Monthly Archives: October 2016

Implant Materials

Fatigue testing is used in implant dentistry to determine the strength and longevity of an implant system. The governing standards are ISO 14801 – Dynamic Fatigue Test for Endosseous Dental Implants and U.S. FDA Class II Special Controls Guidance Document: Root-form Endosseous Dental Implants and Endosseous Dental Implant Abutments. Generally, larger diameter implants with thicker walls have higher strength and fatigue life than smaller diameter implants of the same material. In addition to the diameter size, the material type plays a major role in increasing the strength and fatigue limit of implants. The ability of titanium and titanium alloy to resist corrosion is a result of the formation of an insoluble and continuous titanium oxide (TiO2) layer on the surface (Figure 1). The titanium oxide layer prevents oxygen penetration, protects the material from any impurities and permits a compatible layer of biomolecules to attach. The excellent biocompatibility of titanium and titanium alloy is the result of the nature of this surface layer.

All BioHorizons titanium implants and prosthetic components are made from Ti-6Al-4V ELI (Grade 23), a higher-purity (“Extra- Low Interstitial”) version of Ti-6Al-4V. The lower limits of iron, carbon and oxygen (Table 1) improve ductility, fracture toughness, and fatigue crack propagation. This alpha-beta titanium alloy has superior damage and mechanical properties compared to pure titanium and standard grade Ti-6Al-4V. In comparison, Commercially Pure (CP) titanium comes in 4 Grades. The difference between Grade 1, which is fully annealed, and Grade 4 titanium is the amount of cold work performed to increase the strength (Table 2). While the tensile strength of CP titanium can be improved by a cold-work process, this procedure makes the material more brittle. Because of the complex loading found in implant dentistry, brittle failure of higher grades of CP titanium must be considered.


Figure 1. Formation of an insoluble titanium oxide layer on the surface of metal titanium


Table 1. Ti-6Al-4V ELI is a higher purity version of Ti-6Al-4V for improved ductility, fracture toughness and fatigue crack propagation.

* The percentage of titanium is determined by the difference


Table 2: Ti-6Al-4V ELI produces Ultimate Strength and Yield Strength greater than all 4 Grades of CP Titanium

Implantologia Basica #2

REGISTER:     just send your contacts and we will get back to you, or simply call us on

+389 70 377720

Basic principles, diagnostics and planning implant therapy, implantology and prosthetics

Dear Professionals,

organized by Vesica, and supported by Biohorizons we are again giving you a unique opportunity to acquire the necessary practical skills for starting and advancing oral surgery and implantology. Together with Dr. Danco Bizevski we invite you on another journey in contemporary implantology.

General Details (Click here)

Agenda Details (Click here)

Day 1

Opening Session and Dinner
Introduction, History and development of Implantology, Engineering Aspects in
Implantology, Misbelieves and the Paradigms of Contemporary Implantology.

  • How did we get here.

Day 2

09:00 – 14:00
Fundamentals of Oral Surgery and Implantology Anatomy of head and neck, Surgical topography, Sterilization, Septic and Aseptic conditions.

Diagnostics: Treatment planning and management of Implantology Surgical Protocols: Immediate and mediate implantation, Augmentative techniques, Complications and treatment of complications, Healing abutments placement, Temporary and Final prosthetics constructions.

  • Revision from medical high school to specialization in implantology.

14:00-15:30 LUNCH

Implant Surgery Hands-On Workshop
Introduction, Simulation of patient and surgery field preparation, Animal jaw surgery demonstration, incision and mucoperiostal flap, drilling and implant placement hands-on, augmentation techniques and sutures, Practical demonstration
of surgery set TSK3000, Placement of 4 implants by each attendee. Complications through examples and solutions.

  • Practical Training on models and animal jaws. Drill the bone, feel the “osseointegration”. Why not you put 4 implants together.

Day 3

09:00 – 14:00
Implant-Prosthetics hands-on Workshops
Introduction in implant prosthetics protocols; BioHorizons prosthetics products presentation; Healing abutments placement; impressions, temporary coronas;

  • Placement of corona is all that patient knows about implantology. You should know it for best results.

14:00-15:30 LUNCH
15:30 – 20:00 OPEN FORUM

All about Implantology
Case reports, Complications & Solutions, Academic Advisors, Public debate.

8 distinguished implantologists from the region.

  • We talk public. We learn from each-other. Implantology is not a mistery. It is a health treatment craft.

Day 4

08:00 – 17:00

  1. Implantation in maxilla with closed sinus lift technique
  2. Implantation in mandible
  3. Implantation in maxilla with open sinus technique
  4. Immediate implantation
  5. Healing abutments placement
  6. Impressions with copings
  • We are at our best in a surgery room. You are welcome !



Registration closes on 9th of December 2016
495 Eur + VAT (18%) in MKD
EARLY REGISTRATION till 22nd of November
390 Eur + VAT (18%) in MKD


Registration Fee covers:
Course admission fee for all 4 days, All necessary training materials and tools, dinner on 15th, coffee
breaks and lunches on 16th and on 17th, in-vivo surgery admission fee on 18th with a snack and drinks.
*All in-vivo surgeries depend on the current health status of the patient and willingness at the moment.
The organizer is not to be held responsible in case of cancellation.
** We can assist you about hotel accommodation and arrival to Skopje.




Spiralock® is a superior fastening technology ideally suited for threaded joint applications subjected to heavy shock and vibration, extreme temperatures, long hours of strenuous operation, and millions of loading cycles. This proprietary internal thread form, used in orthopedics and the aerospace industry, is incorporated in all BioHorizons Implants and features a unique 30° wedge ramp at the root of the thread that locks the abutment screw securely to the implant, and spreads the load throughout the entire threaded connection.
The Spiralock® thread configuration provides numerous advantages over standard thread designs:

1. Superior resistance to dynamic loading
2. Improved joint integrity
3. More evenly distributed load
4. Consistent reusability
5. Elimination of secondary locking devices

A conventional abutment screw V-thread is axially loaded versus a Spiralock® thread form that distributes the load radially. This uniform thread loading reduces load and stress concentration at the first engaged thread, significantly increases the strength of the connection and prevents fatigue failure.

That is what distinguishes BioHorizons.