8840 W. Russell Road #210, Las Vegas, NV 89148 www.implantdirect.com | 888-649-6425

Copyright © 2012 Implant Direct Sybron International. All Rights Reserved www.i-CAT.com | 800-205-3570

8840 W. Russell Road #210, Las Vegas, NV 89148 www.implantdirect.com | 888-649-6425

Innovation. Quality. Service. Value.

www.implantdirect.com

The Simply Smarter Team ApproachIndustry-Compatible Implants with "All-in-1 Packaging"

for Simplicity and Value Plus Highest Rated Customer Support

Simplified Team Communication with Patient Labels,Customizable Letter with Video Link plus Free Abutment & Transfer $200

“The Changing Reality of The TeamApproach to Implant Dentistry”

by Dr. Gerald Niznick

Inside

After Placing Transfer/Abutment in Empty ImplantVial, Attach Free Label Identifying Referring Doctor,Patient & Tooth Number

Visit us at AOBooth #201

Implant Direct holds the singular distinction of creating the Value Segment of the dental implant market. A recent Morgan Stanley Industry Report entitled“Between a Rock and a Hard Place – Disruption is Here”(www.implantdirect.com/recentpostings) explains how Implant Direct's businessstrategy has cost the premium priced companies market share and profits. Thesecompanies have now become the "discounters" to retain high volume customerswho threaten to take advantage of Implant Direct's low prices on compatibleproducts. Example of discounts these companies are offering to selectivecustomers can be seen on Implant Direct's online National Discount Registry. An important reason for Implant Direct's success is our high quality product line offered to the profession at reasonable prices. Another reason is our 450dedicated and knowledgeable employees committed to the success of ourcustomers. In North America, we continue to earn the recognition reported in2011 by Millennium Research Group for offering the best customer service andsatisfaction compared to the six largest implant companies.

Implant Direct has invested extensively in 2012 in expanded facilities and staff to better serve our customers and in R & Dto develop new product lines to better meet all clinical needs. This demonstrates Implant Direct's continued commitmentto bring the benefits of affordable implant dentistry to more dental practices and patients. During 2012, Implant Directopened a new 18,000 sq. ft. factory a few miles from our Los Angeles 40,000 sq. ft factory, created a high tech teachingcenter in Las Vegas and committed to expand to a new 20,000 sq. ft building for customer service and tech support. Thenew factory, and a three year investment in technology, will allow Implant Direct to launch its new line of CAD-milledtitanium bars and custom titanium and zirconium abutments this year. Implant Direct launched the SwishPlus implant in 2012 and will launch the GoDirect Mini, SwishPlus2, InterActive and Legacy4 implants in 2013, the last two with arevolutionary, new two-piece fixture-mount. (Patent Pending).

Creating the Value Segment of the Implant Industry

Interview with - Dr. Niznick on Value SegmentMarket

Article on -GPS Attachment and GoDirect Implants

Editorial on - Dental ImplantIndustry and Product Development

Article on -Implant-Abutment Connection

Article on -InterActive Evolution

Implant Direct Sybron

Astra Tech

Straumann

Market Mean

Nobel Biocare

Zimmer Dental

BIOMET 3i

IMTEC

Q21

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Satisfaction among Current and Former Users by theCompany US Q211 Millennium Research Group ADecision Research, INC. Company

The ratings are in...Our customers are the most satisfied

_c.e. articleGraftless solutions in implant dentistry

_eventsAAIP and AAID gear up for annual meetings

_industryThe InterActive evolution of conical connection implants

32012

i s sn 2161-6531 North America Edition • Vol. 2 • Issue 3/2012

the international C.E. magazine of oral implantology

_c.e. article

_clinical technique

_industry

12011

the international C.E. magazine of oral implantology

U.S. Edition • Vol. 1 • Issue 1/2011

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Learn more about Implant Direct’s products and business strategies featured in articles in recentlypublished articles below.

Gerald Niznick DMD, MSDImplant Direct President & CEOImplantology Pioneer Awarded 30 DentalImplant-Related Patents with 5 More Pending

View Dr. Niznick’s 2-Hour Lecture at the New Las Vegas Training Center & Earn 2 CE Credits FREEDr. Niznick discusses how the latest implant design innovations are shaping the future of implantology.

Price based upon US list prices as of January 2013. All trademarks are the property of their respective companies1Coming soon.

Select from a wide-range of bars and abutments for Implant Direct’s popular industry-compatible implant interfaces below. Custom Directbars are also available for Implant Direct and Nobel Biocare multi-unit, screw-receiving abutments as well as Implant Direct’s proprietary 1-piece ScrewIndirect® implant. CustomDirect abutments may be fabricated in titanium or one of Ave di?erent zirconia shades for optimal function and esthetics.

Introducing

GPS™ Titanium Bar for 4-6 implants includes screws plus up to 4 male and female attachments - $995

Hybrid Titanium Bar for 4-6 implants includes screws - $795

CustomDirect™ bars made using the industry’s only robotic and full automation machining centers for unsurpassed precision and e@ciency.Select bar design and order online at www.custom-direct.com

ScrewIndirect®Implant

$100 Discount onCustomDirect

bars ordered foruse with ImplantDirect implantsor abutments

Internal Tri-Lobe ConnectionCompatible with NobelReplace™

Internal Octagon ConnectionCompatible with Straumann Tissue Level

45° Conical Hex Connection Compatible with Zimmer, BioHorizons, MIS

RePlant® Swish™Legacy™

Joining our full line of industry-compatible prosthetics

® ®

InterActive™78° Conical Hex Connection

Compatible with NobelActive™ & NobelReplace CC

1

Our price

StraightContoured

LaboratoryAbutment

15° AngledContoured

StraightSnap-On

Gold/Plastic

Zirconia/TiAbutment

PlasticTemporaryAbutment

Ball Attachment

GPS™ Attachment

Multiple-Unit w/Cap & Transfer

AngledStraight

AngledZirconia/TiAbutment

AngledGPS™

Attachment

$100$85 $100$100 $120 $120 $40 $112 $100 $100 $120$120 $120

CustomDirect™ CAD Milled Bars & Abutments

Custom Titanium AbutmentLab designed- $100Implant Direct designed - $130

Custom Zirconia/Ti AbutmentLab designed - $120Implant Direct designed - $150

www.implantdirect.com | 888-649-6425

Intro Offer: Make the switch & receive three FREE implants.Price comparisons based upon US list prices as of January 2013. All trademarks are property of their respective companies.1US list price for Tapered Screw-Vent with micro grooves, healing collar & straight abutment2Terms and conditions apply. Visit www.implantdirectwarranty.com for details.

Legacy™ Implant System Advantages:

Designed For Success,Packaged for Value

All-in-1 Packaging includes implant, abutment,transfer, cover screw & healing collar

2

Legacy™3 Implant

Legacy1Standard “V” ThreadsMatches Screw-Vent®

Legacy2Aggressive Buttress

Threads for IncreasedStability

Legacy3Progressive Buttress

Threads for IncreasedSurface

Three Implant Designs & Packaging OptionsAllows for selection based on price, packaging or thread design

Legacy1: $150 includes cover screw, healing collar & carrierLegacy2: $175 includes cover screw, healing collar & temporary abutment/transferLegacy3: $200 includes cover screw, healing collar & preparable abutment/transfer

$200 vs $633 from Zimmer Dental

Surgical Compatibility with Tapered Screw-Vent®No need to change surgical protocol or tools

Widest Range of Dimensional OptionsThe entire Legacy system includes seven implant diameters (3.2, 3.7, 4.2, 4.7, 5.2, 5.7, 7.0mm) & six implant lengths (6, 8, 10, 11.5, 13, 16mm)

Our price

ZimmerDental®

StraightContoured

LaboratoryAbutment

15° AngledContoured

StraightSnap-On

Gold/Plastic

Zirconia/TiAbutment

PlasticTemporaryAbutment

Ball Attachment

GPS™ Attachment AngledStraight

$100$85 $100$100 $120 $120 $40 $112 $100 $100 $120

$175$162 $190$220 $216 $245 $67 $179 $166 $217 $297

$120

N/A

Multiple-Unit w/Cap & Transfer

AngledGPS™

Attachment

1

Micro-ThreadsReduce crestal stress for improved initial stability

Reality Check Zimmer Customers

Save $433 with Legacy3

Customer Service &Technical Support

online, over thephone, or in your office

Cover Screw Healing Collar

Industry-Compatible Internal HexProsthetic compatibility with Zimmer Dental Screw-Vent®, BioHorizons®& MIS implants

The changing reality of the team approach to implant dentistry

One answer for surgical specialists is to make implantdentistry easier and more profitable for their referringdentists, and more affordable for patients. All-in-1implant packaging offers this solution.

Implant Direct’s Legacy™3 internal hex and ReActive™internal tri-lobe implants are provided on fixture-mountsthat can be shortened to serve as preparable abutmentsfor cemented restorations. Given the wide variety ofoptions for cemented restorations, sending thetransfer/abutment to the dentist is often a wiser decisionthan the surgeon selecting and attaching the abutment.The key is to involve restorative doctors in the treatmentplanning, and to educate them on the selection ofabutments since this will increase their commitment toworking on a team with the surgeon.

This also reduces dependence on salespeople whomay not have adequate knowledge. Implant Direct hasdeveloped a series of e-mail thank you letters for surgicalspecialists that include a link to prosthetic procedures

specific for the implant system selected. Teamcommunication is further enhanced by transferring thefixture-mount to the dentist via the implant vial, withplatform-type and tooth number marked.

Article No. 1 in this series discussed the evolution of the internal connection implant, introduced by theauthor in 1982, to the 2009 Legacy3 (shown above) in six diameters and five lengths. Article No. 2 described use of the ScrewIndirect and GoDirect one-pieceimplants for edentulous applications, which eliminatesthe need for the restorative dentist to buy and attach anabutment. Article No. 3 described the use of both one-and two-piece implants with prosthetic abutments forcemented restorations.

Increased competition dictates that surgical specialistslearn more about the restorative requirements of theirreferring dentists, and choose a system that makesimplant dentistry easier and more profitable for the teamand patients.

The Legacy3 and ReActive’sFMT (fixture-mount/transfer)

serve as a transfer and preparable abutment.

After surgery, the FMT is placed in an implant vial, labeled withtooth number, and sent to the

restorative dentist.

After making impressions,attach the FMT to matching

colored implant analogand place in impression.

Section the FMT, removingthe colored square with a

thin disc, leaving the preparable abutment.

The abutment is preparedto adjust the height, angle,

and margins. The dentistcould also do this intraorally.

After the crown fabrication,the dentist attaches the

abutment to implant at 30Ncm andthe crown is cemented.

6

7

Introductory offer for Straumann Customers: Three FREE implants from the company that dares to compare.Price comparisons based upon US list prices as of January 2013. All trademarks are property of their respective companies.1Compatability claims based upon Straumann’s Tissue-level implants. 2Terms and conditions apply. Visit www.implantdirectwarranty.com for details.3Implant Dent 2011; 20: 13-19 (n190). 4PSN-EAO09PSI-346 (n373) Reports available at www.implantdirect.com5US list price for SLActive Tapered Effect implant, closure screw and healing abutment.6System Variation: 3.3mmD & 5.7mmD SwishPlus are tapered; 3.3mmD also has SwishPlant threads. 7Buser et. al. Int J Oral Maxillofacial Implants 2005; 20: 677-6868Comparison based upon Straumann's CARES Custom Zirconia Abutment. Price varies depending upon the laboratory. 9Must be a first-time customer. Limit one offer per practice dentist, dental office, group practice or partnership. Terms and conditions apply.

SwishPlus Advantages : Internal Octagon (Niznick US Pat. #4,960,381 Licensed to Straumann)Prosthetic compatibility with Straumann’s Tissue-Level implants (Standard, Standard Plus and Tapered Effect)Internal square broached in flats of octagon for fixture-mount engagement (Pat. Pend.)

1

2

3

4

5

Only 1mm of 2mm neck remains smooth for bone preservation with deeper placementMicro-grooves for improved tissue attachment & increased surface areaProgressively-deeper threads for increased initial stability and surface area Vertical self-tapping grooves for ease of insertion and increased initial stabilityTapered apical end to initiate self-tapping insertionCarrier demarcations align with flats of octagon for use with indexed Swish abutments Frictional carrier engages internal square, eliminating need for counter torque on removal

1

2

3

4

5

Reality Check Straumann CustomersAll-in-1 Packaging includes implant, compatible carrier, cover screw & healing collar

SwishPlus™

6

7

CarrierCompatible with Straumann

tool & standard ratchet

$150 vs $507 from Straumann®Save $357

ReplacementWarranty plus

$500for Straumann Implants used with SwishAbutments

WARRANTY

2

Our price

Straumann®

$100$100 $100$100 $120 $120 $40 $112 $100

$210$202 $210$202 $265 $374

$120

$374 $70 $297 $196

$100

$191

$120

N/A

$120

N/A

$115

$250

StraightContoured

15° AngledContoured

StraightSnap-On

Gold/Plastic

Zirconia/TiAbutment

PlasticTemporaryAbutment

Ball Attachment

GPS™ Attachment

AngledZirconia/TiAbutment

Solid Abutment Kit

StraightNarrow

Abutment

AngledGPS™

Attachment

Multiple-Unit w/Cap & Transfer

AngledStraight

100% Surgical and Prosthetic Compatibility with Straumann® Implants1

6

5

7

88

9

More Diameter Options Narrow 3.3mm and wide 5.7mm diameters available

RePlus®Body Taper

for Bone Expansion

ReActive™Buttress Threads

for Increased Surface

All-in-1 Packaging includes implant,abutment, transfer & cover screw

ReActive™ Implant

$200 vs $718 from Nobel Biocare™

RePlant® Implant System Advantages:

Three Implant Designs & Packaging OptionsAllows for selection based on price, packaging or thread design

RePlant: $175 includes cover screw & temporary abutment/transferRePlus: $200 includes cover screw & “snappy” abutment/transferReActive: $200 includes cover screw & preparable abutment/transfer

Coronal Bevel on RePlus & ReActive

Micro-Threads

Titanium Alloy

Reduce crestal stress for improved initial stability

Allows for use of platform switching technology

Our price

StraightContoured

LaboratoryAbutment

15° AngledContoured

StraightSnap-On

Gold/Plastic

Zirconia/TiAbutment

PlasticTemporaryAbutment

Ball Attachment

GPS™ Attachment AngledStraight

NobelBiocare™

$100$85 $100$100 $120 $120 $40 $112 $100 $100 $120

$175$194 $232$192 $223 $295 $75 $225 $156 $236 $282

Multiple-Unit w/Cap & Transfer

Offers superior strength to pure titanium

$120

N/A

AngledGPS™

Attachment

RePlant®Body Dimensions

Match NobelReplace™

2

Surgical Compatibility with RePlant & NobelReplace™No need to change surgical protocol or tools

Reality Check Nobel Customers

Save $518 with ReActive

Cover Screw

Five Year Warranty2

98% Success in Sinus Elevation Cases3

99% Success in Immediate LoadMaxillary Cases4

Nobel Biocare-Compatible Internal Tri-LobeProsthetic compatibility with Nobel Biocare’s NobelReplace™ Implant

www.implantdirect.com | 888-649-6425

RePlant®SystemSimply Smarter Tri-Lobe Implants and Prosthetics

The changing reality of theteam approach to implant dentistry

The marketing dynamics within the dental implantindustry are changing with regard to oral surgeons andperiodontists growing or even maintaining their implantreferral practices.

General practice dentists, who have traditionallyworked in the team approach to provide optimaltreatment for their patients, are realizing that the mostprofitable way to participate in the implant revolution is to start placing implants. In some cases, this isencouraged by the same implant sales reps who helpincrease referrals to the surgical specialists who use theirimplant systems.

The salesperson who offers to increase referrals byproviding “technical support” through abutment selectionor training on impression procedures, may achieve thisobjective by directing referrals away from anothersurgical specialist who does not use that salesperson’simplant system.

This pits one company’s sales force against another andsurgical specialists against each other in competition forimplant-referring dentists. These same salespeople whohelp increase implant referrals to a surgical specialist canhold that specialist captive with the veiled threat ofredirecting those referrals to another surgical specialist ifone does not stay loyal to using that salesperson’s system.

Surgical specialists find themselves victims of this shellgame. They have to use three to four different implantsystems to retain certain referring dentists and neutralizethe threat of the salesperson switching to a surgicalspecialist more committed to that salesperson’s system.

Through all this, the surgical specialist is unable toselect the system that offers the best clinical results andvalue. The confusion in ordering surgical instruments,implants, and related components for three to four

different systems is an expensive and time-consumingproblem.

Competition among surgical specialists for referrals is increasing, with some surgical specialists fundingeducational programs and study clubs. Many of the largeimplant practices were built by surgical specialists whoassume an expanded role in the prosthetic phase. Thisincludes buying and attaching abutments.

Some do this to capture some of the restorative fees at the expense of their referring dentists. Some generaldentists take advanced training in bone graftingprocedures to treat cases previously believed to be thedomain of the specialist.

These “implantologists” may seek referrals from GPs forplacing the implants, or even travel to dental offices toplace implants, sharing the surgical fee on a percentagebasis. This not only supplements the dental practiceincome, it reduces the surgical costs to the patients, and saves more of the patients’ money for restorativeprocedures.

Another concern of surgical specialists is competitionfrom corporate-sponsored implant “super centers” suchas ClearChoiceTM, which is now in 20 U.S. cities. Thecompany markets through TV commercials and full-pagenewspaper ads with celebrity endorsements. Moregeneral dentists also have expanded their marketingefforts for implant patients by advertising reduced prices.These create limitations on the fees of surgical specialistswith a more informed public.

About the AuthorDr. Gerald NiznickPresident & CEO, Implant DirectReach him at drniznick@implantdirect.com

Dental Economics, November 2010“The Changing Reality of The Team

Approach to Implant Dentistry” was thefourth installment of a four-part article series

Reprint from:

A Legacy of Innovation

www.implantdirect.com | 888-649-6425

Square top detaches with impression formetal to metal

transfer accuracy

Torque- safetyfeature prevents damage

to implant interface

Legacy4 implant combines the popular Legacy2 implant body with a revolutionary two-piece fixture-mount for precision transfers and prosthetic simplicity.

Legacy™4 Implant

Progressively deeperbuttress threads

Quadruple-leadmicro-threads

Concavetransgingival

profile

Two-Piece fixture-mount (patent pending) with

preparable abutment

1982 Core-Vent® Implant & Abutment System Pat. #4,431,416, #4,645,453, #4,488,875, #4,758,161

1986 Screw-Vent® – First Internal ConnectionPat. #4,960,381

1987 Micro-Vent® – First Small Diameter ImplantPat. #5,061,181

Screw-Vent and Advent are now implant trademarks and products sold by Zimmer Dental Implant Company1900 Aston Avenue, Carlsbad, CA 92008.

1994 Friction-Fit Internal Connection Pat. #5,334,024

Friction-Fit External Connection Pat. #5,433,606

1990 Sterile Fixture-Mount Packaging Pat. #5,062,800

1999 Advent® One-Piece Implant for Edentulous Jaws Pat. #5,989,028

1995 Tapered Implant with Surgical Protocol for Stability Pat. #5,427,527

2006 Application-Specific Spectra-System® of ImplantsMicro-threads Pat. #7,677,891, Healing Collar Packaging Pat. #7,396,231, One-Piece Multi-unit Implant and Abutment Pat. #7,699,613, #8,118,596Multi-Functional Fixture-Mount Pat. #7,785,107

2007 RePlant® System with Tri-lobe Compatibility Pat #7,108,510

2008 SwishPlant™ with Octagon/Square Connection Patent Pending

2009 GoDirect® One-Piece Implant for Overdenture Attachment Patent Pending

Three long cutting grooves

Over 30 Years of Implant InnovationGerald A. Niznick, DMD, MSDPresident & CEOImplant Direct Int’l

2010 GPS™ Abutment with Internal Resilient Overdenture AttachmentPatent Pending

1996 Selective Surface & Dual Transition Surface TreatmentsPat. #5,571,017, #5,885,079

New

All-in-1 Packaging includes implant, fixture-mount, abutment, transfer, cover screw & healing collar — $225

2012 Legacy4 Implant with Two-Piece Fixture-Mount Packaging Patent Pending

Must Have Implants

Implant-Supported Fixed Prosthesis with ScrewIndirect 1-Piece Implants

Implant-Retained Overdenturewith GoDirect 1-Piece Implants

To Overdentures and Teeth-in-1Day™

ScrewIndirect®3.0mmD

Legacy™33.2mmD

GoDirect™3.0mmD

From Single Tooth Restoration

Single Tooth Restoration with Legacy3 & Zirconia Abutment

Legacy™27.0mmD

Immediate Molar Replacement with Legacy2 and Titanium Abutment

3.7mmdiameter 4.2mm

diameter 4.7mmdiameter 5.2mm

diameter5.7mmdiameterLegacy™3

6mmL*

The implants you need no matter which system you’re using. *Coming soon

16 CECREDITS

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