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高榮現在似乎很推植牙呢
所以MEETING裡常會提到
他們使用的系統是瑞士的【straumann® ITI 人工植牙系統】

瑞士製造--SWISS Made

 

有的ITI植體都是瑞士原廠製造,瑞士的精密工業早已深穫全球的肯定,而製造人工植牙如此精細的醫療產品,更需要高科技,高精密的技術,所以由瑞士原廠製造(swiss made) 的ITI植體是值得信賴的!


增加您的病患滿意度和信賴度
straumann的所有產品皆通過國際ISO9001認證
,EN46001的認證,在全歐洲獲頒CE的證書,美國通過FDA認證許可,臺灣通過衛生署認證許可。straumann公司在植牙領域已有30年以上的歷史讓你的病患安心滿意(每壹根植體都通過以上嚴格的把關認證)。

國際性牙醫植牙學術組織 Internation Team for oral Implantology
straumann除了製造產品外
,另外還有學術團體在支持證明其產品的優良,這個學術團體就是Internation Team for oral Implantology 

產品設計優點

ITI 實心螺絲型植體(ITI Solid screw implants) - ITI 植牙系統(ITI DENTAL IMPLANT SYSTEM)是由Straumann 近30年精密機械工程經驗的品質所製造。 在國際知名的各種牙科專業書籍雜誌發表超過4000篇以上的文獻報告
 ITI植牙系統( ITI DENTAL IMPLANT SYSTEM)是最有科學根據文獻報告最多的植牙系統之一 。以下有部份列表可供參考。

 


(1)45度的 shoulder:
Minimized microgap.
Better force distribution as a result of greater bearing surface.

(2)光滑頸部區段Smooth neck section
Enables flexible tissue management taking the biologic width into account.

(3)Morse taper connection
For uniform load distribution and reliable stable implant-to-abutment joints with prevention of rotation.

(4)內八角設計Internal octagon
Offers the greatest possible flexibility and ensures accurate repositioning of the prosthesis.

(5)SLA surface 植體表面處理
SLA = Sandblasted, Large grit, Acid-etched.Proven a million times over, the highly reliable rough Straumann implant surface for optimal osseointegration and reduced healing times.

最完美的植體表面SLA(Sand-blasted Larg-grift Acid-ecthed )


(6)Optimized thread design 最佳螺距
最佳螺紋設計
Ensures optimal primary and secondary stability.

植體Dimensions:
Endosteal implant diameters: 3.3 mm, 4.1 mm and 4.8 mm.
Shoulder diameters: 3.5 mm 4.8 mm and 6.5 mm.
最符合東方人齒槽骨


最完美的植體表面 SLA



  最先進的植體表面 SLA®(Sand-blasted Large grift Acid-etched ) 
                                 (↑SLA讓我想到straight line access)

有效刺激骨細胞的生長
有效縮短骨整合時間(健康病人6~8週骨整合)。
                                         (↑兩個月左右而已 很快呢!!)
十年以上研究臨床追蹤報告(1990年迄今);in vivo and in vitro testing。
真正有科學實驗臨床研究的植體表面(最嚴謹)。
最早提出粗糙植體表面
成為其他品牌COPY的典範。


《圖一和圖二》是 ITI植體表面在電子顯微鏡下的狀況,可見其粗糙的凹凸均勻表面有如山峰山谷一般

SLA文獻列表
以下列出證明ITI的SLA植體強大骨整合效果的文獻,讓病患的植牙用的更久更好。
以下文獻皆是由知名科學家和牙醫學博士發表在全球知名的牙醫科學雜誌,非一般只有製造廠商自己提出的報告,可見ITI人工植牙真正是全球公認的最好的植牙系統。

文獻主題作者和出處
1. The influence of various titanium surfaces on the interface shear strength between implants and bone.


H.-J. Wilke, L. Claes, S. Steinemann. In: G. Heimke, U. Soltesz, A.J.C. Lee. Advances in Biomaterials, Vol.9: Clinical Implant Materials. Amsterdam: Elsevier Science Publishers BV, p.309, 1990
2. Influence of surface characteristics on bone integration of titanium implants.A histomorphometric study in miniature pigs.


D. Buser, R.K. Shenk, S. Steinemann, J.P. Fiorelleni, C.H. Fox, H. Stich. Journal of Biomedical Materials research, p. 889, Vol. 25, 1991.
3. Attachment and growth of periodontal cells on smooth and rough titanium.

D.L. Cochran, J. Simpson, H.P. Weber, D. Buser.
The International Journal of Oral and Maxillofacial Implants. p. 289, Vol. 9, 1994.
4. Effect of surface topography on the osseointegration of implant materials in trabecular bone.

M. Wong, J. Eulenberger, R. Schenk, and E. Hunziker Journal of Biomedical Research p.1567,
Vol. 29, 1995.
5. Effect of titanium surface roughness on proliferation, differentiation, and pr otein synthesis of human osteoblast-like
cells (MG63)
J.Y. Martin, Z. Schwartz, T.W.Hummert, D.M. Schraub, J. Simpson, J. Lankford Jr., D.D. Dean, D.L. Cochran, B.D. Boyan Journal of Biomedical Materials research. p.389, Vol. 29, 1995.
6. Proliferation, differentiation, and pr otein synthesis of human osteoblast-like cells (MG63) cultured on previously exposed titanium surfaces.
J.Y. Martin, D.D. Dean, D.L. Cochran, J. Simpson, B.D. Boyan, Z. Swartz. Clinical Oral Implants Research. p. 27, Vol. 7, 1996
7. Effect of titanium surface roughness on chondrocyte proliferation, matrix pr oduction, and differentiation depends
on the state of cell maturation

Schwartz-Z, Martin-JY, Dean-DD, Simpson-J, Cochran-DL, Boyan-BD J-Biomed-Mater-Res. 1996 Feb; 30(2): 145-55
8. Evaluation of an endosseous titanium implant with a sandblasted and acidetched surface in the canine mandible:
radiographic results

Cochran DL, Nimmikoski PV, Higginbottom FL, Hermann JS, Makins SR, Buser D.
Clin Oral Impl Res 1996: 7: 240-252.
9. Surface roughness modulates the local production of growth factors and cytokines by osteoblast-like MG-63 cells

K. Kieswetter, Z. Schwartz, T. W. Hummert, D. L. Cochran, J. Simpson, D. D. Dean, and B. D. Boyan-BD J- Biomed-Mater-Res. 1996 Sep;
32(1) : 55-63
10. Removal Torque Values of Titanium Implants in the Maxilla of Miniature Pigs


Daniel Buser, Thomas Nydegger, Hans Peter Hirt, David L. Cochran, Lutz-Peter Nolte INT J Oral Maxillofac Implants 1998; 13 : 611-619
11. Bone response to unloaded and loaded titanium implants with a sandblasted and acid-etched surface: A histometric study in the canine mandible

D. L. Cochran, R. K. Schenk, A. Lussi, F. L. Higginbottom, D. Buser Received 22 October 1996; accepted 28 May 1997
J Biomed Mater Res, 40, 1-11, 1998
12. Titanium surface roughness alters responsiveness of MG63 osteoblast-like cells to 1a, 25-(OH)2D3

B. D. Boyan, R. Batzer, K. Kieswetter, Y. Liu, D. L. Cochran, S. Szmuckler-Moncler, D. D. Dean, Z. Schwartz
J Biomed Mater Res, 39,77-85, 1998
13. Interface shear strength of titanium implants with a sandblasted and acid-etched surface: A biomechanical study in the maxilla of miniature pigs


Daniel Buser, Thomas Nydegger, Thomas Oxland, David L. Cochran, Robert K. Schenk, Hans Peter Hirt, Daniel Snetivy, Lutz-Peter Nolte.
(In press, Journal of Biomedical
Materials research, Jan/Feb 1999.)
14. The use of shortened healing times on ITI® implants with an SLA surface.Early results from clinical trials.
Simpson JP, Buser D, ten Bruggenkate TM, Weingart D, Taylor TM, Cochran DL, Bernard JP, Peters F. In preparation.

生物相容性最好的四級純鈦人工牙根

<圖示>純鈦金屬棒
上圖示是原廠欲將一根根的純鈦金屬拿去製作植體的原貌。
用純鈦金屬製作人工植體是需要高技術。
  製造ITI人工植牙的straumann® 公司,採用生物相容性最好的四級純鈦金屬,來製造人工植體(非市面其他牌用鈦合金)。

生物相容性,悠關放入口腔內的人工牙根未來是否會被身體排斥,而純鈦金屬早在骨科就被證實是人體生物相容性最好的金屬,而ITI植牙用的四級純鈦是強度高、生物相容性最好的金屬。


 

 


straumann® ITI 人工植牙系統植體規格簡介

  (1)Standard implant 標準型植體









One implant for all indications
The Straumann Standard Implant with the 2.8 mm neck has been the proven solution for predictable treatment success for more than a decade in all dental implantology indications.


This cylindrical implant is available in endosteal diameters 3.3 mm, 4.1 mm, and 4.8 mm and can be inserted easily and safely with only a few surgical instruments.

By offering two standardized prosthetic platforms (RN Regular Neck, and WN Wide Neck), the Standard Implant provides the restorative doctor with a clear range of options, even if different endosteal diameters are used.

Indications
Standard Implant O 3.3 mm RN:Limited alveolar ridge width
Standard Implant O 4.1 mm and O 4.8 mm RN:All indications
Standard Implant O 4.8 mm WN:Crowns and bridges in the molar region
 

  (2)Standard Plus implant 美觀型植體

For a plus of options.
Standard Plus Implants, with the reduced neck height of 1.8 mm, offer additional options in implant insertion taking into account the biologic width. The treating dentist has the option of letting the implant heal trans-, semi- or subgingivally and thus has the flexibility needed for effective tissue management. The 1.8 mm neck height is designed to optimize esthetics and emergence profile.

For simplified handling, the same instruments and procedures are used with this implant type as those used with the tried and tested Straumann Standard Implants.*

Standard Plus Implants are indicated particularly for the esthetic region and enable lasting treatment success even in demanding cases.

*Special profile drills are used with Standard Plus implants for the final preparation of the implant bed.

Standard Plus Implants Regular Neck and Wide Neck

Standard Plus Implants with a O 4.8 mm Regular Neck (RN) and a O 6.5 mm Wide Neck (WN) have a Morse taper abutment-to-implant connection with an internal octagon.

Indications

Standard Plus Implant RN (Regular Neck):all indications
Standard Plus Implantat WN (Wide Neck):crowns and bridges in the molar region


Standard Plus Implant Narrow Neck
Indicated for the upper lateral incisors and lower lateral and central incisors, the Standard Plus Implant Narrow Neck with a prosthetic diameter of 3.5 mm offers an additional option within the Standard Plus line for small single-tooth gaps. The abutment is integrated in this implant and forms an external octagon connection for the suprastructure.

Indications

Standard Plus Implant NN (Narrow Neck):
Single tooth replacement of the upper lateral incisors and lower lateral and central incisors.

 

  (3)Taper effected 牙根狀植體
One implant for all indications.
The Straumann Standard Implant with the 2.8 mm neck has been the proven solution for predictable treatment success for more than a decade in all dental implantology indications.

This cylindrical implant is available in endosteal diameters 3.3 mm, 4.1 mm, and 4.8 mm and can be inserted easily and safely with only a few surgical instruments.

By offering two standardized prosthetic platforms (RN Regular Neck, and WN Wide Neck), the Standard Implant provides the restorative doctor with a clear range of options, even if different endosteal diameters are used.

Indications

Standard Implant O 3.3 mm RN:Limited alveolar ridge width
Standard Implant O 4.1 mm and O 4.8 mm RN:All indications
Standard Implant O 4.8 mm WN:Crowns and bridges in the molar region


Literature 以下列出在1998/1999發表於牙科雜誌與ITI相關的文獻(←之後有空再看吧~)
您可了解ITI植牙的學術背景與科學基礎
 
Basic Research
Biomaterial Research
Hard Tissue Interface
Parameters for Clinical Investigations
Soft Tissue Interface
Clinical Studies / Cases
Surgery
Augmentation/GBR
Maxillofacial Surgery
Prosthetics
Periodontics
Implant System
 Published Literature 1998/1999 English = E
German= G
Spanish= S
  
 Basic Research
  
 Mineralization processes in demineralized bone matrix grafts in human maxillary sinus floor elevation Groeneveld E.H.J.,
van der Bergh J.P.A., Holzmann P., ten Bruggenkate C.M., Tuinzing D.B., Burger E.H.,
 Journal of Biomedical Materials Research, Applied Biomaterials 48: 393-402, 1999E
 Osseointegration: a reality Schenk, R.K.
Buser D.

 Periodontology 2000 1998:17, 22-35E
 The effect of insulin therapy on osseointegration in a diabetic rat model Fiorellini JP
Nevins ML
Norkin A
Weber HP
Karimbux MY
 Clin Oral Impl Res 1999:10: 362-368E



  
 Biomaterial Research
  
 Titanimplantate mit angerauhter Oberflaeche / Wissenschaftliche Dokumentation und klinische Vorteile

 Buser D. Implantologie 1999; 3: 249-268E
 Titanium - the material of choice? Steinemann S. Periodontology 2000
1998:17, 7-21
E
 Evaluation of filling materials in membrane-protected bone defects: A comparative histomorphometric study in the mandible of miniture pigs. Buser D.
Hoffmann B.
Bernard J.P.
Lussi A.,
Mettler D.
Schenk R.
 Clin Oral Impl Res 1998:9: 137-150E

  
 


  
 Hard Tissue Interface
  
 Removal Torques Values of titanium implants in the maxilla of miniature pigs Buser D.
Nydegger Th.
Hirt H.P.
Cochran D.L.
Nolte L.P.

 Int J Oral Maxillofac Implants, Volume 13,, 1998, 611-619E
 Crestal Bone Changes around Titanium Implants: A Radiographic Evaluation of Unloaded Submerged Implants in the Canine Mandible Hermann J.S.
Cochran D.L.
Nummikoski P.V.
Buser D.
 Journal of Periodontology 68: 1117-1130 (1997)E

  
 


  
 Soft Tissue Interface
  
 The soft tissue response to osseointegrated dental implants. Weber H.P.
Cochran D.L.
 The Journal of Prosthetic Dentistry: 1998: 79: 79-89E
 The interface between the mucosa and the implant Lindhe J.
Berglundh T.
 Periodontology 2000 1998:17, 47-45E
 Soft tissue response to plaque formation at different implant systems. A comparative study in the dog. Abrahamson I.
Berglundh T.
Lindhe J.
 Clin Oral Impl Res 1998:9: 73-79E
 Ist Korrosion ein Problem in der chirurgischen und prothetischen Implantologie? Wirz J. Implantologie 1998;2:157-171E

  
 


  
 Parameters for Clinical Investigations
  
 
Radiographic parameters for the evaluation of peri.implant tissues
 Br輍ger U. Br輍ger U.E
 Use of radiographs in evaluating success, stability and failure in implant dentistry Br輍ger U. Periodontology 2000 1998:17, 77-88E
 Clinical parameters for the evaluation of dental implants Mombelli A.
Lang N. P.
 Periodontology 2000 1998:17, 81 - 86E
 Clinical trials on the prognosis of dental implants Fiorellini J.P.
Weber H.P.
 Periodontology 2000 1998:17, 98-108E
 Evaluation of postsurgical crestal bone levels adjacent to non-submerged dental implants Br輍ger U.
H輎eli U.
Huber B.
H鄝merle C.
Lang N.P.
 Clin Oral Impl Res 1998:9:218-224E

  
 


  
 Clinical Studies / Cases
  
 Life Table Analysis and Clinical Evaluation of Oral Implants Supporting Prostheses After Resection of Malignant Tumors

 Regina Mericske-Stern
Roman Perren,
Joram Raveh
 Int J Oral Maxillofac Implants : 1999, Volume 14, 5, 673-680E
 Esthetic Replacement of a Maxillary Central Incisor with an ITI 15-Degree Angled Implant: A Case Report

 Bobby L. Butler
Christopher Suzuki
 The International Journal of Periodontics&Restorative Dentistry: Volume 19, Number 6, 1999, 609-614E
 Multicenter Retrospective Analysis of the ITI-Implant System Using for Single-Tooth Replacements: Results of Loading for 2 or More Years

 R.A. Levine
D.S. Clem
Th.G. Wilson
F. Higginbottom
G. Solnit
 Int J Oral Maxillofac Implants : 1999, Volume 14, 4, 516-520E
 Hard and Soft Tissue Reactions to ITI Screw Implants: 3-Year Longitudinal Results of a Prospective Study

 Behneke A.
Behneke N.
d`Hoedt B.
Wagner W.
 Int J Oral Maxillofac Implants 1997;12:749-757E
 Clinical Experience with One-Stage Non-Submerged Implants D. Buser,
R. Mericske-Stern
K. Dula
N.P. Lang

 Adv Dent Res 13:153-161, June, 1999E
 Longitudinal studies of implant systems Fiorellini J. P.
Martuscelli G.
Weber H.P

 Periodontology 2000
1998:17, 125-131
E
 Diabetes mellitus- ein Risikofaktor f enossale Implantate im zahnlosen Unterkiefer?

 Behneke A.
Behneke N.
d'Hoedt B.
Wagner W.
 Dtsch Zahn酺ztl Z 53 (1998)5E
 Short (6 mm) Nonsubmerged Dental Implants: Results of a Multicenter Clinical Trial of 1 to 7 years. ten Bruggenkate C.M.
Asikainen P.
Foitzik C.
Krekeler G.
Sutter F.
 Int J Oral Maxillofac Implants, Volume 13,, 1998, 791-798E
 Evaluation of single-tooth restorations on ITI dental implants: A prospective study of 29 patients Moberg L. E.
K霵dell P.A. Kullmann L. Heimdahl A.
Gynther G.W.

 Clin Oral Impl Res 1999:10: 45-53E
 T嶰nica del conjuntivo alveolar en los implantes de dientes unirradiculares

 J. Divi Pujol
E. Rojo Mirabet
 Periodoncia 1999;9 Fasc.3: 183-194E

  
 


 
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