Hybrid Implants

Hybrid Implants

In many clinical situations implants of an intermediate size (larger than mini dental implants but smaller than conventional ones) are desired.
The solution is the MDI 3.0 mm Hybrid. It combines implant and abutment in one piece, has a self-tapping design and uses a minimally invasive protocol without a full depth osteotomy.
Compared to mini dental implants it stands out due to a larger surface which allows for improved endosseous fixation¹. Moreover, the O-Ball features a special titanium-nitride coating to minimise abrasion².
The hybrid implant can be placed in an alveolar ridge with a thickness down to 5 millimeters. Even in softer bone it offers a high initial stability³.

Thus, the MDI 3.0 Hybrid combines various beneficial properties of mini dental implants and conventional implants and is considered to be the “golden mean” between a two-piece 3.5 mm implant and a 2.4 mm MDI in a number of clinical borderline cases.

References
¹Grande M, Kurtzman GM, Baroncini C.(2012). Immediate Load Fiber Reinforced Hybrid Implant Prosthetics. Int J Oral Implant Clin Res;3(2):83-91. ~
²Dong-Joon Oh, Hee-Jung Kim, Chae-Heon Chung,. (2006). A STUDY ON MECHANICAL PROPERTIES OF TiN, ZrN AND WC COATED FILM ONTHE TITANIUM ALLOY SURFACE. J Korean Acad Prosthodont. 44 (6), p740-750.
³Shatkin, T. E., Shatkin, S., Oppenheimer, B. D., Oppenheimer, A. J. Mini dental implants for long-term fixed and removable prosthetics: A retrospective analysis of 2514 implants placed over a five-year period. Compendium, 28: 36-41, 2007.
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Product information

Features and benefits

¹Ahn M-R, An K-A, Choi J-H, Sohn D-S.(2004) Immediate loading with mini dental implants in the fully edentulous mandible. Implant Dent
13: 367-372.
²Griffitts, T. M., Collins, C. P., Collins, P. C. Mini dental implants:(2005). An adjunct for retention, stability, and comfort for the edentulous patient. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, 100 (5): E81-E84

Indications

Functional principles

Implants are placed through a small pilot hole which is prepared with a 1.8 mm drill. No full osteotomy! Usually, the average depth is one-third to one-half the threaded length of the implant.¹
In many cases tissue punching is sufficient for the site preparation.¹
The self-tapping design offers maximum primary stability (principle of osseo-compression).¹
Prosthetic concept for denture stabilisation = soft loading: O-Rings in the attachments offer retention and simultaneously absorb the load. Original retention can be restored by simply changing an O-Ring. The dentures are still tissue-borne and thus, the load is not carried by the implants to the full extent.²

MDI Implantology Technical Data sheet 2012

¹Ahn M-R, An K-A, Choi J-H, Sohn D-S. Immediate loading with mini dental implants in the fully edentulous manible. Implant Dent 2004; 13: 367-372.
²Griffitts, T. M., Collins, C. P., Collins, P. C. Mini dental implants: An adjunct for retention, stability, and comfort for the edentulous patient. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, 100 (5): E81-E84, 2005

Implants information

	MDI Hybrid implants with O-Ball
MII-OB10 – MII-OB18 MII-MOB10 – MII-MOB18	MDI 3.0 mm implant Material: Titanium Grade 5 (titanium alloy Ti 6Al 4V) O-Ball: Titanium-nitride coating One piece implant with O-Ball Indication: denture stabilization, bone density D1-D2 • D2-D3 Sterile packed Ø= 3,0mm L= 9/11/13/15 mm (the indicated lengths refer to the individual length of the thread!!) MANDIBULAR TYPE IMPLANT (O-ball) MII-OB10 – Ø= 3,0mm L: 9mm MII-OB13 – Ø= 3,0mm L: 11mm MII-OB15 – Ø= 3,0mm L: 13mm MII-OB18 – Ø= 3,0mm L: 15mm MAXILLA TYPE IMPLANT (O-ball) MII-MOB10 – Ø= 3,0mm L: 9mm MII-MOB13 – Ø= 3,0mm L: 11mm MII-MOB15 – Ø= 3,0mm L: 13mm MII-MOB18 – Ø= 3,0mm L: 15mm
MII-OB10 – MII-OB18 MII-MOB10 – MII-MOB18
	MDI Hybrid implants with tapered abutment
MII-T10 – MII-T18 MII-S10 – MII-S18	MDI 3.0 mm implant Material: Titanium Grade 5 (titanium alloy Ti 6Al 4V) One-piece implant with tapered abutment Indication: fixed restorations, bone density D1-D2 • D2-D3 Sterile packed Ø= 3,0mm L= 9/11/13/15 mm (the indicated lengths refer to the individual length of the thread!!) MANDIBULAR TYPE IMPLANT (tapered abutment) MII-T10 – Ø= 3,0mm L: 10mm MII-T13 – Ø= 3,0mm L: 13mm MII-T15 – Ø= 3,0mm L: 15mm MII-T18 – Ø= 3,0mm L: 18mm MAXILLA TYPE IMPLANT (tapered abutment MII-S10 – Ø= 3,0mm L: 10mm MII-S13 – Ø= 3,0mm L: 13mm MII-S15 – Ø= 3,0mm L: 15mm MII-S18 – Ø= 3,0mm L: 18mm
MII-T10 – MII-T18 MII-S10 – MII-S18

Prosthetics components

Prosthetic components
Standard Metal Housing Material: Grade 5 Titanium (titanium alloy Ti 6Al 4V) Diameter: 4.75 mm Height: 3.6 mm (Item No: MH-1)

Micro Metal Housing Material: Grade 5 Titanium (titanium alloy Ti 6Al 4V) Diameter: 4.3 mm Height: 3.3 mm (Item No: MH-2)

O-Cap Metal Housing Material: Grade 5 Titanium (titanium alloy Ti 6Al 4V) Diameter: 4.0 mm Height: 3.0 mm (Item No: MH-3)

Replacement O-Ring for Metal Housing MH-1 (single) Material: nitrile (Item No: 0550-01)

Replacement O-Ring for Metal Housing MH-1 (pack of 10) Material: nitrile (Item No: 0550-10)

Replacement O-Ring for Metal Housing MH-1 (pack of 25) Material: nitrile (Item No: 0550-25)

Replacement O-Ring for Metal Housing MH-2 and MH-3 (single) Material: nitrile (Item No: 0351-01)

Replacement O-Ring for Metal Housing MH-2 and MH-3 (pack of 10) Material: nitrile (Item No: 0351-10)

Replacement O-Ring for Metal Housing MH-2 and MH-3 (pack of 25) Material: nitrile (Item No: 0351-25)

Lab Analogs and Restorative Copings
MDI 2.9 mm Hybrid Lab Analog Suited for O-Ball implants as well as Hybrid implants with tapered abutment (Item No: MII-LA)

Tapered Abutment Impression Coping (Item No: S2920)
O-Ball Impression Coping Note: not compatible with Square Head Implants! (Item No: 2921)

MDI Tapered Abutment Waxing Coping (Item No: 2922)
MDI Tapered Abutment Waxing Coping (Item No: 2922)
MDI Tapered Abutment Immediate Temporization Cap (Item No: 2923)

MDI O-Ball Immediate Temporization Cap Note: not compatible with Square Head Implants! (Item: 2924)

MDI O-Ball Impression & Waxing Coping (Item No: S4118)
MDI O-Ball Impression & Waxing Coping (Item No: S4118)
Blockout Shims (pack of 25) (Item No: S1010)
Blockout Shims (pack of 25) (Item No: S1010)

Instruments and accessories

MDI Surgical and Restorative Kit 1303: 1x MDI Surgical Box 8070: 1x Adjustable Torque Wrench 1030: 1x Titanium Locking Pliers S1011: 5x MDI 1.1 mm Surgical Drill S9030: 1x MDI Finger Driver S9032: 1x MDI Winged Thumb Wrench S7007: 1x MDI-Ratchet Adapter Short 8016: 1x Ratchet Extension 16 mm S1010: 1x Blockout Shims (pack of 25) 8720: 1x SECURE™ Hard Pick-Up Kit (Item No: S1806)

MDI Surgical kit 0121: 1x MDI Small Surgical Box 8070: 1x Adjustable Torque Wrench S7007: 1x Ratchet Adapter S9030: 1x MDI Finger Driver S9032: 1x MDI Winged Thumb Wrench S1011: 3x 1,1 mm Surgical Drill S1010: 1x Blockout Shims (Pack of 25) (Item No: S1807)

Site Preparation
Ridge Mapping Caliper Ridge mapping for determination of alveolar ridge width (Item No: 1325)

1.5 mm Disposable Tissue Punch Sterile Packed; for single patient use (Item No: S0150)

Surgical drills
MDI 1.1 mm Surgical Drill Sterile packed (for single patient use) (Item No: S1011)

MDI 1.3 mm Surgical Drill Non-sterile packed, reuseable (Item No: S1013)

Irrigated Drill Extender Ø= 3.5mm Sterile packed Material: Surgical steel (Item No: 2000)

Insertion Instruments
MDI Winged Thumb Wrench (Item No: S9032)
MDI Winged Thumb Wrench (Item No: S9032)
Ratchet Wrench For final insertion (Item No: 8010)
Ratchet Wrench For final insertion (Item No: 8010)
Adjustable Torque Wrench including Adapter 4mm square Torque: 10 – 70 Ncm (Item No: 8070)

Replacement O-Ring for Insertion Instruments (Pack of 10) (Ratchet Extension, Ratchet Adapter or Initial Finger Driver) Material: nitrile (Item No: 0551-10)

MDI Ratchet Adapter
MDI Ratchet Adapter Short Height: 5 mm (Item No: S7007)

MDI Ratchet Adapter Medium Height: 9mm (Item No: S7011)

MDI Ratchet Adapter Long Height: 13mm (Item No: S7015)

Ratchet Wrench Extension Height: 16mm (Item No: 8016)
Ratchet Wrench Extension Height: 16mm (Item No: 8016)
MDI Surgical Box Instruments are not included (Item No: 1303)

Small Surgical Box Instruments are not included (Item No: 0121)

Patient Demonstration Models
MDI Model Mandible Clear Acrylic Base (Item No: SMDI-001)

MDI Model Mandible Pink Acrylic Base (Item No: SMDI-004)