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Ankylos

Overview

The Ankylos implant system is a dependable and well-designed dental implant system providing you with solutions that deliver long-term stability of hard and soft tissues, lasting esthetics and reliable functionality, which your dental patients will appreciate and Dentsply Sirona Implants as manufacturer backs with a lifetime warranty.

Over more than 25 years, the Ankylos implant system has undergone continuous improvement, driven by feedback from dental professionals, such as you. Today, the Ankylos implant system owns a number of features that differentiate it from other implant systems.

Prosthetic independence – simplified restorations

With Ankylos, every abutment fits every implant, because the TissueCare connection is identical in all implant diameters and lengths. You can therefore use any abutment with any implant. This reduces the number of prosthetic components you need, improving the esthetic result. 

Accurate placement – enhanced tissue retention

The placement system for Ankylos C/X implants enables accurate positioning of implants with a view of the implant shoulder even with subcrestal placement. Likewise, the progressive thread design makes it easy for you to insert implants into position, at the same time as it enhances tissue retention.

Locked taper – two become one

The friction-locked and keyed principle of the TissueCare connection is the result of the application of engineering principles that convert the implant and abutment into one stable rotation-locked unit with maximum mechanical stability without micro-movements.

In 2012, the Ankylos implant system celebrated its 25th anniversary. But from the beginning Ankylos was different from all the others: internal tapered connection, horizontal offset, and progressive thread design – revolutionary innovations in 1987.

 

1987 – The innovative implant system with its ground-breaking features, including tapered connection, significant horizontal offset and progressive thread design, is put to clinical use.

 

 

1993 – Ankylos is launched.

 

2001 – The unique Ankylos SynCone concept for prosthetic overdentures, developed together with Dr. Dittmar May (Lünen, Germany), is launched.

 

 

2005 – Ankylos is provided with the Friadent plus implant surface and a micro-rough implant shoulder.

 

 

2005 – The unique combination of tissue-stabilizing features is summed up under the name “Ankylos TissueCare Concept”.

 

 

2008 – Ankylos C/X, designed for use with both non-indexed (C) and indexed (X) prosthetic components, is launched.

 

 

2009 – The Ankylos portfolio is further extended with computer-guided surgery capabilities, based on the market-leading Simplant software.

 

 

2009 – Suprastructures are introduced for Ankylos.

 

 

2011 – Availability of one- and two-piece CAD/CAM abutments for Ankylos.

 

 

2012 – SmartFix Concept introduced – the prosthetic solution for full-arch restorations on angled implants.

 

 

2012 – Atlantis patient-specific CAD/CAM abutments are available for Ankylos.

 

 

2013 – Launch of Ankylos 6.6 mm. May minimize the need for vertical bone augmentation procedures.

 

 

2014 – The worldwide unique WeldOne concept is launched by facilitating stable and durable chairside solutions.

The Ankylos implant system has been scientifically and clinically proven to promote and maintain hard and soft tissue over time. Called the TissueCare Concept, this combination of unique features provides you and your patients with reliable functionality and esthetics.

One-fits-all TissueCare connection

At the root of the TissueCare Concept is the TissueCare connection. Thanks to the same dimensions in all implant diameters, your treatment protocols are simpler, and require fewer elements, using Ankylos:

The steep connection taper promotes friction lock without micro-movement, providing non-indexed prosthetics while offering an indexed option.

The Ankylos TissueCare connection ensures outstanding tissue stability thanks to the absence of any micro-movement and creates long-term healthy tissues resulting in esthetic outcomes over time. 

SoftTissue Chamber 

The TissueCare connection and the micro-rough implant shoulder allow for subcrestal placement; in combination with a horizontal offset and the concave abutment design, a chamber for soft tissue and bone is created, supporting tissue stability.

Space is created for bone formation over the implant shoulder, as well as connective tissue fibers supporting ample, healthy and natural looking soft tissues.
 
Gain in interdental papilla height can be observed – unique anatomical conditions promote long-term hard and soft tissue stability and long-lasting esthetic results.

Progressive thread

 

The progressive thread of Ankylos is designed to match bone structure and make insertion easier. It considers the following parameters:
  • The cervical geometry reduces load transfer to the cortical bone.
  • The continuously increasing thread depths transfer load to the cancellous bone.
  • Controlled loading force is achieved in the regions that are significant for the maintenance of crestal bone.
  • The thread in final position, creates primary stability allowing for immediate loading.

The Friadent plus surface

 

All Ankylos C/X implants are produced with the grit-blasted and high temperature-etched Friadent plus implant surface. The excellent properties of this microstructure result in early osseointegration and high bone-to-implant contact as documented in numerous in-vitro and in-vivo studies, and feature:
  • Outstanding wetting properties for activation of the primary cell apposition.
  • Unique, three-dimensional micro-design that promotes the apposition of bone-forming cells and subsequently optimum osseointegration.
  • Intensive formation of new bone with increased bone maturation in the early stage for high stability at the interface.

In combination with the advantages of the unique design features of the progressive thread, the Friadent plus surface creates high bone-to-implant contact and primary stability allowing for immediate loading.

  • Outstanding wetting properties for activation of the primary cell apposition.
  • Unique, three-dimensional micro-design that promotes the apposition of bone-forming cells and subsequently optimum osseointegration.
  • Intensive formation of new bone with increased bone maturation in the early stage for high stability at the interface.

In combination with the advantages of the unique design features of the progressive thread, the FRIADENT plus surface creates high bone-to-implant contact and primary stability allowing for immediate loading.

Incorporating Ankylos into your clinical workflow is uncomplicated thanks to a number of available modular surgical and restorative kits. 

Surgical procedures

Simple, flexible and economical surgical kits guided by a modular design, pre-assembled and equipped according to your needs.

  • Can be customized with additional modules as required
  • Instruments securely fixed in silicone holders
  • Clear and simple user guidance during surgery
  • Integrated organizer for used instruments
  • Can be easily and thoroughly cleaned

Prosthetic and laboratory procedures

The Prosthetic Set Mini includes all instruments required for the prosthetic delivery of implant restorations:

  • Prosthetic ratchet
  • Hex screw driver 1.0

Impression components according to different indications: 

  • Impression taking on implant level
  • Impression taking on abutment level
     

Surgical flexbility

The implant assortment for Ankylos provides you with the versatility you need to satisfy the requirements of each patient’s clinical situation. You will be supported throughout the surgical process by a simple step-by-step surgical protocol, allowing for either transgingival or submerged healing. 

You can place Ankylos using either conventional or computer-guided treatment planning. Determining the appropriate treatment planning is based on a comprehensive consultation with your patient: to determine exactly what the patient wants and expects from the treatment, discover any possible contraindications, and to explain the treatment in detail to the patient. 

Conventional treatment planning

Radiographic templates – transparent templates used to superimpose implant images upon radiographs in order to help you plan implant placement:

  • Templates are implant-specific and provide different magnifications that correspond to the radiograph magnification.
Surgical template – a thermoformed splint with radiographic balls that can be accurately repositioned in the patient‘s mouth is prepared: 
  • Can be subsequently modified to a conventionally fabricated surgical template.
  • The pre-prosthetic planning is simplified with pre-selected prosthetic components.

Simplant – Computer-guided treatment planning 

Simplant dental planning software provides you with accurate and predictable surgery options. It will help you to assess your patients’ anatomy and its exact relationship to the proposed restoration. Treatment planning is easily communicated to your dental team, your dental laboratory, and the patient – everyone can see and understand what the treatment entails.

Safe three-dimensional planning in the sub-millimeter range and with reference to the desired restoration:

  • Automatic collision control, which displays too narrow clearances between implants or to the nerve.
  • Information on peri-implant bone quality for accurate conclusions on the expected primary stability.

Ankylos C/X implants

Ankylos C/X implants are available in four diameters and six lengths. The practical size classification makes them suitable for all indications in dental implantology with a manageable number of implants. Individual implants are identified by a capital letter for diameter and a number for length (6.6–17 mm). Color-coding is used to identify the implant diameter. Site preparation instruments are also color-coded.  

Sterile packaging

Ankylos C/X implants are supplied in a double-sterile blister package with an outer carton. This type of package offers the maximum possible product safety in conformance with the increasingly rigid requirements for medical devices. The packaging also makes it easy to store all products for quick retrieval and they are easy to handle during the surgical procedure: Included with each implant is a cover screw and pre-mounted placement head.

Diameters and lengths

The Ankylos thread design

You will notice the progressive implant thread is perceptibly easier to screw into position, and it also protects the tissue. This thread has been specially designed to match the structure of the bone:

  • The cervical geometry reduces load transfer to the cortical bone.
  • Continuously increasing thread depths transfer loads to the cancellous bone.
  • Maximum bone-to-implant contact in the final position.
  • Greatest possible tissue stability with crestal bone maintenance.

The surgical kits for Ankylos are made from plastic and feature a modular structure including all instruments required for the standardized surgical protocol. The light plastic trays with organizers integrated into the cover for holding used instruments define a specific user sequence during surgery. All instruments are securely held in silicone holders.

Three types of surgical kits are available for Ankylos

  1. Machine-driven protocol (A and B implants only) – includes instruments for motor-driven placement of Ankylos A- and B-implants (diameter 3.5 and 4.5 mm).

  2. Manual insertion protocol – includes instruments for placement of Ankylos A- and B or A-, B- and C-implants with manual final preparation; instruments for motor-driven final preparation are only available for A- and B-implants; similar to other drill modules, a drill module for C- and D-implants (manual) can be ordered separately and added to the kit.

  3. Guided surgery protocol – includes instruments in 8–14 mm lengths for template-guided placement of Ankylos C/X A- and B-implants; the Sleeve-on-Drill sleeves required for use with guided surgery must be ordered separately.