Fixture MicroThread - Astra Tech
Fixture MicroThread - Astra Tech
Fixture MicroThread - Astra Tech
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Taking technology<br />
to the top<br />
<strong>Fixture</strong> <strong>MicroThread</strong>
Now Introdu<br />
Follow the thread<br />
– for top performance!<br />
The <strong>Astra</strong> <strong>Tech</strong> <strong>Fixture</strong> ST was the first dental<br />
implant to employ a landmark innovation in<br />
implant technology – the patented microthread<br />
retention elements at the fixture neck. Clinical<br />
and preclinical documentation on the microthreads<br />
has proved it to be uniquely successful<br />
in maintaining the marginal bone. 1<br />
This success is the rationale for introducing<br />
microthreads on all <strong>Astra</strong> <strong>Tech</strong> implants under<br />
the brand name <strong>Fixture</strong> <strong>MicroThread</strong> – a<br />
concept that will continue to revolutionize the<br />
design and use of dental implants.<br />
2
A major innovation backed by extensive research,<br />
experience, and documentation...<br />
cing <strong>Fixture</strong> <strong>MicroThread</strong> <br />
<strong>MicroThread</strong> – success defined!<br />
<strong>Fixture</strong> <strong>MicroThread</strong> is a self-tapping implant. Its This<br />
key features are a fine, shallow microthread on<br />
the cervical part of the fixture, plus a coarser<br />
thread on the lower portion. The whole fixture<br />
has the unique and well-documented surface<br />
1-5, 7, 9-18<br />
texture – TiOblast.<br />
combination of macro- and micro-retention<br />
elements provides a superior bone-to-implant<br />
interlock, with an increased capacity to withstand<br />
functional load and maintain the marginal bone.<br />
<strong>Fixture</strong> <strong>MicroThread</strong> – One line<br />
of fixtures for all requirements<br />
3.5 4.0 ST 4.5 ST 5.0 ST<br />
<strong>Fixture</strong> <strong>MicroThread</strong> is an implant for all clinical situations –<br />
for single-tooth replacement, for the partially or totally<br />
edentulous jaw, for narrow and wide spaces, and for both<br />
the mandible and the maxilla.<br />
Three of the <strong>MicroThread</strong> fixtures – 4.0 ST, 4.5 ST, and<br />
5.0 ST – have an internal ‘double hex’ design, providing<br />
indexing of the abutments.<br />
3
Stimulate bone formation!<br />
<strong>Fixture</strong> <strong>MicroThread</strong> – designed to carry load<br />
Like all bone in the human body, the jawbone needs<br />
stimulation to regenerate. Thus, a dental implant<br />
should exert a favorable level of mechanical stress<br />
on the surrounding bone when loaded.<br />
<strong>Astra</strong> <strong>Tech</strong> has conducted in-depth studies<br />
of the effect of various thread profiles on the<br />
surrounding bone tissue. This research resulted in<br />
the development of the optimized <strong>MicroThread</strong><br />
concept, which plays an important role in tissue<br />
13, 14<br />
response to the implant.<br />
Documented experimental and clinical research<br />
clearly shows that the presence of the <strong>MicroThread</strong><br />
retention elements at the fixture neck results in<br />
exceptionally uniform stress distribution and low<br />
stress peaks.<br />
This is the fundamental reason why <strong>MicroThread</strong><br />
preserves the marginal bone and actually stimulates<br />
1, 15<br />
bone regeneration.<br />
<strong>Fixture</strong> <strong>MicroThread</strong> <br />
– the only implant design that<br />
• is designed to carry load.<br />
• increases the functional load bearing<br />
capacity at least threefold.<br />
• optimizes the immediate loading<br />
protocol.<br />
4
FEA (Finite Element Analysis) graphics<br />
showing optimized and evenly distributed<br />
stress at the implant neck – induced by the<br />
<strong>MicroThread</strong> retention elements.<br />
5
Eliminate “black triangles”<br />
Do not accept bone loss<br />
A high and maintained marginal bone level not<br />
only ensures secure anchoring of the implant, but<br />
also promotes and supports healthy soft tissues.<br />
<strong>Fixture</strong> <strong>MicroThread</strong> therefore preserves the<br />
integrity of both hard and soft tissues, which is<br />
fundamental for long-lasting esthetics.<br />
With <strong>Fixture</strong> <strong>MicroThread</strong> you have no need<br />
to compromise.<br />
For you, the dentist, a satisfied patient is<br />
the primary goal of dental implant treatment.<br />
To be satisfied, the patient demands a functional<br />
result and long-lasting esthetics without “black<br />
triangles”.<br />
The key to optimal esthetics and functional outcome<br />
is maintenance of the marginal bone.<br />
Healthy bone and<br />
soft tissue means no<br />
“black triangles”,<br />
giving optimal<br />
esthetics.<br />
6
Baseline x-ray<br />
showing <strong>Fixture</strong><br />
<strong>MicroThread</strong> in<br />
place.<br />
X-ray at 5 years<br />
showing preservation<br />
of high<br />
levels of marginal<br />
bone.<br />
Baseline x-ray<br />
showing <strong>Fixture</strong><br />
<strong>MicroThread</strong><br />
installed in a<br />
periodontically<br />
compromised<br />
situation.<br />
X-ray 5 years later<br />
showing bone<br />
regeneration.<br />
CLINICAL PERFORMANCE<br />
– A 5-year prospective study<br />
0.5<br />
Marginal bone (mm)<br />
The thread design<br />
provides excellent<br />
bone-to-implant<br />
contact.<br />
0.0<br />
– 0.5<br />
Baseline<br />
5 years<br />
Palmer et al., 2000<br />
Long-term data confirm<br />
the integrity of the<br />
bone and thereby the<br />
maintained soft tissue<br />
appearance. 1<br />
7
The New <strong>MicroThread</strong> Package<br />
<strong>Fixture</strong> <strong>MicroThread</strong> is supplied premounted<br />
in an innovative sterile package design<br />
that facilitates easy handling.<br />
Lift out the implant, manually<br />
or with the Contra Angle, and<br />
place it directly into the<br />
prepared installation site!<br />
8
The various fixture sizes<br />
are now color-coded, for<br />
ease of use.<br />
<strong>Fixture</strong> <strong>MicroThread</strong> Length mm:<br />
3.5 mm<br />
4.0 mm ST<br />
4.5 mm ST<br />
5.0 mm ST<br />
8 9 11 13 15 17 19<br />
9
Advantage <strong>Astra</strong> <strong>Tech</strong>!<br />
<strong>MicroThread</strong>, view from electron microscope.<br />
TiOblast, as seen in the electron microscope.<br />
Conical Seal Design.<br />
<strong>MicroThread</strong> <br />
The unique design for optimized load transfer and preservation<br />
of the marginal bone.<br />
This provides increased durability and stability of the<br />
implant, leading to predictable esthetic and functional<br />
1, 10-12, 16<br />
results.<br />
TiOblast <br />
The fixture has a well-defined rough surface, TiOblast,<br />
with proven biomechanical benefits for bone formation<br />
and implant retention. The excellent properties of the<br />
TiOblast surface have been verified in animal and human<br />
1-5, 7, 9, 15-17<br />
histology studies and in long-term clinical trials.<br />
Conical Seal Design <br />
The conical relation between fixture and abutment is the<br />
6, 8, 19-21<br />
backbone of the <strong>Astra</strong> <strong>Tech</strong> Dental Implant System.<br />
It provides strength and a tight seal between the two<br />
components, minimizing the risk of micro-leakage and<br />
component loosening. 20-21 It also distributes loads over a<br />
larger surface area, reducing stress peaks. The self-guiding<br />
nature of the Conical Seal Design simplifies handling and<br />
ensures easy and precise seating of the components.<br />
Our Mission<br />
The <strong>Astra</strong> <strong>Tech</strong> Dental Implant System is based on<br />
years of scientific research and clinical documentation.<br />
The result is a unique system with a perfect balance<br />
of Simplicity, Reliability, and Esthetics proven in<br />
long-term clinical studies. <strong>Astra</strong> <strong>Tech</strong> is committed to<br />
forming long-term working relationships with dental<br />
professionals, offering products and services that<br />
improve the quality of life.<br />
10
Comparison with other dental implants<br />
Compared to flat-top dental implants<br />
without microthreads, <strong>Astra</strong> <strong>Tech</strong><br />
Dental Implants offer you:<br />
• higher marginal bone levels.<br />
• increased bone stability and quality.<br />
• healthier soft tissues with no black<br />
triangles.<br />
• no microleakage between<br />
components.<br />
Bone level<br />
<strong>Astra</strong> <strong>Tech</strong><br />
implants<br />
Bone level<br />
other<br />
implants<br />
1. Palmer, R. M. et al.<br />
A 5-Year Prospective Study of <strong>Astra</strong> Single Tooth<br />
Implant. Clin Oral Impl Res 2000;11:179-182<br />
2. Gotfredsen, K. et al.<br />
Histomorphometric and Removal Torque Analysis for<br />
TiO 2 -Blasted Titanium Implants.<br />
Clin Oral Impl Res 1992;3:77-84<br />
3. Ericsson, I. et al.<br />
A Histomorphometric Evaluation of Bone-to-Implant<br />
Contact on Machine-Prepared and Roughened<br />
Titanium Dental Implants.<br />
Clin Oral Impl Res 1994;5:202-206<br />
4. Abrahamsson, I. et al.<br />
The Peri-Implant Hard and Soft Tissues at Different<br />
Implant Systems. Clin Oral Impl Res 1996;7:212-219<br />
5. Ivanoff, C-J. et al.<br />
Histologic Evaluation of the Bone Integration of TiO 2<br />
Blasted and Turned Titanium Microimplants in<br />
Humans. Clin Oral Impl Res 2001;12:128-134<br />
6. Makkonen, T. A. et al.<br />
A 5-Year Prospective Clinical Study of <strong>Astra</strong> <strong>Tech</strong><br />
Dental Implants Supporting Fixed Bridges or<br />
Overdentures in the Edentulous Mandible.<br />
Clin Oral Impl Res 1997;8:469–475<br />
7. Åstrand, P. et al.<br />
<strong>Astra</strong> <strong>Tech</strong> and Brånemark System Implants: A<br />
Prospective 5-Year Comparative Study. Results after<br />
One Year. Clin Impl Dent Rel Res 1999;1:1:17-26<br />
8. Gotfredsen, K. et al.<br />
Implant-Supported Mandibular Overdentures Retained<br />
with Ball or Bar Attachments: A Randomized<br />
Prospective 5-Year Study.<br />
Int J Prosthodont 2000;13:125-130<br />
9. van Steenberghe, D. et al.<br />
A Prospective Split-Mouth Comparative Study of Two<br />
Screw-shaped Self-Tapping Pure Titanium Implant<br />
Systems. Clin Oral Impl Res 2000;11:202-209<br />
10. Norton, M.<br />
The <strong>Astra</strong> <strong>Tech</strong> Single-Tooth Implant System: A Report<br />
on 27 Consecutively Placed and Restored Implants.<br />
Int J Periodont Rest Dent 1997;17:575-583<br />
11. Norton, M.<br />
Marginal Bone Levels at Single Tooth Implants with a<br />
Conical <strong>Fixture</strong> Design. The Influence of Surface<br />
Macro- and Microstructure.<br />
Clin Oral Impl Res 1998;9:91-99<br />
12. Puchades-Roman, L. et al.<br />
A Clinical, Radiographic, and Microbiologic<br />
Comparison of <strong>Astra</strong> <strong>Tech</strong> and Brånemark Single Tooth<br />
Implants. Clin Impl Dent Rel Res 2000;2:2:78-84<br />
13. Hansson, S. et al.<br />
On the Role of the Thread Profile for Bone Implants<br />
with Special Emphasis on Dental Implants. In Towards<br />
an Optimized Dental Implant and Implant Bridge<br />
Design: A Biomechanical Approach. Thesis Hansson S,<br />
Chalmers University of <strong>Tech</strong>nology, Göteborg, 1997<br />
14. Hansson, S.<br />
The Implant Neck: Smooth or Provided with Retention<br />
Elements. Clin Oral Implant Res 1999;10:394-405<br />
15. Rasmusson, L. et al.<br />
Effects of Implant Design and Surface on Bone<br />
Regeneration and Implant Stability: An Experimental<br />
Study in the Dog Mandible.<br />
Clin Impl Dent Rel Res 2001;3:1:2-8<br />
16. Cooper, L. et al.<br />
A Multicenter 12-Month Evaluation of Single-Tooth<br />
Implants Restored 3 Weeks After 1-Stage Surgery.<br />
Int J Oral Maxillofac Implants 2001;16:182-192<br />
17. Gotfredsen, K. et al.<br />
A Prospective 5-Year Study of Fixed Partial Prostheses<br />
Supported by Implants with Machined and TiO 2 -<br />
Blasted Surface. J Prosthodont 2001;10:1:2-7<br />
18. Hansson, S<br />
Surface Roughness Parameters as Predictors of<br />
Anchorage Strength in Bone: A Critical Analysis.<br />
J Biomechanics 2000;33:1297-1303<br />
19. Hansson, S<br />
Implant-Abutment Interface: Biomechanical Study of<br />
Flat Top versus Conical.<br />
Clin Impl Dent Rel Res 2000;2:1:33-41<br />
20. Norton, M<br />
An in vitro Evaluation of the Strength of an Internal<br />
Conical Interface Compared to a Butt Joint Interface in<br />
Implant Design. Clin Oral Impl Res 1997;8:290-298<br />
21. Norton, M<br />
In vitro Evaluation of the Strength of the Conical<br />
Implant-to-Abutment Joint in Two Commercially<br />
Available Systems.<br />
J Prosthet Dent 2000;83:567-571<br />
11
75253-USX-0208<br />
<strong>Fixture</strong> <strong>MicroThread</strong> <br />
• Increased bone quality and stability<br />
• Healthier and stable soft tissues<br />
• Higher success rate<br />
• Improved esthetic results<br />
• More clinical options<br />
Denmark<br />
<strong>Astra</strong> <strong>Tech</strong> A/S, Husby Allé 19, DK-2630 Taastrup.<br />
Tel: +45 43 71 33 77. Fax: +45 43 71 78 65.<br />
www.astratech.dk<br />
Finland<br />
<strong>Astra</strong> <strong>Tech</strong> Oy, PL 96, FIN-02231 Espoo.<br />
Tel: +358 9 8676 1626. Fax: +358 9 8044 128.<br />
www.astratech.fi<br />
France<br />
Société de Matériel Médical, <strong>Astra</strong> <strong>Tech</strong> France,<br />
Groupe Pharmaceutique <strong>Astra</strong>Zeneca,<br />
7, rue E & A Peugeot, FR-92500 Rueil-Malmaison.<br />
Tel: +33 1 41 39 02 40. Fax: +33 1 41 39 02 44.<br />
www.astratech.fr<br />
Germany<br />
<strong>Astra</strong> <strong>Tech</strong> GmbH, An der kleinen Seite 8, DE-65604 Elz.<br />
Tel: +49 6431 9869 0. Fax: +49 6431 9869 500.<br />
www.astratech.de<br />
Italy<br />
<strong>Astra</strong> <strong>Tech</strong> S.p.A<br />
Via M. Luther King n. 38/2, IT-40132 Bologna.<br />
Tel: +39 051 641 6511. Fax: +39 051 641 7742.<br />
www.astratech.it<br />
The Netherlands<br />
<strong>Astra</strong> <strong>Tech</strong> BV, Signaalrood 55, NL-2718 SG Zoetermeer.<br />
Tel: +31 79 360 1950. Fax: +31 79 362 3748.<br />
www.astratech.nl<br />
Norway<br />
<strong>Astra</strong> <strong>Tech</strong> AS, Postboks 160, NO-1471 Lørenskog.<br />
Tel: +47 67 92 05 50. Fax: +47 67 92 05 60.<br />
www.astratech.no<br />
Spain<br />
<strong>Astra</strong> <strong>Tech</strong> S.A.,<br />
Calle Ciencias nº 73 derecha. Nave 9, Polígono<br />
Industrial Pedrosa, ES-08908 L´Hospitalet de Llobregat.<br />
Tel. Servicio al cliente: +34.902.101.558.<br />
Tel: +34.932.643.560. Fax: +34.933.363.231.<br />
www.es.astratech.com<br />
Sweden<br />
<strong>Astra</strong> <strong>Tech</strong> AB, P.O. Box 14, SE-431 21 Mölndal.<br />
Tel: +46 31 776 30 00. Fax: +46 31 776 30 10.<br />
www.astratech.se<br />
United Kingdom<br />
<strong>Astra</strong> <strong>Tech</strong> Ltd., Brunel Way, Stonehouse, Glos GL10 3SX.<br />
Tel: +44 1453 791763. Fax: +44 1453 791001.<br />
www.astratechuk.com<br />
USA<br />
<strong>Astra</strong> <strong>Tech</strong> Inc.<br />
430 Bedford Street, Suite 100, Lexington, MA 02420.<br />
Tel: +1 781 861 7707. Fax: +1 781 861 7787.<br />
www.astratechusa.com<br />
Japan<br />
<strong>Astra</strong> <strong>Tech</strong> Division, <strong>Astra</strong>Zeneca K.K.<br />
Tokyo Regional Office<br />
Koraku Mori Bldg. 11F, 1-4-14, Koraku<br />
Bunkyo-ku, Tokyo 112-0004.<br />
Tel: +81 3 5840 1113. Fax: +81 3 5840 1160.<br />
Other Markets<br />
<strong>Astra</strong> <strong>Tech</strong> AB, Export Department,<br />
P.O. Box 14, SE-431 21 Mölndal, Sweden.<br />
Tel: +46 31 776 30 00. Fax: +46 31 776 30 23.<br />
www.astratech.com<br />
/Printed in Sweden by Typografia Olsén<br />
<strong>Astra</strong> <strong>Tech</strong> AB, P.O. Box 14, SE-431 21 Mölndal, Sweden. Tel: +46 31 776 30 00. Fax: +46 31 776 30 10. www.astratech.com