Your Partner of Choice Straumann Authenticity Name, Function (Arial 20p) Event, Date (Arial 20p)

 Straumann 2 The implant-abutment connection may be of great importance for long-term stability and successful outcome of a restoration. The combination of Straumann abutments on Straumann implants is designed to achieve the best possible performance of the implant-abutment connection and therefore of the entire restoration.

 Straumann 3 Implant-Abutment Connection Importance Straumann ® Connections Risks of Mix and Match

 Straumann 4 Genuine vs. compatible components Genuine components are original components designed and manufactured by a company to fit harmoniously into another original component by the same company. ‘Compatible’ components are designed to fit into another company’s genuine - often patented - component. However to get around the patent, the ‘compatible’ part needs to be made differently than the original design. This can increase the risk of complications. Genuine Components: Restorative Success

 Straumann 5 Avoid peak stresses Conical screw head Sealed connection Conical implant-abutment interface Precise guidance at assembly Radial contact surfaces High stability Deep implant-abutment engagement Benefits of Using Genuine Components

 Straumann 6 1. Avoid Peak Stresses 1

 Straumann 7 1. Avoid Peak Stresses Connection design Conical screw head is designed to offer the clinician additional benefits: -High resistance to lateral forces -Even load distribution -Distribution of anti-rotational and bending forces -Even stress distribution to avoid peak stresses -Minimizes loosening or breakage of the screw 1 Data on file

 Straumann 8 2. Sealed Connection Conical implant-abutment interface offers the clinician the following benefits: -Supports mechanical stability of system to lateral forces -Helps ensure proper seating of the abutment -Designed to provide a seal against bacterial contamination, minimizing the microgap -Designed to reduce the risk of micromovements 2 Data on file

 Straumann 9 2. Sealed Connection Relation to crestal bone maintenance Microgap measurements Mechanical stability of system to lateral forces Strength to withstand chewing forces Bone must be stimulated in a certain range to be maintained and not overused Designed to reduce bone resorption Any implant-abutment gap from unharmonized tolerances or mismatched components may cause bacterial infiltration and accumulation, which may impact treatment success Data on file

 Straumann 10 Microgap Measurements Problem statement A microgap can cause bacterial contamination and micro-movements How it was investigated Cut and polished micrographs Scanning electron microscopy Data on file

 Straumann 11 Microgap Measurements Representative polished micrograph section (magnification: left 50×; right 2500×) Data on file

 Straumann 12 Microgap Measurements Results and conclusion Microgap is below 1 µ m (0.6 ± 0.3 µm) Such as small Microgap is intended to prevent bacterial contamination, which is important for crestal bone maintenance Data on file

 Straumann Precise Guidance at Assembly Microgap is below 1 µ m (0.6 ± 0.3 µm) Such as small Microgap is intended to prevent bacterial contamination, which is important for crestal bone maintenance No additional X-ray needed to verify if impression post or abutment screw is fully seated 3 X-rays courtesy of Dr. Robert Margeas, DDS, Des Moines, IA Abutment screw fully seated

 Straumann High Stability Deep implant-abutment engagement All parts function together as intended Excellent fatigue strength Harmonized dimensional tolerances High-quality materials compatible with each other (screw, implant, abutment) to avoid contact corrosion Straumann ® guarantees the composition of their materials - Straumann cannot guarantee what materials are used by other manufacturers 4 Data on file

 Straumann Precise Guidance at Assembly Assembly only possible in its correct orientation Precise abutment placement Radial contact surfaces Tactile feedback when fully assembled Compensates for low visibility 3

 Straumann 16 Genuine Components Summary Genuine components are designed to offer technicians and clinicians the following advantages: -Provide restorations for an excellent outcome -All parts function together as intended -Minimize loosening or breakage of the screw -Help ensure proper seating of the abutment -Provide a seal against bacterial contamination, minimizing the microgap Competitors can only assume dimensions and tolerances of Straumann components Straumann ® support for hands-on training, educational events, business consulting and more

 Straumann 17 Implant-Abutment Connection Importance Straumann ® Connections Risks of Mix and Match

 Straumann 18 Straumann Implant-Abutment Connection Straumann ® synOcta ® Morse taper connection Straumann Bone Level CrossFit ® connection Tissue Level ImplantsBone Level Implants

 Straumann 19 Straumann Implant-Abutment Connections Designed to: Ensure optimal load distribution to reduce peak stresses Minimize the infiltration of bacteria and contamination in micro-gaps Have a design harmony between abutment, screw and implant to provide optimal mechanical performance and long-term stability of a restoration Ensure simple handling of abutments and screws during the assembly process

 Straumann 20 Straumann Implant-Abutment Connections Straumann delivers products built on specialization, reliability and simplicity Genuine components are backed by our Straumann Guarantee. With Straumann’s Bone Control Design ® and unique CrossFit ® Connection, the bone level implant and abutment are designed to seamlessly connect for long- lasting, beautiful esthetics. Straumann parts have undergone mechanical testing and have been engineered precisely to function in a particular mechanical configuration.

 Straumann 21 Mouth situation Strength Tests Two extremes: A)Biting once on a hard object (e.g. stone pit in fruit) -single incident -very high forces B) Years of chewing -millions of cycles -low to moderate forces Fatigue strength intricate simulation up to 2 weeks of testing reference: competitors Ultimate strength simple test fast Laboratory situation

 Straumann 22 Conclusion Fatigue Strength BL Ø 4.8 mm, RC BL Ø 3.3 mm, NC BL Ø 4.1 mm, RC Market average Straumann ® Bone Level shoulder diameter [mm] fatigue strength [N] Data on file

 Straumann 23 Combined Benefits of Genuine Components Bone Control Design ® - Based on 5 key Biological Principles

 Straumann 24 Combined Benefits of Genuine Components Confidence with CrossFit ® Connection Prosthetic flexibility and stability through a deep conical connection Clear-cut insertion through the guidance of 4 grooves Designed to prevent rotation

 Straumann 25 CrossFit ® Connection Respects Straumann ® strengths: simplicity Clear-cut insertion through the guidance of 4 grooves

 Straumann 26 CrossFit ® Connection Respects Straumann strengths: stability and precision 15° conical connection 4 protrusions

 Straumann 27 ≤ 30° 15° cone CrossFit ® Connection Respects Straumann ® strengths: flexibility

 Straumann 28 Limitations of Competitor Design Competitor abutments are not designed using Straumann’s precise engineering specifications The square-shaped connection, shown here, provides surface contact with only the protrusions and can undermine security The resulting imprecise fit leaves gaps that can lead to compromised performance

 Straumann 29 Straumann ® - The Confident Choice Lifetime limited warranty for implants 5 year warranty for ceramic abutments* 10 year limited warranty for metal abutments* Conditions: For implants placed at or after April 01, 2011 Straumann products must be used exclusively with other Straumann products and not in combination with any other manufacturer product Other conditions apply *Guarantee includes screw retained bars and bridges and Straumann CARES copings, crowns and bridges

 Straumann 30 Implant-Abutment Connection Importance Straumann ® Connections Risks of Mix and Match

 Straumann 31 The Risks of Mixing Straumann ® Implants with Non- Straumann Abutments Non-Straumann abutments cannot satisfy Straumann’s strict design and engineering specifications. Any compromise in the abutment-implant connection can lead to complications including micro-gap bacterial colonization shown to cause bone loss or even a failed implant. To protect the integrity of your procedure choose components designed for optimal precision.

 Straumann 32 Identifying the Cost of Compromise* Potential Failure Costs Due to Use of Non-Straumann ® Abutment on Straumann Implant Avg. Estimated Hours SURGICAL COSTS Chairtime for explantation1.5 Regeneration materials0.25 – 1.0 Chairtime for re-implantation1.0 Cost of Implant and healing components Lost opportunity /revenue due to extension of treatment time and additional patient visits Loss of patient RESTORATIVE COSTS Chairtime for impression, temporization and follow-up3.0 Cost of abutment Cost of Impression components and materials Lost opportunity /revenue due to extension of treatment time and additional patient visits Loss patient DENTAL LABORATORY COSTS Labor1.0 Materials cost *Assumption: Replacement of single implant

 Straumann 33 Is it Straumann? How to Tell

 Straumann 34 Is It Straumann ® ? How to Tell Our custom abutments bear distinguishing marks that make it easy to be sure you’re using authentic Straumann components. For Straumann ZrO 2 CADCAM components (top row), look for the black laser line around the screw shaft. For both ZrO 2 and Straumann Ti CADCAM components, look for the distinctive yellow and purple tops. The more you know, the more confident you can feel. Yellow Magenta

 Straumann 35 THE CONFIDENT CHOICE

 Straumann 36 Presentation links Straumann Prosthetics Overview TL Restorations (procedures detail) BL Restorations (procedures detail) Authenticity Straumann CARES Overview