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ANKYLOS

ANKYLOS. index. ANKYLOS – Surgical Procedures. index. ANKYLOS – Standard Abutment System. index. ANKYLOS – Balance Abutment System. index. ANKYLOS – SynCone Concept. ANKYLOS – Surgical Procedures. Instrument. Two-phase Handpiece-driven preparation

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ANKYLOS

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  1. ANKYLOS

  2. index ANKYLOS –Surgical Procedures

  3. index ANKYLOS –Standard Abutment System

  4. index ANKYLOS –Balance Abutment System

  5. index ANKYLOS –SynCone Concept

  6. ANKYLOS –Surgical Procedures

  7. Instrument • Two-phase • Handpiece-driven preparation • Manual preparation/final preparation

  8. Surgical procedure • Smoothing the bone • Marking the implant position • Twist drill

  9. Depth drill • Tri-spade drill • Low-pressure • Sub-crestal implant position

  10. Reaming the site • Non-cutting tip • Also be handpiece-driven • Max speed • 15 rpm • Max torque • 60NCm

  11. Measuring • Reamer top edge • Slightly below bone level • Tapping the thread

  12. Opening the implant pack and seating the insertion tool • Attach the handle to the implant driver

  13. Placing the implant manually • Dismantling • Remove the retaining screw

  14. Suture • Transgingiva healing • Sulcus former

  15. Uncovery • Incision • Minimally invasive uncovery

  16. Removing cover screw • Tissue punch(option)

  17. Standard abutment sulcus former • Height • 1.5-3mm • Diameter • 3.3-4.5 • remain 14 days • Compact-standard

  18. compact • Standard • Cover screw remaining

  19. Option • Membrane screw for GBR

  20. ANKYLOS –Standard Abutment System

  21. Concept • ANKYLOS implant system includes two abutment system based on the conical connector • Standard abutment system • Balance abutment system • Main difference • Technique for transferring the implant position to the lab. • Abutment level impression • Implant level impression

  22. Actual cases

  23. Abutments for chairside selection • Placed prior to impression • Superstructure is fabricated on implant analog • Tapering sulcus section provides for a maximum amount of tissue and firm gingiva • Vertical groove prevents the crown from rotating • Conical connector provides for bacteria proof, anti-rotation • Superstructure can be screw-retained or cemented

  24. Straight abutment • One-component abutment • Used for single crown • Retained with an occlusal screw • 25 Ncm torque

  25. 15° preangled abutment • Two-component abutment (with central straining screw) • Superstructure retained with a lateral screw • 15 Ncm torque

  26. All sulcus former and abutment are made of Ti6Al4V..

  27. Torque • Sulcus former • 6 NCm • Straight abutment • 25 NCm • 15° abutment • 15 NCm • Screw-retained superstructure • 10 NCm

  28. Clinical procedure • Recovering the implant

  29. Removing the cover screw

  30. Placing a try-in abutment

  31. Inserting a compact sulcus former • Emergence height from 1.5 to 6.0(1.5,3.0,4.5,6.0,) • Torque-6 NCm • Removing the sulcus former • After healing period(10-14 days)

  32. Optional procedure • Inserting a standard sulcus former • Cover screw must not be removed

  33. Inserting a straight abutment • 25 NCm • Headless screw shoud be screwed until the superstructure is placed • Prechilled to prevent rotation • 2-3 brief burst of spray at intervals of 5 seconds • Use cooling device

  34. Inserting a preangled abutment • Hold the desired direction with the positioning key • 15 NCm

  35. Fitting the impression cap • Integral retainer • Preangled abutment • Flat side of impression cap must be positioned atop the lateral thread

  36. Impression taking • Transfer • Pick-up

  37. Temporary restorarion • Use plastic temporary cap • Fabricated from a vacuum-formed template taken of the diagnostic wax-up

  38. Superstructure • Following technical section

  39. Crown retained with an occlusal screw(straight abutment) • Unscrew the headless screw • 10 NCm

  40. Crown retained with a lateral screw(15° abutment) • 10 NCm

  41. Cemented crown • Straight • Headless screw • Angled • Gutta percha,cotton..

  42. Model fabrication,solely implant-supported • Shortened groove for 15° abutment • Prior to the model fabrication, the undercut neck area of analog must be blocked out with wax • Position the analog

  43. Gingiva mask • model

  44. Two-piece analog • Seal the underside of the laboratory sleeve with wax to protect it against stone • For the preparation of a saw-cut model the abutment analog and the sleeve must be shortened below the notch

  45. Model fabrication, tooth-/implant-supported • Position analog • Gingiva mask

  46. Pouring with type IV super stone • Sawing out the model

  47. Prepare removable die • Handle for analog • When one-piece analog are used, a second analog is required

  48. Implant supported bridge,screw-retained • Mounting • Remove gingiva mask for good view

  49. Placing wax-up coping • Length marked • Shortening of the wax-up screw

  50. Sealing the hole depending on abutment type • Wax-up

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