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Solutions for larger tooth gaps

Prosthetic concept

Ankylos also provides a large range of options for
restoration in larger edentulous gaps and free-
ends – both, for conventional restorations as well as
for digitally fabricated CAD/CAM prosthetics. The
following is an overview of the options for providing
your patients with a multi-span bridge.

As well as a bridge, in these cases, restoration is also
possible using single crowns following a tooth-by-
tooth concept. For this purpose, make your decision
using the options shown on the previous page for
single-tooth restorations.

Conventionally
fabricated solutions for

Bridges /

anterior region

Conventionally fabricated solutions for

Bridges / posterior region

Esthetic:

Ankylos Balance

Anterior C/ or /X

The design of the
Ankylos Balance
Anterior C/ and /X
abutments is specially
adapted to the ana-
tomical and peri-implant
situation in the anterior
region.
A wide assortment of
indexed and non-
indexed design variants
and the option of grin-
ding the abutments
provide optimal inte-
gration for the bridges
which can be cemented
or laterally screw-
retained.

Directions: see page 20 ff.

Esthetic:

Ankylos Regular

C/ or /X

The particular strength
of the Ankylos Regular
C/ and /X abutments is
in the posterior region.
Thanks to the convex
sulcus design, you can
also optimally fulfill the
esthetic requirements of
your patients in the side
tooth region.
Indexed and non-
indexed customizable
abutments with a
wide range of forms
and sizes facilitate the
efficient fabrication of
the bridges which can
be cemented or laterally
screw-retained.

Directions: see page 30 ff.

Functional:

Ankylos Regular C/ or /X

with 3-in-1 cap

If you require a simple,
economical solution,
Ankylos Regular C/ and
/X abutments with 3-in-1
cap are your first choice.
The abutment selected
at the chairside remains
in the mouth during the
entire treatment proce-
dure; there is no need
to change abutment
components. Taking the
impression on the abut-
ment level, fabricating a
temporary denture at the
chairside and fabricating
the cementable bridge
in the laboratory are all
performed on the multi-
functional cap, which is
simply clicked onto the
abutment in the patient‘s
mouth.

Directions: see page 30 ff.

Functional:

Ankylos Standard C/

Ankylos Standard C/
abutments are another
option for straight-
forward reconstruction
of edentulous gaps by
means of caps that can
be attached to the
integrated abutments.
Due to the narrower
design of the standard
abutments, these are
particularly suitable for
more confined spaces.
Both cementable and
screw-retained bridges
can be fabricated on
Ankylos Standard C/
abutments.

Directions: see page 84 ff.

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Содержание Ankylos Balance Base Abutment C

Страница 1: ...Ankylos Laboratory Manual ...

Страница 2: ...habits Consider changes during recall appointments In case of any changes to the occlusal scheme in other areas evaluate the consequences for the implant restoration and if required take appropriate measures Advice for the dental laboratory The abutment design must not be manipulated at the areas of the connection taper or adjacent to the sulcus Please read this manual carefully before using the s...

Страница 3: ...management 18 Ankylos Balance C or X Crowns and bridges on Ankylos Balance Anterior C or X crowns on Ankylos Cercon Balance C 20 Ankylos Regular C or X Crowns and bridges on Ankylos Regular C or X 30 Ankylos Balance Base Abutment C Bar supported overdentures and bridges also CAD CAM fabricated on Ankylos Balance Base Abutment C 42 Ankylos SynCone C Overdentures on Ankylos SynCone C 66 Ankylos Snap...

Страница 4: ...s that will fulfill the expectations of the patient in terms of function and esthetics of the implant prosthetic rehabilitation should be stipulated in the planning Today along with conventional treatment planning treatment can be planned using computer guided facilities for three dimensional crown down treatment with planning of the optimal implant placement from the point of view of the desired ...

Страница 5: ...f the initial anatomical situation The following points should be taken into account Medical history General diagnosis elimination of contraindications Specialist consultation where there are risk factors Extensive intraoral diagnosis PAR diagnosis functional examination reasons for tooth loss assessment of the existing tooth replacement radiological examination After all the diagnostic details ha...

Страница 6: ...omical 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 appropriate surgical procedures All aspects of preprosthetic and surgical planning interact ...

Страница 7: ...al Simplant drill guide is fabricated using stereolithography based on the digital planning data Depending on the individual case scenario the guide is prepared tooth supported mucosa supported or bone supported thus enabling a complete and accurate transfer to the patient s mouth The Sleeve on Drill drill system drills with a guide sleeve that can be attached to the instrument for precise guidanc...

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Страница 10: ...nge of six positions Non indexed components for freely positionable abutments The tapered Ankylos TissueCare connection provides both options with optimal stability and rotation locking The placement of the prosthetic abutments can also be simplified by using the positioning aid index whenever this facilitates the prosthetic procedure If the index hampers the procedure abutments fitted with the ta...

Страница 11: ...los SynCone C Ankylos Locator C Ankylos Snap Attachment C Bridge posterior region Ankylos Regular C or X Ankylos Regular C or X with 3 in 1 cap Ankylos Standard C Ankylos Balance Base Abutment C Ankylos TitaniumBase C or X Ankylos Balance Base Abutment C Atlantis bridge Single tooth replacement Larger tooth gaps Edentulous jaw Depending on the indication and the type of prosthetic restoration inte...

Страница 12: ...ercon Balance C zirconium oxide abut ments provide superior esthetics for the anterior region and impressively are extremely stable at the same time The basic design identical to the Anterior Balance is likewise customizable and is available in various design variants The two shades of white of this outstandingly biocompatible material create the perfect integration for the cementable crowns Direc...

Страница 13: ...high quality ceramic abutments with titanium core With these adhesive bases with prefabricated taper connection available both indexed and non indexed patient specific restorations can be fabricated that are as close as possible to the natural esthetics of the anterior and posterior regions Patient specific and highly esthetic Atlantis CAD CAM abutments Atlantis abutments for Ankylos are the one p...

Страница 14: ...abutments is in the posterior region Thanks to the convex sulcus design you can also optimally fulfill the esthetic requirements of your patients in the side tooth region Indexed and non indexed customizable abutments with a wide range of forms and sizes facilitate the efficient fabrication of the bridges which can be cemented or laterally screw retained Directions see page 30 ff Functional Ankylo...

Страница 15: ...n of esthetically high quality ceramic abutments with titanium core With these adhesive bases with prefabricated taper connection available both indexed and non indexed patient specific restorations can be fabricated that are as close as possible to the natural esthetics of the anterior and posterior regions Individual by CAD design Ankylos Balance Base Abutment C with Atlantis bar With patient sp...

Страница 16: ...d esthetics even for extensive multi span bridge constructions Customizable indexed and non indexed abutments with a wide range of forms and sizes facilitate the efficient fabrication of the bridges which can be cemented or laterally screw retained Directions see page 30 ff Functional Ankylos Regular C or X with 3 in 1 cap or Ankylos Standard C Without doubt the preeminent choice in the prosthetic...

Страница 17: ... copic crowns Ankylos SynCone can also be used in the maxilla and the mandible for the purposes of delayed restoration Intraoral bonding provides the prosthesis with a tension free fit The delicate denture saddle gives a high degree of wearing comfort and allows excellent hygiene Directions see page 66 ff Simply flexible Ankylos Locator C With the Ankylos Locator you secure coverdentures in the ed...

Страница 18: ...tration shows the correct usage of a gingiva former If the gingival level lies in the area between the two dotted lines the correct gingiva former has been selected If the level is above the upper dotted line a higher gingiva former should be selected if it is below the lower dotted line a lower one should be selected Selection of the gingiva former corresponding to the abutment The gingiva former...

Страница 19: ...t geometry in case of doubt it should rather be selected larger Due to the counter force exerted by the gingiva an undersized contouring might lead to problems when placing the abutments Over compression of the gingiva may result in recession of the soft tissue Naturally beautiful teeth even after many years Advantages of the Ankylos system supporting esthetics 1 Provides adequate space for health...

Страница 20: ...Ankylos Cercon Balance C abutments you will achieve excellent esthetic results with the highest tooth analogy using all ceramic single crowns in the anterior region The prosthetic abutments of the Balance range are available as freely positionable with tapered connection geometry C Ankylos Balance Anterior abutments also with additional index serving as positioning aid X Balance C or X ...

Страница 21: ...re selected and customized in the dental laboratory CAD CAM prosthetic solutions As an individual alternative to the prefabricated Ankylos Balance C and X abutments two solutions for patient specific CAD CAM fabricated abutments are available Ankylos TitaniumBase for the fabrication of esthetically high quality ceramic abutments with prefabricated titanium core Atlantis abutments made of titanium ...

Страница 22: ... Post PickUp Technique For transferring the implant position to the master cast using the PickUp technique open tray Available in two lengths One piece with integrated straining screw screw extension enclosed Ankylos X Transfer Post Repositioning Technique For transferring the implant position to the master cast using the repositioning technique closed tray Available in two lengths One piece with ...

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Страница 24: ...t in the connection taper and if given the index must be ensured Insulate the impression with silicone lubricant prior to casting and coat the area surrounding the implant analog with gingiva casting material Observe the manufacturer s directions Casting the model Prepare the master cast using dental stone class IV Here ensure adequate height such that the implant analog is covered with plaster Th...

Страница 25: ... when grinding the abutments Transfer key for Ankylos Balance Anterior C Prepare a transfer key to retrieve the selected position on the cast and later on in the mouth using the customized Ankylos Balance Anterior C abutment For bridge constructions connect the bridge sections with a prefabricated plastic or metal bar in order to reduce shrinkage due to polymerization For larger reconstructions th...

Страница 26: ... correspond with the current dental procedures for metal ceramic or all ceramic suprastructures Cleanable interdental spaces are desirable in bridge constructions Please observe the manufacturers processing directions Screw retained suprastructure on Ankylos Balance Anterior C or X The suprastructure can also be laterally screw retained if preferred For this attach the red M 1 4 lateral hex fixati...

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Страница 28: ...ment in the Ankylos handle for implant analogs and abutments allows easier management and prevents damage to the cast Please always observe the following guidelines for the preparation and the manufacturer s information for the system used for all ceramic restorations Grind down the coronal area of the abutment maximally to the size of the small Cercon Balance abutment Do not prepare the contact s...

Страница 29: ...ans of the CAD CAM technique Information on the procedure is always to be found in the manufacturers instructions To avoid stripping the straining screw use the blue laboratory screwdriver with torque 10 Ncm Enlarge the access channel for the screwdriver as the hexagonal torque insert applied in the patient s mouth is slightly wider Do not damage the straining screw during grinding Ensure an adequ...

Страница 30: ... single crowns or an implant supported bridge With their convex sulcus design Ankylos Regular C or X abutments have been optimized for the posterior region Choose between two options the tapered TissueCare connection with freely positionable components or components with the tapered TissueCare connection and additional indexing as an aid to positioning Regular C or X ...

Страница 31: ...n of the abutment position for the laboratory is taken via the 3 in 1 cap The suprastructure is fabricated on the 3 in 1 cap Cannot be customized Cemented suprastructures only Provisional restoration at the chairside is also simplified for the patient via the 3 in 1 cap CAD CAM prosthetic solutions As an individual alternative to the prefabricated Ankylos Regular C and X abutments two solutions fo...

Страница 32: ...nkylos Regular C abutments is planned the identical components with the C X marking are used for contouring the soft tissues and for the impression Impressions Ankylos X Transfer Post PickUp Technique For transferring the implant position to the master cast using the PickUp technique open tray Available in two lengths One piece with integrated straining screw screw extension enclosed Ankylos X Tra...

Страница 33: ...screw retention Cannot be cast cannot be fired Ankylos M 1 4 Lateral Hex Fixation Screw For fabricating laterally screw retained crowns and bridges on Ankylos Regular C and X abutments Order no 3105 6301 red Permador cast to horizontal screw seat available order no 3105 6304 Ankylos Occlusal Retaining Screw short For occlusal screw retention of crowns on Ankylos Regular C and X abutments with 30 a...

Страница 34: ...ct on unground abutments only In the laboratory As a wax up coping on implant analogs and unground abutments Ankylos Regular C X Abutment Analog For attaching the prosthetics components after taking impressions via the 3 in 1 cap Instruments Ankylos Laboratory Hex Screwdriver 1 0 mm Reduced torque 10 Ncm Prevents stripping the straining screw Ankylos Handle for Abutment Analogs and Abutments For i...

Страница 35: ...Regular C X implant analog Mount and screw into position the Ankylos C X implant analog with the Ankylos transfer post fixed in the impression The implant analog must be correctly fitted to the transfer post in the connection taper and index Mucosa mask Insulate the impression with silicone lubricant prior to casting and coat the area around the Ankylos C X implant analog with gingiva casting mate...

Страница 36: ...es and the index must not be processed Grinding the Ankylos Regular X abutment in the Ankylos handle for abutment analogs and abutments makes them easier to handle and prevents damage to the master cast Therefore make sure to have placed a Regular C X implant analog 360 accurate alignment of Ankylos Regular C Abutment Align the Ankylos Regular C abutment by rotating it through 360 and fix it in th...

Страница 37: ...plant analog Transfer key Prepare a transfer key to retrieve the selected position on the cast and later on in the mouth over the customized Ankylos Regular C abutments block out horizontal grooves The transfer key is handed over to the dental practice together with the completed prosthetic restoration Do not damage the straining screw when grinding Make sure that an adequate wall thickness of min...

Страница 38: ...se the abutment head has not been customized the Ankylos Regular C X 3 in 1 cap can be used as aid for the wax up see page 41 The framework and veneering correspond with the current dental procedures for metal ceramic or all ceramic suprastructures Please observe the manufacturer s processing dirctions Ankylos Regular X and C Abutment screw retained The suprastructure can also be laterally screw r...

Страница 39: ...t specific Atlantis CAD CAM abutments are available Using the patented Atlantis VAD software abutments are uniquely designed from the final tooth shape for a more natural esthetic result The unique process offers unlimited possibilities and patient specific solutions for single multiple and full arch units Optimized 3D scanning of the models generates an exact virtual image This allows each Atlant...

Страница 40: ...to the abutment design or the angulation of the original abutment position this in the Ankylos Regular C X 3 in 1 cap and check for a firm fit The geometry angle and lateral thread of the Ankylos Regular C X abutment analog correspond with the original abutment in the patient s mouth Mucosa mask Insulate the impression prior to casting using a silicone lubricant and coat the area around the Ankylo...

Страница 41: ... Remove the retention ring on the tapered section and roughen the cap prior to casting with wax or synthetic material Cemented suprastructure on Ankylos Regular X and C abutment For cemented suprastructures wax up crown or bridge on the cap as usual The framework and veneering correspond with the current dental procedures for metal ceramic or all ceramic suprastructures Please observe the manufact...

Страница 42: ...ovable overdentures on bars The suprastructure is manufactured conventionally in the dental laboratory or by means of the CAD CAM milling process Rotationally symmetrical Ankylos Balance Base Abutments made of titanium alloy Ti6AlV are available with tapered connection geometry Due to the rotational symmetry indexing is not required Balance Base Abutment C ...

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Страница 44: ...straining screw Impressions on abutment level Ankylos Retention Coping for Balance Base Abutment narrow and Balance Base Abutment For simplified impression taking on the abutment level giving an increased precision for CAD CAM prosthetics Screw retention with M 1 6 mm occlusal hex fixation screw blue anodized With extra long fixation screw order no 3105 6025 also for transferring abutment position...

Страница 45: ...1 3 Ø 4 2 1 3 Ø 4 2 15 ...

Страница 46: ... blue anodized Ankylos Copings for Balance Base Abutment narrow For laser welded or soldered bars As a cast on base for bridges High gold content Permador PDF alloy Screw retention with M 1 6 mm occlusal hex fixation screw blue anodized Ankylos Wax up Copings for Balance Base Abutment narrow For modeling bridges Made from castable synthetic material POM Retention with M 1 6 mm occlusal hex fixatio...

Страница 47: ...ase Abutments C with the implant analog Torque 25 Ncm Ankylos 1 0 mm Hex Screwdriver For screwing in the 1 6 mm occlusal hex fixation screw Reduced torque 10 Ncm Ankylos Finisher for Balance Base Abutment narrow For elaborating the surface layers of bridge constructions One instrument each for Balance Base Abutment C and Balance Base Abutment C narrow Ankylos Finisher for Taper Occlusal Retention ...

Страница 48: ...of the bar model using the 1 8 mm prosthetic hex ratchet If the impression has been taken using retention copings this step is omitted In this case the position of the abutments is shown by the analogs Balance Base Abutment narrow or the soldering post Balance Base Abutment located in the model Attaching the gold copings Fit the Degunorm Ankylos gold copings for Balance Base Abutment to the abutme...

Страница 49: ...ready been fitted into the patient s mouth The model is made using Ankylos analogs Balance Base Abutment narrow Bar laser welded When laser welding observe the laser welding parameters according to the alloy used Then adjust the height of the gold copings Bar laser welded A passive tension free fit should be ensured when manufacturing bar constructions as otherwise problems such as loosening or fr...

Страница 50: ...s or analogs by flame Screw retaining soldering posts analogs Detach the bar construction from the model and screw the soldering posts onto the structure using wax up screws order no 3104 5211 short and 3104 5213 long Analogs are used for restorations on Balance Base Abutment C narrow to which the construction is screwed using M 1 6 mm occlusal hex fixation screws order no 3105 6022 24 25 26 The f...

Страница 51: ...g compound and introduce DS 1 or T soldering flux into the soldering gap The flux must not make its way into the screw channel solder for Degunorm solder for HSL Try in on the model The soldered structure is pickled in the Neacid pickling unit checked for accuracy of fit on the master cast and the height of the gold copings is adjusted The restoration is then elaborated and polished ...

Страница 52: ...tivatable bar slides appropriately prior to completing the bar prosthesis There should be a clearance of approximately 0 5 mm to the bar copings Splinting before completion Splint the bar construction leaving the retention section free Step by step Conventionally laboratory fabricated bar restoration Balance Base Abutment C Bar supported overdentures Bar laser welded Bar soldered ...

Страница 53: ...on screws should always be used to fit the Ankylos Balance Base Abutments into the mouth order no 3105 6022 blue Please note the following directions for dental alloys Side effects Both allergies to the metals in the alloys and electrochemical paresthesias may occur Instances of systemic side effects of metals in the alloy have been reported Interaction Avoid occlusal and approximal contact of dif...

Страница 54: ...of the interdental spaces Casting the model Fabricate the model using dental stone class IV Here ensure an adequate height such that the implant analog covered with plaster Then remove the transfer screws and the impression Screw in the Ankylos Balance Base Abutments C Screw Ankylos Balance Base Abutments C into the implant analogs by using the 1 8 mm hex insert for the prosthetic ratchet The ging...

Страница 55: ...l fixation screw Adjusting the wax up copings Mark the model height on the screw channel Using a thin cutting disk trim the screw channel and check the height of the occlusion Screw retained restorations only may be produced on Ankylos Balance Base Abutments since the abutment height of the heads does not provide adequate retention for cementing 1 0 mm Hex ...

Страница 56: ...struction on the Ankylos Balance Base Abutments are smoothed with the Ankylos finisher for Base Abutments 4 2 mm or 5 5 mm Use the Ankylos finisher for taper oclusal retention screw to remove rough areas in the screw channel Insert the finisher into the screw channel and twist carefully until the surface is shiny and smooth Step by step Conventionally laboratory fabricated bridge screw retained An...

Страница 57: ...rdental spaces are adequate for hygienic capability The original abutments as well as the suprastructure are handed over to the practice New fixation screws should always be used to fit the Ankylos Balance Base Abutments into the mouth order no 3105 6022 blue ...

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Страница 60: ...ow are located in the analogs Individual tray Based on this model a customized tray for the pick up technique is manufactured Adequate space for the impression material must be ensured while manufacturing the tray Step by step Impressions and model casting for CAD CAM restorations Dental practice Dental laboratory A precise stone model made in the laboratory which reproduces the clinical situation...

Страница 61: ...ary splint segments delivered from the laboratory onto the Balance Base Abutments using the fixation retaining screws By doing so an adequate gap between the separate segments should be ensured Where there is contact grind off the synthetic material Then the tension free synthetic segments are splinted intraorally using the same autopolymer used by the laboratory Splint impression The impression i...

Страница 62: ...prastructure Wax up A wax mock up with tailored teeth is made on the master cast Preparing the transfer key A transfer key is again manu factured from autopolymer in order to be able to compare the implant positions in the master cast with the clinical situation This key is finally splinted in the laboratory The wax up and the transfer key are sent to the dental practice for intraoral checking Ste...

Страница 63: ... appear or these have been corrected the laboratory will order the Atlantis implant suprastructure via www atlantisweborder com after approval of all components by the practice Dental practice Sheffield Test The Sheffield Test facilitates a simple check of the fit of a primary splinted mesiostructure on implants After the structure has been positioned each fixation screw is tightened separately wh...

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Страница 65: ...controlled and inspected in accordance with quality systems regulations Before being shipped to the laboratory all suprastructures are verified and inspected Atlantis will send the milled structure to the dental laboratory together with the master cast and the wax up The Ankylos occlusal fixation screws required for attaching the bar construction or bridge in the mouth are included Processing in t...

Страница 66: ...iding the prosthesis with a tension free fit passive fit However this can only be guaranteed by intraoral bonding of the components fabricated in the laboratory For the patient the maximum possible reduction of the prosthetic body provides highest wearing comfort and excellent hygienic capability SynCone C ...

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Страница 68: ...ed cone design serves as a retaining element where the tapered cap is retained on a tapered abutment by surface contact When the retention is disconnected the prosthesis is released allowing for easy removal In contrast a parallel walled telescopic design creates a friction throughout the complete path of insertion Patients find it easier to insert a prosthesis with tapered connection design becau...

Страница 69: ...Abutment For the restoration of the edentulous mandible with an immediate or delayed loaded prosthesis on four prefabricated tapered abutments placed intraforaminally For the restoration of the edentulous maxilla on six osseointegrated implants Abutments with 5 tapered angle adaptable to the clinical situation via three gingival heights 1 5 3 0 4 5 mm and five angulations 0 7 5 15 22 5 and 30 Cove...

Страница 70: ... for positioning key for SynCone 5 Ankylos Titanium Cap for SynCone 5 For anchoring fixed dentures on SynCone abutments Instruments Ankylos Laboratory Screwdriver 1 0 mm hex Reduced torque 10 Ncm Prevents excessive turning of straining screw Ankylos Insertion Key for angled Standard Abutments To facilitate rotation of the angled abutments via the parallelization gauges as part of the parallel alig...

Страница 71: ...grind the prosthesis accordingly after casting the model This procedure is highly recommended in case of metal reinforced prostheses At the same time grinding should be kept to a bare minimum to avoid excessive polymerization shrinkage Shortening the functional margins Due to the excellent retention capacity of the SynCone prosthesis on the tapered crowns extended functional margins can be shorten...

Страница 72: ...ession with dental stone Check SynCone abutments After casting the model based on the alginate impression the replicas of the SynCone abutments are measured with a parallelometer to ensure a common direction of insertion Here it is to be insured that the abutments do not display any divergences or resulting parallel surfaces After immediate loading or simplified impression via the SynCone caps the...

Страница 73: ...crews Mucosa mask Insulate the impression with silicone lubricant prior to casting and coat the area surrounding the implant analogs with gingiva casting material Observe the manufacturer s instructions for use Casting the model Fabricate the model using dental stone class IV Ensure sufficient height to cover the lower part of the implant analog with plaster Then undo the transfer screws and remov...

Страница 74: ...upragingival Screw retain straight abutments directly using the 1 0 mm hex laboratory screwdriver insert angled abutments only into the implant analog Parallelization of abutments Place the parallelization gauge on all abutments For angled abutments the parallelization gauge is to be placed such that the channel for the central straining screw can be accessed via the window Adjust the angled abutm...

Страница 75: ...ts are grooved at the occlusal margin to hold these securely in the transfer key To avoid misidentification further small grooves can be added individually to the occlusal margin Transfer key Once the abutments have been aligned attached and grooved a transfer key is fabricated This can be fabricated entirely from quick curing synthetic material and if necessary provided with a metal reinforcement...

Страница 76: ...ction of the caps should be ground off beforehand All undercut sections should be blocked for preparation of the duplicate model for making the cast Wax up of metal framework The metal reinforcement repre sented in the illustration as an internal reinforcement is waxed up on the investment model A wax up with matrix ensures the correct position of the metal framework a rear cover plate can be fabr...

Страница 77: ...his purpose the caps are placed gently on the stumps and must not come off when the framework is removed The metal framework is bonded to the tapered caps directly in the patient s mouth to provide an optimal tension free prosthetic fit passive fit To this end the dental laboratory will make the following preparations Preparations for intraoral bonding The exterior of the tapered caps is roughened...

Страница 78: ...material Casting the model The dental laboratory creates a model from the overall impression sent by the dental practice showing the exact position of the intraorally bonded metal framework in the patient s mouth To fabricate the model first insulate the Ankylos SynCone caps fill these with self curing liquid plastic and provide with a dowel pin Then fill the impression with dental stone Dividing ...

Страница 79: ...or any excess synthetic sprue This is removed if present Since the prosthesis is now mounted purely on implants the margins of the prosthesis are shortened as far as possible The prosthesis can be designed similar to a bridge as there is no longer any soft tissue support However all margins need to be sealed A maxillary prosthesis can be designed without a palate The finished prosthesis is sent to...

Страница 80: ... attaching the prosthesis to the snap attachments incorporated in the mouth Manufactured from Permador precious metal alloy Ankylos Implant Analog for Snap Attachment Ankylos Snap Attachment C with matrix Snap Attachment Overdentures on Ankylos Snap Attachments C Ankylos Snap Attachments C are used to attach overdentures in the edentulous mandible simply and economically An existing prosthesis can...

Страница 81: ...ator Deactivator For adjusting the prosthesis seat of prostheses mounted on snap attachments Increases or reduces the friction of the Ankylos Snap Attachment C matrix Activator and deactivator for Ankylos Snap Attachment C ...

Страница 82: ...e impression with dental stone class IV The implant analogs for snap attachments are a one piece units and are not designed to be removed from the cast Assembling the prosthesis Attach the Ankylos matrices for snap attachments to the implant analog as a placeholder and prepare the prosthesis as for a complete denture The prosthesis try in however is made without the matrices Polymerizing the matri...

Страница 83: ...these and hence ensures an increased friction The prosthesis fits more firmly Deactivate 2 The conical side of the instrument pushes the lamellae apart and hence ensures a decreased friction The prosthesis fits less firmly Only the activator or deactivator should be used to adjust the friction Never bend the matrix lamellae individually with a blade or similar The resulting uneven strain will caus...

Страница 84: ...htforward and economical reconstruction of edentulous gaps free ends and edentulous jaws with single crowns bridges and bar supported prostheses Ankylos Standard C prosthetic abutments are only available with the tapered connection geometry without indexing Standard C ...

Страница 85: ...ain in the patient s mouth Ankylos Standard C abutment Not changing abutment components means simplified handling and optimal patient comfort The impression of the abutment position for the laboratory is taken via the cap Straightforward provision of a temporary denture for the patient 6 8 Bridge on two Ankylos Standard C abutments Dentsply Sirona Implants 1 5 Laterally screw retained crown on Ank...

Страница 86: ...mouth Simplified supragingival impression taking and try in of framework Cemented or occlusally screw retained Titanium alloy Ti6Al4V Ankylos Standard C Abutments angled Angulation 15 two diameters a 3 3 mm and b 4 5 mm two gingival heights 1 5 and 3 0 mm and two abutment heights 4 0 and 6 0 mm allow great flexibility One piece with straining screw Cemented or laterally screw retained Titanium all...

Страница 87: ...aceholder for the implant and the original abutment remaining in the patient s mouth in the master cast Straight and angled according to the abutment geometry One piece Also optionally as a two piece analog sleeve with pluggable abutment analog Ankylos Standard transfer caps Ankylos Standard laboratory analogs one piece left and two piece right Angulations and head heights Head diameter Ø a3 3 Ø b...

Страница 88: ...teral hex retaining screw order no 3105 6051 Screws must be ordered separately Ankylos Standard Gold Coping Degunorm For fabricating soldered bar restorations on straight Standard abutments High gold content Degunorm precious metal alloy M 1 6 occlusal hexagon retaining screw included Ankylos screw for wax up For attaching the wax up copings on the Ankylos Standard C laboratory analog during fabri...

Страница 89: ...he prosthetic components during laboratory processing A second analog is used when using one piece laboratory analogs Prevents damaging the model Ankylos 1 6 mm Blade Screwdriver Insert For inserting the wax up screw Used with the handle for screwdriver Ankylos Finisher For elaborating the prosthetic restoration Ankylos finisher for tapered occlusal retention screw and finisher for taper lateral r...

Страница 90: ...ning of one piece laboratory analogs Position the Ankylos Standard laboratory analog in the transfer cap and check for a firm fit Angled laboratory analogs Angled Ankylos Standard C abutments feature a shortened groove for transferring the alignment of the 15 angle The position of this groove in the transfer cap should be observed when inserting the laboratory analog Block the undercut neck area w...

Страница 91: ...s described on page 93 Option Two piece laboratory analogs As an alternative two piece laboratory analogs can also be used To protect the underside of the analog sleeve seal this against incoming plaster with wax The open sleeve allows simple cleaning Shortening two piece laboratory analogs For fabricating a saw cut model the analog sleeves can be shortened as far as the indentation ...

Страница 92: ...th a synthetic base plate should be followed Mucosa mask Insulate the impression with silicone lubricant and coat the laboratory analog with gingiva casting material prior to casting By doing so observe the manufacturer s directions Cover the dental arch with dental stone class IV By doing so ensure an adequate height such that the laboratory analog is covered with plaster In case pins are introdu...

Страница 93: ...copings Attach suitably sized Ankylos Standard wax up copings for bridges Depending on the axial alignment the wax up copings for bridges grey without internal ribs are used This can have advantages for the insertion alignment Wax up copings with ribs for rotational locking white are available for fabricating single crowns Cemented suprastructure Seal both holes in the wax up copings with wax Wax ...

Страница 94: ...ten the wax up screws corresponding to the occlusal proportions and using a thin cutting disk make a new slot Then fix these in the laboratory analogs Depending on the screw retention type seal the hole not required with wax By doing so ensure that no wax gets into the inside of the copings These directions show the fabrication of an occlusally screw retained bridge If lateral screw retention is p...

Страница 95: ...in this process in order to avoid a frictional fit After molding devesting and abrasion the framework is fitted on the model where the occlusion is simultaneously checked The screw seating can be occlusally reworked for the taper with the Ankylos finisher The wax up screw is used to protect the screw channel while the ceramic material is applied The completed suprastructure is sent to the practice...

Страница 96: ... fabricating bridges Fabricating the model Fabricate the model for the single tooth restoration with an angled abutment and mucosa mask as described on page 92 93 Wax up coping and lateral retaining screw Remove the mucosa mask and attach the wax up coping for single crowns white Seal the occlusal hole in the coping not required with wax Insert the gold colored Ankylos M 1 x 0 2 lateral hexagon re...

Страница 97: ...e processing directions for cast on sections for dental alloys during waxing For angled abutments the screw seat can be laterally reworked with the finisher Veneering Veneer and polish the crown as usual Interdental spaces are designed for hygienic capability The occlusal contact should be only minimal Lateral contact points should be avoided ...

Страница 98: ...ed on page 92 93 Attaching the gold copings Depending on the scheduled processing technique attach Ankylos Standard Degunorm gold copings on the abutments and fix with the suitable occlusal screw M 1 6 occlusal hexagon retaining screw order no 3105 6021 Adjusting the Bars Fit the bars into the spaces between the gold copings Keep the gaps between the bar and the gold copings as narrow as possible ...

Страница 99: ...99 Bar laser welded or soldered Laser welded or soldered bars are fabricated as described on pages 47 ff for the Ankylos Balance Base Abutment Likewise the fabrication of the prosthesis ...

Страница 100: ...sply Sirona is the world s largest manufacturer of professional dental products and technologies with a 130 year history of innovation and service to the dental industry and patients worldwide Dentsply Sirona develops manufactures and markets a comprehensive solutions offering including dental and oral health products as well as other consumable medical devices under a strong portfolio of world cl...

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