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(1)

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.

(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

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

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.

Regeneration

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

Instruments Tools SKY fast & fixed Implants SKY system miniSKY

Permanent cos- metic restoration Impression Model Prosthetics overview

Surgery

(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

com-fort.

Short implants

The implant neck design of the SKY classic implants (8 mm)

al-lows 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

bridg-es, which can be bonded in the mouth in a way to eliminate

stress and secure passive-fit.

(5)

Individual White-Shade abutments with Off-Peak

character-istic

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

es-thetic S and SKY elegance S abutments.

Highly esthetic ceramic restorations

Prefabricated, anatomically shaped ceramic abutments are

avail-able for highly esthetic restorations and inexpensive treatment

with implants. Special cases can be restored using

laboratory-fabricated individual abutments, which feature a titanium base.

(6)

mini

2

narrow

mini

1

2.8

3.5 N

narrow

platform

3.2

2.8

Implants overview

Diameter covering

(7)

classic

4.0

regular

platform

4.0

regular

platform

3.5

regular

platform

4.5

regular

platform

5.5

regular

platform

3.5

regular

platform

4.5

regular

platform

SKY System

(8)

narrow

3.5 N

3.5 N

3.5

narrowSKY 3.5 N and SKY regular platform

narrowSKY 3.5 N

narrow

Ø 3,5 mm

3.5 N

5.5

4.5

4.0

3.5

Ø 4,0 mm

Ø 3.5 mm

Torx® identical

(9)

3.5

4.0

4.5

3.5

4.0

4.5

5.5

3.5

4.0 4.5 5.5

SKY System

blueSKY and SKY classic

classic

5.5

4.5

4.0

3.5

Ø 4,0 mm

Ø 4.0 mm

Torx® identical

(10)

1st dimension

The narrow finished surface with micro grooves opti-mally protects the accumu-lation of epithelial tissue.

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.

3rd dimension

The blasted and high-tem-perature etched surface of-fers the ideal coarseness for osseous integration. The macro grooves support long-term bone preservation.

2nd dimension

The narrowly etched surface with the uniform velvety structure stabilizes connec-tive tissue.

Finished surface

Gingival attachment

Etched surface

Connective tissue stabilization

Blasted, etched surface

Osseous anchoring

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.

0,1 -0,2 mm

0,5 mm

3D osseo connect surface (ocs®)

Surface

0 2,5 5 7,5 10 12,5 15 17,5 20 µm 22,5 µm 17,5 15 12,5 10 7,5 5 2,5 0 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

narrow

(11)

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.

1st dimension

The highly finished surface with micro grooves offers a wide space for the epithe-lial attachment and is easy to clean in the recall.

2nd dimension

The widely etched surface with the velvety structure stabilizes connective tissue.

3rd dimension

The blasted and high-tem-perature surface offers the ideal coarseness for osseous integration.

Finished surface

Gingival attachment

Etched surface

Connective tissue stabilization

Blasted, etched surface

Osseous anchoring

Excellent hydrophilic properties

The hydrophilic properties of a sur- face 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

con-nect(ocs®) which is considerably

more obtuse than those of

competi-0,5 mm 1,5 mm SKY System

classic

0 2,5 5 7,5 10 12,5 15 17,5 20 µm 22,5 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 µm 17,5 15 12,5 10 7,5 5 2,5 0

classic

(12)

narrow

Ultra-modern implant design with osseo connect (ocs®) surface for

high primary stability and long-term success of implant placement

Double thread highest torque in the run-out atraumatic in the cortical bone Speed (rpm) Fast in situ 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.

Conical-cylindrical implant shape

Speed (rpm)

(13)

Kompressionsgewinde

classic

blueSKY and SKY classic are based on the same tried and tested design and set with the same instruments.

Improving the bone quality The bone-quality oriented sur-gical procedure and the com-pression thread condense the bone around the implant site and hence increase the primary stability.

Compression thread

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).

Implants and abutments made from

titanium grade 4 (cold-worked)

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/mm2 N/mm2 min. fracture % min.

345 230 20 450 300 18 550 440 15 ≥ 680 ≥ 520 ≥ 12 800-900 700 10 SKY System

(14)

Compared to conical connections with press fit,

the flat connection with protection against

ro-tations provides major advantages for prosthetic

restorations since the vertical height of the

abut-ments 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

Long-term stable connection

(15)

Hexagon:

narrow line application

Hexagon:

very large tolerance

Hexagon:

very high notch stress

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

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

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.

Advantages of the Torx®

REF SKYASET9

+

=

SKY System

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®

12 positions

SKY abutment selection set

With the help of the SKY abut-ment selection set, the appro-priate abutments with the cor-rect orientation can be selected simply and quickly in the labo-ratory.

SKY abutment selection set R-type

abutment

=

30° swiveled

(16)

Indication

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.

The classic SKY implant is ideal to avoid milling off bone in narrow or uneven ridges.

The machined section avoids accumu-lation 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

(17)

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.

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

SKY System

(18)

REF SKYXOT21

Six implants - one set of instruments

SKY OP-Kit OT21

Surgical procedure

classic

narrow

mini

2

mini

1

(19)

Atraumatic tapping thanks to

reduced contact area Apical compression thanks to increased contact area Consistently high primary stability

Hard bone Medium-hard and soft bone

D1 D2-4

D1

D2

D3

D4

Chirurgie

New drilling sequence

Quality-orientated surgical protocol

Hard bone

Atraumatic tapping

Prevention of bone overloading during

surgery

Medium-hard to soft bone

Bone compression

Achieving primary stability

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 extend-ed using D1 drills.

This procedure ensures primary stability in every case and avoids overloading the bone.

(20)

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

Medium hard / soft bone

Hard bone

Pilot drill 800 - 1.000 U/min. Twist-Drill 800 - 1.000 U/min.

4.0

3.5

4.0

3.5

REF SKYD1235 300 rpm/min. REF SKYD1240 300 rpm/min. REF SKYD1245 300 rpm/min. REF SKYD3435 300 rpm/min. REF SKYD3440 300 rpm/min. REF SKYD3445 300 rpm/min.

3.5

4.0

4.5

5.5

Detachable drill stops

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.

Surgical procedure

(21)

4.5

Crestal drill 300 rpm/min.

3.5

or

4.0

or

4.5

4.5

REF SKYD1245 300 rpm/min. REF SKYD3445 300 rpm/min. or

5.5

REF SKYD1255 300 rpm/min.

5.5

5.5

REF SKYD3455 300 rpm/min.

3.5 N

or 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

fol-lowing implants:

• narrowSKY

• blueSKY 4.0 to 5.5

• SKY classic 4.0 to 4.5

(22)

Insertion concept

blueSKY - fast, reliable and

atraumatic implant placement

Open the new double sterile packaging. Remove the implant with the insertion instrument for the ratchet or the contra-angle.

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.

The conical Torx® allows to hold the implant safely.

Removing and screwing in the implant and the cover screw without changing instruments.

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.

The implant is inserted and can be screwed in immediately.

(23)

L6 L8 L10 L12 L14 L16

SKYXST06 SKYXST08 SKYXST10 SKYXST12 SKYXST14 SKYXST16

SKYS0840 SKYS1040 SKYS1240 SKYS1440 SKYS1640

– SKYS0845 SKYS1045 SKYS1245 SKYS1445 –

Twist-Drill

Drill

Drill

4,0 4,5 3,5 5,5 REF REF REF REF SKY-DR41 4.1

REF SKY-DP06 3.5short REF SKY-DP08 3.5long

REF SKYDT13L 1.3

REF SKYDT23K 2.25 short REF SKYDT23L 2.25 long

REF SKYXCD35

narrowSKY 3.5 N

REF SKYXCD40 blueSKY, SKY classic 4.0

REF SKYXCD45 blueSKY, SKY classic 4.5

REF SKYXCD55 blueSKY, SKY

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 REF SKYCD35n

blueSKY, SKY classic 3.5

Bone bur

rpm/min 800-1.000

Twist-Drill

rpm/min 800-1.000

Pilot drill

rpm/min 800-1.000

Drill for hard bone

rpm/min 300

Drill for medium hard and soft bone

rpm/min 300

Crestal drill

rpm/min 300

REF SKY-DV12

SKY Drill extension

Ordering information

Drill and drill stops

(24)

Order Information

blueSKY

3.5

REF bSKY 3510 Length 10 mm REF bSKY 3512 Length 12 mm REF bSKY 3514 Length 14 mm REF bSKY 3516 Length 16 mm

4.0

REF bSKY 4008 Length 8 mm REF bSKY 4010 Length 10 mm REF bSKY 4012 Length 12 mm REF bSKY 4014 Length 14 mm REF bSKY 4016 Length 16 mm

3.5

REF kSKY3510 Length 10 mm REF kSKY3512 Length 12 mm REF kSKY3514 Length 14 mm REF kSKY3516 Length 16 mm

4.0

REF kSKY4008 Length 8 mm Length 10 mm REF kSKY4012 Length 12 mm REF kSKY4014 Length 14 mm REF kSKY4016 Length 16 mm

SKY classic

narrowSKY 3.5 N

3.5 N

REF nSKY3510 Length 10 mm REF nSKY3512 Length 12 mm REF nSKY3514 Length 14 mm REF nSKY3516 Length 16 mm

Cover screw for narrowSKY Implants

The implant includes the cover screw.

3.5 N

(25)

4.5

REF bSKY 4508 Length 8 mm REF bSKY 4510 Length 10 mm REF bSKY 4512 Length 12 mm REF bSKY 4514 Length 14 mm

4.5

REF kSKY4508 Length 8 mm REF kSKY4510 Length 10 mm REF kSKY4512 Length 12 mm REF kSKY4514 Length 14 mm

5.5

REF bSKY 5508 Length 8 mm REF bSKY 5510 Length 10 mm REF bSKY 5512 Length 12 mm

Cover screw

for blueSKY and SKY classic implants

5.5 4.0

3.5 4.5

Implants

(26)

Prosthetics overview

narrowSKY + blueSKY + SKY classic

blueSKY + SKY classic

with platform switch

Laboratory implant / gingiva former / impression abutments

SKY prov / SKY elegance

SKY elegance

SKY scan / CAD abutments

SKY uni.cone

SKY aesthetic impression abutments

SKY aesthetic abutments

SKY elegance

SKY zirconium abutments

SKY Locator®

(27)

blueSKY + SKY classic

without platform switch

Prosthetics overview

SKY aesthetic impression abutments Gingiva former / impression abutments

SKY temp / gingiva former

SKY titanium abutments

SKY fast & fixed

SKY Locator® / SKY ball head attachments R

R

(28)

Prosthetics

REF SKY-PA10

REF SKY-IA4 0 Impression abutment for open

impression incl. screw

Impression abutment for open impression incl. screw

Implant analog REF SKY-PA20

REF SKY-PS18 Screw - impression abutment open tray, short

6 pieces 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

Perfect results both for open and closed impressions.

Material: Titanium Torque: 10 Ncm blueSKY

SKY classic

11 mm 18.75 mm

Impression and model fabrication

(29)

10 mm

REF SKYEMPA1

SKY esthetic impression abutment M open tray, with integrated screw, 24 mm long

REF SKYELPA1

SKY esthetic impression abutment L open tray, with integrated screw, 24 mm long

REF SKYEMPA2

SKY esthetic impression abutment M closed tray, with integrated screw

REF SKYELPA2

SKY esthetic impression abutment L closed tray, with integrated screw

REF SKYEAK11

SKY esthetic impression coping open tray

10 pieces REF SKYAPS18 SKY esthetic impression open trays, screw 18 mm short 6 pieces

For the impression of SKY esthetic abutments, appropriate impression abut-ments for open and closed trays are available for each diameter. The impres-sion 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

new

narrowSKY blueSKY SKY classic blueSKY SKY classic REF SKYESPA2

SKY esthetic impression abutment S (narrowSKY) closed trays, with trapped screw

REF SKYESPA1

SKY esthetic impression abutment S (narrowSKY), open trays, with trapped screw, 24 mm long

10 mm 10 mm 10 mm Impression Model 10 mm 10 mm

(30)

Prosthetics

Modular system - Gingiva formers to

create the basis for bars and bridges

REF SKY-GF02

REF SKY-GF06 Gingiva former height 2 mm

incl. screw

Gingiva former height 4 mm incl. screw

Gingiva former height 4 mm incl. screw

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.

Photo: Dr . Borrmann, K ornwestheim (DE) REF SKY-GF04 blueSKY SKY classic Material: Titanium Torque: 10 Ncm 6 mm 4 mm 2 mm 4 mm

(31)

blueSKY SKY classic

REF SKYEMG02

REF SKYEMG04 SKY esthetic gingiva former M size M 2

SKY esthetic gingiva former M size M 3

SKY esthetic gingiva former M size M 4

REF SKYEMG03

REF SKYELG02

REF SKYELG04 SKY esthetic gingiva former L size L 2

SKY esthetic gingiva former L size L 3

SKY esthetic gingiva former L size L 4

REF SKYELG03 REF SKYESG02

REF SKYESG04

SKY esthetic Gingivaformer S (narrowSKY) size S 2

SKY esthetic Gingivaformer S (narrowSKY) size S 3

SKY esthetic Gingivaformer S (narrowSKY) size S 4 REF SKYESG03

new

narrowSKY blueSKY SKY classic 2 mm 4.3 mm

narrow platform

regular platform

SKY aesthetic gingiva former

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. Impression Model 5.7 mm 4 mm 6.5 mm 2 mm 3 mm 4.5 mm 4 mm 4.5 mm 2 mm 5.2 mm 3 mm 5.7 mm 3 mm 7.2 mm 4 mm 7.2 mm

(32)

Prosthetics

Therapeutic concept… gapless…

Frequency of under-20 year olds in Germany.

Source: KZBV 2008

Number of teeth with dental caries (DMF-T) in 12-year olds in Germany. Source: KZBV 2008

> 3.000

E

< 1.000

E

1.000 - 2.000

E

SOLUTIONS

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.

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.

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.

Full-ceramic restoration with individual abutments and temporary restoration visio.lign crown on NPM basis Augmentative procedure + individual abutments + full ceramic

whiteSKY full ceramic Metal-ceramic crowns DMF-T 0 7 6 5 4 3 2 1 0 1983 1987 1989 1992 1995 1997 2000 2004 2005 40 35 30 25 20 15 10 5 0 % 1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050 2060 30,4 28,4 30,0 26,8 21,7 21,1 19,4 18,3 16,9 16,6 16,0 15,4

...gapless...

(33)

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 restora-tions 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

SKY temp is also the perfect basis for individual gingiva formers to fulfil high demands on red/white esthetics.

blueSKY SKY classic 7 mm 2 mm 4 mm 6 mm 3 mm 5.5 mm 5.3 mm 3.7 mm 7 mm REF SKYTEMPS REF SKYTEMPL SKY temp S incl. screw 2.2 SKY temp M incl. screw 2.2 SKY temp L incl. screw 2.2 REF SKYTEMPM

SKY temp

5.8 mm 3 mm 3.5 mm REF SKYprovS

new

narrowSKY blueSKY SKY classic Material: POM Torque: 18 Ncm SKY prov S inc. screw 2.2

Permanent cos- metic restoration

SKY prov S

The new SKY prov S temporary abutments are manufactured from a High Per-formance 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.

(34)

Prosthetics

SKY Titanium abutments

R R

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

• 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.

Choosing the correctly orientated abutment has been simplified by means of the SKY abutment selection set (page 15).

REF SKY-PO00 REF SKY-PO26 REF SKY-PO25 REF SKY-PO16 REF SKY-PO15

Abutment O° incl. screw 2.2

Abutment 15° incl. screw 2.2

Abutment 15° R incl. screw 2.2

Abutment 25° incl. screw 2.2

Abutment 25° R incl. screw 2.2 blueSKY SKY classic turned by 30° R R Material: Titanium Torque: 25 Ncm 10 mm turned by 30° 15° 10 mm 25° 10 mm

(35)

blueSKY SKY classic

Abutment 25° incl. screw 2.2

REF SKYnES00

REF SKYnES16 REF SKYnES15

SKY esthetic Abutment S 0° (narrowSKY) incl. screw 2.2

SKY esthetic Abutment S 15° (narrowSKY) incl. screw 2.2

SKY esthetic Abutment S 15° R (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.

R

REF SKY-EM00

REF SKY-EM16 REF SKY-EM15

REF SKY-EL00 SKY esthetic Abutment M 0° incl. screw 2.2

SKY esthetic Abutment L 0° incl. screw 2.2

SKY esthetic Abutment M 15° incl. screw 2.2

SKY esthetic Abutment M 15° R incl. screw 2.2 turned by 30°

new

narrowSKY blueSKY SKY classic R R Material: Titanium Torque: 25 Ncm

SKY aesthetic abutments

Material: Titanium Torque: 25 Ncm

Permanent cos- metic restoration

R turned by 30° R 6 mm 5.5 mm 3 mm 7 mm 6 mm 3 mm 6 mm 4.5 mm 3 mm 15° 4.5 mm 6 mm 3 mm 15° 5.5 mm 6.5 mm 3 mm narrowSKY blueSKY SKY classic R

(36)

Prosthetics

SKY elegance abutment –

White-Shade and Off-Peak

Off-Peak characteristic:

Maximum loading of the implant is reduced due to the

cushion-ing effects of the High Performance Polymer, BioHPP. The

abut-ment can be inserted as a temporary abutabut-ment immediately after

the implant has been inserted, and does not subsequently need

to be removed. The attached gingiva in the sulcus is not

dis-turbed – the optimum basis for long-term bone preservation.

The individual design options and white color of BioHPP provide

perfect preconditions for esthetic reconstructions. Using

con-ventional 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

es-thetic line will be available from autumn 2013. These abutments

can be easily modified by the user in accordance with the

gin-gival line.

All types of crown and bridge restorations can be placed on the

individual and the prefabricated abutments, from BioHPP

res-torations 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

restora-tions for the entire range of indicarestora-tions mentioned above; such

restorations offer patients superior comfort since stress is

re-duced considerably during chewing.

Photo: Labor Schwindt, Landau (DE) Photo: Dr. Lerner, Baden-Baden (DE)

t [S]

F [N]

Titanium abutments SKY elegance Abutment

(37)

blueSKY SKY classic narrowSKY blueSKY SKY classic

new

REF SKYETB00 REF SKYEES00 REF SKYEEM00

SKY elegance S Abutment incl. screw 2.2

SKY elegance M Abutment incl. screw 2.2

REF SKYEES15

SKY elegance S 15° Abutment incl. screw 2.2

5.5 mm

3.5 mm

9.4 mm

SKY elegance individual abutments

SKY elegance titanium base SKY elegance individual abutments

Using standard dental procedures, the perfect design of the individual abut-ment 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 plat-form switch.

The abutment is then fabricated in the

for 2 press unit.

SKY elegance prefabricated abut-ments

The prefabricated BioHPP abutments, which can be customized easily and quickly, provide new options for res-torations.

These abutments can be simply and quickly adapted to the gingival line in the mouth using diamond instru-ments.

Available from autumn 2013

Permanent cos- metic restoration

3.5 mm 9.4 mm 7 mm 9.4 mm 3.5 mm 5.5 mm REF SKYEEM15

SKY elegance M 15° Abutment incl. screw 2.2

Material: Titanium Torque: 25 Ncm

REF SKYEEM15

REF SKYEEL00 SKY elegance L Abutment incl. screw 2.2 9.4 mm 4.5 mm 3.5 mm 4.0 5.8 mm 3.0 mm 3.5 mm

(38)

Prosthetics

REF SKY-PS22 REF SKY-PV00 Abutment, cast-on incl. plastic coping and screw 2.4

Screw 2.4 6 pieces 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.

Technical data: 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 Torque: 25 Ncm blueSKY SKY classic

Photo: Dr. Vogel, Neu-Isenburg (DE)

Cast-on abutments

9,5 mm

(39)

Abutment, cast-on incl. plastic coping and screw 2.4

Fast and simple fabrication of labo-ratory-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 sys-tems, copy milling units and casting techniques. Individual abutments made of zirconiumdioxide and ti- tanium can be fabricated.

REF SKYUFA00 SKY uni.fit Abutment incl. screw 2.2

SKY uni.fit Abutment

blueSKY SKY classic

Permanent cos- metic restoration

Material: Titanium Torque: 25 Ncm

10.2 mm

(40)

3.5 mm 13 mm 12 mm 5.7 mm 12 mm 4.5mm 8 mm 3.5 mm SKY uni.cone Scan cap intraoral / extraoral 1 piece REF SKYUSCIE

new

narrowSKY blueSKY SKY classic

Prosthetics

SKY uni.fit Scan Abutment

SKY uni.fit Scan-Abutment extraoral REF SKYUSCAE Three-point referencing Position, location and axial orientation of the

implant in the virtual model are determined by means of three-point referencing.

SKY fast & fixed Scan cap intraoral / extraoral REF SKYFSCIE SKY uni.fit Scan-Abutment intraoral

1 piece REF SKYUSCAI

Extra-oral:

The position of the implant on the model

is safely and reliably scanned extra-orally

using three-point referencing.

Material: PEEK Torque: 10 Ncm

Material: PEEK Torque: 10 Ncm

Intra-oral:

The CAD software recognizes the

associa-tion of implant locaassocia-tion and posiassocia-tion using

record identification.

(41)

new

narrowSKY blueSKY SKY classic

The SKY uni.fit CAD Abutment is parti- cularly suitable for CAD/CAM design and fabrication of individual abut-ments 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 bon- ding. Parallel-walled with optimized radii to ensure perfect milling in CAM systems. REF SKYUFCAD SKY uni.fit CAD Abutment Space for excess adhesive REF SKYUFA35 SKY uni.fit CAD Abutment 3.5 Uniform adhesive gap Non-uniform adhesive gap Rotation stop on

two sides results in a uniform adhesive gap.

Rotation stop on one side results in a non-uniform adhesive gap.

Permanent cos- metic restoration

SKY uni.fit CAD abutment

Material: Titanium Torque: 25 Ncm

Material: Titanium Torque: 25 Ncm

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 10 mm 4 mm 4.5 mm

(42)

Prosthetics

SKY Zirconium abutments

REF SKYZA000 SKY zirconium abutment 0° with screw 2,2

REF SKYZA150 SKY zirconium abutment 15° with screw 2,2

REF SKYZA15R

SKY zirconium abutment 15° R with screw 2,2

REF SKYZA00R SKY zirconium abutment 0° R with screw 2,2

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.

• 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.

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.

R R

Material: Titanium + ZiO2 Torque: 25 Ncm blueSKY SKY classic R R R R 9.1 mm 9.1 mm 9.1 mm 9.1 mm 5.5 mm 3.8 mm

(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.

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

implant-supported 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.

Number of natural teeth.

8 OHIP-value 28,5 7 6 5 4 3 2 1 0 22,5 18,5 12,5 4,5

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

< 5.000

E

10.000 - 20.000

E

Edentulous jaw with intensive augmentative measures

Incl. definitive restoration

Removable solutions SOLUTIONS SKY fast & fixed Book

Immediate restoration with reduced number of implants Authors:

(44)

Prosthetics

SKY fast

&

fixed –

the prosthetic solution for every occasion

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.

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.

35° 17,5°

A

B

C

(45)

SKY fast

&

fixed

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.

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.

(46)

Prosthetics

SKY fast

&

fixed

SKY f & f

Angulation aid set 35°

SKY f & f Prosthetic coping Resin burn-out SKY f & f Prosthetic coping HSL cast-on Technical data: Melting interval 1770 - 1800 °C

WAK (thermal expansion coefficient) 9 10-6K-1

Material: Pt 90 % / Ir 10 %

Weight: 0,59 g

SKY f & fprosthetic coping, titanium with screw M 1.4,

Silicone tubing 1 piece each

REF SKYFFPKT

blueSKY

SKY f & f Abutment 0° height 1 mm

with integrated screw 1 piece each

REF SKYFT001

2 mm

SKY f & fAbutment 0° height 2 mm with integrated screw 1 piece each

REF SKYFT002

4 mm

SKY f & fAbutment 0° height 4 mm with integrated screw 1 piece each REF SKYFT004 Screw M 1.4 6 pieces REF SKYFFSPK blueSKY SKY classic 12.4 mm 5.65 mm 25 mm 3.7 mm 1 mm 5.65 mm REF SKYFFS35

REF SKYFFPKK REF SKYFFPKH

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°.

12.4 mm

5.65 mm

12.4 mm

(47)

SKY f & f Prosthetic coping transversal screw-retained Screw driver long Allen 0.9 SKY f & f laboratory analog

SKY f & f impression coping Closed tray

with integrated screw

10.3 mm SKY f & f Impression coping open tray 11 mm 5.65 mm SKY f & f Gingiva former 6 mm 5.65 mm blueSKY SKY f & f Abutment 17,5° height 5 mm with screw 2.2 1 piece each blueSKY 3.7 mm 5 mm SKY f & f Abutment 35° height 5 mm with screw 2.2 1 piece each SKY f & f Abutment 35° height 4 mm with screw 2.2 1 piece each 3.7 mm 4 mm 3.7 mm 5 mm 3.7 mm 3 mm blueSKY SKY classic 5.7 mm 6.1 mm 5.1 mm 5.65 mm 5.65 mm Screw driver

Allen 0.9 for transversal

screw retention* SKY fast

&

fixed

REF SKYFF0AK REF SKYFFAOL REF SKYFFGF2

REF SKYFFTLA

REF SKYFTPKS REF 310 0010 6 REF 310W0106

REF SKYFT173 REF SKYFT175 REF SKYFT354 REF SKYFT355

SKY f & f Abutment 17,5° height 3 mm with screw 2.2 1 piece each

(48)

narrowSKY blueSKY SKY classic

new

Prosthetics

SKY uni.cone abutment system

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.

(49)

narrowSKY blueSKY SKY classic

new

SKY uni.cone Prosthetic coping transversal screw-retained Screw driver long Allen 0.9 SKY uni.cone laboratory analog

SKY uni.cone impression coping Closed tray

with integrated screw

SKY uni.cone Impression coping

open tray SKY uni.cone Gingiva former

Screw M 1,4 6 pices

SKY uni.cone Prosthetic coping, resin 1 piece each SKY uni.cone Prosthetic coping HSL cast-on 1 piece each Technical data: Melting interval 1770 - 1800 °C

WAK (thermal expansion coefficient)

9 10-6K-1

Material: Pt 90 % / Ir 10 %

Weight: 0,59 g

SKY uni.cone

Prosthetic coping, titanium 1 piece each Silicone tubing REF SKYUCPKT SKY uni.cone Abutment 0° height 1 mm SKY uni.cone Abutment 0° height 2 mm SKY uni.cone Abutment 0° height 3 mm Screw driver

Allen 0.9 for transversal screw retention*

Available from autumn 2013

REF SKYUCAGL REF SKYUCAOL REF SKYUCGF2

REF SKYUCTLA REF SKYFFSPK

REF SKYUCPKS REF 310 0010 6 REF 310W0106

REF SKYUCPKK REF SKYUCPKH Removable

4.5 mm 5 mm 3,7 mm 1 mm 2 mm 3 mm 11 mm 4.5 mm 12.4 mm 4.5 mm 12.4 mm 4.5 mm 12.4 mm 4.5 mm 10.3 mm 6 mm 4.5 mm

(50)

Prosthetics

SKY fast

&

fixed

Quelle: Steele et al.: How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples.

OHIP = Oral Health Impact Profile stands for: physical handicap, psychological handicap (beauty), social handicap (high value - big problem).

Source: Federal Office for Statistics. Source: Dissertation Dr. Saal Hamburg

Study of 1,224 corpses > 60 years of age in Hamburg, Germany

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.

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.

Age (years) 8 OHIP-value <30 7 6 5 4 3 2 1 0 30-49 50-69 70+ 9 40 50 60 70 80 90 100 0-14 15-24 25-34 35-44 45-54 55-64 65-74 75+ Age (years) Consultation rate (%) Physicians Dentists desolate 27 % poor 36 % good 37 %

(51)

Metal housing with O-ring fixation of restorations

Indication

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

Improved soft tissue situation thanks to the use of the gingiva former - heal-ing process is not affected.

Individually adjustable resilience according to the patient‘s needs. Inserts can be easily exchanged. REF SKY-KA04 REF SKY-KA02 REF SKY-KA00 REF SKY-OR55 REF SKY-OR50 Ball attachment directly screwed height 0 mm Ball attachment height 2 mm Ball attachment height 4 mm O-rings 6 pieces REF SKYGM225 SKY precious metal matrix

REF SKYGMAKT

SKY precious metal matrix activator blueSKY SKY classic Removable

Ball attachments

3.6 mm 2.25 mm 2 mm 2.25 mm 4 mm 2.25 mm 5.2 mm 2.5 mm 3 mm 3.25 mm

(52)

Due to its low structural height,

the SKY Locator® offers excellent

possibilities for fixing prostheses in many cases.

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.

REF LOCLAB10 SKY Locator® Processing set

0°-10°, 2 pieces

SKY Locator® Processing set10°-20°,

2 pieces

REF LOCLAB20

REF LOCZAB02

REF LOCZAB06 SKY Locator® Abutment

Gingiva height 4 mm

SKY Locator® Abutment

Gingiva height 6 mm

REF LOCZAB04 SKY Locator® Abutment

Gingiva height 2 mm

Photos: Dr. Alius, Nürnberg (DE)

Prosthetics

SKY Locator®

Material: Titanium TiN-coated Torque: 25 Ncm blueSKY SKY classic 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 3.9 mm 2 mm 4 mm 6 mm

(53)

SKY Locator® angled

blueSKY SKY classic

new

REF LOCAB172 REF LOCAB352 Removable SKY Locator®Abutment 17.5° Height 2 mm SKY Locator®Abutment 35°Height 2 mm

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 35°

The Locator® coping is the same

for both products. Furthermore, the prostheses can now have better

posterior support.

All Locator® retention elements can

be used.

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

Material: Titanium TiN-coated Torque: 25 Ncm 2 mm 3.9 mm 3.8 mm

(54)

SKY Locator® Angular insertion instrument, 1 pieces REF LOCZWED6 REF LOCZINST SKY Locator® Instrument 1 pieces Impression coping 4 pieces Laboratory analog 4 pieces

Blocking out ring 20 pieces Processing insert black 4 pieces Angular measuring abutment, 4 pieces Angular measuring gauge, 1 pieces Retention insert blue, 6.7 N, 680 g 4 pieces Retention insert pink, 13.4 N, 1365 g 4 pieces Retention insert transparent, 22.3 N, 2270 g 4 pieces Retention insert red, 6.7 N, 680 g 4 pieces Retention insert orange, 9.1 N, 907 g 4 pieces Retention insert green, 17.8 N, 1815 g 4 pieces blueSKY SKY classic

Prosthetics

Accessories SKY Locator®

REF LOCZAK40 REF LOCZLA40 REF LOCblock REF LOCZVA11 REF LOCZWIMP REF LOCZWIML REF LOCR1006 REF LOCR1013 REF LOCR1022 REF LOCR2006 REF LOCR2009 REF LOCR2018

(55)

SKY Steg Abutment

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 ef-ficient. bars Indication REF SKY-SH11 REF SKY-ST11 REF SKY-SK11 REF SKY-SB06 REF SKY-SB04

Bar abutment, titanium

Bar abutment, burn-out plastic

Bar abutment, HL

REF SKY-SB02 Bar base, height 2 mm incl. screw 2.4

Bar base, height 4 mm incl. screw 2.4

Bar base, height 6 mm incl. screw 2.4

REF SKY-DA77 Spacer analog incl. screw 2.4

5 mm

4.3 mm 0.7 mm

5 mm

Technical data: 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: 0,63 g blueSKY SKY classic Removable Material: Titanium

(56)

Prosthetics

Screws

REF SKY-PS22 REF SKYFFSPK REF SKY-DS02 REF SKY-DS04 REF SKY-DS08 REF SKY-PS18 REF SKYAPS18 REF SKYLPS22 REF SKYFFLPK blueSKY SKY classic 25000 20000 15000 10000 5000 0 REF SKY-DA77 Spacer analog incl. screw 2.4

Findings

Pre-stress [cN]

[Time] 1 xscrew fixation 5 xscrew fixations 10 xscrew fixations

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 rec-ommends the use of different screws in the laboratory and the clinic to avoid screw loosening.

SKY prosthetic screw 2.2 blue, 6 pieces

SKY fast & fixed and uni.cone screw M 1.4 for prosthetic coping 6 pieces

REF SKY-DS02 SKY adjustment screw 2 mm 3 pieces

REF SKY-DS04 SKY adjustment screw 4 mm 3 pieces

REF SKY-DS08 SKY adjustment screw 6 mm 3 pieces

REF SKY-PS18 SKY impression screw closed trays

REF SKYAPS18 SKY aesthetic impression screw, open trays, short

Clinical screws

These results can be transferred to the recall. In this case, we recom-mend replacement of the screws when the abutment is removed for cleaning.

SKY lab screw PS22 grey, 10 pieces

Laboratory screws

SKY fast & fixed and uni.cone lab screw M1.4

grey, 10 pieces

Repeatedly tightening the screws reduces preten-sion by up to 40 %.

References

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