In-Kone® Revisited Bone Level Implantology

The In-Kone® implant is a bone level type of implant. However, with respect to biological status, the positioning of the implant shoulder was revised so that the roughened chamfer could be sited under the cortical bone.

The aim of this positioning was to remove all constraints from the bony crest and recreate a favourable environment for setting the implant⁽¹⁾. The peri-implant bone plates support the mucosa and contribute to the aesthetic rendering of restorations.

With the In-Kone^® system, this surgical technique is combined with use of “tulip” prosthetic components which are designed to reduce the route of entry for potentially undesirable bacteria and thicken the mucosal divisions⁽²⁾.

3 PLATFORMS TO BROADEN YOUR RANGE OF INDICATIONS

The heart of the concept: the backbone of the In-Kone® philosophy, the prosthetic platform initially proposed, known as the standard (ST), is available in 4 implant diameters to meet the needs of the vast majority of clinical cases.

Essential for everyday use, this platform is ideal for restoring complete arches and managing anterior (single and multiple) and posterior (multiple) blocks.

The wide alternative, the choice of resilience: to respond to changes in clinical and prosthetic practices, as well as changes in the patient population (younger and younger patients, increasing bruxism), Global D has extended its In-Kone® range with a wider prosthetic platform (WD).

This option makes it possible to respond to clinical cases requiring up to 60% greater mechanical strength, while preserving the original philosophy of the In-Kone® implant.

These implants are particularly suitable for the rehabilitation of single and multiple posterior cases.

The narrow alternative, the choice of finesse: the In-Kone® concept is also available in a 3 mm implant diameter and is indicated only for the restoration of reduced mesio-distal spaces of maxillary lateral incisors and mandibular incisors.

In this context, the prosthetic platform, which takes up less space, will be indicated as narrow (NR).

SA² SURFACE CONDITION

Concept Product_In-Kone® SA2 and 3, SEM Crowns

The SA² surface condition is obtained by sandblasting followed by etching. Il It is certified ultraclean by international academy Clean Implant Foundation based in Berlin, Germany.

Global D - Clean Implant 2019 - 2026

3 weeks after placement of the implant in dogs, bone healing showed contact osteogenesis. The points of the implant threads were sited in the bone of the bone ridge of the implant site and new cancellous bone was visible in the thread spaces. The thread was not completely filled but the presence of many osteoblasts and osteoid tissue indicated that bone formation was underway.

After 12 weeks, the thread spaces were filled with newly formed bone. The remodelling was started: The primary bone was replaced by secondary osteons which was evidence of an advanced change process.

^{Dr C. Boll et al. Soft-tissue and marginal bone-adaptation on platform switched implants.with a morse cone connection: a histomorphometric study in dogs. The Intern. J. of Period. & Rest. Dent. (2015)}

ULTIMATE® PROTOCOL

The ULTIMATE surgical protocol drills have a double cutting face which facilitates progression of the drill through the bone. Laser markings which are striking facilitate visibility of movements during irrigation. The double thread grooves ensure excavation of bone slurry during rotation.

Product Concept_Ulimate Surgery Kit

The homothetic shape of the drills similar to the profile of the In-Kone® UNIVERSAL & PRIMO implants enables initial stable bone-implant connection and a primary anchorage which is uniformly spread over all threads held in the bone.

Friction cone type connection

Friction cone type connection

Implants in the In-Kone range have a friction cone type connection. In bone level type implantology, the clinic currently seems unanimous about the superiority of such connections for peri-implant tissue remodelling.

This superiority is due to the antibacterial hermetic properties of cones and their ability to inhibit prosthetic micromovements⁽³⁾. The risk of bacterial leaking can be significantly reduced compared to flat connections, in this way better preserving the integrity of the peri-implant biologic width.

CORTICAL BONE FORMATION

Product Concept_Cortical Bone_In-Kone® on site

Roughened chamfered shoulder

Along with the friction cone type connection, the In-Kone^®neck was designed to enable ergonomic subcortical positioning of the implant.

The 45° chamfer aims to prevent a round sharp edge from being in contact with the cortical bone or the cancellous-cortical junction, and so reduce the risk of concentration of damaging mechanical constraints in this location⁽⁴⁾.

The SA² type roughness of the chamfered part aims to promote healing then bone setting of the implant at the crestal level.

IN-KONE PROSTHESIS AND PERIODONTAL INTEGRATION®

Conventional prosthetic components

The narrow, ‘tulip-shaped’ periodontal profile of standard prosthetic components has been designed with the aesthetic appearance of transmucosal restorations in mind.

The rearrangement of a peripheral seal that is as thick as possible reduces the risk of greyish reflections that are sometimes visible on thin periodontal tissues⁽⁵⁾.

The profile of the components is homothetic to that of the healing screws (biological signatures of the emergence profile) so as not to exert tension on the connective fibres or crush the soft tissues when the prosthesis is fitted.

Prothèses Non Conventionnelles - In-Kone®

Prosthetic components for CAD/CAM

The CAD/CAM solution offered by Global D is an open solution that enables any laboratory equipped with a milling machine to offer customised prostheses that meet the industrial tolerance constraints defined by Global D.

By complying with a manufacturing process specific to custom machining, the laboratory is committed to preserving the integrity of the In-Kone® prosthetic interfaces and thus the periodontal integration of implant-supported prosthetic restorations.

ULTIMATE Guided Surgery

Product Concept_Pilot Surgery and Surgery Kit ULTIMATE G 42 + G52

Guided surgery can be a less invasive technique when flap surgery is not required. It has been shown that guided surgery reduces post-operative pain compared to this ⁽⁶⁾.

With guided surgery, the procedure time is reduced with a gain in comfort. Guided surgery is also useful for patients with a complicated history. The guided surgery solution offered with the In-Kone^® system allows the surgeon to treat the case and avoid to perform complex treatment which sometimes have a complicated postoperative course.

(1) Evaluation of load transfer characteristics of five different implants in compact bone at different load levels by finite element analysis . D. Boskaya (2004)
(1) Influence du placement juxta crestal ou sous crestal de l’implant sur le remodelage osseux - Publié le 17.01.2019. L'Information Dentaire
(2) M. Redamagni . Soft tissue stability with immediate implant and concave abutments (2009)
(3) Microleakage at the Different Implant Abutment Interface: A Systematic Review, Mishra SK (2017)
(3) The Micromechanical Behavior of Implant Abutment Connections Under a Dynamic Load Protocol. Zipprich (2018)
(4) Evaluation of load transfer characteristics of five different implants in compact bone at different load levels by finite element analysis . D. Boskaya (2004)
(5) D. Farronato Influence of the implant abutment connection on the ratio between height and thickness of tissues at the buccal zenith: a randomized controlled trial on 188 implants placed in 104 patients (2020)
(6) Fortin (2006), Arisan (2010), Nkenk (2007)

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