SKY Implant System Catalog
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Transcript of SKY Implant System Catalog
SKY Implant system
Presentation of the system
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Every patient has special needs and requirements, which have to be considered when determining the appropriate treatment.
Younger patients want esthetic closure of gaps to retain their young look as long as possible.
Older patients who are facing edentulousness still want to enjoy life and therefore prefer immediate fixed restorations, allowing them to continue participating in their social life and enjoy eating.
The quality of life of edentulous patients could be considerably increased with the help of a firmly fixed prosthesis, especially regarding the quality of their nutrition and the ability to make an untroubled appearance in public.
For us, implant prosthetics starts with the preservation of the hard and soft tissue.
By effectively fighting bacteria with the HELBO therapy, periodontally damaged teeth can frequently be preserved, and, if this is not possible, the foundation can be laid for reliable early implant placement.
...gapless...Aesthetic restoration Patients with good residual dentition, for whom the implant restorations are used to close gaps when there is loss of a single tooth or edentulous spaces.
...tempting...Stable teeth: immediately!
Patients who are about to lose their teeth and who feel too young to wear dentures, whether implant-supported or not.
Cover picture: Dr. Alexandros Manolakis, Thessaloniki, Griechenland
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
Inst
rum
ents
Tool
sSK
Y fa
st &
fixe
dIm
plan
tsSK
Y sy
stem
min
iSKY
Perm
anen
t co
s-m
etic
res
tora
tion
Impr
essi
onM
odel
Pros
thet
ics
over
view
Surg
ery
Rem
ovab
le
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The SKY solutions
Bridges on atrophied and jaws with low heightThe 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 restorationsComplicated 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 implantsThe 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 bridgesIn 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-isticThe 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.
SKY
syst
em
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mini2 narrow
mini1
2.8 3.5 Nnarrow
platform
3.2
2.8
Implants overview
Diameter covering
Detailed information can be found in the miniSKY system presentation from page 61 onwards.
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
Syst
em
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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 mmØ 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
Syst
em
blueSKY and SKY classic
classic
5.5
4.5
4.0
3.5
Ø 4,0 mmØ 4.0 mm
Torx® identical
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1st dimensionThe narrow finished surface with micro grooves opti-mally protects the accumu-lation of epithelial tissue.
Isocrestal implant positionIn 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 dimensionThe blasted and high-tem-perature etched surface of-fers the ideal coarseness for osseous integration. The macro grooves support long-term bone preservation.
2nd dimensionThe 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 positionIn 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 dimensionThe highly finished surface with micro grooves offers a wide space for the epithe-lial attachment and is easy to clean in the recall.
2nd dimensionThe widely etched surface with the velvety structure stabilizes connective tissue.
3rd dimensionThe 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-tors’ products confirm the results ob-tained in clinical tests.
0,5
mm
1,5
mm
SKY
Syst
emclassic
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
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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
Spee
d (r
pm)
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
Spee
d (r
pm)
Implant design
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 systemThe 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
Syst
em
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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
Implant abutment 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
Syst
em
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.
NormalpositionTorx®
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
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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
SKY classic neck design
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
Implant position flush with the bone Augmented implant site
SKY
Syst
em
narrowSKY / blueSKY neck design
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REF SKYXOT21
Six implants - one set of instruments
SKY OP-Kit OT21
Surgical procedure
classic
narrowmini2
mini1
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
Chiru
rgie
New drilling sequenceQuality-orientated surgical protocol
Hard bone
Atraumatic tappingPrevention of bone overloading during surgery
Medium-hard to soft bone
Bone compressionAchieving 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.
D1 D2-4
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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 drill800 - 1.000 U/min.
Twist-Drill800 - 1.000 U/min.
4.03.5
4.03.5
REF SKYD1235 300 rpm/min.
REF SKYD1240300 rpm/min.
REF SKYD1245300 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
narrow
21
4.5
Crestal drill300 rpm/min.
3.5
or
4.0
or
4.5
4.5
REF SKYD1245300 rpm/min.
REF SKYD3445 300 rpm/min.
or
5.5
REF SKYD1255300 rpm/min. 5.5
5.5REF SKYD3455 300 rpm/min.
3.5 N
or
Chiru
rgie
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
classic
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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 3.5 short
REF SKY-DP08 3.5 long
REF SKYDT13L 1.3
REF SKYDT23K 2.25 short
REF SKYDT23L 2.25 long
REF SKYXCD35
narrowSKY 3.5 N
REF SKYXCD40blueSKY, SKY classic4.0
REF SKYXCD45blueSKY, SKY classic4.5
REF SKYXCD55blueSKY, SKY5.5
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 classic3.5
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
Surg
ery
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Order Information
blueSKY
3.5
REF bSKY 3510Length 10 mm
REF bSKY 3512Length 12 mm
REF bSKY 3514Length 14 mm
REF bSKY 3516Length 16 mm
4.0
REF bSKY 4008Length 8 mm
REF bSKY 4010Length 10 mm
REF bSKY 4012Length 12 mm
REF bSKY 4014Length 14 mm
REF bSKY 4016Length 16 mm
3.5
REF kSKY3510Length 10 mm
REF kSKY3512Length 12 mm
REF kSKY3514Length 14 mm
REF kSKY3516Length 16 mm
4.0
REF kSKY4008Length 8 mm
Length 10 mm
REF kSKY4012Length 12 mm
REF kSKY4014Length 14 mm
REF kSKY4016Length 16 mm
SKY classic
narrowSKY 3.5 N
3.5 N
REF nSKY3510Length 10 mm
REF nSKY3512Length 12 mm
REF nSKY3514Length 14 mm
REF nSKY3516Length 16 mm
Cover screw for narrowSKY Implants
The implant includes the cover screw.
3.5 N
REF kSKY4010
25
4.5
REF bSKY 4508Length 8 mm
REF bSKY 4510Length 10 mm
REF bSKY 4512Length 12 mm
REF bSKY 4514Length 14 mm
4.5
REF kSKY4508Length 8 mm
REF kSKY4510Length 10 mm
REF kSKY4512Length 12 mm
REF kSKY4514Length 14 mm
5.5
REF bSKY 5508Length 8 mm
REF bSKY 5510Length 10 mm
REF bSKY 5512Length 12 mm
Cover screw for blueSKY and SKY classic implants
5.5 4.0 3.5 4.5
Impl
ants
Cover screw is incorporated into the implant.
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Prosthetics overview
narrowSKY + blueSKY + SKY classicblueSKY + 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®
R
27
blueSKY + SKY classic without platform switch
Pros
thet
ics
over
view
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
R R
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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 abutmentopen tray, short6 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: TitaniumTorque: 10 Ncm
blueSKY SKY classic
11 m
m
18.7
5 m
m
Impression and model fabrication
11 m
m
13.7
5 m
m
29
10 m
m
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 SKYEAK22
SKY esthetic impression coping closed tray, 10 pieces
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 m
m
Material: TitaniumTorque: 10 Ncm
new
narrowSKYblueSKY 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 m
m
10 m
m
10 m
m
Impr
essi
onM
odel
10 m
m
10 mm
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Prosthetics
Modular system - Gingiva formers to create the basis for bars and bridges
REF SKY-GF02
REF SKY-GF06
Gingiva former height 2 mmincl. 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.
Phot
o: D
r. Bo
rrm
ann,
Kor
nwes
thei
m (D
E)
REF SKY-GF04
blueSKY SKY classic
Material: TitaniumTorque: 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
narrowSKYblueSKY SKY classic
2 mm
4.3 mm
narrow platform regular platform
Material: TitaniumTorque: 10 Ncm
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.
Impr
essi
onM
odel
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
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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-T0
7
6
5
4
3
2
1
01983 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
30,428,4 30,0
26,8
21,7 21,1 19,4 18,316,9 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 Sincl. screw 2.2
SKY temp Mincl. screw 2.2
SKY temp Lincl. screw 2.2
REF SKYTEMPM
SKY temp
5.8 mm
3 mm
3.5 mm
REF SKYprovS
new
narrowSKYblueSKY SKY classic
Material: POMTorque: 18 Ncm
SKY prov Sinc. screw 2.2
Perm
anen
t co
s-
met
ic r
esto
rati
on
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.
Available from autumn 2013
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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: TitaniumTorque: 25 Ncm
10 m
m
turned by 30°
15°
10 m
m
25°
10 m
m
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
narrowSKYblueSKY SKY classic
R
R
Material: TitaniumTorque: 25 Ncm
SKY aesthetic abutments
Material: TitaniumTorque: 25 Ncm
Perm
anen
t co
s-
met
ic r
esto
rati
on
R
turned by 30°
R
6 m
m
5.5 mm
3 mm
7 mm
6 m
m
3 mm
6 m
m
4.5 mm
3 mm
15°
4.5 mm
6 m
m
3 mm
15°
5.5 mm
6.5
mm
3 mm
narrowSKYblueSKY SKY classic
R
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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 abutment 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 indications 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
narrowSKYblueSKY 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
Perm
anen
t co
s-m
etic
res
tora
tion
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: TitaniumTorque: 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
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Prosthetics
REF SKY-PS22
REF SKY-PV00
Abutment, cast-on incl. plastic coping and screw 2.4
Screw 2.46 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 gTorque: 25 Ncm
blueSKY SKY classic
Photo: Dr. Vogel, Neu-Isenburg (DE)
Cast-on abutments
9,5
mm
3.5 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
Photo: Dr. Alius, Nürnberg (DE)
Perm
anen
t co
s-m
etic
res
tora
tion
Material: TitaniumTorque: 25 Ncm
10.2
mm
4.2
mm
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3.5 mm
13 m
m12
mm
5.7 mm
12 m
m
4.5mm
8 m
m
3.5 mm
SKY uni.coneScan cap intraoral / extraoral1 piece
REF SKYUSCIE
new
narrowSKY blueSKY SKY classic
Prosthetics
SKY uni.fit Scan Abutment
SKY uni.fit Scan-Abutmentextraoral
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 intraoral1 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: PEEKTorque: 10 Ncm
Material: PEEKTorque: 10 Ncm
Intra-oral:The CAD software recognizes the associa-tion of implant location and position 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
Uniformadhesive 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.
Perm
anen
t co
s-m
etic
res
tora
tion
SKY uni.fit CAD abutment
Material: TitaniumTorque: 25 Ncm
Material: TitaniumTorque: 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 m
m
4 mm
4.5
mm
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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.
RR
Material: Titanium + ZiO2Torque: 25 Ncm
blueSKY SKY classic
R
R
RR
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
022,5 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
& fi
xed
REF 992 9710 D
BookImmediate restoration with reduced number of implants Authors:Dr. Georg BayerDr. Frank KistlerDr. Steffen KistlerStephan AdlerDr. Jörg Neugebauer
44 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
Prosthetics
SKY fast & fixed – the prosthetic solution for every occasion
Allow yourself prosthetic freedomThe 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 retentionTransversal 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 applicationA 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°0°
A
B
C
45
SKY
fast
& fi
xed
Improved prosthetic copingsWithin 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 analogThe 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 abutmentsThe 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.
1 2 4
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Prosthetics
SKY fast & fixed
SKY f & f Angulation aid set 35°
SKY f & f Prosthetic copingResin 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 & f prosthetic 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 screw1 piece each
REF SKYFT001
2 mm
SKY f & f Abutment 0° height 2 mm with integrated screw1 piece each
REF SKYFT002
4 mm
SKY f & f Abutment 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 m
m
3.7 mm
1 mm
5.65 mm
REF SKYFFS35
REF SKYFFPKK REF SKYFFPKH
SKY fast & fixed abutmentsThe 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
5.65 mm
47
SKY f & f Prosthetic coping transversal screw-retained
Screw driver longAllen 0.9
SKY f & f laboratory analog
SKY f & f impression copingClosed tray with integrated screw10
.3 m
m
SKY f & f Impression coping open tray
11 m
m
5.65 mm
SKY f & f Gingiva former
6 m
m
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* SK
Y fa
st &
fixe
d
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
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narrowSKYblueSKY 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
narrowSKYblueSKY SKY classic
new
SKY uni.cone Prosthetic coping transversal screw-retained
Screw driver longAllen 0.9
SKY uni.cone laboratory analog
SKY uni.cone impression copingClosed 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-on1 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 eachSilicone tubing
REF SKYUCPKT
blueSKY
SKY uni.cone Abutment 0° height 1 mm
REF SKYUC001
SKY uni.cone Abutment 0° height 2 mm
REF SKYUC002
SKY uni.cone Abutment 0° height 3 mm
REF SKYUC003
narrowSKY SKY classic
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 SKYUCPKHRe
mov
able
4.5 mm
5 mm
3,7 mm
1 mm 2 mm 3 mm
11 m
m
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 m
m
4.5 mm
50 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
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
030-49 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 %
...in the thick of it...
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-OR55REF SKY-OR50
Ball attachment directly screwed height 0 mm
Ball attachment height 2 mm
Ball attachment height 4 mm
O-rings6 pieces
REF SKYGM225
SKY precious metal matrix
REF SKYGMAKT
SKY precious metal matrix activator
REF SKYGMDEA
SKY precious metal matrix deactivator
blueSKY SKY classic
Rem
ovab
le
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 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
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® AbutmentGingiva height 4 mm
SKY Locator® AbutmentGingiva height 6 mm
REF LOCZAB04
SKY Locator® AbutmentGingiva height 2 mm
Photos: Dr. Alius, Nürnberg (DE)
Prosthetics
SKY Locator®
Material: Titanium TiN-coatedTorque: 25 Ncm
blueSKY SKY classic
Qu-resin rosa Assortment 14 pieces 1 cartridge 50 ml 1 Qu-connector 10 ml12 mixing cannulas, size 1, blue
REF 540 0116 1
3.9 mm
2 mm
4 mm
6 mm
53
Dr. I
doux
, Hoe
rth,
(FR)
SKY Locator® angled
blueSKY SKY classic
new
REF LOCAB172
REF LOCAB352
Rem
ovab
le
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 and safe insertion and removel of the denture by the patient.
Material: Titanium TiN-coatedTorque: 25 Ncm
2 mm
3.9 mm
3.8 mm
54 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
SKY Locator®Angular insertion instrument, 1 pieces
REF LOCZWED6
REF LOCZINST
SKY Locator® Instrument 1 pieces
Impression coping4 pieces
Laboratory analog4 pieces
Blocking out ring20 pieces
Processing insertblack4 pieces
Angular measuring abutment, 4 pieces
Angular measuring gauge, 1 pieces
Retention insert blue, 6.7 N, 680 g 4 pieces
Retention insertpink, 13.4 N, 1365 g4 pieces
Retention inserttransparent, 22.3 N, 2270 g 4 pieces
Retention insertred, 6.7 N, 680 g4 pieces
Retention insertorange, 9.1 N, 907 g 4 pieces
Retention insertgreen, 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 mmincl. screw 2.4
Bar base, height 4 mmincl. screw 2.4
Bar base, height 6 mmincl. screw 2.4
REF SKY-DA77
Spacer analog incl. screw 2.4
5 m
m
4.3 mm
0.7 mm
5 m
m
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
Rem
ovab
le
Material: TitaniumTorque: 25 Ncm
56 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
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-
stre
ss [
cN]
[Time] 1 x screw fixation 5 x screw fixations 10 x screw 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 2.2blue, 6 pieces
SKY fast & fixed and uni.conescrew M 1.4 for prosthetic coping6 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.conelab screw M1.4grey, 10 pieces
Repeatedly tightening the screws reduces preten-sion by up to 40 %.
57
SKY prosthetic assortment
Content:
The following components can also be selected
The torque ratchet in the SKY prosthetic case for practices ensures that all prosthetic components of the SKY system can be tightened per- manently and reliably. The case contains two screwdrivers - short and long - for fixation of all abutments as well as the screwdriver for the SKY ball head attachments. The SKY adapter, included in the assortment, is required for use with the SKY Locator®screwdrivers and for transversal screw retention .
new
REF SKYPET10
SKY prosthetic assortment practice
REF SKY-SD50
SKY torque ratchet
REF SKY-SD16
SKY prosthetic key short
REF SKY-SD25
SKY prosthetic key long
REF SKY-SD21
SKY prosthetic key for ball head attachments
REF SKYADAP6
SKY adapter, instruments for contra-angles
REF 310W0106
Screwdriver, Alle screw 0.9 for transversal screw-retention
REF SKY-SD65
Key holder
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 contra-angles and can be exchanged easily. As a result, the SKY abutment screws of the SKY Locator® and the transversal screw can be easily fastened and unfastened. The screwdriver for the SKY ball head attachment is located at the other end of the laboratory handle.
REF SKYPET20
SKY prosthetic assortment laboratories
Content:
REF SKY-SD80
SKY laboratory handle
REF SKY-SD22
SKY prosthetic key for contra-angles
REF LOCZWED6
SKY Locator® mounter for contra-angles
REF 310W0106
Screwdriver, Allen screw 0.9 for transversal screw retention
Practice Laboratories
Inst
rum
ents
Tool
s
58 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
SKY TK mounter for ratchetshort
SKY TK mounter for contra-angleshort
REF SKY-STK6
REF SKY-STK5
REF SKY-WTK6
REF SKY-WTK5
REF SKY-SD25
REF SKY-SD16
REF SKY-SD21
REF SKY-SD22
REF SKY-PI22M = 1:1
REF mSKYXWM6miniSKY insertion instrument, contra-angleshort
Parallel indicator with conical and cylin- drical side, thicker central area with hole for protection against accidental dropping
SKY prosthetic key for contra-angle short
SKY prosthetic key for ball abutments
SKY prosthetic key short
SKY prosthetic key long
REF SKY-SD28SKY prosthetic key for contra-anglelong
REF mSKYXWM7
SKY TK mounter for ratchetlong
SKY TK mounter for contra-anglelong
miniSKY insertion instrument, contra-anglelong
Tools for ratchet and contra-angle
Accessories
REF SKYADAP6Adapter
REF LOCZWED6SKY Locator® mounter for contra-angle
59
Key holder The useful and compact holding tool for all prosthetic instruments.
Surgical ratchetFinger key with ratchet function and attachable, movable handle. Can be directly attached onto the Star-Driver.
REF SKY-SD40
REF SKY-SD80
REF SKY-SD50Torque ratchet Adjustable from 10 to 30 Ncm. Is directly attached onto the key.
Universal forcepsThe universal forceps with titanium-coated gripping surface to hold implants and abutments, also suitable to hold prosthetic keys.
REF SKY-SD60
REF SKY-SD65
M = 1:2
Laboratory handle incl. SD-22 High-grip tool for the laboratory. One working end for contra-angle instruments or square tap. The other end corresponds to SD-21 for screwing in ball abutments.
REF LOCZINSTSKY Locator® Instrument
Instruments
Inst
rum
ents
Tool
s
OPG-ruler REF 580 0127 6
blueSKY / narrowSKY X-ray-tamplates
Scale 1:1
Scale 1,12:1
Scale 1,26:1
REF bSKYMS01
REF bSKYMS12
REF bSKYMS26
SKY classic X-ray-tamplates
Scale 1:1
Scale 1,12:1
Scale 1,26:1
REF kSKYMS01
REF kSKYMS12
REF kSKYMS26
Maßstab / scale 1 : 1
Maßstab / scale 1,12 :1
Maßstab / scale 1,12:1
3510 3512 3514 3516
4008 4010 4012 4014 4016
4508 4510 4512 4514
3516 3514 3512 3510
4016 4014 4012 4010 4008
REF
bSKY
MS0
14514 4512 4510 4508
bredent medical GmbH & Co.KG
Weissenhorner Str. 2 | 89250 Senden | Germany
Tel. (+49) 0 73 09 / 8 72-6 00 | Fax (+49) 0 73 09 / 8 72-6 35
www.bredent-medical.com | e-mail [email protected]
REF bSKYMS12
3510 3512 3514 3516
4008 4010 4012 4014 4016
4508 4510 4512 4514
3516 3514 3512 3510
4016 4014 4012 4010 4008
4514 4512 4510 4508
bredent medical GmbH & Co.KG
Weissenhorner Str. 2 | 89250 Senden | Germany
Tel. (+49) 0 73 09 / 8 72-6 00 | Fax (+49) 0 73 09 / 8 72-6 35
www.bredent-medical.com | e-mail [email protected]
Ø 5 mm
Ø 5 mm
Maßstab / scale 1:1
5508 5510 5512
5512 5510 5508
Maßstab / scale 1,26 : 13510 3512 3514 3516
4008 4010 4012 4014 4016
4508 4510 4512 4514
3516 3514 3512 3510
4016 4014 4012 4010 4008
REF
bSKY
MS2
6
bredent medical GmbH & Co.KG
Weissenhorner Str. 2 | 89250 Senden | Germany
Tel. (+49) 0 73 09 / 8 72-6 00 | Fax (+49) 0 73 09 / 8 72-6 35
www.bredent-medical.com | e-mail [email protected]
Maßstab / scale 1,26:1
5508 5510 5512
Ø 5 mm
Maßstab / scale 1,12 : 13510 3512 3514 3516
4008 4010 4012 4014 4016
4508 4510 4512 4514
3516 3514 3512 3510
4016 4014 4012 4010 4008
REF
bSKY
MS1
2
4514 4512 4510 4508
bredent medical GmbH & Co.KG
Weissenhorner Str. 2 | 89250 Senden | Germany
Tel. (+49) 0 73 09 / 8 72-6 00 | Fax (+49) 0 73 09 / 8 72-6 35
www.bredent-medical.com | e-mail [email protected]
Ø 5 mm
Maßstab / scale 1,12:1
5508 5510 5512
5512 5510 5508
01
23
01
23
01
23
Maßstab / scale 1 : 1
Maßstab / scale 1:1
REF
bSKY
MS0
1
Ø 5 mm
REF
bSKY
MS2
6
Ø 5 mm
REF
bSKY
MS1
2
Ø 5 mm
Maßstab / scale 1,12 : 1
Maßstab / scale 1,12:1
Maßstab / scale 1,26 : 1
3510 3512 3514 3516
4008 4010 4012 4014 4016
4508 4510 4512 4514
3516 3514 3512 3510
4016 4014 4012 4010 4008
4514 4512 4510 4508
3510 3512 3514 3516
4008 4010 4012 4014 4016
4508 4510 4512 4514
3516 3514 3512 3510
4016 4014 4012 4010 4008
4514 4512 4510 4508
Maßstab / scale 1,26:1
3510 3512 3514 3516
4008 4010 4012 4014 4016
4508 4510 4512 4514
3516 3514 3512 3510
4016 4014 4012 4010 4008
4514 4512 4510 4508
bredent medical GmbH & Co.KG
Weissenhorner Str. 2 | 89250 Senden | Germany
Tel. (+49) 0 73 09 / 8 72-6 00 | Fax (+49) 0 73 09 / 8 72-6 35
www.bredent-medical.com | e-mail [email protected]
bredent medical GmbH & Co.KG
Weissenhorner Str. 2 | 89250 Senden | Germany
Tel. (+49) 0 73 09 / 8 72-6 00 | Fax (+49) 0 73 09 / 8 72-6 35
www.bredent-medical.com | e-mail [email protected]
bredent medical GmbH & Co.KG
Weissenhorner Str. 2 | 89250 Senden | Germany
Tel. (+49) 0 73 09 / 8 72-6 00 | Fax (+49) 0 73 09 / 8 72-6 35
www.bredent-medical.com | e-mail [email protected]
classic
classic
classic
01
23
01
23
01
23
REF
kSKY
MS0
1
Ø 5 mm
REF
kSKY
MS2
6
Ø 5 mm
REF
kSKY
MS1
2
Ø 5 mm
60 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
Technical specifications
Recommendations for SKY screws
SKY cover screw 25 rpm 10 Ncm
SKY impression abutments 25 rpm 10 Ncm
SKY gingiva former 25 rpm 10 Ncm
SKY temp / SKY prov S 25 rpm 18 Ncm
SKY abutments 25 rpm 25 Ncm
SKY fast & fixed 25 rpm 18 NcmSKY uni.coneProsthetic screw
Presentation of the system
miniSKY Implant System
61
mini
62 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
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.
The use of diameter-reduced implants is strongly recommended for certain indications.
With miniSKY we offer you an implant system that is perfectly matched to these indications and results in better quality of life for your patients with just a few components, a modern surface and an advanced and simple prosthetic concept.
miniSKY can be used as a one-piece implant with ball head or as a two-piece implant as well.
The mini2SKY offers a choice of Ø 2.8 and 3.2.
Quality of life in later years
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.
Temporary implant
Photos: Dr. Siewert, Clinica Somosaguas, Madrid
1 Literature: Müller, Frauke / Nitschke, Ina: Der alte Patient in der zahnärztlichen Praxis Quintessenz Verlags-GmbH, Berlin 1. Auflage 2010. Steele et al.: How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples.Millwood and Heath: Food choice by older people. Gerodontology 2000.
miniSKY
The solution for badly atrophied jaws and an improved quality of life
mini1 mini2
miniSKY
63
The mini1SKY and mini2SKY Implantate feature the proven osseo connect surface (ocs®) of the blueSKY implants to ensure fast and reliable osseointegration. The SEM photos show the uniformly rough surface which provides ideal preconditions for the apposition of osteoblasts, which is supported by the exceptional hydrophilic properties of the implants.
miniSKY MD abutments with automatic divergence compensation MD = multi divergent
Divergence compensationby shortening the abutments
• The enclosed prosthetic cap facilitates modelling of the restoration • Utmost precision of stress- free bonding in situ
Transgingival difference
mini1SKY• Penetration profile through gingiva at the implant
mini2SKY • Penetration profile through gingiva at the abutment
Three-step functional design
• Cortical relief• Central stabilization• Special tip
• 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 diameter-reduced implants
osseo connect surface (ocs®)
miniSKY - Technical data
min
iSKY
miniSKY overview
20 µm
100 µm
mini
3.2 mm
2.8 mm
3.2 mm
3.5 mm
64 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
mini1SKY
2.8
REF m1SKYL06Length 6 mm
REF m1SKYL10Length 10 mm
REF m1SKYL12Length 12 mm
REF m1SKYL14Length 14 mm
mini2SKY
2.8
REF m2SKYL10Length 10 mm
REF m2SKYL12Length 12 mm
REF m2SKYL14Length 14 mm
3.2
REF m2SK3208Length 8 mm
REF m2SK3210Length 10 mm
REF m2SK3212Length 12 mm
REF m2SK3214Length 14 mm
The mini²SKY gingivaformer is used during healing time.Therefore a cover screw is not included in the scope of delivery.
miniSKY overview
65
OP-Tray with drills and instruments
REF MSKYOT41
D3- D4
D1- D4
Pilot drillSKY-DP06/SKY-DP08800–1000 rpm/min
D1
100 % implant length
Twist-Drill 2.25SKYDT23K/SKYDT23L800–1000 rpm/min
D22/3 implant length
Twist-Drill 2.25SKYDT23K/SKYDT23L 800–1000 rpm/min
Twist-Drill 1.3SKYDT13L800–1000 rpm/min
100 % implant length
D1- D4
D4
D1
100 % implant length
SKY DrillSKYD1235300 rpm/min
D2-D3 100 %
implant length
SKY DrillSKYD3435300 rpm/min
2.8 3.2
Surgical protocol
OP-Tray miniSKY
min
iSKY
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 assig-ned 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.
With bone quality D3-D4, the drilling process is com-pleted using twist drill 1.3
With bone quality D4, the drilling process is completed using twist drill 2.25
mini
mini2
mini1
mini2
mini
66 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
REF SKYDT13L 1.3
REF SKYDT23L 2.25 long
REF SKYD1235 3.5
REF SKYD3435 3.5
Twist-Drill rpm/min. 800-1.000 Drill for hard bone rpm/min. 300
L6 L8 L10 L12 L14
SKYXST06 SKYXST08 SKYXST10 SKYXST12 SKYXST14
SKYS0840 SKYS1040 SKYS1240 SKYS1440–
Twist-Drill
Drill4,0
3,5
REF
REF
REF SKY-DV12
SKY Drill extension
REF mSKYMS01
REF mSKYMS12
REF mSKYMS26
M = 1:1
M = 1,12:1
M = 1,26:1REF SKY-SD25
SKY Prosthetic key long
REF mSKYXWM6
miniSKY Mounter for contra-angleshort
REF mSKYXWM7
miniSKY insertion instrument, contra-anglelong
REF SKYADAP6
Adapter
REF SKY-SD50
Torque ratchet Adjustable from 10 – 40 Ncm. Is directly attached onto the key.
Surgical and prosthetic instruments
Drills, drill stops, and tools
Maßstab / scale 1:1
6 mm10 mm 12 mm 14 mm
6 mm10 mm
12 mm14 mm
10 mm 12 mm 14 mm
10 mm12 mm
14 mm
mini
bredent medical GmbH & Co.KG
Weissenhorner Str. 2 | 89250 Senden | Germany
Tel. (+49) 0 73 09/8 72-6 00 | Fax (+49) 0 73 09/8 72-6 35
Weissenhorner Str. 2 | 89250 Senden | Germany
Tel. (+49) 0 73 09/8 72-6 00 | Fax (+49) 0 73 09/8 72-6 35
Weissenhorner Str. 2 | 89250 Senden | Germany
www.bredent-medical.com | e-mail [email protected]
mini1
Maßstab / scale 1:1
mini 2
Maßstab / scale 1:1
mini1
Maßstab / scale 1:1
mini2
01
23
REF
mSK
YMS0
1
Ø 5 mm
67
brecision implant light Impression material orange2 x 50 ml 10 mixing cannulas yellow10 Intra-oral tips
REF 580 BL05 0
brecision implant heavy Impression material blue1 x 380 ml 5 x dynamic mixers 1 x bayonet ring yellow
REF 580 BH38 0
REF SKY-OR55
O-ringe6 pieces
REF 540 0113 3
2 x 50 ml Multisil-Mask hard in cartridges 24 mixing cannulas
min
iSKY
Impression and model fabrication
Presentation of a problem
Initial situation When making an impression of the mini1SKY im-plants, the o-ring (SKY-OR55) is placed over the ball head
At the same time, the impression material brecision implant heavy (580 BH38 0) is added to an impres-sion tray and applied to the area being molded.
Once the impression material has cured, it is possible to carefully remove the impression tray. The o-rings remain in the impression. The torx of the mini1SKY implants is clearly recognizable and aids reposition-ing 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 ori-entation of the torx from the implant analog.
Using a gingival mask, Multisil-Mask hard (540 0113 4), the implant analog must be blocked, ensur-ing that the exact position of the implant analog is
Control using a bridge framework has resulted in a high level of precision between the initial model and the model from the impression.
maintained during model fabrication.
The Sheffield test was passed without any complica-tions.
The torx of the mini1SKY implants and the o-rings is then fully molded using the impression material, brecision implant light (580 BL050).
mini
1 2 3
4 5 6
7 8 9
10
68 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
11 m
m REF m2SKYPA1
mini2SKYImpression Abutment open tray
mini2SKY
REF m2SKYXIA
mini2SKYImplant analog
1.5 mm
new18
.82
mm
REF m2SKYGF3
mini2SKYGingiva former
3 mm
4 mm
REF m2SKYLC2
miniSKY Locator®height 2 mm1 pieces
REF m2SKYLC4
miniSKY Locator®height 4 mm1 pieces
Impression coping4 pieces
REF LOCZAK40
Impression and model fabrication
Material: TitaniumTorque: 10 Ncm
Material: TitaniumTorque: 10 Ncm
mini2SKY impression
mini2SKY gingiva formerThe 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 preci-sion 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 abut-ment, 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 ana-log (m2SKYXIA) is screwed to the mini²SKY impression abutment and the model is manufactured from super-hard stone.
The locator impression coping is used to make an impression of the mini²SKY Locator®.
2 mm
3.9 mm
4 mm
69
Prosthetics
Photos: Dr. Saal, Hamburg (DE)
SKY Precious metal matrix
REF SKYGM225
SKY O-ring
REF SKY-OR50
2.25 mm
2.5 mm
3 mm
3.25 mm
5.2 mm
REF m1SKYXIA
mini1SKYImplant analog
mini1SKY
REF SKY-OR55
O-ringe6 pices
min
iSKY
mini1SKY – Fixation of prostheses in severely atrophied jaws
Fixation of prostheses on mini1SKY with
• SKY precious metal matrix• SKY o-ring matrix
NoteIn this case, it is necessary to wait for the osseointegration of the implants, prior to loading.
Qu-resin rosa Assortment 14 pieces 1 cartridge 50 ml 1 Qu-connector 10 ml12 mixing cannulas, size 1, blue
REF 540 0116 1
mini
70 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
mini2SKY Locator®
REF m2SKYLC2
REF m2SKYLC4
REF LOCLAB20
mini2SKY
Prosthetics
Material: Titanium TiN-coatedTorque: 25 Ncm
miniSKY Locator®Height 2 mm1 piece
miniSKY Locator®Height 4 mm1 piece
Locator® Processing set2 sets
The miniSKY Locator® abutments are fixed to the implants using the miniSKY retaining screw. The prosthesis is then manufactured using conventional dental procedures. The Locator® retention elements up to 20° are used for retention.
Narrow jaws represent a challenge when fixing removable res-torations 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 place-ment and healing without loading and insertion after osseointe-gration 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 place-ment 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 Loca-tor® retention inserts 20° can be used for this procedure.
Images: m.c. Zahntechnik, Oldenburg (DE)
2 mm
3.9 mm
4 mm
3.2 2.8
71
REF m2SKYMDT
mini2SKYMD-Abutment titan
REF m2SKYMDB
mini2SKYMD-Abutment BioXS
Photos: Dr. Ghirlanda, Rom (IT)
mini2SKY
min
iSKY
Restoration of narrow gaps – mini2SKY
Material: TitaniumTorque: 20 Ncm
The high precision torx ensures optimal load distribution of the abutment in the implant, which prevents screw loosening and guarantees the longevity of the connection.
Transgingival healing with a prefabricated or individual gingiva former spares the patients from a second intervention.
Material: BioXSTorque: 20 Ncm
mini
9 m
m
2.8
3.2
9 m
m
72 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
mini2SKY
REF m2SKYUFA
new
Prosthetics
2.8
Uniformadhesive 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.
mini2SKY uni.fit abutment 1 piece
Material: Titanium Torque: 20 Ncm
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.
mini2SKY individual abutment
Available from autumn 20132.8
3.2
73
Reliable fixation of the scan and drilling templates in situ is a key prerequisite for precise transfer of 3D implant planning from the PC to the mouth of the patient.
Bone-supported drilling templates are expensive and cause major trauma owing to extensive flap procedures.
Precision, in particular in the edentulous ridge, is considerably limited when using mucosa-supported templates.
Photos: Dr. Guillaume Reys, Sélestat, (FR)
Implant planning
Implant planning - safe and precise transfer
min
iSKY
bredent medical offers the perfect solution with miniSKY-FRP. With 3 mini1SKY planning implants you create the optimal basis for
reliable and stable fixation of the scan template so that any problems during CT or DVT scans are eliminated. safe and stable fixation of the drilling template to avoid any errors during placement of the implants.Additionally, the mini1SKY planning implants can also be used to support the denture during the preparatory phase of
implant placement.
mini
74 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail [email protected]
REF m1SKYXIA
mini1SKYImplant Analog
mini1SKY Planning matrix white3 pieces
REF m1SKYPLM
SKY Precious metal matrix
REF SKYGM225
SKY O-ring
REF SKY-OR50
mini1SKYØ 2,8 mm L 10 mm
REF m1SKYL10
REF m1SKYL06
mini1SKYØ 2,8 mm L 6 mm
mini1SKY-FRP
mini1SKY-FRP
Implant planning
Everything you need
ImplantsThe mini1SKY implants of lengths 6 mm and 10 mm can be in-serted firmly in any bone.
SurgeryThe 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 fabricationWhen making an impression, only the o-ring (SKY-OR55) is at-tached. The implant analog is pushed into the impression and the model is manufactured.
Scan and drilling templateThe planning matrix fixes the scan and drilling templates se-curely and precisely.
Temporary restorationDuring the planning phase, the prosthesis in the lower jaw may be further stabilized by using either the SKY precious metal ma-trix or the SKY o-ring. In the upper jaw, the prosthesis should only be ground out and equipped with a soft relining.
3 m
m
3.3 mm
2.5 mm
3 mm
3.25 mm
5.2 mm
4 mm
6 m
m
2 mm
2.25 mm
4 mm
10 m
m
2 mm
2,25 mm
2.25 mm
75
Internet
min
iSKY
bredent medical in the internet
Structured and easily understandable informati-on on our “perfect prosthetic implant solutions thanks to innovative materials and technologies” and ordering for our entire product range is pro-vided 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) chan-nels.
In the press section new products and therapies are presented and already published dental ar-ticles of renowned users of our products can be downloaded.
The „Information on ordering“ section includes all the relevant information for placing orders. Currently, an online shop is being created.
Internet
mini
bredent medical GmbH & Co.KGWeissenhorner Str. 2 | 89250 Senden | GermanyTel. (+49) 0 73 09 / 8 72-4 40Fax (+49) 0 73 09 / 8 72-4 44www.bredent-medical.come-mail [email protected]
Mistake and subject to change reserved 000250GB-20130903
Presentation of the systemSKY Implant system - prosthetically unique
REF 000 429 GB REF 000 330 GB
Other offers that may be of interest to you
REF 000 501 GB
HELBO
HELBO-Therapie
Beherrscht die Infektion in der Chirurgie und Implantologie
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BELE
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Kursprogramm 2013
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