Does DESS make components compatible with Ankylos® and how are they different?

DESS makes compatible components for Ankylos® with several design advantages including:

 

1. Internal Safety Threads

These internal safety threads inside of the DESS compatible Ankylos® abutments provide the peace of mind that the screw cannot fall out of the abutment unless the user consciously chooses to unscrew the screw from the abutment. By having this internal abutment thread to keep the screw in situ then all external pressure on the engaging elements is supported by the screw and it is virtually impossible to bend them.

So the “instructions for use” should be to ensure that the screw is threaded through the abutment whilst restoration takes place and before placing in the analog or implant. If this precaution is observed the engaging elements remain safe from possible damage. If for any given reason, the screw needs to be removed, place it back again in its “safe” position before applying any loads on the abutment. In order to prove the resistance of this modified design DESS has conducted a static stress test on the 2mm high Ti base and the results are quite impressive as the load to bend them is clearly above 500N at 30º.

 

2. Removeable Screw

The Anyklos® abutments have a two-part screw with the thread is wider than the shaft and screw hole and is laser welded to the shaft in situ. It cannot be removed. With a preference for using a traditional removable screw, DESS has increased the hole diameter. To accommodate the use of a normal screw, the thickness of the engaging elements are reduced due to the widened screw channel. This can be seen best in the left hand image just below, as well as in the picture next to it.

 

3. Various Collar Heights

Due to the depth of the implant being placed DESS offers multiple collar height depths to accommodate the restorations. The Low Profile option is designed for use with implants placed 1mm-1.5mm sub-gingivally. The High Profile options is designed for use with implants placed 2mm-3mm sub-gingivally.

Does DESS offer gold or anodized components?

Anodizers can be purchased for as low as $129 from Circuit Specialist (1-800-528-1417) and a link to their machine can be found by clicking here.

Supplies for anodizing (approximately $30) can be found by clicking here.

RioGrande (800-546-6566) has a complete kit for $370 which can be found by clicking here.

This 16 minute long instructive video will show you the different ways to anodize. The video can be found by clicking here.

Based on the poster below the voltage needed to create a gold color is between 48-70v.

More information can be found by clicking here.

What are you options regarding a DESS backordered item?

If an item is on backorder, there will not be a notification when placing the order. Should an item be on backorder, the customer will receive an email the same day that we would ship the order, stating what items are on backorder. It is the customers responsibility to contact DESS USA via email or phone if they wish for us to cancel the backorder or ship it via a faster method.

Once a backordered item comes into our office (7-10 business days), it will be shipped via FedEx Ground (3-5 business days) at no cost to the customer.

If the customer would like a faster shipping method, please contact DESS USA before the backorder ships and we will discount the cost of ground (typically about $9) from the other method of shipping that is chosen.

Billing Terms

We offer NET30 terms to select clients.

 

All NET30 term clients will be emailed an invoice at the time of the order. All invoices are due, in full, 30 days from the date of purchase. After 45 days from the date of purchase, the credit card on file for your account will be billed for any and all outstanding invoices. If the credit card payment fails and the invoice remains outstanding, it will incur a one time 15% interest charge on the total amount owed.

 

Invoices not paid within 90 days from date of purchase will be sent to collections and your NET30 terms may be discontinued until all outstanding invoices are reconciled.

 

Checks can be mailed to (prior to 30 days):

DESS USA

2050 Beavercreek Road

STE 101-354

Oregon City, OR 97045

OR

Payment through PayPal to: 

info@dess-usa.com 

 

All NET30 term clients will be billed the full amount of invoices prior to any refunds. Refunds will be credited AFTER the invoice is paid in full.

What CAD/CAM components does DESS offer?

1. Lab Scan Bodies - $25 (made of PEEK Plastic, screw sold separately)
2. Intra-Oral Scan Bodies - $50 (Made of PEEK Plastic with a fixed internal screw)
3. Ti Bases - $39 Available in both straight and angled (AngleBase®). Engaging and Non-Engaging options for all systems that DESS offers. The standard ti base includes both a wax up sleeve and a final screw (we are currently phasing out ti bases that come with the wax up sleeve for ones that do not include them - please contact us for more specific information).
4. Chrome Cobalt Bases - $45 Available in Engaging and Non-Engaging for all systems that DESS offers. It includes both a wax up sleeve and a final screw. (includes both a wax up sleeve and a final screw)
5. FREE library files for Exocad®, 3Shape®, and Dental Wings® (all approved by scanner manufacturer) under the 'downloads' tab at the top of our page.

What CAD/CAM scanner software does DESS work with?

DESS offers free library files for Exocad®, 3Shape®, and Dental Wings®. Any new library file releases have been sent to the respective company for approval before posting to our website.

The library files can be downloaded here.

What scan body solutions does DESS provide?

Currently, DESS has both lab scan bodies and intra-oral scan bodies. They are autoclavable and reusable for up to 75-100 uses.

 

Dental labs can utilize the lab scan bodies to scan single unit and implant bridge cases. The scan bodies can be altered/thinned down on the side walls; however the top ball with the flat side needs to remain intact. The top ball with the flat side provides the orientation, angulation, and depth of the implant. This information is then transferred to both the titanium base and the analog so that they can be virtually placed into the model in the CAD software.

 

The intra-oral scan bodies are shorter and narrower than the lab scan bodies. They have a fixed internal screw and are hand tightened. DESS offers an intra-oral driver should you need one.

 

DESS Dental Lab Scan Body

 

These scan bodies are not designed to be used intraorally.

What are the DESS Ti Base/Scan Body unique features?

1. Free scan library files of analog, screw, ti bases, scan bodies, and multiunit/uniabutment/1.5 abutments enable labs to virtually plan entire full mouth temporary and final restorations from implant level impressions.
2. Scan bodies made of PEEK plastic, designed by Exocad®, with extremely high accuracy.
3. Standard Ti Bases include a final screw and wax up sleeve (we are currently phasing out ti bases that come with the wax up sleeve for ones that do not include them - please contact us for more specific information) for making various solutions without the need to outsource.
4. The standard wax up sleeve has an anti-rotational and step pattern so it fits exactly in one way onto the ti base. 
5. SelectGrip® surface on Ti Base/Scan Body eliminates need to sandblast surface and provides lab with a uniformed roughened surface with 3 times greater retention then standard titanium surface.
6. All screws are tested to be torqued to 150% of nominal torque setting.
7. AngleBases® are available. They can be used to change the location of the screw access hole up to 25 degrees in any direction. Wax up sleeves are sold separately. 

What type of CAD/CAM restorations can be made with the DESS ti base/scan body?

1. Print out Wax and Cast a PFM separate from the ti base and then cement it onto the ti base as either a cement or a screw retained PFM abutment crown.
2. Print out Wax and Cast a PFM separate from the ti base and laser weld it onto the ti base as a screw retained PFM abutment crown.
3. Mill an Emax and cure/lute/bond/cement to the ti base
4. CAD/CAM mill a zirconia abutment and then cure/lute/bond/cement to the ti base
5. CAD/CAM mill a one piece screw retained zirconia abutment/crown and then cure/lute/bond/cement to the ti base

What other parts are included with the DESS Ti Base?

The DESS standard titanium bases include a final screw and a wax up sleeve (we are currently phasing out ti bases that come with the wax up sleeve for ones that do not include them - please contact us for more specific information). The DESS AngleBase®  do not come with a wax up sleeve, but can be purchased separately if needed. The standard ti bases have a flat side which correlates to the scan body, analog, and wax up sleeve. These parts can only be placed onto the standard ti base in one way (aligning the flat side on both parts) so the fit of any restoration that you create with the wax up sleeve will have built in anti-rotation. AngleBase® ti bases do not have an anti-rotational flat side. 

What type of restorations can be made on top of the ti base utilizing the wax up sleeve?

1. Wax and Cast a PFM separate from the ti base and then cement it onto the ti base as either a cement or a screw retained PFM abutment crown.
2. Wax and Cast a PFM separate from the ti base and laser weld it onto the ti base as a screw retained PFM abutment crown.
3. Press Emax to the ti base
4. Copy mill a zirconia abutment
5. Copy mill a one piece screw retained zirconia abutment/crown

Does DESS have internal threaded Ti Base/Scan Body?

DESS has designed additional precautionary features into several of the conical shaped platforms that have "engaging elements" (which may possibly bend under applied pressure). This includes the Nobel Active®, Straumann Bone Level®, and Ankylos® compatible ti bases.

 

They have their own internal safety threads inside them. This means that the screw cannot fall out of the abutment unless the user consciously chooses to unscrew the screw from the abutment. By having this internal abutment thread to keep the screw in situ then all external pressure on the engaging elements is supported by the screw and it is virtually impossible to bend them.

 

The instructions for use should be to ensure that the screw is threaded through the abutment whilst the restoration takes place (and before placing in the analog or implant). If this precaution is observed, the engaging elements remain safe from possible damage. If for any given reason the screw needs to be removed, place it back again in its "safe" position before applying any loads on the abutment. In order to prove the resistance of this modified design, DESS has conducted a static stress test on the 2mm high Ti bases (compatible with Ankylos®) and the results are quite impressive as the load to bend them is clearly above 500N at 30º.

How can the DESS library files be utilized in my CAD software?

The DESS library files for Exocad®, 3Shape®, and Dental Wings® provide you with CAD files of the following DESS components; Analog, Scan Body, Ti Base, Final Screw, and Multiunit Abutments.

 

 

During the scanning process the scan bodies top portion (the ball with flat side) provides information to the CAD software of the orientation, depth, and angulation of the implant placement. This information is then incorporated into the 3D model with the analog and ti base being inserted into the right orientation, angulation, and depth based on the scan body scan. The CAD file of the screw is included so you can see the depth, angulation, and insertion of the screw in the ti base and restoration. This is especially important for when you make an angulated screw solution with our upcoming angulated screw channel ti bases/scan body.

 

DESS manufacturers several multiunit abutments and by providing you the library files for these components you can virtually plan out any multiple implant case with our CAD file of the multiunit abutment and create, prior to insertion of the multiunits, temporary or permanent implant bridge solutions and deliver both the restoration and DESS multiunit components to the dentist at time of surgery/after healing etc.

 

There are several companies in the USA that manufacturer custom titanium and custom zirconia abutments and they require that you purchase their own scan bodies. DESS scan bodies only work with the DESS ti base and the fabrication of the restoration above that.

What Chrome Cobalt solutions are available from DESS?

We have engaging and non engaging chrome cobalt bases with a wax up sleeve and screw. Our selection can be found here.

 

Currently, the following chrome cobalt alloys work with the DESS chrome cobalt bases:

Argen's Argeloy NP Special

Henry Schein's PenCast P25 or PenCast P22

DESS has an Instruction for Use document and it is available here .

What titanium abutments does DESS offer?

DESS manufacturers different titanium abutments for cement retained crowns and screw retained. All of our straight and angled abutments (15 and 25 degree) have the Select Grip surface on them, a 2mm straight collar, and come with the final screw. All of our titanium abutments are prep-able.

The straight ti bases include a screw and wax up sleeve (we are currently phasing out ti bases that come with the wax up sleeve for ones that do not include them - please contact us for more specific information), while the AngleBases include a screw and the angled wax up sleeves are sold separately. These abutments are a final titanium abutment that a zirconia screw retained crown can be cemented/bonded/luted onto. Labs can also make a PFM crown and cement it to the ti base.

What UCLA Gold Adapt abutments does DESS manufacture?

DESS USA offers UCLA Gold castable abutments for select systems and platforms. We offer engaging and non-engaging and they come with a screw.

They are manufactured by Cendres & Métaux SA. utilizing the Ceramicor&reg material that is regarded as one of the best in the industry and is made of Gold (60%), Palladium (20%), Platinum (19%) and Iridium (1%).

What is the difference between Straumann® Tissue Level on implant versus on abutment?

One of Straumann® Tissue Level/Synocta restorative options is their 1.5 abutment, which is the equivalent of a multiunit abutment. DESS makes their own version called a converter abutment.

For cases where these abutments will be utilized, you would choose the Straumann® Tissue Level components "on abutment" to be placed on top of these converter abutments. For cases that components will fit into or onto the Straumann® Tissue level implant then you would choose those components that are "on implant".

Does DESS have any components compatible with Dentis?

DESS makes several components compatible with Dentis® implants.

Dentis® Internal Octagon is compatible with DESS Octagon (Straumann® Tissue level compatible).

Dentis® External is compatible with DESS External Hex Universal (Nobel® Branemark compatible).

Dentis® Submerged is compatible with DESS Internal Hex Conic (Astra® Aqua/Lilac compatible)but you need to use the original Dentis® screw since it is shorter than the one we provide.

How to identify the External Hex implant system?

Ideally the patient record will have this information and if not, then an x-ray may assist us in determining the type of implant. Another way is to measure three areas at the top of the implant.

What is the Loyal Customer Savings?

The Loyal Customer Savings gives our customers points that can be used to redeem a coupon: $50 off coupon (applicable only on an order of $100 or more before shipping costs). NET30 customers and customers who receive discounts or promotions are excluded from the program.

Rewards are earned and redeemable AFTER your order status is COMPLETE which may take several days.

The Refer a Friend points are awarded after the referred customer places an order, not before.

The points are awarded as follows:

• Make an order: +1 point for every $1 spent
• Create a store account: +100 points (Only 1 account per customer)
• Liking our page on Facebook: +200 points

How to Use Loyal Customer Savings?

Reward points are used AFTER they are earned on proceeding orders.

In order to utilize a coupon, you must enter an order with the minimum amount required for your coupon - $100 minimum for a $50 off coupon. 

 

The first step is to login to your account and click the Loyal Customer Savings on the left side of your screen. A pop up page will appear. Click the Spend Your Points button.

 

Now select the Rewards tab on the top. Here you will see the various coupon points you have earned. Select the Coupon you would like to redeem.

 

The screen will now give you a coupon code to enter during your shopping cart checkout. You will also receive an email with this code. This is only good for one purchase.

 

The next step is to enter the Coupon Code in the Redeem A Gift Certificate or Coupon box. Continue to next step in the checkout process.

 

On the Order Confirmation page you will see your applied discount.

Does DESS make multiunit abutments?

Yes, DESS makes straight and angled multiunit abutments for the following implant connections:

• Nobel^® Replace, Active, and Branemark
• Zimmer^®/BioHorzions^®/MIS^®/Implant Direct^® Legacy - Internal Hex
• Straumann Bone Level^®
• 3i Osseotite^® External Hex

All of our straight and angled multiunit abutments can be found here.

In addition, we make Astra UniAbutment's for both Osseospeed and EV. We also make a converter abutment that is used similarly to Straumann Tissue Level and their 1.5 abutment.

What multiunits are DESS components compatible with?

All of the DESS multi-unit components are compatible with the following multi-unit connections:

• Nobel^® Active, Replace, and Branemark
• BioHorizons^® Internal Hex and External Hex
• 3i Certain^® - Internal Hex and 3i Osseotite^® - External Hex
• Megagen^® AnyRidge (N style only)
• Neodent®

 

Please Note:

DESS is not claiming to be 100% compatible with the multiunit system for Megagen^® AnyRidge. This multiunit connection claims to have the same 4.8mmD straight and angled multi-unit design as the Nobel^® multi-unit abutment. Many of our clients using the DESS multiunit abutment components for the Megagen AnyRidge^® multiunits have stated that they are successfully compatible.

 

Please Note:

Zimmer^®, Implant Direct^® Legacy, and MIS^® Seven have a proprietary multi-unit connection. This means that only the original manufacturer will have their multi-unit compatible components. If you or your referrals are looking for a better solution, then consider our Internal Hex multi-unit abutments. They are compatible with Zimmer^®, Implant Direct^® Legacy, and MIS^® Seven internal hex implants and the top portion is 100% compatible with the Nobel^® and DESS multi-unit components.

 

All of the DESS multiunit components that come with a screw are prepackaged with the screw that has a Nobel^® UniGrip/Star connection and take a Nobel^® driver. DESS also offers other screw options for multiunit components that are sold separately.

• A DLC screw (a diamond-like-coated screw that is black in color; the coating is Chromium Carbonitride - CrCN that provides a low friction surface, improving the preload of the screw and providing a greater hold) that takes a Nobel^® UniGrip/Star driver - 19.206
• A final screw that takes a Straumann^® Torx driver and has a 45 degree bevel on the head - 19.041
• A final screw that takes a Straumann^® Torx driver and has a flat head - 19.105
• A final screw that takes a 3i^® .048/1.20mm hex driver - 19.106
• A final screw that takes the Internal Hex .050/1.27mm hex driver - 19.110

Does DESS USA offer volume discounts and bulk/custom orders?

Yes we do. Contact us for details.

What certifications and registrations has DESS obtained?

How does DESS create cross compatible components?

The abutment and screw connection involves creating highly accurate geometries and extremely precision machining. We utilize the same technology as the major implant companies - including the same design programs, same Swiss & Japanese machines, and the same metrology measurement instruments. DESS even manufactures for some of the implant companies. Regarding patents - most connection methods are not patented.

 

In order to manufacture a compatible component, the original implants must be utilized (typically a minimum of 20 of each platform). We measure original components to get a CAD image, produce prototypes and test – both mechanically and with sophisticated measuring instruments (metrology systems) and based on these thorough evaluations we set our own tolerances to assure fit and compatibility all the time. Extensive stress testing on the components are performed.

What Quality Assurance does DESS provide?

All of our parts are within a 10 to 20 micron accuracy.

 

Every batch of components go through a series of measurement and quality control inspections to ensure that the geometry, tolerance, and fit of the manufactured part matches the original CAD dimensions. This is done using two types of measurement/metrology systems (Reinshaw touch probe and optical/vision system). The part is measured in multiple locations and every section has to pass in order to be acceptable to move onto visual inspections.

Each component is then inspected visually following the ISO rules to assure quality.

 

Since 2008, we have a sanitary department with our own clean room and backed by our CE and ISO 13485 certification. Our entire manufacturing process is regulated under the EU Medical Directive 93/42/CEE (as amended by Directive 2007/47/CE). The process follows ISO 9001:2008 & ISO 13485:2012 and it is yearly audited by the Notified Body.

All our titanium is ASTM-F136 certified from European supplier.

DESS has both CE and Health Canada approval.

What is Select Grip Surface and what are the benefits?

SelectGrip® is a special sandblasted surface applied to the following titanium abutments - ti bases, straight, angled, titanium temporary and to our chrome cobalt bases. As compared to a stock titanium abutment with no surface treatment, the DESS titanium abutment with the SelectGrip® surface provide 5 times greater adhesion between the abutment and the crown.

The DESS Ti Bases with the SelectGrip® surface provides 2.5 times greater adhesion between the abutment and the crown versus ti bases with no surface treatment.

This saves labs and dentist time having to sandblast or roughen the surface on the abutment too.

What type of abutment screw does DESS manufacture?

DESS makes over 90 different screws for the various implant systems. Within the DESS Catalog, there is a "Screw Selection Guide" which has detailed measurements of all the screws we offer. This includes: single unit, multiunit/bridge, diamond/carbon coated (DLC), and angulated channel screws.

All of the screws are made according to the same screw sockets of the manufacturers. For example, the Nobel^® unigrip/star driver will be used on all our compatible Nobel^® screws and the Straumann^® Torx driver will be used on all compatible Straumann^®screws

DESS Screws are tested to 150% of the nominal screw torque...how is that possible?

Not all Ti6Ai4V ELI titanium alloys are the same. We work with one European vendor who provides us with ASTM F136 Standard approved titanium. The ASTM F136 requirement is 860MPa for the Ultimate Tensile Strength (Rm). For our screws we utilize a ASTM F136 Standard approved titanium with over 1100 -1200MPa. The screws are stress tested to 150% of the nominal screw torque. For example the DESS compatible screw for Nobel can be torqued to 52.5ncm versus 35ncm.

What are DESS's DLC screws made of?

The DLC coating is Chromium Carbonitride - CrCN which provides a low friction surface, improving the preload of the screw and providing better hold. The Chromium Carbonitride coating is not toxic and has excellent mechanical, tribological and biological properties. It is often used in blood contacting implants such as stents and heart valves and to reduce wear in load bearing joints.