MONORAIL

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MONORAIL
TRANSITIONAL IMPLANT SYSTEM
from
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MTI-MONORAIL

• Patients Expectations
• At day of surgery
• Functional dentate
• Esthetics Comfort
• No post-op complications
• Affordable Cost

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MTI-MONORAIL

• Dentists Expectations
• Restoration is completed in a one day surgery
• Protect transmucosalsurgical site
• Protect augmented bone areas
• Prevent prematureImplant loading
• Predictable results
• Option, to be used for Emergency Repairs
• Affordable Costs

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MTI-MONORAIL

• Study models
• Diagnosis and Wax-Up

• Treatment Plan

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MTI-MONORAIL

• Check MTI Position and Alignment
• Check possible depth of Osteotomy (MTI
  Length)

• Tipped, sharp Profile-Drill (laser-marked)
• For Osteotomy
• Osteotomy through tissue
• Startpoint for Implants

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MTI-MONORAIL

• Screw in MTI Implants
• Check Vertical Height

• Check Parallelism
• Align Slots

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MTI-MONORAIL
Apply Gingival Protective Spacers (to
avoid locking of Restoration)
Spacers are also valuable as Stops
for Laser marked Profile-Drills
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MTI-MONORAIL

• Check Vertical Alignment of Implants and Bar

• Decide for Use of Singular or
  Modular Copings
• Adapt and form Titanium Connective Bar
  for Modular Coping

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MTI-MONORAIL

• Apply Copings

• Check for Parallelism

NEW MONORAIL Modular Coping
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MTI-MONORAIL

• Apply Singular Copings for Implants not
  in line
• No Spacers are used

• Shorten Singular Copings if necessary
• Bypass Singular Copings with
  Titanium-Bar

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MTI-MONORAIL

• Choose vacuum-formed Splint-Form first
• Allows immediate Splinting by Surgeon or
  Implantologist

• Use Clear Resin for easier Placement
• Integrated occlusal bar allows
  correction of OVD
• occlusal vertical dimension

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MTI-MONORAIL

• Use Vacuum-form of Wax-Up for Temporary
• Establish OVD at distal teeth first

• Immediate, fast easy processed Temporary
• Immediate Function Esthetics

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MTI-MONORAIL
Protect augmented Bone Areas Prevent
premature Implant Loading
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MTI-MONORAIL
Protect augmented Bone Areas Prevent
premature Implant Loading
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MTI-MONORAIL Indirect (Lab-)Procedures

• Decide for Procedure
• Direct (Chairside)Temp.
• Indirect (Lab-processed) Temp.

Model
Impression

• Indirect Temp may replace Chairside-Temp.
  after healing-phase

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MTI-MONORAIL Indirect (Lab-)Procedures

• Apply Impression Copings

• Lab-Posts

• Take Single-Phase Impression
• Insert Lab-Posts

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MTI-MONORAIL Indirect (Lab-)Procedures

• Fabricate Model
• Process Temp as previously shown

• Use Modular- and/or Singular Copings with
  Splint Form

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MTI-MONORAIL Indirect (Lab-)Procedures

• Finish Temp. on Model
• Occlusal and inter- proximal Corrections

• Indirect Temp may replace Chairside-Temp.
  after healing-phase

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MTI-MONORAIL Training Kit

• Includes all necessary Parts
• Predrilled lower Jaw
• Drills, Lab Analogs (as Implants and
  Analogs)
• Modular-Copings Bar
• Singular Copings
• Winged Key
• Impression Copings
• Vacuum formed Splint / Vacuum formed
  Anatomical Lower

• Training of Clinician and Staff
• Training of Technicians

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MTI-MONORAIL System Parts

• Profile Drills, Laser-marked
• Winged Key
• Paralleling-(Bending-) Tool
• Engine Driver
• Gingival Spacer
• Modular Coping
• Singular Coping
• Comfort Cap
• Impression Coping
• Lab Analog
• Implants, Ø 1,8mm, 3 Lengths
• Titanium Connective Bar

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MTI-MONORAIL Research
Tarnow,D. NYU Histological study from human
specimen Good osseointegration immediately
loaded of MTI
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MTI-MONORAIL Research
N. Bichacho, C. Landsberg, M. Rohrer, Y.
Davidivich, Immediate Fixed Transitional
Restorations in Implant Therapy, PPAD Jan-Feb
1999
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MTI-MONORAIL Research
Z. Mazor, I. Brosh Use of Transitional Implants
for fixed Interim Prosthesis Jan- Feb 2002
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MTI-MONORAIL Research
M. Brown, D. Tarnow, Fixed Provisionalization
with Transitional Implants for Partially
Edentulous Patients, PPAD, March 2001
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MTI-MONORAIL Research
G. Keller, Temporarily Replacing Cogenitally
Missing Maxillary Lateral Incisors in Teenagers
Using Transitional Implants, Implant News and
Views, Jan- Feb 2001
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MTI-MONORAIL Research
P. Petrungaro, M. Smilanich Use of Modular
Transitional Implants in the Partially Edentulous
Patient Contemporary Esthetics and Restorative
Practice September 1999.
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MTI-MONORAIL Research
J. Grey , R. Smith Transitional Implants for
Orthodontic Anchorage Journal of Clinical
Orthodontics November 2000
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MTI-MONORAIL Research
S. Froum, S. Emtiaz, M. Bloom, J.Skolnick, D.
Tarnow, The use of Transitional Implants for
Immediate Fixed Temporary Prostheses in Cases of
Implant Restorations PPAD, August 1998
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MTI-MONORAIL Research