step-by-step procedure – Implant placement and abutment connection
Step-by-step procedure –
Implant placement and abutment connection
Below is a procedure for implant placement and
abutment connection in the mandible using a
Xive S implant and a two-piece straight conometric
abutment Ø 4.5.
Clinical procedure – implant placement and abutment connection
Implant placement Abutment connection Finalizing abutment connection
Abutment selection – Two-piece straight abutment 4.5
■■ Prepare the implant site and install ■■ Install the Conometric Abutment Xive ■■ Use the Prosthetic ratchet together
the implant. with the abutment screw using the Hex with the Hex Driver 1.22 to tighten the
Driver 1.22. abutment screw to the recommended
■■ Measure the soft tissue height.
torque (24 Ncm).
■■ It is preferable to place the abutment
margin 1 mm below the soft tissue margin.
■■ Select the appropriate abutment with
regard to height and angulation.
Note: See Xive surgical manual for detailed
surgical drilling protocol and options.
8Step-by-step procedure – Immediate temporization
Step-by-step procedure
– Immediate temporization
The following procedure is a chairside technique where
a Temporization Cap is used as the base for a temporary
restoration. When a temporary crown is not needed, an
Conometric Conometric Healing Cap
alternative is to use a Healing Cap which can be snapped Temporization Cap The cap is a protection for the
on to the abutment. The cap is used to build a abutment when a temporary
temporary crown. Can be crown is not used. Can be
Note: A lab technique option is also available. used up to six months. used up to six months.
Clinical procedure – immediate temporization
1a 2a 3a
1b 2b 2c 3b
Conometric Temporization Cap Temporary crown Delivery of temporary crown
■ Pick up the appropriate Temporization ■ Build up the crown on the temporization ■ Align the temporary crown with the
Cap using the Temporization Cap cap according to your preferred indexing part on the abutment, snap
Insertion Tool (1a). procedure (2a). into place (3a).
■ Align the temporization cap with the ■ Remove the temporary crown (2b). ■ Check contact with adjacent teeth and
indexing part on the abutment, snap into make corrections to the occlusal relation
■ Make corrections and polish
place (1b). as needed (3b).
extraorally (2c).
Note: In order to facilitate the seating of
the final crown, it is important to avoid
interference from the mucosa surrounding
the abutment. Ensure sufficient space
for the final restoration by designing the
temporary crown in a way that allows the
mucosa to heal in a suitable shape.
Conometric Temporization
Cap Insertion Tool
Used for carrying the cap to
the abutment and snapping the
cap into place.
9Step-by-step procedure – Prosthetic and laboratory procedures
Step-by-step procedure
– Prosthetic and laboratory procedures
Conometric
Impression Cap
The cap is used to capture
the abutment position.
Clinical procedure – closed tray on abutment level
1a 2a 3a
1b 2b 3b
Impression Cap Impression Impression
■ Remove the temporary crown (1a). ■ Use a closed tray impression technique. ■ Check the impression for correct and
stable retention of the cap (3a).
■ Align the appropriate Impression Cap ■ Apply an elastomeric impression material
with the indexing part of the abutment around the cap separately (2a). ■ Reinstall the temporary crown (3b).
and seat it firmly, allowing it to snap into ■ Place the tray, filled with the impression ■ Send the impression to the laboratory.
place (1b).
material, and take the impression (2b).
■ Once the impression material has set,
remove the impression from the mouth.
10Step-by-step procedure – Prosthetic and laboratory procedures
Conometric Analog Conometric Lab Cap
Corresponds to the The lab cap is used by the
abutment and is used in dental technician when
the master model. fabricating the crown.
Laboratory procedure – closed tray on abutment level
Conometric Impression Cap/ Master model Conometric Lab Cap
Conometric Analog
■ Place the appropriate Conometric Analog ■ Fabricate a master model with a ■ Seat the Lab Cap on the abutment
in the correct position in the impression removable soft tissue mask. analog.
cap until it snaps into place.
Note: Conometric Analog is for single use.
11Step-by-step procedure – Prosthetic and laboratory procedures
Conometric Final Cap
The crown is cemented onto
the cap.
Laboratory procedure
1a
1b
Build up Preparation for cementation Finalize the restoration
■ Fabricate a ceramic crown using the ■ Clean the cap and prepare the crown ■ Place the final cap on the abutment
preferred technique. according to the cement manufacturer´s analog, aligned with the indexing part of
instruction. the analog (1a).
■ Engage the retention by light tapping.
■ Cement the crown onto the final cap.
■ Choice of cement is based on the material
in the restoration in combination with the
final cap in titanium with titanium nitride
surface.
■ Remove excess cement and polish.
■ The crown is sent to the dental clinic (1b).
12Step-by-step procedure – Prosthetic and laboratory procedures
Conometric Fixation
Tool Tip Convex
The convex single-use tip is applied
on the tip of the Conometric
Fixation Tool. The tip is also available
in concave and U-shaped design.
Clinical procedure
1a 2a
1b 2b
Removal of temporary crown Delivery of final crown Check final crown
■ Remove the temporary crown (1a). ■ Seat the final crown aligned with the ■ Check contact with adjacent teeth and
indexing on the abutment (2a). make corrections to the occlusal relation
■ Depending on crown form, select a
as needed.
suitable single-use tip and attach to ■ Place the fixation tool on the crown and
the Conometric Fixation Tool (1b). align it with the path of insertion (2b). ■ Check color and characterization.
■ Press the fixation tool towards the crown ■ If applicable, remove the crown for
until the spring releases with an audible corrections and polishing followed
click and activates the retention. by reinsertion with the help of the
fixation tool.
Conometric Fixation Tool
Activates the friction retention between
Final Cap/final crown and abutment by
a combination of pressure and impulse.
13Product catalog
Product catalog
Acuris™ – conometric concept
Components specifically designed for use with the conometric concept for
Xive implants are presented in this manual/product catalog. If you need drills
and other instruments, please refer to the Product catalog for Xive.
For more information visit www.dentsplyimplants.com.
14Product catalog
Conometric abutments
Conometric Abutment D 3.4 / 0° Conometric Abutment,
Ø4.5 straight and angled
Titanium Alloy-ELI, non-sterile
■■ Supporting single tooth,
fixed restorations only
For implant Ø
Ø mm 4.5 4.5 4.5 ■■ Two diameters, same prosthetic
A – height mm 1 2 3
interface and components
for all abutments
D 3.4 Order No. 26 - 4001 26 - 4002 26 - 4003
Conometric Abutment D 3.4 / 15°
Ø4.5
Ø mm 4.5 4.5 4.5
For implant Ø
A – height mm 1 2 3
B – height mm 2.16 3.16 4.16
D 3.4
Order No. 26 - 4004 26 - 4005 26 - 4006
Conometric Abutment D 3.8 / 0°
Ø4.5
For implant Ø
Ø mm 4.5 4.5 4.5
A – height mm 1 2 3
D 3.8 D 4.5 D 5.5
Order No. 26 - 4101 26 - 4102 26 - 4103
Conometric Abutment D 3.8 / 15°
Ø4.5
Ø mm 4.5 4.5 4.5
For implant Ø
A – height mm 1 2 3
B – height mm 2.16 3.16 4.16
D 3.8 D 4.5 D 5.5
Order No. 26 - 4104 26 - 4105 26 - 4106
15Product catalog
Restorative instruments and components
Conometric Temporization Cap Conometric Temporization Cap
Insertion Tool Insertion Tool
Stainless steel, non-sterile
■ Used for carrying the cap to
the abutment and snapping
the cap in place.
Ø mm 4.5
Height mm 24.5
Order No. 3103 3637
Conometric Fixation Tool Conometric Fixation Tool
Stainless steel, non-sterile
■ Activates the friction retention between
Final Cap/final crown and abutment by
a combination of pressure and impulse.
Order No. 3107 2911
16Product catalog
Restorative instruments and components
Conometric Fixation Tool Tips Conometric Fixation Tool Tip
PEEK plastic, non-sterile, single-use
■ The tip is applied on the tip of
Conometric Fixation Tool.
Tip Convex Tip U-shape Tip Concave
(5 pcs) (5 pcs) (5 pcs)
Height mm 11 9.5 10.5
Recommended use Pre molar/molar Incisors Canine/pre molar
Order No. 3107 2906 3107 2907 3107 2908
Conometric Healing Cap Conometric Healing Cap
PEEK plastic,
one-piece, non-sterile, single-use
Conometric abutment size Ø mm 4.5
■ The cap is a protection for the abutment
when a temporary crown is not used.
Ø mm 6.0
■ Can be used up to six months.
Height mm 5.3
Order No. 3107 2103
Conometric Impression Cap Conometric Impression Cap
PEEK plastic, non-sterile, single-use
■ The cap is used to capture
the abutment position.
Conometric abutment size Ø mm 4.5
Ø mm 5.4
Height mm 8.3
Order No. 3107 2002
Conometric Temporization Cap Conometric Temporization Cap
Cap Ø 4.5/5.8: PEEK plastic, non-sterile,
single-use
Conometric abutment size Ø mm 4.5
■ The cap is used to as a base
for a temporary crown.
Ø mm 5.8
■ Can be used up to six months.
Height mm 5.3
Order No. 3107 2114
17Product catalog
Laboratory components
Conometric Analog Conometric Analog
Stainless steel, non-sterile, single-use
■■ Corresponds to the abutment and
is used in the master model.
Conometric abutment size Ø mm 4.5
Height mm 20
Order No. 3107 2020
Conometric Lab Cap Conometric Lab Cap
Titanium Alloy-ELI, non-sterile, single-use
■■ The lab cap is used by the dental
technician when fabricating the crown.
Conometric abutment size Ø mm 4.5
Ø mm 5.8
Height mm 5
Order No. 3107 2123
Conometric Final Cap Conometric Final Cap
Titanium grade 4, TiN-coated, non-sterile,
single-use
■■ The crown is cemented onto the cap.
Conometric abutment size Ø mm 4.5
Ø mm 5.8
Height mm 5
Order No. 3107 2303
18Torque guide/ Explanation of the symbols
Torque guide for conometric abutments
Straight Ø 4.5 mm and angled abutments are two-piece
abutments, and come with a separate abutment screw.
For abutments with separate abutment screw, use the
Prosthetic Ratchet and the 1.22 mm hex driver to tighten
the abutment to the recommended torque (24 Ncm).
Explanation of the symbols on labels
and instructions for use
Date of manufacture. Do not re-use, Single use only. Consult instructions
for use.*
2
STERILIZE
Legal manufacturer. Do not re-sterilize. LOT/BATCH number.
Expired date. GOST is the valid quality Article number.
certification system in Russian
Federation.
STERILE R Sterilized using irradiation. Contains article number
Products carrying the CE mark (GTIN number), lot number
fulfill the requirements of the and quantity.
Caution: Federal (USA) Medical Device Directive.
law restricts this product
to sale by or on a order of
a dentist. 0123 Identification of Notified Body.
The product is not sterile. Do not use if package is
damaged.
*T
o read PDF files you will need
Adobe Reader. Download free of
charge at get.adobe.com/reader.
19Conometric Fixation tool – Cleaning and sterilization instructions
Conometric Fixation tool
The Conometric Fixation Tool must be disassembled for Important: The parts must be assembled according to
cleaning and may be assembled again for sterilization the image below. The smaller spring is bent, which is
only when the individual parts are completely dry. intended.
20Index
Index
Order by reference number Alphabetical order
REF page REF page
26 - 4001 Conometric Abutment Ø 3.4/1.0/0°/Ø4.5/I........................... 15 26 - 4001 Conometric Abutment Ø 3.4/1.0/0°/Ø4.5/I........................... 15
26 - 4002 Conometric Abutment Ø 3.4/2.0/0°/Ø4.5/I........................... 15 26 - 4002 Conometric Abutment Ø 3.4/2.0/0°/Ø4.5/I........................... 15
26 - 4003 Conometric Abutment Ø 3.4/3.0/0°/Ø4.5/I........................... 15 26 - 4003 Conometric Abutment Ø 3.4/3.0/0°/Ø4.5/I........................... 15
26 - 4004 Conometric Abutment Ø 3.4/1.0/15°/Ø4.5/I........................ 15 26 - 4004 Conometric Abutment Ø 3.4/1.0/15°/Ø4.5/I........................ 15
26 - 4005 Conometric Abutment Ø 3.4/2.0/15°/Ø4.5/I........................ 15 26 - 4005 Conometric Abutment Ø 3.4/2.0/15°/Ø4.5/I........................ 15
26 - 4006 Conometric Abutment Ø 3.4/3.0/15°/Ø4.5/I........................ 15 26 - 4006 Conometric Abutment Ø 3.4/3.0/15°/Ø4.5/I........................ 15
26 - 4101 Conometric Abutment Ø 3.8/1.0/0°/Ø4.5/I........................... 15 26 - 4101 Conometric Abutment Ø 3.8/1.0/0°/Ø4.5/I........................... 15
26 - 4102 Conometric Abutment Ø 3.8/2.0/0°/Ø4.5/I........................... 15 26 - 4102 Conometric Abutment Ø 3.8/2.0/0°/Ø4.5/I........................... 15
26 - 4103 Conometric Abutment Ø 3.8/3.0/0°/Ø4.5/I........................... 15 26 - 4103 Conometric Abutment Ø 3.8/3.0/0°/Ø4.5/I........................... 15
26 - 4104 Conometric Abutment Ø 3.8/1.0/15°/Ø4.5/I........................ 15 26 - 4104 Conometric Abutment Ø 3.8/1.0/15°/Ø4.5/I........................ 15
26 - 4105 Conometric Abutment Ø 3.8/2.0/15°/Ø4.5/I........................ 15 26 - 4105 Conometric Abutment Ø 3.8/2.0/15°/Ø4.5/I........................ 15
26 - 4106 Conometric Abutment Ø 3.8/3.0/15°/Ø4.5/I........................ 15 26 - 4106 Conometric Abutment Ø 3.8/3.0/15°/Ø4.5/I........................ 15
3103 3637 Conometric Temporization Cap Insertion Tool, Ø4.5............ 16 3107 2020 Conometric Analog, Ø 4.5/0°........................................................ 18
3107 2002 Conometric Impression Cap, Ø 4.5/5.4, single tooth........... 17 3107 2303 Conometric Final Cap, TiN, Ø 4.5, single tooth...................... 18
3107 2020 Conometric Analog, Ø 4.5/0°........................................................ 18 3107 2911 Conometric Fixation Tool................................................................. 16
3107 2103 Conometric Healing Cap, Ø 4.5/6.0............................................ 17 3107 2906 Conometric Fixation Tool, Tip Convex (5 pcs)........................ 17
3107 2114 Conometric Temporization Cap, Ø 4.5/5.8, single tooth.... 17 3107 2907 Conometric Fixation Tool, Tip U-shape (5 pcs)...................... 17
3107 2123 Conometric Lab Cap, Ø 4.5, single tooth (indexed)............. 18 3107 2908 Conometric Fixation Tool, Tip Concave (5 pcs)...................... 17
3107 2303 Conometric Final Cap, TiN, Ø 4.5, single tooth...................... 18 3107 2103 Conometric Healing Cap, Ø 4.5/6.0............................................ 17
3107 2906 Conometric Fixation Tool, Tip Convex (5 pcs)........................ 17 3107 2002 Conometric Impression Cap, Ø 4.5/5.4, single tooth........... 17
3107 2907 Conometric Fixation Tool, Tip U-shape (5 pcs)...................... 17 3107 2123 Conometric Lab Cap, Ø 4.5, single tooth (indexed)............. 18
3107 2908 Conometric Fixation Tool, Tip Concave (5 pcs)...................... 17 3107 2114 Conometric Temporization Cap, Ø 4.5/5.8, single tooth.... 17
3107 2911 Conometric Fixation Tool................................................................. 16 3103 3637 Conometric Temporization Cap Insertion Tool, Ø4.5............ 16
21Notes 22
Notes
23Dentsply Sirona does not waive any right to its trademarks by not using the symbols ® or ™. 32671511-USX-1812 © 2018 Dentsply Sirona. All rights reserved.
About Dentsply Sirona Implants About Dentsply Sirona
Dentsply Sirona Implants offers comprehensive solutions Dentsply Sirona is the world’s largest manufacturer of
for all phases of implant therapy, including Ankylos®, professional dental products and technologies, with a 130-year
Astra Tech Implant System® and Xive® implant lines, digital history of innovation and service to the dental industry and
technologies, such as Atlantis® patient-specific solutions and patients worldwide. Dentsply Sirona develops, manufactures,
Simplant® guided surgery, Symbios® regenerative solutions, and markets a comprehensive solutions offering including
and professional and business development programs, such as dental and oral health products as well as other consumable
STEPPS™. Dentsply Sirona Implants creates value for dental medical devices under a strong portfolio of world class brands.
professionals and allows for predictable and lasting implant As The Dental Solutions Company™, Dentsply Sirona’s products
treatment outcomes, resulting in enhanced quality of life provide innovative, high-quality and effective solutions to
for patients. advance patient care and deliver better, safer and faster
dentistry. Dentsply Sirona’s global headquarters is located in
York, Pennsylvania, and the international headquarters is based
in Salzburg, Austria. The company’s shares are listed in the
United States on NASDAQ under the symbol XRAY.
Visit www.dentsplysirona.com for more information
about Dentsply Sirona and its products.
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