Presentation of the system

Transcription

1 Presentation of the system SKY Implant system

2 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 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....tempting... Stable teeth: immediately! 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 T: (+49) / F: (+49) / [email protected]

3 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. 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. 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....in the thick of it... Quality of life in old age Navigated implantation Regeneration SKY fast & fixed Implants Surgery SKY system Prosthetics overview Impression Model 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. 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 minisky Instruments Tools Permanent cosmetic restoration Removable 3

4 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 Tel. (+49) / Fax (+49) / [email protected]

5 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. SKY system 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

6 Implants overview Diameter covering mini 2 narrow N narrow platform mini Detailed information can be found in the minisky system presentation from page 61 onwards. 6 Tel. (+49) / Fax (+49) / [email protected]

7 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

8 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 narrow Tel. (+49) / Fax (+49) / [email protected]

9 bluesky and SKY classic SKY System classic Torx identical Ø 4.0 mm Ø 4,0 mm

10 Surface 3D osseo connect surface (ocs ) 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. narrow 1 st dimension The narrow finished surface with micro grooves optimally protects the accumulation of epithelial tissue. µm 1,2 1,1 1 0,9 0,8 0,7 0,6 0,5 0,4 0,3 0,2 0,1 0 Isocrestal implant position 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. Finished surface Gingival attachment 0,1-0,2 mm 0,5 mm 2 nd dimension The narrowly etched surface with the uniform velvety structure stabilizes connective tissue. µm 17, ,5 Etched surface Connective tissue stabilization 10 7,5 5 2,5 0 3 rd 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 10 Blasted, etched surface Osseous anchoring 7,5 5 2, Tel. (+49) / Fax (+49) / [email protected]

11 classic classic SKY System 0,5 mm 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 0,9 0,8 0,7 0,6 0,5 0,4 0,3 0,2 0,1 0 1 st dimension The highly finished surface with micro grooves offers a wide space for the epithelial attachment and is easy to clean in the recall. Etched surface Connective tissue stabilization µm 17, ,5 2 nd dimension The widely etched surface with the velvety structure stabilizes connective tissue. 10 7,5 5 2,5 0 Blasted, etched surface Osseous anchoring µm 22, , ,5 3 rd dimension The blasted and high-temperature surface offers the ideal coarseness for osseous integration. 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 (ocs ) which is considerably more obtuse than those of competitors products confirm the results obtained in clinical tests. 11

12 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 highest torque in the run-out Speed (rpm) atraumatic in the cortical bone Speed (rpm) 12 Tel. (+49) / Fax (+49) / [email protected]

13 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 Designation Condition Grade 2 Grade 3 Grade 4 Grade 4 KV standard Grade 4 KV bredent medical Mechanical properties Tensile strength 0,2 % yield limit Elongation at N/mm 2 N/mm 2 min. fracture % min

14 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 suprastructures 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 Tel. (+49) / Fax (+49) / [email protected]

15 Advantages of the Torx 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. SKY System Hexagon: narrow line application 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: very high notch stress 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 Hexagon: very large tolerance Torx : has an extremely small tolerance clearly improved friction fit extended durability of abutment and implant reduction of loosening of screws 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 30 swiveled 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

16 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 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. Short implants in an interlocked construction, anchored 6.5 mm into the bone. Supracrestale Position Short implants 16 Tel. (+49) / Fax (+49) / [email protected]

17 narrowsky / bluesky neck design 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 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

18 Surgical procedure Six implants - one set of instruments mini 1 mini 2 narrow classic SKY OP-Kit OT21 REF SKYXOT21 18 Tel. (+49) / Fax (+49) / [email protected]

19 New drilling sequence Quality-orientated surgical protocol Bone density from hard to soft D1 D2 D3 D4 Chirurgie 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 Atraumatic tapping Prevention of bone overloading during surgery Medium-hard to soft bone 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

20 Surgical procedure Surgical protocol 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 narrow Hard bone REF SKYD rpm/min. 3.5 REF SKYD rpm/min. 4.0 Medium hard / soft bone Pilot drill U/min. Twist-Drill U/min. Detachable drill stops REF SKYD rpm/min. 3.5 REF SKYD rpm/min. 4.0 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 Tel. (+49) / Fax (+49) / [email protected]

21 classic 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 Chirurgie REF SKYD rpm/min. 4.5 REF SKYD rpm/min. 5.5 or or or or 3.5 N Crestal drill 300 rpm/min. REF SKYD rpm/min. 4.5 REF SKYD rpm/min

22 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. Open the new double sterile packaging. Remove the implant with the insertion instrument for the ratchet or the contra-angle. The conical Torx allows to hold the implant safely. 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. 22 Tel. (+49) / Fax (+49) / [email protected]

23 Ordering information Drill and drill stops Twist-Drill REF L6 L8 L10 L12 L14 L16 SKYXST06 SKYXST08 SKYXST10 SKYXST12 SKYXST14 SKYXST16 Drill Drill 3,5 4,0 4,5 5,5 REF REF SKYS0840 SKYS1040 SKYS1240 SKYS1440 SKYS1640 SKYS0845 SKYS1045 SKYS1245 SKYS1445 Surgery Bone bur rpm/min Twist-Drill rpm/min REF SKY-DR REF SKYDT13L 1.3 REF SKYDT23K 2.25 short Pilot drill rpm/min REF SKYDT23L 2.25 long REF SKY-DP short REF SKY-DP long Drill for hard bone rpm/min 300 Drill for medium hard and soft bone rpm/min 300 REF SKYD REF SKYD REF SKYD REF SKYD REF SKYD REF SKYD REF SKYD REF SKYD Crestal drill rpm/min 300 SKY Drill extension REF SKYCD35n REF SKYXCD35 REF SKYXCD40 REF SKYXCD45 REF SKYXCD55 narrowsky 3.5 N bluesky, SKY classic 3.5 bluesky, SKY classic 4.0 bluesky, SKY classic 4.5 bluesky, SKY 5.5 REF SKY-DV12 23

24 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 Length 16 mm REF nsky3514 REF nsky3516 The implant includes the cover screw. bluesky 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 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 ksky Tel. (+49) / Fax (+49) / [email protected]

25 Implants 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 Length 8 mm REF ksky4508 Length 10 mm REF ksky4510 Length 12 mm REF ksky4512 Length 14 mm REF ksky4514 Cover screw is incorporated into the implant. 25

26 Prosthetics overview narrowsky + bluesky + SKY classic bluesky + SKY classic with platform switch 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 Tel. (+49) / Fax (+49) / [email protected]

27 bluesky + SKY classic without platform switch nts Gingiva former / impression abutments SKY temp / gingiva former R SKY titanium abutments Prosthetics overview R R SKY fast & fixed R SKY Locator / SKY ball head attachments 27

28 Prosthetics Impression and model fabrication bluesky SKY classic 11 mm mm Impression abutment for open impression incl. screw REF SKY-PA10 11 mm mm 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 The implant analog guarantees precision thanks to distinctive retentions protection against rotation REF SKY-IA4 0 Screw - impression abutment open tray, short 6 pieces REF SKY-PS18 Material: Titanium Torque: 10 Ncm Perfect results both for open and closed impressions. 28 Tel. (+49) / Fax (+49) / [email protected]

29 narrowsky bluesky SKY classic new bluesky SKY classic SKY esthetic impression abutment S (narrowsky), open trays, with trapped screw, 24 mm long 10 mm REF SKYESPA1 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: 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 10 mm 10 mm SKY esthetic impression abutment M open tray, with integrated screw, 24 mm long REF SKYEMPA1 SKY esthetic impression abutment L open tray, with integrated screw, 24 mm long REF SKYELPA1 SKY esthetic impression open trays, screw 18 mm short 6 pieces REF SKYAPS18 SKY esthetic impression coping open tray 10 pieces REF SKYEAK11 Impression Model 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 REF SKYEMPA2 10 mm SKY esthetic impression abutment L closed tray, with integrated screw REF SKYELPA2 Material: Titanium Torque: 10 Ncm SKY esthetic impression coping closed tray, 10 pieces REF SKYEAK22 29

30 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 Gingiva former height 4 mm incl. screw 4 mm REF SKY-GF04 Gingiva formers in 3 distance heights 2 mm yellow 4 mm silver 6 mm red 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. Enhanced gingival conditions for bar structures and resto rations with ball attachments. Reduction of the large number of components. 6 mm Gingiva former height 4 mm incl. screw REF SKY-GF06 Material: Titanium Torque: 10 Ncm Photo: Dr. Borrmann, Kornwestheim (DE) 30 Tel. (+49) / Fax (+49) / [email protected]

31 SKY aesthetic gingiva former narrowsky bluesky SKY classic new bluesky SKY classic 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. narrow platform regular platform Impression Model 4.3 mm SKY esthetic Gingivaformer S (narrowsky) size S mm SKY esthetic gingiva former M size M 2 2 mm REF SKYESG02 2 mm REF SKYEMG02 3 mm 4.5 mm SKY esthetic Gingivaformer S (narrowsky) size S 3 REF SKYESG03 3 mm 5.7 mm SKY esthetic gingiva former M size M 3 REF SKYEMG03 4 mm 4.5 mm SKY esthetic Gingivaformer S (narrowsky) size S 4 REF SKYESG04 4 mm 5.7 mm SKY esthetic gingiva former M size M 4 REF SKYEMG mm SKY esthetic gingiva former L size L 2 2 mm REF SKYELG mm SKY esthetic gingiva former L size L 3 3 mm REF SKYELG mm SKY esthetic gingiva former L size L 4 4 mm REF SKYELG04 Material: Titanium Torque: 10 Ncm 31

32 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....gapless... 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 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. DMF-T Number of teeth with dental caries (DMF-T) in 12-year olds in Germany. Source: KZBV 2008 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. 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. % ,4 28,4 30,0 26,8 21,7 21,1 19,4 18,3 16,9 16,6 16,0 15,4 Full-ceramic restoration with individual abutments and temporary restoration > E Augmentative procedure + individual abutments + full ceramic whitesky full ceramic Frequency of under-20 year olds in Germany. Source: KZBV E Metal-ceramic crowns visio.lign crown on NPM basis < E SOLUTIONS 32 Tel. (+49) / Fax (+49) / [email protected]

33 SKY temp narrowsky bluesky SKY classic new bluesky SKY classic 7 mm 2 mm SKY temp S incl. screw 2.2 REF SKYtemps 4 mm 6 mm SKY temp M incl. screw 2.2 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. 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. SKY temp - as individual gingiva former 3 mm 5.5 mm 5.3 mm 3.7 mm 7 mm REF SKYtempM SKY temp L incl. screw 2.2 REF SKYtempL Material: POM Torque: 18 Ncm Permanent cosmetic restoration SKY temp is also the perfect basis for individual gingiva formers to fulfil high demands on red/white esthetics. 5.8 mm 3 mm SKY prov S inc. screw 2.2 REF SKYprovs 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

34 Prosthetics SKY Titanium abutments bluesky SKY classic R R 10 mm Abutment O incl. screw 2.2 REF SKY-PO mm Abutment 15 incl. screw 2.2 REF SKY-PO15 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 turned by 30 R Abutment 15 R incl. screw 2.2 REF SKY-PO16 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. 25 Choosing the correctly orientated abutment has been simplified by means of the SKY abutment selection set (page 15). 10 mm Abutment 25 incl. screw 2.2 REF SKY-PO25 R Abutment 25 R incl. screw 2.2 turned by 30 REF SKY-PO26 Material: Titanium Torque: 25 Ncm 34 Tel. (+49) / Fax (+49) / [email protected]

35 SKY aesthetic abutments narrowsky bluesky SKY classic new R bluesky SKY classic R 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. 6 mm 3 mm 4.5 mm 15 SKY esthetic Abutment S 0 (narrowsky) incl. screw 2.2 REF SKYnES00 6 mm 3 mm 5.5 mm 15 SKY esthetic Abutment M 0 incl. screw 2.2 REF SKY-EM00 Permanent cosmetic restoration 6 mm SKY esthetic Abutment S 15 (narrowsky) incl. screw mm SKY esthetic Abutment M 15 incl. screw mm REF SKYnES15 3 mm REF SKY-EM mm 5.5 mm R SKY esthetic Abutment S 15 R (narrowsky) incl. screw 2.2 R SKY esthetic Abutment M 15 R incl. screw 2.2 REF SKYnES16 REF SKY-EM16 turned by 30 Material: Titanium Torque: 25 Ncm turned by 30 6 mm 3 mm SKY esthetic Abutment L 0 incl. screw 2.2 REF SKY-EL00 7 mm Material: Titanium Torque: 25 Ncm 35

36 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 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. F [N] Titanium abutments 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) Photo: Dr. Lerner, Baden-Baden (DE) 36 Tel. (+49) / Fax (+49) / [email protected]

37 SKY elegance individual abutments narrowsky bluesky SKY classic new bluesky SKY classic SKY elegance individual abutments 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. 5.8 mm 3.0 mm 3.5 mm SKY elegance titanium base REF SKYETB00 SKY elegance prefabricated abutments 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. 9.4 mm 5.5 mm 3.5 mm 5.5 mm SKY elegance M Abutment incl. screw 2.2 REF SKYEEM00 SKY elegance M 15 Abutment incl. screw 2.2 Permanent cosmetic restoration 9.4 mm REF SKYEEM mm 4.5 mm SKY elegance S Abutment incl. screw 2.2 REF SKYEES mm 9.4 mm 7 mm Material: Titanium Torque: 25 Ncm SKY elegance L Abutment incl. screw 2.2 REF SKYEEL mm SKY elegance S 15 Abutment incl. screw 2.2 REF SKYEES mm Available from autumn

38 Prosthetics Cast-on abutments bluesky SKY classic 9,5 mm 3.5 mm Abutment, cast-on incl. plastic coping and screw 2.4 REF SKY-PV00 With cast-on abutments, difficult individual clinical situations can also be easily handled from a prosthetic point of view. 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. Screw pieces REF SKY-PS22 Technical data: Melting interval C WAK (thermal expansion coefficient) K -1 (Au 60 %, Pd 20 %, Pt 19 %, Ir 1%) Weight: 0.33 g Torque: 25 Ncm Photo: Dr. Vogel, Neu-Isenburg (DE) 38 Tel. (+49) / Fax (+49) / [email protected]

39 SKY uni.fit Abutment bluesky SKY classic 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. Can be used with all CAD/CAM systems, copy milling units and casting techniques. Individual abutments made of zirconiumdioxide and titanium can be fabricated mm 4.2 mm SKY uni.fit Abutment incl. screw 2.2 REF SKYUFA00 Material: Titanium Torque: 25 Ncm Permanent cosmetic restoration Photo: Dr. Alius, Nürnberg (DE) 39

40 Prosthetics SKY uni.fit Scan Abutment narrowsky bluesky SKY classic new Extra-oral: The position of the implant on the model is safely and reliably scanned extra-orally using three-point referencing. 13 mm SKY uni.fit Scan-Abutment extraoral REF SKYUSCAE Position, location and axial orientation of the implant in the virtual model are determined by means of three-point referencing. Intra-oral: The CAD software recognizes the association of implant location and position using record identification. Three-point referencing 8 mm 12 mm 3.5 mm 3.5 mm Material: PEEK Torque: 10 Ncm SKY uni.fit Scan-Abutment intraoral 1 piece REF SKYUSCAI SKY fast & fixed Scan cap intraoral / extraoral REF SKYFSCIE 5.7 mm 12 mm SKY uni.cone Scan cap intraoral / extraoral 1 piece REF SKYUSCIE 4.5mm Material: PEEK Torque: 10 Ncm 40 Tel. (+49) / Fax (+49) / [email protected]

41 SKY uni.fit CAD abutment narrowsky bluesky SKY classic new 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. Small design with maximum adhesive surface for reliable long-term bonding. Parallel-walled with optimized radii to ensure perfect milling in CAM systems. 4.5 mm 10 mm 4 mm SKY uni.fit CAD Abutment REF SKYUFCAD Material: Titanium Torque: 25 Ncm SKY uni.fit CAD Abutment 3.5 REF SKYUFA35 Space for excess adhesive Material: Titanium Torque: 25 Ncm Permanent cosmetic restoration 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 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

42 Prosthetics SKY Zirconium abutments bluesky SKY classic R R 9.1 mm 5.5 mm SKY zirconium abutment 0 with screw 2,2 REF SKYZA mm 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. 9.1 mm R SKY zirconium abutment 0 R with screw 2,2 REF SKYZA00R 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. 9.1 mm 9.1 mm SKY zirconium abutment 15 with screw 2,2 R REF SKYZA150 SKY zirconium abutment 15 R with screw 2,2 REF SKYZA15R 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. Material: Titanium + ZiO2 Torque: 25 Ncm 42 Tel. (+49) / Fax (+49) / [email protected]

43 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. OHIP-value ,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. > E E Edentulous jaw with intensive augmentative measures Incl. definitive restoration 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. 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. 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. 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. SKY fast & fixed < E 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 D 43

44 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. A B 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 Tel. (+49) / Fax (+49) / [email protected]

45 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 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 45

46 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 REF SKYFFS35 Screw M pieces REF SKYFFSPK 12.4 mm 25 mm SKY f & f prosthetic coping, titanium with screw M 1.4, Silicone tubing 1 piece each 12.4 mm SKY f & f Prosthetic coping Resin burn-out 12.4 mm SKY f & f Prosthetic coping HSL cast-on REF SKYFFPKT REF SKYFFPKK REF SKYFFPKH 5.65 mm 5.65 mm 5.65 mm Technical data: Melting interval C WAK (thermal expansion coefficient) K -1 Material: Pt 90 % / Ir 10 % Weight: 0,59 g 5.65 mm 3.7 mm 1 mm SKY f & f Abutment 0 height 1 mm with integrated screw 1 piece each 2 mm SKY f & f Abutment 0 height 2 mm with integrated screw 1 piece each 4 mm SKY f & f Abutment 0 height 4 mm with integrated screw 1 piece each REF SKYFT001 REF SKYFT002 REF SKYFT004 bluesky 46 Tel. (+49) / Fax (+49) / [email protected]

47 bluesky SKY classic 10.3 mm SKY f & f impression coping Closed tray with integrated screw SKY f & f Impression coping open tray SKY f & f Gingiva former REF SKYFF0AK REF SKYFFAOL REF SKYFFGF2 11 mm 6 mm 5.65 mm 5.65 mm SKY f & f laboratory analog REF SKYFFTLA SKY f & f Prosthetic coping transversal screw-retained Screw driver long Allen 0.9 Screw driver Allen 0.9 for transversal screw retention* SKY fast & fixed 6.1 mm 5.1 mm REF SKYFTPKS REF REF 310W mm 5.65 mm 5.65 mm 3.7 mm 3.7 mm 3.7 mm 3.7 mm 3 mm 5 mm 4 mm 5 mm SKY f & f Abutment 17,5 height 3 mm with screw piece each SKY f & f Abutment 17,5 height 5 mm with screw piece each SKY f & f Abutment 35 height 4 mm with screw piece each SKY f & f Abutment 35 height 5 mm with screw piece each bluesky bluesky REF SKYFT173 REF SKYFT175 REF SKYFT354 REF SKYFT355 47

48 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 Tel. (+49) / Fax (+49) / [email protected]

49 narrowsky bluesky SKY classic new 10.3 mm SKY uni.cone impression coping Closed tray with integrated screw SKY uni.cone Impression coping open tray SKY uni.cone Gingiva former REF SKYUCAGL REF SKYUCAOL REF SKYUCGF2 11 mm 6 mm 4.5 mm 4.5 mm SKY uni.cone laboratory analog Screw M 1,4 6 pices REF SKYUCTLA REF SKYFFSPK 5 mm SKY uni.cone Prosthetic coping transversal screw-retained Screw driver long Allen 0.9 Screw driver Allen 0.9 for transversal screw retention* 4.5 mm REF SKYUCPKS REF REF 310W0106 Available from autumn mm SKY uni.cone Prosthetic coping, titanium 1 piece each Silicone tubing REF SKYUCPKT 12.4 mm SKY uni.cone Prosthetic coping, resin 1 piece each REF SKYUCPKK 12.4 mm SKY uni.cone Prosthetic coping HSL cast-on 1 piece each REF SKYUCPKH Removable 4.5 mm 4.5 mm 4.5 mm Technical data: Melting interval C WAK (thermal expansion coefficient) K -1 Material: Pt 90 % / Ir 10 % Weight: 0,59 g 3,7 mm 1 mm 2 mm 3 mm SKY uni.cone Abutment 0 height 1 mm SKY uni.cone Abutment 0 height 2 mm SKY uni.cone Abutment 0 height 3 mm REF SKYUC001 REF SKYUC002 REF SKYUC003 narrowsky bluesky SKY classic 49

50 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. OHIP = Oral Health Impact Profile stands for: physical handicap, psychological handicap (beauty), social handicap (high value - big problem). OHIP-value in the thick of it... < 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. 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. 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. 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 (%) Physicians desolate 27 % good 37 % Dentists Age (years) poor 36 % Source: Federal Office for Statistics. Source: Dissertation Dr. Saal Hamburg 50 Tel. (+49) / Fax (+49) / [email protected]

51 Ball attachments bluesky SKY classic 3.6 mm 2.25 mm Ball attachment directly screwed height 0 mm REF SKY-KA mm 2 mm Ball attachment height 2 mm REF SKY-KA02 Based on the gingiva former, the patrix is screwed in after replacing the screw. Various matrix systems are available: SKY metal housing with O-ring SKY precious metal matrix 4 mm 2.25 mm Ball attachment height 4 mm REF SKY-KA04 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. Indication fixation of restorations 5.2 mm Metal housing with O-ring REF SKY-OR50 O-rings 6 pieces REF SKY-OR mm SKY precious metal matrix Removable 2.5 mm 3 mm REF SKYGM225 SKY precious metal matrix activator REF SKYGMAKT SKY precious metal matrix deactivator REF SKYGMDEA 51

52 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. The 3 gingival heights of 2, 4, and 6 mm cover all of the relevant clinical situations. SKY Locator Processing set10-20, 2 pieces REF LOCLAB20 2 mm 3.9 mm SKY Locator Abutment Gingiva height 2 mm REF LOCZAB02 4 mm SKY Locator Abutment Gingiva height 4 mm Photos: Dr. Alius, Nürnberg (DE) REF LOCZAB04 6 mm SKY Locator Abutment Gingiva height 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 Tel. (+49) / Fax (+49) / [email protected]

53 SKY Locator angled bluesky SKY classic new The original Locator on an angled SKY base opens up new prosthetic horizons. The two-component design corrects the insertion direction: Locator base 17.5 Locator base mm 2 mm 3.9 mm SKY Locator Abutment 17.5 Height 2 mm REF LOCAB172 The Locator coping is the same for both products. Furthermore, the prostheses can now have better posterior support. SKY Locator Abutment 35 Height 2 mm REF LOCAB352 All Locator retention elements can be used. Material: Titanium TiN-coated Torque: 25 Ncm Dr. Idoux, Hoerth, (FR) Removable 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

54 Prosthetics Accessories SKY Locator bluesky SKY classic Impression coping 4 pieces REF LOCZAK40 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 REF LOCZWIML Retention insert blue, 6.7 N, 680 g 4 pieces REF LOCR1006 Retention insert pink, 13.4 N, 1365 g 4 pieces REF LOCR1013 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 Retention insert green, 17.8 N, 1815 g 4 pieces REF LOCR2018 SKY Locator Instrument 1 pieces REF LOCZINST SKY Locator Angular insertion instrument, 1 pieces REF LOCZWED6 54 Tel. (+49) / Fax (+49) / [email protected]

55 SKY Steg Abutment bluesky SKY classic Based on the titanium gingiva formers, three abutments are available for the fabrication of the bars: burn-out base cast-on HL base titanium base 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 0.7 mm Bar abutment, titanium 4.3 mm REF SKY-ST11 Bar abutment, burn-out plastic REF SKY-SK11 5 mm Bar abutment, HL REF SKY-SH11 Indication Technical data: Melting interval C WAK (thermal expansion coefficient) 11,9-12, K -1 (Au 60 %, Pd 20 %, Pt 19 %, Ir 1 %) Weight: 0,63 g bars Bar base, height 2 mm incl. screw 2.4 REF SKY-SB02 Bar base, height 4 mm incl. screw 2.4 Removable REF SKY-SB04 Bar base, height 6 mm incl. screw 2.4 REF SKY-SB06 Spacer analog incl. screw 2.4 REF SKY-DA77 Material: Titanium Torque: 25 Ncm 55

56 Prosthetics Screws bluesky SKY classic In two posters presented at the SKY Meeting 2012, Dr. Wentaschek from the University of Mainz illustrated how Pretension can be significantly reduced by repeatedly tightening the screw. Pretension is the decisive 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 SKY prosthetic screw 2.2 blue, 6 pieces REF SKY-PS22 SKY fast & fixed and uni.cone screw M 1.4 for prosthetic coping 6 pieces REF SKYFFSPK These results can be transferred to the recall. In this case, we recommend replacement of the screws when the abutment is removed for cleaning. Laboratory screws SKY lab screw PS22 grey, 10 pieces REF SKYLPS22 SKY fast & fixed and uni.cone lab screw M1.4 grey, 10 pieces REF SKYFFLPK SKY adjustment screw 2 mm 3 pieces REF SKY-DS02 SKY adjustment screw 4 mm 3 pieces REF SKY-DS04 Spacer analog incl. screw 2.4 REF SKY-DA77 SKY adjustment screw 6 mm 3 pieces REF SKY-DS08 SKY impression screw closed trays REF SKY-PS18 SKY aesthetic impression screw, open trays, short REF SKYAPS18 Pre-stress [cn] Findings [Time] 1 x screw fixation 5 x screw fixations 10 x screw fixations Repeatedly tightening the screws reduces pretension by up to 40 %. 56 Tel. (+49) / Fax (+49) / [email protected]

57 SKY prosthetic assortment Practice new Laboratories 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. SKY prosthetic assortment practice REF SKYPET10 SKY prosthetic assortment laboratories REF SKYPET20 Content: SKY torque ratchet Content: SKY laboratory handle REF SKY-SD50 REF SKY-SD80 SKY prosthetic key short SKY prosthetic key for contra-angles REF SKY-SD16 REF SKY-SD22 SKY prosthetic key long REF SKY-SD25 The following components can also be selected SKY prosthetic key for ball head attachments REF SKY-SD21 SKY adapter, instruments for contra-angles REF SKYADAP6 Screwdriver, Alle screw 0.9 for transversal screw-retention REF 310W0106 SKY Locator mounter for contra-angles REF LOCZWED6 Screwdriver, Allen screw 0.9 for transversal screw retention REF 310W0106 Instruments Tools Key holder REF SKY-SD65 57

58 Accessories Tools for ratchet and contra-angle M = 1:1 REF SKY-PI22 Parallel indicator with conical and cylindrical side, thicker central area with hole for protection against accidental dropping 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 minisky insertion instrument, contra-angle long REF SKYADAP6 Adapter REF LOCZWED6 SKY Locator mounter for contra-angle 58 Tel. (+49) / Fax (+49) / [email protected]

59 Ø 5 mm Ø 5 mm Instruments M = 1:2 REF SKY-SD40 Surgical ratchet Finger key with ratchet function and attachable, movable handle. Can be directly attached onto the Star-Driver. REF SKY-SD50 Torque ratchet Adjustable from 10 to 30 Ncm. Is directly attached onto the key. REF SKY-SD80 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. REF SKY-SD60 Universal forceps The universal forceps with titanium-coated gripping surface to hold implants and abutments, also suitable to hold prosthetic keys. REF SKY-SD65 Key holder The useful and compact holding tool for all prosthetic instruments. REF LOCZINST SKY Locator Instrument REF OPG-ruler Maßstab / scale 1: REF bskyms01 bluesky / narrowsky X-ray-tamplates Scale 1: Maßstab / scale 1: bredent medical GmbH & Co.KG Weissenhorner Str Senden Germany Tel. (+49) / Fax (+49) / [email protected] Ø 5 mm REF bskyms Maßstab / scale 1,26 : REF bskyms12 REF bskyms26 Scale 1,12:1 Scale 1,26: Maßstab / scale 1,12 : Maßstab / scale 1,12 : Instruments Tools Maßstab / scale 1,26 :1 bredent medical GmbH & Co.KG Weissenhorner Str Senden Germany Tel. (+49) / Fax (+49) / [email protected] REF bskyms classic Maßstab / scale 1: REF kskyms01 SKY classic X-ray-tamplates Maßstab / scale 1,12 : Scale 1:1 bredent medical GmbH & Co.KG Weissenhorner Str Senden Germany Tel. (+49) / Fax (+49) / [email protected] Ø 5 mm REF bskyms12 Maßstab / scale 1,12 : REF bskyms Ø 5 mm bredent medical GmbH & Co.KG Weissenhorner Str Senden Germany Maßstab / scale 1,26 : REF kskyms12 Scale 1,12:1 Tel. (+49) / Fax (+49) / [email protected] Maßstab / scale 1: bredent medical GmbH & Co.KG Weissenhorner Str Senden Germany Tel. (+49) / Fax (+49) / [email protected] Ø 5 mm REF kskyms01 bskyms REF kskyms Maßstab / scale 1,26 :1 classic classic Scale 1,26: Maßstab / scale 1,12 : bredent medical GmbH & Co.KG Weissenhorner Str Senden Germany REF kskyms26 bskyms26 Tel. (+49) / Fax (+49) / [email protected] Maßstab / scale 1,12 : Ø 5 mm 59 bredent medical GmbH & Co.KG Weissenhorner Str Senden Germany Tel. (+49) / Fax (+49) / [email protected] REF kskyms12 bskyms12

60 Technical specifications Recommendations for SKY screws SKY cover screw 25 rpm 10 Ncm SKY gingiva former 25 rpm 10 Ncm SKY impression abutments 25 rpm 10 Ncm SKY temp / SKY prov S 25 rpm 18 Ncm SKY abutments 25 rpm 25 Ncm SKY fast & fixed 25 rpm 18 Ncm SKY uni.cone Prosthetic screw 60 Tel. (+49) / Fax (+49) / [email protected]

61 mini Presentation of the system minisky Implant System 61

62 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 mini 2 SKY 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 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 Tel. (+49) / Fax (+49) / [email protected]

63 minisky overview mini minisky diameter-reduced implants osseo connect surface (ocs ) The mini 1 SKY and mini 2 SKY Implantate feature the proven osseo connect surface (ocs ) of the bluesky implants to ensure fast and reliable osseointegration. 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 3.2 mm Three-step functional design Cortical relief Central stabilization Special tip 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 Transgingival difference mini 1 SKY Penetration profile through gingiva at the implant mini 2 SKY Penetration profile through gingiva at the abutment 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 stressfree bonding in situ minisky 63

64 minisky overview mini 1 SKY 2.8 Length 6 mm Length 10 mm Length 12 mm Length 14 mm REF m1skyl06 REF m1skyl10 REF m1skyl12 REF m1skyl14 mini 2 SKY 2.8 Length 10 mm Length 12 mm Length 14 mm REF m2skyl10 REF m2skyl12 REF m2skyl Length 8 mm Length 10 mm Length 12 mm Length 14 mm REF m2sk3208 REF m2sk3210 REF m2sk3212 REF m2sk3214 The mini²sky gingivaformer is used during healing time. Therefore a cover screw is not included in the scope of delivery. 64 Tel. (+49) / Fax (+49) / [email protected]

65 Surgical protocol mini 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 mini D1 Twist-Drill 2.25 SKYDT23K/SKYDT23L rpm/min D1 SKY Drill SKYD rpm/min 100 % implant length 100 % implant length mini D1- D4 Pilot drill SKY-DP06/SKY-DP rpm/min D1- D4 Twist-Drill 1.3 SKYDT13L rpm/min 100 % implant length D2 Twist-Drill 2.25 SKYDT23K/SKYDT23L rpm/min 2/3 implant length SKY Drill SKYD rpm/min D2- D3 100 % implant length D3- D4 With bone quality D3-D4, the drilling process is completed using twist drill 1.3 D4 With bone quality D4, the drilling process is completed using twist drill 2.25 minisky 65

66 mini 1 mini 2 mini 2 mini 1 Surgical and prosthetic instruments Drills, drill stops, and tools Twist-Drill REF L6 L8 L10 L12 L14 SKYXST06 SKYXST08 SKYXST10 SKYXST12 SKYXST14 Drill 3,5 4,0 REF SKYS0840 SKYS1040 SKYS1240 SKYS1440 Twist-Drill rpm/min Drill for hard bone rpm/min. 300 REF SKYDT13L 1.3 REF SKYD REF SKYDT23L 2.25 long REF SKYD SKY Drill extension REF SKY-DV mini Maßstab / scale 1:1 6 mm 10 mm 12 mm 14 mm REF mskyms01 M = 1:1 6 mm Maßstab / scale 1:1 10 mm 12 mm 14 mm REF mskyms12 M = 1,12:1 SKY Prosthetic key long REF SKY-SD25 Maßstab / scale 1:1 10 mm 12 mm 14 mm Maßstab / scale 1:1 12 mm 10 mm bredent medical GmbH & Co.KG Weissenhorner Str Senden Germany Tel. (+49) / Fax (+49) / [email protected] 14 mm Ø 5 mm REF mskyms01 REF mskyms26 M = 1,26:1 minisky Mounter for contra-angle short REF mskyxwm6 Adapter REF SKYADAP6 minisky insertion instrument, contra-angle long REF mskyxwm7 Torque ratchet Adjustable from Ncm. Is directly attached onto the key. REF SKY-SD50 66 Tel. (+49) / Fax (+49) / [email protected]

67 Impression and model fabrication mini Presentation of a problem Initial situation When making an impression of the mini 1 SKY implants, the o-ring (SKY-OR55) is placed over the ball head The torx of the mini 1 SKY implants and the o-rings is then fully molded using the impression material, brecision implant light (580 BL050) 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. 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 mini 1 SKY implants is clearly recognizable and aids repositioning of the laboratory analog. 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 Using a gingival mask, Multisil-Mask hard ( ), the implant analog must be blocked, ensuring that the exact position of the implant analog is maintained during model fabrication. Control using a bridge framework has resulted in a high level of precision between the initial model and the model from the impression. 10 O-ringe 6 pieces REF SKY-OR55 brecision implant heavy Impression material blue 1 x 380 ml 5 x dynamic mixers 1 x bayonet ring yellow REF 580 BH38 0 The Sheffield test was passed without any complications. 2 x 50 ml Multisil-Mask hard in cartridges 24 mixing cannulas REF brecision implant light Impression material orange 2 x 50 ml 10 mixing cannulas yellow 10 Intra-oral tips REF 580 BL05 0 minisky 67

68 mini 2 SKY impression Impression and model fabrication mini 2 SKY new 3 mm 4 mm mini 2 SKY Gingiva former REF m2skygf3 Material: Titanium Torque: 10 Ncm mini 2 SKY 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. 11 mm mm mini 2 SKY Impression Abutment open tray REF m2skypa1 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. 1.5 mm mini 2 SKY Implant analog 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 2 mm 3.9 mm minisky Locator height 2 mm 1 pieces REF m2skylc2 The locator impression coping is used to make an impression of the mini²sky Locator. 4 mm minisky Locator height 4 mm 1 pieces REF m2skylc4 68 Tel. (+49) / Fax (+49) / [email protected]

69 Prosthetics mini mini 1 SKY Fixation of prostheses in severely atrophied jaws mini 1 SKY 2.25 mm mini 1 SKY Implant analog REF m1skyxia Fixation of prostheses on mini 1 SKY 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. 2.5 mm 3.25 mm SKY Precious metal matrix REF SKYGM225 3 mm 5.2 mm SKY O-ring REF SKY-OR50 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 REF minisky Photos: Dr. Saal, Hamburg (DE) 69

70 Prosthetics mini 2 SKY Locator mini 2 SKY mm 4 mm 3.9 mm minisky Locator Height 2 mm 1 piece REF m2skylc2 minisky Locator Height 4 mm 1 piece REF m2skylc4 Material: Titanium TiN-coated Torque: 25 Ncm Locator Processing set 2 sets 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. REF LOCLAB20 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 the minisky retaining screw. The prosthesis is then manufactured using conventional dental procedures. The Locator retention elements up to 20 are used for retention. Images: m.c. Zahntechnik, Oldenburg (DE) 70 Tel. (+49) / Fax (+49) / [email protected]

71 mini Restoration of narrow gaps mini 2 SKY mini 2 SKY 9 mm mini 2 SKY MD-Abutment titan 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. Transgingival healing with a prefabricated or individual gingiva former spares the patients from a second intervention. REF m2skymdt 2.8 Material: Titanium Torque: 20 Ncm mini 2 SKY MD-Abutment BioXS REF m2skymdb minisky 9 mm 3.2 Material: BioXS Torque: 20 Ncm Photos: Dr. Ghirlanda, Rom (IT) 71

72 Prosthetics mini 2 SKY individual abutment mini 2 SKY new mini 2 SKY uni.fit abutment 1 piece REF m2skyufa Material: Titanium Torque: 20 Ncm With the new mini 2 SKY uni.fit abutment, laboratory-produced individual abutments can be manufactured on mini 2 SKY, 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. 2.8 Available from autumn 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 Non-uniform adhesive gap 72 Tel. (+49) / Fax (+49) / [email protected]

73 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) bredent medical offers the perfect solution with minisky-frp. With 3 mini 1 SKY planning implants you create the optimal basis for 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 mini 1 SKY planning implants can also be used to support the denture during the preparatory phase of implant placement. minisky 73

74 Implant planning mini 1 SKY-FRP mini 1 SKY-FRP 2 mm 4 mm 6 mm 4 mm 2 mm 2.25 mm 2,25 mm mini 1 SKY Ø 2,8 mm L 6 mm REF m1skyl06 mini 1 SKY Ø 2,8 mm L 10 mm REF m1skyl10 Everything you need Implants The mini 1 SKY 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. 10 mm 2.25 mm mini 1 SKY Implant Analog REF m1skyxia Impression and model fabrication 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. 3 mm 3.3 mm mini 1 SKY Planning matrix white 3 pieces REF m1skyplm 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 mm SKY Precious metal matrix 2.5 mm REF SKYGM225 3 mm SKY O-ring REF SKY-OR mm 74 Tel. (+49) / Fax (+49) / [email protected]

75 Internet mini 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 Furthermore you will get latest news and helpful videos on our twitter ( and youtube ( 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. The Information on ordering section includes all the relevant information for placing orders. Currently, an online shop is being created. minisky 75

76 Presentation of the system SKY Implant system - prosthetically unique Other offers that may be of interest to you ERFOLG 10 JAHRE W ISSE N S C H A F TLIC H BELE GT HELBO HELBO-Therapie Regeneration Kursprogramm 2013 SICHERN ERHALTEN A U F B A U E N Das ein und alles für den Kieferkamm Neue Chancen für Ihren Erfolg Beherrscht die Infektion in der Chirurgie und Implantologie ACADEMY REF GB REF GB REF GB bredent medical GmbH & Co.KG Weissenhorner Str Senden Germany Tel. (+49) / Fax (+49) / [email protected] Mistake and subject to change reserved GB