ANKYLOS

1
ANKYLOS Balance Abutment System
2
Concept

• Tapered transmucosal collar allows maximum tissue
  quantity and stable periimplant soft tissue
• Adhesion of soft tissue(epithelial adhesion) to
  the polished surface is stabilised mechanically

3
Case Example-Cercon Balance abutment

1. Sulcus former
2. Customized Cercon Balance abutment
3. All-ceramic crown
4. delivery

4
Case Example-Balance Anterior abutment

1. Sulcus former
2. Transfer abutment
3. crown

5
Case Example-Balance Posterior abutment

1. Sulcus former
2. Prior to placing the transfer abutment
3. Customized Balance Posterior abutment
4. Fitting the abutment with the key
5. Balance Posterior abutment
6. Superstructure
7. Side view
8. X-ray

6
Correspond to the Natural prepared tooth
Lateral screw hole (only Titanium abutment)
Natural contour of gingiva
Semi-circular shoulder Width of 1mm
Zirconia or titanium
Allow maximum tissue Quantity and stability Of
gingiva
Anti rotational Tapered connection
7
Anatomical shape of The natural tooth
Interior straining screw for free position
8
Antrior product
Small,sulcus height 1.5
large,sulcus height 1.5
Small,sulcus height 3.0
large,sulcus height 3.0
Screw -sulcus former -temporization
9
Posterior product
Sulcus height 0.75
Sulcus height 1.5
Sulcus height 3.0
Sulcus height 4.5
Impresion coping Analog,lateral screw
10
Clinical procedure

• Removing cover screw
• Placing the sulcus former for Balance Posterior
• Single componenent
• 14 days

11

• Placing the sulcus former for Balance Anterior
• Two component
• Temporization on sulcus former
• Cemented type
• Scews internal hexagon has to be covered with wax

12

• Fixing the transfer abutment
• Taking the impression

13

• Inserting the abutment
• With transfer key
• Recommended torque 15 NCm
• Inserting the crown
• Screwing(only on titanium abutment)
• 10 NCm
• Cementing
• Not glass ionomer

14
Lab procedure

• Fixing the implant analog
• Gingiva mask
• Model fabrication

15

• Individualising the abutment
• For easier handling

16

• Form a resin overcast
• Use the blue torque control screwdriver(10NCm)
• Fix the lateral screw
• Optionally with cast on guide ring)

17

• Preparing resin cap
• Cover the straining screw with wax
• Rich coat around the ring and screw
• Model and invest

18

• Framework
• veneering

19
Lab procedure for Cercon Balance Abutment

• Model with Cercon Balance abutment
• Trimming

20

• Evaluation the abutment with a parallelometer
• The abutment after trimming

21

• Overcast
• Wax pattern

22

• Mounting the wax pattern in the frame
• Milled cercon crown

23

• Cercon coping
• Cercon coping-ready for adding the facing
• Finished Cercon crown after firing the facing

24
Bridge fabrication

• Disparallellism
• Individualising the abutment
• Trimming of abutment

25

• Overcast for bridgework
• Fixing the lateral screw
• Optionally cast-on guide ring

26

• Sealing the strain screw hole
• Resin cap

27

• Wax up
• Framework
• Veneering

28
ANKYLOS SynCone Concept
29
Concept

• Immediate loading

30
SynCone abutment straight
SynCone abutment angled
SynCone cap
SynCone abutment angled
31
Prosthetic procedure-Immediate loading

• Inserting SynCone abutment
• Trial abutment
• 15NCm

32

• Non parallel implant
• Paralleling device
• Use pre-angled SynCone abutment(15)

33

• Closing the wound

34

• Placing the SynCone cap
• SynCone polymerization sleeve are slipped over
  the SynCone abutment

35

• Preparing the denture

36

• Polymerization phase

37

• Fitting the denture
• Make sure that 1mm of SynCone caps is free from
  acrylic

38
Two year postoperation
39
Advice to patient

• Wear the fixed denture continually for one week
• Eat soft food only for 14 days
• Antibiotic prophylaxis for one week
• Gum reducing mouth wash after meals

40
After healed..

• One week after, removal of suture
• Remove denture and worn again for 3 days
• End of two weeks,No further restrict on eating
• Instruction hygiene
• Regular recall

41
thank you for your attention