Prosthetics

Transkript

Prosthetics

Presentation of the system
SKY Implant system
Every patient has special needs and requirements, which have to be considered when
determining the appropriate treatment.
Younger patients want esthetic closure of gaps to retain their young look as long as
possible.
Older patients who are facing edentulousness still want to enjoy life and therefore
prefer immediate fixed restorations, allowing them to continue participating in their
social life and enjoy eating.
The quality of life of edentulous patients could be considerably increased with the
help of a firmly fixed prosthesis, especially regarding the quality of their nutrition and
the ability to make an untroubled appearance in public.
For us, implant prosthetics starts with the preservation of the hard and soft tissue.
By effectively fighting bacteria with the HELBO therapy, periodontally damaged teeth
can frequently be preserved, and, if this is not possible, the foundation can be laid for
reliable early implant placement.
...gapless...
Aesthetic restoration
...tempting...
Stable teeth: immediately!
Patients with good residual dentition,
for whom the implant restorations are
used to close gaps when there is loss of
a single tooth or edentulous spaces.
Patients who are about to lose their
teeth and who feel too young to wear
dentures, whether implant-supported
or not.
Cover picture: Dr. Alexandros Manolakis, Thessaloniki, Griechenland
2
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SKY system
With the right materials for bone augmentation and the new absorbable membrane
angiopore, we can also provide you with a possibility to reconstruct bone defects
again.
Furthermore, it is possible to ensure that implants are positioned correctly from a
prosthetics point of view, using our prosthetics-oriented implant planning system
SKYplanX, so that the restoration can be carried out in a stable and predictable way.
Surgery
The bredent group has developed various therapeutic concepts for implant prosthetics
in different groups with the philosophy of bringing together and bundling implant
technology and expertise in the dental laboratory, so you may offer the possibility of
optimum care to your patients.
The SKYplanX 3D planning system
offers new opportunities for carrying
out perfect planning on the PC and
then transferring the results reliably
and accurately into clinical practice.
Successful implantology begins with
the careful extraction of the teeth and
the augmentation of the bone:
• materials for bone stabilisation
• materials for repairing damaged bone
• therapeutic concepts for controlling inflammation
Removable
Regeneration
Instruments
Tools
Edentulous patients with ill-fitting
den-tures, who have often resigned
themselves to their supposed fate, are
given a new quality of life with an
implant-supported restoration – either
an economic hybrid prosthesis or an
expensive removable bridge.
Navigated implantation
miniSKY
...in the thick of it...
Quality of life in old age
SKY fast & fixed
Permanent cosmetic restoration
Impression
Model
Prosthetics
overview
Implants
These therapy concepts allow you to provide individual care to your patients and
thereby to rely on standardised procedures, so that a high-degree of cost-effectiveness
results, in order to minimise treatment times and costs and thus to do justice to the
expectations of your patients.
3
The SKY solutions
Bridges on atrophied and jaws with low height
The use of implants placed at an angle, narrow implants and
narrow abutments allows to make optimum use of local bone,
reduce the risk of implant placement and enable the fabrication
of favorably-priced high-quality fixed restorations on just a few
implants.
Removable restorations
Complicated bone augmentation measures can be avoided when
fixing prostheses using narrow implants or implants placed at
an angle, which securely fixes the prosthesis in the local bone.
Excellent posterior support provides a high level of wearing comfort.
Short implants
The implant neck design of the SKY classic implants (8 mm) allows placement at the supracrestal level so that they can be used
in the same way as 6 mm implants.
Transversal/occlusal screw-retained bridges
In addition to the occlusal screw-retained bridges, there is also
the possibility of prefabricated transversal screw-retained bridges, which can be bonded in the mouth in a way to eliminate
stress and secure passive-fit.
4
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SKY system
Individual White-Shade abutments with Off-Peak characteristic
The use of SKY elegance abutments allows the quick and simple
fabrication of individual White-Shade abutments with proper
anatomical designs in the laboratory. The Off-Peak characteristic
enables insertion of these abutments immediately after implant
placement/exposure to that repeated traumatization of the soft
tissue can be avoided.
Narrow gaps
Narrow gaps can be closed in an esthetically appealing manner
using the new narrowSKY implants and corresponding SKY esthetic S and SKY elegance S abutments.
Highly esthetic ceramic restorations
Prefabricated, anatomically shaped ceramic abutments are available for highly esthetic restorations and inexpensive treatment
with implants. Special cases can be restored using laboratoryfabricated individual abutments, which feature a titanium base.
5
Implants overview
Diameter covering
mini 2
2.8
narrow
3.2
3.5 N
narrow
platform
mini 1
2.8
Detailed information can be found in the miniSKY system presentation from page 61 onwards.
6
SKY System
3.5
regular
platform
4.0
regular
platform
4.5
regular
platform
5.5
regular
platform
classic
3.5
regular
platform
4.0
regular
platform
4.5
regular
platform
7
narrowSKY 3.5 N and SKY regular platform
narrowSKY 3.5 N
narrow
3.5 N
Torx® identical
Ø 3,5 mm
3.5 N
Ø 3.5 mm
Ø 4,0 mm
3.5
4.0
narrow
3.5
4.5
5.5
8
SKY System
blueSKY and SKY classic
classic
3.5
3.5
4.0
4.0
4.5
4.5
5.5
Torx® identical
Ø 4.0 mm
Ø 4,0 mm
3.5
4.0
4.5
5.5
3.5 4.0 4.5 5.5
9
Surface
3D osseo connect surface (oc s®)
narrow
0,5 mm
Depending on the implant’s positioning, a corresponding coronal implant design is needed for optimally fulfilling the
requirements of the various hard and soft tissues.
1st dimension
The narrow finished surface
with micro grooves optimally protects the accumulation of epithelial tissue.
µm
1,2
Finished surface  Gingival attachment
0,1 - 0
In this implant position, the soft-tissue attachment takes place predominantly
on the abutment. A soft-tissue cuff is made on the implant for long-term bone
protection.
,2 mm
Isocrestal implant position
1,1
1
0,9
0,8
0,7
0,6
0,5
0,4
0,3
0,2
0,1
0
2nd dimension
The narrowly etched surface
with the uniform velvety
structure stabilizes connective tissue.
µm
Etched surface  Connective tissue stabilization
17,5
15
12,5
10
7,5
5
2,5
0
3rd dimension
The blasted and high-temperature etched surface offers the ideal coarseness
for osseous integration. The
macro grooves support longterm bone preservation.
µm
22,5
Blasted, etched surface  Osseous anchoring
20
17,5
15
12,5
10
7,5
5
2,5
0
10
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SKY System
classic
classic
1,5 mm
Supracrestal implant position
In this implant position, the soft-tissue attachment takes place predominantly
on the implant. For this reason, the coronal implant design must be adapted to
these requirements.
Finished surface  Gingival attachment
µm
1,2
1,1
1
0,5 mm
0,9
0,8
0,7
0,6
1st dimension
The highly finished surface
with micro grooves offers a
wide space for the epithelial attachment and is easy
to clean in the recall.
0,5
0,4
0,3
0,2
0,1
0
Etched surface  Connective tissue stabilization
µm
17,5
15
2nd dimension
The widely etched surface
with the velvety structure
stabilizes connective tissue.
12,5
10
7,5
5
2,5
0
Blasted, etched surface  Osseous anchoring
µm
22,5
20
17,5
15
3rd dimension
The blasted and high-temperature surface offers the
ideal coarseness for osseous
integration.
12,5
10
7,5
5
2,5
0
Excellent hydrophilic properties
The hydrophilic properties of a surface are reliable scientific indicators
for the ability of bone apposition
to a surface. The hydrophilicity of the
blueSKY implant ensures that blood
will cover the entire implant surface
almost immediately after the first
contact.
Competitor 1
Competitor 2
The contact angle of the osseo connect (oc s®) which is considerably
more obtuse than those of competitors’ products confirm the results obtained in clinical tests.
11
Implant design
Ultra-modern implant design with osseo connect (ocs®) surface for
high primary stability and long-term success of implant placement
Conical-cylindrical implant shape
Fast and atraumatic
The double thread allows fast and
uniform insertion of the implant. No
undesired tensile stress is created.
Maximum primary stability
The conical-cylindrical implant shape
and the use of suitable drills provide
the basis for excellent primary stability.
narrow
Double thread
Fast in situ
12
atraumatic in
the cortical
bone
Speed (rpm)
Speed (rpm)
highest torque in
the run-out
SKY System
blueSKY and SKY classic are based on the same tried and tested design and set
with the same instruments.
Kompressionsgewinde
Compression
thread
Improving the bone quality
The bone-quality oriented surgical procedure and the compression thread condense the
bone around the implant site
and hence increase the primary
stability.
classic
Implants and abutments made from
titanium grade 4 (cold-worked)
The perfect system
The exceptional propertis of titanium grade 4 KV (cold formed) provide the basis
for implants, suprastructures, abutments and screws. Special raw materials
are used for these highly stressed components (grade 4, cold formed, bredent
medical).
Titanium
Mechanical properties
Designation Condition
Tensile strength 0,2 % yield limit Elongation at
N/mm2 min.
fracture % min.
N/mm2
Grade 2
345230 20
Grade 3
450300 18
Grade 4
550440 15
Grade 4 KV standard
≥ 680
≥ 520
≥ 12
Grade 4 KV bredent medical
800-900
≥ 700
≥ 10
13
Implant abutment connection
Long-term stable connection
Compared to conical connections with press fit,
the flat connection with protection against rotations provides major advantages for prosthetic
restorations since the vertical height of the abutments is defined, i.e. it is much easier and takes
less time
•to integrate the abutments
• to achieve „passive-fit“ for large-size supra-
structures
Thanks to the very long tube-in-tube connection
(3.5 mm), masticatory forces are directed from the
abutment into the implant in a perfect way:
• well-balanced distribution of forces between the internal connection and the implant; hence fracture of screws is avoided
• no notch stress
• no notch stress at the implant neck which may
cause fracture of the implant neck under unfavorable conditions
14
If screws and screw joints are involved. The Torx® is the gold standard in mechanical engineering and the automotive industry
and in implant dentistry as well.
Torx®: has six large force transfer surfaces
•significantly higher torques for the same force applied
•easier insertion of the implant
•no damage to the internal geometry at a high torque either
Hexagon:
narrow line application
Hexagon:
very high notch stress
SKY System
Advantages of the Torx®
Torx®: wave profile without sharp edges
•no clamping of the implant and insertion instrument
•no damage to the implant
•extended service life of the implant-abutment
connection
Torx®: has an extremely small tolerance
•clearly improved friction fit
•extended durability of abutment and implant
•reduction of loosening of screws
Hexagon:
very large tolerance
For 12 positions
The normal position and
R-versions provide 12
positions for the angled
abutments, which means
that these always can be
optimally orientated.
Normal
position
Torx®
° swiveled
30
+
R-type
abutment
=
12 positions
SKY abutment selection set
With the help of the SKY abutment selection set, the appropriate abutments with the correct orientation can be selected
simply and quickly in the laboratory.
SKY abutment selection set
REF
SKYASET9
15
SKY classic neck design
Prosthetics for every implant position
The crest-like design of the SKY classic implant is particularly
suitable for trans-gingival healing, as both the epithelial tissue
and the connective tissue are optimally attached. The bone is
maintained to a high degree by the blasted and etched surface.
Through the trans-gingival positioning, this implant is also
excellently suitable for use as a short implant in combination
with other longer implants, which can also easily be placed at
bone level. In this way, it is now possible to anchor the 8 mm
SKY classic implants at a depth of 6 to 6.5 mm, so that major and
elaborate surgery can be avoided. These implants are available
with a diameter of 4.0 and 4.5 mm.
Furthermore, the new SKY classic implants simplify implant
insertion if the gingiva is only die-cut. In this case, the insertion
depth can be controlled more easily than when implants are
placed at bone level.
Indication
Short implants in an interlocked
construction, anchored 6.5 mm into
the bone.
The classic SKY implant is ideal to avoid
milling off bone in narrow or uneven
ridges.
The machined section avoids accumulation of plaque to exposed implant
necks.
In transgingival implant insertion, depth
control is made easier.
Supracrestale Position
16
Short implants
In the case of isocrestal positioning of the implant, the shape of
the abutment gains particular importance, in order to achieve
optimum attachment of the soft tissue.
SKY System
narrowSKY / blueSKY neck design
The SKY esthetic abutments offer the ideal prerequisite for this.
With the concave-convex hybrid form and the built-in platform
switch, the surgical need for greater clearance above the implant
is satisfied to achieve optimum attachment of the soft tissue,
on the one hand, and this form provides the dental technician
an optimum prerequisite to achieve optimal aesthetic results, on
the other. The shaping of the gingival proportions is performed
either using the SKY esthetic gingiva former or the SKY temp
abutment with a provisional restoration, or as an individual
gingiva former.
Both have the same diameter as the SKY implant platform, so that
soft-tissue can neither get caught between the implant and the
augmentation while making impressions, nor when integrating
the abutments, and thus the precision of the impression and the
long-term stability of the implant-augmentation interface are
assured.
Moreover the SKY esthetic line offers precision-manufactured
impression abutments with corresponding diameters for open
and closed impressions. This is an impression system comprising
a titanium abutment and a plastic cap which has long and short
screws for the respective impressions and which exels thanks to
the precision during impression taking.
Indication
The crestally structured blueSKY
implant is ideal - for placing the implant flush with the bone - for preserving the bone - for use in the augmented ridge - for improving the primary stability Implant position flush with the bone
Augmented implant site
17
Surgical procedure
Six implants - one set of instruments
classic
mini 1
narrow
mini 2
SKY OP-Kit OT21
REF
18
SKYXOT21
New drilling sequence
Quality-orientated surgical protocol
D1
D2
D3
D4
Chirurgie
Bone density from hard to soft
It is recommended that the transition
area between hard and medium-hard
bone is initially prepared using the drills
D2-D4.
If the torque exceeds 45 Ncm when the
implant is screwed in, the implant should
be removed again and the cavity extended using D1 drills.
This procedure ensures primary stability
in every case and avoids overloading the
bone.
Hard bone
Medium-hard to soft bone
Atraumatic tapping
Prevention of bone overloading during
surgery
Bone compression
Achieving primary stability
Hard bone
Medium-hard and soft bone
D1
D2-4
Atraumatic tapping thanks to
reduced contact area
Apical compression thanks to
increased contact area
Consistently high primary stability
19
Surgical procedure
Surgical protocol
narrow
• optimized, bone quality-oriented set of instruments
and surgical protocol for unsurpassed primary stability
• Drills with detachable drill stops
• Reduction of the number of drills for increased control
and dependability during surgery
Hard bone
REF SKYD1235
300 rpm/min.
3.5
REF SKYD1240
300 rpm/min.
4.0
Medium hard / soft bone
Pilot drill
800 - 1.000 U/min.
Twist-Drill
800 - 1.000 U/min.
Detachable drill stops
REF SKYD3435
300 rpm/min.
3.5
REF SKYD3440
300 rpm/min.
The detachable drill stops are arranged so that they can be easily
taken up with the drill and fastened with one hand thanks to the
cavities in the OP-Tray insert. The ruler on the compartment for
small parts helps to select the correct drill stop easily and quickly.
The drilling depth is approx. 0.7 mm greater than the implant
length.
3.5
20
4.0
4.5
5.5
4.0
REF SKYD1245
300 rpm/min.
4.5
REF SKYD1255
300 rpm/min.
Chirurgie
With the 3.5 diameter blueSKY and SKY classic
implants, the crestal drill is only sunk up to the
laser marking.
The crestal drill is completely sunk in the following implants:
•narrowSKY
•blueSKY 4.0 to 5.5
•SKY classic 4.0 to 4.5
classic
5.5
or
3.5 N
or
3.5
or
4.0
or
4.5
5.5
Crestal drill
300 rpm/min.
REF SKYD3445
300 rpm/min.
4.5
REF SKYD3455
300 rpm/min.
5.5
21
Insertion concept
blueSKY - fast, reliable and
atraumatic implant placement
blueSKY and SKY classic implants come in
double-sterile packaging. They are supplied
in a colour-coded carrier with details of
the applicable length so that mistakes can
be avoided. After opening the Tyvek foil, it
can be directly removed using the SKY TK
insertion instrument.
Removing and screwing in the implant and the
cover screw without changing instruments.
The conical Torx® allows to hold
the implant safely.
22
Open the new double sterile packaging. Remove
the implant with the insertion instrument for the
ratchet or the contra-angle.
The implant is inserted and can be screwed in
immediately.
Use the same instrument to remove the cover
screw ...
... and screw it directly into the implant. Thanks
to the smooth cone the screw needs to be
only slightly tightened and will not get jammed.
Recommended max. torque: 10 Ncm. Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
Ordering information
Twist-Drill
Drill
Drill
3,5
4,0
4,5
5,5
L6
L8
L10
L12
L14
L16
REF
SKYXST06
SKYXST08
SKYXST10
SKYXST12
SKYXST14
SKYXST16
REF
–
SKYS0840
SKYS1040
SKYS1240
SKYS1440
SKYS1640
REF
–
SKYS0845
SKYS1045
SKYS1245
SKYS1445
–
Bone bur rpm/min 800-1.000
REF SKY-DR41
Surgery
Drill and drill stops
Twist-Drill rpm/min 800-1.000
4.1
Pilot drill rpm/min 800-1.000
REF SKY-DP06
3.5 short
REF SKY-DP08
3.5 long
Drill for hard bone rpm/min 300
REF SKYDT13L
1.3
REF SKYDT23K
2.25 short
REF SKYDT23L
2.25 long
Drill for medium hard and soft bone rpm/min 300
REF SKYD1235
3.5
REF SKYD1240
4.0
REF SKYD1245
4.5
REF SKYD1255
5.5
REF SKYD3435
3.5
REF SKYD3440
4.0
REF SKYD3445
4.5
REF SKYD3455
5.5
SKY Drill extension
Crestal drill rpm/min 300
REF SKYCD35n
narrowSKY
3.5 N
REF SKYXCD35
blueSKY, SKY classic
3.5
REF SKYXCD40
4.0
REF SKYXCD45
4.5
REF SKYXCD55
blueSKY, SKY
5.5
REF SKY-DV12
23
Order Information
narrowSKY 3.5 N
Cover screw for narrowSKY Implants
3.5 N
3.5 N
Length 10 mm
REF nSKY3510
Length 12 mm
REF nSKY3512
Length 14 mm
REF nSKY3514
Length 16 mm
REF nSKY3516
The implant includes the cover screw.
blueSKY
3.5
4.0
Length 10 mm
REF bSKY 3510
Length 8 mm
REF bSKY 4008
Length 12 mm
REF bSKY 3512
Length 10 mm
REF bSKY 4010
Length 14 mm
REF bSKY 3514
Length 12 mm
REF bSKY 4012
Length 16 mm
REF bSKY 3516
Length 14 mm
REF bSKY 4014
Length 16 mm
REF bSKY 4016
SKY classic
3.5
24
4.0
Length 10 mm
REF kSKY3510
Length 8 mm
REF kSKY4008
Length 12 mm
REF kSKY3512
Length 10 mm
REF kSKY4010
Length 14 mm
REF kSKY3514
Length 12 mm
REF kSKY4012
Length 16 mm
REF kSKY3516
Length 14 mm
REF kSKY4014
Length 16 mm
REF kSKY4016
Implants
5.5
4.5
Length 8 mm
REF bSKY 4508
Length 8 mm
REF bSKY 5508
Length 10 mm
REF bSKY 4510
Length 10 mm
REF bSKY 5510
Length 12 mm
REF bSKY 4512
Length 12 mm
REF bSKY 5512
Length 14 mm
REF bSKY 4514
Cover screw
for blueSKY and SKY classic implants
3.5
4.5
Length 8 mm
REF kSKY4508
Length 10 mm
REF kSKY4510
Length 12 mm
REF kSKY4512
Length 14 mm
REF kSKY4514
4.0
4.5
5.5
Cover screw is incorporated into the implant.
25
Prosthetics overview
blueSKY + SKY classic
with platform switch
narrowSKY + blueSKY + SKY classic
Laboratory implant / gingiva former / impression abutments
SKY aesthetic impression abutme
SKY prov / SKY elegance
SKY aesthetic abutments
SKY elegance
SKY elegance
SKY scan / CAD abutments
SKY zirconium abutments
R
SKY uni.cone
SKY Locator®
26
blueSKY + SKY classic
without platform switch
ents
Gingiva former / impression abutments
SKY temp / gingiva former
Prosthetics
overview
R
SKY titanium abutments
R
R
SKY fast & fixed
R
SKY Locator® / SKY ball head attachments
27
Prosthetics
Impression and model fabrication
Impression abutment for open
impression incl. screw
13.75 mm
REF SKY-PA10
11 mm
18.75 mm
11 mm
blueSKY
SKY classic
Impression abutment for
open impression incl. screw
REF SKY-PA20
Implant analog
The impression abutment for closed impressions with prefabricated trays
simplifies repositioning thanks to:
• distinctive flat sides
• deep horizontal groove
• deep vertical groove
The impression abutment for open impressions with individual trays excels
by:
• distinctive retentions
• short Torx® for divergent
implants
REF SKY-IA4 0
Screw - impression abutment
open tray, short
6 pieces
REF SKY-PS18
Material: Titanium
Torque: 10 Ncm
The implant analog guarantees precision thanks to
• distinctive retentions
• protection against rotation
Perfect results both for open and closed impressions.
28
narrowSKY
blueSKY
SKY classic
blueSKY
SKY classic
new
SKY esthetic impression abutment S (narrowSKY),
open trays, with trapped screw, 24 mm long
10 mm
REF SKYESPA1
SKY esthetic impression abutment M open tray,
with integrated screw, 24 mm long
SKY esthetic impression abutment L open tray,
with integrated screw, 24 mm long
For the impression of SKY esthetic abutments, appropriate impression abutments for open and closed trays are available for each diameter. The impression abutments feature the following characteristics:
Impression
Model
10 mm
REF SKYEMPA1
10 mm
REF SKYELPA1
• The sulcus shape of the impression abutment is based on the SKY
esthetic Line
• The abutment has coronal retentions; suitable impression copings can snap in these retentions.
• The copings can be aligned in 6 positions so that impressions can
also be taken in small gaps without any problem
• The impression abutments are available in the diameters M and L, for open and for closed trays
• The screws are retained safely in the impression abutments so that they cannot fall out during the application
SKY esthetic impression
open trays, screw 18 mm short
6 pieces
REF SKYAPS18
SKY esthetic impression coping
open tray
10 pieces
REF SKYEAK11
10 mm
10 mm
SKY esthetic impression abutment S (narrowSKY)
closed trays, with trapped screw
REF SKYESPA2
10 mm
SKY esthetic impression abutment M
closed tray, with integrated screw
10 mm
REF SKYEMPA2
Material: Titanium
Torque: 10 Ncm
SKY esthetic impression abutment L
closed tray, with integrated screw
REF SKYELPA2
SKY esthetic impression coping
closed tray, 10 pieces
REF SKYEAK22
29
Prosthetics
Modular system - Gingiva formers to
create the basis for bars and bridges
blueSKY
SKY classic
4 mm
Gingiva former height 2 mm
incl. screw
2 mm
REF SKY-GF02
incl. screw
4 mm
REF SKY-GF04
incl. screw
6 mm
Gingiva formers in 3 distance heights
• 2 mm – yellow
• 4 mm – silver
• 6 mm – red
REF SKY-GF06
Material: Titanium
Torque: 10 Ncm
Also serves as the basis for bar constructions and ball attachments.
The horizontal notch prevents the gingiva former detaching from the implant
when the bar construction is integrated.
Photo: Dr. Borrmann, Kornwestheim (DE)
Enhanced gingival conditions for bar structures and resto rations with
ball attachments.
Reduction of the large number of components.
30
SKY aesthetic gingiva former
narrowSKY
blueSKY
SKY classic
blueSKY
SKY classic
new
narrow platform
4.3 mm
regular platform
SKY esthetic Gingivaformer S (narrowSKY)
size S 2
REF SKYESG02
2 mm
4.5 mm
3 mm
5.2 mm
4 mm
REF SKYEMG02
size S 3
4.5 mm
SKY esthetic gingiva former M
size M 2
2 mm
5.7 mm
REF SKYESG03
Impression
Model
The SKY esthetic gingiva former ensures the optimum arrangement of the emergence
profile for the later application of the SKY esthetic abutments.
The SKY aesthetic gingiva former in size S with the narrow platform has the same
diameter as the SKY esthetic abutments. Gingiva formers M and L have the regular
platform.
size M 3
REF SKYEMG03
3 mm
size S 4
5.7 mm
REF SKYESG04
REF SKYEMG04
4 mm
6.5 mm
size M 4
SKY esthetic gingiva former L
size L 2
REF SKYELG02
2 mm
7.2 mm
size L 3
REF SKYELG03
3 mm
7.2 mm
4 mm
size L 4
REF SKYELG04
Material: Titanium
Torque: 10 Ncm
31
Prosthetics
Therapeutic concept… gapless…
The success of individual and group prophylaxis throughout
the world will radically change the spectrum of treatment in
dentists’ practices in the coming years. Young patients, who
for various reasons suffer tooth loss, will mostly have healthy
adjacent teeth, so that a conventional bridge is not indicated for
ethical reasons.
Furthermore, the number of young patients in developed
countries will decrease with demographic change. In Germany,
the number of under-20 year olds will go down from 30 % in
1970 to 15 % in 2050.
...gapless...
With the increasing awareness for oral health, the demands
placed on aesthetic and functional results in dental care will
also increase. In this case, the provider is required to clarify and
take the wishes and fears of the patient into consideration in the
therapy plan before treatment begins, and to harmonise these
with the financial possibilities available.
With just a few components, the SKY implant system offers
a wide range of possibilities for the restoration of individual
teeth and small tooth-bonded gaps. These extend from titanium
abutments, to SKY esthetic abutments or even individual
abutments prepared in the dental laboratory so that you can
offer the right implant-supported solution for all needs.
DMF-T
0
7
6
5
4
3
2
1
0
1983
1987 1989
1992
1995 1997
2000
2004 2005
Number of teeth with dental caries (DMF-T) in 12-year olds in
Germany. Source: KZBV 2008
Furthermore, the bredent group provides with the visio.lign
veneers a possibility to fabricate high-quality and aesthetic
restorations, using different kinds of crown base materials,
which are also relatively reasonably priced.
%
40
35
30
25
20
30,4
28,4
30,0
26,8
21,7 21,1
19,4 18,3
15
16,9 16,6 16,0
15,4
Full-ceramic restoration with
individual abutments and
temporary restoration
> 3.000 E
Augmentative procedure
+ individual abutments
+ full ceramic
10
5
0
whiteSKY full ceramic
1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050 2060
1.000 - 2.000 E
Frequency of under-20 year olds in Germany.
Source: KZBV 2008
Metal-ceramic crowns
visio.lign crown
on NPM basis
< 1.000 E
SOLUTIONS
32
SKY temp
narrowSKY
blueSKY
SKY classic
blueSKY
SKY classic
new
SKY temp S
incl. screw 2.2
7 mm
REF SKYtemps
2 mm
4 mm
SKY temp M
incl. screw 2.2
6 mm
3 mm
The ideal basis for temporary restorations.
The demands patients make on implant restorations are constantly
increasing. Owing to obligations in their jobs and social lives, numerous patients
want to reduce the period of having a gap in their dentition. Temporary restorations are an attractive alternative to achieve this goal. These plastic abutments
are also ideal for the modern concepts used in implantology, such as “progressive
loading” or “immediate loading”.
REF SKYtempM
SKY temp L
incl. screw 2.2
5.3 mm
3.7 mm
Perfect contour of the gingiva thanks to three prefabricated designs. The
extra-smooth surface avoids irritation of the gingiva. Simple and fast
fabrication of temporaries.
REF SKYtempL
7 mm
SKY temp - as individual gingiva former
5.5 mm
Material: POM
Torque: 18 Ncm
SKY temp is also the perfect basis for individual gingiva formers to fulfil high
demands on red/white esthetics.
SKY prov S
inc. screw 2.2
5.8 mm
REF SKYprovs
3 mm
3.5 mm
Available from autumn 2013
SKY prov S
The new SKY prov S temporary abutments are manufactured from a High Performance Polymer (HPP) in the form of the SKY aesthetic abutments, in order to
offer short and long-term temporary measures. These are also suited to use with
narrowSKY implants due to the narrow platform.
33
Prosthetics
SKY Titanium abutments
R
R
Abutment O° incl. screw 2.2
10 mm
blueSKY
SKY classic
REF SKY-PO00
15°
10 mm
Abutment 15° incl. screw 2.2
REF SKY-PO15
R
Abutment 15° R
incl. screw 2.2
Wide-based SKY titanium abutments are ideal for supra-crest implants, as
they form a relatively wide crown base at the gingival emergence. With the
three available angulations
REF SKY-PO16
turned by 30°
• 0°
• 15°
• 25°
all relevant clinical restorations can be covered. This is also supported by the
R-abutments, where the torque is turned 30°, so that 12 prosthetic positions
are provided with inclined abutments.
10 mm
Choosing the correctly orientated abutment has been simplified by means of
the SKY abutment selection set (page 15).
25°
Abutment 25° incl. screw 2.2
REF SKY-PO25
R
Abutment 25° R
incl. screw 2.2
REF SKY-PO26
turned by 30°
Material: Titanium
Torque: 25 Ncm
34
SKY aesthetic abutments
narrowSKY
blueSKY
SKY classic
blueSKY
SKY classic
R
new
R
REF SKYnES00
3 mm
SKY esthetic Abutment M 0°
incl. screw 2.2
6 mm
6 mm
SKY esthetic Abutment S 0° (narrowSKY)
incl. screw 2.2
REF SKY-EM00
3 mm
5.5 mm
4.5 mm
15°
15°
REF SKYnES15
3 mm
SKY esthetic Abutment M 15°
incl. screw 2.2
6.5 mm
6 mm
SKY esthetic Abutment S 15° (narrowSKY)
incl. screw 2.2
With implants which are positioned at bone level, SKY esthetic abutments
offer optimum conditions to achieve excellent aesthetics. Thanks to the
platform switch and the concave-conveax hybrid form, the soft tissue has
sufficient space for it to attach accordingly. The edge of the crown can be
placed very deeply so that optimum red-white aesthetics can be achieved.
REF SKY-EM15
3 mm
5.5 mm
4.5 mm
R
R
SKY esthetic Abutment S 15° R
(narrowSKY) incl. screw 2.2
REF SKYnES16
SKY esthetic Abutment M 15° R
incl. screw 2.2
REF SKY-EM16
turned by 30°
SKY esthetic Abutment L 0°
incl. screw 2.2
6 mm
turned by 30°
Material: Titanium
Torque: 25 Ncm
REF SKY-EL00
3 mm
7 mm
Material: Titanium
Torque: 25 Ncm
35
Prosthetics
SKY elegance abutment –
White-Shade and Off-Peak
The individual design options and white color of BioHPP provide
perfect preconditions for esthetic reconstructions. Using conventional dental methods, esthetic, individual abutments can be
molded and pressed quickly and safely in the for 2 press unit.
The low investment costs of the for 2 press unit and the familiar
processing steps enable the use in every laboratory.
Moreover, prefabricated abutments in the design of the SKY esthetic line will be available from autumn 2013. These abutments
can be easily modified by the user in accordance with the gingival line.
All types of crown and bridge restorations can be placed on the
individual and the prefabricated abutments, from BioHPP restorations with veneers from the visio.lign veneering system to
ceramic bridges and crowns. The Off-Peack characteristics of
BioHPP enable the fabrication of reliable and durable restorations for the entire range of indications mentioned above; such
restorations offer patients superior comfort since stress is reduced considerably during chewing.
Titanium abutments
F [N]
SKY elegance
Abutment
Off-Peak characteristic:
Maximum loading of the implant is reduced due to the cushioning effects of the High Performance Polymer, BioHPP. The abutment can be inserted as a temporary abutment immediately after
the implant has been inserted, and does not subsequently need
to be removed. The attached gingiva in the sulcus is not disturbed – the optimum basis for long-term bone preservation.
t [S]
Photo: Labor Schwindt, Landau (DE)
36
Photo: Dr. Lerner, Baden-Baden (DE)
SKY elegance individual abutments
narrowSKY
blueSKY
SKY classic
blueSKY
SKY classic
new
5.8 mm
Using standard dental procedures, the
perfect design of the individual abutment can be fabricated on the SKY
elegance titanium base in just a few
minutes. The SKY esthetic titanium
base can be used on narrowSKY as well
as blueSKY and SKY classic with platform switch.
The abutment is then fabricated in the
for 2 press unit.
REF SKYETB00
3.5 mm
SKY elegance prefabricated abutments
5.5 mm
SKY elegance M Abutment
incl. screw 2.2
9.4 mm
REF SKYEEM00
3.5 mm
SKY elegance M 15° Abutment
incl. screw 2.2
5.5 mm
9.4 mm
The prefabricated BioHPP abutments,
which can be customized easily and
quickly, provide new options for restorations.
These abutments can be simply and
quickly adapted to the gingival line
in the mouth using diamond instruments.
SKY elegance titanium base
3.0 mm
SKY elegance S Abutment
incl. screw 2.2
REF SKYEES00
REF SKYEEM15
Material: Titanium
Torque: 25 Ncm
3.5 mm
7 mm
9.4 mm
9.4 mm
4.5 mm
SKY elegance individual abutments
SKY elegance L Abutment
incl. screw 2.2
REF SKYEEL00
4.0
3.5 mm
SKY elegance S 15° Abutment
incl. screw 2.2
REF SKYEES15
3.5 mm
Available
from autumn 2013
37
Prosthetics
Cast-on abutments
9,5 mm
blueSKY
SKY classic
Abutment, cast-on
incl. plastic coping
and screw 2.4
REF SKY-PV00
3.5 mm
With cast-on abutments, difficult individual clinical situations can
also be easily handled from a prosthetic point of view.
Screw 2.4
6 pieces
REF SKY-PS22
This is held securely on the metal base by the screw connection
to the sleeve, so that modellation of the individual abutment can
be made quickly and safely. The burn-out plastic sleeve is provided
already mounted.
Technical data: Torque: Melting interval 1400 - 1490 °C
WAK (thermal expansion coefficient)
11.9 – 12.2 10-6K-1
(Au 60 %, Pd 20 %, Pt 19 %, Ir 1%)
Weight: 0.33 g
25 Ncm
Photo: Dr. Vogel, Neu-Isenburg (DE)
38
SKY uni.fit Abutment
blueSKY
SKY classic
10.2 mm
REF SKYUFA00
Material: Titanium
Torque: 25 Ncm
Can be used with all CAD/CAM systems, copy milling units and casting
techniques. Individual abutments
made of zirconiumdioxide and titanium can be fabricated.
SKY uni.fit Abutment
incl. screw 2.2
4.2 mm
Fast and simple fabrication of laboratory-made individual abutments.
Thanks to 1° cone, all surfaces are
easy to scan and mill.
Modelling the individual abutment
with compoForm UV and SERACOLL
UV.
Photo: Dr. Alius, Nürnberg (DE)
39
Prosthetics
SKY uni.fit Scan Abutment
narrowSKY
blueSKY
SKY classic
new
SKY uni.fit
Scan-Abutment
extraoral
13 mm
Extra-oral:
The position of the implant on the model
is safely and reliably scanned extra-orally
using three-point referencing.
Position, location and axial orientation of the
implant in the virtual model are determined by
means of three-point referencing.
REF SKYUSCAE
3.5 mm
Material: PEEK
Torque: 10 Ncm
8 mm
SKY uni.fit Scan-Abutment
intraoral
1 piece
REF SKYUSCAI
Three-point
referencing
SKY fast & fixed
Scan cap
intraoral / extraoral
12 mm
Intra-oral:
The CAD software recognizes the association of implant location and position using
record identification.
3.5 mm
REF SKYFSCIE
5.7 mm
12 mm
SKY uni.cone
Scan cap
intraoral / extraoral
1 piece
REF SKYUSCIE
4.5mm
40
Material: PEEK
Torque: 10 Ncm
SKY uni.fit CAD abutment
narrowSKY
blueSKY
SKY classic
new
REF SKYUFCAD
4 mm
Material: Titanium
Torque: 25 Ncm
Space for
excess
adhesive
SKY uni.fit
CAD Abutment 3.5
REF SKYUFA35
Material: Titanium
Torque: 25 Ncm
10 mm
Small design with maximum adhesive
surface for reliable long-term bonding. Parallel-walled with optimized
radii to ensure perfect milling in CAM
systems.
Rotation stop on
two sides results in a
uniform adhesive gap.
SKY uni.fit
CAD Abutment
4.5 mm
The SKY uni.fit CAD Abutment is particularly suitable for CAD/CAM design
and fabrication of individual abutments made of zirconia. The individual
abutment is luted to the prefabricated
adhesive base in the laboratory.
Rotation stop on one
side results in a nonuniform adhesive
gap.
Uniform
adhesive gap
Non-uniform
adhesive gap
Important:
The SKY uni.fit scan abutments and SKY uni.fit CAD abutment will be available
from the libraries of the following CAD/CAM systems from spring 2013:
• exocad
• Dental Wings
• 3 shape
41
Prosthetics
SKY Zirconium abutments
blueSKY
SKY classic
R
R
5.5 mm
9.1 mm
SKY zirconium abutment 0°
with screw 2,2
REF SKYZA000
3.8 mm
9.1 mm
R
R with screw 2,2
REF SKYZA00R
Clinical experience with the SKY uni.fit abutment has shown that the bonded
joint in the dental laboratory functions very well. Thus, the SKY zirconium
abutments have been further developed according to the same concept.
Important:
The SKY zirconium abutments must not be subjected to grinding as the
minimum wall thickness is required in order to guarantee long-term
stability.
42
with screw 2,2
9.1 mm
REF SKYZA150
R
9.1 mm
• A prefabricated zirconium abutment is bonded to a titanium base
• The form of the zirconium abutment is based on the SKY esthetic Line,
however, it has a vestibular sunken shoulder, in order to avoid
extensive etching of the zirconium. Costly grinding of the zirconium is
eliminated.
• The titanium bonding base is also available as a 30° swivelled Torx–R version
so that 12 positions are available for prosthetic restorations. The R-version
is marked yellow.
• The bonding base has a reduced platform diameter so that a platform switch
results, whereby aesthetic results in narrow gaps and narrow implants are
improved.
• Dentine materials are colored.
SKY zirconium abutment 15° R
with screw 2,2
REF SKYZA15R
Material: Titanium + ZiO2
Torque: 25 Ncm
Therapeutic concept... tempting...
Patients who are about to lose all their teeth are a highly
interesting customer group for any dental practice. As various
scientific studies have shown, these patients are very dissatisfied
with their oral health. They often have either a strongly reduced
residual dentition, or have severe periodontal damage to the
teeth.
Periodontosis is the new widespread disease with a dramatic
growth rate in the last few years, which mainly affects patients
in the 40 to 60-year old age group, who are in the prime of life.
The incidence of patients with strongly reduced residual dentition
is wide-spread. In Germany, the generation “50 plus” has only 4
to 5 teeth per jaw on average and is already edentulous at 64.
These patients are very afraid of losing all their teeth. On the one
hand, they still feel quite young, on the other hand, a removable
prosthesis means “You are old!”; for this reason, even implantsupported removable prostheses do not meet all patient needs
– they want a snug-fitting restoration right from the start, if at
all possible.
OHIP-value
8
7
6
4
3
2
1
0
28,5
22,5
18,5
12,5
4,5
Number of natural teeth.
Source: Steele et al.: How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national
samples.
> 30.000 E
Edentulous jaw with intensive
augmentative measures
Incl. definitive restoration
10.000 - 20.000 E
< 5.000 E
This means that patients will no longer have to be without any
teeth, even for just a day, and they will always have a secure
restoration in their mouth. Psychologically, this is very important.
With the provisional restoration, patients already feel a definite
improvement in their oral situation and are then often prepared
to spend more money for the definitive restoration. These
patients are also very pleased to further recommend this form of
treatment by word of mouth.
SKY fast & fixed
With SKY fast & fixed, you are certain to be able to satisfy these
wishes. Extraction, implantation and provisional restoration with
an immediately stable bridge are performed in one day.
5
Through the reduced number of implants and the avoidance
of augmentation in conjunction with a high degree of
standardisation of procedures, both in dental practice and
laboratory, SKY fast & fixed is a therapy concept, which, on the
one hand, is financially accessible for very many patients and, on
the other hand, generates a high contribution per practice hour
for both practice and laboratory.
Removable
solutions
SOLUTIONS
Book
Immediate restoration with reduced number of implants
Authors:
Dr. Georg Bayer
Dr. Frank Kistler
Dr. Steffen Kistler
Stephan Adler
Dr. Jörg Neugebauer
REF 992 9710 D
43
Prosthetics
SKY fast & fixed –
the prosthetic solution for every occasion
0°
17,5°
35°
Allow yourself prosthetic freedom
The new SKY fast & fixed abutments with horizontal circumferential groove gives
you all the options for your screw-retained prosthetic restoration:
• Occlusal or transversal screw retention with just one abutment. For example,
the long-term temporary restoration can firstly be screwed from the occlusal
and then the definitive restoration from the transversal direction. The new
SKY fast & fixed abutment offers you unlimited flexibility.
• Perfectly suited for the following substructure materials: titanium, NPM, gold, zirconium oxide and BioHPP.
• Passive fit is always achieved, regardless of the material, as the substructure is bonded in situ.
B
A
C
Self-centering transversal screw retention
Transversal screw retention is a bolting principle. The thread for the bolt screw is
located in the bridge framework. The bolt screw (A) and the cylindrical surfaces
(B and C) form a compact unit. The prosthetic coping is fixed by triple point
attachment with the bolt screw (A) and the short cylindrical surfaces (B and C)
to avoid tilting. At the same time, the short cylindrical surfaces ensure that the
coping is self-centered (passive fit) when it is placed on. Thanks to the slightly
inclined position of the bolt screw, the prosthetic coping is pressed on the
abutment platform and gap formation is avoided when it is tightened.
Simple application
A click that can be easily heard and felt indicates reliable fit when the framework
is attached or removed. Reliable retention thanks to passive fit.
The design enables the user to remove and reposition the restoration without
removing the bolt screw from the framework, which significantly reduces the
risk of swallowing the bolt screws. The design also guarantees fast and simple
removal and insertion of the restoration.
44
New heights – straight abutments
The straight SKY fast & fixed abutments are now available in gingiva heights of
1, 2, and 4 mm. This enables dentists to fabricate restorations with a consistent
quality and patients will receive top-quality restorations.
2
4
Improved prosthetic copings
Within the scope of our ongoing market analysis, we have optimized the
prosthetic copings. In the cervical area they have a short cylindrical section with
an index to be used as the basis for the temporary restoration. When fabricating
the definitive restoration, the cylindrical section can be easily customized to
achieve better aesthetic results.
Improved SKY fast & fixed laboratory analog
The SKY fast & fixed laboratory analog has the same coronal form as the SKY
fast & fixed abutments, so that once again we have been able to significantly
simplify impression and model manufacturing. The SKY fast & fixed laboratory
analog can now set a bone more simply and securely, even when the impression
material protrudes over the abutment margin.
SKY fast & fixed
1
45
Prosthetics
SKY fast & fixed
blueSKY
SKY classic
SKY fast & fixed abutments
The SKY fast & fixed titanium prosthetic coping provides the basis for the fast
and secure restoration of temporary bridges, which are occlusal screw-retained
using SKY fast & fixed abutments. The one-piece straight abutment is screwed
directly in the implant and is now available in gingiva heights of 1, 2, and 4 mm.
All abutments have the same cone, which can reconcile divergences of +/- 10°.
SKY f & f
Angulation aid set 35°
Screw M 1.4
6 pieces
REF SKYFFS35
25 mm
REF SKYFFSPK
REF SKYFFPKT
SKY f & f
Prosthetic coping
HSL cast-on
12.4 mm
SKY f & f
Prosthetic coping
Resin burn-out
12.4 mm
12.4 mm
SKY f & f prosthetic coping, titanium
with screw M 1.4,
Silicone tubing
1 piece each
REF SKYFFPKH
REF SKYFFPKK
5.65 mm
5.65 mm
5.65 mm
Technical data: Melting interval 1770 - 1800 °C
WAK (thermal expansion coefficient) 9 10-6K-1
Material: Pt 90 % / Ir 10 %
Weight: 0,59 g
5.65 mm
SKY f & f Abutment 0°
height 1 mm
with integrated screw
1 piece each
3.7 mm
1 mm
REF SKYFT001
2 mm
height 2 mm
1 piece each
REF SKYFT002
4 mm
height 4 mm
1 piece each
REF SKYFT004
blueSKY
46
blueSKY
SKY classic
SKY f & f
Impression coping
open tray
REF SKYFF0AK
SKY f & f
Gingiva former
6 mm
11 mm
10.3 mm
SKY f & f impression coping
Closed tray
REF SKYFFAOL
REF SKYFFGF2
5.65 mm
5.65 mm
SKY f & f
laboratory analog
Screw driver
long
Allen 0.9
5.1 mm
6.1 mm
SKY f & f
Prosthetic coping
transversal screw-retained
REF SKYFTPKS
Screw driver
Allen 0.9 for transversal
screw retention*
SKY fast & fixed
REF SKYFFTLA
REF 310W0106
REF 310 0010 6
5.7 mm
5.65 mm
3.7 mm
3.7 mm
3.7 mm
m
blueSKY
REF SKYFT173
3.7 mm
5m
SKY f & f
Abutment 35°
height 4 mm
with screw 2.2
1 piece each
m
SKY f & f
Abutment 17,5°
height 5 mm
with screw 2.2
1 piece each
4m
5 mm
3 mm
SKY f & f
Abutment 17,5°
height 3 mm
with screw 2.2
1 piece each
5.65 mm
SKY f & f
Abutment 35°
height 5 mm
with screw 2.2
1 piece each
blueSKY
REF SKYFT175
REF SKYFT354
REF SKYFT355
47
Prosthetics
SKY uni.cone abutment system
narrowSKY
blueSKY
SKY classic
new
In addition to the SKY fast & fixed abutment system, we now
also offer the SKY uni.cone system with a reduced diameter of
4.5 mm, so that now high-quality esthetic restorations - both
occlusal and vertical screw retention types - can also be easily
and quickly fabricated and used for atrophied jaws.
The SKY uni.cone abutment system is copper-color anodized for
better distinction in the patient's mouh and in the laboratory.
A typical application for SKY uni.cone is the combination with
SKY fast & fixed in the lower jaw. Implants placed at an angle
are attached to the normal SKY fast & fixed abutments and the
SKY uni.cone abutments are placed on the straight abutments in
the corresponding height.
48
narrowSKY
blueSKY
SKY classic
new
SKY uni.cone
Impression coping
open tray
REF SKYUCAOL
11 mm
REF SKYUCAGL
SKY uni.cone
Gingiva former
6 mm
10.3 mm
SKY uni.cone impression coping
Closed tray
REF SKYUCGF2
4.5 mm
4.5 mm
SKY uni.cone
laboratory analog
Screw M 1,4
6 pices
REF SKYUCTLA
REF SKYFFSPK
Screw driver
long
Allen 0.9
SKY uni.cone
Prosthetic coping
transversal screw-retained
5 mm
REF SKYUCPKS
4.5 mm
Screw driver
Allen 0.9 for transversal screw
retention*
REF 310 0010 6
REF 310W0106
REF SKYUCPKK
REF SKYUCPKT
4.5 mm
4.5 mm
SKY uni.cone
Prosthetic coping
HSL cast-on
1 piece each
12.4 mm
SKY uni.cone
Prosthetic coping, resin
1 piece each
12.4 mm
12.4 mm
SKY uni.cone
Prosthetic coping, titanium
1 piece each
Silicone tubing
REF SKYUCPKH
Removable
Available from autumn 2013
4.5 mm
Technical data:
Melting interval 1770 - 1800 °C
9 10-6K-1
Material: Pt 90 % / Ir 10 %
Weight: 0,59 g
3,7 mm
1 mm
SKY uni.cone
Abutment 0°
height 1 mm
SKY uni.cone
Abutment 0°
height 2 mm
2 mm
REF SKYUC001
narrowSKY
3 mm
REF SKYUC002
blueSKY
SKY uni.cone
Abutment 0°
height 3 mm
REF SKYUC003
SKY classic
49
Prosthetics
SKY fast & fixed
One would actually expect that most people will become
increasingly dissatisfied with their oral situation with a
decreasing number of teeth and increasing age. This is not the
case, however, as has been demonstrated by the OHIP value,
whereby increasing satisfaction has been shown with increasing
age. This result is explained in the scientific literature by the
fact that in addition to becoming gradually accustomed to an
inadequate oral situation, resignation also occurs to a large
degree, as dental measures often only have a short-window of
success, as the strongly decreasing frequency of consultations to
dental practices has also confirmed. In addition, senior citizens
frequently have considerably more serious diseases to contend
with, such as e.g. cardiovascular disease, diabetes, etc. which is
highlighted by the increased frequency of visits to the doctor.
...in the thick of it...
OHIP = Oral Health Impact Profile stands for: physical handicap,
psychological handicap (beauty), social handicap (high value - big
problem).
The prosthesis could, however, be stabilised and fixed in older
edentulous patients by a few implants and the corresponding
retaining elements, such as e.g. locator, stud-head or bar. In
patients, who have been edentulous for a longer time, a lot can
also be achieved using mini-implants without much surgical
effort.
OHIP-value
9
8
7
6
5
4
3
2
1
0
A study of oral health by Dr. Saal in Hamburg on 1,024 corpses
at the crematorium brought the alarming result that only 37%
of the deceased possessed a good oral state of health, but that
63% had died with a poor or even desolate state of restorations.
Incidentally, only 1.3% of the dead persons had implants.
<30
30-49
50-69
70+
Age (years)
Quelle: Steele et al.: How do age and tooth loss affect oral health
impacts and quality of life? A study comparing two national
samples.
The difficulty with these patients lies in addressing them. On
the one hand, they come more seldom to the practice and, on
the other hand, it is necessary to convince them that it still pays
for them to invest in their oral health and to bring them out
of their resignation. A lot can also be achieved by speaking to
both the children and the grandchildren. The positive effects on
the general state of health, which is brought about by better
nutrition and is made possible with a fixed prosthesis, should
be particularly emphasized. In this circle of customers, however,
recommendation plays a considerable role, as senior citizens like
to talk about their health. A successfully treated patient can lead
to many more new patients.
Study of 1,224 corpses > 60 years of age in Hamburg, Germany
Consultation rate (%)
100
90
desolate 27 %
good 37 %
Physicians
80
70
60
Dentists
50
40
0-14
15-24 25-34
35-44 45-54
Age (years)
Source: Federal Office for Statistics.
50
55-64
65-74
75+
poor 36 %
Source: Dissertation Dr. Saal Hamburg
Ball attachments
blueSKY
SKY classic
2.25 mm
3.6 mm
Ball attachment
directly screwed
height 0 mm
REF SKY-KA00
2.25 mm
Ball attachment
height 2 mm
2 mm
REF SKY-KA02
Based on the gingiva former, the patrix is screwed in after replacing the
screw.
Various matrix systems are available:
2.25 mm
Ball attachment
height 4 mm
• SKY metal housing with O-ring
• SKY precious metal matrix
REF SKY-KA04
4 mm
Improved soft tissue situation thanks to the use of the gingiva former - healing process is not affected.
Individually adjustable resilience according to the patient‘s needs. Inserts can
be easily exchanged.
5.2 mm
Indication
Metal housing
with O-ring
O-rings
6 pieces
REF SKY-OR50
REF SKY-OR55
3.25 mm
2.5 mm
Removable
fixation of restorations
SKY precious metal matrix
REF SKYGM225
3 mm
SKY precious metal matrix activator
REF SKYGMAKT
SKY precious metal matrix deactivator
REF SKYGMDEA
51
Prosthetics
SKY Locator®
blueSKY
SKY classic
Due to its low structural height,
the SKY Locator® offers excellent
possibilities for fixing prostheses in
many cases.
SKY Locator® Processing set
0°-10°, 2 pieces
REF LOCLAB10
With the built-in platform switch, the
soft tissue has optimum conditions for
successful attachment.
SKY Locator® Processing set10°-20°,
2 pieces
The 3 gingival heights of 2, 4, and
6 mm cover all of the relevant clinical
situations.
REF LOCLAB20
3.9 mm
SKY Locator® Abutment
Gingiva height 2 mm
2 mm
REF LOCZAB02
4 mm
Photos: Dr. Alius, Nürnberg (DE)
Gingiva height 4 mm
REF LOCZAB04
Gingiva height 6 mm
6 mm
REF LOCZAB06
Material:
Titanium TiN-coated
Torque: 25 Ncm
Qu-resin rosa
Assortment 14 pieces
1 cartridge 50 ml
1 Qu-connector 10 ml
12 mixing cannulas,
size 1, blue
REF 540 0116 1
52
SKY Locator® angled
blueSKY
SKY classic
new
3.9 mm
The original Locator ® on an angled
SKY base opens up new prosthetic
horizons. The two-component design
corrects the insertion direction:
3.8 mm
2 mm
SKY Locator®Abutment
17.5°
Height 2 mm
REF LOCAB172
• Locator ® base 17.5°
• Locator ® base 35°
All Locator® retention elements can be used.
REF LOCAB352
Material:
Titanium TiN-coated
Torque: 25 Ncm
Removable
SKY Locator®Abutment
35°Height 2 mm
Dr. Idoux, Hoerth, (FR)
The Locator ® coping is the same
for both products. Furthermore, the
prostheses can now have better posterior support.
In many cases the implants, particularly in the upper jaw, can only be placed
at angles or acute angles. The insertion path now can be adjusted simply
and quickly with the angled SKY Locator®. First the angled Locator® base is
screwed in and then the Locator® coping is placed on to obtain the correct
path. As usual, all Locator® retention elements can be used to enable simle
and safe insertion and removel of the denture by the patient.
53
Prosthetics
Accessories SKY Locator®
blueSKY
SKY classic
Impression coping
4 pieces
REF LOCZAK40
Retention insert
blue, 6.7 N, 680 g
4 pieces
REF LOCR1006
Laboratory analog
4 pieces
REF LOCZLA40
Blocking out ring
20 pieces
REF LOCblock
Processing insert
black
4 pieces
REF LOCZVA11
Angular measuring
abutment, 4 pieces
REF LOCZWIMP
Angular measuring
gauge, 1 pieces
SKY Locator®
Instrument
1 pieces
REF LOCZINST
Retention insert
pink, 13.4 N, 1365 g
4 pieces
REF LOCR1013
SKY Locator®
Angular insertion
instrument, 1 pieces
REF LOCZWED6
Retention insert
transparent, 22.3 N, 2270 g
4 pieces
REF LOCR1022
Retention insert
red, 6.7 N, 680 g
4 pieces
REF LOCR2006
Retention insert
orange, 9.1 N, 907 g
4 pieces
REF LOCR2009
REF LOCZWIML
Retention insert
green, 17.8 N, 1815 g
4 pieces
REF LOCR2018
54
SKY Steg Abutment
blueSKY
SKY classic
Based on the titanium gingiva
formers, three abutments are
available for the fabrication of the
bars:
5 mm
Bar abutment, titanium
• burn-out base
• cast-on HL base
• titanium base
REF SKY-ST11
Bar abutment, burn-out
plastic
4.3 mm
Improved soft tissue situation thanks
to the use of the gingiva former healing process is not affected. High
flexibility when selecting materials.
Fewer components, hence more efficient.
5 mm
Bar abutment, HL
Technical data: Indication
REF SKY-SK11
0.7 mm
REF SKY-SH11
Melting interval 1400 - 1490 °C
11,9 - 12,2 10-6K-1
(Au 60 %, Pd 20 %, Pt 19 %, Ir 1 %)
Weight: 0,63 g
bars
REF SKY-SB02
Bar base, height 4 mm
incl. screw 2.4
Removable
incl. screw 2.4
REF SKY-SB04
incl. screw 2.4
REF SKY-SB06
Spacer analog incl. screw 2.4
REF SKY-DA77
Material: Titanium
Torque: 25 Ncm
55
Prosthetics
Screws
blueSKY
SKY classic
In two posters presented at the SKY Meeting 2012, Dr. Wentaschek from These results can be transferred to the recall. In this case, we recomthe University of Mainz illustrated how Pretension can be significantly mend replacement of the screws when the abutment is removed for
reduced by repeatedly tightening the screw. Pretension is the decisive cleaning.
crucial factor for the implant-abutment connection. He therefore recommends the use of different screws in the laboratory and the clinic to
avoid screw loosening.
Clinical screws
Laboratory screws
SKY prosthetic screw 2.2
blue, 6 pieces
SKY lab screw PS22
grey, 10 pieces
REF SKYLPS22
REF SKY-PS22
SKY fast & fixed and uni.cone
screw M 1.4 for prosthetic coping
6 pieces
SKY fast & fixed and uni.cone
lab screw M1.4
grey, 10 pieces
REF SKYFFSPK
REF SKYFFLPK
SKY adjustment screw 2 mm
3 pieces
REF SKY-DS02
Spacer analog incl. screw 2.4
3 pieces
REF SKY-DA77
REF SKY-DS04
3 pieces
REF SKY-DS08
SKY aesthetic impression
screw, open trays, short
REF SKYAPS18
20000
Pre-stress [cN]
REF SKY-PS18
Findings
25000
SKY impression screw
closed trays
15000
10000
5000
0
[Time]
1x screw fixation
5x screw fixations
10x screw fixations
Repeatedly tightening the screws reduces pretension by up to 40 %.
56
SKY prosthetic assortment
Practice
Laboratories
new
The torque ratchet in the SKY prosthetic case for practices ensures that
all prosthetic components of the SKY system can be tightened permanently and reliably. The case contains two screwdrivers - short and long for fixation of all abutments as well as the screwdriver for the SKY ball head
attachments. The SKY adapter, included in the assortment, is required for use
with the SKY Locator®screwdrivers and for transversal screw retention .
The long laboratory handle contained in the SKY prosthetic case for laboratories
enables perfect handling and use of the screws on the master models.
Appropriate latch-grip screwdrivers are securely held in the adapter for contraangles and can be exchanged easily. As a result, the SKY abutment screws of the
SKY Locator ® and the transversal screw can be easily fastened and unfastened.
The screwdriver for the SKY ball head attachment is located at the other end of
the laboratory handle.
practice
laboratories
REF SKYPET10
Content:
SKY torque ratchet
REF SKY-SD50
SKY prosthetic key
short
REF SKY-SD16
REF SKYPET20
Content:
SKY
laboratory handle
REF SKY-SD80
SKY prosthetic key
for contra-angles
REF SKY-SD22
SKY prosthetic key
long
REF SKY-SD25
The following components can also be selected
SKY Locator ®
mounter for contra-angles
REF SKY-SD21
REF LOCZWED6
SKY adapter, instruments
for contra-angles
Screwdriver, Allen screw
0.9 for transversal screw
retention
REF SKYADAP6
Instruments
Tools
SKY prosthetic key for
ball head attachments
REF 310W0106
Screwdriver, Alle screw
0.9 for transversal
screw-retention
REF 310W0106
Key holder
REF SKY-SD65
57
Accessories
Tools for ratchet and contra-angle
M = 1:1
REF SKY-PI22
REF SKY-SD22
SKY prosthetic key for contra-angle
short
REF SKY-SD28
SKY prosthetic key for contra-angle
long
REF SKY-SD21
SKY prosthetic key
for ball abutments
REF SKY-SD16
SKY prosthetic key
short
REF SKY-SD25
SKY prosthetic key
long
REF SKY-STK5
SKY TK mounter for ratchet
short
REF SKY-STK6
SKY TK mounter for ratchet
long
REF SKY-WTK5
SKY TK mounter for contra-angle
short
REF SKY-WTK6
SKY TK mounter for contra-angle
long
REF mSKYXWM6
miniSKY insertion instrument, contra-angle
short
REF mSKYXWM7
long
REF SKYADAP6
REF LOCZWED6
58
Parallel indicator with conical and cylindrical side, thicker central area with hole
for protection against accidental dropping
Adapter
SKY Locator® mounter for contra-angle
Instruments
M = 1:2
REF SKY-SD40
REF SKY-SD50
REF SKY-SD80
REF SKY-SD60
REF SKY-SD65
REF LOCZINST
REF 580 0127 6
Surgical ratchet
Finger key with ratchet function and attachable,
movable handle. Can be directly attached onto the
Star-Driver.
Torque ratchet
Adjustable from 10 to 30 Ncm. Is directly attached
onto the key.
Laboratory handle incl. SD-22
High-grip tool for the laboratory. One working end
for contra-angle instruments or square tap. The
other end corresponds to SD-21 for screwing in ball
abutments.
Universal forceps
The universal forceps with titanium-coated gripping
surface to hold implants and abutments, also suitable
to hold prosthetic keys.
Key holder
The useful and compact holding tool for all prosthetic
instruments.
SKY Locator® Instrument
OPG-ruler
3
blueSKY / narrowSKY X-ray-tamplates
3
2
le 1,26
1
ab / sca
MS01
REF bSKY
0
MS26
Maßst
REF bSKY
4508
:1
4510
5508
REF bSKY
REF bSKY
MS12
Ø 5 mm
classi
3
c
1
4008
4508
breden
Weiss t medic al GmbH
enhor
Tel. (+49) ner Str.
& Co.KG
2 | 89250
0 73
www.b
redent 09 / 8 72-6 Sende
n
-medi
cal.co 00 | Fax | Germa ny
m | e-mai (+49)
l info-m0 73 09 /
edical 8 72-6 35
@bred
ent.co
m
REF
REFkSKY
bSKYMS2
MS266
4508
4010
4510
4012
4512
4014
4514
4016
ØØ 55 mm
mm
breden
enhor
Tel. (+49) ner Str.
& Co.KG
2 | 89250
0 73
www.b
n
-medi
m | e-mai (+49)
l info-m0 73 09 /
edical 8 72-6 35
@bred
ent.co
m
REF
REFkSKY
bSKYMS1
MS122
3
2
1
Maßst
ab / sca
le 1,26
4514
:1
4512
4510
Ø 55 mm
Ø
mm
3516
0
Scale 1,26:1
4008
4008
4508
REF
REFkSKY
bSKYMS0
MS011
4514
Maßst
ab / sca
le 1,12
4514
:1
4512
4510
REF kSKYMS26
4010
4016
4512
3510
4010
4510
4012
4014
4012
4010
Maßst
ab / sca
4514
le 1 : 1
4512
4510
2
Maßst
ab / sca
le 1,12
3510
:1
3512
3514
4012
4016
4508
4014
3510
0
Scale 1,12:1
4016
4016
3516
3512
4014
3514
4012
4014
3510
ØØ 55 mm
mm
breden
enhor
Tel. (+49) ner Str.
& Co.KG
2 | 89250
0 73
www.b
n
-medi
m | e-mai (+49)
l info-m0 73 09 /
edical 8 72-6 35
@bred
ent.co
m
4010
4514
4016
3516
Maßst
ab / sca
le 1,26
3510
:1
3512
3514
REF kSKYMS12
4008
4512
4014
breden
Weisse t medic al GmbH
nhorn
Tel. (+49)
& Co.KG
er Str.
2 | 89250
0 73
www.b
n
-medi
cal.com 00 | Fax | Germa ny
| e-mai (+49) 0
l info-m 73 09 /
edical 8 72-6 35
@bred
ent.co
m
3516
3512
3514
4514
Scale 1:1
c
3512
4016
breden
nhorn
Tel. (+49)
& Co.KG
er Str.
2 | 89250
0 73
www.b
n
-medi
| e-mai (+49) 0
l info-m 73 09 /
edical 8 72-6 35
@bred
ent.co
m
classi
3514
3516
4014
MS12
:1
5510
le 1,12
REF kSKYMS01
3516
4012
3516
Ø 5 mm
5512
3
4010
SKY classic X-ray-tamplates
ab / sca
2
4008
4508
Maßst
1
4514
4508
0
5512
Maßst
ab / sca
le 1,12
3510
:1
3512
3514
4016
Maßst
ab / sca
le 1,12
4514
:1
4512
4510
4512
4510
4510
5510
4512
4512
4008
4508
4014
4514
1
4510
ab / sca
le 1 : 1
5512
5510
4008
5508
c
4012
4510
Ø 5 mm
classi
Maßst
ab / sca
3510
le 1 : 1
3512
3514
4010
4012
4010
4512
Maßst
4508
4008
4010
4008
4008
5512
breden
nhorn
Tel. (+49)
& Co.KG
er Str.
2 | 89250
0 73
www.b
n
-medi
| e-mai (+49) 0
l info-m 73 09 /
edical 8 72-6 35
@bred
ent.co
m
3516
Scale 1,26:1
4010
REF bSKYMS26
4012
4008
breden
nhorn
Tel. (+49)
& Co.KG
er Str.
2 | 89250
0 73
www.b
n
-medi
| e-mai (+49) 0
l info-m 73 09 /
edical 8 72-6 35
@bred
ent.co
m
5510
4014
4514
4008
5508
4012
1
2
Maßst
ab / sca
le 1,12
3510
:1
3512
3514
4014
4514
4016
4016
4512
3510
4010
4012
4510
4014
4508
4016
0
Scale 1,12:1
4016
Ø 5 mm
Instruments
Tools
3
3516
REF bSKYMS12
4014
3510
4012
3512
4010
3514
4008
3516
4514
3512
4016
3516
4010
4012
5512
4014
5510
4512
4016
4508
4508
5508
4510
3510
4508
Scale 1:1
3514
4014
Maßst
ab / sca
le 1,26
3510
:1
3512
3514
3512
0
REF bSKYMS01
3516
3516
4012
3514
3510
3512
4010
3514
4008
3516
2
Maßst
ab / sca
3510
le 1 : 1
3512
3514
59
5508
Technical specifications
Recommendations for SKY screws
60
SKY cover screw
25 rpm
10 Ncm
SKY gingiva former
25 rpm
10 Ncm
SKY impression abutments25 rpm
10 Ncm
SKY temp / SKY prov S
25 rpm
18 Ncm
SKY abutments
25 rpm
25 Ncm
SKY fast & fixed
SKY uni.cone
Prosthetic screw
25 rpm
18 Ncm
mini
miniSKY Implant System
61
The solution for badly atrophied jaws and an improved quality of life
Quality of life in later years
Use miniSKY implants to ensure reliable fixation of the
denture and improve the quality of life of your older patients
who lost their teeth quite some time ago.
All clinical studies 1 and tests have shown that inadequate fit of
restorations reduces the quality of life of patients considerably.
Persons at the age of 70 or older have been edentulous
over numerous years and, as a result, the ridge has become very
narrow and placement of stan-dard implants always requires
complex surgical procedures, such as bone splinting, etc.
Moreover, frequently the general state of health of these patients
does not permit major surgical treatment. The diameter-reduced
miniSKY implants are perfectly suited for these patients since
they allow minimally invasive placement. In numerous cases
not more than a small incision to control the bone width is
required.
The soft line denture worn during the healing phase enables the
patient to enjoy enhanced retention of the denture.
At the end of treatment, the happy patient is able to eat, speak
and enjoy life without any limitations.
miniSKY
mini 1
mini 2
The use of diameter-reduced implants is strongly recommended
for certain indications.
With miniSKY we offer you an implant system that is perfectly
matched to these indications and results in better quality of life
for your patients with just a few components, a modern surface
and an advanced and simple prosthetic concept.
miniSKY can be used as a one-piece implant with ball head or as
a two-piece implant as well.
The mini2SKY offers a choice of Ø 2.8 and 3.2.
Temporary implant
Atraumatic insertion and permanent primary stability make the
miniSKY implants ideal for splinting the whiteSKY im-plants
during osseointegration to avoid any micromovement in free-end
situations. In most cases, our patients are willing to accept the
temporary titanium implant.
Splinting is done using composite layered on glass fiber bands
and can be compared to a plaster cast.
Photos: Dr. Siewert, Clinica Somosaguas, Madrid
1
Literature:
Müller, Frauke / Nitschke, Ina: Der alte Patient in der zahnärztlichen Praxis Quintessenz Verlags-GmbH, Berlin 1. Auflage 2010.
Steele et al.: How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples.
Millwood and Heath: Food choice by older people. Gerodontology 2000.
62
mini
miniSKY overview
miniSKY diameter-reduced implants
The mini1SKY and mini2SKY Implantate
feature the proven osseo connect surface
(oc s®) of the blueSKY implants to ensure
fast and reliable osseointegration.
osseo connect surface (oc s®)
The SEM photos show the uniformly rough
surface which provides ideal preconditions
for the apposition of osteoblasts, which is
supported by the exceptional hydrophilic
properties of the implants.
100 µm
20 µm
miniSKY - Technical data
3.2 mm
Three-step
functional design
•Cortical relief
•Central stabilization
•Special tip
Transgingival difference
mini1SKY
•Penetration profile
through gingiva at
the implant mini2SKY
•Penetration profile
through gingiva at
the abutment 2.8 mm
3.5 mm
•Platform diameter
3,2 mm
•External thread
2,8 mm and 3,5 mm
•Self-tapping thread
•Titanium grade IV, cold-formed
•Double thread
miniSKY MD abutments
with automatic divergence
compensation
MD = multi divergent
Divergence compensation
by shortening the abutments
•The enclosed prosthetic
cap facilitates modelling
of the restoration
•Utmost precision of stress- free bonding in situ miniSKY
3.2 mm
63
miniSKY overview
mini1SKY
2.8
Length 6 mm
REF m1SKYL06
Length 10 mm
REF m1SKYL10
Length 12 mm
REF m1SKYL12
Length 14 mm
REF m1SKYL14
mini2SKY
2.8
Length 10 mm
REF m2SKYL10
Length 12 mm
REF m2SKYL12
Length 14 mm
REF m2SKYL14
3.2
Length 8 mm
REF m2SK3208
Length 10 mm
REF m2SK3210
Length 12 mm
REF m2SK3212
Length 14 mm
REF m2SK3214
The mini²SKY gingivaformer is used during healing time.
Therefore a cover screw is not included in the scope of delivery.
64
mini
Surgical protocol
OP-Tray with drills and instruments
The new miniSKY OP tray, OT 41, contains
all of the drills and instruments needed for
inserting the miniSKY implants.
All of the instruments can be easily assigned and identified by means of the images
and order numbers.
It is small enough to fit onto any operating
table, and is of course easy to clean and
sterilize.
OP-Tray miniSKY
REF MSKYOT41
mini 1
mini 2
2.8
Twist-Drill 2.25
SKYDT23K/SKYDT23L
800–1000 rpm/min
D1
mini 2
D1
100 %
implant length
3.2
SKY Drill
SKYD1235
300 rpm/min
100 %
implant length
mini
D1D4
Twist-Drill 1.3
SKYDT13L
800 –1000 rpm/min
Twist-Drill 2.25
SKYDT23K/SKYDT23L
800–1000 rpm/min
D2
2/3
implant length
100 %
implant
length
D2D3
With bone quality D3-D4,
the drilling process is completed using twist drill 1.3
D3D4
D4
SKY Drill
SKYD3435
300 rpm/min
100 %
implant length
With bone quality D4,
the drilling process is
completed using twist
drill 2.25
miniSKY
D1D4
Pilot drill
SKY-DP06/SKY-DP08
800 –1000 rpm/min
65
Surgical and prosthetic instruments
Drills, drill stops, and tools
Twist-Drill
Drill
3,5
4,0
L6
L8
L10
L12
L14
REF
SKYXST06
SKYXST08
SKYXST10
SKYXST12
SKYXST14
REF
–
SKYS0840
SKYS1040
SKYS1240
SKYS1440
Twist-Drill rpm/min. 800-1.000
Drill for hard bone rpm/min. 300
REF SKYDT13L
1.3
REF SKYD1235
3.5
REF SKYDT23L
2.25 long
REF SKYD3435
3.5
REF mSKYMS01
M = 1:1
REF mSKYMS12
M = 1,12:1
REF mSKYMS26
M = 1,26:1
SKY Drill extension
mini
3
REF SKY-DV12
2
mini 1
0
1
6 mm
Maßst
ab / sca
10 mm
le
12 mm 1:1
14 mm
6 mm
Maßst
ab / sca
12 mm
le 1:1
10 mm
14 mm
mini 1
mini 2
SKY Prosthetic key
long
Maßst
ab / sca
10 mm
le 1:1
12 mm
14 mm
Ø 5 mm
14 mm
Maßst
ab / sca
12 mm
le 1:1
10 mm
REF mSKY
breden
Weisse t medical GmbH
nhorne
Tel. (+49)
& Co.KG
r Str.
www.b 0 73 09/82 | 89250
Senden
redent
-medic 72-6 00 |
Fax | Germa
al.com
| e-mail(+49) 0 73ny
info-m 09/8 72-6
edical@
breden35
t.com
MS01
mini 2
REF SKY-SD25
Adapter
miniSKY Mounter for contra-angle
short
REF mSKYXWM6
long
REF mSKYXWM7
REF SKYADAP6
Torque ratchet
Adjustable from 10 – 40 Ncm.
Is directly attached onto the key.
REF SKY-SD50
66
mini
Presentation of a problem
1
Initial situation
4
At the same time, the impression material brecision
implant heavy (580 BH38 0) is added to an impression tray and applied to the area being molded.
7
Using a gingival mask, Multisil-Mask hard (540
0113 4), the implant analog must be blocked, ensuring that the exact position of the implant analog is
10
2
3
When making an impression of the mini1SKY implants, the o-ring (SKY-OR55) is placed over the ball
head
5
The torx of the mini1SKY implants and the o-rings
is then fully molded using the impression material,
brecision implant light (580 BL050).
6
Once the impression material has cured, it is possible
to carefully remove the impression tray. The o-rings
remain in the impression. The torx of the mini1SKY
implants is clearly recognizable and aids repositioning of the laboratory analog.
8
When repositioning the implant analog (m1SKYXIA),
it is necessary to bear in mind that the torx geometry
in the impression material corresponds with the orientation of the torx from the implant analog.
9
maintained during model fabrication.
O-ringe
6 pieces
REF SKY-OR55
Control using a bridge framework has resulted in a
high level of precision between the initial model and
the model from the impression.
brecision implant heavy
Impression material blue
1 x 380 ml
5 x dynamic mixers
1 x bayonet ring yellow
2 x 50 ml Multisil-Mask hard
in cartridges
24 mixing cannulas
The Sheffield test was passed without any complications.
REF 540 0113 3
brecision implant light
Impression material orange
2 x 50 ml
10 mixing cannulas yellow
10 Intra-oral tips
miniSKY
REF 580 BH38 0
REF 580 BL05 0
67
mini2SKY impression
mini2SKY
new
4 mm
3 mm
mini2SKY
Gingiva former
REF m2SKYGF3
11 mm
18.82 mm
Material: Titanium
Torque: 10 Ncm
1.5 mm
mini2SKY
Impression Abutment
open tray
REF m2SKYPA1
mini2SKY
Implant analog
mini2SKY gingiva former
The high level of primary stability of the miniSKY implants in all
bone qualities enables transgingival healing, which means that
a stressful second operation can be avoided and the gingiva is
less traumatized.
The mini²SKY gingiva former completely covers the high precision torx and supports and ideally molds the soft tissue.
The use of the slimline mini²SKY impression abutment enables
simple and fast impressions even of very narrow gaps. For the
impression of mini²SKY implants, the mini²SKY impression abutment, open tray, (m2SKYPA1) is screwed on the implants and the
impression is taken according to the standard procedure for the
open tray technique.
In order to produce the master model, the mini²SKY implant analog (m2SKYXIA) is screwed to the mini²SKY impression abutment
and the model is manufactured from super-hard stone.
REF m2SKYXIA
Material: Titanium
Torque: 10 Ncm
Impression coping
4 pieces
REF LOCZAK40
3.9 mm
2 mm
miniSKY Locator ®
height 2 mm
1 pieces
The locator impression coping is used to make an impression of
the mini²SKY Locator®.
REF m2SKYLC2
4 mm
miniSKY Locator ®
height 4 mm
1 pieces
REF m2SKYLC4
68
mini
Prosthetics
mini1SKY – Fixation of prostheses in severely
atrophied jaws
mini1SKY
2.25 mm
mini1SKY
Implant analog
REF m1SKYXIA
Fixation of prostheses on mini1SKY with
• SKY precious metal matrix
• SKY o-ring matrix
Note
In this case, it is necessary to wait for the osseointegration of the implants, prior
to loading.
3.25 mm
SKY Precious metal matrix
REF SKYGM225
2.5 mm
3 mm
SKY O-ring
REF SKY-OR50
5.2 mm
O-ringe
6 pices
REF SKY-OR55
Qu-resin rosa
Assortment 14 pieces
1 cartridge 50 ml
1 Qu-connector 10 ml
12 mixing cannulas,
size 1, blue
miniSKY
REF 540 0116 1
Photos: Dr. Saal, Hamburg (DE)
69
Prosthetics
mini2SKY Locator®
mini2SKY
3.9 mm
2 mm
miniSKY Locator ®
Height 2 mm
1 piece
REF m2SKYLC2
3.2
2.8
4 mm
miniSKY Locator ®
Height 4 mm
1 piece
REF m2SKYLC4
Material:
Titanium TiN-coated
Torque: 25 Ncm
Locator ®
Processing set
2 sets
REF LOCLAB20
Narrow jaws represent a challenge when fixing removable restorations in older, edentulous patients. These patients frequently
refuse augmentative measures, or their general state of health
requires a procedure that does not involve major surgery. The use
of miniSKY Locator® allows minimally invasive implant placement and healing without loading and insertion after osseointegration using the proven Locator®.
In combination with the blueSKY placed at an angle, SKY classic
posterior implants, and the SKY Locator® angled, it is possible to
fabricate implant-supported restorations which offer superior
comfort to patients.
The mini²SKY Locator® is available in heights of 2 mm and 4 mm
and provides special protection against rotation for simple placement of the mini²SKY Locator® on the external precision torx of
the mini²SKY implant to avoid screw loosening.
The appropriate retaining screw is used for fixation. This ensures
that the load is distributed via the precision torx in the implant
and the screw is protected from overloading. The original Locator® retention inserts 20° can be used for this procedure.
The miniSKY Locator® abutments are fixed to the implants using Images: m.c. Zahntechnik, Oldenburg (DE)
the miniSKY retaining screw. The prosthesis is then manufactured
using conventional dental procedures. The Locator® retention
elements up to 20° are used for retention.
70
mini
Restoration of narrow gaps – mini2SKY
mini2SKY
9 mm
The high precision torx ensures optimal load distribution of the
abutment in the implant, which prevents screw loosening and
guarantees the longevity of the connection.
mini2SKY
MD-Abutment titan
Transgingival healing with a prefabricated or individual gingiva
former spares the patients from a second intervention.
REF m2SKYMDT
Material: Titanium
Torque: 20 Ncm
9 mm
2.8
mini2SKY
MD-Abutment BioXS
REF m2SKYMDB
Material: BioXS
Torque: 20 Ncm
miniSKY
3.2
Photos: Dr. Ghirlanda, Rom (IT)
71
Prosthetics
mini2SKY individual abutment
mini2SKY
new
mini2SKY
uni.fit abutment
1 piece
REF m2SKYUFA
With the new mini2SKY uni.fit abutment, laboratory-produced
individual abutments can be manufactured on mini2SKY, which
means that optimal aesthetics can be achieved even in narrow
gaps. The individual abutments are cemented in the laboratory
on the very low titanium base.
Material: Titanium
Torque: 20 Ncm
2.8
Available from autumn
2013
3.2
Rotation stop on
two sides results in a
uniform adhesive gap.
Rotation stop on one
side results in a nonuniform adhesive
gap.
Uniform
adhesive gap
72
Non-uniform
adhesive gap
Implant planning
mini
Implant planning - safe and precise transfer
Reliable fixation of the scan and drilling templates in situ is a key
prerequisite for precise transfer of 3D implant planning from the
PC to the mouth of the patient.
Bone-supported drilling templates are expensive and cause major
trauma owing to extensive flap procedures.
Precision, in particular in the edentulous ridge, is considerably
limited when using mucosa-supported templates.
Photos: Dr. Guillaume Reys, Sélestat, (FR)
reliable and stable fixation of the scan template so that any problems during CT or DVT scans are eliminated.
safe and stable fixation of the drilling template to avoid any errors during placement of the implants.
Additionally, the mini1SKY planning implants can also be used to support the denture during the preparatory phase of implant placement.
miniSKY
bredent medical offers the perfect solution with miniSKY-FRP. With 3 mini1SKY planning implants you create the optimal
basis for
73
Implant planning
mini1SKY-FRP
mini1SKY-FRP
2.25 mm
4 mm
REF m1SKYL06
6 mm
2 mm
mini1SKY
Ø 2,8 mm L 6 mm
2,25 mm
4 mm
REF m1SKYL10
10 mm
2 mm
mini1SKY
Ø 2,8 mm L 10 mm
2.25 mm
mini1SKY
Implant Analog
3 mm
REF m1SKYXIA
3.3 mm
mini1SKY Planning
matrix white
3 pieces
Everything you need
Implants
The mini1SKY implants of lengths 6 mm and 10 mm can be inserted firmly in any bone.
Surgery
The implants are inserted using the insertion instrument after
the cavity has been pre-drilled using the twist drill from the SKY
OP tray.
When making an impression, only the o-ring (SKY-OR55) is attached. The implant analog is pushed into the impression and the
model is manufactured.
Scan and drilling template
The planning matrix fixes the scan and drilling templates securely and precisely.
Temporary restoration
During the planning phase, the prosthesis in the lower jaw may
be further stabilized by using either the SKY precious metal matrix or the SKY o-ring. In the upper jaw, the prosthesis should
only be ground out and equipped with a soft relining.
REF m1SKYPLM
3.25 mm
SKY Precious metal matrix
REF SKYGM225
2.5 mm
3 mm
SKY O-ring
REF SKY-OR50
5.2 mm
74
mini
Internet
Internet
bredent medical in the internet
Structured and easily understandable information on our “perfect prosthetic implant solutions
thanks to innovative materials and technologies”
and ordering for our entire product range is provided at www.bredent-medical.com. Furthermore
you will get latest news and helpful videos on
our twitter (www.twitter.com/bredentgroup) and
youtube (www.youtube.com/bredentgroup) channels.
In the press section new products and therapies
are presented and already published dental articles of renowned users of our products can
be downloaded.
miniSKY
The „Information on ordering“ section includes
all the relevant information for placing orders.
Currently, an online shop is being created.
75
SKY Implant system - prosthetically unique
RE
AH
0J
H B ELE GT
ERFOLG
Other offers that may be of interest to you
HELBO
LIC
W
IS 1
T
SEN
SCHAF
HELBO-Therapie
Kursprogramm 2013
Regeneration
S I CH
E
ER
AU
LTEN
HA
RN
FBAUEN
Das ein und alles für den Kieferkamm
Neue Chancen für Ihren Erfolg
Beherrscht die Infektion in der Chirurgie und Implantologie
A C A D E M Y
REF 000 429 GB
REF 000 501 GB
REF 000 330 GB
bredent medical GmbH & Co.KG
Weissenhorner Str. 2 | 89250 Senden | Germany
Tel. (+49) 0 73 09 / 8 72-4 40
Fax (+49) 0 73 09 / 8 72-4 44
www.bredent-medical.com
e-mail [email protected]
Mistake and subject to change reserved 000250GB-20130903

Prosthetics

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