Dentsply Sirona Ankylos Balance C User manual

Ankylos®
Laboratory Manual

General prosthetic advice for Ankylos®
In order to obtain utmost benefit from the unique
restorative features of the Ankylos implant system,
please observe the following guidelines:
• Avoid occlusal overload, aim for initial infra-occlusion
to ensure clearance of contacts in function.
• If possible, use B-implants or larger for single
molar restorations.
• Use gingiva height 0.75 and 1.5 only if really
necessary, and in correspondence with thin gingiva.
• Minimize the functional occlusal surface in buccal-
lingual dimension to avoid lateral levers.
• Take adequate precautions to avoid occlusal
overload in correspondence to any prosthetic
cantilevers.
• Bear in mind the resilience of neighboring teeth
when planning for single tooth restorations. Establish
full contact on the implant crown only during
maximal clenching ensuring an even load distribution
on all teeth during maximum chewing force.
• Check for parafunctional habits. Consider changes
during recall appointments.
• In case of any changes to the occlusal scheme in
other areas, evaluate the consequences for the
implant restoration and, if required, take appropriate
measures.
• Advice for the dental laboratory: The abutment
design must not be manipulated at the areas of the
connection taper or adjacent to the sulcus.
Please read this manual carefully before using the system for the
first time and always observe the clinical indications, directions and
notes in the instructions for use of the system components and
instruments.
Furthermore, we recommend that all users attend a training course
specific to the system prior to first using a new implant system.
Some products may not be available in all countries.
Please contact your Dentsply Sirona Sirona Implants representative
to obtain up to date information on the product range and on
availability.
To improve readability for our customers, Dentsply Sirona Implants
does not use ® or ™ in body copy. However, Dentsply Sirona Implants
does not waive any right to the trademark and nothing herein shall
be interpreted to the contrary.

3
Treatment planning
Aspects of treatment planning 4
Conventional treatment planning 6
Computer-guided treatment planning 7
Prosthetic concept
The prosthetic principle of Ankylos 8
Ankylos prosthetics navigator 11
Solutions for single-tooth restoration 12
Solutions for larger tooth gaps 14
Solutions for the edentulous jaw 16
Basic guidelines for soft tissue management 18
Ankylos® Balance C/ or /X
Crowns and bridges on Ankylos Balance Anterior C/ or /X,
crowns on Ankylos Cercon Balance C/ 20
Ankylos® Regular C/ or /X
Crowns and bridges on Ankylos Regular C/ or /X 30
Ankylos® Balance Base Abutment C/
Bar-supported overdentures and bridges, also CAD/CAM-fabricated,
on Ankylos Balance Base Abutment C/ 42
Ankylos® SynCone® C/
Overdentures on Ankylos SynCone C/ 66
Ankylos® Snap Attachment® C/
Overdentures on Ankylos Snap Attachment C/ 80
Ankylos® Standard C/
Crowns, bridges and bar-supported dentures on Ankylos Standard C/ 84
CONTENTS
Ankylos®

4
Aspects of
treatment planning
Treatment planning
Precise planning for any implantological procedure
in close coordination between practitioners and
laboratory is the basic prerequisite for lasting
therapeutic success. All suitable measures and
alternatives that will fulfill the expectations of
the patient in terms of function and esthetics of
the implant prosthetic rehabilitation should be
stipulated in the planning.
Today, along with conventional treatment planning,
treatment can be planned using computer-guided
facilities for three-dimensional “crown down”
treatment with planning of the optimal implant
placement from the point of view of the desired
prosthetic restoration, both functionally and
esthetically.

5
The basis of treatment planning is always a thorough
discussion with the patient with a view towards
determining the wishes and perceptions of the
patient, excluding contraindications and clarifying
matters thoroughly with the patient. Next, a complete
general and specific medical history is taken and
an intraoral diagnostic assessment is made with an
analysis of the initial anatomical situation.
The following points should be taken into account:
• Medical history
• General diagnosis – elimination of contraindications
• Specialist consultation where there are risk factors
• Extensive intraoral diagnosis (PAR diagnosis,
functional examination, reasons for tooth loss,
assessment of the existing tooth replacement,
radiological examination)
After all the diagnostic details have been submitted
and evaluated, the treatment can be planned.
This comprises the following elements:
• Preprosthetic planning
• Surgical planning
• Schedule
• Cost projection

6
Treatment planning
Conventional treatment planning
Preprosthetic planning
Preprosthetic planning with the dental technician
is the most important factor for the esthetic and
functional success of the implant procedure.
Surgical planning
During preoperative planning it is very important to
check that the height and width of the jawbone is
sucient for placement of the implant.
The target is the best possible, tooth-analog
placement of the implants. During the first planning
session with the patient situation impressions are
made to be used as the base for laboratory-fabricated
diagnostic aids.
A diagnostic wax-up of the planned prosthetic
restoration is made.
A thermoformed splint with radiographic balls that
can be accurately repositioned in the patient‘s mouth
is prepared. It can be subsequently modified to a
conventionally fabricated surgical template.
The width of the vestibular and oral lamellae should
be at least 1.5 mm after implant placement. The
position and direction of important anatomical
structures such as the mental foramen or maxillary
sinus must be determined by radiology.
Grafted regions must be confirmed to have completely
regenerated to a mechanically stable state before
preparation.
Planned prosthetic measures must be checked to
ensure that they can actually be implemented with
appropriate surgical procedures. All aspects of
preprosthetic and surgical planning interact directly
with one another. Every change in the preprosthetic
planning will aect the surgical planning and vice
versa. This will also include the number, diameter,
lengths, positions and alignment of the implants.
The available bone volume and important anatomical
structures are examined in an x-ray image, which
is prepared with the laboratory-fabricated x-ray
template with the radiographic balls in the patient‘s
mouth. The dimensions of the intraoral structures
can be calculated from the defined diameter of the
radiographic balls, taking the magnification factors
resulting from radiological processes into account.
The implant lengths are selected by placing the
transparent radiographic template on the OPG. If
desired, the x-ray analysis must consider a subcrestal
implant position (note magnification scale).

7
Treatment planning
Computer-guided treatment planning
Digital treatment planning based on three-dimensional
imaging procedures enables the therapy to be
planned with the highest accuracy and makes the
result of the treatment safe and predictable.
Dentsply Sirona Implants oers a complete solution
for digital treatment planning and full-guided implant
placement based on the world-renowned Simplant
software.
The advantages over conventional planning include:
• 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
An individual Simplant drill guide is fabricated using
stereolithography, based on the digital planning data.
Depending on the individual case scenario, the guide
is prepared tooth-supported, mucosa-supported
or bone-supported, thus enabling a complete and
accurate transfer to the patient‘s mouth.
The Sleeve-on-Drill drill system, drills with a guide
sleeve that can be attached to the instrument for
precise guidance in the template, has been especially
developed for template-guided implant placement in
order to facilitate accurate, straight-forward implant
placement with the added security of the drill stop.
These enable simpler and precisely fitting placement
of the implants with the reliability of the drill stop.
Simplant drill guides are also available with lateral
access for easier management of the instruments,
even with a restricted oral cavity.
Digital treatment
planning with
Simplant.
Patient-specific
Simplant guide.
Sleeve-on-drill
drill system and drill
guide with lateral
access.

10
Based on the friction-locked and keyed TissueCare
connection, the Ankylos system concept also facili-
tates high flexibility in placing the abutments in the
implant. The abutments with tapered connection
geometry (C/) can be freely turned in the implant and,
hence, can always be positioned at the optimal angle
for the respective prosthetic restoration.
Additional indexed prosthetic components (/X) may
facilitate positioning the abutments, provided that the
abutment is not required to be freely rotatable.
Indexing option
Regardless of which implant is placed, abutments
from the Ankylos Balance Anterior and Regular
prosthetics
ranges as well as the TitaniumBase, oer you the
choice between indexed and non-indexed prosthetic
restorations:
• Indexed components for precise, straightforward
placement of the abutments in a range of six
positions
• Non-indexed components for freely positionable
abutments
The tapered Ankylos TissueCare connection provides
both options with optimal stability and rotation
locking.
The placement of the prosthetic abutments can also
be simplified by using the positioning aid (index)
whenever this facilitates the prosthetic procedure. If
the index hampers the procedure, abutments fitted
with the tapered connection alone can be used.
All Ankylos prosthetic abutments are laser-marked
corresponding with your intended use:
• Components with the “C/” marking use only the
taper for the connection and are not indexed.
• Components with the “/X” marking are indexed.
These use the index for positioning the abutments in
six possible positions.
• Components with the “C/X” marking are used for
indexed or non-indexed prosthetics.
Prosthetic concept
The prosthetic principle of Ankylos®
All components marked C/X, C/ or /X will fit
Ankylos C/X. Restorations using Ankylos plus
implants are only possible using components
with the C/ marking.
C/ /X

11
Ankylos® prosthetics navigator
Crown / anterior region:
• Ankylos Balance Anterior C/ or /X
• Ankylos Cercon Balance C/
• Ankylos TitaniumBase C/ or /X
• Atlantis patient-specific abutments
Bridge (fixed):
• Ankylos Balance Base Abutment C/, Atlantis bridge
• Ankylos Regular C/ or /X
• Ankylos Regular C/ or /X with 3-in-1 cap or Ankylos Standard C/
Bridge / anterior region:
• Ankylos Balance Anterior C/ or /X
• Ankylos TitaniumBase C/ or /X
Crown / posterior region:
• Ankylos Regular C/ or /X
• Ankylos Regular C/ or /X with 3-in-1 cap
• Ankylos Standard C/
• Ankylos TitaniumBase C/ or /X
• Atlantis patient-specific abutments
Overdenture (removable):
• Ankylos Balance Base Abutment C/, Atlantis bar
• Ankylos Balance Base Abutment C/
• Ankylos SynCone C/
• Ankylos Locator C/
• Ankylos Snap Attachment C/
Bridge / posterior region:
• Ankylos Regular C/ or /X
• Ankylos Regular C/ or /X with 3-in-1 cap
• Ankylos Standard C/
• Ankylos Balance Base Abutment C/
• Ankylos TitaniumBase C/ or /X
• Ankylos Balance Base Abutment C/, Atlantis bridge
Single-tooth
replacement
Larger tooth gaps
Edentulous jaw
Depending on the indication and the type of
prosthetic restoration intended, the Ankylos
system oers dierent options for fabricating
the suprastructure. Since all abutments are
freely combinable a decision for the prosthetic
strategy can still be made even after implant
healing or when the abutment is uncovered.
Hence, prosthetically, the best functional and esthetic
solution is realized for each individual case.
Detailed directions for selecting the most suitable
prosthetic procedure for the individual case can be
found on the following pages.

12
Solutions for single-tooth replacement
Conventionally fabricated solutions for
Crowns / anterior region
Conventionally fabricated solutions for
Crowns / posterior region
Prosthetic concept
For the replacement of single teeth with implant-
supported single crowns, the Ankylos system has a
wide selection of prosthetic options for fabricating
naturally and esthetically pleasing restorations with
durable retention of the peri-implant hard and soft
tissue.
Select the most suitable solution for the individual
case based on the following overview. Both, pre-
fabricated abutments for conventionally fabricated
prosthetics as well as patient-specifically planned and
CAD/CAM-fabricated abutments for highly esthetic
restorations are at your disposal.
Esthetic:
Ankylos Balance
Anterior C/ or /X
The design of the
Ankylos Balance
Anterior C/ and /X
abutments is specially
adapted to the
anatomical and peri-
implant situation in the
anterior region.
A wide assortment
of indexed and non-
indexed design variants
and the patient-specific
individualisation of the
abutments provide
optimal integration for
the crowns which can
be cemented or laterally
screw-retained.
Directions: see page 20 .
Highly esthetic:
Ankylos Cercon
Balance C/
Thanks to its brilliant
light dynamics, porcelain
restorations on Ankylos
Cercon Balance C/
zirconium oxide abut-
ments provide superior
esthetics for the
anterior region and,
impressively, are
extremely stable at the
same time. The basic
design, identical to the
Anterior Balance, is
likewise customizable
and is available in
various design variants.
The two shades of white
of this outstandingly
biocompatible material
create the perfect
integration for the
cementable crowns.
Directions: see page 20 .
Esthetic:
Ankylos Regular C/ or /X
The particular strength
of the Ankylos Regular
C/ and /X abutments is
in the posterior region.
Thanks to the convex
sulcus design, you can
also optimally fulfill the
esthetic requirements of
your patients in the side
tooth region.
Customizable indexed
and non-indexed abut-
ments with a wide
range of forms and
sizes facilitate the
ecient fabrication of
the crowns which can
be cemented or laterally
screw-retained.
Directions: see page 30 .
Functional:
Ankylos Regular C/ or /X
with 3-in-1 cap
If you require a simple,
economical solution,
Ankylos Regular C/ and
/X abutments with 3-in-1
cap are your first choice.
The abutment selected
at the chairside remains
in the mouth during the
entire treatment proce-
dure; there is no need
to change abutment
components. Taking the
impression on the abut-
ment level, fabricating
a temporary denture at
the chairside and fabri-
cating the cementable
crown in the laboratory
are all performed on
the multifunctional cap,
which is simply clicked
onto the abutment in
the patient‘s mouth.
Directions: see page 30 .

13
CAD/CAM prosthetics for
Crowns / anterior and posterior region
Functional:
Ankylos Standard C/
Ankylos Standard C/
abutments are another
option for straight-
forward reconstruction
of edentulous gaps by
means of caps that can
be attached to the
integrated abutments.
Due to the narrower
design of the standard
abutments, these are
particularly suitable for
more confined spaces.
Both cementable and
screw-retained crowns
can be fabricated on
Ankylos Standard C/
abutments.
Directions: see page 84 .
Patient-specific and
highly esthetic: Ankylos
TitaniumBase C/ or /X
The Ankylos Titanium-
Base allows for the
fabrication of esthetically
high-quality ceramic
abutments with titanium
core. With these
adhesive bases with
prefabricated taper
connection, available
both, indexed and non-
indexed, patient-specific
restorations can be
fabricated that are as
close as possible to the
natural esthetics of the
anterior and posterior
regions.
Patient-specific and
highly esthetic: Atlantis
CAD/CAM abutments
Atlantis abutments
for Ankylos are the
one-piece solution for
fabrication of patient-
specific CAD/CAM
restorations.
The abutments are
centrally fabricated
on the basis of the
individual anatomical
conditions. They are
available indexed made
from titanium, gold-
shaded titanium and
zirconia; available in
dierent shades. Your
dental laboratory will
coordinate the process
and elaborate the crown
just as usual.
Directions: see page
20 . corresponding to
Ankylos Balance C/ or /X

14
Solutions for larger tooth gaps
Prosthetic concept
Ankylos also provides a large range of options for
restoration in larger edentulous gaps and free-
ends – both, for conventional restorations as well as
for digitally fabricated CAD/CAM prosthetics. The
following is an overview of the options for providing
your patients with a multi-span bridge.
As well as a bridge, in these cases, restoration is also
possible using single crowns following a tooth-by-
tooth concept. For this purpose, make your decision
using the options shown on the previous page for
single-tooth restorations.
Conventionally
fabricated solutions for
Bridges /
anterior region
Conventionally fabricated solutions for
Bridges / posterior region
Esthetic:
Ankylos Balance
Anterior C/ or /X
The design of the
Ankylos Balance
Anterior C/ and /X
abutments is specially
adapted to the ana-
tomical and peri-implant
situation in the anterior
region.
A wide assortment of
indexed and non-
indexed design variants
and the option of grin-
ding the abutments
provide optimal inte-
gration for the bridges
which can be cemented
or laterally screw-
retained.
Directions: see page 20 .
Esthetic:
Ankylos Regular
C/ or /X
The particular strength
of the Ankylos Regular
C/ and /X abutments is
in the posterior region.
Thanks to the convex
sulcus design, you can
also optimally fulfill the
esthetic requirements of
your patients in the side
tooth region.
Indexed and non-
indexed customizable
abutments with a
wide range of forms
and sizes facilitate the
ecient fabrication of
the bridges which can
be cemented or laterally
screw-retained.
Directions: see page 30 .
Functional:
Ankylos Regular C/ or /X
with 3-in-1 cap
If you require a simple,
economical solution,
Ankylos Regular C/ and
/X abutments with 3-in-1
cap are your first choice.
The abutment selected
at the chairside remains
in the mouth during the
entire treatment proce-
dure; there is no need
to change abutment
components. Taking the
impression on the abut-
ment level, fabricating a
temporary denture at the
chairside and fabricating
the cementable bridge
in the laboratory are all
performed on the multi-
functional cap, which is
simply clicked onto the
abutment in the patient‘s
mouth.
Directions: see page 30 .
Functional:
Ankylos Standard C/
Ankylos Standard C/
abutments are another
option for straight-
forward reconstruction
of edentulous gaps by
means of caps that can
be attached to the
integrated abutments.
Due to the narrower
design of the standard
abutments, these are
particularly suitable for
more confined spaces.
Both cementable and
screw-retained bridges
can be fabricated on
Ankylos Standard C/
abutments.
Directions: see page 84 .

15
CAD/CAM prosthetics for
Bridges / anterior and posterior region
Simple:
Ankylos Balance
Base Abutment C/
If straightforward and
ecient fabrication of
the bridge should be a
priority, a bridge restora-
tion on Ankylos
Balance Base Abut-
ments C/ is an option.
The prosthetic abut-
ments can be selected
both in the laboratory
and directly at the chair-
side.
As cementing is contra-
indicated due to the low
abutment height, only
screw-retained bridges
can be fabricated on
these abutments.
Directions: see page 42 .
Patient-specific and
highly esthetic: Ankylos
TitaniumBase C/ or /X
The Ankylos Titanium-
Base allows for
the fabrication of
esthetically high-quality
ceramic abutments
with titanium core. With
these adhesive bases
with prefabricated taper
connection, available
both, indexed and non-
indexed, patient-specific
restorations can be
fabricated that are as
close as possible to the
natural esthetics of the
anterior and posterior
regions.
Individual by CAD design:
Ankylos Balance Base
Abutment C/ with
Atlantis bar
With patient-specific,
screw-retained
Atlantis bridgework on
Ankylos Balance Base
Abutments C/, you can
provide edentulous and
partially edentulous
patients with a fixed
restoration of utmost
precision. The bridge
framework is centrally
designed and fabricated
with the collaboration of
your dental laboratory
and fits tension-free.
The individually milled
metal structure is
veneered in your dental
laboratory as usual.
Directions: see page 42 .

16
Solutions for the edentulous jaw
Prosthetic concept
With Ankylos, the edentulous jaw can be restored
either using an implant-supported bridge (fixed) or a
removable overdenture anchored to the implant.
Here, too, there are several options for both methods –
from straightforward, standardized solutions right up
to customized premium restorations designed using
the CAD/CAM process.
Conventionally and CAD/CAM-fabricated solutions for
Bridges (fixed)
Individual by CAD design:
Ankylos Balance Base
Abutment C/ with
Atlantis bridge
With patient-specific
screw-retained Atlantis
bridgework on Ankylos
Balance Base Abutments
C/, you can also provide
edentulous and partially
edentulous patients with
CAD/CAM bridges on six
or more implants,
tension-free and with
utmost precision.
Dividing the spans is not
necessary. In addition,
the individually milled
metal structure that is
veneered in your dental
laboratory as usual will
ensure a brilliant esthetic
result.
Directions: see page 42 .
Esthetic:
Ankylos Regular C/ or /X
Ankylos Regular C/
and /X abutments
with convex sulcus
design guarantee the
optimal combination
of functionality and
esthetics, even for
extensive multi-span
bridge constructions.
Customizable indexed
and non-indexed
abutments with a
wide range of forms
and sizes facilitate the
ecient fabrication of
the bridges, which can
be cemented or laterally
screw-retained.
Directions: see page 30 .
Functional:
Ankylos Regular C/ or /X
with 3-in-1 cap or
Ankylos Standard C/
Without doubt, the
preeminent choice in
the prosthetics range
when an economical,
straightforward proce-
dure that is gentle on
the patient is required,
the simplified procedure
using caps that can be
attached to the abut-
ment is also suitable
for extensive prosthetic
work.
Both Ankylos Regular
C/or /X and Ankylos
Standard C/ abutments
with the correct caps for
each situation can be
used here.
Directions:
see page 30 .: (Regular)
and page 84 . (Standard)
Individual by CAD design:
Ankylos Balance Base
Abutment C/ with
Atlantis bar
With patient-specific
Atlantis bar restorations
on Ankylos Balance
Base Abutments C/,
edentulous patients
can be provided with
removable CAD/CAM
restorations on implants,
tension-free and with
utmost precision.
The bar is centrally
fabricated with the
collaboration of your
dental laboratory in a
customized design and is
seated tension-free, even
on the first insertion. The
prosthesis is fabricated in
the laboratory as usual.
Directions: see page 42 .

17
Conventionally and CAD/CAM-fabricated solutions for
Overdentures (removable)
Functional:
Ankylos Balance Base
Abutment C/
A simple option for the
fabrication of functional
bar-supported
prostheses for the
maxilla and the mandible
on Ankylos Balance
Base Abutments C/. The
prosthetic abutments
can be selected in the
laboratory as well as
directly at the chairside.
Prefabricated high
gold-content precious
metal alloy or titanium
components facilitate
the ecient fabrication
of the bar prosthesis in
the laboratory.
Directions: see page
48 . (Balance Base
Abutment) and page
84 . (Standard)
Prefabricated
with immediate
restoration option:
Ankylos SynCone C/
Ankylos SynCone C/
abutments facilitate
rapid and minimal
invasive restoration of
the edentulous mandible
with an immediately
loaded prosthesis on
four prefabricated
interforaminally teles-
copic crowns. Ankylos
SynCone can also be
used in the maxilla and
the mandible for the
purposes of delayed
restoration. Intraoral
bonding provides
the prosthesis with a
tension-free fit. The
delicate denture saddle
gives a high degree of
wearing comfort and
allows excellent hygiene.
Directions: see page 66 .
Simply flexible:
Ankylos Locator C/
With the Ankylos
Locator, you secure
coverdentures in the
edentulous jaw fast and
simple, even when space
is limited.
The self-aligning design
supports fixation in the
mouth with one click
yet for patients with
restricted mobility.
Prosthesis retention can
be defined individually
and axial divergences
up to 40° between
two implants can be
compensated.
Directions: see folder
Ankylos Locator.
Simple:
Ankylos Snap
Attachment C/
Ankylos Snap Attach-
ment C/ abutments
allow a straightforward,
inexpensive fixation
for overdentures on
two implants in the
edentulous mandible.
The restoration can
be fabricated directly
at the chairside or
the prosthesis can
be fabricated in the
laboratory.
Directions: see page 74 .

18
Free from micro-movement and conceived for
bacteria tightness, the Ankylos TissueCare connection
ensures stable tissues on the long term.
The advantages of this specific connection geometry
however only become eective, if the procedure of
soft tissue contouring complies with the following
guidelines.
Transition implant-abutment
displaced toward the center
Some special characteristics have
to be considered for soft tissue
contouring and the choice of the
final abutment:
• Due to the taper connection,
the diameter of the Ankylos
abutments on the implant level
is markedly smaller than the
diameter of the implant itself.
• Soft tissues are also located
under the flanks of the abutment.
Selection of the correct
gingiva height
• The illustration shows the correct
usage of a gingiva former.
• If the gingival level lies in the area
between the two dotted lines, the
correct gingiva former has been
selected.
• If the level is above the upper
dotted line, a higher gingiva
former should be selected; if it
is below the lower dotted line, a
lower one should be selected.
Selection of the gingiva former
corresponding to the abutment
• The gingiva former and final
abutment should be selected
so that they correspond in
prosthetic range and gingival
height.
• The description of the height
of the gingiva former as shown
above (GH 3.0) only refers to the
region from the interface level to
the edge of the crown.
• The entire gingiva former is
always approximately 1.5 mm
higher than the nominal height,
viewed from the interface level
(here: overall height 4.5 mm), in
order also to shape the first part
of the crown profile.
Basic guidelines for
soft tissue management with Ankylos®
Prosthetic concept

19
If the soft tissue passage formed
is smaller than the profile of the
abutment used, this may result in
an avoidable compression of the
gingiva.
This eect occurs when:
1. The gingiva former is markedly
higher than the gingival level and
the abutment used later on.
2. The gingiva former is suitable
to the gingival height, but the
gingival height of the final
abutment is lower than that of
the gingiva former used (see
illustration).
3. The final abutment has a larger
diameter then the gingiva former
used (e.g. in case of a dierent
prosthetic range).
Gradual widening
of the gingiva
• In case of sti mucosa, the
tissues must be gradually
widened to the desired diameter.
• Here, commence first with a small
sulcus former. Switch to a larger
diameter after 5–7 days.
• The shape of the soft tissue
passage should at least
correspond to the abutment
geometry, in case of doubt, it
should rather be selected larger.
• Due to the counter force exerted
by the gingiva, an undersized
contouring might lead to
problems when placing the
abutments. Over-compression
of the gingiva may result in
recession of the soft tissue.
Naturally beautiful teeth,
even after many years
Advantages of the Ankylos
system supporting esthetics:
1. Provides adequate space
for healthy, protective soft
tissues
2. Protects areas of thin soft
tissue
3. Prevents the abutment from
possible shimmering through
the tissues
4. Ensures optimal esthetic
results
Gingiva former and final abutment should be selected in correspondence of
prosthetic range and gingiva height. Therefore, please make sure to use the
components indicated for the respective prosthetic range in the following
chapters.
Gingiva formers must be sterilized before use.
Irritation-free, healthy soft tissues
prior to incorporating the final
restoration.
Natural soft tissue contour thanks to the
TissueCare connection (courtesy of Dr.
Eduard Eisenmann, Berlin/D).
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Ankylos Balance Anterior C/ and /X abutments are
outstandingly suitable for your patients’ restorations
using single crowns and bridges optimally adjusted to
periimplant conditions. With Ankylos Cercon Balance
C/ abutments, you will achieve excellent esthetic
results with the highest tooth analogy using all-
ceramic single crowns in the anterior region.
The prosthetic abutments of the Balance range
are available as freely positionable with tapered
connection geometry (C/), Ankylos Balance Anterior
abutments also with additional index serving as
positioning aid (/X).
Balance C/ or /X