Innovation. Quality. Service. Value.

www.implantdirect.com

The Simply Smarter Team ApproachIndustry-Compatible Implants with "All-in-1 Packaging"

for Simplicity and Value Plus Highest Rated Customer Support

Simplified Team Communication with Patient Labels,Customizable Letter with Video Link plus Free Abutment & Transfer $200

“The Changing Reality of The TeamApproach to Implant Dentistry”

by Dr. Gerald Niznick

Inside

After Placing Transfer/Abutment in Empty ImplantVial, Attach Free Label Identifying Referring Doctor,Patient & Tooth Number

Intro Offer: Make the switch & receive three FREE implants.Price comparisons based upon US list prices as of February 2012. All trademarks are property of their respective companies.1US list price for Tapered Screw-Vent with micro grooves, healing collar & straight abutment2US list price for NobelActive with cover screw, impression coping & abutment3Terms and conditions apply. Visit www.implantdirectwarranty.com for details.4Implant Dent 2011; 20: 13-19 (n190); 5PSN-EAO09PSI-346 (n373) Reports available at www.implantdirect.com

Legacy™ Implant System Advantages:

Designed For Success,

All-in-1 Packaging includes implant, abutment,transfer, cover screw & healing collar

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Legacy™3 Implant

Legacy1Standard “V” ThreadsMatches Screw-Vent®

Legacy2Spiral Threads

for Increased Stability

Legacy3Buttress Threads

for Increased Surface

Three Implant Designs & Packaging OptionsAllows for selection based on price, packaging or thread design

Legacy1: $150 includes cover screw, healing collar & new titanium carrierLegacy2: $175 includes cover screw, healing collar & temporary abutment/transferLegacy3: $200 includes cover screw, healing collar & preparable abutment/transfer

$200 vs $621 from Zimmer Dental

Surgical Compatibility with Tapered Screw-Vent®No need to change surgical protocol or tools

Widest Range of Dimensional OptionsThe entire Legacy system includes seven implant diameters (3.2, 3.7, 4.2, 4.7, 5.2, 5.7, 7.0mm) & six implant lengths (6, 8, 10, 11.5, 13, 16mm)

Our price

ZimmerDental®

StraightContoured

LaboratoryAbutment

15° AngledContoured

StraightSnap-On

Gold/Plastic

Zirconia/TiAbutment

PlasticTemporaryAbutment

Ball Attachment

GPS™ Attachment AngledStraight

$100$85 $100$100 $120 $120 $40 $112 $100 $100 $120

$170$160 $180$215 $210 $239 $67 $178 $166 $202 $294

$120

N/A

Multiple-Unit w/Cap & Transfer

AngledGPS™

Attachment

1

Micro-ThreadsReduce crestal stress for improved initial stability

Reality Check Zimmer Customers

Save $421 with Legacy3

Customer Service &Technical Support

online, over thephone, or in your office

Cover Screw Healing Collar

Industry-Compatible Internal HexProsthetic compatibility with Zimmer Dental Screw-Vent®, BioHorizons®& MIS implants

RePlus®Body Taper

for Bone Expansion

ReActive™Buttress Threads

for Increased Surface

All-in-1 Packaging includes implant,abutment, transfer & cover screw

ReActive™ Implant

$200 vs $694 from Nobel Biocare™

RePlant® Implant System Advantages:

Three Implant Designs & Packaging OptionsAllows for selection based on price, packaging or thread design

RePlant: $175 includes cover screw & temporary abutment/transferRePlus: $200 includes cover screw & “snappy” abutment/transferReActive: $200 includes cover screw & preparable abutment/transfer

Coronal Bevel on RePlus & ReActive

Micro-Threads

Titanium Alloy

Reduce crestal stress for improved initial stability

Allows for use of platform switching technology

Packaged For Value

Our price

StraightContoured

LaboratoryAbutment

15° AngledContoured

StraightSnap-On

Gold/Plastic

Zirconia/TiAbutment

PlasticTemporaryAbutment

Ball Attachment

GPS™ Attachment AngledStraight

NobelBiocare™

$100$85 $100$100 $120 $120 $40 $112 $100 $100 $120

$170$145 $225$186 $216 $285 $72 $217 $149 $229 $274

Multiple-Unit w/Cap & Transfer

Offers superior strength to pure titanium

$120

N/A

AngledGPS™

Attachment

RePlant®Body Dimensions

Match NobelReplace™

2

Surgical Compatibility with RePlant & NobelReplace™No need to change surgical protocol or tools

Reality Check Nobel Customers

Save $494 with ReActive

Cover Screw

Five Year Warranty3

98% Success in Sinus Elevation Cases4

99% Success in Immediate LoadMaxillary Cases5

Nobel Biocare-Compatible Internal Tri-LobeProsthetic compatibility with Nobel Biocare’s NobelReplace™ Implant

www.implantdirect.com | 888-649-6425

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Introductory offer for Straumann Customers: Three FREE implants from the company that dares to compare.Price comparisons based upon US list prices as of February 2012. All trademarks are property of their respective companies.1Compatability claims based upon Straumann’s Tissue-level implants.2Terms and conditions apply. Visit www.implantdirectwarranty.com for details.3US list price for SLActive Tapered Effect implant, closure screw and healing abutment.4System Variation: 3.3mmD & 5.7mmD SwishPlus are tapered; 3.3mmD also has SwishPlant threads.5Buser et. al. Int J Oral Maxillofacial Implants 2005; 20: 677-6866Comparison based upon Straumann's CARES Custom Zirconia Abutment. Price varies depending upon the laboratory. 7Must be a first-time customer. Limit one offer per practice dentist, dental office, group practice or partnership. Terms and conditions apply.

SwishPlus Advantages : Internal Octagon (Niznick US Pat. #4,960,381 Licensed to Straumann)Prosthetic compatibility with Straumann’s Tissue-Level implants (Standard, Standard Plus and Tapered Effect)Internal square broached in flats of octagon for fixture-mount engagement (Pat. Pend.)

1

2

3

4

5

Only 1mm of 2mm neck remains smooth for bone preservation with deeper placementMicro-grooves for improved tissue attachment & increased surface areaProgressively-deeper threads for increased initial stability and surface area Vertical self-tapping grooves for ease of insertion and increased initial stabilityTapered apical end to initiate self-tapping insertionCarrier demarcations align with flats of octagon for use with indexed Swish abutments Frictional carrier engages internal square, eliminating need for counter torque on removal

1

2

3

4

5

Reality Check Straumann CustomersAll-in-1 Packaging includes implant, compatible carrier, cover screw & healing collar

SwishPlus™

6

7

CarrierCompatible with Straumann

tool & standard ratchet

$150 vs $486 from Straumann®Save $336

ReplacementWarranty plus

$500for Straumann Implants used with SwishAbutments

WARRANTY

2

Our price

Straumann®

$100$100 $100$100 $120 $120 $40 $112 $100

$195$190 $195$190 $255 $339

$120

$339 $65 $275 $195

$100

$180

$120

N/A

$120

N/A

$100

$240

StraightContoured

15° AngledContoured

StraightSnap-On

Gold/Plastic

Zirconia/TiAbutment

PlasticTemporaryAbutment

Ball Attachment

GPS™ Attachment

AngledZirconia/TiAbutment

Solid Abutment Kit

StraightNarrow

Abutment

AngledGPS™

Attachment

Multiple-Unit w/Cap & Transfer

AngledStraight

100% Surgical and Prosthetic Compatibility with Straumann® Implants1

4

3

5

66

7

More Diameter Options Narrow 3.3mm and wide 5.7mm diameters available

Must Have Implants

Implant-Supported Fixed Prosthesis with ScrewIndirect 1-Piece Implants

Implant-Retained Overdenturewith GoDirect 1-Piece Implants

To Overdentures and Teeth-in-1Day™

ScrewIndirect®3.0mmD

Legacy™33.2mmD

GoDirect™3.0mmD

From Single Tooth Restoration

Single Tooth Restoration with Legacy3 & Zirconia Abutment

Legacy™27.0mmD

Immediate Molar Replacement with Legacy2 and Titanium Abutment

3.7mmdiameter 4.2mm

diameter 4.7mmdiameter 5.2mm

diameter5.7mmdiameterLegacy™3

6mmL

www.implantdirect.com | 888-649-6425 The implants you need no matter which system you’re using.

The changing reality of theteam approach to implant dentistry

The marketing dynamics within the dental implantindustry are changing with regard to oral surgeons andperiodontists growing or even maintaining their implantreferral practices.

General practice dentists, who have traditionallyworked in the team approach to provide optimaltreatment for their patients, are realizing that the mostprofitable way to participate in the implant revolution isto start placing implants. In some cases, this isencouraged by the same implant sales reps who helpincrease referrals to the surgical specialists who use theirimplant systems.

The salesperson who offers to increase referrals byproviding “technical support” through abutment selectionor training on impression procedures, may achieve thisobjective by directing referrals away from anothersurgical specialist who does not use that salesperson’simplant system.

This pits one company’s sales force against another andsurgical specialists against each other in competition forimplant-referring dentists. These same salespeople whohelp increase implant referrals to a surgical specialist canhold that specialist captive with the veiled threat ofredirecting those referrals to another surgical specialist ifone does not stay loyal to using that salesperson’s system.

Surgical specialists find themselves victims of this shellgame. They have to use three to four different implantsystems to retain certain referring dentists and neutralizethe threat of the salesperson switching to a surgicalspecialist more committed to that salesperson’s system.

Through all this, the surgical specialist is unable toselect the system that offers the best clinical results andvalue. The confusion in ordering surgical instruments,implants, and related components for three to four

different systems is an expensive and time-consumingproblem.

Competition among surgical specialists for referrals isincreasing, with some surgical specialists fundingeducational programs and study clubs. Many of the largeimplant practices were built by surgical specialists whoassume an expanded role in the prosthetic phase. Thisincludes buying and attaching abutments.

Some do this to capture some of the restorative fees at the expense of their referring dentists. Some generaldentists take advanced training in bone graftingprocedures to treat cases previously believed to be thedomain of the specialist.

These “implantologists” may seek referrals from GPs forplacing the implants, or even travel to dental offices toplace implants, sharing the surgical fee on a percentagebasis. This not only supplements the dental practiceincome, it reduces the surgical costs to the patients, andsaves more of the patients’ money for restorativeprocedures.

Another concern of surgical specialists is competitionfrom corporate-sponsored implant “super centers” suchas ClearChoiceTM, which is now in 20 U.S. cities. Thecompany markets through TV commercials and full-pagenewspaper ads with celebrity endorsements. Moregeneral dentists also have expanded their marketingefforts for implant patients by advertising reduced prices.These create limitations on the fees of surgical specialistswith a more informed public.

About the AuthorDr. Gerald NiznickPresident & CEO, Implant DirectReach him at drniznick@implantdirect.com

Dental Economics, November 2010“The Changing Reality of The Team

Approach to Implant Dentistry” was thefourth installment of a four-part article series

Reprint from:

The changing reality of the team approach to implant dentistry

One answer for surgical specialists is to make implantdentistry easier and more profitable for their referringdentists, and more affordable for patients. All-in-1implant packaging offers this solution.

Implant Direct’s Legacy™3 internal hex and ReActive™internal tri-lobe implants are provided on fixture-mountsthat can be shortened to serve as preparable abutmentsfor cemented restorations. Given the wide variety ofoptions for cemented restorations, sending thetransfer/abutment to the dentist is often a wiser decisionthan the surgeon selecting and attaching the abutment.The key is to involve restorative doctors in the treatmentplanning, and to educate them on the selection ofabutments since this will increase their commitment toworking on a team with the surgeon.

This also reduces dependence on salespeople whomay not have adequate knowledge. Implant Direct hasdeveloped a series of e-mail thank you letters for surgicalspecialists that include a link to prosthetic procedures

specific for the implant system selected. Teamcommunication is further enhanced by transferring thefixture-mount to the dentist via the implant vial, withplatform-type and tooth number marked.

Article No. 1 in this series discussed the evolution of the internal connection implant, introduced by theauthor in 1982, to the 2009 Legacy3 (shown above) in sixdiameters and five lengths. Article No. 2 described use ofthe ScrewIndirect and GoDirect one-piece implants foredentulous applications, which eliminates the need forthe restorative dentist to buy and attach an abutment.Article No. 3 described the use of both one- and two-piece implants with prosthetic abutments for cementedrestorations.

Increased competition dictates that surgical specialistslearn more about the restorative requirements of theirreferring dentists, and choose a system that makesimplant dentistry easier and more profitable for the teamand patients.

The Legacy3 and ReActive’sFMT (fixture-mount/transfer)

serve as a transfer and preparable abutment.

After surgery, the FMT is placed in an implant vial, labeled withtooth number, and sent to the

restorative dentist.

After making impressions,attach the FMT to matching

colored implant analogand place in impression.

Section the FMT, removingthe colored square with a

thin disc, leaving the preparable abutment.

The abutment is preparedto adjust the height, angle,

and margins. The dentistcould also do this intraorally.

After the crown fabrication,the dentist attaches the

abutment to implant at 30Ncm andthe crown is cemented.