Laboratory. Regular C/X Laboratory Technique

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1 Some products may not be available in all countries. Please contact your DENTSPLY Friadent representative to obtain up to date information on the product range and on availability. Laboratory Order no /001 Friadent GmbH P. O. Box D Mannheim/Germany Phone Fax C/ for FRIADENT Class I Devices for FRIADENT Class IIa, IIb and III Devices 0109/5.0/GVD /X

2 ANKYLOS C/X Prosthetics For more than 20 years ANKYLOS with its unique, frictionlocked and keyed TissueCare Connection using the taper principal has stood for successful long-term hard and soft-tissue stability and long-term red-white esthetics. The option of using indexed prosthetic components is new with ANKYLOS C/X. The index makes it easy to position the prosthetic abutments accurately. The prosthetic procedure is selected after the implants have healed or at the time of uncovery depending on the indication. ANKYLOS C/X offers different methods depending on the type of planned prosthetic restoration. ANKYLOS C/X implants have only one prosthetic connection diameter (TissueCare Connection). This significantly reduces the number of prosthetic components. Regardless of the implant diameter selected using surgical criteria, you can select the ideal abutment design and achieve the desired prosthetic result. ANKYLOS C/X with the 5 guarantees for success in true TissueCare: 1. No micromovement between implant and abutment 2. Bacteria-proof connection 3. Platform Switching 4. Subcrestal implant placement 5. Implant microroughened to the interface

3 Crowns and bridges on prosthetic components The new range of prosthetic components enables functionally and esthetically demanding reconstruction of edentulous spans and free-end edentulism with single-tooth crowns or an implant-supported bridge. With their convex sulcus design prosthetic abutments are optimized for the posterior tooth region. Regardless of whether you are planning a prosthetic restoration on indexed ANKYLOS Regular /X abutments or on the freely positionable ANKYLOS Regular C/ abutments identical components with the C/X marked are used for contouring the soft tissue and impressions. Gingivahöhen Gingivahöhen Gingivahöhen regular/x Gingivahöhen regular/x Aufbau regular/x Aufbau regular/x Aufbau Aufbau C/ /X Gingivahöhen Gingivahöhen Gingivahöhen regular/x regular/x Aufbau Aufbau regular/x Aufbau Aufbau Angulation Angulation regular/x Angulation regular/x Angulation Aufbau regular/x Aufbau regular/x Aufbau Aufbau ,5 0 7,5 7,5 15 7, , , , , , ,5 37,5 37, GH 0.75 GH 1.5 GH 3.0 GH 4.5 Angulation Angulation regular/x Angulation regular/x Aufbau Aufbau regular/x Aufbau Aufbau Durchmesser Durchmesser Durchmesser CERCON /C CERCON /C Aufbau CERCON /C Aufbau Aufbau Aufbau 5,5 5,5 mm mm 5,5 mm5,5 mm7,0 mm 7,0 mm7,0 mm ,5 7,5 7,5 15 7, ,5 22,5 22, , ,5 37,5 37,5 37,5 Transfer Post PickUp, long and short. Transfer Post, Repositioning technique. Gingival margins of Regular /X Abutment. Regular/X Abutment angulations. Angulations 30 and 37.5 in preparation prosthetic components allow you to select one of the two options: a tapered connection geometry that allows the abutment components to be positioned as desired or components with tapered connection and an index to aid positioning. Anatomically shaped ANKYLOS prosthetic abutments with index are in preparation. All prosthetic ANKYLOS C/X components are laser-marked to indicate their use: Components with the C/ mark use only the C one for the connection and are not indexed. This means that the abutment components can be positioned as desired and are completely locked by the taper to prevent rotation. Components with the /X mark are indexed. The index is used to position the abutment components in one of six possible positions. In this case also the taper guarantees optimum stability and rotation locking. Components with the C/X mark are used for indexed or non-indexed prosthetics. ANKYLOS C/X implants must only be used with components that are laser-marked with C/X C/ or /X, or that belong to the following product groups. ANKYLOS Balance Anterior and Posterior abutments, CERCON Balance, Balance temporary abutments, Balance Anterior sulcus formers and SynCone abutments. Impressions Transfer Post PickUp For transferring the implant position to the master cast with the PickUp technique (open tray) Available in two lengths onecomponent with integrated straining screw, screw extension enclosed Transfer Post Repositioning Technique For transferring the implant position to the master cast with the PickUp technique (closed tray) onecomponent with integrated straining screw A 3-in-1 cap (snap connection) for impression making at abutment level and fabrication of provisional components with snap connection at chairside is in preparation. Master cast production Implant Analog For fixing the prosthetic components in the master cast Surgical steel DIN Fabrication of the superstructure ANKYLOS Regular /X or Regular C/ Abutment With indexing (/X) or freely positionable (C/) Easily adaptable to the clinical situation with four gingival margins and up to six angulations Can be customized by grinding Cementable or laterally screwretained Titanium alloy Ti6Al4V, ISO

4 Step-by-step: Master cast production Regardless of whether you are planning a prosthetic restoration on indexed ANKYLOS Regular /X abutments or on the freely positionable ANKYLOS Regular C/ abutments, the impression is taken with identical transfer posts PickUp (open tray) or repositioning technique with the C/X mark. They are fixed in the implant analog. As an alternative the impression can be made with ANKYLOS C/ transfer posts. In this case a superstructure can only be fabricated with freely positionable ANKYLOS Regular C/ abutments, because no index position has been transferred. Instruments Fixing Implant Analog Mucosa mask Fabricating the master cast ANKYLOS Laboratory Screwdriver 1.0 mm hex Reduced torque 10 Ncm Prevents excessive turns on the straining screw ANKYLOS Handle for Abutment Analogs and Abutments For improved handling of prosthetic components during machining in the laboratory Prevents damage to the master cast Mount and screw into position the ANKYLOS C/X implant analog with the ANKYLOS C/X or C/ transfer post fixed in the impression. The implant analog must be correctly fitted to the transfer post in the connection taper and index. Isolate the impression with silicone lubricant before casting and spray the area around the ANKYLOS C/X implant analog with gingiva casting material. Follow the manufacturer s directions. Prepare the master cast with type IV dental stone. Make sure that it is sufficiently high to cover the implant analog with plaster. Then unscrew the transfer screw and remove the impression. Note: The C/ implant analog can only be used with Regular C/ abutments. 6 7

5 Step-by-step: Selecting the prosthetic abutments Depending on the proposed protocol indexed ANKYLOS Regular /X abutments or freely positionable Regular C/ abutments are selected according to the required gingival margin and angulation. Do not damage the straining screw when grinding. Make sure that an adequate wall thickness is retained, and make sure that the abutment height is adequate for cemented-in superstructures. Do not grind the lateral threaded hole any thinner particularly with screwretained superstructures. Indexing ANKYLOS Regular /X Abutments Customizing ANKYLOS Regular /X Abutments s 360 -accurate alignment Customizing ANKYLOS Regular C/ Abutments Transfer key Fix the ANKYLOS Regular /X abutment in the desired position and screw it to the master cast with the ANKYLOS laboratory screwdriver with torque control. With a lateral retention screw align the lateral thread in a favorable insertion direction in the index. Grind the Regular /X abutment to fit it to the site. The prefabricated taper surfaces 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. Align the ANKYLOS Regular C/ abutment by rotating it through 360 and fix it in the desired position on the master cast with the ANKYLOS laboratory screwdriver with torque control. With a lateral fixation screw align the lateral thread in a favorable insertion direction in the taper. Grind the ANKYLOS Regular /C abutment to fit it to the site. The prefabricated taper surfaces must not be processed. Grinding the ANKYLOS Regular C/ 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. Prepare a transfer key on the customized ANKYLOS Regular C/ abutments to find the selected position on the master cast again and later in the mouth. If the position of the Regular /X abutment is unfavorable because of the index, a non-indexed Regular C/ abutment can be used in consultation with the dentist. 8 9

6 Step-by-step: Fabrication of the superstructure Crowns and bridges are fabricated on ANKYLOS Regular /X or Regular C/ abutments using the same procedure. Superstructures can be cemented-in and laterally screw-retained. For crowns on ANKYLOS Regular C/ abutments the transfer key must be given to the dentist with the finished crown. ANKYLOS Regular /X and C/ Abutment cemented-in ANKYLOS Regular /X and C/ Abutment screw-retained For cemented-in superstructures block out the screw channel, the lateral hole and the side horizontal grooves for the transfer cap on the ANKYLOS Regular /X and C/ abutments and wax-up the crown by the standard method. The framework and veneering are fabricated using the standard dentaltechnical methods for metal-ceramic or porcelain superstructures. Please follow the manufacturer s processing instructions. The superstructure can also be laterally screw-retained as required. In this case, before waxing, screw in the red lateral fixation screw M 1.4 hexagon with the laboratory screwdriver. When waxing with the cast-to horizontal screw seat for fixation screw follow the processing instructions for casting dental alloys. The framework and veneering are fabricated using the standard dentaltechnical methods for metal-ceramic or porcelain superstructures. Please follow the manufacturer s processing instructions. When applying and grinding the ceramic prevent ceramic particles from entering the screw channel of the abutment

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