2. about Servo - dental

4. Trias®
Trias®-Mini 3.3
Trias®
Trias®-Mini-post
Trias®-Mini-ball

5. About
Trias®

6. System description

7. Your system for safe handling & success in implantology!
Trias®
Your system for safe handling & success in implantology!

8. Introduction
Modern implant prosthetics is now an established component of dentistry. The expectations and demands of patients are steadily increasing. Therefore, the ultimate goal of modern implant-supported treatment concepts is for full esthetic, functional, phonetic, and psychosocial rehabilitation All this was realized in the Trias®-Implant system which in fact is an innovative combination of established implant features.

9. Macro design
Material / Surface - Titanium Grade 4 - Sand blasted and acid etched - Surface roughness of 20µm
Polished neck (0,3mm)
Circular grooves - Increase in surface - Optimized osseointegration
Extension lamellae - Improved primary stability - Reduction of heat generation during insertion
Smooth transition between compression thread and tapping thread - Selftapping thread - Compression thread: Compression of the cancellous bone
Apical notch - Anti-rotation device
Rounded apical area - Protect the soft tissue during insertion of the implant

10. Trias - Acid etching - Sand blasting (Micro and nano structure)
Micro design
Material
- Titanium Grade 4
Trias - Acid etching - Sand blasting (Micro and nano structure)
- Roughness, 20µm
Trias+
- Double acid etching
- HA blasting
(Micro and nano structure)
- Calcium phosphate layer
(Electro-chemical prosses)
Trias+ , available by order

11. Lengths and Diameters

12. Delivery form Gamma sterilized implants in Double blister package.
Healing screw
Gamma sterilized implants in Double blister package.
Color coded sure grip wheel
Transport pin
Trias implant

13. Equipment

14. Tools & Instruments 1 2 3 4 5 6 7 8 9 10 11 12 13 14
01. Round drill 02. Cortical drill 03. Twist drill - ø2.0mm Caliber drill - ø3.0mm 05. Final drill (green ring) for ø3.3mm 06. Final drill (yellow ring) for ø3.8mm 07. Final drill (two red rings) for ø4.4mm 08. Final drill (blue ring) for ø5.0mm
09. Taper for ø3.3mm 10. Taper for ø3.8mm 11. Taper for ø4.4mm 12. Reamer for ø5.0mm 13. Paralleling pin Depth gauge 15. Torque ratchet 15

15. Tools & Instruments

16. Surgical tray
Dimensions: 15.5cm x 10.1cm x 5.5cm
- This tray offers a cost effective solution to organizing and protecting the valuable instruments of the surgeon Made of Radel® R, stainless steel and latex-free silicone this tray is made of materials of high quality All instruments are placed according to their sequence during the surgical procedure.

17. Surgical tray Drill stops for Twist drill
Measuring scale for implant length

18. Surgical tray

19. Surgical procedure

20. Preparation of the implant bed 1
After conservative opening of the gingiva the location of the implant is determined using the round drill or the cortical drill.
Recommended drilling speed
Round drill: rpm.
Cortical drill: max rpm

21. Preparation of the implant bed 2
The definitive implant depth is now determined with the twist drill (ø 2mm). For this purpose the twist drill has depth marks matching the available implant lengths (8, 10, 12, 14, 16mm).
Recommended drilling speed: 800 rpm

22. Preparation of the implant bed 3
Using a 2-Caliber drill the diameter of the cavity is then increased to 3mm. Due to the rounded tip of the 2-Caliber drill the cavity depth remains unchanged.
Recommended drilling speed: 800 rpm.

23. Preparation of the implant bed 4
After this the cavity diameter is increased again, step by step, using the final drill next in size in each case, up to the desired implant diameter. All final drills have drill stops so that only the correct length has to be observed.
Recommended drilling speed: 800 rpm.
Example: Desired implant ø = 3.8mm – first use final drill 3.3mm with green ring, then final drill 3.8mm with yellow ring.
The special cutting blade geometry enables autologous bone material to be harvested.
For this a Petri dish is available in the surgical set.
Abundant and continuous rinsing with cool, sterile saline solution must be performed. Also, applying too much pressure during preparation of the implant bed must be avoided, especially for diameter 5.0mm. 23 23

24. Preparation of the implant bed 5
Example: Desired implant ø = 3.8mm First use final drill 3.3mm with green ring, then final drill 3.8mm with yellow ring.
The special cutting blade geometry enables autologous bone material to be harvested.
Example: Desired implant ø = 3.8mm – first use final drill 3.3mm with green ring, then final drill 3.8mm with yellow ring.
The special cutting blade geometry enables autologous bone material to be harvested.
For this a Petri dish is available in the surgical set.

25. Preparation of the implant bed 6
In case of difficult cortical bone situations like dense cortical bone (up to 6mm) and reduced perfusion the use of a taper or a reamer is recommended.
After finishing the final drilling the Taper is used for implant diameters 3.3mm, 3.8mm and 4.4mm. For implant diameter 5.0mm the Reamer is to be used. Booth tools can be used manually or with a motor driven handpiece. When using the motor driven handpiece, a taping speed of 20 to 30 rpm is recommended. Abundant and continuous rinsing with cool, sterile saline solution must be performed. For manual use of Taper and Reamer a special tool is available (Ref. No tra - Tool for manual use of Taper and Reamer), which can be combined with a ratchet. The application of the Reamer is similar to that of the Taper. The maximum insertion depth of Taper and Reamer must not exceed the thickness of the cortical bone. In general the Taper and the Reamer are designated for a working depth of only 6mm, thus avoiding an undesirable widening of the implant site (conical shape). The tools can be used approx. 20 times.
Tool for manual use of taper and reamer
Taper

26. Implant insertion
For the insertion the transport pin, to which the implant is attached and which also serves as an insertion key, is then removed from the packaging and the implant is fixed in the bone preparation with 1-2 turns.
Manual insertion:
Ratchet with universal insertion tool long or molar (extra short), depending on vertical dimension and situation
Motor driven handpiece:
Insertion tool for contra-angle.
Recommended torque in each case: 35-45Ncm.

27. Insertion the healing scrow
Then the healing screw is inserted and tightened by hand (equals approx. 15 Ncm) using the universal insertion tool long or molar.

28. Wound closure
Wound closure

29. Prosthetics

31. Implant exposure
After osseointegration the implant is exposed again using a gingival punch or a scalpel.
three months for lower jaws and six months for upper jaws

32. Removal of healing screw
Then the healing screw is removed using the universal insertion tool long or molar.

33. Gingiva forming
The removal of the healing screw is followed by forming the gingiva using gingiva shapers that are available in different sulcus heights and remain on the implant for 10 to 14 days

34. Impression taking 1
After forming the gingiva the impression is taken by means of impression posts using the closed tray or the open tray method. For closed tray impressions the central screw is used which is compatible to all abutment types. For open tray impressions a special screw is available
Closing plug for Trias®-Impression post for closed tray

35. Impression taking 2
A customized impression tray is required for the open impression method.
The tray must be perforated at the extension of the implant axis for the impression screws on the impression posts.
After impression taking the impression screws and the tray can be removed.

36. Cast preparation 1
Now the impression posts are tightened to the model analogs with a torque of approx. 5 N/cm using the central screw or the impression screw. It is recommended that a master model with gingival mask is produced for processing in the dental laboratory. The gingival mask is detachable and thus enables better control of the fit of the framework structure

37. Cast preparation 2
The removal of the impression posts is then followed by the desired prosthetic procedure

38. Emergence Profile or Standard Profile
Abutment & Central screw
Material / Surface - Titanium Grade 4 - polished
Emergence Profile or Standard Profile
Different gingiva heights
Internal hexagon
External octagon
Material / Surface - Titanium Grade 5 - polished
Tube
Undercut - allows pre-fixation of the central screw in the abutment
Abutment diameter

39. Crown & Bridge restoration
Titanium abutment 0° Standard Profile
Titanium abutment optional: plastic sleeve
Titanium abutment Emergence Profile (0°, 15° and 25°)
Only one central screw for all abutments.
For posterior and anterior area.
Temporary acrylic abutment
Individual titanium abutment
Ti-base for ZrO2 abutments

40. Trias® solo abutment
Optional for all abutment

41. Trias® solo abutment Gold Sealing Ring -----------------------
No Microgap
No bacteria
No Bone loss

42. Crown & Bridge Restoration
Patient Case
Fabrication of the customized tray for open impression.

43. Crown & Bridge Restoration
Patient Case
Upper jaw situation with transfer posts. The implant directions are very different.

44. Crown & Bridge Restoration
Patient Case
Maxillary cast with bite registration in the articulator.

45. Crown & Bridge Restoration
Patient Case
Wax try-in on the plaster model.

46. Crown & Bridge Restoration
Patient Case
Wax try-in in situ.

47. Crown & Bridge Restoration
Patient Case
Framework try-in in situ.

48. Crown & Bridge Restoration
Patient Case
Finished veneered restoration from different views.

49. Crown & Bridge Restoration
Patient Case
Finished restoration in situ.

50. Bar restoration \ Trias®bar abutment Bar screw Connector Bar segment
Different bar profiles
Housing
Different females

51. Bar restoration Patient Case
Wax try-in on mandibular cast. Then a silicone key is produced, which is later used to check the exact space for the bar restoration.

52. Bar restoration
Patient Case
View from occlusal.

53. Bar restoration Patient Case
The available space is very limited in occlusal as well as in labial direction.

54. Bar restoration
Patient Case
View from occlusal.

55. Bar restoration
Patient Case
Casted framework.

56. Bar restoration Patient Case Trias® bar restoration
Here you can see two bar restorations which were produced for comparable situations. Left the Trias bar restoration and on the right a bar restoration from another implant company. The Trias bar abutment can be reduced to a minimal height that is a big advantage especially in situations where little space is available.
Trias® bar restoration

57. Bar restoration
Patient Case
Galvano framework with silicone key.

58. Bar restoration
Patient Case
Finished denture in articulation.

59. Bar restoration Patient Case 4.8 Bar restorations
Finished denture with galvano framework.

60. Bar restoration
Patient Case
Finished bar restoration.

61. Prefabricated constructure

62. Trias® cone abutment Housing Cone Cap Cone abutment
- Time and cost effective
- Interchangeable Caps
- chair-side

64. Trias® cone abutment

65. Trias® Locator abutment
Prosthetic kit for Locator® abutments
- chair-side
Locator® abutments
Manufacturer Locator®: Zest Anchors, Inc., Escondido, CA 92029, USA
Locator® is a registered trademark of Zest Anchors, Inc.

66. Trias® Locator abutment

67. Trias® ball abutment - For Cover dentures.
Prosthetic set for ball abutments including:
2x pink cap
1x housing for glueing or soldering
1x spacer
3x directional ring (0°, 7°, 14°)
Ball abutments with ball diameters 1.8mm or 2.5mm
- For Cover dentures.
- Two versions: Solid and flexible
Interchangeable females
Inclination angle up to 7°
white cap (standard retention)
pink cap (soft retention)
yellow cap (medium retention)

68. Trias® tsa abutment Female Abutment (for fixed & removable dentures)
The tsa abutment was developed by Dr. Thomas Laux in This abutment is only available for the Trias implant diameter 3.8mm and can be used for bridge restorations between natural teeth and implants as well as for implant borne bridge works and full dentures. The deflection range is 20 μm.
Impression cap
Model analog

69. Trias® tsa abutment
Patient case

70. Trias® magnet abutment
Magnet S3 (removal force 300g)
Magnet S5 (removal force 500g)
Abutment

73. Thank you! Servo-Dental GmbH & Co. KG
Rohrstrasse 30 D Hagen, Germany
Thank you! 73