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Implant systems


Excellence without exception

Implanting TissueCare

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 aesthetics and reliable functionality, which your dental patients will appreciate and Dentsply Sirona Implants as manufacturer backs with a lifetime warranty. Dentsply Sirona Implants backs its implant systems with a lifetime warranty.

System highlights

Horizontal offset

The geometry of the Ankylos TissueCare connection moves the transition between implant and abutment to a central position. This integrated horizontal offset design establishes a broad basis for hard and soft tissue stability at the implant shoulder. In combination with the absence of micro-movement and the prevention of bacterial ingrowth, this enables long-term tissue maintenance.

Subcrestal placement

The unique friction-locked and keyed TissueCare connection ensures such a precise fit of the two components that it allows for subcrestal placement of the implant and positive bone response, thus enabling the desired emergence profile, and transgingival healing. Ankylos is therefore able to provide the flexibility of a two-piece system while ensuring hard and soft tissue remain healthy and free of irritation.

Micro-rough implant shoulder

The patented microstructured implant shoulder allows for bone formation up to the abutment. This supports the overlying soft tissue and establishes optimized conditions for long-term tissue stability and health.

Implanting TissueCare

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 aesthetics.

One-fits-all TissueCare connection

One-fits-all TissueCare connection

All abutment sizes share one tapered connection simplifying the treatment protocol. A steep connection taper promotes friction lock without micro-movement, providing non-indexed prosthetics while offering an indexed option.

Long term hard and soft tissue stability

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.

Ankylos The Thread

Progressive thread

The thread design transfers the functional load to the apical part of the implant and creates primary stability allowing for immediate loading.

Ankylos The Surface

The Friadent plus surface

The grit-blasted and high temperatureetched Friadent plus microstructure excels by rapid bone formation on the implant surface. This results in early osseointegration and high bone-to-implant contact.


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. 

Conventional treatment planning

Conventional treatment planning

  • 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 – 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.

Learn more about Simplant

Ankylos C/X implants

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

Diameter and Lengths

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.

Ankylos instrument set

An essential precondition for a successful implant placement is your accurate and atraumatic preparation of the bone at the implant site. The instrument set for the Ankylos implant system contains precisely designed and shaped instruments ideal for your site preparations.

Ankylos Tri-Spade Drills (twist drills)

Tri-Spade Drills (twist drills)

  • Implant-diameter specific
  • Multiple-use twist drills 
  • Top and bottom edges of the ring markings indicate the implant lengths
  • Areas below the 6.6 mm, and between the 8/9.5 mm and 11/14 mm markings, shaded to improve orientation
Conical Reamers

Conical Reamers

  • One reamer per implant diameter and length
  • Used for conical expansion of the depth drilling in the crestal region
  • Can also be used counterclockwise for bone condensation where bone density is low (manual reamers)



  • One tap per implant diameter can be used for all implant lengths
  • For tapping the implant site
  • It is not necessary to tap where the bone density is significantly reduced

After you have prepared the implant site, you will follow a step-by-step drilling protocol for atraumatic placement of Ankylos.

Depending on the clinical situation, you can follow either the transgingival or the submerged healing protocol. With transgingival healing of the implants, a second surgical procedure is not necessary. Simultaneously, you can take advantage of the regeneration potential of soft tissue for creating the ideal emergence profile.

Bone smoothing

1. Bone smoothing

After mobilization of the mucoperiosteal flap sharp bone crests are lightly smoothed with the internally irrigated round drill. 

Pilot drilling

2.  Pilot drilling

The direction of the implant is defined with the twist drill.

Depth drilling

3. Depth drilling

The top edge of the ring markings indicates the implant lengths. The Tri-Spade drill A is always used first. When placing B, C or D-implants the hole is expanded in ascending order.

Operation of the conical reamer motorized or manual

4. Operation of the conical reamer motorized or manual

The conical reamer is inserted into the drilled hole and preparation is started with clockwise rotation without high pressure.

Operation of the tap motorized or manual

5. Operation of the tap motorized or manual

The thread is prepared clockwise.