Sky implant system bredent by Edy bredent-medical Romania

Presentation of the system

SKY Implant system

Every patient has special needs and requirements, which have to be considered when determining the appropriate treatment. Younger patients want esthetic closure of gaps to retain their young look as long as possible. Older patients who are facing edentulousness still want to enjoy life and therefore prefer immediate fixed restorations, allowing them to continue participating in their social life and enjoy eating. The quality of life of edentulous patients could be considerably increased with the help of a firmly fixed prosthesis, especially regarding the quality of their nutrition and the ability to make an untroubled appearance in public. For us, implant prosthetics starts with the preservation of the hard and soft tissue. By effectively fighting bacteria with the HELBO therapy, periodontally damaged teeth can frequently be preserved, and, if this is not possible, the foundation can be laid for reliable early implant placement.

...gapless... Aesthetic restoration

...tempting... Stable teeth: immediately!

Patients with good residual dentition, for whom the implant restorations are used to close gaps when there is loss of a single tooth or edentulous spaces.

Patients who are about to lose their teeth and who feel too young to wear dentures, whether implant-supported or not.

Cover picture: Dr. Alexandros Manolakis, Thessaloniki, Griechenland

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SKY system

With the right materials for bone augmentation and the new absorbable membrane angiopore, we can also provide you with a possibility to reconstruct bone defects again. Furthermore, it is possible to ensure that implants are positioned correctly from a prosthetics point of view, using our prosthetics-oriented implant planning system SKYplanX, so that the restoration can be carried out in a stable and predictable way.

Surgery

The bredent group has developed various therapeutic concepts for implant prosthetics in different groups with the philosophy of bringing together and bundling implant technology and expertise in the dental laboratory, so you may offer the possibility of optimum care to your patients.

The SKYplanX 3D planning system offers new opportunities for carrying out perfect planning on the PC and then transferring the results reliably and accurately into clinical practice.

Successful implantology begins with the careful extraction of the teeth and the augmentation of the bone: • materials for bone stabilisation • materials for repairing damaged bone • therapeutic concepts for controlling inflammation

Removable

Regeneration

Instruments Tools

Edentulous patients with ill-fitting den-tures, who have often resigned themselves to their supposed fate, are given a new quality of life with an implant-supported restoration – either an economic hybrid prosthesis or an expensive removable bridge.

Navigated implantation

miniSKY

...in the thick of it... Quality of life in old age

SKY fast & fixed

Permanent cosmetic restoration

Impression Model

Prosthetics overview

Implants

These therapy concepts allow you to provide individual care to your patients and thereby to rely on standardised procedures, so that a high-degree of cost-effectiveness results, in order to minimise treatment times and costs and thus to do justice to the expectations of your patients.

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 (8â&#x20AC;Żmm) 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.

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SKY system

Individual White-Shade abutments with Off-Peak characteristic The use of SKY elegance abutments allows the quick and simple fabrication of individual White-Shade abutments with proper anatomical designs in the laboratory. The Off-Peak characteristic enables insertion of these abutments immediately after implant placement/exposure to that repeated traumatization of the soft tissue can be avoided.

Narrow gaps Narrow gaps can be closed in an esthetically appealing manner using the new narrowSKY implants and corresponding SKY esthetic S and SKY elegance S abutments.

Highly esthetic ceramic restorations Prefabricated, anatomically shaped ceramic abutments are available for highly esthetic restorations and inexpensive treatment with implants. Special cases can be restored using laboratoryfabricated individual abutments, which feature a titanium base.

Implants overview Diameter covering

mini 2

2.8

narrow

3.2

3.5 N narrow platform

mini 1

2.8

Detailed information can be found in the miniSKY system presentation from page 61 onwards.

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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

narrowSKY 3.5 N and SKY regular platform narrowSKY 3.5 N

narrow 3.5 N

Torx® identical Ø 3,5 mm

3.5 N

Ø 3.5 mm

Ø 4,0 mm

3.5

4.0

narrow 3.5

4.5

5.5

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SKY System

blueSKY and SKY classic

classic 3.5

3.5

4.0

4.5

5.5

Torx® identical

Ø 4.0 mm

Ø 4,0 mm

3.5

4.0

4.5

5.5

3.5 4.0 4.5 5.5

Surface 3D osseo connect surface (oc s®)

narrow 0,5 mm

Depending on the implant’s positioning, a corresponding coronal implant design is needed for optimally fulfilling the requirements of the various hard and soft tissues.

1st dimension The narrow finished surface with micro grooves optimally protects the accumulation of epithelial tissue.

µm 1,2

Finished surface  Gingival attachment

0,1 - 0

In this implant position, the soft-tissue attachment takes place predominantly on the abutment. A soft-tissue cuff is made on the implant for long-term bone protection.

,2 mm

Isocrestal implant position

1,1 1 0,9 0,8 0,7 0,6 0,5 0,4 0,3 0,2 0,1 0

2nd dimension The narrowly etched surface with the uniform velvety structure stabilizes connective tissue.

µm

Etched surface  Connective tissue stabilization

17,5 15 12,5 10 7,5 5 2,5 0

3rd dimension The blasted and high-temperature etched surface offers the ideal coarseness for osseous integration. The macro grooves support longterm bone preservation.

µm 22,5

Blasted, etched surface  Osseous anchoring

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

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SKY System

classic classic

1,5 mm

Supracrestal implant position In this implant position, the soft-tissue attachment takes place predominantly on the implant. For this reason, the coronal implant design must be adapted to these requirements.

Finished surface  Gingival attachment

µm 1,2 1,1 1

0,5 mm

0,9 0,8 0,7 0,6

1st dimension The highly finished surface with micro grooves offers a wide space for the epithelial attachment and is easy to clean in the recall.

0,5 0,4 0,3 0,2 0,1 0

Etched surface  Connective tissue stabilization

µm 17,5 15

2nd dimension The widely etched surface with the velvety structure stabilizes connective tissue.

12,5 10 7,5 5 2,5 0

Blasted, etched surface  Osseous anchoring

µm 22,5 20 17,5 15

3rd dimension The blasted and high-temperature surface offers the ideal coarseness for osseous integration.

12,5 10 7,5 5 2,5 0

Excellent hydrophilic properties The hydrophilic properties of a surface are reliable scientific indicators for the ability of bone apposition to a surface. The hydrophilicity of the blueSKY implant ensures that blood will cover the entire implant surface almost immediately after the first contact.

Competitor 1

Competitor 2

The contact angle of the osseo connect (oc s®) which is considerably more obtuse than those of competitors’ products confirm the results obtained in clinical tests.

Implant design Ultra-modern implant design with osseo connect (ocs速) 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

atraumatic in the cortical bone

Speed (rpm)

highest torque in the run-out

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

Kompressionsgewinde Compression thread

Improving the bone quality The bone-quality oriented surgical procedure and the compression thread condense the bone around the implant site and hence increase the primary stability.

classic

Implants and abutments made from titanium grade 4 (cold-worked) The perfect system The exceptional propertis of titanium grade 4 KV (cold formed) provide the basis for implants, suprastructures, abutments and screws. Special raw materials are used for these highly stressed components (grade 4, cold formed, bredent medical).

Titanium

Mechanical properties

Designation Condition

Tensile strength 0,2 % yield limit Elongation at N/mm2 min. fracture % min. N/mm2

Grade 2

345 230 20

Grade 3

450 300 18

Grade 4

550 440 15

Grade 4 KV standard

≥ 680

≥ 520

≥ 12

Grade 4 KV bredent medical

800-900

≥ 700

≥ 10

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

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If screws and screw joints are involved. The TorxÂŽ is the gold standard in mechanical engineering and the automotive industry and in implant dentistry as well. TorxÂŽ: has six large force transfer surfaces â&#x20AC;˘ significantly higher torques for the same force applied â&#x20AC;˘ easier insertion of the implant â&#x20AC;˘ no damage to the internal geometry at a high torque either

Hexagon: narrow line application

Hexagon: very high notch stress

SKY System

Advantages of the TorxÂŽ

TorxÂŽ: wave profile without sharp edges â&#x20AC;˘ no clamping of the implant and insertion instrument â&#x20AC;˘ no damage to the implant â&#x20AC;˘ extended service life of the implant-abutment connection TorxÂŽ: has an extremely small tolerance â&#x20AC;˘ clearly improved friction fit â&#x20AC;˘ extended durability of abutment and implant â&#x20AC;˘ reduction of loosening of screws

Hexagon: very large tolerance

For 12 positions The normal position and R-versions provide 12 positions for the angled abutments, which means that these always can be optimally orientated.

Normal position TorxÂŽ

Â° swiveled 30

R-type abutment

= 12 positions

SKY abutment selection set With the help of the SKY abutment selection set, the appropriate abutments with the correct orientation can be selected simply and quickly in the laboratory.

SKY abutment selection set REF

SKYASET9

SKY classic neck design Prosthetics for every implant position The crest-like design of the SKY classic implant is particularly suitable for trans-gingival healing, as both the epithelial tissue and the connective tissue are optimally attached. The bone is maintained to a high degree by the blasted and etched surface. Through the trans-gingival positioning, this implant is also excellently suitable for use as a short implant in combination with other longer implants, which can also easily be placed at bone level. In this way, it is now possible to anchor the 8 mm SKY classic implants at a depth of 6 to 6.5 mm, so that major and elaborate surgery can be avoided. These implants are available with a diameter of 4.0 and 4.5 mm. Furthermore, the new SKY classic implants simplify implant insertion if the gingiva is only die-cut. In this case, the insertion depth can be controlled more easily than when implants are placed at bone level.

Indication Short implants in an interlocked construction, anchored 6.5 mm into the bone.

The classic SKY implant is ideal to avoid milling off bone in narrow or uneven ridges. The machined section avoids accumulation of plaque to exposed implant necks. In transgingival implant insertion, depth control is made easier. Supracrestale Position

Short implants

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In the case of isocrestal positioning of the implant, the shape of the abutment gains particular importance, in order to achieve optimum attachment of the soft tissue.

SKY System

narrowSKY / blueSKY neck design

The SKY esthetic abutments offer the ideal prerequisite for this. With the concave-convex hybrid form and the built-in platform switch, the surgical need for greater clearance above the implant is satisfied to achieve optimum attachment of the soft tissue, on the one hand, and this form provides the dental technician an optimum prerequisite to achieve optimal aesthetic results, on the other. The shaping of the gingival proportions is performed either using the SKY esthetic gingiva former or the SKY temp abutment with a provisional restoration, or as an individual gingiva former. Both have the same diameter as the SKY implant platform, so that soft-tissue can neither get caught between the implant and the augmentation while making impressions, nor when integrating the abutments, and thus the precision of the impression and the long-term stability of the implant-augmentation interface are assured. Moreover the SKY esthetic line offers precision-manufactured impression abutments with corresponding diameters for open and closed impressions. This is an impression system comprising a titanium abutment and a plastic cap which has long and short screws for the respective impressions and which exels thanks to the precision during impression taking.

Indication The crestally structured blueSKY implant is ideal - for placing the implant flush with the bone - for preserving the bone - for use in the augmented ridge - for improving the primary stability Implant position flush with the bone

Augmented implant site

Surgical procedure Six implants - one set of instruments

classic

mini 1

narrow

mini 2

SKY OP-Kit OT21 REF

SKYXOT21

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New drilling sequence Quality-orientated surgical protocol

Chirurgie

Bone density from hard to soft

It is recommended that the transition area between hard and medium-hard bone is initially prepared using the drills D2-D4. If the torque exceeds 45â&#x20AC;ŻNcm when the implant is screwed in, the implant should be removed again and the cavity extended using D1 drills. This procedure ensures primary stability in every case and avoids overloading the bone.

Hard bone

Medium-hard to soft bone

Atraumatic tapping Prevention of bone overloading during surgery

Bone compression Achieving primary stability

Hard bone

Medium-hard and soft bone

D2-4

Atraumatic tapping thanks to reduced contact area

Apical compression thanks to increased contact area

Consistently high primary stability

Surgical procedure Surgical protocol narrow • optimized, bone quality-oriented set of instruments and surgical protocol for unsurpassed primary stability • Drills with detachable drill stops • Reduction of the number of drills for increased control and dependability during surgery Hard bone

REF SKYD1235 300 rpm/min.

3.5

REF SKYD1240 300 rpm/min.

4.0

Medium hard / soft bone Pilot drill 800 - 1.000 U/min.

Twist-Drill 800 - 1.000 U/min.

Detachable drill stops

REF SKYD3435 300 rpm/min.

3.5

REF SKYD3440 300 rpm/min.

The detachable drill stops are arranged so that they can be easily taken up with the drill and fastened with one hand thanks to the cavities in the OP-Tray insert. The ruler on the compartment for small parts helps to select the correct drill stop easily and quickly. The drilling depth is approx. 0.7 mm greater than the implant length.

3.5 20

4.0

4.5

5.5

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4.0

REF SKYD1245 300 rpm/min.

4.5

REF SKYD1255 300 rpm/min.

Chirurgie

With the 3.5 diameter blueSKY and SKY classic implants, the crestal drill is only sunk up to the laser marking. The crestal drill is completely sunk in the following implants: • narrowSKY • blueSKY 4.0 to 5.5 • SKY classic 4.0 to 4.5

classic

5.5

3.5 N

3.5

4.0

4.5

5.5

Crestal drill 300 rpm/min.

REF SKYD3445 300 rpm/min.

4.5

REF SKYD3455 300 rpm/min.

5.5

Insertion concept blueSKY - fast, reliable and atraumatic implant placement blueSKY and SKY classic implants come in double-sterile packaging. They are supplied in a colour-coded carrier with details of the applicable length so that mistakes can be avoided. After opening the Tyvek foil, it can be directly removed using the SKY TK insertion instrument.

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

The conical Torx速 allows to hold the implant safely.

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

The implant is inserted and can be screwed in immediately.

Use the same instrument to remove the cover screw ...

... and screw it directly into the implant. Thanks to the smooth cone the screw needs to be only slightly tightened and will not get jammed. Recommended max. torque: 10 Ncm.

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Ordering information

Twist-Drill

Drill Drill

3,5 4,0 4,5 5,5

L10

L12

L14

L16

REF

SKYXST06

SKYXST08

SKYXST10

SKYXST12

SKYXST14

SKYXST16

REF

–

SKYS0840

SKYS1040

SKYS1240

SKYS1440

SKYS1640

REF

–

SKYS0845

SKYS1045

SKYS1245

SKYS1445

–

Bone bur rpm/min 800-1.000 REF SKY-DR41

Surgery

Drill and drill stops

Twist-Drill rpm/min 800-1.000 4.1

Pilot drill rpm/min 800-1.000 REF SKY-DP06

3.5 short

REF SKY-DP08

3.5 long

Drill for hard bone rpm/min 300

REF SKYDT13L

1.3

REF SKYDT23K

2.25 short

REF SKYDT23L

2.25 long

Drill for medium hard and soft bone rpm/min 300

REF SKYD1235

3.5

REF SKYD1240

4.0

REF SKYD1245

4.5

REF SKYD1255

5.5

REF SKYD3435

3.5

REF SKYD3440

4.0

REF SKYD3445

4.5

REF SKYD3455

5.5

SKY Drill extension

Crestal drill rpm/min 300 REF SKYCD35n

narrowSKY 3.5 N

REF SKYXCD35

blueSKY, SKY classic 3.5

REF SKYXCD40

blueSKY, SKY classic 4.0

REF SKYXCD45

blueSKY, SKY classic 4.5

REF SKYXCD55

blueSKY, SKY 5.5

REF SKY-DV12

Order Information narrowSKY 3.5 N

Cover screw for narrowSKY Implants 3.5 N

3.5 N Length 10 mm

REF nSKY3510

Length 12 mm

REF nSKY3512

Length 14 mm

REF nSKY3514

Length 16 mm

REF nSKY3516

The implant includes the cover screw.

blueSKY 3.5

4.0

Length 10 mm

REF bSKY 3510

Length 8 mm

REF bSKY 4008

Length 12 mm

REF bSKY 3512

Length 10 mm

REF bSKY 4010

Length 14 mm

REF bSKY 3514

Length 12 mm

REF bSKY 4012

Length 16 mm

REF bSKY 3516

Length 14 mm

REF bSKY 4014

Length 16 mm

REF bSKY 4016

SKY classic 3.5

4.0

Length 10 mm

REF kSKY3510

Length 8 mm

REF kSKY4008

Length 12 mm

REF kSKY3512

Length 10 mm

REF kSKY4010

Length 14 mm

REF kSKY3514

Length 12 mm

REF kSKY4012

Length 16 mm

REF kSKY3516

Length 14 mm

REF kSKY4014

Length 16 mm

REF kSKY4016

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Implants

5.5

4.5 Length 8 mm

REF bSKY 4508

Length 8 mm

REF bSKY 5508

Length 10 mm

REF bSKY 4510

Length 10 mm

REF bSKY 5510

Length 12 mm

REF bSKY 4512

Length 12 mm

REF bSKY 5512

Length 14 mm

REF bSKY 4514

Cover screw for blueSKY and SKY classic implants 3.5

4.5 Length 8 mm

REF kSKY4508

Length 10 mm

REF kSKY4510

Length 12 mm

REF kSKY4512

Length 14 mm

REF kSKY4514

4.0

4.5

5.5

Cover screw is incorporated into the implant.

Prosthetics overview blueSKY + SKY classic with platform switch

narrowSKY + blueSKY + SKY classic Laboratory implant / gingiva former / impression abutments

SKY aesthetic impression abutme

SKY prov / SKY elegance

SKY aesthetic abutments

SKY elegance

SKY scan / CAD abutments

SKY zirconium abutments

SKY uni.cone

SKY Locator速

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blueSKY + SKY classic without platform switch

ents

Gingiva former / impression abutments

SKY temp / gingiva former

Prosthetics overview

SKY titanium abutments

SKY fast & fixed

SKY Locator速 / SKY ball head attachments

Prosthetics Impression and model fabrication

Impression abutment for open impression incl. screw

13.75 mm

REF SKY-PA10

11 mm

18.75 mm

11 mm

blueSKY SKY classic

Impression abutment for open impression incl. screw REF SKY-PA20

Implant analog The impression abutment for closed impressions with prefabricated trays simplifies repositioning thanks to: • distinctive flat sides • deep horizontal groove • deep vertical groove The impression abutment for open impressions with individual trays excels by: • distinctive retentions • short Torx® for divergent implants

REF SKY-IA4 0

Screw - impression abutment open tray, short 6 pieces REF SKY-PS18 Material: Titanium Torque: 10 Ncm

The implant analog guarantees precision thanks to • distinctive retentions • protection against rotation Perfect results both for open and closed impressions.

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narrowSKY blueSKY SKY classic

blueSKY SKY classic

new SKY esthetic impression abutment S (narrowSKY), open trays, with trapped screw, 24 mm long 10 mm

REF SKYESPA1

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

SKY esthetic impression abutment L open tray, with integrated screw, 24 mm long For the impression of SKY esthetic abutments, appropriate impression abutments for open and closed trays are available for each diameter. The impression abutments feature the following characteristics:

Impression Model

10 mm

REF SKYEMPA1

10 mm

REF SKYELPA1

• The sulcus shape of the impression abutment is based on the SKY esthetic Line • The abutment has coronal retentions; suitable impression copings can snap in these retentions. • The copings can be aligned in 6 positions so that impressions can also be taken in small gaps without any problem • The impression abutments are available in the diameters M and L, for open and for closed trays • The screws are retained safely in the impression abutments so that they cannot fall out during the application

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

SKY esthetic impression coping open tray 10 pieces REF SKYEAK11

10 mm 10 mm

SKY esthetic impression abutment S (narrowSKY) closed trays, with trapped screw REF SKYESPA2

10 mm

SKY esthetic impression abutment M closed tray, with integrated screw

10 mm

REF SKYEMPA2

Material: Titanium Torque: 10 Ncm

SKY esthetic impression abutment L closed tray, with integrated screw REF SKYELPA2

SKY esthetic impression coping closed tray, 10 pieces REF SKYEAK22

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 former height 4 mm incl. screw 6 mm

Gingiva formers in 3 distance heights • 2 mm – yellow • 4 mm – silver • 6 mm – red

REF SKY-GF06 Material: Titanium Torque: 10 Ncm

Also serves as the basis for bar constructions and ball attachments. The horizontal notch prevents the gingiva former detaching from the implant when the bar construction is integrated.

Photo: Dr. Borrmann, Kornwestheim (DE)

Enhanced gingival conditions for bar structures and resto rations with ball attachments. Reduction of the large number of components.

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SKY aesthetic gingiva former narrowSKY blueSKY SKY classic

blueSKY SKY classic

new

narrow platform 4.3 mm

regular platform

SKY esthetic Gingivaformer S (narrowSKY) size S 2 REF SKYESG02

2 mm

4.5 mm 3 mm

5.2 mm

4 mm

REF SKYEMG02

SKY esthetic Gingivaformer S (narrowSKY) size S 3

4.5 mm

SKY esthetic gingiva former M size M 2

2 mm

5.7 mm

REF SKYESG03

Impression Model

The SKY esthetic gingiva former ensures the optimum arrangement of the emergence profile for the later application of the SKY esthetic abutments. The SKY aesthetic gingiva former in size S with the narrow platform has the same diameter as the SKY esthetic abutments. Gingiva formers M and L have the regular platform.

SKY esthetic gingiva former M size M 3 REF SKYEMG03

3 mm

SKY esthetic Gingivaformer S (narrowSKY) size S 4

5.7 mm

REF SKYESG04

REF SKYEMG04

4 mm

6.5 mm

SKY esthetic gingiva former M size M 4

SKY esthetic gingiva former L size L 2 REF SKYELG02

2 mm

7.2 mm

SKY esthetic gingiva former L size L 3 REF SKYELG03

3 mm

7.2 mm

4 mm

SKY esthetic gingiva former L size L 4 REF SKYELG04 Material: Titanium Torque: 10â&#x20AC;ŻNcm

Prosthetics Therapeutic conceptâ&#x20AC;Ś gaplessâ&#x20AC;Ś The success of individual and group prophylaxis throughout the world will radically change the spectrum of treatment in dentistsâ&#x20AC;&#x2122; practices in the coming years. Young patients, who for various reasons suffer tooth loss, will mostly have healthy adjacent teeth, so that a conventional bridge is not indicated for ethical reasons. Furthermore, the number of young patients in developed countries will decrease with demographic change. In Germany, the number of under-20 year olds will go down from 30 % in 1970 to 15 % in 2050.

...gapless...

With the increasing awareness for oral health, the demands placed on aesthetic and functional results in dental care will also increase. In this case, the provider is required to clarify and take the wishes and fears of the patient into consideration in the therapy plan before treatment begins, and to harmonise these with the financial possibilities available. With just a few components, the SKY implant system offers a wide range of possibilities for the restoration of individual teeth and small tooth-bonded gaps. These extend from titanium abutments, to SKY esthetic abutments or even individual abutments prepared in the dental laboratory so that you can offer the right implant-supported solution for all needs.

DMF-T 0 7 6 5 4 3 2 1 0 1983

1987 1989

1992

1995 1997

2000

2004 2005

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

Furthermore, the bredent group provides with the visio.lign veneers a possibility to fabricate high-quality and aesthetic restorations, using different kinds of crown base materials, which are also relatively reasonably priced.

% 40 35 30 25 20

30,4

28,4

30,0 26,8 21,7 21,1

19,4 18,3

16,9 16,6 16,0 15,4

Full-ceramic restoration with individual abutments and temporary restoration

> 3.000 E

Augmentative procedure + individual abutments + full ceramic

10 5 0

whiteSKY full ceramic

1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050 2060

1.000 - 2.000 E

Frequency of under-20 year olds in Germany. Source: KZBV 2008

Metal-ceramic crowns visio.lign crown on NPM basis

< 1.000 E SOLUTIONS

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SKY temp narrowSKY blueSKY SKY classic

blueSKY SKY classic

new SKY temp S incl. screw 2.2

7 mm

REF SKYtemps

2 mm

4 mm

SKY temp M incl. screw 2.2

6 mm 3 mm

The ideal basis for temporary restorations. The demands patients make on implant restorations are constantly increasing. Owing to obligations in their jobs and social lives, numerous patients want to reduce the period of having a gap in their dentition. Temporary restorations are an attractive alternative to achieve this goal. These plastic abutments are also ideal for the modern concepts used in implantology, such as “progressive loading” or “immediate loading”.

REF SKYtempM

SKY temp L incl. screw 2.2

5.3 mm 3.7 mm

Perfect contour of the gingiva thanks to three prefabricated designs. The extra-smooth surface avoids irritation of the gingiva. Simple and fast fabrication of temporaries.

REF SKYtempL 7 mm

SKY temp - as individual gingiva former

Permanent cosmetic restoration

5.5 mm

Material: POM Torque: 18 Ncm

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

SKY prov S inc. screw 2.2

5.8 mm

REF SKYprovs

3 mm

3.5 mm

Available from autumn 2013

SKY prov S The new SKY prov S temporary abutments are manufactured from a High Performance Polymer (HPP) in the form of the SKY aesthetic abutments, in order to offer short and long-term temporary measures. These are also suited to use with narrowSKY implants due to the narrow platform.

Prosthetics SKY Titanium abutments

Abutment O° incl. screw 2.2

10 mm

blueSKY SKY classic

REF SKY-PO00 15°

10 mm

Abutment 15° incl. screw 2.2 REF SKY-PO15 R Abutment 15° R incl. screw 2.2

Wide-based SKY titanium abutments are ideal for supra-crest implants, as they form a relatively wide crown base at the gingival emergence. With the three available angulations

REF SKY-PO16 turned by 30°

• 0° • 15° • 25° all relevant clinical restorations can be covered. This is also supported by the R-abutments, where the torque is turned 30°, so that 12 prosthetic positions are provided with inclined abutments.

10 mm

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

25°

Abutment 25° incl. screw 2.2 REF SKY-PO25 R Abutment 25° R incl. screw 2.2 REF SKY-PO26 turned by 30°

Material: Titanium Torque: 25 Ncm

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SKY aesthetic abutments narrowSKY blueSKY SKY classic

blueSKY SKY classic R

new

REF SKYnES00

3 mm

SKY esthetic Abutment M 0° incl. screw 2.2

6 mm

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

REF SKY-EM00

3 mm

5.5 mm

4.5 mm

15°

REF SKYnES15

3 mm

SKY esthetic Abutment M 15° incl. screw 2.2

6.5 mm

6 mm

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

Permanent cosmetic restoration

With implants which are positioned at bone level, SKY esthetic abutments offer optimum conditions to achieve excellent aesthetics. Thanks to the platform switch and the concave-conveax hybrid form, the soft tissue has sufficient space for it to attach accordingly. The edge of the crown can be placed very deeply so that optimum red-white aesthetics can be achieved.

REF SKY-EM15

3 mm

5.5 mm 4.5 mm

SKY esthetic Abutment S 15° R (narrowSKY) incl. screw 2.2 REF SKYnES16

SKY esthetic Abutment M 15° R incl. screw 2.2 REF SKY-EM16

turned by 30°

SKY esthetic Abutment L 0° incl. screw 2.2

6 mm

turned by 30°

Material: Titanium Torque: 25 Ncm

REF SKY-EL00

3 mm

7 mm

Material: Titanium Torque: 25 Ncm

Prosthetics SKY elegance abutment â&#x20AC;&#x201C; White-Shade and Off-Peak The individual design options and white color of BioHPP provide perfect preconditions for esthetic reconstructions. Using conventional dental methods, esthetic, individual abutments can be molded and pressed quickly and safely in the for 2 press unit. The low investment costs of the for 2 press unit and the familiar processing steps enable the use in every laboratory. Moreover, prefabricated abutments in the design of the SKY esthetic line will be available from autumn 2013. These abutments can be easily modified by the user in accordance with the gingival line. All types of crown and bridge restorations can be placed on the individual and the prefabricated abutments, from BioHPP restorations with veneers from the visio.lign veneering system to ceramic bridges and crowns. The Off-Peack characteristics of BioHPP enable the fabrication of reliable and durable restorations for the entire range of indications mentioned above; such restorations offer patients superior comfort since stress is reduced considerably during chewing.

Titanium abutments

F [N]

SKY elegance Abutment

Off-Peak characteristic: Maximum loading of the implant is reduced due to the cushioning effects of the High Performance Polymer, BioHPP. The abutment can be inserted as a temporary abutment immediately after the implant has been inserted, and does not subsequently need to be removed. The attached gingiva in the sulcus is not disturbed â&#x20AC;&#x201C; the optimum basis for long-term bone preservation.

t [S]

Photo: Labor Schwindt, Landau (DE)

Photo: Dr. Lerner, Baden-Baden (DE)

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SKY elegance individual abutments narrowSKY blueSKY SKY classic

blueSKY SKY classic

new

5.8 mm

Using standard dental procedures, the perfect design of the individual abutment can be fabricated on the SKY elegance titanium base in just a few minutes. The SKY esthetic titanium base can be used on narrowSKY as well as blueSKY and SKY classic with platform switch. The abutment is then fabricated in the for 2 press unit.

REF SKYETB00

3.5 mm

SKY elegance prefabricated abutments

5.5 mm

SKY elegance M Abutment incl. screw 2.2

9.4 mm

REF SKYEEM00

3.5 mm

SKY elegance M 15° Abutment incl. screw 2.2

5.5 mm 9.4 mm

The prefabricated BioHPP abutments, which can be customized easily and quickly, provide new options for restorations. These abutments can be simply and quickly adapted to the gingival line in the mouth using diamond instruments.

SKY elegance titanium base

3.0 mm

SKY elegance S Abutment incl. screw 2.2 REF SKYEES00

REF SKYEEM15 Material: Titanium Torque: 25 Ncm 3.5 mm 7 mm 9.4 mm

9.4 mm

4.5 mm

Permanent cosmetic restoration

SKY elegance individual abutments

SKY elegance L Abutment incl. screw 2.2 REF SKYEEL00

4.0

3.5 mm

SKY elegance S 15° Abutment incl. screw 2.2 REF SKYEES15

3.5 mm

Available from autumn 2013

Prosthetics Cast-on abutments

9,5 mm

blueSKY SKY classic

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

3.5 mm

With cast-on abutments, difficult individual clinical situations can also be easily handled from a prosthetic point of view.

Screw 2.4 6 pieces REF SKY-PS22

This is held securely on the metal base by the screw connection to the sleeve, so that modellation of the individual abutment can be made quickly and safely. The burn-out plastic sleeve is provided already mounted. Technical data: Torque:

Melting interval 1400 - 1490 Â°C WAK (thermal expansion coefficient) 11.9 â&#x20AC;&#x201C; 12.2 10-6K-1 (Au 60 %, Pd 20 %, Pt 19 %, Ir 1%) Weight: 0.33 g 25 Ncm

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

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SKY uni.fit Abutment blueSKY SKY classic

10.2 mm

REF SKYUFA00 Material: Titanium Torque: 25 Ncm

Permanent cosmetic restoration

Can be used with all CAD/CAM systems, copy milling units and casting techniques. Individual abutments made of zirconiumdioxide and titanium can be fabricated.

SKY uni.fit Abutment incl. screw 2.2 4.2 mm

Fast and simple fabrication of laboratory-made individual abutments. Thanks to 1° cone, all surfaces are easy to scan and mill. Modelling the individual abutment with compoForm UV and SERACOLL UV.

Photo: Dr. Alius, Nürnberg (DE)

Prosthetics SKY uni.fit Scan Abutment narrowSKY blueSKY SKY classic

new SKY uni.fit Scan-Abutment extraoral

13 mm

Extra-oral: The position of the implant on the model is safely and reliably scanned extra-orally using three-point referencing. Position, location and axial orientation of the implant in the virtual model are determined by means of three-point referencing.

REF SKYUSCAE

3.5 mm

Material: PEEK Torque: 10 Ncm

8 mm

SKY uni.fit Scan-Abutment intraoral 1 piece REF SKYUSCAI

Three-point referencing

SKY fast & fixed Scan cap intraoral / extraoral

12 mm

Intra-oral: The CAD software recognizes the association of implant location and position using record identification.

3.5 mm

REF SKYFSCIE 5.7 mm

12 mm

SKY uni.cone Scan cap intraoral / extraoral 1 piece REF SKYUSCIE 4.5mm

Material: PEEK Torque: 10 Ncm

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SKY uni.fit CAD abutment narrowSKY blueSKY SKY classic

new

REF SKYUFCAD 4 mm

Material: Titanium Torque: 25 Ncm

Space for excess adhesive

SKY uni.fit CAD Abutment 3.5 REF SKYUFA35 Material: Titanium Torque: 25 Ncm

Permanent cosmetic restoration

10 mm

Small design with maximum adhesive surface for reliable long-term bonding. Parallel-walled with optimized radii to ensure perfect milling in CAM systems.

Rotation stop on two sides results in a uniform adhesive gap.

SKY uni.fit CAD Abutment

4.5 mm

The SKY uni.fit CAD Abutment is particularly suitable for CAD/CAM design and fabrication of individual abutments made of zirconia. The individual abutment is luted to the prefabricated adhesive base in the laboratory.

Rotation stop on one side results in a nonuniform adhesive gap.

Uniform adhesive gap

Non-uniform adhesive gap

Important: The SKY uni.fit scan abutments and SKY uni.fit CAD abutment will be available from the libraries of the following CAD/CAM systems from spring 2013: • exocad • Dental Wings • 3 shape

Prosthetics SKY Zirconium abutments blueSKY SKY classic

5.5 mm

9.1 mm

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

3.8 mm

9.1 mm

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

Clinical experience with the SKY uni.fit abutment has shown that the bonded joint in the dental laboratory functions very well. Thus, the SKY zirconium abutments have been further developed according to the same concept.

Important: The SKY zirconium abutments must not be subjected to grinding as the minimum wall thickness is required in order to guarantee long-term stability.

SKY zirconium abutment 15° with screw 2,2

9.1 mm

REF SKYZA150

R 9.1 mm

• A prefabricated zirconium abutment is bonded to a titanium base • The form of the zirconium abutment is based on the SKY esthetic Line, however, it has a vestibular sunken shoulder, in order to avoid extensive etching of the zirconium. Costly grinding of the zirconium is eliminated. • The titanium bonding base is also available as a 30° swivelled Torx–R version so that 12 positions are available for prosthetic restorations. The R-version is marked yellow. • The bonding base has a reduced platform diameter so that a platform switch results, whereby aesthetic results in narrow gaps and narrow implants are improved. • Dentine materials are colored.

SKY zirconium abutment 15° R with screw 2,2 REF SKYZA15R Material: Titanium + ZiO2 Torque: 25 Ncm

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Therapeutic concept... tempting... Patients who are about to lose all their teeth are a highly interesting customer group for any dental practice. As various scientific studies have shown, these patients are very dissatisfied with their oral health. They often have either a strongly reduced residual dentition, or have severe periodontal damage to the teeth. Periodontosis is the new widespread disease with a dramatic growth rate in the last few years, which mainly affects patients in the 40 to 60-year old age group, who are in the prime of life. The incidence of patients with strongly reduced residual dentition is wide-spread. In Germany, the generation “50 plus” has only 4 to 5 teeth per jaw on average and is already edentulous at 64. These patients are very afraid of losing all their teeth. On the one hand, they still feel quite young, on the other hand, a removable prosthesis means “You are old!”; for this reason, even implantsupported removable prostheses do not meet all patient needs – they want a snug-fitting restoration right from the start, if at all possible.

OHIP-value 8 7 6

4 3 2 1 0

28,5

22,5

18,5

12,5

4,5

Number of natural teeth.

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

> 30.000 E

Edentulous jaw with intensive augmentative measures

Incl. definitive restoration

10.000 - 20.000 E

< 5.000 E

This means that patients will no longer have to be without any teeth, even for just a day, and they will always have a secure restoration in their mouth. Psychologically, this is very important. With the provisional restoration, patients already feel a definite improvement in their oral situation and are then often prepared to spend more money for the definitive restoration. These patients are also very pleased to further recommend this form of treatment by word of mouth.

SKY fast & fixed

With SKY fast & fixed, you are certain to be able to satisfy these wishes. Extraction, implantation and provisional restoration with an immediately stable bridge are performed in one day.

Through the reduced number of implants and the avoidance of augmentation in conjunction with a high degree of standardisation of procedures, both in dental practice and laboratory, SKY fast & fixed is a therapy concept, which, on the one hand, is financially accessible for very many patients and, on the other hand, generates a high contribution per practice hour for both practice and laboratory.

Removable solutions

SOLUTIONS

Book Immediate restoration with reduced number of implants Authors: Dr. Georg Bayer Dr. Frank Kistler Dr. Steffen Kistler Stephan Adler Dr. Jörg Neugebauer

REF 992 9710 D

Prosthetics SKY fast & fixed – the prosthetic solution for every occasion

0°

17,5°

35°

Allow yourself prosthetic freedom The new SKY fast & fixed abutments with horizontal circumferential groove gives you all the options for your screw-retained prosthetic restoration: • Occlusal or transversal screw retention with just one abutment. For example, the long-term temporary restoration can firstly be screwed from the occlusal and then the definitive restoration from the transversal direction. The new SKY fast & fixed abutment offers you unlimited flexibility. • Perfectly suited for the following substructure materials: titanium, NPM, gold, zirconium oxide and BioHPP. • Passive fit is always achieved, regardless of the material, as the substructure is bonded in situ.

B A

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.

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New heights â&#x20AC;&#x201C; straight abutments The straight SKY fast & fixed abutments are now available in gingiva heights of 1, 2, and 4â&#x20AC;Żmm. 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

Prosthetics SKY fast & fixed blueSKY SKY classic

SKY fast & fixed abutments The SKY fast & fixed titanium prosthetic coping provides the basis for the fast and secure restoration of temporary bridges, which are occlusal screw-retained using SKY fast & fixed abutments. The one-piece straight abutment is screwed directly in the implant and is now available in gingiva heights of 1, 2, and 4 mm. All abutments have the same cone, which can reconcile divergences of +/- 10°.

SKY f & f Angulation aid set 35°

Screw M 1.4 6 pieces

REF SKYFFS35

25 mm

REF SKYFFSPK

REF SKYFFPKT

SKY f & f Prosthetic coping HSL cast-on

12.4 mm

SKY f & f Prosthetic coping Resin burn-out

12.4 mm

SKY f & f prosthetic coping, titanium with screw M 1.4, Silicone tubing 1 piece each

REF SKYFFPKH

REF SKYFFPKK

5.65 mm

Technical data: Melting interval 1770 - 1800 °C WAK (thermal expansion coefficient) 9 10-6K-1 Material: Pt 90 % / Ir 10 % Weight: 0,59 g 5.65 mm

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

3.7 mm 1 mm

REF SKYFT001

2 mm

SKY f & f Abutment 0° height 2 mm with integrated screw 1 piece each REF SKYFT002

4 mm

SKY f & f Abutment 0° height 4 mm with integrated screw 1 piece each REF SKYFT004

blueSKY

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blueSKY SKY classic

SKY f & f Impression coping open tray

REF SKYFF0AK

SKY f & f Gingiva former 6 mm

11 mm

10.3 mm

SKY f & f impression coping Closed tray with integrated screw

REF SKYFFAOL

REF SKYFFGF2 5.65 mm

5.65 mm

SKY f & f laboratory analog

Screw driver long Allen 0.9

5.1 mm

6.1 mm

SKY f & f Prosthetic coping transversal screw-retained REF SKYFTPKS

Screw driver Allen 0.9 for transversal screw retention*

SKY fast & fixed

REF SKYFFTLA

REF 310W0106

REF 310 0010 6

5.7 mm

5.65 mm 3.7 mm

3.7 mm

blueSKY

REF SKYFT173

3.7 mm 5m

SKY f & f Abutment 35째 height 4 mm with screw 2.2 1 piece each

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

5 mm

3 mm

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

5.65 mm

SKY f & f Abutment 35째 height 5 mm with screw 2.2 1 piece each blueSKY

REF SKYFT175

REF SKYFT354

REF SKYFT355

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 4.5â&#x20AC;Żmm, 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.

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narrowSKY blueSKY SKY classic

new SKY uni.cone Impression coping open tray REF SKYUCAOL

11 mm

REF SKYUCAGL

SKY uni.cone Gingiva former 6 mm

10.3 mm

SKY uni.cone impression coping Closed tray with integrated screw

REF SKYUCGF2 4.5 mm

4.5 mm

SKY uni.cone laboratory analog

Screw M 1,4 6 pices

REF SKYUCTLA

REF SKYFFSPK

Screw driver long Allen 0.9

SKY uni.cone Prosthetic coping transversal screw-retained

5 mm

REF SKYUCPKS

4.5 mm

Screw driver Allen 0.9 for transversal screw retention*

REF 310 0010 6

REF 310W0106

REF SKYUCPKK

REF SKYUCPKT 4.5 mm

4.5 mm

SKY uni.cone Prosthetic coping HSL cast-on 1 piece each

12.4 mm

SKY uni.cone Prosthetic coping, resin 1 piece each

12.4 mm

SKY uni.cone Prosthetic coping, titanium 1 piece each Silicone tubing

REF SKYUCPKH

Removable

Available from autumn 2013

4.5 mm

Technical data: Melting interval 1770 - 1800 째C WAK (thermal expansion coefficient) 9 10-6K-1 Material: Pt 90 % / Ir 10 % Weight: 0,59 g

3,7 mm 1 mm

SKY uni.cone Abutment 0째 height 1 mm

SKY uni.cone Abutment 0째 height 2 mm

2 mm

REF SKYUC001

narrowSKY

3 mm

REF SKYUC002

blueSKY

SKY uni.cone Abutment 0째 height 3 mm REF SKYUC003

SKY classic

Prosthetics SKY fast & fixed One would actually expect that most people will become increasingly dissatisfied with their oral situation with a decreasing number of teeth and increasing age. This is not the case, however, as has been demonstrated by the OHIP value, whereby increasing satisfaction has been shown with increasing age. This result is explained in the scientific literature by the fact that in addition to becoming gradually accustomed to an inadequate oral situation, resignation also occurs to a large degree, as dental measures often only have a short-window of success, as the strongly decreasing frequency of consultations to dental practices has also confirmed. In addition, senior citizens frequently have considerably more serious diseases to contend with, such as e.g. cardiovascular disease, diabetes, etc. which is highlighted by the increased frequency of visits to the doctor.

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

The prosthesis could, however, be stabilised and fixed in older edentulous patients by a few implants and the corresponding retaining elements, such as e.g. locator, stud-head or bar. In patients, who have been edentulous for a longer time, a lot can also be achieved using mini-implants without much surgical effort.

OHIP-value 9 8 7 6 5 4 3 2 1 0

A study of oral health by Dr. Saal in Hamburg on 1,024 corpses at the crematorium brought the alarming result that only 37% of the deceased possessed a good oral state of health, but that 63% had died with a poor or even desolate state of restorations. Incidentally, only 1.3% of the dead persons had implants.

<30

30-49

50-69

70+

Age (years)

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

The difficulty with these patients lies in addressing them. On the one hand, they come more seldom to the practice and, on the other hand, it is necessary to convince them that it still pays for them to invest in their oral health and to bring them out of their resignation. A lot can also be achieved by speaking to both the children and the grandchildren. The positive effects on the general state of health, which is brought about by better nutrition and is made possible with a fixed prosthesis, should be particularly emphasized. In this circle of customers, however, recommendation plays a considerable role, as senior citizens like to talk about their health. A successfully treated patient can lead to many more new patients.

Study of 1,224 corpses > 60 years of age in Hamburg, Germany Consultation rate (%) 100 90

desolate 27 % good 37 %

Physicians

80 70 60

Dentists

50 40

0-14

15-24 25-34

35-44 45-54 Age (years)

Source: Federal Office for Statistics.

55-64

65-74

75+

poor 36 %

Source: Dissertation Dr. Saal Hamburg

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Ball attachments blueSKY SKY classic

2.25 mm

3.6 mm

Ball attachment directly screwed height 0 mm REF SKY-KA00

2.25 mm

Ball attachment height 2 mm 2 mm

REF SKY-KA02

Based on the gingiva former, the patrix is screwed in after replacing the screw. Various matrix systems are available:

2.25 mm

Ball attachment height 4 mm

• SKY metal housing with O-ring • SKY precious metal matrix

REF SKY-KA04

4 mm

Improved soft tissue situation thanks to the use of the gingiva former - healing process is not affected. Individually adjustable resilience according to the patient‘s needs. Inserts can be easily exchanged. 5.2 mm

Indication

Metal housing with O-ring

O-rings 6 pieces

REF SKY-OR50

REF SKY-OR55

3.25 mm 2.5 mm

Removable

fixation of restorations

SKY precious metal matrix REF SKYGM225

3 mm

SKY precious metal matrix activator REF SKYGMAKT

SKY precious metal matrix deactivator REF SKYGMDEA

Prosthetics SKY Locator® blueSKY SKY classic

Due to its low structural height, the SKY Locator® offers excellent possibilities for fixing prostheses in many cases.

SKY Locator® Processing set 0°-10°, 2 pieces REF LOCLAB10

With the built-in platform switch, the soft tissue has optimum conditions for successful attachment. SKY Locator® Processing set10°-20°, 2 pieces

The 3 gingival heights of 2, 4, and 6 mm cover all of the relevant clinical situations.

REF LOCLAB20

3.9 mm

SKY Locator® Abutment Gingiva height 2 mm 2 mm

REF LOCZAB02

4 mm

Photos: Dr. Alius, Nürnberg (DE)

SKY Locator® Abutment Gingiva height 4 mm REF LOCZAB04 SKY Locator® Abutment Gingiva height 6 mm 6 mm

REF LOCZAB06 Material: Titanium TiN-coated Torque: 25 Ncm

Qu-resin rosa Assortment 14 pieces 1 cartridge 50 ml 1 Qu-connector 10 ml 12 mixing cannulas, size 1, blue REF 540 0116 1

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SKY Locator® angled blueSKY SKY classic

new 3.9 mm

The original Locator ® on an angled SKY base opens up new prosthetic horizons. The two-component design corrects the insertion direction:

3.8 mm 2 mm

SKY Locator®Abutment 17.5° Height 2 mm REF LOCAB172

• Locator ® base 17.5° • Locator ® base 35°

All Locator® retention elements can be used.

REF LOCAB352 Material: Titanium TiN-coated Torque: 25 Ncm

Removable

SKY Locator®Abutment 35°Height 2 mm

Dr. Idoux, Hoerth, (FR)

The Locator ® coping is the same for both products. Furthermore, the prostheses can now have better posterior support.

In many cases the implants, particularly in the upper jaw, can only be placed at angles or acute angles. The insertion path now can be adjusted simply and quickly with the angled SKY Locator®. First the angled Locator® base is screwed in and then the Locator® coping is placed on to obtain the correct path. As usual, all Locator® retention elements can be used to enable simle and safe insertion and removel of the denture by the patient.

Prosthetics Accessories SKY Locator速 blueSKY SKY classic

Impression coping 4 pieces REF LOCZAK40

Retention insert blue, 6.7 N, 680 g 4 pieces REF LOCR1006

Laboratory analog 4 pieces REF LOCZLA40 Blocking out ring 20 pieces REF LOCblock

Processing insert black 4 pieces REF LOCZVA11 Angular measuring abutment, 4 pieces REF LOCZWIMP Angular measuring gauge, 1 pieces

SKY Locator速 Instrument 1 pieces REF LOCZINST

Retention insert pink, 13.4 N, 1365 g 4 pieces REF LOCR1013

SKY Locator速 Angular insertion instrument, 1 pieces REF LOCZWED6

Retention insert transparent, 22.3 N, 2270 g 4 pieces REF LOCR1022

Retention insert red, 6.7 N, 680 g 4 pieces REF LOCR2006

Retention insert orange, 9.1 N, 907 g 4 pieces REF LOCR2009

REF LOCZWIML Retention insert green, 17.8 N, 1815 g 4 pieces REF LOCR2018

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SKY Steg Abutment blueSKY SKY classic

Based on the titanium gingiva formers, three abutments are available for the fabrication of the bars:

5 mm

Bar abutment, titanium

• burn-out base • cast-on HL base • titanium base

REF SKY-ST11 Bar abutment, burn-out plastic 4.3 mm

Improved soft tissue situation thanks to the use of the gingiva former healing process is not affected. High flexibility when selecting materials. Fewer components, hence more efficient.

5 mm

Bar abutment, HL

Technical data: Indication

REF SKY-SK11

0.7 mm

REF SKY-SH11

Melting interval 1400 - 1490 °C WAK (thermal expansion coefficient) 11,9 - 12,2 10-6K-1 (Au 60 %, Pd 20 %, Pt 19 %, Ir 1 %) Weight: 0,63 g

bars

REF SKY-SB02 Bar base, height 4 mm incl. screw 2.4

Removable

Bar base, height 2 mm incl. screw 2.4

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

Prosthetics Screws blueSKY SKY classic

In two posters presented at the SKY Meeting 2012, Dr. Wentaschek from These results can be transferred to the recall. In this case, we recomthe University of Mainz illustrated how Pretension can be significantly mend replacement of the screws when the abutment is removed for reduced by repeatedly tightening the screw. Pretension is the decisive cleaning. crucial factor for the implant-abutment connection. He therefore recommends the use of different screws in the laboratory and the clinic to avoid screw loosening.

Clinical screws

Laboratory screws

SKY prosthetic screw 2.2 blue, 6 pieces

SKY lab screw PS22 grey, 10 pieces REF SKYLPS22

REF SKY-PS22 SKY fast & fixed and uni.cone screw M 1.4 for prosthetic coping 6 pieces

SKY fast & fixed and uni.cone lab screw M1.4 grey, 10 pieces

REF SKYFFSPK

REF SKYFFLPK

SKY adjustment screw 2 mm 3 pieces REF SKY-DS02 Spacer analog incl. screw 2.4

SKY adjustment screw 4 mm 3 pieces

REF SKY-DA77

REF SKY-DS04 SKY adjustment screw 6 mm 3 pieces REF SKY-DS08

SKY aesthetic impression screw, open trays, short REF SKYAPS18

20000

Pre-stress [cN]

REF SKY-PS18

Findings

25000

SKY impression screw closed trays

15000 10000 5000 0

[Time]

1 x screw fixation 5 x screw fixations 10 x screw fixations

Repeatedly tightening the screws reduces pretension by up to 40 %.

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SKY prosthetic assortment Practice

Laboratories

new The torque ratchet in the SKY prosthetic case for practices ensures that all prosthetic components of the SKY system can be tightened permanently and reliably. The case contains two screwdrivers - short and long for fixation of all abutments as well as the screwdriver for the SKY ball head attachments. The SKY adapter, included in the assortment, is required for use with the SKY Locator速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 速 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

SKY prosthetic assortment laboratories

REF SKYPET10 Content:

SKY torque ratchet REF SKY-SD50 SKY prosthetic key short REF SKY-SD16

REF SKYPET20 Content:

SKY laboratory handle REF SKY-SD80 SKY prosthetic key for contra-angles REF SKY-SD22

SKY prosthetic key long REF SKY-SD25

The following components can also be selected SKY Locator 速 mounter for contra-angles

REF SKY-SD21

REF LOCZWED6

SKY adapter, instruments for contra-angles

Screwdriver, Allen screw 0.9 for transversal screw retention

REF SKYADAP6

Instruments Tools

SKY prosthetic key for ball head attachments

REF 310W0106 Screwdriver, Alle screw 0.9 for transversal screw-retention REF 310W0106 Key holder REF SKY-SD65

Accessories Tools for ratchet and contra-angle M = 1:1

REF SKY-PI22

REF SKY-SD22

SKY prosthetic key for contra-angle short

REF SKY-SD28

SKY prosthetic key for contra-angle long

REF SKY-SD21

SKY prosthetic key for ball abutments

REF SKY-SD16

SKY prosthetic key short

REF SKY-SD25

SKY prosthetic key long

REF SKY-STK5

SKY TK mounter for ratchet short

REF SKY-STK6

SKY TK mounter for ratchet long

REF SKY-WTK5

SKY TK mounter for contra-angle short

REF SKY-WTK6

SKY TK mounter for contra-angle long

REF mSKYXWM6

miniSKY insertion instrument, contra-angle short

REF mSKYXWM7

miniSKY insertion instrument, contra-angle long

REF SKYADAP6

REF LOCZWED6

Parallel indicator with conical and cylindrical side, thicker central area with hole for protection against accidental dropping

Adapter

SKY Locator速 mounter for contra-angle

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Instruments M = 1:2

REF SKY-SD40

REF SKY-SD50

REF SKY-SD80

REF SKY-SD60

REF SKY-SD65

REF LOCZINST

REF 580 0127 6

Surgical ratchet Finger key with ratchet function and attachable, movable handle. Can be directly attached onto the Star-Driver.

Torque ratchet Adjustable from 10 to 30 Ncm. Is directly attached onto the key.

Laboratory handle incl. SD-22 High-grip tool for the laboratory. One working end for contra-angle instruments or square tap. The other end corresponds to SD-21 for screwing in ball abutments.

Universal forceps The universal forceps with titanium-coated gripping surface to hold implants and abutments, also suitable to hold prosthetic keys.

Key holder The useful and compact holding tool for all prosthetic instruments.

SKY Locator® Instrument

OPG-ruler

blueSKY / narrowSKY X-ray-tamplates

le 1,26

ab / sca

MS01 REF bSKY

MS26

Maßst

REF bSKY

4508

4510

5508

REF bSKY

MS12

Ø 5 mm

classi

4008

4508

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REF REFkSKY bSKYMS2 MS266

4508

4010

4510

4012

4512

4014

4514

4016

ØØ 55 mm mm

REF REFkSKY bSKYMS1 MS122

3 2 1

Maßst ab / sca le 1,26 4514 :1 4512 4510 Ø 55 mm Ø mm

3516

Scale 1,26:1

4008

4508

REF REFkSKY bSKYMS0 MS011

4514

Maßst ab / sca le 1,12 4514 :1 4512 4510

REF kSKYMS26

4010

4016

4512

3510

4010

4510

4012

4014

4012

4010

Maßst ab / sca 4514 le 1 : 1 4512 4510

Maßst ab / sca le 1,12 3510 :1 3512 3514

4012

4016

4508

4014

3510

Scale 1,12:1

4016

3516

3512

4014

3514

4012

4014

3510

ØØ 55 mm mm

4010

4514

4016

3516

Maßst ab / sca le 1,26 3510 :1 3512 3514

REF kSKYMS12

4008

4512

4014

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3516

3512

3514

4514

Scale 1:1

3512

4016

classi

3514

3516

4014

MS12

:1 5510

le 1,12

REF kSKYMS01

3516

4012

3516

Ø 5 mm

5512

4010

SKY classic X-ray-tamplates ab / sca

4008

4508

Maßst

4514

4508

5512

Maßst ab / sca le 1,12 3510 :1 3512 3514

4016

Maßst ab / sca le 1,12 4514 :1 4512 4510

4512

4510

5510

4512

4008

4508

4014

4514

4510

ab / sca le 1 : 1 5512 5510

4008

5508

4012

4510

Ø 5 mm

classi

Maßst ab / sca 3510 le 1 : 1 3512 3514

4010

4012

4010

4512 Maßst

4508

4008

4010

4008

5512

3516

Scale 1,26:1

4010

REF bSKYMS26

4012

4008

5510

4014

4514

4008

5508

4012

Maßst ab / sca le 1,12 3510 :1 3512 3514

4014

4514

4016

4512

3510

4010

4012

4510

4014

4508

4016

Scale 1,12:1

4016

Ø 5 mm

Instruments Tools

3516

REF bSKYMS12

4014

3510

4012

3512

4010

3514

4008

3516

4514

3512

4016

3516

4010

4012

5512

4014

5510

4512

4016

4508

5508

4510

3510

4508

Scale 1:1

3514

4014

Maßst ab / sca le 1,26 3510 :1 3512 3514

3512

REF bSKYMS01

3516

4012

3514

3510

3512

4010

3514

4008

3516

Maßst ab / sca 3510 le 1 : 1 3512 3514

5508

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 SKY uni.cone Prosthetic screw

25 rpm

18 Ncm

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mini

Presentation of the system

miniSKY Implant System

The solution for badly atrophied jaws and an improved quality of life Quality of life in later years Use miniSKY implants to ensure reliable fixation of the denture and improve the quality of life of your older patients who lost their teeth quite some time ago. All clinical studies 1 and tests have shown that inadequate fit of restorations reduces the quality of life of patients considerably. Persons at the age of 70 or older have been edentulous over numerous years and, as a result, the ridge has become very narrow and placement of stan-dard implants always requires complex surgical procedures, such as bone splinting, etc. Moreover, frequently the general state of health of these patients does not permit major surgical treatment. The diameter-reduced miniSKY implants are perfectly suited for these patients since they allow minimally invasive placement. In numerous cases not more than a small incision to control the bone width is required. The soft line denture worn during the healing phase enables the patient to enjoy enhanced retention of the denture. At the end of treatment, the happy patient is able to eat, speak and enjoy life without any limitations.

miniSKY mini 1

mini 2

The use of diameter-reduced implants is strongly recommended for certain indications. With miniSKY we offer you an implant system that is perfectly matched to these indications and results in better quality of life for your patients with just a few components, a modern surface and an advanced and simple prosthetic concept. miniSKY can be used as a one-piece implant with ball head or as a two-piece implant as well. The mini2SKY offers a choice of Ă&#x2DC; 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: MĂźller, Frauke / Nitschke, Ina: Der alte Patient in der zahnĂ¤rztlichen Praxis Quintessenz Verlags-GmbH, Berlin 1. Auflage 2010. Steele et al.: How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples. Millwood and Heath: Food choice by older people. Gerodontology 2000.

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mini

miniSKY overview miniSKY diameter-reduced implants The mini1SKY and mini2SKY Implantate feature the proven osseo connect surface (oc s®) of the blueSKY implants to ensure fast and reliable osseointegration.

osseo connect surface (oc s®)

The SEM photos show the uniformly rough surface which provides ideal preconditions for the apposition of osteoblasts, which is supported by the exceptional hydrophilic properties of the implants.

100 µm

20 µm

miniSKY - Technical data

3.2 mm

Three-step functional design • Cortical relief • Central stabilization • Special tip

Transgingival difference mini1SKY • Penetration profile through gingiva at the implant mini2SKY • Penetration profile through gingiva at the abutment

2.8 mm

3.5 mm

• Platform diameter 3,2 mm • External thread 2,8 mm and 3,5 mm • Self-tapping thread • Titanium grade IV, cold-formed • Double thread

miniSKY MD abutments with automatic divergence compensation MD = multi divergent Divergence compensation by shortening the abutments • The enclosed prosthetic cap facilitates modelling of the restoration • Utmost precision of stress- free bonding in situ

miniSKY

3.2 mm

miniSKY overview mini1SKY 2.8 Length 6 mm

REF m1SKYL06

Length 10 mm

REF m1SKYL10

Length 12 mm

REF m1SKYL12

Length 14 mm

REF m1SKYL14

mini2SKY 2.8 Length 10 mm

REF m2SKYL10

Length 12 mm

REF m2SKYL12

Length 14 mm

REF m2SKYL14

3.2 Length 8 mm

REF m2SK3208

Length 10 mm

REF m2SK3210

Length 12 mm

REF m2SK3212

Length 14 mm

REF m2SK3214

The miniÂ˛SKY gingivaformer is used during healing time. Therefore a cover screw is not included in the scope of delivery.

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mini

Surgical protocol OP-Tray with drills and instruments The new miniSKY OP tray, OT 41, contains all of the drills and instruments needed for inserting the miniSKY implants. All of the instruments can be easily assigned and identified by means of the images and order numbers. It is small enough to fit onto any operating table, and is of course easy to clean and sterilize.

OP-Tray miniSKY REF MSKYOT41

mini 1 mini 2

2.8 Twist-Drill 2.25 SKYDT23K/SKYDT23L 800–1000 rpm/min

mini 2

100 % implant length

3.2 SKY Drill SKYD1235 300 rpm/min 100 % implant length

mini

D1D4

Twist-Drill 1.3 SKYDT13L 800 –1000 rpm/min

Twist-Drill 2.25 SKYDT23K/SKYDT23L 800–1000 rpm/min

2/3 implant length

100 % implant length

D2D3

With bone quality D3-D4, the drilling process is completed using twist drill 1.3

D3D4

SKY Drill SKYD3435 300 rpm/min 100 % implant length

With bone quality D4, the drilling process is completed using twist drill 2.25

miniSKY

D1D4

Pilot drill SKY-DP06/SKY-DP08 800 –1000 rpm/min

Surgical and prosthetic instruments Drills, drill stops, and tools

Twist-Drill

Drill

3,5 4,0

L10

L12

L14

REF

SKYXST06

SKYXST08

SKYXST10

SKYXST12

SKYXST14

REF

–

SKYS0840

SKYS1040

SKYS1240

SKYS1440

Twist-Drill rpm/min. 800-1.000

Drill for hard bone rpm/min. 300 REF SKYDT13L

1.3

REF SKYD1235

3.5

REF SKYDT23L

2.25 long

REF SKYD3435

3.5

REF mSKYMS01

M = 1:1

REF mSKYMS12

M = 1,12:1

REF mSKYMS26

M = 1,26:1

SKY Drill extension mini 3

REF SKY-DV12

mini 1

6 mm

Maßst ab / sca 10 mm le 12 mm 1:1 14 mm

6 mm

Maßst ab / sca 12 mm le 1:1 10 mm

14 mm mini 1

mini 2

SKY Prosthetic key long

Maßst ab / sca 10 mm le 1:1 12 mm 14 mm

Ø 5 mm

14 mm

Maßst ab / sca 12 mm le 1:1 10 mm

REF mSKY

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MS01

mini 2

REF SKY-SD25

Adapter

miniSKY Mounter for contra-angle short REF mSKYXWM6

miniSKY insertion instrument, contra-angle long REF mSKYXWM7

REF SKYADAP6

Torque ratchet Adjustable from 10 – 40 Ncm. Is directly attached onto the key. REF SKY-SD50

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mini

Impression and model fabrication Presentation of a problem 1

Initial situation

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.

Using a gingival mask, Multisil-Mask hard (540 0113 4), the implant analog must be blocked, ensuring that the exact position of the implant analog is 10

When making an impression of the mini1SKY implants, the o-ring (SKY-OR55) is placed over the ball head

The torx of the mini1SKY implants and the o-rings is then fully molded using the impression material, brecision implant light (580 BL050).

Once the impression material has cured, it is possible to carefully remove the impression tray. The o-rings remain in the impression. The torx of the mini1SKY implants is clearly recognizable and aids repositioning of the laboratory analog.

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.

maintained during model fabrication.

O-ringe 6 pieces REF SKY-OR55

Control using a bridge framework has resulted in a high level of precision between the initial model and the model from the impression. brecision implant heavy Impression material blue 1 x 380 ml 5 x dynamic mixers 1 x bayonet ring yellow

2 x 50 ml Multisil-Mask hard in cartridges 24 mixing cannulas The Sheffield test was passed without any complications.

REF 540 0113 3

brecision implant light Impression material orange 2 x 50 ml 10 mixing cannulas yellow 10 Intra-oral tips

miniSKY

REF 580 BH38 0

REF 580 BL05 0

mini2SKY impression Impression and model fabrication mini2SKY

new 4 mm 3 mm

mini2SKY Gingiva former REF m2SKYGF3

11 mm

18.82 mm

Material: Titanium Torque: 10 Ncm

1.5 mm

mini2SKY Impression Abutment open tray REF m2SKYPA1

mini2SKY Implant analog

mini2SKY gingiva former The high level of primary stability of the miniSKY implants in all bone qualities enables transgingival healing, which means that a stressful second operation can be avoided and the gingiva is less traumatized. The mini²SKY gingiva former completely covers the high precision torx and supports and ideally molds the soft tissue.

The use of the slimline mini²SKY impression abutment enables simple and fast impressions even of very narrow gaps. For the impression of mini²SKY implants, the mini²SKY impression abutment, open tray, (m2SKYPA1) is screwed on the implants and the impression is taken according to the standard procedure for the open tray technique. In order to produce the master model, the mini²SKY implant analog (m2SKYXIA) is screwed to the mini²SKY impression abutment and the model is manufactured from super-hard stone.

REF m2SKYXIA Material: Titanium Torque: 10 Ncm

Impression coping 4 pieces REF LOCZAK40 3.9 mm

2 mm

miniSKY Locator ® height 2 mm 1 pieces

The locator impression coping is used to make an impression of the mini²SKY Locator®.

REF m2SKYLC2

4 mm

miniSKY Locator ® height 4 mm 1 pieces REF m2SKYLC4

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mini

Prosthetics mini1SKY – Fixation of prostheses in severely atrophied jaws mini1SKY

2.25 mm

mini1SKY Implant analog REF m1SKYXIA

Fixation of prostheses on mini1SKY with • SKY precious metal matrix • SKY o-ring matrix Note In this case, it is necessary to wait for the osseointegration of the implants, prior to loading.

3.25 mm

SKY Precious metal matrix REF SKYGM225

2.5 mm 3 mm

SKY O-ring REF SKY-OR50 5.2 mm

O-ringe 6 pices REF SKY-OR55 Qu-resin rosa Assortment 14 pieces 1 cartridge 50 ml 1 Qu-connector 10 ml 12 mixing cannulas, size 1, blue

miniSKY

REF 540 0116 1

Photos: Dr. Saal, Hamburg (DE)

Prosthetics mini2SKY Locator® mini2SKY

3.9 mm

2 mm

miniSKY Locator ® Height 2 mm 1 piece REF m2SKYLC2

3.2

2.8

4 mm

miniSKY Locator ® Height 4 mm 1 piece REF m2SKYLC4 Material: Titanium TiN-coated Torque: 25 Ncm Locator ® Processing set 2 sets REF LOCLAB20

Narrow jaws represent a challenge when fixing removable restorations in older, edentulous patients. These patients frequently refuse augmentative measures, or their general state of health requires a procedure that does not involve major surgery. The use of miniSKY Locator® allows minimally invasive implant placement and healing without loading and insertion after osseointegration using the proven Locator®. In combination with the blueSKY placed at an angle, SKY classic posterior implants, and the SKY Locator® angled, it is possible to fabricate implant-supported restorations which offer superior comfort to patients. The mini²SKY Locator® is available in heights of 2 mm and 4 mm and provides special protection against rotation for simple placement of the mini²SKY Locator® on the external precision torx of the mini²SKY implant to avoid screw loosening. The appropriate retaining screw is used for fixation. This ensures that the load is distributed via the precision torx in the implant and the screw is protected from overloading. The original Locator® retention inserts 20° can be used for this procedure.

The miniSKY Locator® abutments are fixed to the implants using Images: m.c. Zahntechnik, Oldenburg (DE) the miniSKY retaining screw. The prosthesis is then manufactured using conventional dental procedures. The Locator® retention elements up to 20° are used for retention.

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mini Restoration of narrow gaps – mini2SKY mini2SKY

9 mm

The high precision torx ensures optimal load distribution of the abutment in the implant, which prevents screw loosening and guarantees the longevity of the connection.

mini2SKY MD-Abutment titan

Transgingival healing with a prefabricated or individual gingiva former spares the patients from a second intervention.

REF m2SKYMDT Material: Titanium Torque: 20 Ncm

9 mm

2.8

mini2SKY MD-Abutment BioXS REF m2SKYMDB Material: BioXS Torque: 20 Ncm

miniSKY

3.2

Photos: Dr. Ghirlanda, Rom (IT)

Prosthetics mini2SKY individual abutment mini2SKY

new mini2SKY uni.fit abutment 1 piece REF m2SKYUFA

With the new mini2SKY uni.fit abutment, laboratory-produced individual abutments can be manufactured on mini2SKY, which means that optimal aesthetics can be achieved even in narrow gaps. The individual abutments are cemented in the laboratory on the very low titanium base.

Material: Titanium Torque: 20â&#x20AC;ŻNcm

2.8

Available from autumn 2013

3.2

Rotation stop on two sides results in a uniform adhesive gap.

Rotation stop on one side results in a nonuniform adhesive gap.

Uniform adhesive gap

Non-uniform adhesive gap

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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, SĂŠlestat, (FR)

reliable and stable fixation of the scan template so that any problems during CT or DVT scans are eliminated. safe and stable fixation of the drilling template to avoid any errors during placement of the implants. Additionally, the mini1SKY planning implants can also be used to support the denture during the preparatory phase of implant placement.

miniSKY

bredent medical offers the perfect solution with miniSKY-FRP. With 3 mini1SKY planning implants you create the optimal basis for

Implant planning mini1SKY-FRP mini1SKY-FRP

2.25 mm

4 mm

REF m1SKYL06

6 mm

2 mm

mini1SKY Ø 2,8 mm L 6 mm

2,25 mm

4 mm

REF m1SKYL10

10 mm

2 mm

mini1SKY Ø 2,8 mm L 10 mm

2.25 mm

mini1SKY Implant Analog

3 mm

REF m1SKYXIA

3.3 mm

mini1SKY Planning matrix white 3 pieces

Everything you need Implants The mini1SKY implants of lengths 6 mm and 10 mm can be inserted firmly in any bone. Surgery The implants are inserted using the insertion instrument after the cavity has been pre-drilled using the twist drill from the SKY OP tray. 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. Temporary restoration During the planning phase, the prosthesis in the lower jaw may be further stabilized by using either the SKY precious metal matrix or the SKY o-ring. In the upper jaw, the prosthesis should only be ground out and equipped with a soft relining.

REF m1SKYPLM 3.25 mm

SKY Precious metal matrix REF SKYGM225

2.5 mm 3 mm

SKY O-ring REF SKY-OR50 5.2 mm

Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com

mini

Internet Internet

bredent medical in the internet Structured and easily understandable information on our “perfect prosthetic implant solutions thanks to innovative materials and technologies” and ordering for our entire product range is provided at www.bredent-medical.com. Furthermore you will get latest news and helpful videos on our twitter (www.twitter.com/bredentgroup) and youtube (www.youtube.com/bredentgroup) channels.

In the press section new products and therapies are presented and already published dental articles of renowned users of our products can be downloaded.

miniSKY

The „Information on ordering“ section includes all the relevant information for placing orders. Currently, an online shop is being created.

Presentation of the system SKY Implant system - prosthetically unique

H B ELE GT

ERFOLG

Other offers that may be of interest to you HELBO

LIC

IS 1 T SEN SCHAF

HELBO-Therapie

Kursprogramm 2013

Regeneration

S I CH E

LTEN HA

FBAUEN

Das ein und alles f端r den Kieferkamm

Neue Chancen f端r Ihren Erfolg

Beherrscht die Infektion in der Chirurgie und Implantologie

A C A D E M Y

REF 000 429 GB

REF 000 501 GB

REF 000 330 GB

bredent medical GmbH & Co.KG Weissenhorner Str. 2 | 89250 Senden | Germany Tel. (+49) 0 73 09 / 8 72-4 40 Fax (+49) 0 73 09 / 8 72-4 44 www.bredent-medical.com e-mail info-medical@bredent.com Mistake and subject to change reserved 000250GB-20130903