ISO 0483
13485
Company’s profile ARDS was established by Dr. Uri Arny and deals with the development, manufacturing and marketing of dental implants. ARDS’s guiding philosophy has inspired the company to develop a unique drilling technique which causes minimum damage to the bone and maximizes the initial stabilization of the implants in it. Dr. Arny Uri, ECO
ARDS retains a number of international patents regardingA. The shape of the implant’s surface. B. A drilling technique which preserves bone. C. Unique implants designed for thin ridges. ARDS’s aspiration for perfection is conveyed in the following ways1. Shortening the healing phase -immediate implant after extraction. 2. The system enables the use of implants also in problematic areas. 3. Making the implant process simple to assign. (User friendly). The main advantages of ARDS drilling and implant process: 1. Reduces the amount of drilled bone. 2. Unique design of the implant increases the bone-implant contact in the surgery phase(in comparison with other implants of the same diameter) thus stabilizes the implant and shortens the process of bone- implant integration. 3. ARDS’s drilling method and the shape of it’s implant causes a compression of the spongyosal bone around the apical part of the implant during its insertion. Dispersing the forces along the entire implant and not only at its upper part as in common implants held at the cortical bone at the end of the implantation. 4. The drilling method enables precise control over the placement and shape of the bore hole. This is made possible by the usage of leading pins which direct the drill at the suitable angle throughout the process and stabilize it also in thin ridges. ARDS’s main office and marketing management are situated at Rishon-Le-Zion, Israel. All manufacturing and packing supervised processes are done at the production plant situated at the industrial park of Teffen, Israel.
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ARDS also markets super structures and bone substitutes, thus expanding the variety of solutions dentists can offer their patients.
External Surface
The required durable stabilization of the implant in the bone needs oseointegration. In order to intensify the osseointegration two processes are required: The first is blasting the implant surface with small parts of silica which is not attached to the titanium surface so it leaves it pure. The second stage is etching the surface with organic acids which create the final micro pores of the surface and at the same time constitute the first cleaning stage of the surface area.
Type of Titanium
ARDS implants are composed of medical titanium alloy Ti-6 AL-4V which retains all the manufacturers’ regulations.
Manufacturing
All ARDS implants and reconstruction parts are manufactured at the company’s production plant, situated at the industrial park of Teffen in the north part of Israel. The plant contains quality control system and regulations of the highest required level with the approvals of ISO 9001, ISO 13485 of European body, CE 0483, and Israeli AMAR.
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Excellent approval for ARDS Implants from technical laboratories and NAMSA laboratory, U.S.A. Testing results - ARDS Implants
Corrosion
Biocompetabily
The test was performed by the Technion, Haifa - Test no. B/82454 • The test examined the resistance of the material and its corrosion potential. • The test was performed by immersing the implant in diffrent chemicals, heating to 37˚ and submission to electrical currents.
The test was performed by NAMSA laboratory in the United States There were 3 tests done on laboratory mice • Toxicity test - toxic potential of the implant • Sensitivity test - sensitivity potential that could be caused by the implant • Irritation test - potential irritations of the implant.
Results: Complete stability of the ARDS Implant - The implants are stable and has no corrosion potential.
Results: All three tests proved that the implant is biocompetabily
Testing of the surface area
Testing fatigue
The test was performed by the Technion, Haifa - Test no. B/83703 The test was performed by an electronic microscope (SEM), that is equipped with a system analysis of chemical elements (EDS). The test was performed by injecting a wet metallic acid on the surface aera of the implant, and final cleaning by an organic acid.
The test was performed by the Technion, Haifa - Test no. B/83371 The test was performed on 3.75mm implants, 13mm in length. The implants were assembled with angulated abutments of 25 degrees. The implants were exposed to cyclic forces up to a fraction of one part. Testing done in accordance with standards of ISO 14801 and the FDA regulations.
Results: No absorption of foreign materials on the surface area, and the observed elements stands up to the highest standards.
Results: The only cracks were in the abutment screw to the level of 580 neuton, much more than required. In the assembly and the implant there was NO damage at all.
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Hybrid Dual Thread Screw Implant Analytical and Experimental Research Dr. Uri Arny, Ilan Weissberg M.Fc & 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 will effectively transfer the loads and provide a 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 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
Fig. 2: Artificial Bone Specimen
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 Tread Thin Grove
Single Tread Thick Grove
Fig. 3: Artificial Bone Specimen Cross Section (Dimensions in mm>)
Figure 1: Hybrid Dual Thread Screw (HDTS) Implant
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Experimental Results
The experimental tests showed that the HDTS implant could carry higher axial load compared to classical cylinder implants, as is 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.
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 was analyzed, as is shown in Fig. 5.
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 to 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 Results
The analytical calculations showed that the HDTS implant have favorable stress distribution over the classical cylindrical implant. 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
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. Schwartz-Dabney C.L. and Ashman R.B., “Elastic properties of the human supraorbital and mandibular bone”. Am J Phys Anthropol 90, pp 291306. 1993.
Fig. 5: Analytical Model for HDTS Implant
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Packaging Packaging contains: Implant, Healing cap, Leading pin, double-label to allow recording used implant on patient’s form. All implants are sterilized and gamma-ray. All implants are packed with mounling tool, no-touch delivery carrier. All implants are double packed – the outer clean, the inner sterilized. All super structure clean and ready to be used.
All implants comes with colour code improve their usability.
3mm
3.75mm
4.2mm
4.5mm
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Implants Length
3mm
Code
Length
Code
10mm
N31000
10mm
N31017
11.5mm
N31100
11.5mm
N31117
13mm
N31300
13mm
N31317
3mm
Length
Code
10mm
S37510
11.5mm
S37511
13mm
S37513
3.75mm
Length
Code
10mm
S42010
11.5mm
S42011
13mm
S42013
4.2mm
Length
Code
10mm
S45010
11.5mm
S45011
13mm
S45013
4.5mm
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Healing screw Surgical screw of titanium alloy to cover all ARDS implants, 3.75, 4.2, 4.5 comes with every implant.
Code
S45013
Leading Pins Leading pin of titanium alloy Marked 3mm from tip, both sides comes with the implant disposable.
Length
16mm
14.5mm
Code
13mm
LD0016
11.5mm
LD0014
10mm
LD0013
13mm
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Drills Code DR0010 Marking
Code DR0020
Marking
2mm
Marking
13mm
10mm
5.5mm
Code DR0028
2mm
2.8mm
3mm
Marking
13mm
10mm
5.5mm
Code 2mm
DR0036
2.8mm
3.6mm
3.75mm
Marking
13mm
10mm
5.5mm
Code 2mm
2.8mm
DR0040
3.6mm
4mm
4.2mm
13mm
10mm
5.5mm
Code Marking
2mm
2.8mm
3.6mm
DR0042
4mm
4.2mm
4.5mm
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Prosthetic Components Healing Caps
Code
HO3000 Healing cap for 3mm ARDS implants
Code
Healing cap - straight hight: 3mm
HO3753
Code
Healing cap - straight hight: 5mm
HO3755
Code
Healing cap – wide hight: 3mm
HW3753
Code
Healing cap – wide hight: 5mm
HW3755
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Prosthetic Components Abutments Code
Straight abutment hight: 0mm
A37500
Code
Straight abutment hight: 3mm
Code Straight abutment Wide hight: 0mm
A3750W
A37530
Code Straight abutment Wide hight: 3mm
A3753W
Code A30000 Abutment for 3mm ARDS implants
Code A37515 15deg. Abutment
Code A37525 25deg. Abutment
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Prosthetic Components Shoulder Abutments Abutment made of titanium alloy antirotational Available in 4 heights of neck: 1mm, 2mm ,3mm ,4mm Fits 3.75, 4.2, 4.5 mm ARDS implants Indicated specially for one stage and immediate loading technique.
Code
Shoulder Abutment hight: 1mm
AS3751
Code
Shoulder Abutment hight: 2mm
AS3752
Code
Shoulder Abutment hight: 3mm
AS3753
Code
Shoulder Abutment hight: 4mm
AS3754
Code
Universal Plastic Sleeve with internal hex
AS375S
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Prosthetic Components Ball Attachment Components Ball attachment with 1mm, 2mm and 3mm neck for 3.75mm, 4.2mm and 4.5mm ARDS Implants
Code BA3751
Ball Attachment hight: 1mm
Code BA3752
Ball Attachment hight: 2mm
Code BA3753
Ball Attachment hight: 3mm
Code BA3000 Ball attachment for 3mm ARDS Implants
Code
Code
SILATC Silicon Cap
TITHOL Metal Cap
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Prosthetic Components Overdenture Components
Code
1mm overdenture intermediate component that connect between The implant and the plastic sleeve.
OD3751
Code
2mm overdenture intermediate component that connect between The implant and the plastic sleeve.
OD3752
Code
3mm overdenture intermediate component that connect between The implant and the plastic sleeve.
OD3753
Code
Plastic casting sleeve without internal hex for overdenture Intermediate components.
ODS002
Code ODS001 Screw for overdenture intermediate part.
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Prosthetic Components Accessories
Code AN3000 Laboratory analog for 3mm ARDS implants.
Laboratory analog to be used along with transfer, fits 3.75mm, 4.2mm, 4.5mm implant diameters.
Code AN3750
Laboratory analog to be used for overdenture, fits 3.75mm, 4.2mm, 4.5mm implant diameters.
Code AOD375
Code TR3750
Transfer for impression to be used along with 3.75mm, 4.2mm, 4.5mm ARDS implants.
Code
Plastic Sleeve Multi
P3750M
Code
Plastic Sleeve Single
Code
Plastic Sleeve Wide/Single
P3750W
P3750S
Code Plastic Sleeve for 3mm ARDS Implants
OD3000
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Tools
Code BOX001 Surgical box
Code MT0008 Ratchet for ARDS implants
Length
Code
15mm
MT0002
7mm
MT0001
Ratchet Driver for ARDS implants
Length
Code
15mm
MT0004
7mm
MT0003
Hand Driver for ARDS abutments and screws
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Length
Code
15mm
MT0006
7mm
MT0005
Ratchet Driver for ARDS abutments and screws
Code MT0007 Ratchet Driver for ARDS overdentures
Code MT0009 Implant Driver for hand piece
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Bone Substitutes and Membranes
Collagenated fillers composition
Gen-Os
Mix of cancellous and cortical heterologous bone with collagen. Granulometry : 250 -1000µ (micron)
Apatos
Heterologous cortical and cancellous bone without collagen. Granulometry - 600 - 1000µ (micron)
MP3
Gel 40
Special
Evolution
Heterologous cortico-cancellous collagenated bone mix with 10% collagen gel type 1 and 3. Granulometry - 600 - 1000µ (micron)
Translucent dried membrane,heterologous pericardium. Packeging : 20x20, Xfine
Collagen gel loaded with 60% bone mix of cancellous and cortical heterologous bone. Granulometry ≥ 300µ (micron)
Dried heterologous pericardium membrane. Packaging : 20x20, 25x35 Standard or fine
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Regeneration Type
Product 1
Product 2
Possible Alternatives
Post - Extractive Sockets
Only if Defect Walls Are Preserved
Only if there is Graft Exposure Risk
In case of Coagulation Problems
Crestal Access Sinus Lift
Gel with granules ≤ 300 Micron
Lateral Access Sinus Lift
Granulometry 600 - 1000
Antrostomy Covering
Granulometry 250 - 1000
Two Wall Defects
Granulometry 250 - 1000
Standard Model
Must be fixed with Osteosynthesis Screws
Intrabony Defects
Small Defects with < 30˚ Angle
Deep Defects and Furcations
Granulometry 250 - 1000
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Prosthetic Options Fixed Removable Overdenture
Healing Caps
Intermediate Parts
Casting Sleeves
Customized Tray in place
Final Casted Bar
Final Restoration
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Prosthetic Options Removable Overdenture
Healing Caps
Intermediate Parts
Casting Sleeves
Customized Tray in place
Final Casted Bar with ball attachments
Final Restoration
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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
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Designed by: Netto Solutions ©
www.ardsimplants.com
4 Hashikma st. Rishon Le-Zion, Israel. 75201 Tel. 972-3-9643320 Mail:
[email protected]
ISO 13485