www.ardsimplants.

com
4 Hashikma st. Rishon Le-Zion, Israel. 75201 Tel. 972-3-9643320 Email: info@ardsimplants.com

Company Profile
Established by Dr. Uri Arny in 2005, ARDS deals with the development, manufacturing and marketing of innovative dental implants. Dr. Arnys guiding philosophy of Minimum Drilling Maximum Primary Stability, has inspired him to develop a unique drilling technique which keeps bone damage to the minimum while maximizing primary stability. Combined with the introduction of the revolutionary Smart implant these principles have been fulfilled. Dr. Arny Uri Chairman & Medical Manager ARDS holds a number of international patents with regards to: The Smart implant design. ARDS drilling technique a simple, bone preserving drilling technique. The 3mm Smart Implant a unique one-stage implant designed for narrow ridges and thin crests. The main advantages for ARDS drilling technique and Smart implants are: Shorter healing process Saving 40% of the bone by reducing the amount of drilled bone. Immediate implant after extraction in almost every case Significantly shortening the process of bone-implant integration due to a unique design of the implant which increases bone-implant contact in the surgery phase (in comparison with conventional implants of the same diameter). Maximum primary stability ARDS drilling technique combined with the shape of the Smart implant results in the compression of the spongiosal bone around the apical part of the implant during its insertion. Thus, load forces are equally distributed along the entire implant and not only at its upper threads, as in common implants held only at the cortical bone. Implanting in problematic areas ARDS drilling technique enables precise control over the placement and shape of the bore hole. This is attainable by the use of leading pins which direct the drill at the correct angle throughout the process and stabilize it, also in narrow ridges or extraction sites. The result is a simple, user-friendly implant process, suited for every dentist.

External Surface
Osseointegration is needed in order to create a durable stability of the implant in the bone. In order to intensify the osseointegration, the implants must go through a series of processes: The first process is blasting the implant, using adhesive particles containing Alumina, in order to create a rougher surface area. In general, cells adhere better onto rough surfaces and the deep pits created by the blasting procedure, act as retentive pockets for newly formed bone. The second process is the cleaning of the implants using a special technique to keep the Titanium in its original composition. This prevents foreign materials from being captured between the titanium surface and the bone. After the final cleaning of the Titanium, when in contact with the air, an oxidized layer of 50-2000 Ti-Oxide is being created on the implants surface. This layer is inert biologically and isolates the Titanium, defending it from further chemical reactions. Pure Titanium or alloy implants keep this layer without fraction or corrosion under physiological conditions. This thin layer will be the one that determines the implanttissue connection, and not the metal itself. This process prevents a situation where a fundamental change in the composition of material on the implants surface will change the BoneImplant connection.

X200

Type of Titanium
ARDS implants are composed of medical titanium alloy Ti-6 AL-4V which adheres to all manufacturing regulations. It is composed of 6% Aluminum which increases the strength of the material and of 4% Vanadium which cleans the residue of corrosion between the Aluminum and Titanium.

Manufacturing
ARDS managements main office is situated in Rishon-Le-Zion, Israel. Manufacturing and packaging supervised processes are carried out at ARDS production plant situated at Teffen industrial park, in the north of Israel. The plant retains a quality control system and regulations of the highest required level in accordance with the most stringent international standards.

X500

Approval & Certificates

ARDS is approved by ISO 9001, ISO 13485, of European body CE, Israeli AMAR and American FDA. X1000

Table of Contents
Analytical and Experimental Research Packaging Leading Pin Drilling Method Implants Smart Classic Premium Drills Trephine Drills Standard Drills Prosthetic Components Healing Caps Abutments Anatomic Abutments Shoulder Abutments Accessories Ball Attachment Components Hemisphere System Overdenture Components Smart Overdenture Components Tools Prosthetic Options Fixed Removable Overdenture Removable Overdenture Cemented Related Restorations Fixed Removable Restorations Courses and Seminars Notes 4 25 26 27 27 28 29 14 15 16 17 18 19 20 21 22 23-24 12 13 9 10 11 5 7 8 8

Hybrid Dual Thread Screw Implant Analytical and Experimental Research

Dr. Uri Arny, Ilan Weissberg M.Sc & Oved Gihon, Mechanical engineer. Introduction
As the popularity of using implants in dental restorative procedure gains momentum, there is a need to find innovative dental implant, which can effectively transfer the loads and provide the necessary stabilization into jawbone. This paper presents the development results of a novel implant with a Hybrid Dual Thread Screw as shown in Fig. 1. This approach allows obtaining a high reinforcement of the implant in the jawbone by a reduction of the drilling bone volume along with an additional gain of primary surface contact relatively to classical implants. To prove the concept, analytical models and experiment tests were carried out during the development of an implant with Hybrid Dual Thread Screw (HDTS). The analytical calculations are based on Finite Element Model, while the experiment tests were done on an artificial bone made of Fiberglass and Structural foam, which represents the bone mechanical properties. These unique experimental tests which have been chosen, since the clinical tests evaluations on animals are not efficient. The animal has different dental jaw structure and it requires a lot of time to get the results.

Experimental Method
Force-displacement tests have been carried out on Classical Cylindrical Implant and HDTS implant both have diameter of 4.5 mm and 13 mm in length. The implants have been inserted in an artificial bone specimen shown in Fig. 2, the cross section dimensions of this specimen are of a typical mandible as is shown in Fig. 3. An axial load was applied onto the implant head until failure was reached. During the static tests the force-displacement curves were recorded and axial stiffness has been calculated.

Implant Artificial Cancellous Artificial Cortical

HDTS Implant Description

The unique HDTS dental Implant, shown in Fig. 1, uses two different thread types, double thread thin grove at the implant interface area with the cortical bone and single thread thick groves at the cancellous. This unique design allows facilitating the transfer of occlusal forces to the greatest surface area of the bone-implant interface for favorable load distribution. Also it reduces the amount of bone removed by using a novel drilling procedure.
Double Thread Thin Groove Fig. 2: Artificial Bone Specimen

Single Thread Thick Groove

Figure 1: Hybrid Dual Tread Screw (HDTS) Implant

Fig. 3: Artificial Bone Specimen Cross Section (Dimensions in mm>)

Experimental Results
The experimental tests showed that the HDTS implant could carry higher axial load compared to classical cylinder implants, as shown in figure 4. It is also shown that HDTS implant has higher stiffness then the classical cylindrical implant. The stiffness of the implants is compatible with measured axial stiffness of 180 Kg/mm published in the literature for Branemark (7 mm) in trabecular bone. These results increase the reliability of the preformed experimental tests.

The maximal shear stress level at the cortical jawbone with HDTS implant is 15% to 25% lower compared with a classical cylindrical implant, this is shown in Fig 6, which plots the max shear stress distribution in the cortical bone under an axial load of 40 Kg for the both type of implants.

Discussion & Conclusions

The experimental tests showed that HDTS implant achieved the highest vertical load capability compared with a classical cylindrical implant. The unique tests experiments method evaluates in this study provided short development time by using artificial bone specimen. These experiments were done with a background of analytical calculations. The lower shear stress values at the cortical bone evaluate for the HDTS implant compared with the classical cylindrical implants provides the advantage of the HDTS implant regarding on carrying higher loads and increasing life time of the HDTS implant. This phenomenon is mostly due to the innovative implant geometry and bone drilling method.

Analytical Method
Finite Element Model (FEM) of an implant installed in a standard jawbone cross section has been built using NASTRAN FEM software. The aim of this study was to evaluate the influence of HDTS implant versus classical cylindrical implants on the stress intensity and stress distribution due to axial load. Two analytical models were built for the identical specimen types described above. The Implant stress distribution at the bone cross section was calculated. The FEM model of the dental implant bone system used 2-D Plate elements; the model is symmetrical since only axial (vertical) load had been analyzed, as is shown in Fig. 5.

Analytical Results
The analytical calculations showed that the HDTS implant have favorable stress distribution over the classical cylindrical implant.

Fig. 6: The Max Cortical Shear Stress Distribution for the Two Implants Models @ 40 Kg Vertical Load

References
Fig. 4: Implant tests under compression axial load

Lawrence B. Lum,A Biomechanical Rationale for the use of Short Implants. Journal of Oral Implantology Vol. XVII/ No. Tow/1991 pp126-131 Borchers L. Relchart P. Three dimensional stress distribution around a dental implant at different stages of interface development. J. Dent Res 1983 62(2):156-159 Kitoh, M; Matsushita, Y.; Yamautue, S; Ikedda, H.; and Suetsugu, T. The Stress Distribution of Hydroxyapatite Implant Under Vertical Load by the Two-Dimensional Finite Element Method. Journal of Implantol 14:65-71 Dechow P.C. Naill G.A. SchwartzDabney C.L. and Ashman R.B., Elastic properties of the human supraorbital and mandibular bone. Am J Phys Anthropol 90, pp 291-306. 1993.

Fig. 5: Analytical Model for HDTS Implant

Packaging
Package contains: Implant, Healing screw, Leading pin (for the Smart implant), double label to allow recording of the used implants on the patients form. All implants are sterilized and gamma-rayed. All implants are packed with mounting tool, no-touch delivery carrier. All implants are double packed the outer clean, the inner sterilized. All super structures are clean and ready to be used.

All implants come with colour coding to improve their usability.

3mm 3.3mm 3.75mm 4.2mm 4.5mm 5mm 6mm

Leading Pin
Leading pin of titanium alloy Marked 3mm from tip on both sides. comes with the smart implant.

Length

Code

16mm

16mm

LP0016

Drilling Method*
1 2 3 4

Marking

2mm Drill (Pilot)

Leading Pin

5
5.5mm

* For detailed instructions & illustrations please turn to the surgical manual brochure or web site

Implants
Smart
The Smart implant is a dual thread internal hex implant, slightly tapered at its lower part with a 3.75mm universal platform. The Smarts unique dual thread design and exceptionally large surface area enables optimal grip of the implant both in the cortical and the spongiosal bone, thus creating excellent primary stability and equal distribution of forces along the implant. The Smart is self tapping and compresses the bone as each thread penetrates deeper than the one before. The Smart 3mm implant is a dual thread, external hex, one stage implant. It is used in narrow ridges or thin crests. The carrier of the 3mm implant serves a double function as the driver of the upper parts. The Smart is suitable for all bone types including especially low quality bones. 3.75mm
3.1 3

Length
10mm 11.5mm 13mm

Code
N31000 N31100 N31300

3mm
3

Length
8mm
3.75

Code
S37508 S37510 S37511 S37513

10mm 11.5mm 13mm

Length
8mm
4.2 3.75

Code
S42008 S42010 S42011 S42013

10mm 11.5mm 13mm

4.2mm
3.6

Length
8mm
4.5 3.75

Code
S45008 S45010 S45011 S45013

10mm 11.5mm 13mm

4.5mm
3.6

Implants
Classic
Length
8mm
3.75

Code
C37508 C37510 C37511 C37513

The Classic implant is a conical internal hex implant with a short parallel upper part and a 3.75mm universal platform. The Classic is self tapping and condenses the bone through the insertion process, resulting in high primary stability, necessary in immediate implantations. The Classic will optimally be used for softer bone when bone compression around the implant can be done.

10mm 11.5mm 13mm

3.75mm
3.2

Length
8mm
4.2 3.75

Code
C42008 C42010 C42011 C42013

10mm 11.5mm 13mm

4.2mm
3.6

Length
8mm
5 3.75

Code
C50008 C50010 C50011 C50013

10mm 11.5mm 13mm

5mm
4.2

Length
8mm
6 3.75

Code
C60008 C60010 C60011 C60013

10mm 11.5mm 13mm

6mm
5.2

10

Implants

Premium
3.3 3.6

The Premium implant is a parallel internal hex implant, slightly tapered at its bottom with a 3.75mm universal platform. The Premium implant does not condense the bone and therefore recommended to be used also for harder and condensed bones such as type I.

Length
10mm 11.5mm 13mm

Code
P33010 P33011 P33013

3.3mm
2.4

Length
8mm
3.75

Code
P37508 P37510 P37511 P37513 4.2mm
3.6 4.2 3.75

Length
8mm 10mm 11.5mm 13mm

Code
P42008 P42010 P42011 P42013

10mm 11.5mm 13mm

3.75mm
3.2

Length
8mm
5 3.75

Code
P50008 P50010 P50011 P50013

10mm 11.5mm 13mm

5mm
4.2

Length
8mm
6 3.75

Code
P60008 P60010 P60011 P60013

10mm 11.5mm 13mm

6mm
5.2

11

Drills

Trephine Drills

Code

DR0010 Marking

Code

DR0020 2mm

Code
11.5mm 5.5mm 10mm 13mm 8mm

DR0028 2.8mm 3mm

Code
11.5mm 5.5mm 10mm 13mm 8mm

DR0036 3.6mm 3.75mm

Code
11.5mm 5.5mm 10mm 13mm 8mm

DR0040 4mm 4.2mm

11.5mm

5.5mm

10mm

13mm

8mm

Code

DR0042 4.2mm 4.5mm

12

Drills
5.5mm

Standard Drills
11.5mm 10mm 13mm 8mm

Code

DRN028 2.8mm 3mm

Code
11.5mm 5.5mm 10mm 13mm 8mm

DRN036 3.6mm 3.75mm

Code
11.5mm 5.5mm 10mm 13mm 8mm

DRN040 4mm 4.2mm

11.5mm

5.5mm

10mm

13mm

8mm

Code

DRN042 4.2mm 4.5mm

11.5mm

5.5mm

10mm

13mm

8mm

Code

DRN045 4.5mm 5mm

11.5mm

5.5mm

10mm

13mm

8mm

Code

DRN052 5.2mm 6mm

13

Prosthetic Components
Healing Caps
Code
HO3000 Healing Cap for 3mm ARDS implants

Code

Code

Healing Cap - straight height: 3mm

HO3753

Healing Cap - straight height: 5mm

HO3755

Code

Code

Healing Cap wide height: 3mm

HW3753

Healing Cap wide height: 5mm

HW3755

Front Segment Healing Caps

Code Code Code

height: 0mm HN3750

height: 3mm HN3753

height: 5mm HN3755

14

Prosthetic Components
Abutments
Code
10 mm 13 mm

Code

Straight abutment height: 0mm

4.6

A37500
4.6

Straight abutment height: 3mm

A37530

Code
10 mm

Code
13 mm

Straight abutment Wide height: 0mm

6

A3750W
6

Straight abutment Wide height: 3mm

A3753W

Code
10 mm

A3750T Narrow Abutment for Front Segment

3.8

Code
9 mm

A30000 Abutment for 3mm ARDS implants

4.2

10 mm

A37515 15deg. Abutment

4.8 4.8

10 mm

Code

Code

A37525 25deg. Abutment

15

Prosthetic Components
Anatomic Abutments
Code
10 mm

1mm
4.5

Straight Anatomic Abutment height: 1mm

ANT001

Code
10 mm

2mm
4.5

Straight Anatomic Abutment height: 2mm

ANT002

10 mm

Code
Straight Anatomic Abutment height: 3mm
4.5

3mm

ANT003

Height
10 mm

Code
ANT151 ANT152 ANT153

1mm 15deg Anatomic Abutment

4.45

2mm 3mm

10 mm

Height
25deg Anatomic Abutment
4.6

Code
ANT251 ANT252

1mm 2mm

16

Prosthetic Components
Shoulder Abutments
Code
10 mm

1mm
4.6

Shoulder Abutment height: 1mm

AS3751

Code
10 mm

2mm

Shoulder Abutment height: 2mm

AS3752

4.6

10 mm

Code

3mm

Shoulder Abutment height: 3mm

AS3753

4.6

10 mm

Code
4mm

Shoulder Abutment height: 4mm

AS3754

4.6

Code
Universal Plastic Sleeve with internal hex

AS375S

17

Prosthetic Components
Accessories
Code

AN3000 Laboratory analog for 3mm ARDS implants.

Code

Code

AN3750 Laboratory analog

Laboratory analog for overdenture

AOD375

Code

Code

TR3750 Closed Tray Transfer Open Tray Transfer

TR375L

Code

Code

Plastic Sleeve Multi

P3750M

Plastic Sleeve Single

P3750S

Code
Plastic Sleeve for 3mm ARDS Implants

Code

Plastic Sleeve Wide/Single

P3750W

ODS300

18

Prosthetic Components
Ball attachment with 1mm - 5mm neck.

Ball Attachment Components

Height
1mm
1mm 2mm 3mm 4mm 5mm

Code
BA3751 BA3752 BA3753 BA3754 BA3755

2mm 3mm 4mm 5mm

Code
Ball Attachment for 3mm ARDS Implants

Code

BA3000

Rigid Silicon Cap

SILTAC-R

Code

Code

Regular Silicon Cap

SILATC

Soft Silicon Cap

SILATC-S

Code

Code

Plastic Ball Attachment

PLASAT Metal Cap

TITHOL

19

Prosthetic Components
Hemisphere System
ARDS Implants presents the Hemisphere system, providing you with an effective, simple and comfortable solution for removable over denture rehabilitation.

Height
1mm
1mm 2mm 3mm 4mm 5mm

Code
HSB001 HSB002 HSB003 HSB004 HSB005

2mm 3mm 4mm 5mm

The Hemisphere features:

The Hemisphere system includes a 2.1mm high ball attachment abutment - the lowest available today (in comparison to the regular, 3.3mm high, ball attachment) The Hemisphere is available at 1mm-5mm heights The Hemisphere system includes an octagonal metal cap for a superior, longer lasting grip of the denture The Hemisphere system includes silicon caps in 3 retention levels: 1. Purple - rigid 2. White - standard 3. Pink - soft
HSMETA

Metal cap

PLASAT 3.3mm HSRED1 2.1mm

Hemisphere castable male

The advantages to using the Hemisphere:

Reducing the occlusive forces in the mouth on the tooth or implant to minimum Enabling better esthetic results The Hemisphere system is fitted to internal hex implants and does not require the purchase of additional special tools

HSCAP1

HSCAP2

HSCAP3

Silicon caps

20

Prosthetic Components
Overdenture Components
Height
1mm 2mm
1mm 2mm 3mm 4mm 5mm

Code
OD3751 OD3752 OD3753 OD3754 OD3755

3mm 4mm 5mm

Code

Plastic casting sleeve without internal hex for overdenture intermediate components.

ODS002

Code

ODS001 Screw for overdenture intermediate part.

21

Prosthetic Components

Smart Over Denture Components

ARDS Implants Smart over denture components (Smart OD) were developed to deal with angulated cases. Smart OD enable you to achieve ideal results anatomically, functionally and equally important - esthetically. Smart OD components are available at either 17 or 30 and at 1mm, 2mm or 3mm heights.

Working Procedure
Once the implants had been exposed, healing caps were fitted and we await the patients recovery, the 2 following working procedure are possible:

1. If you are assisted by a dental technician when taking measurements:

a. Take a regular measurement using transfers and send it to the dental technician. b. The technician casts the measurement and chooses the proper Smart OD according to the implants angulations. The technician prepares a customized tray and sends it back to you. c. Remove the healing caps and attach the Smart OD selected by the technician together with a universal cover. Make sure to lock it in place. d. Take a measurement using the customized tray in open technique using plastic sleeves and send it back to the technician. e. The technician prepares the final model using the proper analogs and finishes the case.

2. If you prefer not to be assisted with the technician in the first stages:
a. After you expose the implants and fit the healing caps, take a measurement to create a customized tray. b. Fit the proper Smart OD together with the universal cover on top of the implants using the plastic handle to guide you. c. Attach regular casting sleeves to the Smart OD. d. Take a measurement for an over denture, using the customized tray. e. Remove the plastic sleeves which are attached to the tray. You must not remove the Smart OD off the implants they must stay in the mouth. f. Send the measurement to the technician; you can finish the case according to regular procedure.

17deg Height: 1, 2, 3 mm OD1701 OD1702 OD1703

30deg Height: 1, 2, 3 mm OD3001 OD3002 OD3003

measurement BAOD01 1mm high BAOD02 2mm high ODCOV1

22

Tools

Code

Smart Surgical Kit Plus

BOX001

Code

Surgical Kit

BOX002

Code
Ratchet for ARDS Implants MT0008

Code
Screw Driver for ARDS implants MT0011

Code
Torque Ratchet MT0013

Code
Parallelometer MT0014

Code
Insertion/Removal Tool for Silicon Caps MT0015

23

Tools
Length Code

15mm 7mm

MT0002 MT0001

Ratchet Driver for ARDS implants

Length

Code

15mm 7mm

MT0004 MT0003

Hand Driver for ARDS abutments and screws

Length

Code

15mm 7mm

MT0006 MT0005

Ratchet Driver for ARDS abutments and screws

Length

Code

16 mm 10 mm

PINP16 PINP10

Parallel Pin

Code
Ratchet Driver for ARDS overdentures

Code

Code

MT0007

Implant Driver for hand piece

MT0009

Drill Extension for hand piece

MT0012

24

Prosthetic Options

Fixed Removable Overdenture

1. Healing Caps

2. Intermediate Parts

3. Casting Sleeves

4. Customized Tray in place

5. Final Casted Bar

6. Final Restoration

25

Prosthetic Options
Removable Overdenture

1. Healing Caps

2. Intermediate Parts

3. Casting Sleeves

4. Customized Tray in place

5. Final Casted Bar with ball attachments

6. Final Restoration

26

Prosthetic Options

Cemented Related Restorations

Straight Abutment

15 Abutment

25 Abutment

Shoulder Abutment

Prosthetic Options

Fixed Removable Restorations

Plastic Sleeve for single restoration

Plastic Sleeve for multiple restoration

Wide Plastic Sleeve

Plastic Sleeve with intermediate part

Plastic Sleeve for 3mm implant

Abutment for 3mm implant

27

Courses and Seminars

ARDS vision is to simplify the implant procedure by its simple, accurate and effective drilling technique, which every dental surgeon can perform and which gives solutions to most cases which may be encountered at the dental clinic. The combination of a methodical, logical and userfriendly drilling technique, together with a unique implant design, has enabled the vision to be fulfilled, as can be testified by the many dentists who have attended ARDS courses and seminars around the world. To find out more about ARDS Implants and courses near you, look for your local distributor on our web site at www.ARDSimplants.com.

28

Notes

www.ardsimplants.com 29

Authorized Distributor 4 Hashikma st. Rishon Le-Zion, Israel. 75201 Tel. 972-3-9643320 Email: info@ardsimplants.com www.ardsimplants.com
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