Sky-Implant-System

An implant system which fulfills all essential requirements on modern dental implantology in a perfect way. Treatment time and costs can be reducedconsiderably thanks to the simple system concept and the maximum reliability. The Sky-Implant system was developed by practitioners and has been used by experienced implantologists and beginners for two years. More than 15,000 Sky implants have been successfully integrated since 2002. The advantages of the Sky-Implant system at a glance -Optimization of the primary stability-One abutment diameter for all implant diameters-Reduction of the implant accessories-Torx as inner connection-Simpler preparation of the implant bed with the SIS drill set-Funnel-shaped depression at the inner connection-Rounded implant apex-Transfer axis = transfer abutment-Gingiva former = bar segment -Titanium grade 4 kv (cold formed)-Modular system
Product Survey (pdf)
Presentation of the system (pdf)
article: The implant as a tap (pdf)
article: The special benefits of the SKY-Implant system from the prosthetic view (pdf)
article: Immediate loading of implants (pdf)
article: immediate implantation and immediate loading (pdf)

**Sinus Implant Stabilizer (designed by Dr. Manfred Lang; a special lecture in Taiwan)

Using the SIS-Sinus Implant Stabilizer one step sinus lift is possible. The implants are stabilized by the SIS and drifting into the sinus is prevented. Additionally the SIS can be fixed with Mondeal microscrews of the ARC System

(A sinus dental implant assembly stabilizer comprising (a) an elongated implant having an internal recess at one end, (b) an insert removably fitting into said recess, and having a head projecting laterally beyond said recess, (c) a washer capable of being removably held in fixed position by said implant and insert, and (d) a nut having an opening to fit over said implant of a size and internal configuration so as to be held in position on said implant, said nut holding said nut securely when said implant is being inserted into said nut.)
ARCS System: The Mondeal Alveolar Crest Reconstruction System; ARCS has been designed and developed to meet with the requirements of modern dental implantology.

Vol. 2 No. 2 Pos. 42

Development and properties of resorbable implant stabilizer concerning sinus lift operation
Author(s): Alfred Johannes Patyk1*, Alberto Nadalini2, Oliver Duesmann3, Hans-Albert Merten41Dept. of Prosthetic Dentistry I3Dept. Orthodontics4Dept. of Oral and Maxillofacial Surgery, University Goettingen2Dentist, Trento, Italia

Abstract: To obtain a sufficient primary stability of implants in the lateral maxillary area, a bone thickness of minimum 4 mm is necessary, but often additional osteoplastic operations are required. Regarding this, several sinus lift techniques are known. In this case, the use of an implant stabilizer made of resorbable synthetic material reduces the operation invasivity. For this purpose, a polylactate implant stabilizer with appropiate shape and function has been developed. The following material’s characteristics, such as the material’s hydrolysis, the reduction of the molecular weight and the mechanical retention on the implant have been analysed in vitro. Hydrolysis has been performed following ISO/TC 150 SC 1 standard, and its effects have been documented by SEM images and illustrated with degradation curves. The mechanical properties are defined by the stabilizer’s traction forces in the direction of the implant shaft. Before hydrolysis, the median traction force is 118 [N], one month after, it is reduced to 94 [N] and three months after hydrolysis, the complete absence of any retention force is achieved. The stabilizer has been inserted in the subperiostal tissue of a Goettingen mini pig‘s frontal bone. Four months later, the material has been removed. The presented histological preparation shows the osteo-inductive properties of the stabilizer.

@ASIS-The Autologous Sinus Implant Stabilizer
In cases of sinus lifts with an extremely low height of residual local bone the primary stability of the implants is achieved through a cortico-cancellous bone block graft (ASIS) from the mandibular angle instead of a manufactured splint (SIS ®). This produces both vertical and/or lateral augmentation of atrophied alveolar process at the same time

Astra® Dental Implant System

The Astra Tech implant system is developed with a biological and biomechanical approach. It is a well-documented simple and reliable system of minimum components and maximum flexibility:

1.One system for all indications
2.Developed for both one-stage and two-stage surgery
3.Designed for immediate or early loading
The system is based on three core features: Conical Seal Design™ abutment connection, the original MicroThread™ implant neck and the unique OsseoSpeed™ surface.

PostImplant 1 mo>>>>
@Final restoration :

OsseoSpeed™ is a well-documented, fluoride-modified fixture surface that speeds up the bone healing process. The result is more bone in less time. Despite the proven success of our highly effective TiOblast™ surface, we started to ask ourselves if rough really is enough? What if we could develop a surface that actually speeds up the bone healing process? The result is OsseoSpeed – an innovative, biologically-based bone trigger, perfect for all your dental implant patients.
MicroThread™–a dynamic mechanical coupling
A thorough understanding of bone physiology is vital to optimal implant design. Bone tissue is designed to carry loads. To retain bone, dental implants must be designed to mechanically stimulate the surrounding bone. What’s more, the most critical part of the implant-bone interface is located at the marginal cortical bone where the peak stresses arise. This is why the neck of the fixture is designed with MicroThread™ – very minute threads that offer optimal load distribution and lower stress values.
Conical Seal Design™ –strong and stable fit
The tight and precise-fitting implant-abutment relation of the Conical Seal Design™ makes abutment connection a quick and simple procedure. The abutment is self-guiding and the installation procedure is non-traumatic, eliminating the risk of damage to the bone. Compared to a flat-to-flat design that creates high stress concentration at the bone margin, the Conical Seal Design transfers the load deeper down in the bone–reducing peak stresses. The Conical Seal Design also seals off the interior of the fixture from the surrounding tissues. It minimizes micro-movements and micro-leakage. This simplifies maintenance and ensures reliability in all clinical situations.






@@Immediate Dental Implantation with 4.5ST

** Direct Abutment Impression>>

Wide-Diameter Dental Implant

Wide Diameter (WD) Dental Implants:Used on 5.0, 5.5 and 6.0mm implants.WD implant implements a balanced design approach to achieve the best overall performance in compressive occlusal forces, off-axis occlusal forces, and torsional forces applied during implant placement. The WD external hex provides 79% more surface area than the standard hex size for unparalleled strength in implant seating. It is designed to reduce deformation or stripping of the hex during implant placement.The WD implant connection offers surgical and restorative advantages including increased prosthetic stability and provides more surface area for torsional strength.Corresponding WD prosthetic components offer the advantage of a larger table for increased prosthetic stability, as well as a larger abutment screw to virtually eliminate screw fracture and resist loosening. 2.5mm abutment screw provides 65% more strength over the standard 2.0mm screw for additional resistance to off-axis loads and improved torque retention. 1mm tall hex provides 43% more height over the standard hex for additional prosthetic stability, which is particularly important for single tooth applications. The WD implant enables bilateral cortical bone engagement in wide ranges, especially in posterior regions.
















>>> 2 years later!

>>>above photo:A Flapless Appraoch with Lifecore® 4.8 WDS (photoright by Dr. Perio)
@ Another case:

Hints>>Implant size: Selecting the proper implant size in relation to the size of the missing tooth is a valid rule. In other words, the more the similarity between the diameter of the implant and the diameter of the missing tooth at the bony crest, the greater the esthetic outcome.

Int J Periodontics Restorative Dent. 2001 Apr;21(2):149-59.
Wide-diameter implants: new concepts.
Davarpanah M, Martinez H, Kebir M, Etienne D, Tecucianu JF.
Department of Periodontology, Pitie Salpetriere Hospital, Paris, France.

At the end of the 1980s, it was suggested that wide-diameter implants be used to better the prognosis in cases in which the condition of the supporting bone is unfavorable. Technical improvements associated with different shapes and materials used for implants have led to an evolution of our concepts of surgical and prosthetic treatments. The aim of these new suggestions is to optimize the functional and esthetic result while respecting the fundamental principles of osseointegration. Up to the present time, very few studies have been published on wide-diameter implants. However, the short- and medium-term results that have been reported have been very satisfactory.

Current Topics in Dentistry
What are the clinical limitations of wide-diameter (4 mm or greater) root-form endosseous implants?

Compend Contin Educ Dent. 1997 Jul;18(7):687-92, 694; quiz 696.
Biomechanical advantages of wide-diameter implants.
Jarvis WC.

In implant cases in which bone quantity and interdental space are sufficient, wide-diameter implants may be preferable to standard-size implants in restoring the partially edentulous patient. Although wide-diameter implants are often considered for their esthetic possibilities, they can also offer important biomechanical advantages, particularly in reducing the magnitude of stress delivered to various parts of the implant and in improving stability. In this article, standard 3.7-mm- and wide 4.7-mm-diameter implants are compared and discussed.

A Successful Strategy for the Efficient, Consistent and Profitable Restoration of Dental Implants

Free online CE course from Dentaltown

This electronically delivered self-instructional program is free-of-charge and qualifies for 2 AGD PACE CE credits (Course Code: 692) and 1 ADA CERP CE credit. This program will be available until 11/10/2007.

Synopsis:This course will allow the restorative dentist to systematically plan for, sequence and treat patients with dental implants. Multiple sequencing protocols will be discussed that will allow both the patient and the doctor to save time and effort and yet still obtain a clinically superior result. Techniques and technology will be introduced that will allow the restorative dentist to develop a protocol for dental implant restoration that will allow him/her to restore any dental implant that comes in their office, the same way, every time.

Description of Speaker:Dr. Mark W. Adams is a recognized authority on prosthodontics and practice management as applied to the restorative practice. His dynamic teaching style makes him a favorite of audiences everywhere he goes. He is the Co-developer of Zimmer Dental successful Peer Practicum and Continuum Implant Training Programs, a former Faculty Alumni Speaker with the Pride Institute and a former Clinical Assistant Professor in Graduate Prosthodontics at the University of Michigan. Dr. Adams is a 1985 Graduate of the University of Michigan Graduate Prosthodontics Program and maintains a private practice, limited to Implant, Esthetic and Reconstructive Dentistry in Flint and Clarkston, Michigan. He is President of ddsSolutions, a dental services company dedicated to helping dentists build the practices of their dreams.

Educational Objectives:Upon completion of this course, participants should be able to achieve the following:
1. Present a system of effective, predictable and profitable dental implant restoration.
2. Describe the use of new technology and techniques in order to obtain outstanding clinical results.
3. Develop a rationale for reasonable dental implant fees.
4. Introduce protocols for implant restoration for a multitude of clinical situations (Traditional Protocol, Accelerated Protocol, Immediate Protocol)
5. Become comfortable restoring any implant that comes into your office, irregardless of the manufacturer, the same way, every time.

>>Another Free online course: Simplified Single Tooth Implants for General Dentists

Educational Objectives:Upon completion of this course, participants should be able to achieve the following:
1. Understand the role of the general dentist in implant placement
2. Evaluate whether or not incorporating implants into his/her practice is appropriate
3. Be familiar with a flapless surgical procedure
4. Estimate the cost of getting started with placing implants
5. Know where to go for additional training

Buser Periosteal Elevator

Spear and paddle-shaped ends are ideal for delicate tissue retraction. The spear-shaped end is used to initiate the flap by reflection of the papilla in a sulcular incision. The small, paddle-shaped end is used to continue the flap reflection apically.

Mini Dental Implants - Treatment Alternative

Denture Stabilization - Mini-Implants

A lucky few feel comfortable when they wear their dentures. Every other denture wearer is left to contend with slippage, wobbling, discomfort and in many cases, pain.This is because without teeth, the underlying bone deteriorates and the denture no longer fits. The lips are working so hard to keep the denture in place, a natural smile doesn't come naturally at all.A technological break-through now available with some dental practices is denture stabilization also known as Single Day Implants. The procedure stabilizes the existing lower denture by anchoring it into place using mini dental implants or MDIs.The entire proceedure can be completed in a matter of hours... with results that can be quite stunning. Patients can hardly believe the improvement in their abilities to eat, speak, laugh and smile. (Download from Dental Health Directory Library )

What Are Mini Dental Implants?

The MDI System consists of a miniature titanium implant that acts like the root of your tooth and a retaining fixture that is incorporated into the base of your denture, The head of the implant is shaped like a ball and the retaining fixture acts like a socket that contains a rubber O-ring. The O-ring snaps over the ball when the denture is seated and holds the denture at a predetermined leve of force. When seated, the denture gently rests on the gum tissue. The implant fixtures allow for micro-mobility while withstanding natural lifting forces. Late in l997, Dr. Sendax collaborated about his mini implant theory and design concepts with a colleague, Dr. Ronald A. Bulard. Dr. Bulard had previously formed a dental implant company, IMTEC Corporation, which was at the time manufacturing and marketing standard sized dental implants, abutments, and other dental products. Convinced they were on to something special, the two implantologists spent countless hours studying and refining Dr. Sendax's original creative design, resulting in a more efficient top and collar to the mini dental implants. Combining this now re-designed mini implant with Dr. Sendax's original insertion protocol resulted in a successful breakthrough. Under Dr. Bulard's direction, IMTEC Corporation began the rather complex and expensive design and manufacturing procedures which ultimately resulted in what is now offered to the dental community under the brand name IMTEC Sendax M D I (mini dental implant). The innovative system and procedure was thereafter formally introduced to the United States dental community at an implant conference in Orlando, Florida in April, l999. It was an instant success and now represents one of the fastest growing segments of the dental product industry. (Download from IMTEC Co.)

@ Clinical Application on Lower Anterior Region: (Surgery by Dr.Perio)














@ Clinical and radiographic evaluation of small-diameter (3.3-mm) implants followed for 1–7 years: a longitudinal study