Xive

The two-component Xive S implants allow submerged healing or a single-session procedure, possibly with fabrication of a high-quality temporary denture with the Xive TempBase at the time of implant placement. Xive S is ideal where:

• the interalveolar volume is limited: smallest implant diameter D 3.0
• temporary and definitive components are wanted for a simple and fast prosthetic restoration
• all prosthetic restorations options are to be left open
• anatomically adapted diameters are to be selected

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Xive TG is the single-component, transgingival option for situations such as:

• a single-component transgingival implant design is reasonable
• a single-stage implant-borne restoration is preferred
• standard diameters can be selected

Full restorative options for every patient and a smoother way of working are just two of the perks with Xive, but in fact many key features interact to create a perfect mix of benefits. 

• Easy and versatile prosthetics. Xive ensures versatility on implant and abutment levels and all indications can be immediately restored. To simplify treatments, all properties are self-guiding, and components colour-coded or laser-marked. 
• Early osseointegration and rapid bone formation. The grit-blasted and high-temperature-etched surface ensures superior bone-to-implant contact. This speeds up bone formation on the implant surface.
  
• High primary stability in all types of bone. This is achieved thanks to a patented combination of a bone-specific preparation protocol and the bone-condensing thread-design. 
  
• Preserved crestal bone. Xive has an integrated platform-switch option. This improves the preservation of crestal bone levels and offers favourable conditions for soft tissue growth.

Indications

• Edentulous spans
• Free-end edentulism
• Edentulous jaw
• Prosthetic concept

Single-tooth replacement

• Fixing bridges and prostheses
• Xive D 3.0: single-tooth replacement in the front tooth region and splinted single-tooth restorations
• Type of prosthetic restoration

Immediate implant placement

• Delayed immediate implant placement
• Late implant placement

Two-stage procedure

• Non-functional immediate loading
• Functional immediate restoration with splinting of four screw implants in the mandible (not Xive D 3.0)
• Time of implant placement

Conventional treatment planning

Surgical planning

During preoperative planning it is very important to check that the height and width of the jawbone is sufficient for placement of the implant.

Fabrication of the surgical template

• The surgical template, which is used to transfer the pre-prosthetic planning to the clinical situation, is fabricated on completion of the surgical and prosthetic treatment planning. The correct seating of the surgical template must be checked in the oral cavity.
• The width of the vestibular and oral lamellae should be at least 1.5 mm. The position and direction of important anatomical structures such as the mental foramen or maxillary sinus must be determined by radiology. Grafted regions must be confirmed to have completely regenerated to a mechanically stable state before preparation.
• Planned prosthetic measures must be checked to ensure that they can actually be implemented with reasonable surgical procedures. All aspects of preprosthetic and surgical planning interact directly with one another. Every change in the preprosthetic planning will affect the surgical planning and vice versa. 
• This will also include the number, diameter, lengths,  position and alignment of the implants. The available bone volume and important anatomical structures are examined in an radiographic image, which is prepared with the laboratory-fabricated radiographic template with the radiographic balls in the patient‘s mouth.
• The dimensions inside the oral cavity can be calculated  ccurately from the defined diameter of the radiographic balls. The implant lengths are selected by placing the transparent Xive x-ray template on the OPG.
  

Computer-guided treatment planning

Digital treatment planning based on three-dimensional imaging procedures enables the therapy to be planned with absolute accuracy and makes the result of the treatment exactly predictable. Guided Surgery from Dentsply Sirona Implants offers a complete solution for digital treatment planning and template-guided implant placement based on the Simplant software, which is used all over the world. The advantages over conventional planning include: 

• Safe three-dimensional planning in the submillimeter range and with reference to the desired restoration
• Automatic collision control, which indicates inadequate clearances between implants or to the nerve (inferior alveolar nerve)
• Information on peri-implant bone quality for accurate conclusions on the probable primary stability

A custom-made Simplant SAFE Guide is fabricated by stereolithography using the digital planning data. This guarantees that the planning will be fully and accurately transferred to the patient‘s mouth with the highest degree of convenience, even in the posterior region, thanks to the unique lateral drill guide access.  Drills with a guide sleeve attached to the instrument, which have been specially developed for templateguided implant placement with Simplant using accurate guides in the template (Sleeve-on-Drill system), enable exact transfer of the planned implant position and secure placement of the implants.

Since over 20 years on the global market, Xive implant system provides excellent long-term survival. A look at 55 clinical studies following more than 5,000 implants for up to 15 years, tells a great story. Xive has an overall implant survival rate of 98% and most short studies show a rate of 100%. On paper, this makes Xive well-documented and reliable. In reality, it is even better as it ensures patients a higher quality of life.