Transcription
Ankylos Product Catalog
General prosthetic advice for Ankylos In order to obtain utmost benefit from the uniquerestorative features of the Ankylos implant system,please observe the following guidelines: A void occlusal overload, aim for initial infra-occlusionto ensure clearance of contacts in function. I f possible, use B-implants or larger for singlemolar restorations. U se gingiva height 0.75 and 1.5 only if really necessary, and in correspondence with thin gingiva. M inimize the functional occlusal surface in buccallingual dimension to avoid lateral levers. T ake adequate precautions to avoid occlusal overload in correspondence to any prosthetic cantilevers. B ear in mind the resilience of neighboring teethwhen planning for single tooth restorations. Establishfull contact on the implant crown only during maximal clenching ensuring an even load distribution onall teeth during maximum chewing force. C heck for parafunctional habits. Consider changesduring recall appointments. I n case of any changes to the occlusal scheme inother areas, evaluate the consequences for theimplant restoration and, if required, take appropriatemeasures. A dvice for the dental laboratory: The abutmentdesign must not be manipulated at the areas of theconnection taper or adjacent to the sulcus.Please read this manual carefully before using the system for thefirst time and always observe the clinical indications, directions andnotes in the instructions for use of the system components andinstruments.Furthermore, we recommend that all users attend a training coursespecific to the system prior to first using a new implant system.Some products may not be available in all countries.Please contact your Dentsply Sirona Implants representativeto obtain up to date information on the product range and onavailability.To improve readability for our customers, Dentsply Sirona Implantsdoes not use or in body copy. However, Dentsply Sirona Implantsdoes not waive any right to the trademark and nothing herein shallbe interpreted to the contrary.
Ankylos CONTENTSImplant packaging conceptImplant cover screwsImplant diameters and sthetic concepts C/ (without index) OverviewSoft tissue management and abutment assemblyImpression taking C/ (without index) Implant levelRegular C/*Crown & bridgework, wide abutmentsBalance Posterior C/Crown & bridgework, narrow abutmentsBalance Anterior C/Anatomical abutments, anterior regionTitaniumBase C/Metal base for individual ceramic abutmentsAtlantis Patient-specific CAD/CAM abutmentsAcuris C/Conometric abutmentsAcurisRestorative instruments and componentsAcurisLaboratory componentsBalance Base C/, SmartFix concept* Occlusal screw-retained bridges, barSynCone C/*Edentulous jaw, prefabricated taper crownsSnap Attachment C/*Edentulous jaw, prefabricatedretention elementsProsthetic restorations with extremely thin gingivaLocator C/Edentulous jaw, prefabricatedretention elementsStandard C/**Crown & bridgework on abutment levelProsthetic concepts /X (with index)OverviewSoft tissue management and abutment assemblyImpression taking /X (with index)Implant levelRegular /X*Crown & bridgework, wide abutmentsBalance Anterior /XAnatomical abutments, anterior regionTitaniumBase /XMetal base for individual ceramic abutmentsAtlantis Patient-specific CAD/CAM Prosthetic concept C/ and /X313236383940424343InstrumentsSurgical instrumentsDrills, reamers, taps, ratchetsSurgical kits, WashtrayAdditional surgical instrumentsSinus floor elevation, osteotomy,uncovery instruments, accessoriesSurgical unitAccessories, coolant hosesProsthetic instruments4452545660Demonstration modelsExplanation of the symbols on labels and instructions for useMaterial specifications646465Product index66* Impression on abutment level as an option** Impression on abutment level only3INSTRUMENTSModels and materials
Implant packaging conceptAnkylos C/X implants are supplied indouble-sterile blister package with anouter carton. This type of packageoffers the maximum possible productsafety in conformance with theincreasingly rigid requirements formedical devices. The packaging alsomakes it easy to store all products forquick retrieval and they are easy tohandle during the surgical procedure.Outer box package Simple product classification withbrand-specific design, sight windowand color-coded imprint of theimplant diameter Large seal label with details of products Stackable, all important productinformation remains visible Includes multilingual instructions for useTransparent outer blister Outer sterile barrier of implantpackageTransparent inner blister Inner sterile package Contains implant shuttle with implantand cover screw for implants Peel-off label with batch number forreliable documentation of treatmentPlastic implant shuttle Holds the implant securely in thepackaging and protects it fromdamage Makes non-contact transfer and pickup of the implant easy during theoperation Three wings with roughened surfacesfor non-slip holding make it very easyto handle safelyImplant cover screwsAnkylos Cover Screw(as spare part)Ankylos Membrane ScrewScale 1.5:1Screw driverOrder no.41.0 mm hex3101 04801 mm2 mmØ 3.5 mmØ 6.0 mmØ 6.0 mmsinus lift, 1 mmØ 6.0 mmsinus lift, 2 mm1.0 mm hex3101 04811.0 mm hex3101 04821.6 mm slot3101 01101.6 mm slot3101 01201.0 mm hex3101 01301.0 mm hex3101 0140
Implant diameters and lengthsAnkylos C/X Implant2 (sterile)Ankylos C/X Implant2 (sterile)Included: Screw implant with coverscrew (included) and premountedplacement headScale 1.2:1ØLengthsOrder no.A6.6A8A9.5A11A14A173.5 mm6.6 mm3101 04033.5 mm8 mm3101 04053.5 mm9.5 mm3101 04083.5 mm11 mm3101 04103.5 mm14 mm3101 04203.5 mm17 mm3101 0422SURGERYHealing mode Submerged or transgingival withgingiva-forming componentAnkylos X-ray template for implantsScale 1.2:1ReducedscaleØLengthsOrder no.B6.6B8B9.5B11B14B174.5 mm6.6 mm3101 04234.5 mm8 mm3101 04254.5 mm9.5 mm3101 04284.5 mm11 mm3101 04304.5 mm14 mm3101 04404.5 mm17 mm3101 0450C6.6C8C9.5C11C14C175.5 mm6.6 mm3101 04525.5 mm8 mm3101 04535.5 mm9.5 mm3101 04555.5 mm11 mm3101 04585.5 mm14 mm3101 04605.5 mm17 mm3101 0470Order no.3103 3370Scale 1.2:1ØLengthsOrder no.INSTRUMENTSPlacement of implants:Ankylos Implant DriverUnscrewing Placement Head,placement of Cover Screw:Screwdriver 1.0 mm hexScale 1.2:1ØLengthsOrder no.D8D9.5D11D147 mm8 mm3101 04727 mm9.5 mm3101 04747 mm11 mm3101 04767 mm14 mm3101 0478Placement of implants andunscrewing the Placement Headwithout changing the instrument:Ankylos Implant Driver C/Xwith Screwdriver5
Prosthetic concept C/ and /X – introductionChoice between non-indexed and indexed prosthetics with easy positioning of the abutments Tapered TissueCare connection foroptimal stability and rotation lockingwith all types of implants Non-indexed components for freepositioning of abutments Indexed components for preciseand straightforward placement ofabutments in six possible positionsC//XOnly Ankylos C/X leaves the choice up to you: Use the index as orientation aid whenever this facilitates the prostheticprotocol. Use the tapered connection geometry when it is preferable within prosthetic protocol, e.g. with AnkylosSynCone. Both procedures provide the possibility of free combination, i.e. each abutment fits into each AnkylosAnkylosBalanceCerconRegular C/X BalanceTitaniumBase Balance Base SynCone C/ Locator C/Anterior C/X Balance C/Posterior C/ C/XAbutment C/6AnkylosAnkylosAtlantisSnapStandard C/ abutments forAttachment C/Ankylos
C/XConstruction principles of abutmentsGingiva formerMost gingiva formers are one-piece components for insertion into the implantwith the 1.0 mm hex screw driver.The Balance Anterior C/ sulcus former is a two-piece component with separatescrew to allow for customization and fixation in the desired position. Use the 1.0mm hex screw driver to fasten the screw.Temporary abutmentsThe Balance C/ temporary abutments are made from zirconia-reinforced PEEK astwo-piece components with separate screw (1.0 mm hex).Transfer postsTransfer posts are available for pick-up and repositioning technique.Transfer posts C/ transfer the implant position without index. Transfer posts /Xtransfer the implant position and the orientation of the index. Therefore they arelonger. All transfer posts show a 1 mm hex at the occlusal aspect, which should beused only for loosening of abutments.Transfer posts C/ for pick-up technique are two-piece components withseparate screw. The transfer posts C/ for repositioning technique are one-piececomponents.Transfer posts /X always have an integrated fixation screw.PROSTHETICSProsthetic abutmentsMany of the prosthetic abutments (e.g. Regular abutments) have an integratedfixation screw. This fixation screw is mobile but not removable. Abutments withintegrated fixation screw are always screwed into the implant with the 1.0 mm hexscrew driver.One-piece abutments (e.g. Balance Base narrow, straight) are inserted with specialinstruments depending on the abutment head.All Ankylos prosthetic components are laser-marked to indicate their use: Components marked with “C/” only use the cone for the connection and arenot indexed. This means that the abutment components can be positionedas desired and are completely friction-locked by the cone in order to preventrotation. Components marked with “/X” are indexed. The index is used to position theabutments in the implants in one of six possible positions. In this case, it is alsothe cone that ensures optimum stability and rotation locking. Components marked with “C/X” are used for indexed or non-indexedprosthetics.Please note:Ankylos C/X implants must only beused with components that are lasermarked with “C/X”, “C/” or “/X”, orthat belong to the following productgroups:Ankylos Balance Anterior and Posteriorabutments and reposition-ing posts,Ankylos Cercon Balance, Balancetemporary abutments, BalanceAnterior sulcus formers and SynConeabutments.7
Prosthetic concepts C/ (without index) – overviewCrown & bridgeworkGingiva formers/sulcus formersTransfer on implant levelBalance Anterior C/Balance Anterior C/ Sulcus Former3102 15103102 15151.5 small3.0 small3102 15203102 15251.5 large3.0 largeCercon Balance C/Balance Anterior C/ Sulcus Former3102 15103102 15151.5 small3.0 small3102 15203102 15251.5 large3.0 largeRegular C/Regular C/X Gingiva 51.53.04.53104 54003104 5402Transfer Screw C/, shortTransfer Screw C/, long3104 54103104 5412Transfer Post C/, shortTransfer Post C/, long3104 54153104 5416Repositioning Post C/Repositioning Post C/,narrow3104 5270Balance C/ ImplantAnalog A
C/Transfer on abutmentlevel, abutment analogAbutmentsAccessoriesScrew retention3105 6301Fixation ScrewLateral HexagonM 1.4Balance Anterior C/ smallsmalllargelargelargelargeGH 1.5GH 3.0GH 1.5GH 3.0GH 1.5GH 3.0GH 1.5GH 3.0A0A0A 15A 15A0A0A 15A 153105 6304Horizontal ScrewSeat for FixationScrew M 1.4Temporary Abutment31023102310231023102310231023102Cercon Balance C/ Abutmentneutral3102 30103102 30153102 30303102 30353102 30503102 30553102 30703102 3075dentine3102 33103102 33153102 33303102 33353102 33503102 33553102 33703102 r C/ Abutment0.751.53.04.5A0A0A0A0GH 1.5GH 3.0GH 1.5GH 3.0GH 1.5GH 3.0GH 1.5GH 3.03104 7120Regular C/X 3-in-1 Cap A 1714181GH 0.75GH 1.5GH 3.0GH 4.5A 7.5A 7.5A 7.5A 7.53104 7121Regular C/X 3-in-1 Cap A 7.531023102310231024152416241724182GH 0.75GH 1.5GH 3.0GH 4.5A 15A 15A 15A 153104 7122Regular C/X 3-in-1 Cap A 1531023102310231024153416341734183GH 0.75GH 1.5GH 3.0GH 4.5A 22.5A 22.5A 22.5A 22.5GH 0.75 A 30GH 1.5A 303102 4155GH 0.75 A 1.53.01.53.01.53.0A0A0A 15A 15A0A0A 15A 15A0A0A 15A 15A0A0A 15A 1531023102310231023102 41543102 4164331133163331333633513356337133763104 7110Regular C/X Abutment Analog A 0PROSTHETICS310231023102310231023102310231023105 6301Fixation ScrewLateral HexagonM 1.43105 6304Horizontal ScrewSeat for FixationScrew M 1.43104 7111Regular C/X Abutment Analog A 7.53104 7112Regular C/X Abutment Analog A 153104 7123Regular C/X 3-in-1 Cap A 22.53104 7113Regular C/X Abutment Analog A 22.59
Prosthetic concepts C/ (without index) – overviewCrown & bridgeworkGingiva formers/sulcus formersTransfer on implant levelBalance Posterior C/Balance Posterior C/ Sulcus Former3102310231023102TitaniumBase C/1528153015351540GH 0.75GH 1.5GH 3.0GH 4.5Individual gingiva formingStandard C/Standard C/ Sulcus 311041a / 1.5a / 3.0a / 4.5a / 6.0b / 1.5b / 3.03104 54003104 5402Transfer Screw C/, shortTransfer Screw C/, long3104 54103104 5412Transfer Post C/, shortTransfer Post C/, long3104 54153104 5416Repositioning Post C/Repositioning Post C/,narrow3104 5270Balance C/ ImplantAnalog A
C/Transfer on abutmentlevel, abutment analogAccessories3105 6051Retaining ScrewLateral HexagonM 1 x 0.2Balance Posterior C/ 541659GH 0.75GH 0.75GH 0.75GH 0.75GH 0.75GH 0.75A0A 7.5A 15A 22.5A 30A 37.53102310231023102310216301649165016531655GH 1.5GH 1.5GH 1.5GH 1.5GH 1.5A0A 7.5A 15A 22.5A 303102 16403102 1660GH 3.0GH 3.0A0A 153102 16453102 1665GH 4.5GH 4.5A0A 15Screw retention3105 6052Sleeve for RetainingScrew Lateral HexagonTitaniumBase C/ScanBase C/3102 26423102 26523102 2644 ScanBase C/3102 2654 ScanBase C/highTitaniumBase C/TitaniumBase C/ highPROSTHETICSAbutmentsStandard C/ 00a / 1.5 / 4.0a / 3.0 / 4.0a / 4.5 / 4.0a / 6.0 / 4.0a / 1.5 / 4.0a / 3.0 / 4.0a / 1.5 / 6.0a / 3.0 / 6.0a / 1.5 / 6.0a / 3.0 / 6.0b / 1.5 / 4.0b / 3.0 / 4.0b / 1.5 / 4.0b / 3.0 / 4.0b / 1.5 / 6.0b / 3.0 / 6.0b / 1.5 / 6.0b / 3.0 / 6.0A0A0A0A0A 15A 15A0A0A 15A 15A0A0A 15A 15A0A0A 15A 153104 5011 TransferCap a / – / 4.03104 5140 Lab. Analog a / – / 4.0 A 03104 5142 Lab. Analog a / – / 4.0 A 153104 5021 TransferCap a / – / 6.03104 5150 Lab. Analog a / – / 6.0 A 03104 5152 Lab. Analog a / – / 6.0 A 153104 5031 TransferCap b / – / 4.03104 5160 Lab. Analog b / – / 4.0 A 03104 5162 Lab. Analog b / – / 4.0 A 153104 5041 TransferCap b / – / 6.03104 5170 Lab. Analog b / – / 6.0 A 03104 5172 Lab. Analog b / – / 6.0 A 153104 5180a / -- / 4.03104 5182a / -- / 4.0Wax-up CopingcrownWax-up Copingbridge3104 5190a / -- / 6.03104 5192a / -- / 6.0Wax-up CopingcrownWax-up Copingbridge3104 5200b / -- / 4.03104 5202b / -- / 4.0Wax-up CopingcrownWax-up Copingbridge3104 5210b / -- / 6.03104 5212b / -- / 6.0Wax-up CopingcrownWax-up Copingbridge3105 6022Fixation ScrewOcclusal M 1.63105 6051Retaining ScrewLateral HexagonM 1 x 0.23105 6052Sleeve for RetainingScrew LateralHexagon11
Prosthetic concepts C/ (without index) – overviewCoverdenture C/Gingiva formersTransfer onimplant levelAbutmentsBalance Base C/(SmartFix concept)Gingiva Former C/D 4.231023102310231022510251225142516Balance Base Abutment C/31023102310231023102310231023102GH 0.75GH 1.5GH 3.0GH 4.525202530254025422546255025522556narrow GH 0.75narrow GH 1.5narrow GH 3.0GH 3.0GH 3.0narrow GH 4.5GH 4.5GH 4.5Snap Attachment C/Sulcus Former C/Standard3102 10113102 10213102 1026a / 1.5a / 3.0a / 4.5Locator C/Snap Attachment C/3104 5400 Transfer Screw C/short3104 5402 Transfer Screw C/long3104 54103104 54123104 54153104 54163104 5270SynCone C/Transfer Post C/shortTransfer Post C/longRepositioning PostC/Repositioning PostC/ narrow3102 13003102 13103102 1320GH 1.5GH 3.0GH 4.5Locator C/ Abutment3102310231023102310226102612261426162618GH 2.0GH 3.0GH 4.0GH 5.0GH 6.0Balance C/Implant Analog AGingiva Former C/D 4.2SynCone C/ AbutmentProducts on page 28Products on page 29Acuris C/Conometric Abutments C/Products on page 2312A0A0A0A 15A 30A0A 15A 30
C/Transfer on abutmentlevel, abutment analogSecondary partAccessoriesScrew retention3105 6022Fixation screw occlusalM 1.63105 6216Retention coping3105 6212Gold Coping3105 6025Fixation screw extralong3105 6216Retention Coping3105 62173104 5332AnalogRetention Copinglong3105 6218Titanium Coping3102 1312**3245 3347 Male ProcessingPackage (Titanium)45 – 3356 Female Analog(4 pcs) D43245 3348 Male ProcessingPackage(Stainless Steel)3102 2198Taper Cap 5 with retention3102 2198Taper cap 5 with retention3102 2199Taper cap 5 without retentionProducts on page 25*direct impression of snap sphere3102 2590Protective Cap forBalance BaseAbutment narrow3105 6024Fixation screw occlusalM 1.6 longMatrix forSnap Attachment45 – 3355 Impression Coping(4 pcs)Conometric Impression Cap &Conometric Analog3105 6026Wax-up CopingFixation Screwextra longFixation Screw 19 mmReplacement Male (4 pcs)45 – 3349 clear 45 – 3352 green45 – 3350 pink 45 – 3353 orange45 – 3351 blue 45 – 3354 red45 – 3360 gray45 – 3358 Processing Replacement Male (4 pcs)45 – 3359 Block-Out Spacer (20 pcs)45 – 3361 Processing Spacer (4 pcs)3105 6280Cover Screw for Abutmentstraight 5 3102 1405Polymerization SleeveConometric Final CapConometric Lab CapProducts on page 25Products on page 25**snap 3102 1312 included in3102 1300, 1310, 1320PROSTHETICS3104 5220* Laboratory Analog3104 53223105 602513
Soft tissue management and abutment assemblyTransition implant-abutment displaced toward the centerSome special characteristics have to beconsidered for soft tissue contouringand the choice of the final abutment: D ue to the taper connection, thediameter of the Ankylos abutmentson the implant level is markedlysmaller than the diameter of theimplant itself. Soft tissues are also located underthe flanks of the abutment.Selection of the correct gingiva height T he illustration shows the correctusage of a gingiva former. If the gingival level lies in the areabetween the two dotted lines, thecorrect gingiva former has beenselected. If the level is above the upper dottedline, a higher gingiva former shouldbe selected; if it is below the lowerdotted line, a lower one should beselected.Selection of the gingiva former corresponding to the abutment The gingiva former and final abutmentshould be selected so that they correspond in prosthetic range and gingivalheight. The description of the height of thegingiva former as shown above (GH 3.0)only refers to the region from the inter-face level to the edge of the crown. The entire gingiva former is alwaysapproximately 1.5 mm higher than thenominal height, viewed from the interface level (here: overall height 4.5 mm),in order also to shape the first part ofthe crown profile.If the soft tissue passage formedis smaller than the profile of theabutment used, this may result in anavoidable compression of the gingiva.This effect occurs when:1. The gingiva former is markedlyhigher than the gingival level and theabutment used later on.2. The gingiva former is suitable to thegingival height, but the gingival heightof the final abutment is lower thanthat of the gingiva former used (seeillustration).3. The final abutment has a largerdiameter then the gingiva former used(e.g. in case of a different prostheticrange).When transferring the taperedconnection without index, a transferkey safeguards the exact position ofthe abutment in the implant.14
C/Impression taking C/ (without index)IMPLANT LEVELAnkylos Balance C/Transfer Post6Ankylos Balance C/Transfer Screw6Ankylos Balance C/ Transfer Post For transferring the implant positionto the master cast with the PickUptechnique (open tray)Scale 1.2:1Order no.shortlongshortlong3104 54103104 54123104 54003104 5402Ankylos Balance C/Repositioning Post6Ankylos Balance C/Repositioning Postnarrow6Ankylos Balance C/Repositioning Post The option for procedures withclosed trayScale 1.2:1INSTRUMENTS3104 5416Screwing in Transfer Screws andRepositioning P
Product Catalog. General prosthetic advice for Ankylos . If possible, use B-implants or larger for single molar restorations. Use gingiva height 0.75 and 1.5 only if really neces-sary, and in correspondence with thin gingiva. Minimize the functional occlusal sur
