L0303 VIP Catalog & Manual PDF
L0303 VIP Catalog & Manual PDF
L0303 VIP Catalog & Manual PDF
TABLE OF CONTENTS
Company Overview
Virtual Implant Placement
VIP
Applications
System Requirements
VIP Components
VIP Software
Pilot Drill Set
Individual Pilot Drill Instruments
Laboratory
Collaterals
Disclaimer
CT Planning
1
2
3
3
4
4
4
5
6
7
CT Scan Appliance
Compu-Quick
CT Scan
CT Scan Protocol
VIP Planning
VIP Interface
DICOM Converter
Draw Nerve
Implant Planning
Submit VIP Treatment Plan for Pilot Compu-Guide
Order Online
Additional Features
Measuring Tools
Virtual Teeth
Parallel Implants
Preferences
Compu-Guide
Pilot Compu-Guide
Pilot Drill Set
Important Considerations
Pilot Drill Set Cleaning
Pilot Compu-Guide Pre-Operative
Pilot Compu-Guide Surgical Procedure
Notes
Icon Legend & References
Ordering & Warranty Information
8
9
9
10
11
12
13
14-15
15
16
17-18
18
19
19
20
21
21
21
22
22
23
24
25
Science-based products
BioHorizons is known for using science and innovation to create unique
implants with proven surgical and esthetic results. Laser-Lok microchannels
exemplify our dedication to evidence-based research and development.
The effectiveness of Laser-Lok has been proven with over 15 years of in vitro,
animal, and human studies at leading universities.1 This patented precision laser
surface treatment is unique within the industry as the only surface treatment
shown to attract a physical connective tissue attachment to a predetermined
zone on the implant while inhibiting epithelial downgrowth and preserving the
coronal level of bone; long term.2
Game-changing Innovation
Our highly advanced implant technologies, Restoration-to-Implant Lifetime
Warranty, hard and soft tissue regeneration products, and cutting-edge digital
dentistry and Virtual Implant Placement (VIP) treatment planning software have
placed BioHorizons at the forefront of implant dentistry.
From surgical planning and site development to final restoration, BioHorizons
is uniquely positioned to streamline the implant and restorative processes,
enabling clinicians to create a more efficient continuum of care.
Unparalleled Service
Happy patients are the driving force of successful dental practices, and clinicians
know they dont want implants; they want teeth. Restorations made on
BioHorizons implants at select laboratories using an approved treatment plan
are guaranteed for life. If the prosthesis fails, we cover the cost of the re-work
with no red tape or fine print.
Step 1
Step 2
Step 3
Step 4
Step 5
Step 6
VIP treatment plans can be used for custom Pilot Compu-Guide fabrication for the following implant
treatment plans:
System Requirements
It is recommended to install VIP on a stand-alone computer that provides the minimal system requirements.
Operating system
Windows XP
Processor
Hard Drive
Internal memory
256 MB
Monitor
15 monitor
Mouse
Internet
VIP COMPONENTS
VIP Software
VIP2.1
VIP 2.1 Software
Interactive 2D and 3D treatment planning software. Includes (2) software licenses.
VIPSUG
VIP Software Upgrade
Upgrade VIP to current software version.
122-017
122-021
122-024
122-028
Individual Pilot Drill replacements for the Pilot Drill Set. The Drilling Report that is provided with the Pilot Compu-Guide specifies the Pilot Drill to be
used for the particular implant site.
HF-IMS-1372T
IMS Bur Cushion - Tall Lid
A hollow, rectangular, silicone base with a stainless steel lid that is designed to hold burs securely
in place during cleaning and sterilization.
VIP COMPONENTS
Laboratory
Laboratory components relating to VIP are fabricated / distributed by Becden Dental Laboratory*. Becden is part
of Dental Technologies Inc. (DTI) laboratory network that is focused on providing innovative laboratory technologies
and exceptional customer service.
CT Scan Appliance
Custom fabricated radiographic guide that is worn by the patient during the
CT Scan. Radiopaque teeth are used where implant therapy is indicated.
Compu-Quick
Pre-fabricated CT Scan Appliance reducing time required to custom fabricate a
CT Scan Appliance. The Compu-Quick is available in three sizes: B, C, and D.
Pilot Compu-Guide
Surgical template that is custom milled according to the submitted VIP treatment
plan. The Pilot Compu-Guide provides the initial 2mm osteotomy for implant
location, depth, and angulation.
*Becden Dental Laboratory offers a full range of laboratory products and services. Becden understands that customer
support and quality assurance are critical to the success of the relationship between the clinician and laboratory.
Becden Dental Laboratory
131 East 13065 South
Draper, Utah 84020
COLLATERALS
Page 1 of 1
Specialty:
Doctor Name:
Phone:
Address Line 1:
Fax:
Address Line 2:
Office Contact:
Email:
Mandible
FORM B1047
FORM B1055
CT Scanning Protocol
Used to provide the CT Scan site to ensure the patient is scanned according
to the parameters required by VIP. Additional forms can be downloaded
from Becdens website.
FORM B1046
ML0103
ML0114
ML0129
MLD101
ML0131
Maxilla
The following teeth are being replaced (please list teeth below and indicate in diagram)
Surgical Notes:
License Number
Date
4) Contents Checklist
Please Complete CT Scan Appliance Contents Checklist
To ensure timely return of CT Scan Appliance, please include:
Standard case:
Centric record
Page 1 of 1
CT Scanning Protocol
Patient Orientation
Scan the patient face up or forward and make sure the patients head is not tilted to either side. When scanning single jaws
(mandible or maxilla), orient the patients head so that the axial images are parallel to the occlusal plane of the radiopaque
teeth on the patients CT Scan Appliance. When scanning double jaws (mandible and maxilla), split the difference between
the occlusal planes of the jaws. If no CT Scan Appliance is available, separate arches with a bite block.
Maxilla
Mandible
Fiducial markers (3 markers on CT Scan Appliance) are critical to the Pilot Compu-Guide fabrication process. Scan at least
2mm beyond the tips of the fiducial markers, ensuring all 3 fiducial markers appear in the scan. Ensure sure that the field
of view includes all teeth and all fiducial markers.
It is important that all scans are reviewed for patient movement prior to submission. Scans that indicate patient movement
should not be used for treatment planning purposes.
Preferred Scanning Parameters
Image size
Gantry tilt
0.5 - 1.0 mm
0.5 - 1.0 mm
Reconstruction algorithm
Bone
0.5 - 1.0 mm
0.5 - 1.0 mm
Scout image
Optional
Format
Compression
None
Media
Page 1 of 1
Specialty:
Doctor Name:
Phone:
Address Line 1:
Fax:
Address Line 2:
Office Contact:
Email:
Mandible
Maxilla
License Number
Date
4) Contents Checklist
Please Complete Pilot Compu-Guide Contents Checklist
To ensure timely return of Compu-Guide, please make sure to include:
Included CT Scan Appliance or Compu-Quick
DISCLAIMER
This Surgical Manual serves as a reference for using the Virtual Implant Placement (VIP) treatment planning software, CT
Scan Appliance, Pilot Compu-Guide, and related surgical instrumentation. It is intended solely to provide instructions on
the use of BioHorizons products. It is not intended to describe the methods or procedures for diagnosis, or placement of
implants, nor does it replace clinical training or a clinicians best judgment regarding the needs of each patient. BioHorizons
strongly recommends appropriate training as a prerequisite for the placement of implants and associated treatment.
The procedures illustrated and described within this manual reflect idealized patient presentations with adequate bone
and soft tissue to accommodate implant placement. No attempt has been made to cover the wide range of actual patient
conditions that may adversely affect surgical and prosthetic outcomes. Clinician judgment as related to any specific
case must always supersede any recommendations made in this or any BioHorizons literature.
Before beginning any implant surgical procedure with BioHorizons products:
Read and understand the Instructions for Use that accompany the products.
Clean and sterilize the instruments per appropriate Instructions for Use.
Become thoroughly familiar with all instruments and their uses.
Design a surgical treatment plan to satisfy the prosthetic requirements of the case.
Treatment Planning
For ideal results in implant dentistry, the treatment team should be in agreement and in communication throughout all
stages of therapy. The patient, the restorative and surgical doctors, as well as the dental laboratory should understand and
agree upon the treatment plan. The treatment plan should determine the design, number and position of the implants.
Proper treatment planning using VIP is the responsibility of the medical professional. Each clinician must
evaluate the appropriateness of the virtual treatment plan and the procedure used based on personal medical
training and experience.
Use of VIP to pre-plan dental implant surgery requires an understanding of the software. Refer to VIPs Help
Manual which is located within the VIP software (Help > Help Index).
CT PLANNING
CT Scan Appliance
Purpose: Radiographic guide that provides visualization in the CT scan of
optimal implant placement and prosthetic outcome.
Custom fabricated to patients tooth anatomy
Radiopaque material used to indicate edentulous space
Fabricated by Becden Dental Laboratory
The CT Scan Appliance includes three Fiducial Markers that act as coordinates in
transferring the VIP treatment plan to the Pilot Compu-Guide. All three Fiducial
Markers must be visible in the CT Scan in order for a Pilot Compu-Guide to be
fabricated. Reference the CT Scanning Protocol for scanning requirements. (See
Page 10 for CT Scan Protocol).
Fiducial marker
The CT Scan Appliance Prescription Form must be completed in order for the
laboratory to fabricate the CT Scan Appliance. Complete the Contents Checklist
included on the form to ensure all necessary components are sent to the laboratory.
The requirements for fabrication of a CT Scan Appliance include:
Page 1 of 1
Specialty:
Doctor Name:
Phone:
Address Line 1:
Fax:
Address Line 2:
Office Contact:
Email:
Mandible
Maxilla
The following teeth are being replaced (please list teeth below and indicate in diagram)
Surgical Notes:
License Number
Date
4) Contents Checklist
Please Complete CT Scan Appliance Contents Checklist
To ensure timely return of CT Scan Appliance, please include:
Standard case:
Centric record
When the CT Scan Appliance is returned the appliance should be inserted into the patients mouth to ensure proper fit. The
CT Scan Appliance should also be visually inspected to ensure the appliance complies with the submitted prescription form.
Bite blocks are fabricated on the CT Scan Appliance to ensure adequate space between arches.
CT PLANNING
Compu-Quick
Purpose: Prefabricated CT Scan Appliance that is only indicated for
placement of three implants or less to be placed in a non-esthetic area.
Reduces time for custom fabrication of CT Scan Appliance
The tray should be lined with rigid bite registration material and then
placed on the appropriate arch to have the bite registration applied to
the Compu-Quick. The patient then wears the Compu-Quick during
the CT Scan rather than the pre fabricated CT Scan Appliance. (See
Page 10 for CT Scan Protocol).
The Pilot Compu-Guide Prescription Form must be completed in
order for the laboratory to fabricate the Pilot Compu-Guide. The
requirements for fabrication of a Pilot Compu-Guide include:
Compu-Quick
VIP treatment plan (via email or CD)
Upper and lower diagnostic cast
CT Scan DICOM images (recommended)
Completed and signed Pilot Compu-Guide Prescription Form
CT Scan
Purpose: Instructs scanning site how to properly scan patient.
Page 1 of 1
CT Scanning Protocol
Patient Orientation
Scan the patient face up or forward and make sure the patients head is not tilted to either side. When scanning single jaws
(mandible or maxilla), orient the patients head so that the axial images are parallel to the occlusal plane of the radiopaque
teeth on the patients CT Scan Appliance. When scanning double jaws (mandible and maxilla), split the difference between
the occlusal planes of the jaws. If no CT Scan Appliance is available, separate arches with a bite block.
Maxilla
Mandible
It is important that all scans are reviewed for patient movement prior to submission. Scans that indicate patient movement
should not be used for treatment planning purposes.
Preferred Scanning Parameters
Image size
Gantry tilt
Fiducial markers (3 markers on CT Scan Appliance) are critical to the Pilot Compu-Guide fabrication process. Scan at least
2mm beyond the tips of the fiducial markers, ensuring all 3 fiducial markers appear in the scan. Ensure sure that the field
of view includes all teeth and all fiducial markers.
0.5 - 1.0 mm
0.5 - 1.0 mm
Reconstruction algorithm
Bone
0.5 - 1.0 mm
0.5 - 1.0 mm
Scout image
Optional
Format
Compression
Media
None
CD-R or Zip disk.
FORM B1055 REV B DEC 2008
CT PLANNING
CT Scan Protocol
The patient will be scanned wearing either the pre-fabricated CT Scan Appliance or the Compu-Quick. If a Pilot CompuGuide surgical template is not desired then the scan should be completed with a minimum space between arches of 5mm.
The CT Scan Appliance or Compu-Quick should be inserted in the patients mouth while ensuring proper fit. The patient
should be scanned face up or forward and the patients head should not be tilted to either side.
For Single jaw scans the patients head should be oriented so that the axial images are parallel to the occlusal plane of the
radiopaque teeth on the patients intraoral appliance. For double jaw scans, split the difference between the occlusal planes
of the jaws.
Maxilla
Mandible
The three Fiducial Markers must appear in the scan in their entireties. Scan at least 2mm beyond the tips of all three Fiducial
Markers. Make sure that the field of view includes all teeth and all Fiducial Markers. Load the case after processing to verify
that all three markers are completely visible.
Gantry tilt
0.5 - 1.0 mm
0.5 - 1.0 mm
Reconstruction algorithm
Bone
0.5 - 1.0 mm
0.5 - 1.0 mm
Scout image
Optional
Format
DICOM 3.0 data with DICOMDIR. Axials and optional scout(s) only.
Compression
None
Media
10
VIP PLANNING
VIP Interface
Installation of VIP is a demo version until a software license is requested and applied. The software license can
be requested via Internet connection by navigating to Tools > License and submitting the requested information.
Customer Care can also assist with providing a software license for VIP.
VIPs user friendly interface simplifies the process of virtually treatment planning a case. The screen layout has four
options to provide the user with the preferred layout. VIPs default screen layout is divided into four sections which
includes: panoramic projection, panoramic, axial, and cross section view.
Reference the VIP Users Manual in the software for more detailed instructions (Help > Help Index).
The Panoramic projection view displays the CT Scan as it would look as an X-ray. This view is only for
interpretation and cannot be changed or modified.
Preferred screen layout can be selected by navigating to Tools > Preferences. Select the Layout tab in the Preferences
Dialog box and enable the preferred layout by selecting the Apply button. If the layout is changed, the selected layout
will display the next time VIP is opened.
11
VIP PLANNING
DICOM Converter
Purpose: Convert DICOM images from CT Scan into a format that
can be viewed by VIP.
Eliminates potential fees related to processing of DICOM files
Reduces time related to having DICOM files processed offsite
Select File > Process or click the Process button
located on
the toolbar. VIP will open the default DICOM directory. Choose the
desired case and select the Finish button.
Mandible
Maxilla
Choose the most favorable image of the arch at the level of the
apical root tips. In the Axial View the panoramic curve must be
drawn according to the patients jaw alignment.
12
VIP PLANNING
Draw Nerve
Purpose: Highlight inferior alveolar nerve to make more visible.
Enhances view of nerve canal
Assist in placement and selection of implants
Nerve can only be highlighted in the mandible
Select Tools > Edit Nerve or click the Edit Nerve button
located on the toolbar. The Edit Nerve Dialog box will
appear. Nerve can be drawn according the patients nerve canal. In the panoramic or cross section view, Left-click
within the nerve canal to connect the points that indicate the nerve canal. After drawing the nerve in the panoramic view
the nerve will be displayed in the panoramic, axial, cross section, and 3D view.
In order to draw a second nerve, select the New button in the Edit Nerve Dialog box. Exit the Edit Nerve Dialog box once
nerve has been drawn.
13
VIP PLANNING
Implant Planning
Purpose: Pre-plan implant procedure through the placement of implants.
Comprehensive implant library that is compatible with most implant systems
BioHorizons implants are displayed as 3D realistic implants
Planning report created from treatment plan
14
VIP PLANNING
Implant Planning
VIP provides a 3D view of the implant placement and anatomical
structure. To view 3D select the 3D button
or View > 3D.
The view includes options of viewing the bone, teeth, implants, and
virtual teeth.
Implant
Length
12.00
9.00
Diameter
4.60/3.10
3.50
List of Implants
Manufacturer
BioHorizons
BioHorizons
Line
Tapered
Internal
Model
TLR4612
LPYR3509
Patient information
Implant manufacturer
Implant size
Screenshots of the axial, panoramic, and cross section view
Images include implant placement and the illustrated nerve. The
Planning Report can be printed to a printer or PDF for viewing.
Prepared with Virtual Implant Placement (VIP) Software from BioHorizons Implant Systems, Inc.
15
VIP PLANNING
Order Online
Purpose: Order online BioHorizons implants used in treatment plan.
Secure online ordering of BioHorizons implants
BioHorizons implants used in treatment plan are captured in online Shopping Cart
If BioHorizons implants are not included in the Implant List then the
option to order online will be disabled. To order online select the
BioHorizons Order On-line button.
Upon logging in, the BioHorizons implants used in the VIP treatment
plan are placed in the Shopping Cart.
16
ADDITIONAL FEATURES
Measuring Tools
Purpose: Utilize measuring tools to measure distance, angle, and rectangular / elliptical Region of Interest (ROI).
Measurements can be made in the panoramic, axial, and cross section view
ROI illustrates Hounsfield Units
To measure linear distance, select Tools > Distance or click the Distance
button
located on the toolbar. Once image is selected for measuring, left-drag either
end of the measurement tool to obtain linear distance. The linear distance default
measurement is millimeters, however can be changed to centimeters or inches by
right-clicking the display box and selecting preferred unit.
To measure an angle, select Tools > Angle or click the Angle button
located
on the toolbar. Left-drag the vertex or either end of the angle tool to obtain the
measurement of the angle. The angle measurement is displayed in degrees.
17
ADDITIONAL FEATURES
Measuring Tools
To measure the rectangular ROI, select Tools > Rectangular ROI or click the
Rectangular ROI button
located on the toolbar. Left-drag the corners or sides
of the rectangle to adjust the ROI. The rectangular ROI displays the area of patient
anatomy covered by the region, the average and standard deviation of the pixel data
in Hounsfield units.
To measure the elliptical ROI, select Tools > Elliptical ROI or click the Elliptical ROI
button
located on the toolbar. Left-drag the corners or sides of the oval to
adjust the ROI. The elliptical ROI displays the area of patient anatomy covered by the
region, the average and standard deviation of the pixel data in Hounsfield units.
Virtual Teeth
Purpose: Simulate teeth to facilitate positioning of implants.
Assists in treatment planning when Compu-Quick is used for CT Scan
VIP comes equipped with a full set of Virtual Teeth which can be
placed to facilitate the positioning of implants in cases where no
custom scan appliance is desired.
To place Virtual teeth, click the Place Tooth button
.
Select the appropriate teeth in the Place Virtual Tooth Dialog Box.
After the Virtual Tooth is placed, right-click the tooth for additional
properties related to the tooth. Virtual Teeth can be manipulated
by moving the virtual teeth and/or rotating the virtual teeth. The
Dialog box must be open in order to move or rotate virtual teeth.
18
ADDITIONAL FEATURES
Parallel Implants
Purpose: Parallel two or more implants.
Parallel implants to selected target implant
The Implant List Dialog Box must be open to parallel two or more
implants. Select View > Implant List or click the Implant List
button
. Select the target implant in the Parallel To to which all
other implants will be parallel. After selecting the target implant,
hold the CTRL key and select implants to be placed in parallel
to the target implant. Then select the Parallel button to parallel
selected implants.
Preferences
19
COMPU-GUIDE
Pilot Compu-Guide
Purpose: Transfers virtual treatment plan to a surgical template for implant location,
depth, and angulation.
Tooth supported surgical template
Provides initial 2mm pilot osteotomy
Fabricated by Becden Dental Laboratory
The Pilot Compu-Guide provides the initial 2mm pilot osteotomy for implant location,
depth, and angulation. The surgical template is accompanied by a Drilling Report
indicating the appropriate Pilot Drill to be used for each implant location.
The Pilot Compu-Guide Prescription Form must be completed in order for the
laboratory to fabricate the Pilot Compu-Guide. Complete the Contents Checklist
included on the form to ensure all necessary components are sent to the laboratory.
The requirements for fabrication of a Pilot Compu-Guide include:
Page 1 of 1
Specialty:
Doctor Name:
Phone:
Address Line 1:
Fax:
Address Line 2:
Office Contact:
Email:
Mandible
Maxilla
License Number
Date
4) Contents Checklist
Please Complete Pilot Compu-Guide Contents Checklist
To ensure timely return of Compu-Guide, please make sure to include:
Included CT Scan Appliance or Compu-Quick
VIP Treatment Plan saved to CD or emailed
CT Scan DICOM Images (recommended)
The Pilot Compu-Guide transfers the VIP treatment plan to the patients mouth for implant location, angle and depth.
After performing the initial 2mm pilot osteotomy according to the Drilling Report, the implants should be placed
according to the implant manufacturers protocol.
20
COMPU-GUIDE
Pilot Drill Set
Purpose: Initiates osteotomy using the Pilot Compu-Guide.
Fixed circular ring acts as a definitive drill stop
Osteotomy to desired depth
17mm
21mm
24mm
28mm
122-017
122-021
122-024
122-028
Important Considerations
Peri-operative oral rinses with a 0.12% Chlorhexidine Digluconate solution have been shown to significantly lower the
incidence of post-implantation infectious complications.3 A preoperative 30-second rinse is recommended, followed by
twice daily rinses for two weeks following surgery.
Drilling must be done under a constant stream of sterile irrigation. A pumping motion should be employed to prevent overheating the bone. Surgical drills and taps should be replaced when they are worn, dull, corroded or in any way compromised.
BioHorizons recommends the replacement of drills after 12 to 20 osteotomies.4
21
COMPU-GUIDE
Pilot Compu-Guide Pre-Operative
After confirming proper fit visually verify the location of the Pilot drill sleeves, which are positioned according to the
VIP treatment plan. The pilot drill sleeves transfer the VIP treatment plan; therefore it is essential to visually confirm
pre-operative that the Pilot Compu-Guide aligns with the VIP treatment plan. After visually inspecting, place the
Pilot Compu-Guide into the patients mouth and ensure the surgical template is stabilized with a unique fit to the
patients teeth. If a unique and stable fit of the Pilot Compu-Guide cannot be obtained at time of procedure then the
Pilot Compu-Guide should not be used for the procedure. It is not necessary to use excessive force to seat the Pilot
Compu-Guide.
22
NOTES
23
B i r m i n g h a m , A L 3 5 24 4
Non-Sterile
REF
Reference/
article number
REF
VIP 2.1
Lot/batch number
LOT
LVIP 2.1
YYXXXXX
Rev A
References
1. References Available
2. Human Histologic Evidence of a Connective Tissue Attachment to a Dental Implant.
M Nevins, ML Nevins, M Camelo, JL Boyesen, DM Kim.
International Journal of Periodontics & Restorative Dentistry. Vol. 28, No. 2, 2008.
3. The influence of 0.12 percent chlorhexidine digluconate rinses on the incidence of infectious complications and implant success.
Lambert PM, Morris HF, Ochi S.
J Oral Maxillofac Surg 1997;55(12 supplement 5):25-30.
4. Heat production by 3 implant drill systems after repeated drilling and sterilization.
Chacon GE, Bower DL, Larsen PE, McGlumphy EA, Beck FM.
J Oral Maxillofac Surg. 2006 Feb;64(2):265-9.
24
25
BioHorizons USA
BioHorizons Canada
BioHorizons Spain
Serrano Anguita, 10
28004 Madrid, Espaa
Atencin al Cliente:
+34 91 713 10 84
BioHorizons UK
BioHorizons Germany
BioHorizons Australia
Kunden Service:
+49 7661-909989-0
Customer Service:
+61 2 8399 1520
Marktplatz 3
79199 Kirchzarten
BioHorizons Mexico
Kelvin 8 Dept. 303
Col. Anzures
C.P. 11590, Mexico, D.F.
Servicio al Cliente:
+52 55 5545 1297
BioHorizons Chile
BioHorizons products are cleared for sale in the European Union under the EU Medical Device Directive 93/42/EEC. We are proud to be registered to
ISO 13485:2003, the international quality management system standard for medical devices, which supports and maintains our product licences with
Health Canada and in other markets around the globe.
Original language is English.
2008 BioHorizons Implant Systems, Inc. All Rights Reserved. L0303 REV A DEC 2008
w w w . b i o h o r i z o n s . c o m