SKY Implant System Catalog

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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.

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SKY Implant System Catalog

  1. 1. Presentation of the system SKY Implant system
  2. 2. 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 ...tempting... Stable teeth: immediately! 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. 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 2 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  3. 3. SKY system 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. Surgery 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. 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. 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 Removable Regeneration Instruments Tools 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 miniSKY ...in the thick of it... Quality of life in old age SKY fast & fixed Permanent cosmetic restoration Impression Model Prosthetics overview Implants 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. 3
  4. 4. The SKY solutions Bridges on atrophied and jaws with low height The 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 restorations Complicated 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 comfort. Short implants The implant neck design of the SKY classic implants (8 mm) allows placement at the supracrestal level so that they can be used in the same way as 6 mm implants. Transversal/occlusal screw-retained bridges In addition to the occlusal screw-retained bridges, there is also the possibility of prefabricated transversal screw-retained bridges, which can be bonded in the mouth in a way to eliminate stress and secure passive-fit. 4 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  5. 5. SKY system Individual White-Shade abutments with Off-Peak characteristic The 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 esthetic S and SKY elegance S abutments. Highly esthetic ceramic restorations Prefabricated, anatomically shaped ceramic abutments are available for highly esthetic restorations and inexpensive treatment with implants. Special cases can be restored using laboratoryfabricated individual abutments, which feature a titanium base. 5
  6. 6. Implants overview Diameter covering mini 2 2.8 narrow 3.2 3.5 N narrow platform mini 1 2.8 Detailed information can be found in the miniSKY system presentation from page 61 onwards. 6 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  7. 7. SKY System 3.5 regular platform 4.0 regular platform 4.5 regular platform 5.5 regular platform classic 3.5 regular platform 4.0 regular platform 4.5 regular platform 7
  8. 8. narrowSKY 3.5 N and SKY regular platform narrowSKY 3.5 N narrow 3.5 N Torx® identical Ø 3,5 mm 3.5 N Ø 3.5 mm Ø 4,0 mm 3.5 4.0 narrow 3.5 4.5 5.5 8 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  9. 9. SKY System blueSKY and SKY classic classic 3.5 3.5 4.0 4.0 4.5 4.5 5.5 Torx® identical Ø 4.0 mm Ø 4,0 mm 3.5 4.0 4.5 5.5 3.5 4.0 4.5 5.5 9
  10. 10. Surface 3D osseo connect surface (oc s®) narrow 0,5 mm 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. 1st dimension The narrow finished surface with micro grooves optimally protects the accumulation of epithelial tissue. µm 1,2 Finished surface  Gingival attachment 0,1 - 0 In 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. ,2 mm Isocrestal implant position 1,1 1 0,9 0,8 0,7 0,6 0,5 0,4 0,3 0,2 0,1 0 2nd dimension The narrowly etched surface with the uniform velvety structure stabilizes connective tissue. µm Etched surface  Connective tissue stabilization 17,5 15 12,5 10 7,5 5 2,5 0 3rd dimension The blasted and high-temperature etched surface offers the ideal coarseness for osseous integration. The macro grooves support longterm bone preservation. µm 22,5 Blasted, etched surface  Osseous anchoring 20 17,5 15 12,5 10 7,5 5 2,5 0 10 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44| www.bredent-medical.com | e-mail info-medical@bredent.com
  11. 11. SKY System classic classic 1,5 mm Supracrestal implant position In 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. Finished surface  Gingival attachment µm 1,2 1,1 1 0,5 mm 0,9 0,8 0,7 0,6 1st dimension The highly finished surface with micro grooves offers a wide space for the epithelial attachment and is easy to clean in the recall. 0,5 0,4 0,3 0,2 0,1 0 Etched surface  Connective tissue stabilization µm 17,5 15 2nd dimension The widely etched surface with the velvety structure stabilizes connective tissue. 12,5 10 7,5 5 2,5 0 Blasted, etched surface  Osseous anchoring µm 22,5 20 17,5 15 3rd dimension The blasted and high-temperature surface offers the ideal coarseness for osseous integration. 12,5 10 7,5 5 2,5 0 Excellent hydrophilic properties The hydrophilic properties of a surface 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 connect (oc s®) which is considerably more obtuse than those of competitors’ products confirm the results obtained in clinical tests. 11
  12. 12. Implant design Ultra-modern implant design with osseo connect (ocs®) surface for high primary stability and long-term success of implant placement Conical-cylindrical implant shape 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. narrow Double thread Fast in situ 12 atraumatic in the cortical bone Speed (rpm) Speed (rpm) highest torque in the run-out Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44| www.bredent-medical.com | e-mail info-medical@bredent.com
  13. 13. SKY System blueSKY and SKY classic are based on the same tried and tested design and set with the same instruments. Kompressionsgewinde Compression thread Improving the bone quality The bone-quality oriented surgical procedure and the compression thread condense the bone around the implant site and hence increase the primary stability. classic Implants and abutments made from titanium grade 4 (cold-worked) The perfect system The 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). Titanium Mechanical properties Designation Condition Tensile strength 0,2 % yield limit Elongation at N/mm2 min. fracture % min. N/mm2 Grade 2 345 230 20 Grade 3 450 300 18 Grade 4 550 440 15 Grade 4 KV standard ≥ 680 ≥ 520 ≥ 12 Grade 4 KV bredent medical 800-900 ≥ 700 ≥ 10 13
  14. 14. Implant abutment connection Long-term stable connection Compared to conical connections with press fit, the flat connection with protection against rotations provides major advantages for prosthetic restorations since the vertical height of the abutments 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 14 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44| www.bredent-medical.com | e-mail info-medical@bredent.com
  15. 15. 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. 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 Hexagon: narrow line application Hexagon: very high notch stress SKY System Advantages of the Torx® 60° 60° 15° 15° 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 Hexagon: very large tolerance 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. Normal position Torx® ° swiveled 30 + R-type abutment = 12 positions SKY abutment selection set With the help of the SKY abutment selection set, the appropriate abutments with the correct orientation can be selected simply and quickly in the laboratory. SKY abutment selection set REF SKYASET9 15
  16. 16. SKY classic neck design 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. Indication Short implants in an interlocked construction, anchored 6.5 mm into the bone. The classic SKY implant is ideal to avoid milling off bone in narrow or uneven ridges. The machined section avoids accumulation of plaque to exposed implant necks. In transgingival implant insertion, depth control is made easier. Supracrestale Position 16 Short implants Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  17. 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. SKY System narrowSKY / blueSKY neck design 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 17
  18. 18. Surgical procedure Six implants - one set of instruments classic mini 1 narrow mini 2 SKY OP-Kit OT21 REF 18 SKYXOT21 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  19. 19. New drilling sequence Quality-orientated surgical protocol D1 D2 D3 D4 Chirurgie 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 extended using D1 drills. This procedure ensures primary stability in every case and avoids overloading the bone. Hard bone Medium-hard to soft bone Atraumatic tapping Prevention of bone overloading during surgery Bone compression Achieving primary stability Hard bone Medium-hard and soft bone D1 D2-4 Atraumatic tapping thanks to reduced contact area Apical compression thanks to increased contact area Consistently high primary stability 19
  20. 20. Surgical procedure Surgical protocol narrow • 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 Hard bone REF SKYD1235 300 rpm/min. 3.5 REF SKYD1240 300 rpm/min. 4.0 Medium hard / soft bone Pilot drill 800 - 1.000 U/min. Twist-Drill 800 - 1.000 U/min. Detachable drill stops REF SKYD3435 300 rpm/min. 3.5 REF SKYD3440 300 rpm/min. 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. 3.5 20 4.0 4.5 5.5 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com 4.0
  21. 21. REF SKYD1245 300 rpm/min. 4.5 REF SKYD1255 300 rpm/min. Chirurgie 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 following implants: • narrowSKY • blueSKY 4.0 to 5.5 • SKY classic 4.0 to 4.5 classic 5.5 or 3.5 N or 3.5 or 4.0 or 4.5 5.5 Crestal drill 300 rpm/min. REF SKYD3445 300 rpm/min. 4.5 REF SKYD3455 300 rpm/min. 5.5 21
  22. 22. Insertion concept blueSKY - fast, reliable and atraumatic implant placement 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. Removing and screwing in the implant and the cover screw without changing instruments. The conical Torx® allows to hold the implant safely. 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 ... 22 The implant is inserted and can be screwed in immediately. ... 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. Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  23. 23. Ordering information Drill and drill stops Twist-Drill 4,0 4,5 5,5 L10 L12 L14 L16 SKYXST06 SKYXST08 SKYXST10 SKYXST12 SKYXST14 SKYXST16 REF – SKYS0840 SKYS1040 SKYS1240 SKYS1440 SKYS1640 REF – SKYS0845 SKYS1045 SKYS1245 SKYS1445 – Bone bur rpm/min 800-1.000 Surgery Drill 3,5 L8 REF Drill L6 Twist-Drill rpm/min 800-1.000 REF SKYDT13L Pilot drill rpm/min 800-1.000 REF SKY-DP06 2.25 long 3.5 short REF SKY-DP08 2.25 short REF SKYDT23L 4.1 1.3 REF SKYDT23K REF SKY-DR41 3.5 long Drill for hard bone rpm/min 300 Drill for medium hard and soft bone rpm/min 300 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 SKY Drill extension Crestal drill rpm/min 300 REF SKYCD35n narrowSKY 3.5 N REF SKYXCD35 blueSKY, SKY classic 3.5 REF SKYXCD40 blueSKY, SKY classic 4.0 REF SKYXCD45 blueSKY, SKY classic 4.5 REF SKYXCD55 blueSKY, SKY 5.5 REF SKY-DV12 23
  24. 24. Order Information narrowSKY 3.5 N Cover screw for narrowSKY Implants 3.5 N 3.5 N Length 10 mm REF nSKY3510 Length 12 mm REF nSKY3512 Length 14 mm REF nSKY3514 Length 16 mm REF nSKY3516 The implant includes the cover screw. blueSKY 3.5 4.0 Length 10 mm REF bSKY 3510 Length 8 mm REF bSKY 4008 Length 12 mm REF bSKY 3512 Length 10 mm REF bSKY 4010 Length 14 mm REF bSKY 3514 Length 12 mm REF bSKY 4012 Length 16 mm REF bSKY 3516 Length 14 mm REF bSKY 4014 Length 16 mm REF bSKY 4016 SKY classic 3.5 4.0 Length 10 mm Length 8 mm REF kSKY4008 Length 12 mm REF kSKY3512 Length 10 mm REF kSKY4010 Length 14 mm REF kSKY3514 Length 12 mm REF kSKY4012 Length 16 mm REF kSKY3516 Length 14 mm REF kSKY4014 Length 16 mm 24 REF kSKY3510 REF kSKY4016 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  25. 25. Implants 5.5 4.5 Length 8 mm REF bSKY 4508 Length 8 mm REF bSKY 5508 Length 10 mm REF bSKY 4510 Length 10 mm REF bSKY 5510 Length 12 mm REF bSKY 4512 Length 12 mm REF bSKY 5512 Length 14 mm REF bSKY 4514 Cover screw for blueSKY and SKY classic implants 3.5 4.5 Length 8 mm REF kSKY4512 Length 14 mm REF kSKY4514 5.5 REF kSKY4510 Length 12 mm 4.5 REF kSKY4508 Length 10 mm 4.0 Cover screw is incorporated into the implant. 25
  26. 26. Prosthetics overview blueSKY + SKY classic with platform switch narrowSKY + blueSKY + SKY classic Laboratory implant / gingiva former / impression abutments SKY aesthetic impression abutme SKY prov / SKY elegance SKY aesthetic abutments SKY elegance SKY elegance SKY scan / CAD abutments SKY zirconium abutments R SKY uni.cone SKY Locator® 26 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  27. 27. blueSKY + SKY classic without platform switch ents Gingiva former / impression abutments SKY temp / gingiva former Prosthetics overview R SKY titanium abutments R R SKY fast & fixed R SKY Locator® / SKY ball head attachments 27
  28. 28. Prosthetics Impression and model fabrication Impression abutment for open impression incl. screw 13.75 mm REF SKY-PA10 11 mm 18.75 mm 11 mm blueSKY SKY classic Impression abutment for open impression incl. screw REF SKY-PA20 Implant analog 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 REF SKY-IA4 0 Screw - impression abutment open tray, short 6 pieces REF SKY-PS18 Material: Titanium Torque: 10 Ncm The implant analog guarantees precision thanks to • distinctive retentions • protection against rotation Perfect results both for open and closed impressions. 28 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  29. 29. narrowSKY blueSKY SKY classic blueSKY SKY classic new SKY esthetic impression abutment S (narrowSKY), open trays, with trapped screw, 24 mm long 10 mm REF SKYESPA1 SKY esthetic impression abutment M open tray, with integrated screw, 24 mm long SKY esthetic impression abutment L open tray, with integrated screw, 24 mm long For the impression of SKY esthetic abutments, appropriate impression abutments for open and closed trays are available for each diameter. The impression abutments feature the following characteristics: Impression Model 10 mm REF SKYEMPA1 10 mm REF SKYELPA1 • 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 SKY esthetic impression open trays, screw 18 mm short 6 pieces REF SKYAPS18 SKY esthetic impression coping open tray 10 pieces REF SKYEAK11 10 mm 10 mm SKY esthetic impression abutment S (narrowSKY) closed trays, with trapped screw REF SKYESPA2 10 mm SKY esthetic impression abutment M closed tray, with integrated screw 10 mm REF SKYEMPA2 Material: Titanium Torque: 10 Ncm SKY esthetic impression abutment L closed tray, with integrated screw REF SKYELPA2 SKY esthetic impression coping closed tray, 10 pieces REF SKYEAK22 29
  30. 30. Prosthetics Modular system - Gingiva formers to create the basis for bars and bridges blueSKY SKY classic 4 mm Gingiva former height 2 mm incl. screw 2 mm REF SKY-GF02 Gingiva former height 4 mm incl. screw 4 mm REF SKY-GF04 Gingiva former height 4 mm incl. screw 6 mm Gingiva formers in 3 distance heights • 2 mm – yellow • 4 mm – silver • 6 mm – red REF SKY-GF06 Material: Titanium Torque: 10 Ncm 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. Photo: Dr. Borrmann, Kornwestheim (DE) Enhanced gingival conditions for bar structures and resto rations with ball attachments. Reduction of the large number of components. 30 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  31. 31. SKY aesthetic gingiva former narrowSKY blueSKY SKY classic blueSKY SKY classic new narrow platform 4.3 mm regular platform SKY esthetic Gingivaformer S (narrowSKY) size S 2 REF SKYESG02 2 mm 4.5 mm 3 mm 5.2 mm 4 mm REF SKYEMG02 SKY esthetic Gingivaformer S (narrowSKY) size S 3 4.5 mm SKY esthetic gingiva former M size M 2 2 mm 5.7 mm REF SKYESG03 Impression Model 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. SKY esthetic gingiva former M size M 3 REF SKYEMG03 3 mm SKY esthetic Gingivaformer S (narrowSKY) size S 4 5.7 mm REF SKYESG04 REF SKYEMG04 4 mm 6.5 mm SKY esthetic gingiva former M size M 4 SKY esthetic gingiva former L size L 2 REF SKYELG02 2 mm 7.2 mm SKY esthetic gingiva former L size L 3 REF SKYELG03 3 mm 7.2 mm 4 mm SKY esthetic gingiva former L size L 4 REF SKYELG04 Material: Titanium Torque: 10 Ncm 31
  32. 32. Prosthetics Therapeutic concept… gapless… 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. ...gapless... 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. DMF-T 0 7 6 5 4 3 2 1 0 1983 1987 1989 1992 1995 1997 2000 2004 2005 Number of teeth with dental caries (DMF-T) in 12-year olds in Germany. Source: KZBV 2008 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. % 40 35 30 25 20 30,4 28,4 30,0 26,8 21,7 21,1 19,4 18,3 15 16,9 16,6 16,0 15,4 Full-ceramic restoration with individual abutments and temporary restoration > 3.000 E Augmentative procedure + individual abutments + full ceramic 10 5 0 whiteSKY full ceramic 1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050 2060 1.000 - 2.000 E Frequency of under-20 year olds in Germany. Source: KZBV 2008 Metal-ceramic crowns visio.lign crown on NPM basis < 1.000 E SOLUTIONS 32 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  33. 33. SKY temp narrowSKY blueSKY SKY classic blueSKY SKY classic new SKY temp S incl. screw 2.2 7 mm REF SKYtemps 2 mm 4 mm SKY temp M incl. screw 2.2 6 mm 3 mm 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 restorations 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”. REF SKYtempM SKY temp L incl. screw 2.2 5.3 mm 3.7 mm 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. REF SKYtempL 7 mm SKY temp - as individual gingiva former Permanent cosmetic restoration 5.5 mm Material: POM Torque: 18 Ncm SKY temp is also the perfect basis for individual gingiva formers to fulfil high demands on red/white esthetics. SKY prov S inc. screw 2.2 5.8 mm REF SKYprovs 3 mm 3.5 mm Available from autumn 2013 SKY prov S The new SKY prov S temporary abutments are manufactured from a High Performance 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. 33
  34. 34. Prosthetics SKY Titanium abutments R R Abutment O° incl. screw 2.2 10 mm blueSKY SKY classic REF SKY-PO00 15° 10 mm Abutment 15° incl. screw 2.2 REF SKY-PO15 R Abutment 15° R incl. screw 2.2 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 REF SKY-PO16 turned by 30° • 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. 10 mm Choosing the correctly orientated abutment has been simplified by means of the SKY abutment selection set (page 15). 25° Abutment 25° incl. screw 2.2 REF SKY-PO25 R Abutment 25° R incl. screw 2.2 REF SKY-PO26 turned by 30° Material: Titanium Torque: 25 Ncm 34 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  35. 35. SKY aesthetic abutments narrowSKY blueSKY SKY classic blueSKY SKY classic R new R REF SKYnES00 3 mm SKY esthetic Abutment M 0° incl. screw 2.2 6 mm 6 mm SKY esthetic Abutment S 0° (narrowSKY) incl. screw 2.2 REF SKY-EM00 3 mm 5.5 mm 4.5 mm 15° 15° REF SKYnES15 3 mm SKY esthetic Abutment M 15° incl. screw 2.2 6.5 mm 6 mm SKY esthetic Abutment S 15° (narrowSKY) incl. screw 2.2 Permanent cosmetic restoration 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. REF SKY-EM15 3 mm 5.5 mm 4.5 mm R R SKY esthetic Abutment S 15° R (narrowSKY) incl. screw 2.2 REF SKYnES16 SKY esthetic Abutment M 15° R incl. screw 2.2 REF SKY-EM16 turned by 30° SKY esthetic Abutment L 0° incl. screw 2.2 6 mm turned by 30° Material: Titanium Torque: 25 Ncm REF SKY-EL00 3 mm 7 mm Material: Titanium Torque: 25 Ncm 35
  36. 36. Prosthetics SKY elegance abutment – White-Shade and Off-Peak The individual design options and white color of BioHPP provide perfect preconditions for esthetic reconstructions. Using conventional 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 esthetic line will be available from autumn 2013. These abutments can be easily modified by the user in accordance with the gingival line. All types of crown and bridge restorations can be placed on the individual and the prefabricated abutments, from BioHPP restorations 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 restorations for the entire range of indications mentioned above; such restorations offer patients superior comfort since stress is reduced considerably during chewing. Titanium abutments F [N] SKY elegance Abutment Off-Peak characteristic: Maximum loading of the implant is reduced due to the cushioning effects of the High Performance Polymer, BioHPP. The abutment 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 disturbed – the optimum basis for long-term bone preservation. t [S] Photo: Labor Schwindt, Landau (DE) 36 Photo: Dr. Lerner, Baden-Baden (DE) Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  37. 37. SKY elegance individual abutments narrowSKY blueSKY SKY classic blueSKY SKY classic new 5.8 mm Using standard dental procedures, the perfect design of the individual abutment 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 platform switch. The abutment is then fabricated in the for 2 press unit. REF SKYETB00 3.5 mm SKY elegance prefabricated abutments 5.5 mm SKY elegance M Abutment incl. screw 2.2 9.4 mm REF SKYEEM00 3.5 mm SKY elegance M 15° Abutment incl. screw 2.2 5.5 mm 9.4 mm The prefabricated BioHPP abutments, which can be customized easily and quickly, provide new options for restorations. These abutments can be simply and quickly adapted to the gingival line in the mouth using diamond instruments. SKY elegance titanium base 3.0 mm SKY elegance S Abutment incl. screw 2.2 REF SKYEES00 REF SKYEEM15 Material: Titanium Torque: 25 Ncm 3.5 mm 7 mm 9.4 mm 9.4 mm 4.5 mm Permanent cosmetic restoration SKY elegance individual abutments SKY elegance L Abutment incl. screw 2.2 REF SKYEEL00 4.0 3.5 mm SKY elegance S 15° Abutment incl. screw 2.2 REF SKYEES15 3.5 mm Available from autumn 2013 37
  38. 38. Prosthetics Cast-on abutments 9,5 mm blueSKY SKY classic Abutment, cast-on incl. plastic coping and screw 2.4 REF SKY-PV00 3.5 mm With cast-on abutments, difficult individual clinical situations can also be easily handled from a prosthetic point of view. Screw 2.4 6 pieces REF SKY-PS22 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: Torque: 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 g 25 Ncm Photo: Dr. Vogel, Neu-Isenburg (DE) 38 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  39. 39. SKY uni.fit Abutment blueSKY SKY classic 10.2 mm REF SKYUFA00 Material: Titanium Torque: 25 Ncm Permanent cosmetic restoration Can be used with all CAD/CAM systems, copy milling units and casting techniques. Individual abutments made of zirconiumdioxide and titanium can be fabricated. SKY uni.fit Abutment incl. screw 2.2 4.2 mm Fast and simple fabrication of laboratory-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. Photo: Dr. Alius, Nürnberg (DE) 39
  40. 40. Prosthetics SKY uni.fit Scan Abutment narrowSKY blueSKY SKY classic new SKY uni.fit Scan-Abutment extraoral 13 mm Extra-oral: The position of the implant on the model is safely and reliably scanned extra-orally using three-point referencing. Position, location and axial orientation of the implant in the virtual model are determined by means of three-point referencing. REF SKYUSCAE 3.5 mm Material: PEEK Torque: 10 Ncm 8 mm SKY uni.fit Scan-Abutment intraoral 1 piece REF SKYUSCAI Three-point referencing SKY fast & fixed Scan cap intraoral / extraoral 12 mm Intra-oral: The CAD software recognizes the association of implant location and position using record identification. 3.5 mm REF SKYFSCIE 5.7 mm 12 mm SKY uni.cone Scan cap intraoral / extraoral 1 piece REF SKYUSCIE 4.5mm 40 Material: PEEK Torque: 10 Ncm Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  41. 41. SKY uni.fit CAD abutment narrowSKY blueSKY SKY classic new REF SKYUFCAD 4 mm Material: Titanium Torque: 25 Ncm Space for excess adhesive SKY uni.fit CAD Abutment 3.5 REF SKYUFA35 Material: Titanium Torque: 25 Ncm Permanent cosmetic restoration 10 mm Small design with maximum adhesive surface for reliable long-term bonding. Parallel-walled with optimized radii to ensure perfect milling in CAM systems. Rotation stop on two sides results in a uniform adhesive gap. SKY uni.fit CAD Abutment 4.5 mm The SKY uni.fit CAD Abutment is particularly suitable for CAD/CAM design and fabrication of individual abutments made of zirconia. The individual abutment is luted to the prefabricated adhesive base in the laboratory. Rotation stop on one side results in a nonuniform adhesive gap. Uniform adhesive gap Non-uniform adhesive gap 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 41
  42. 42. Prosthetics SKY Zirconium abutments blueSKY SKY classic R R 5.5 mm 9.1 mm SKY zirconium abutment 0° with screw 2,2 REF SKYZA000 3.8 mm 9.1 mm R SKY zirconium abutment 0° R with screw 2,2 REF SKYZA00R 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. 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. 42 SKY zirconium abutment 15° with screw 2,2 9.1 mm REF SKYZA150 R 9.1 mm • 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. SKY zirconium abutment 15° R with screw 2,2 REF SKYZA15R Material: Titanium + ZiO2 Torque: 25 Ncm Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  43. 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 implantsupported removable prostheses do not meet all patient needs – they want a snug-fitting restoration right from the start, if at all possible. OHIP-value 8 7 6 4 3 2 1 0 28,5 22,5 18,5 12,5 4,5 Number of natural teeth. 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 Edentulous jaw with intensive augmentative measures Incl. definitive restoration 10.000 - 20.000 E < 5.000 E 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. SKY fast & fixed 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. 5 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. Removable solutions SOLUTIONS Book Immediate restoration with reduced number of implants Authors: Dr. Georg Bayer Dr. Frank Kistler Dr. Steffen Kistler Stephan Adler Dr. Jörg Neugebauer REF 992 9710 D 43
  44. 44. Prosthetics SKY fast & fixed – the prosthetic solution for every occasion 0° 17,5° 35° Allow yourself prosthetic freedom The 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. B A C Self-centering transversal screw retention Transversal 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 application A 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. 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 info-medical@bredent.com
  45. 45. New heights – straight abutments The 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. 2 4 Improved prosthetic copings Within 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 analog The 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. SKY fast & fixed 1 45
  46. 46. Prosthetics SKY fast & fixed blueSKY SKY classic SKY fast & fixed abutments The 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°. SKY f & f Angulation aid set 35° Screw M 1.4 6 pieces REF SKYFFS35 25 mm REF SKYFFSPK REF SKYFFPKT SKY f & f Prosthetic coping HSL cast-on 12.4 mm SKY f & f Prosthetic coping Resin burn-out 12.4 mm 12.4 mm SKY f & f prosthetic coping, titanium with screw M 1.4, Silicone tubing 1 piece each REF SKYFFPKH REF SKYFFPKK 5.65 mm 5.65 mm 5.65 mm Technical data: Melting interval 1770 - 1800 °C WAK (thermal expansion coefficient) 9 10-6K-1 Material: Pt 90 % / Ir 10 % Weight: 0,59 g 5.65 mm SKY f & f Abutment 0° height 1 mm with integrated screw 1 piece each 3.7 mm 1 mm REF SKYFT001 2 mm SKY f & f Abutment 0° height 2 mm with integrated screw 1 piece each REF SKYFT002 4 mm SKY f & f Abutment 0° height 4 mm with integrated screw 1 piece each REF SKYFT004 blueSKY 46 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  47. 47. blueSKY SKY classic SKY f & f Impression coping open tray REF SKYFF0AK SKY f & f Gingiva former 6 mm 11 mm 10.3 mm SKY f & f impression coping Closed tray with integrated screw REF SKYFFAOL REF SKYFFGF2 5.65 mm 5.65 mm SKY f & f laboratory analog Screw driver long Allen 0.9 5.1 mm 6.1 mm SKY f & f Prosthetic coping transversal screw-retained REF SKYFTPKS Screw driver Allen 0.9 for transversal screw retention* SKY fast & fixed REF SKYFFTLA REF 310W0106 REF 310 0010 6 5.7 mm 5.65 mm 3.7 mm 3.7 mm 3.7 mm m blueSKY REF SKYFT173 3.7 mm 5m SKY f & f Abutment 35° height 4 mm with screw 2.2 1 piece each m SKY f & f Abutment 17,5° height 5 mm with screw 2.2 1 piece each 4m 5 mm 3 mm SKY f & f Abutment 17,5° height 3 mm with screw 2.2 1 piece each 5.65 mm SKY f & f Abutment 35° height 5 mm with screw 2.2 1 piece each blueSKY REF SKYFT175 REF SKYFT354 REF SKYFT355 47
  48. 48. Prosthetics SKY uni.cone abutment system narrowSKY blueSKY SKY classic new 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. 48 Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  49. 49. narrowSKY blueSKY SKY classic new SKY uni.cone Impression coping open tray REF SKYUCAOL 11 mm REF SKYUCAGL SKY uni.cone Gingiva former 6 mm 10.3 mm SKY uni.cone impression coping Closed tray with integrated screw REF SKYUCGF2 4.5 mm 4.5 mm SKY uni.cone laboratory analog Screw M 1,4 6 pices REF SKYUCTLA REF SKYFFSPK Screw driver long Allen 0.9 SKY uni.cone Prosthetic coping transversal screw-retained 5 mm REF SKYUCPKS 4.5 mm Screw driver Allen 0.9 for transversal screw retention* REF 310 0010 6 REF 310W0106 REF SKYUCPKK REF SKYUCPKT 4.5 mm 4.5 mm SKY uni.cone Prosthetic coping HSL cast-on 1 piece each 12.4 mm SKY uni.cone Prosthetic coping, resin 1 piece each 12.4 mm 12.4 mm SKY uni.cone Prosthetic coping, titanium 1 piece each Silicone tubing REF SKYUCPKH Removable Available from autumn 2013 4.5 mm Technical data: Melting interval 1770 - 1800 °C WAK (thermal expansion coefficient) 9 10-6K-1 Material: Pt 90 % / Ir 10 % Weight: 0,59 g 3,7 mm 1 mm SKY uni.cone Abutment 0° height 1 mm SKY uni.cone Abutment 0° height 2 mm 2 mm REF SKYUC001 narrowSKY 3 mm REF SKYUC002 blueSKY SKY uni.cone Abutment 0° height 3 mm REF SKYUC003 SKY classic 49
  50. 50. Prosthetics SKY fast & fixed 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. ...in the thick of it... OHIP = Oral Health Impact Profile stands for: physical handicap, psychological handicap (beauty), social handicap (high value - big problem). 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. OHIP-value 9 8 7 6 5 4 3 2 1 0 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. <30 30-49 50-69 70+ Age (years) Quelle: Steele et al.: How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples. 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. Study of 1,224 corpses > 60 years of age in Hamburg, Germany Consultation rate (%) 100 90 desolate 27 % good 37 % Physicians 80 70 60 Dentists 50 40 0-14 15-24 25-34 35-44 45-54 Age (years) Source: Federal Office for Statistics. 50 55-64 65-74 75+ poor 36 % Source: Dissertation Dr. Saal Hamburg Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  51. 51. Ball attachments blueSKY SKY classic 2.25 mm 3.6 mm Ball attachment directly screwed height 0 mm REF SKY-KA00 2.25 mm Ball attachment height 2 mm 2 mm REF SKY-KA02 Based on the gingiva former, the patrix is screwed in after replacing the screw. Various matrix systems are available: 2.25 mm Ball attachment height 4 mm • SKY metal housing with O-ring • SKY precious metal matrix REF SKY-KA04 4 mm Improved soft tissue situation thanks to the use of the gingiva former - healing process is not affected. Individually adjustable resilience according to the patient‘s needs. Inserts can be easily exchanged. 5.2 mm Indication Metal housing with O-ring O-rings 6 pieces REF SKY-OR50 REF SKY-OR55 3.25 mm 2.5 mm Removable fixation of restorations SKY precious metal matrix REF SKYGM225 3 mm SKY precious metal matrix activator REF SKYGMAKT SKY precious metal matrix deactivator REF SKYGMDEA 51
  52. 52. Prosthetics SKY Locator® blueSKY SKY classic Due to its low structural height, the SKY Locator® offers excellent possibilities for fixing prostheses in many cases. SKY Locator® Processing set 0°-10°, 2 pieces REF LOCLAB10 With the built-in platform switch, the soft tissue has optimum conditions for successful attachment. SKY Locator® Processing set10°-20°, 2 pieces The 3 gingival heights of 2, 4, and 6 mm cover all of the relevant clinical situations. REF LOCLAB20 3.9 mm SKY Locator® Abutment Gingiva height 2 mm 2 mm REF LOCZAB02 4 mm Photos: Dr. Alius, Nürnberg (DE) SKY Locator® Abutment Gingiva height 4 mm REF LOCZAB04 SKY Locator® Abutment Gingiva height 6 mm 6 mm REF LOCZAB06 Material: Titanium TiN-coated Torque: 25 Ncm Qu-resin rosa Assortment 14 pieces 1 cartridge 50 ml 1 Qu-connector 10 ml 12 mixing cannulas, size 1, blue REF 540 0116 1 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 info-medical@bredent.com
  53. 53. SKY Locator® angled blueSKY SKY classic new 3.9 mm The original Locator ® on an angled SKY base opens up new prosthetic horizons. The two-component design corrects the insertion direction: 3.8 mm 2 mm SKY Locator®Abutment 17.5° Height 2 mm REF LOCAB172 • Locator ® base 17.5° • Locator ® base 35° All Locator® retention elements can be used. REF LOCAB352 Material: Titanium TiN-coated Torque: 25 Ncm Removable SKY Locator®Abutment 35°Height 2 mm Dr. Idoux, Hoerth, (FR) The Locator ® coping is the same for both products. Furthermore, the prostheses can now have better posterior support. 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. 53
  54. 54. Prosthetics Accessories SKY Locator® blueSKY SKY classic Impression coping 4 pieces REF LOCZAK40 Retention insert blue, 6.7 N, 680 g 4 pieces REF LOCR1006 Laboratory analog 4 pieces REF LOCZLA40 Blocking out ring 20 pieces REF LOCblock Processing insert black 4 pieces REF LOCZVA11 Angular measuring abutment, 4 pieces REF LOCZWIMP Angular measuring gauge, 1 pieces SKY Locator® Instrument 1 pieces REF LOCZINST Retention insert pink, 13.4 N, 1365 g 4 pieces REF LOCR1013 SKY Locator® Angular insertion instrument, 1 pieces REF LOCZWED6 Retention insert transparent, 22.3 N, 2270 g 4 pieces REF LOCR1022 Retention insert red, 6.7 N, 680 g 4 pieces REF LOCR2006 Retention insert orange, 9.1 N, 907 g 4 pieces REF LOCR2009 REF LOCZWIML Retention insert green, 17.8 N, 1815 g 4 pieces REF LOCR2018 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 info-medical@bredent.com
  55. 55. SKY Steg Abutment blueSKY SKY classic Based on the titanium gingiva formers, three abutments are available for the fabrication of the bars: 5 mm Bar abutment, titanium • burn-out base • cast-on HL base • titanium base REF SKY-ST11 Bar abutment, burn-out plastic 4.3 mm 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 efficient. 5 mm Bar abutment, HL Technical data: Indication REF SKY-SK11 0.7 mm REF SKY-SH11 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 bars REF SKY-SB02 Bar base, height 4 mm incl. screw 2.4 Removable Bar base, height 2 mm incl. screw 2.4 REF SKY-SB04 Bar base, height 6 mm incl. screw 2.4 REF SKY-SB06 Spacer analog incl. screw 2.4 REF SKY-DA77 Material: Titanium Torque: 25 Ncm 55
  56. 56. Prosthetics Screws blueSKY SKY classic In two posters presented at the SKY Meeting 2012, Dr. Wentaschek from These results can be transferred to the recall. In this case, we recomthe University of Mainz illustrated how Pretension can be significantly mend replacement of the screws when the abutment is removed for reduced by repeatedly tightening the screw. Pretension is the decisive cleaning. crucial factor for the implant-abutment connection. He therefore recommends the use of different screws in the laboratory and the clinic to avoid screw loosening. Clinical screws Laboratory screws SKY prosthetic screw 2.2 blue, 6 pieces SKY lab screw PS22 grey, 10 pieces REF SKYLPS22 REF SKY-PS22 SKY fast & fixed and uni.cone screw M 1.4 for prosthetic coping 6 pieces SKY fast & fixed and uni.cone lab screw M1.4 grey, 10 pieces REF SKYFFSPK REF SKYFFLPK SKY adjustment screw 2 mm 3 pieces REF SKY-DS02 Spacer analog incl. screw 2.4 SKY adjustment screw 4 mm 3 pieces REF SKY-DA77 REF SKY-DS04 SKY adjustment screw 6 mm 3 pieces REF SKY-DS08 SKY aesthetic impression screw, open trays, short REF SKYAPS18 20000 Pre-stress [cN] REF SKY-PS18 Findings 25000 SKY impression screw closed trays 15000 10000 5000 0 [Time] 1 x screw fixation 5 x screw fixations 10 x screw fixations Repeatedly tightening the screws reduces pretension by up to 40 %. 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 info-medical@bredent.com
  57. 57. SKY prosthetic assortment Practice Laboratories new The torque ratchet in the SKY prosthetic case for practices ensures that all prosthetic components of the SKY system can be tightened permanently 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 . 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 contraangles 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. SKY prosthetic assortment practice SKY prosthetic assortment laboratories REF SKYPET10 Content: SKY torque ratchet REF SKY-SD50 SKY prosthetic key short REF SKY-SD16 REF SKYPET20 Content: SKY laboratory handle REF SKY-SD80 SKY prosthetic key for contra-angles REF SKY-SD22 SKY prosthetic key long REF SKY-SD25 The following components can also be selected SKY prosthetic key for ball head attachments SKY Locator ® mounter for contra-angles REF LOCZWED6 SKY adapter, instruments for contra-angles Screwdriver, Allen screw 0.9 for transversal screw retention REF SKYADAP6 Instruments Tools REF SKY-SD21 REF 310W0106 Screwdriver, Alle screw 0.9 for transversal screw-retention REF 310W0106 Key holder REF SKY-SD65 57
  58. 58. Accessories Tools for ratchet and contra-angle M = 1:1 REF SKY-PI22 Parallel indicator with conical and cylindrical side, thicker central area with hole for protection against accidental dropping REF SKY-SD22 SKY prosthetic key for contra-angle short REF SKY-SD28 SKY prosthetic key for contra-angle long REF SKY-SD21 SKY prosthetic key for ball abutments REF SKY-SD16 SKY prosthetic key short REF SKY-SD25 SKY prosthetic key long REF SKY-STK5 SKY TK mounter for ratchet short REF SKY-STK6 SKY TK mounter for ratchet long REF SKY-WTK5 SKY TK mounter for contra-angle short REF SKY-WTK6 SKY TK mounter for contra-angle long REF mSKYXWM6 miniSKY insertion instrument, contra-angle short REF mSKYXWM7 miniSKY insertion instrument, contra-angle long REF SKYADAP6 REF LOCZWED6 58 Adapter SKY Locator® mounter for contra-angle Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  59. 59. Instruments M = 1:2 REF SKY-SD40 REF SKY-SD50 REF SKY-SD80 REF SKY-SD60 REF SKY-SD65 REF LOCZINST REF 580 0127 6 Surgical ratchet Finger key with ratchet function and attachable, movable handle. Can be directly attached onto the Star-Driver. Torque ratchet Adjustable from 10 to 30 Ncm. Is directly attached onto the key. 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. Universal forceps The universal forceps with titanium-coated gripping surface to hold implants and abutments, also suitable to hold prosthetic keys. Key holder The useful and compact holding tool for all prosthetic instruments. SKY Locator® Instrument OPG-ruler 3 blueSKY / narrowSKY X-ray-tamplates 3 2 le 1,26 1 ab / sca MS01 REF bSKY 0 MS26 Maßst REF bSKY 4508 :1 4510 5508 REF bSKY REF bSKY MS12 Ø 5 mm classi 3 c 1 4008 4508 breden Weiss t medic al GmbH enhor Tel. (+49) ner Str. & Co.KG 2 | 89250 0 73 www.b redent 09 / 8 72-6 Sende n -medi cal.co 00 | Fax | Germa ny m | e-mai (+49) 0 l info-m 73 09 / edical 8 72-6 35 @bred ent.co m REF kSKY REF bSKY MS266 MS2 4508 4010 4510 4012 4512 4014 4514 4016 Ø 5 mm Ø 5 mm breden Weiss t medic al GmbH enhor Tel. (+49) ner Str. & Co.KG 2 | 89250 0 73 www.b redent 09 / 8 72-6 Sende n -medi cal.co 00 | Fax | Germa ny m | e-mai (+49) 0 l info-m 73 09 / edical 8 72-6 35 @bred ent.co m REF kSKY REF bSKY MS122 MS1 3 2 1 Maßst ab / sca le 1,26 4514 :1 4512 4510 Ø 5 mm Ø 5 mm 3516 0 Scale 1,26:1 4008 4008 4508 REF kSKY REF bSKY MS01 MS01 4514 Maßst ab / sca le 1,12 4514 :1 4512 4510 REF kSKYMS26 4010 4016 4512 3510 4010 4510 4012 4014 4012 4010 Maßst ab / sca 4514 le 1 : 1 4512 4510 2 Maßst ab / sca le 1,12 3510 :1 3512 3514 4012 4016 4508 4014 3510 0 Scale 1,12:1 4016 4016 3516 3512 4014 3514 4012 4014 3510 Ø 5 mm Ø 5 mm breden Weiss t medic al GmbH enhor Tel. (+49) ner Str. & Co.KG 2 | 89250 0 73 www.b redent 09 / 8 72-6 Sende n -medi cal.co 00 | Fax | Germa ny m | e-mai (+49) 0 l info-m 73 09 / edical 8 72-6 35 @bred ent.co m 4010 4514 4016 3516 Maßst ab / sca le 1,26 3510 :1 3512 3514 REF kSKYMS12 4008 4512 4014 breden Weisse t medic al GmbH nhorn Tel. (+49) & Co.KG er Str. 2 | 89250 0 73 www.b redent 09 / 8 72-6 Sende n -medi cal.com 00 | Fax | Germa ny | e-mai (+49) 0 l info-m 73 09 / edical 8 72-6 35 @bred ent.co m 3516 3512 3514 4514 Scale 1:1 c 3512 4016 breden Weisse t medic al GmbH nhorn Tel. (+49) & Co.KG er Str. 2 | 89250 0 73 www.b redent 09 / 8 72-6 Sende n -medi cal.com 00 | Fax | Germa ny | e-mai (+49) 0 l info-m 73 09 / edical 8 72-6 35 @bred ent.co m classi 3514 3516 4014 MS12 :1 5510 le 1,12 REF kSKYMS01 3516 4012 3516 Ø 5 mm 5512 3 4010 SKY classic X-ray-tamplates ab / sca 2 4008 4508 Maßst 1 4514 4508 0 5512 Maßst ab / sca le 1,12 3510 :1 3512 3514 4016 Maßst ab / sca le 1,12 4514 :1 4512 4510 4512 4510 4510 5510 4512 4512 4008 4508 4014 4514 1 4510 ab / sca le 1 : 1 5512 5510 4008 5508 c 4012 4510 Ø 5 mm classi Maßst ab / sca 3510 le 1 : 1 3512 3514 4010 4012 4010 4512 Maßst 4508 4008 4010 4008 4008 5512 breden Weisse t medic al GmbH nhorn Tel. (+49) & Co.KG er Str. 2 | 89250 0 73 www.b redent 09 / 8 72-6 Sende n -medi cal.com 00 | Fax | Germa ny | e-mai (+49) 0 l info-m 73 09 / edical 8 72-6 35 @bred ent.co m 3516 Scale 1,26:1 4010 REF bSKYMS26 4012 4008 breden Weisse t medic al GmbH nhorn Tel. (+49) & Co.KG er Str. 2 | 89250 0 73 www.b redent 09 / 8 72-6 Sende n -medi cal.com 00 | Fax | Germa ny | e-mai (+49) 0 l info-m 73 09 / edical 8 72-6 35 @bred ent.co m 5510 4014 4514 4008 5508 4012 1 2 Maßst ab / sca le 1,12 3510 :1 3512 3514 4014 4514 4016 4016 4512 3510 4010 4012 4510 4014 4508 4016 0 Scale 1,12:1 4016 Ø 5 mm Instruments Tools 3 3516 REF bSKYMS12 4014 3510 4012 3512 4010 3514 4008 3516 4514 3512 4016 3516 4010 4012 5512 4014 5510 4512 4016 4508 4508 5508 4510 3510 4508 Scale 1:1 3514 4014 Maßst ab / sca le 1,26 3510 :1 3512 3514 3512 0 REF bSKYMS01 3516 3516 4012 3514 3510 3512 4010 3514 4008 3516 2 Maßst ab / sca 3510 le 1 : 1 3512 3514 59 5508
  60. 60. Technical specifications Recommendations for SKY screws SKY cover screw 10 Ncm SKY gingiva former 25 rpm 10 Ncm SKY impression abutments 25 rpm 10 Ncm SKY temp / SKY prov S 25 rpm 18 Ncm SKY abutments 25 rpm 25 Ncm SKY fast & fixed SKY uni.cone Prosthetic screw 60 25 rpm 25 rpm 18 Ncm Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  61. 61. mini Presentation of the system miniSKY Implant System 61
  62. 62. The solution for badly atrophied jaws and an improved quality of life Quality of life in later years 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. miniSKY mini 1 mini 2 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. Temporary implant 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. 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. 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 info-medical@bredent.com
  63. 63. mini miniSKY overview miniSKY diameter-reduced implants The mini1SKY and mini2SKY Implantate feature the proven osseo connect surface (oc s®) of the blueSKY implants to ensure fast and reliable osseointegration. osseo connect surface (oc s®) 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. 100 µm 20 µm miniSKY - Technical data 3.2 mm Three-step functional design • Cortical relief • Central stabilization • Special tip Transgingival difference mini1SKY • Penetration profile through gingiva at the implant mini2SKY • Penetration profile through gingiva at the abutment 2.8 mm 3.5 mm • 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 MD abutments with automatic divergence compensation MD = multi divergent Divergence compensation by shortening the abutments • The enclosed prosthetic cap facilitates modelling of the restoration • Utmost precision of stress- free bonding in situ miniSKY 3.2 mm 63
  64. 64. miniSKY overview mini1SKY 2.8 Length 6 mm REF m1SKYL06 Length 10 mm REF m1SKYL10 Length 12 mm REF m1SKYL12 Length 14 mm REF m1SKYL14 mini2SKY 2.8 Length 10 mm REF m2SKYL10 Length 12 mm REF m2SKYL12 Length 14 mm REF m2SKYL14 3.2 Length 8 mm REF m2SK3208 Length 10 mm REF m2SK3210 Length 12 mm REF m2SK3212 Length 14 mm REF m2SK3214 The mini²SKY gingivaformer is used during healing time. Therefore a cover screw is not included in the scope of delivery. 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 info-medical@bredent.com
  65. 65. mini Surgical protocol OP-Tray with drills and instruments 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 assigned 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. OP-Tray miniSKY REF MSKYOT41 mini 1 mini 2 2.8 Twist-Drill 2.25 SKYDT23K/SKYDT23L 800–1000 rpm/min D1 mini 2 D1 100 % implant length 3.2 SKY Drill SKYD1235 300 rpm/min 100 % implant length mini D1D4 Twist-Drill 1.3 SKYDT13L 800 –1000 rpm/min Twist-Drill 2.25 SKYDT23K/SKYDT23L 800–1000 rpm/min D2 2/3 implant length 100 % implant length D2D3 With bone quality D3-D4, the drilling process is completed using twist drill 1.3 D3D4 D4 SKY Drill SKYD3435 300 rpm/min 100 % implant length With bone quality D4, the drilling process is completed using twist drill 2.25 miniSKY D1D4 Pilot drill SKY-DP06/SKY-DP08 800 –1000 rpm/min 65
  66. 66. Surgical and prosthetic instruments Drills, drill stops, and tools Twist-Drill Drill L6 3,5 4,0 L8 L10 L12 L14 REF SKYXST06 SKYXST08 SKYXST10 SKYXST12 SKYXST14 REF – SKYS0840 SKYS1040 SKYS1240 SKYS1440 Twist-Drill rpm/min. 800-1.000 Drill for hard bone rpm/min. 300 REF SKYDT13L 1.3 REF SKYD1235 3.5 REF SKYDT23L 2.25 long REF SKYD3435 3.5 REF mSKYMS01 M = 1:1 REF mSKYMS12 M = 1,12:1 REF mSKYMS26 M = 1,26:1 SKY Drill extension mini 3 REF SKY-DV12 2 mini 1 0 1 6 mm Maßst ab / sca 10 mm le 12 mm 1:1 14 mm 6 mm Maßst ab / sca 12 mm le 1:1 10 mm 14 mm mini 1 mini 2 SKY Prosthetic key long Maßst ab / sca 10 mm le 1:1 12 mm 14 mm Ø 5 mm 14 mm Maßst ab / sca 12 mm le 1:1 10 mm REF mSKY breden Weisse t medical GmbH nhorne Tel. (+49) & Co.KG r Str. 2 www.b 0 73 09/8 | 89250 Senden redent -medic 72-6 00 | Fax | Germa al.com | e-mail(+49) 0 73ny info-m 09/8 72-6 edical@ 35 breden t.com MS01 mini 2 REF SKY-SD25 Adapter miniSKY Mounter for contra-angle short REF mSKYXWM6 miniSKY insertion instrument, contra-angle long REF mSKYXWM7 REF SKYADAP6 Torque ratchet Adjustable from 10 – 40 Ncm. Is directly attached onto the key. REF SKY-SD50 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 info-medical@bredent.com
  67. 67. mini Impression and model fabrication Presentation of a problem 1 Initial situation 4 At the same time, the impression material brecision implant heavy (580 BH38 0) is added to an impression tray and applied to the area being molded. 7 Using a gingival mask, Multisil-Mask hard (540 0113 4), the implant analog must be blocked, ensuring that the exact position of the implant analog is 10 2 3 When making an impression of the mini1SKY implants, the o-ring (SKY-OR55) is placed over the ball head 5 The torx of the mini1SKY implants and the o-rings is then fully molded using the impression material, brecision implant light (580 BL050). 6 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 repositioning of the laboratory analog. 8 When repositioning the implant analog (m1SKYXIA), it is necessary to bear in mind that the torx geometry in the impression material corresponds with the orientation of the torx from the implant analog. 9 maintained during model fabrication. O-ringe 6 pieces REF SKY-OR55 Control using a bridge framework has resulted in a high level of precision between the initial model and the model from the impression. brecision implant heavy Impression material blue 1 x 380 ml 5 x dynamic mixers 1 x bayonet ring yellow 2 x 50 ml Multisil-Mask hard in cartridges 24 mixing cannulas The Sheffield test was passed without any complications. REF 540 0113 3 brecision implant light Impression material orange 2 x 50 ml 10 mixing cannulas yellow 10 Intra-oral tips miniSKY REF 580 BH38 0 REF 580 BL05 0 67
  68. 68. mini2SKY impression Impression and model fabrication mini2SKY new 4 mm 3 mm mini2SKY Gingiva former REF m2SKYGF3 11 mm 18.82 mm Material: Titanium Torque: 10 Ncm 1.5 mm mini2SKY Impression Abutment open tray REF m2SKYPA1 mini2SKY Implant analog mini2SKY gingiva former The 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 precision 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 abutment, 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 analog (m2SKYXIA) is screwed to the mini²SKY impression abutment and the model is manufactured from super-hard stone. REF m2SKYXIA Material: Titanium Torque: 10 Ncm Impression coping 4 pieces REF LOCZAK40 3.9 mm 2 mm miniSKY Locator ® height 2 mm 1 pieces The locator impression coping is used to make an impression of the mini²SKY Locator®. REF m2SKYLC2 4 mm miniSKY Locator ® height 4 mm 1 pieces REF m2SKYLC4 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 info-medical@bredent.com
  69. 69. mini Prosthetics mini1SKY – Fixation of prostheses in severely atrophied jaws mini1SKY 2.25 mm mini1SKY Implant analog REF m1SKYXIA Fixation of prostheses on mini1SKY with • SKY precious metal matrix • SKY o-ring matrix Note In this case, it is necessary to wait for the osseointegration of the implants, prior to loading. 3.25 mm SKY Precious metal matrix REF SKYGM225 2.5 mm 3 mm SKY O-ring REF SKY-OR50 5.2 mm O-ringe 6 pices REF SKY-OR55 Qu-resin rosa Assortment 14 pieces 1 cartridge 50 ml 1 Qu-connector 10 ml 12 mixing cannulas, size 1, blue miniSKY REF 540 0116 1 Photos: Dr. Saal, Hamburg (DE) 69
  70. 70. Prosthetics mini2SKY Locator® mini2SKY 3.9 mm 2 mm miniSKY Locator ® Height 2 mm 1 piece REF m2SKYLC2 3.2 2.8 4 mm miniSKY Locator ® Height 4 mm 1 piece REF m2SKYLC4 Material: Titanium TiN-coated Torque: 25 Ncm Locator ® Processing set 2 sets REF LOCLAB20 Narrow jaws represent a challenge when fixing removable restorations 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 placement and healing without loading and insertion after osseointegration 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 placement 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 Locator® retention inserts 20° can be used for this procedure. The miniSKY Locator® abutments are fixed to the implants using Images: m.c. Zahntechnik, Oldenburg (DE) the miniSKY retaining screw. The prosthesis is then manufactured using conventional dental procedures. The Locator® retention elements up to 20° are used for retention. 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 info-medical@bredent.com
  71. 71. mini Restoration of narrow gaps – mini2SKY mini2SKY 9 mm 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. mini2SKY MD-Abutment titan Transgingival healing with a prefabricated or individual gingiva former spares the patients from a second intervention. REF m2SKYMDT Material: Titanium Torque: 20 Ncm 9 mm 2.8 mini2SKY MD-Abutment BioXS REF m2SKYMDB Material: BioXS Torque: 20 Ncm miniSKY 3.2 Photos: Dr. Ghirlanda, Rom (IT) 71
  72. 72. Prosthetics mini2SKY individual abutment mini2SKY new mini2SKY uni.fit abutment 1 piece REF m2SKYUFA 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. Material: Titanium Torque: 20 Ncm 2.8 Available from autumn 2013 3.2 Rotation stop on two sides results in a uniform adhesive gap. Rotation stop on one side results in a nonuniform adhesive gap. Uniform adhesive gap 72 Non-uniform adhesive gap Tel. (+49) 0 73 09 / 8 72-4 40 | Fax (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | e-mail info-medical@bredent.com
  73. 73. Implant planning mini Implant planning - safe and precise transfer 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) 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. miniSKY bredent medical offers the perfect solution with miniSKY-FRP. With 3 mini1SKY planning implants you create the optimal basis for 73
  74. 74. Implant planning mini1SKY-FRP mini1SKY-FRP 2.25 mm 4 mm REF m1SKYL06 6 mm 2 mm mini1SKY Ø 2,8 mm L 6 mm 2,25 mm 4 mm REF m1SKYL10 10 mm 2 mm mini1SKY Ø 2,8 mm L 10 mm 2.25 mm mini1SKY Implant Analog 3 mm REF m1SKYXIA 3.3 mm mini1SKY Planning matrix white 3 pieces Everything you need Implants The mini1SKY implants of lengths 6 mm and 10 mm can be inserted firmly in any bone. Surgery The 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 fabrication When making an impression, only the o-ring (SKY-OR55) is attached. The implant analog is pushed into the impression and the model is manufactured. Scan and drilling template The planning matrix fixes the scan and drilling templates securely and precisely. Temporary restoration During the planning phase, the prosthesis in the lower jaw may be further stabilized by using either the SKY precious metal matrix or the SKY o-ring. In the upper jaw, the prosthesis should only be ground out and equipped with a soft relining. REF m1SKYPLM 3.25 mm SKY Precious metal matrix REF SKYGM225 2.5 mm 3 mm SKY O-ring REF SKY-OR50 5.2 mm 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 info-medical@bredent.com
  75. 75. mini Internet Internet bredent medical in the internet Structured and easily understandable information on our “perfect prosthetic implant solutions thanks to innovative materials and technologies” and ordering for our entire product range is provided 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) channels. In the press section new products and therapies are presented and already published dental articles of renowned users of our products can be downloaded. miniSKY The „Information on ordering“ section includes all the relevant information for placing orders. Currently, an online shop is being created. 75
  76. 76. Presentation of the system SKY Implant system - prosthetically unique RE AH 0J H B ELE GT ERFOLG Other offers that may be of interest to you HELBO LIC W IS 1 T SEN SCHAF HELBO-Therapie Kursprogramm 2013 Regeneration S I CH E ER AU LTEN HA RN FBAUEN Das ein und alles für den Kieferkamm Neue Chancen für Ihren Erfolg Beherrscht die Infektion in der Chirurgie und Implantologie A C A D E M Y REF 000 429 GB REF 000 501 GB REF 000 330 GB bredent medical GmbH & Co.KG Weissenhorner Str. 2 | 89250 Senden | Germany Tel. (+49) 0 73 09 / 8 72-4 40 Fax (+49) 0 73 09 / 8 72-4 44 www.bredent-medical.com e-mail info-medical@bredent.com Mistake and subject to change reserved 000250GB-20130903

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