Qualia®NeoActive

Conical connection implants

1
 Index
Our Company 00
Catalogue Consultation 00
Qualia®NeoActive Conical Implant
Feature 00
Qualia®NeoActive No Mount 00
Features and References 00
Osseoactive® Surface Treatment 00
Surgical protocol 00
Cleaning, disinfection and sterilisation 00
Direct to Implant Restorations 00
Surgical Instruments
Prosthetic Instruments
Bibliography 00
General sales conditions 00
 Maximum resistance

Our Company 550

850*

Elastic limit

720*
483

100

600
200
300

400

500

700

800

900
0
Tension [MPa]

*Maximum average values

Founded in 2018, Headquartered in Dubai. U.A E, Qualia® Experiences FZ-LLC is

showing the dental implant industry how a strong business model can service the Certified quality
customers effectively and economically. Qualia® Experiences FZ-LLC is a full line
top quality, compatible dental implants and accessories at a reasonable cost. we We strive for
supply Dental Clinics, Doctors, Hospitals and laboratories every type of specialized
dental equipment for endodontics, implantology, Bone and membrane, dental kits.
we built a well-known, impeccable reputation in the community. Our management
excellence
has many years’ experience in the fields of dental implants. Qualia®NeoActive implants are made of extra-high-
tension grade 4 titanium which gives it a substantial
At Qualia® Experiences FZ-LLC we are not only the most-competitively priced, improvement in its elastic limit and mechanical prop-
service-oriented supply company in the nation; we are now the best full line erties, as well as keep the compliance with the re-
compatible dental implants and accessories supply company. quirements of Standards and Certificates according to
the requirements of the Medical Directive 93/42/EEC and
We are located in Dubai, but serve customers across the country of United Arab
its amendment 2007/47/EC by the 0051 notified body.
Emirates and beyond.
The Qualia®NeoActive implants are sterilised by Beta
Rays irradiation at 25kGy.
Two key differences between Qualia® Experiences FZ-LLC and most other
distributors are our broad product offering and our supply base. We are very proud
to represent the leaders in dental implant manufacturing, and we work closely with BIOSTAR® Laboratorios, SLU has the

our suppliers to make sure that we continue to meet the needs of our customers. manufacturer’s licence for medical devices and the
commercial authori-sation by the AEMPS 6425-PS

True to our entrepreneurial spirit, we continue to seek new solutions and products (Spanish Agency for Medicines and Medical Devices).

that meet the new demands of the sector. Therefore, we entered in agreement with Our quality management system is certified according to
BIOSTAR® Laboratorios, SLU a Spanish manufacture for the exclusive production the requirements of the UNE-EN-ISO 9001:2015 and
and manufacture of Qualia®NeoActive implants made of premium high strength UNE-EN-ISO 13485:2016 standards, also complying
materials of high quality and biocompatible . with the requirements of GMP 21 CFR 820.

Like our motto goes “were quality meets service”, our promise to our customers is
to continue improvement and sourcing out the best quality products available, at
reasonable cost combining with best service that goes beyond the sale.
*

*Consult approved models

Manufacture Qualia®NeoActive Distributor Qualia®NeoActive
 Catalogue Consultation

CONICAL CONNECTION PLATFORMS

Anatomic healing abutment Impression Abutment Impression Abutment Screw

Height ( H) DiameterǾ Reference

3.0mm 3.60mm AC1VH3630 Height ( H) DiameterǾ Reference
Product 4.0mm 3.60mm AC1VH3640 Product Table
13.00mm 3.60mm AC1VT3600 Height ( H) Reference
Name 5.0mm 3.60mm AC1VH3650
8.50mm/shor 3.60mm AC1VT3601 0.00mm LTSS4000 platform
6.0mm 3.60mm AC1VH3660 3.00mm LTSS4003 Height, Length,
3.0mm 4.60mm AC1VH4630 13.00mm 4.60mm ACV1VT4600
6.00mm LTSS4006 Diameter Ǿ
4.0mm 4.60mm AC1VH4640 8.50mm/shor 4.60mm ACV1VT4601
9.00mm LTSS4009
5.0mm 4.60mm AC1VH4650 13.00mm 5.50mm ACV1VT5500
6.0mm 4.60mm ACV1H4660 8.50mm/shor 5.50mm ACV1VT5501
3.0mm 5.50mm ACV1H5530
4.0mm 5.50mm ACV1H5540
5.0mm 5.50mm ACV1H5550 Product
6.0mm 5.50mm ACV1H5560
Features

Product
Image
Implant Analog 3D Implant Analog

Length ( L ) Reference Length ( L ) Reference

12.00mm AC1VIA3 12.00mm AC1VIA34D
4

44 4

4|
Conical connection implants
Features
CONNECTION
» Conical connection: 11° morse taper with double internal
hexagon
» Conical sealing: no infiltration
» Friction fit: no micro-movements
» RP single platform for all diameters
» Platform switch: soft tissue formation and emergence profile
shaping
11° conical connection
CORTICAL AREA with double internal
» Micro-thread design: preserves marginal bone, reduces hexagon
cortical stress and improves load distributions
» Inverted cone cortical macro-design: no cortical Variable angle
compression (except for 3,40mm diameter implant) double thread

BODY
Active apex
» Double lead thread: quick insertion to reduce surgical time
» Grooved canal threads and plateau: releases bone
stress and enables fluid flow
» Variable geometry thread: provides high primary stability:
» Coronal - thick trapezoidal thread
Core
» Medium - thinner trapezoidal thread Size
» Apical - V-shaped thread
» Optimized morphology
» Apical oblique vents: collect bone detritus during the
insertion and facilitates a change of insertion axis
» Active apex (self-tapping): makes the implant insertion
easy with undersized drilling technique
» Atraumatic apex: protects anatomical structures

CONICAL DESIGN
» Facilitates bone shaping at low density
» Indicated for immediate loading
» Indicated for immediate post-exodontic placement
» Indicated for apical collapse situations
 RP ( Ǿ3,50 mm) RP ( Ǿ4,00 mm)

8 10 11.5 13 16 8 10 11.5 13 16

RP ( Ǿ4,50 mm) RP ( Ǿ5,00 mm)

6 8 10 11.5 13 16 6 8 10 11.5 13 16
Usage recommendations
All implant planning must respect the natural biomechanical stability Odontogram
of the oral cavity and allow the natural emergence of the dental crown,
through the soft tissue, by means of an implant with a pros-thetic
platform whose diameter is proportionally smaller than the
emergence diameter of the tooth to be restored. The implantologist
must assess the quantity and quality of bone in the recipient area of
the implant and consider the need for prior or simultaneous bone re-
Implant diameter
generation as appropriate. A RP B RP C RP D RP

Qualia®NeoActive has a broad range of implants to cover every Ø3,50mm Ø4,00mm Ø4,50mm Ø5,00mm

restoration possibility.
In the odontogram, the inverted trapezoids identified with letters rep-
Coronal implant diameter
resent the diameters and platforms of the implants recommended for RP
Ø2,85mm
these dental positions. These recommendations apply to teeth re-
placement with single restoration, bridges and partial or total implant-
retained tissue-supported prosthesis.
Remember to maintain minimum distances between adjacent
implants and/or implants and teeth, to preserve papillae, bone
vascularization and natural emergence profiles.
The choice of the appropriate implant, in each case, is the exclusive
responsibility of the clinician. Qualia®NeoActive Medical
recommends taking into account warnings based on scientific
evidence contained in product catalogues and website.

CLARIFICATIONS ON MEASUREMENT AND DRILLING TECHNIQUES:

• IMPLANT SIZE: identifies implant diameter and length.

• IMPLANT BODY: implant core diameter.

• DRILL MEASUREMENT: corresponds to the drill diameter

and length.

• UNDERSIZED DRILLING TECHNIQUE: surgical site

prepa-ration with final drill of lower diameter than the
implant body. Technique associated with high insertion
torque and increased primary stability.
Important: possible increased risk of bone necrosis due to
pressure.

• SIMPLIFIED DRILLING TECHNIQUE: technique proposed

by Coelho and Cols in 2013 (1). It consists of the use of pilot
drill and final drill corresponding to the size of the implant. It
re-duces drilling sequence but with risk of bone necrosis
due to thermal increase.
Qualia®NeoActive No Mount
Packaging and product handling

Qualia®NeoActive No Mount implants are packaged in a sealed

carton box with a product label for immediate identification. It
contains:
• Instructions for Use (IFU).
• Implant blister: heat-sealed, with product identification labels
for correct traceability. Its flap facilitates opening in clinic and
prevents accidental opening. Contains: implant carrier vial.
• Implant carrier vial: contains vertically suspended implant.
• Product identification label data: product reference, platform,
implant diameter and length, product description, batch num-

ber, product manufacturer, expiration date and product Description of the symbology used
identi-fication symbols. MDD CE certification and notified body Do not resterilise

Note. Do not open the sterile container until the time of implant placement. Name of the medical device Do not use if the packaging is damaged

Number of product batch Non-reusable product

Patient information website Consult the instructions for use

Unique device identification Expiry date of the product

Beta sterile product Date of manufacture

Temperature restriction Product manufacturer

Caution, consult accompanying documents Caution: federal law prohibite dispensing

without prescription
Features and references
Qualia®NeoActive No Mount implant packaging option allows you to
use an insertion key direct to implant, remove it from the implant
carrier vial and bring it to your surgical site easily and safety.

No Mount system instruments:

» VPress® insertion key for contra-angle.
» VPress® insertion key for ratchet.

Implant view
Qualia®NeoActive No Mount implant has the advantage of avoiding upper washer
its handling to disassemble the Mount, removing the occasional
difficulty of access to the location with reduced mouth opening or
suppressing the risk of primary stability reduction due to over-
instrumentation.

The plastic vial holds the implant vertically between a lower titanium
plate and an upper washer also made of titanium, providing stability
*
Implant view
without movement, while avoiding contact. between plate and washer No Mount

* Cover screw:
In Qualia®NeoActive No Mount option,
cover screws are supplied separately.
Refer to the references in the table
below

IMPLANT PLATFORM
Ǿ (mm) Ǿ Core (mm) Length Reference Type Ǿ (mm) Internal Metric
8 mm AC3580 Length ( L ) Reference
10 mm AC3510
3.5 11.5 mm AC3511 5.10mm
13 mm AC3513
16 mm AC3516
8 mm AC4080
10 mm AC4010
4.0 11.5 mm AC4011
13 mm AC4013
16 mm AC4016
6 mm AC4560
RP 2.85 M 1,60
8 mm AC4580
10 mm AC4510
4.5
11.5 mm AC4511
13 mm AC4513
16 mm AC4516
6 mm AC5060
8 mm AC5080
10 mm AC5010
5.0
11.5 mm AC5011
13 mm AC5013
16 mm AC5016
Osseoactive®
Surface treatment
Osseoactive® surface, textured by subtraction using sandblasting Osseoactive® has a thicker TIO2 layer than most current
with white corundum and double etching of hydrofluoric acid and a surfaces.
combination of sulphuric and phosphoric acid, creates a macro and O (% At) C (% At) Ti (% At) N (% At) Si (% At) Ca (% At)
Layer thickness
TIO2 (Nm)
mi-cro porosity with optimum average values whose key
Osseoactive® 43.9 34.9 18.0 0.6 0.5 0.5 16-25
characteristics for achieving a correct and rapid osseointegration
Plasma Spray 45.5 38.9 14.2 1.4 -- -- 5.5
which gives it reli-ability and predictability.
Mechanised 39.7 36.9 20.1 1.1 1.7 0.2 5.7

Sandblasting
Main features: 51.4 34.9 14.5 1.3 Traces -- 5.7
and Etching A.

Double acid
• Pure TIO2 surface etching
36.2 53.7 6.8 5.4 3.3 -- Not available

• Macro/micro-porosity surface design Note:

- The elements are expressed in atomic %
• Homogeneous porosity - These are the elements present in the greatest quantity; other elements may be present
• Excellent average values in trace amounts or lesser proportions.

• Osteoinductive surface Shorter times

• High level of biological stability Several scientific studies have shown that mixed treatment surfaces with
• Surface structure similar to human bone a rugged or porous surface considerable increase bone implant contact
• High level of surface wettability and accelerate the osseointegration process against implants with
• Contaminant-free surface topography conventional surfaces. Osseoactive® surface facilitates rapid cell
adhesion, thus obtaining excellent biological stability that favours the
osteogenesis process. At the same time, it significantly reduces the peri-
od of osseointegration and increases the percentage of clinical success.

IMAGES TAKEN USING AN ELECTRONIC MICROSCOPE S.E.M

Note. For more information on surface treatment, see the bibliography at the end of this catalogue.
 OSPD20G OSTD25G OSTD33G OSTD37G

RP 4,00 MM

RP 4,50 MM CORTICAL
RP 5,00 MM

11
 GTAP 40M GTAP 45M GTAP 50M

MUR100G2 MUR200G2 OSTD33G OSTD37G

RP 3,50 MM

RP 4,00 MM Ǿ4.00 mm
RP 4,50 MM CORTIC Ǿ4.50 mm
AL
RP 5,00 MM CORTIC Ǿ5.00 mm
AL

GTAP GTAP 50M

MUR100G2 MUR200G2 OSTD33G OSTD37G 35M GTAP 45M
GTAP
RP 3,50 MM
40M

Ǿ3.50 mm

RP 4,00 MM Ǿ4.00 mm

RP 4,50 MM Ǿ4.50 mm
Ǿ5.00 mm
RP 5,00 MM

12
Direct-to-implant
restorations
 CONICAL CONNECTION PLATFORMS

Anatomic healing abutment Impression Abutment Impression Abutment Screw

Height ( H) DiameterǾ Reference Height ( H) DiameterǾ Reference Height ( H) Reference

3.0mm 3.60mm AC1VH3630 13.00mm 3.60mm AC1VT3600 0.00mm LTSS4000
4.0mm 3.60mm AC1VH3640 8.50mm/shor 3.60mm AC1VT3601 3.00mm LTSS4003
5.0mm 3.60mm AC1VH3650 13.00mm 4.60mm ACV1VT4600 6.00mm LTSS4006
6.0mm 3.60mm AC1VH3660 9.00mm LTSS4009
8.50mm/shor 4.60mm ACV1VT4601
3.0mm 4.60mm AC1VH4630 13.00mm 5.50mm ACV1VT5500
4.0mm 4.60mm AC1VH4640 8.50mm/shor 5.50mm ACV1VT5501
5.0mm 4.60mm AC1VH4650
6.0mm 4.60mm ACV1H4660
3.0mm 5.50mm ACV1H5530
4.0mm 5.50mm ACV1H5540
5.0mm 5.50mm ACV1H5550
6.0mm 5.50mm ACV1H5560

Implant Analog 3D Implant Analog

Length ( L ) Reference Length ( L ) Reference

12.00mm AC1VIA3 12.00mm AC1VIA34D
4

Provisional Abutment Provisional Abutment

HEX NON-HEX

Height ( H) Length ( L Reference Height ( H) Length ( L ) Reference

)
1.50mm 10.50mm AC1VTRU36 1.50mm 10.50mm AC1VTNU3615
15 3.00mm 12.00mm AC1VTNU3630
3.00mm 12.00mm AC1VTRU36
30

14
Base Abutment +Castable Abutment

HEX NON-HEX

Length ( L ) Reference Length ( L ) Reference

10.50mm AC1VRUB36 10.50mm AC1VNUB36

UCLA

HEX NON - HEX

Height ( H) Length ( L ) Reference Height ( H) Length ( L ) Reference

1.50mm 10.50mm AC1VRU3615 1.50mm 10.50mm AC1VNU3615
3.00mm 12.00mm AC1VRU3630 3.00mm 12.00mm AC1VNU3630

Straight Abutment

HEX NON -HEX

Height ( H ) Length ( L ) DiameterǾ Reference Height ( H ) Length ( L ) DiameterǾ Reference

1.50mm 9.00mm 3.6 AC1VXS3615 1.50mm 9.00mm 3.6 AC1VXS3615N
2.50mm 10.50mm 3.6 AC1VXS3625 1.50mm 9.00mm 4.6 AC1VXS4615N
3.50mm 10.50mm 3.6 AC1VXS3635 1.50mm 9.00mm 5.5 AC1VXS5515N
1.50mm 9.00mm 4.6 AC1VXS4615
2.50mm 10.50mm 4.6 AC1VXS4625
3.50mm 10.50mm 4.6 AC1VXS4635
1.50mm 9.00mm 5.5 AC1VXS5515
2.50mm 10.50mm 5.5 AC1VXS5525
3.50mm 10.50mm 5.5 AC1VXS5535

17D Angled Abutment

15
HEX NON-HEX

Height ( H ) Length ( L ) DiameterǾ Reference Height ( H ) Length ( L ) DiameterǾ Reference

1.50mm 9.00mm 3.6 AC1VX3615 1.50mm 9.00mm 3.6 AC1VX3615N
2.50mm 10.50mm 3.6 AC1VX3625
3.50mm 10.50mm 3.6 AC1VX3625
1.50mm 9.00mm 4.6 AC1VX4615
2.50mm 10.50mm 4.6 AC1VX4625
3.50mm 10.50mm 4.6 AC1VX4625

30D Angled Abutment

HEX NON-HEX

Height ( H ) Length ( L ) DiameterǾ Reference Heigth ( H ) Length ( L ) DiameterǾ Reference

1.50mm 9.00mm 3.6 AC1VX23615 1.50mm 9.00mm 3.6 AC1VX23615N
2.50mm 10.50mm 3.6 AC1VX23625
3.50mm 10.50mm 3.6 AC1VX23635
1.50mm 9.00mm 4.6 AC1VX24615
2.50mm 10.50mm 4.6 AC1VX24625
3.50mm 10.50mm 4.6 AC1VX24635

Scan Body for Implant Scan Body to Ti Base

Length ( L ) Reference Length ( L ) Reference

9.00mm AC1VFNSY36 7.00mm AC1VFNSY36T

Ti Base

16
HEX NON - HEX

Height ( HG/HT) DiameterǾ Reference Height ( HG/HT) DiameterǾ Reference

1.00/5.50 3.8 AC1VFRI3810 1.00/5.50 3.8 AC1VFRI3810N
2.00/6.50 3.8 AC1VFRI3820 2.00/6.50 3.8 AC1VFRI3820N
3.00/7.50 3.8 AC1VFRI3830 3.00/7.50 3.8 AC1VFRI3830N
1.00/5.50 4.4 AC1VFRI4410 1.00/5.50 4.4 AC1VFRI4410N
2.00/6.50 4.4 AC1VFRI4420N
2.00/6.50 4.4 AC1VFRI4420
3.00/7.50 4.4 AC1VFRI4430N
3.00/7.50 4.4 AC1VFRI4430

17
Dynamic Ti Base

HEX NON - HEX

Height ( HG/HT) DiameterǾ Reference Height ( HG/HT) DiameterǾ Reference

1.00/6.50 3.8 AC1VFRI38NV 1.00/6.50 3.8 AC1VFRI38NVN
2.00/7.50 3.8 AC1VFRI38NV 2.00/7.50 3.8 AC1VFRI38NVN
3.00/8.50 3.8 AC1VFRI38NV 3.00/8.50 3.8 AC1VFRI38NVN
1.00/6.50 4.4 AC1VFRI44NV 1.00/6.50 4.4 AC1VFRI44NVN
2.00/7.50 4.4 AC1VFRI44NV 2.00/7.50 4.4 AC1VFRI44NVN
3.00/8.50 4.4 AC1VFRI44NV 3.00/8.50 4.4 AC1VFRI44NVN

Multi Unit Abutment Straight Multi Unit Abutment Angled 17D

Height ( H ) Reference Height ( H ) Reference

1.50mm MAUS15 2.50mm MAUA1725
2.50mm MAUS25 3.50mm MAUA1735
3.50mm MAUS35 4.50mm MAUA1745

Multi Unit Abutment Angled 30D Impression Transfer Multi Unit Abutment

Height ( H ) Reference Height ( H ) Reference

3.50mm MAUA3035
4.50mm MAUA3045 10.50mm MAUT

Multi Unit Analog Multi Unit Analog 3D

Length ( L ) Reference Length ( L ) Reference

13.00mm MAUAN 13.00mm MAUAN3D

17 | P a g e
Healing Multi Unit Abutment Cylinder Multi Unit Abutment

Height ( H ) Reference Length ( L ) Reference

5.00mm MAUH 9.50mm MAUCY

Plastic Cylinder Multi Unit Abutment Scanbody Multi Unit Abutment

Length ( L ) Reference Length ( L ) Reference

8.00mm MAUP 7.00mm MAUSB

18 | P a g e
 SURGICAL INSTRUMENTS

Surgical Drills

Lance Drill Calibrated Drill Stop

Length ( L ) DiameterǾ Reference Type Length(L) implant Reference

6.00mm
2.00mm 2.0 SID010
8.00mm GTPD185
1 10.00mm GTPD110
11.50mm GTPD115
13.00mm GTPD113
14.50mm GTPD114
6.00mm
8.00mm GTPD285
2 10.00mm GTPD210
11.50mm GTPD215
13.00mm GTPD213
14.50mm GTPD214

Pilot Drill Stepped Surgical Drill

Length ( L ) DiameterǾ Reference Length ( L ) DiameterǾ Reference

17.00mm 160/2.00 OSPD20G 17.00mm 1.80/2.50 OSTD25G
17.00mm 2.15/3.30 OSTD33G
17.00mm 2.50/3.70 OSTD37G
17.00mm 2.90/4.10 OSTD41G
17.00mm 3.40/4.40 OSTDG44

Crestal Surgical Drill Drill Extender

DiameterǾ Reference Length ( L ) Reference

4.10mm CLD34 13.5mm DEXT10
5.10mm CLD50

19 | P a g e
 Abutment Extractor Screw
Depth Gauge/Parelleling Pins Extractor Screw

Length ( L ) DiameterǾ Reference Length ( L ) Reference

15.00mm
15.00mm

26.00mm 2.00/1.60 MUR100G2

27.00mm 2.50/1.80 MUR200G2
26.00mm 3.30/2.10 MUR300G2
26.00mm 3.70/2.50 MUR400G2

TAPS RATCHETS

Surgical Tap. CA Regulable Torque Wrench

DiameterǾ Reference Length ( L ) Reference

3.40mm GTAP34M 99.00mm
3.70mm GTAP37M
4.00mm GTAP40M
4.30mm GTAP43M

SCREWDRIVERS AND ADAPTORS

Vpress Insertion Key. Ratchet Manual Insertion Key. CA

Length ( L ) Reference Length ( L ) Reference

11.80 mm/Short 20.80 mm/Short
18.80 mm/Long 30.80 mm/Long
11.47 mm/Short 19.27 mm/Short
18.47 mm/Long 29.27 mm/Long

Surgical Screwdriver Manual Screwdriver Tip CA

20 | P a g e
 Length ( L ) Reference Length ( L ) Reference
2.80 mm/Mini 20.00 mm/Short
9.50 mm/Short 25.00 mm/Long
14.50 mm/Long
27.00 mm/Extra Long

21 | P a g e
 PROSTHETIC
INSTRUMENTS

SCREWDRIVERS AND ADAPTORS

Screwdriver Tip. Ratchet Manual Screwdriver Tip Tx30 CA

Length ( L ) Reference Length ( L ) Reference

10.90 mm/Short 26.00 mm/Short
15.90 mm/Long 32.00 mm/Long
28.40 mm/Extra Long

Tx30 Screwdriver Tip. Ratchet Manual Tx30 Prosthetic Screwdriver Manual

Length ( L ) Reference
Length ( L ) Reference
13.40 mm/Short
12.00 mm/Short
19.40 mm/Long 18.00 mm/Long

Screwdriver Tip. CA

Length ( L ) Reference
20.00 mm/Short
25.00 mm/Long

22 | P a g e
General recommendations

Treatment Planning

Patient Evaluation Preparation for intervention Surgical procedure

Personal
Clinical X-Ray Psychological Informed Patient Surgical Surgical Implant
Lab Test and instrument Suture
evaluation Test analisys Consent preparation preparation Incision drill placement

Suplementary instrument Consider during intervention

14,5 mm
13 mm Surgical drills should be inserted in the Each instrument Damaged instruments The clinician must keep
contra-angle with the surgical motor stopped, must be used only must be disposed in the patient's file the
11,5 mm ensuring correct anchoring and rotation before for the specific use according to the identification label supplied
10 mm starting drilling. Treat the drills with great care: recommended by regulations established with the product, for proper
the slightest damage to the tips can compromise the manufacturer. by the manufacturer. traceability.
8,5 mm their effectiveness.

Depth gauge/Paralleling pin

Cover screw handling Second phase surgical procedure
Check the surgical site depth, especially if
stoppers were not used. Healing abutment placement

To check the surgical site axis, the

paralleling pins have different diameters
according to the drilling sequence.

The healing abutment

should correspond to the
implant platform,
considering the option of
applying the platform
switch technique with
anatomical abutments and
be in accordance with the
Position the cover screw on the height of the gingival
screwdriver. Approach the tissue to avoid abutment
implant by avoiding accidental occlusion. Excessive
dropping and ingestion of the height could expose the
screw. Insert it into the implant implant to premature
with manual torque and loading, compromising the
clockwise. osseointegration process.

IMPORTANT WARNINGS

About implant placement Maximum insertion torque and speed Qualia®NeoActive implants
Excessive compression to the bone can The recommended insertion torque is Qualia®NeoActive surgical protocol establishes
lead a non-osseointegration of the implant. between 35 and 50 Ncm according to each a crestal position of the implant platform.
case without being limited to a single torque [1], [2]
Failure to follow the steps described in To avoid cortical stress and deformation of the
the surgical sequence may result in: The Implant placement should be performed with controlled key and/or connection of the implant, insertion
· Lack of primary stability due to loss of torque and according to the density and bone. with contra-angle (CA) must respect the
support bone. maximum recommended rpm (25 Rpm) and
Insertion instruments or contra-angle (CA)
· Difficulties during the implant placement. the maximum indicated torque (50 Ncm).
screwdrivers use maximum speed of:
Exceeding the torque (50 Ncm) at the If the implant is not fully inserted using the
implant insertion can produce: You can consult the bibliography at the end of this catalogue. maximum recommended torque, the implant
· Irreversible distortions in the must be removed and the drilling repeated, then
internal/external connection. the insertion must be performed.
· Irreversible deformations in the
instruments indicated for insertion of Check the final insertion torque with the regulable
the implant. torque wrench Ref. TORK70 or with CA.
· Difficulty of disassembling the
instrument/implant assembly Make sure that the entire implant with
Osseoactive®surface treatment is completely covered
with bone.

23 | P a g e
 Surgical drills
Tapered drills:
The Qualia®NeoActive surgical drill length measuring system is simple
and intuitive and allows you to guide you through the surgical site Laser marking on the drills rod identifies its largest and smallest
drilling process. It is recommended for use with irrigation and is made diameter and length. The drills have conical geometries adapted to
of stainless steel with a maximum use limit of 45. It is important to note
the size of each implant, both in diameter and length. That it's
the length of the end drill tip, because it is NOT INCLUDED in the length
means, every diameter and length of implant has a final drill. They
measurements of the end drill..
are used in conical body implants.
Millimeter drills:
Stepped drills:
Laser marking on the drills rod identifies their diameter, and the band
The stepped geometry of the drills has been specially designed for
horizontal laser marking in its active part represents the different
the tapered core or reduced apical diameter implants. The laser
lengths of the implants. They are used in straight or cylindrical body
marking on the drill rod identifies its diameter and the horizontal
implants.
band of the laser marking. The active area represents the different
lengths of the implants.

Patient information media

A surgical procedure is always preceded by a It helps patient to better understand the in-
consultation between dentist and patient. Having formation provided during the consultation in
different informative visual media suitable for the clinic before the intervention and widen his
the patient, brochures and leaflets, is important knowledge through further readings.
and necessary, to show clear and easily the
advantages of the treatment. All the contents Qualia®NeoActive
of this material have a scientific basis and are
Includes:
presented clearly and easily to understand. The
• Large show-piece implant Qualia®NeoActive
aim is to help the professionals to explain all
• Milling abutment with crown
medical and technical issues using images and
• Conventional bridge
texts.
• Removable prepared teeth
• Detachable gingiva

24 | P a g e
 Instructions for cleaning and disinfection
of: instruments and boxes (surgical and
prosthetic)

Protocol to be carried out by qualified personnel

for the preparation of instruments and
surgical/prosthetic boxes for use.
ATTENTION: the instruments and
surgical/prosthetic boxes must be
cleaned and disinfected after each use and sterilised before their next use. Pay attention to sharp elements, the use of gloves is
recommended to avoid accidents during handling when following these instructions. Do not clean or disinfect instruments of
different materials together.
Cleaning and disinfection of instruments

1 - Disassembly 2 - Cleaning 3 - Disinfection 4 - Inspection

• Disassemble the instruments that require it such as manual ratchets (see diagram • Immerse the instruments in a solution of a
below), drills and drill stops... cleaning agent suitable for dental instruments
• Disassemble the surgical/prosthetic boxes into their components for proper cleaning. to facilitate the removal of adhering biological
• Uncouple the micro-implants insertion key from the handle (see diagram below). debris.
• Remove biological residue manually with a
soft brush and pH-neutral detergent.
•Rinse with plenty of water.
• Perform a final rinse with deionised water.
• Always use pH-neutral detergents and non-
abra-sive tools to clean surgical/prosthetic
boxes so as not to damage the surfaces of the
box.
• Immerse the instruments in a disinfectant
explicitly indicated for dental instruments.
• For disinfection with ultrasonic equipment:
immerse the material in the ultrasonic bath.
• Rinse with plenty of deionised water to remove
any residues of the disinfectant.
• Dry the material with filtered compressed air.
IMPORTANT:
- Follow the instructions of the disinfectant
manufacturer to determine concentrations and
times.
- Follow the instructions of the manufacturer of
the ultrasound equipment to determine
temperature, concentration and times.
• Check that the instruments are perfectly clean,
otherwise repeat the above cleaning and
disinfection steps.
• Discard instruments that show damage and
replace them for the next surgery.
• Verify that the instruments and surgical/pros-
thetic boxes are perfectly dry before assembly
and sterilisation.

25 | P a g e
Bibliography

Surface treatment
• Surface roughness alters osteoblast proliferation, differentiation • Highest degree of bone-implant bonding on a sandblasted

and matrix production in vitro. And participates in the surface and acid etching than others.

determination of phenotypic expression of cells in vivo. Martin Buser D, Schenk RK, Steinemann S, Fiorellini JP, Fox CH, Stich H.

JY1, Schwartz Z, Hummert TW, Schraub DM, Simpson J, Lankford J Influence of surface char-acteristics on bone integration of titanium

implants. A histomorphometric study in minia-ture pigs. J Biomed

et al. Effect of titanium surface roughness on proliferation,
Mater Res. 1991;25(7):889-902.
differentiation, and protein synthesis of human-osteoblast-like cells

(MG63). .J Biomed Mater Res.1995;29(3):389-401.

Orsini G, Assenza B, Scarano A, Piattelli M, Piattelli A. Surface

• The response of bone cells to systemic hormones is modified by
analysis of machined versus sandblasted and acid-etched
surface roughness and increases the responsiveness of MG63
titanium implants. Int J Oral Maxillofac Implants.
cells to 1 alpha, 25- (OH) 2 D3
2000;15(6):779-84.
Boyan BD, Batzer R, Kieswetter K, Liu Y, Cochran DL, Szmuckler-

Moncler S, Dean DD, Schwartz Z. Titanium surface roughness

alters responsiveness of MG63 osteoblast-like cells to 1 alpha, 25-

(OH)2D3. J Biomed Mater Res. 1998;39(1):77-85.

• Surface roughness can modulate the activity of cells that

interact with an implant, and therefore affect tissue healing

and implant success.

Kieswetter K1, Schwartz Z, Hummert TW, Cochran DL, Simpson J,

Dean DD et al. Surface roughness modulates the local production

of growth factors and cytokines by osteo-blast-like MG-63cells. J

Biomed Mater Res. 1996;32(1):55-63.

• When comparing different surface topographies, it should be

noted that surface chemistry can be an influential variable

Morra M1, Cassinelli C, Bruzzone G, Carpi A, Di Santi G, Giardino

R et al. Surface chemistry effects of topographic modification of

titanium dental implant surfaces: 1. Surface analy-sis. Int J Oral

Maxillofac Implants. 2003;18(1):40-45.

• Surface roughness produced by sand blasting and acid

etching affects cell adhesion mechanisms, providing better

osseo-integration.

26 | P a g e
 the shorter healing times of the placement of implants for the
• Among the most desirable characteristics of an implant are those
restoration. This article presents a discussion of the surface
that ensure that the implant-tissue interface will be established
characteristics and the design of the implants, which should allow
quickly and can be maintained.
the clinician to better understand osseo-integration and the
Gupta A, Dhanraj M, Sivagami G. Status of surface treatment in
information coming from implant manufacturers, which allows a
endosseous implant: a literary overview. Indian J Dent Res.
better selection of the implant.
2010;21(3):433-8.
Ogle OE. Implant surface material, design, and osseo-integration.

Dent Clin North Am. 2015;59(2):505-20.

• Review of the literature on the influence of micro-design of dental

implants on their osseo-integration.

• Implants with mixed surface treatment (SLA type) presented
Aljateeli M, Wang HL. Implant micro-designs and their impact on
increased bone crest at 3 and 12 months under loading
osseo-integration. Im-plant Dent. 2013;22(2):127-132.
conditions.

Valderrama P, Bornstein MM, Jones AA, Wilson TG, Higginbottom

• The success of a dental implant depends on the chemical, physical,
FL, Cochran DL. Effects of implant design on marginal bone
mechanical, and topographic characteristics of its surface. The
changes around early loaded, chemically modified, sandblasted
structural and functional attachment of the live-bone implant is greatly
Acid-etched-surfaced implants: a histologic analysis in dogs. J
influenced by the surface properties of the implant. The influence of the
Periodontol. 2011;82(7):1025-1034.
topography of the osseo-integration surface has been translated into

27 | P a g e
Implant size choice
• The wide platform provides increased mechanical strength of
• When it comes to severe atrophy of the jaws, short and wide
the connection being im-portant for mechanical stability (the
implants can be placed suc-cessfully (28 included studies,
results of a 3-year prospective multi-centred clini-cal trial and
between 1991 and 2011).
the results at 1 year from a multi-centre 2 retrospective clinical
Karthikeyan I, Desai SR, Singh R. Short implants: a systematic
study. Wide diameter implants for molar replacement).
review. J Indian Soc Peri-odontol. 2012;16(3):302-312.
Polizzi G, Rangert B, Lekholm U, Gualini F, Lindstrom H.

• Survival of the implants (short <10 mm) is improved with longer Brånemark System Wide Platform implants for single molar

length, placement of the mandible with respect to the maxilla, and replacement: clinical evaluation of prospective and retrospec-tive

in non-smokers (a systematic review of the prognosis of short materials. Clin Implant Dent Relat Res. 2000;2(2):61-69.

implants, [<10 mm], in the partially edentulous patient).

• Small diameter implants can be successfully included in
Telleman G, Raghoebar GM, Vissink A, den Hartog L, Huddleston
implant treatment. Preferable in cases where space is limited.
Slater JJ, Meijer HJ. A sys-tematic review of the prognosis of short
Overall survival rate of 95.3% (192 small diameter implants
(<10 mm) dental implants placed in the partially edentulous patient.
placed in 165 patients from 1992 to 1996. Of 2.9 mm or 3.25 mm
J Clin Periodontol. 2011;38(7):667-676.
in diameter, the overall survival rate was 95.3%) .

• Among the risk factors examined, most failures of short implants Vigolo P, Givani A, Majzoub Z, Cordioli G. Clinical evaluation of

can be attributed to poor bone quality in the maxilla and surface small-diameter implants in single-tooth and multiple-implant

treatment (35 studies in humans met the criteria.) The studies restorations: a 7-year retrospective study. Int J Oral Maxillofac

included 14,722 Implants, failure rates of implants with lengths of Implants. 2004;19(5):703-709.

8.5 and 9, were 3.2%, and 0.6% respectively).

• Associated narrow-diameter implants could be considered for use
Sun HL, Huang C, Wu YR, Shi B. Failure rates of short (≤ 10 mm)
with fixed restorations and lower overdentures, as their success
dental implants and factors influencing their failure: a systematic
rate appears to be comparable to that of regular-diameter implants
review. Int J Oral Maxillofac Implants.
(42 studies from 1993 to 2011. 10,093 FDI approximately
2011;26(4):816-825.
2,762 The reported survival rates for SDI are similar to those
• Short-surface rough implants should be considered a solution for reported for standard width implants.
restoration of posterior teeth in highly reabsorbed areas (short Sohrabi K, Mushantat A, Esfandiari S, Feine J. How successful
threaded implants with a rusted surface to restore posterior teeth: are small-diameter im-plants? A literature review. Clin Oral
1 to 3 years of results from a prospective study of 107 implants , Implants Res. 2012;23(5):515-525.

69.2% were 7 mm long, 30.8% were 8.5 mm long, survival rate

• For complete superior best 6 implants, survival rates: 97.9% at 5
98.1%). years and 95.9% at 10
De Santis D, Cucchi A, Longhi C, Vincenzo B. Short threaded years. For partial dentures fixed on 2 to 4 implants, survival rates:

implants with an oxidized sur-face to restore posterior teeth: 1 to 3- 98.9% at 5 years and 97.8% at 10 years. For complete upper set on

year results of a prospective study. Int J Oral Maxil-lofac Implants. 4 to 6 implants, survival rates were 97.9% at 5 years and 95.9% at
2011;26(2):393-403. 10 years (from 210 articles were selected 51).

Heydecke G, Zwahlen M, Nicol A, Nisand D, Payer M, Renouard et al.

What is the optimal number of implants for fixed reconstructions: a

systematic review. Clin Oral Implants Res.2012;23(6):217-228.

28 | P a g e
Morse taper connection
• Implant systems with Morse Taper connection provide better
• Among the risk factors examined, most failures of short
results in terms of abutment fit, connection stability and
implants can be attributed to poor bone quality in the maxilla
antibacterial seal performance.
and surface treatment (35 studies in humans met the criteria.)
Schmitt CM1, Nogueira-Filho G, Tenenbaum HC, Lai JY, Brito C, Döring
The studies included 14.722 Implants, failure rates of implants
H, Nonhoff J. Perfor-mance of conical abutment (Morse Taper)
with lengths of 8,5 and 9, were 3,2%, and 0,6% respectively).

Survival rate of the one-piece implant: 96.79% after 5 years. connection implants: a systematic review. J Biomed Mater Res A. 2014

Review 20 articles (1995-2011). Feb;102(2):552-74. doi: 10.1002/jbm.a.34709. Epub 2013 May 9.

Barrachina-Diez JM1, Tashkandi E, Stampf S, Att W. Long-term

• Subcrestal placement (SCL) of contiguous Morse Taper connection
outcome of one-piece implants. Part I: implant characteristics and
implants with 'platform change' was more efficient in preserving interim
loading protocols. A systematic literature review with meta-analysis. Int
crestal bone than in equicrestals (ECL). Barros RR1, Novaes AB Jr, Muglia
J Oral Maxillofac Implants. 2013 Mar-Apr;28(2):503-18. doi:
VA, Iezzi G, Piattelli A. Influence of interimplant distances and placement depth
10.11607/jomi.2790.

on peri-implant bone remodeling of adjacent and immediately loaded Morse cone

• In Morse Taper connection implants and change of platform there is less
connection implants: a histomorphometric study in dogs. Clin Oral Implants Res.
appearance of periim-plantitis and bone loss, as well as less inflammation
2010 Apr 1;21(4):371-8. PMID: 20128832 DOI: 10.1111/j.1600-
and less loss of peri-implant soft tissue.
0501.2009.01860.x
Macedo JP1, Pereira J1, Vahey BR2, Henriques B3, Benfatti CA3,

Magini RS1, López-López J4, Souza JC3. Morse taper dental implants

and platform switching: The new paradigm in oral implantology. Eur J • The characteristics of the implant-abutment joint could be a

Dent. 2016 Jan-Mar;10(1):148-54. doi: 10.4103/1305-7456.175677.

reason for the observed differ-ences in mechanical stability.

Micro-space observed in the internal hexagon connection ver-

From 287 studies identified (1961-2014), 81 studies were selected.
sus undetectable separation in the Morse Taper.

• The internal connection of Morse Taper is more effective in relation Scarano A1, Mortellaro C, Mavriqi L, Pecci R, Valbonetti L.

to biological aspects, allowing less bone loss and bacterial Evaluation of Microgap With Three-Dimensional X-Ray

filtration in individual implants, including aesthetic regions. In Microtomography: Internal Hexagon Versus Cone Morse. J

addition, this type of connection can be successfully indicated for Craniofac Surg. 2016 May;27(3):682-5. doi:

fixed partial dentures as it shows high mechanical stability. 10.1097/SCS.0000000000002563.

Goiato MC1, Pellizzer EP, da Silva EV, Bonatto Lda R, dos Santos

DM. Is the internal connec-tion more efficient than external

connection in mechanical, biological, and esthetical point of views?

A systematic review. Oral Maxillofac Surg. 2015 Sep;19(3):229-42.

doi: 10.1007/s10006-015-0494-5. Epub 2015 Apr 25.

29 | P a g e
Radiographic templates
• For the choice of the size during the surgical planning, in those cases that is only available the diagnostic image in Orthopantomography format

(OPG), there are available transparent acetate overlay, such as radio logical templates, different for each QUALIA®NEOACTIVE ® implants family

morphology, with the figures of the implants in scales 1:1,00 and 1:1,25 that are superimposed over OPG for thought comparison and measurement,

to help to the choice of adequate diameter and length. The extensions of the templates correspond to magnifications of the most of OPG that are

detailed. . QUALIA®NEOACTIVE ® recommend the planning of the treatment with dental implants based on Cone-Bean Computed

Tomography: CBCT

• Literature support the use of CBCT in dental implants treatment • In difficult cases with alveolar lateral deficient bone, the

planning, especially in what means to lineal measures, diagram of the increase could be evaluated better from CBCT

tridimensional evaluation of the alveolar topography, proximity to to avoid sub-estimation , that appears more often when is

vital anatomical structures and manufacturing of surgical guides. based just in panoramic radiographies.

Benavides E1, Rios HF, Ganz SD, An CH, Resnik R, Reardon GT, Dagassan-Berndt DC1, Zitzmann NU2, Walter C2, Schulze RK3.

Feldman SJ, Mah JK, Hatcher D, Kim MJ, Sohn DS, Palti A, Perel Implant treatment plan-ning regarding augmentation procedures:

ML, Judy KW, Misch CE, Wang HL. Use of cone beam computed panoramic radiographs vs. cone beam com-puted tomography

tomography in implant dentistry: the International Congress of Oral images. Clin Oral Implants Res. 2016 Aug;27(8):1010-6. doi:

Implantologists consensus report. Implant Dent. 2012 Apr;21(2):78- 10.1111/ clr.12666. Epub 2015 Jul 30.

86. doi: 10.1097/ ID.0b013e31824885b5.

• AAOMR recommend that traversal image need to be used for

• Pre operatory planning with CBCT implants allowed planning of the evaluation of every dental im-plant places and CBCT is the method

treatment with a high grade of prediction and concordance in of the image selection for obtaining this information . Tyndall DA1,

comparison with surgical standard, based on panoramic Price JB, Tetradis S, Ganz SD, Hildebolt C, Scarfe WC; American

radiography, which the prediction of the implant was deficient with. Academy of Oral and Maxillofacial Radiology. Position statement of the

Guerrero ME1, Noriega J2, Jacobs R3. Preoperative implant planning American Academy of Oral and Maxillofacial Radiology on selection

considering alveolar bone grafting needs and complication prediction criteria for the use of radiology in dental implan-tology with emphasis on

using panoramic versus CBCT images. Imaging Sci Dent. 2014 cone beam computed tomography. Oral Surg Oral Med Oral Pathol Oral

Sep;44(3):213-20. doi: 10.5624/isd.2014.44.3.213. Epub 2014 Sep 17. Radiol. 2012 Jun;113(6):817-26. doi: 10.1016/j.oooo.2012.03.005.

30 | P a g e
Use of the interface in zirconium restorations
Scientific evidence to recommend the use of the interface in zirconium restorations:

The maximum load capacity of a crown or framework made with a titanium plus zirconium interface is significantly higher [1] than
when the crown or framework is made entirely of zirconium directly connected to the implant. The use of an intermediate metal

component has a beneficial influence on the stability of the zirconium oxide abutments. [2] The failure mode in zirconium
restorations depends on the support material and its design. [3] In zirconium restorations with intermediate abutment, initially only

partial deformation of the components occurs and cracks occur prior to some fractures of the zirconium abutment. [4] The

dimension of the interface (connector) on which to cement the zirconium prosthesis is clinically relevant. [5] The Interface reduces

wear on the implant connection in cases of zirconium restorations [6] [7].

• [1] Kim JS1, Raigrodski AJ, Flinn BD, Rubenstein JE, Chung KH, • [5] Larsson C1. Zirconium dioxide based dental restorations.

Mancl LA. In vitro assess-ment of three types of zirconia implant Studies on clinical performance and fracture behaviour. Swed

abutments under static load. J Prosthet Dent. 2013 Apr;109(4):255- Dent J Suppl. 2011;(213):9-84.

63. doi: 10.1016/S0022-3913(13)60054-2

• [6] Stimmelmayr M1, Edelhoff D, Güth JF, Erdelt K, Happe A, Beuer F.

• [2] Truninger TC1, Stawarczyk B, Leutert CR, Sailer TR, Hämmerle Wear at the titanium-tita-nium and the titanium-zirconia implant-

CH, Sailer I. Bending mo-ments of zirconia and titanium abutments abutment e: a comparative in vitro study. Dent Mater. 2012

with internal and external implant-abutment con-nections after Dec;28(12):1215-20. doi: 10.1016/j.dental.2012.08.008. Epub 2012

aging and chewing simulation. Clin Oral Implants Res. 2012 Sep 27.
Jan;23(1):12-8. doi: 10.1111/j.1600-0501.2010.02141.x. Epub

2011 Mar 28. • [7] Klotz MW1, Taylor TD, Goldberg AJ. Wear at the titanium-

zirconia implant-abutment inter-face: a pilot study. Int J Oral

• [3] Foong JK1, Judge RB, Palamara JE, Swain MV. Fracture Maxillofac Implants. 2011 Sep-Oct;26(5):970-5.
resistance of titanium and zirconia abutments: an in vitro study. J

Prosthet Dent. 2013 May;109(5):304-12. doi: 10.1016/S0022-

3913(13)60306-6.

• [4] Mühlemann S1, Truninger TC, Stawarczyk B, Hämmerle CH, Sailer

I. Bending moments of zirconia and titanium implant abutments

supporting all-ceramic crowns after aging. Clin Oral Implants Res. 2014

Jan;25(1):74-81. doi: 10.1111/clr.12192. Epub 2013 Jun 4.

31 | P a g e
General sales conditions
Consult the general sales conditions updated in our web www.qualiaimplants.com

All rights reserved. No part of this document may be reproduced or transmitted in any form or by any means,
electronic or mechanical, in photocopies, on recordings, or in any other manner not provided herein without prior
written permission of the owner of the trademark rights, edition and printing. Qualia®NeoActive is a registered
trademark of Qualia® Experiences.
Important
• For the latest version of our catalogues, please visit our website at www.qualiaimplants.co

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