Zimmer Implants: Drilling Protocol for Guided Surgery?
I treatment planned a fully guided case for Zimmer dental implants with the company Full Contour. When I got the drilling protocol, it doesn’t really give any useful information of the protocol. They said they don’t have the full protocol to give out yet. How am I supposed to interpret the information they sent me and actually get a full protocol for the placement of implants? It mentions minimum implant length of 17 and 20mm. The implant kit has drill lengths of 16, 19, 22 and 25. Does it mean I use 19mm for the 17 and 22 for the 20? Any insight or help?
Thanks.
(1st photo below is what I expected to get, 2nd/3rd photos are what I got. click pictures for full view.)
16 Comments on Zimmer Implants: Drilling Protocol for Guided Surgery?
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Richard Hughes DDS
8/2/2019
Refer to Zimmer area sales representative. This person should be able to help you.
Mh
8/2/2019
I did. We have a meeting in 2 weeks. I just wondered if anyone had any insight.
Brian
8/2/2019
Do you have the keys to do it guided? It's a separate kit that has both "A" and "B" keys. For #27, you are placing a 4.7 x 13. Your first key is a "2.3 B" and your first drill is a 19mm drill w/ 2.3 diameter. You can use any length of drill here but they recommend the 19mm. Your next twist drill size is the 3.4/2.8 with the 3.4 B key that fits into your guide. You just follow the protocol down the list until you get to the 4.4 x 3.8 drill in the 4.4 B key. You won't place the implant through the guide with Zimmer's system as it isn't "fully guided". Does that make sense?
mh
8/2/2019
I think you misunderstood. The one with teeth #23, 25, 27 is an example of the protocol I thought I would get from the company. The other two pictures is actually what I got. I do have the guided drill module and the keys.
Brian
8/2/2019
Oops, sorry for not seeing the other two pictures. So yes, they are saying for a 11.5mm implant with a guide sleeve being 8.5mm from the bone, you need a minimum drill length of 20mm. I would plan on using the 22mm drill for this one. Apparently, they do have a fully guided kit now which is news to me.
Mh
8/2/2019
Yeah I guess its not fully fully guided. Because if im using a 22mm drill then I would have to watch out for those extra 2 mm or use a stopper. Im meeting with my rep to see if he has any pointers. Thanks
Dr ru
8/2/2019
Zimmer implants are not fully guided as the implant carrier does not have a depth stopper as for example biohorizons or straumann guided implants
Mh
8/2/2019
True. I’ll have to invest in another system possibly.
Anta
8/2/2019
Osstem, Hiossen One Guide kit is the best one. Chek on the web.
Mh
8/2/2019
We don’t use those implants brands here much. If needed I would buy 3i since its same company as Zimmer. Thanks everyone for the comments.
Ed Dergosits DDS
8/2/2019
Fantastic guided surgical system. I have used it for 7 years with great results.
Bret Royal
8/3/2019
Hi! This is Bret with Implant Concierge. We are fully compatible with the Zimmer guided kit. Even though you did not use our planning services, I would love to help in any way that I can. Please call my mobile on Monday at 210-325-8345. I will put you in touch with one of my 3D Case Coordinators who will review your case and create a very detailed surgical protocol so you have no doubt in what instrumentation to use for each site. Please don't hesitate to reach out and I hope that we can help out! Thank you, Bret Royal, CEO Implant Concierge
Mh
8/3/2019
Thank you. I will
Don
8/3/2019
Why such long implants?
Just curious.
Thank you!
Ed Dergosits DDS
8/4/2019
11.5 length implants are not "such long" but I agree that i would use 10mm long implants if primary stability could be obtained and there were issues concerning the IAN or the Maxillary sinus that would make placement of shorter implants less complicated. The only reason to place implants longer than 8 mm is to engage apical bone to achieve primary stability./ Less than 10mm length is better in many cases.
DrC
8/18/2019
I think you should follow the Zimmer drilling protocol assuming that this company adhere to Zimmer specification. Remember that total length of the drill will include high of the sleeve , thickness of gingival tissue that is different for each patient and the bone quantity. if this company is not able to give you accurate information on drilling sequence then WAlK AWAY and maybe start all over with a another company , maybe Zimmer can lead you to one
