elegance abutment
SKY elegance
The smart type of immediate restorations
The Smart Way to Immediate Restorations
Dark shadows in the gingival border can affect the result of implant restorations just like the trauma that is caused by frequent change of the various prosthetic parts until the restoration is integrated. The SKY elegance abutments offer innovative, esthetic and new prosthetic options for the procedure here. The SKY elegance abutments are a new type of abutments with regard to the material combination, which consists of a titanium core and a sleeve made of the ceramic-reinforced high-performance polymer BioHPP. Due to their biocompatibility and mechanical properties, high-performance polymers have proven their clinical reliability in hip and spinal surgery for many years. BioHPP is an advanced product to meet special prosthetic requirements.
elegance abutment
narrow
The SKY elegance abutments with BioHPP are available as two different types: • As individual abutment, which is fabricated on the SKY elegance titanium base using the for 2press system and the traditional modelling technique. • As a prefabricated abutment in the designs/shapes of the SKY esthetic line. To fabricate the individual abutments and achieve a natural design, the original tooth shape is remodelled on the SKY elegance titanium base and subsequently pressed over under vacuum in the for 2press system. Vacuum pressing or industrial production of prefabricated abutments result in homogeneous bonding of titanium and BioHPP, which is completely free of gaps and offers excellent mechanical properties.
SYSTEM
2
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elegance
Material properties of BioHPP
abutment
„Dentin Shade“ Thanks to the different natural shades of the high-performance polymer BioHPP, unsurpassed esthetics can be achieved and dark shadows in the gingival margin are avoided.
Possibility of individualization Using the modelling technique or milling, both the individual SKY elegance abutments and the prefabricated ones can be individualized and adapted to the natural tooth shape.
Ceramic Titanium abutments
F [N]
BioHPP
„Off-Peak“ Maximized shock aborption is achieved through “Off-Peak”, the cushioning property of BioHPP high-performance polymer. Stress peaks and chipping can almost be eliminated thanks to the elasticity that is similar to that of natural bone. Forces applied to the bone are reduced and the bone is exposed to limited stress only.
t [S]
High plaque resistance Thanks to the high density of BioHPP, extremely smooth surfaces are achieved and plaque accumulation can be minimized.
Lasting shade stability The lasting shade stability of BioHPP is obtained with ceramic pigments (colorants).
Bond strength according to DIN EN ISO 10477/Jena Uni Bond strength in MPa
Superior bond strength and repairability By veneering with the visio.lign system that has proven its reliability for more than 6 years, highly esthetic and durable restorations can be fabricated. However, if problems should occur, for example due to dysfunction, the restoration can be easily repaired.
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*1 Source: K. Eichner. H.F. Kappert: Dental materials and how these are processed. 326-372, 1996.
40.10 38.55
40 30
24.10
Material
1 day 37°C Mean values (after 25,000 LW) 40
38.30 38.30 27.60
26.53
30 24.10
20
20.90 21.60
20.20 14.30
10
0 Framework material
breCAM.BioHPP
Mech. retentions without retentions
for 2press BioHPP
for 2press BioHPP
for 2press BioHPP
breCAM.BioHPP
Retention beads
Retention splitters
without retentions
Adhesive visio.link
visio.link
visio.link
GC Composite Primer Signum Connector
Opaquer none
combo.lign Opaquer combo.lign Opaquer Gradia Opaquer
Signum Opaque F
combo.lign
combo.lign
Veneer composite combo.lign
combo.lign
combo.lign
without retentions
CoCr alloy
Metal-ceramic system *1
without retentions
blasted
Rocatec
none
Sinfony Opaquer
fused
Sinfony
Ceramic veneer
3
SKY elegance – individual abutments with BioHPP ic, Tsimiski
s Dental Clin
Dr. Manolaki
iki 546 22
95, Thessalon
ic s Dental Clin Dr. Manolaki Tsimiski 95 546 22 iki lon ssa The 026 5359 Tel. +30 231 et manolakis.n ic Dental Clin
Dr. Alexandros Manolakis, Thessaloniki (Greece)
hic crown the monolit se u e y tl en n to fabricat e will frequ and visio.lig In future w PP H io B of made actice. abutments ns in our pr h restoratio ot to e gl n si g outstandin to achieve w ic lo al om ts en econ These abutm fer the possibility of our d of to provide d le ab en esthetics an e ar e current w e th at in th so storations re y fabrication it al u -q reece. ith high patients w nment in G omic enviro on ec lt cu diffi e and reliabl ave lasting h to ct pe e we ex ks to th Moreover, tients than s for our pa n io at p. or ga st e re iv of the adhes elimination
The monolithic crown abutment is fabricated individually based on the natural tooth shape. The basic shape of the abutment is modelled on the SKY elegance titanium base and BioHPP is used for pressing in the for 2press system. The vacuum pressing process creates a mechanical bond between BioHPP and titanium, which is free from gaps, ensures permanent reliable restorations and avoids the risk of bonding in the sulcus area. Then this abutment is veneered with the novo.lign veneers, visio.link adhesive and combo.lign composite (components of the visio.lign veneering system). In this context, visio.link adhesive ensures chemical/mechanical bonding between BioHPP and combo.lign. As a result, favorably-priced and esthetic restorations are obtained. Individualization, which includes the use of crea. lign and/or visio.paint, allows to fabricate highly esthetic restorations. The fabrication, however, depends on the requests and possibilities of the individual patient.
Titanium
BioHPP
The micrograph shows that there are no gaps between titanium and BioHPP.
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A laser scan confirms the absence of any gaps.
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[email protected]
elegance abutment
Dr. Alexandros Manolakis, Thessaloniki (Greece)
5
ie
plantolog
ilkunde / Im
Zahnhe innovative
t ldschmid K. & R. G, zeorifiziert nach BDIZ und DGZI) gie Zahnärzte ntolo rpunkt Impla
BioHPP as a substructure material
Praxis für
we
(Tätigkeitssch
rgstraße 24,
idt, Bu us Goldschm
Zahnarzt Kla
Photo: www.fotogen-Lingen.de
Mechanical properties according to ... DIN EN ISO 10477 E-modulus
— 4,000 MPa
Flexural strength (no material failure)
— >150 MPa
Water absorption
— 6.5 µg/mm3
Water solubility
— < 0.3 µg/mm3
idt us Goldschm Zahnarzt Kla 24 Burgstraße gen D 49808 Lin -0 1 - 91655 Telefon: 059 91655 - 33 1tel.net Telefax: 059 hmidt@ewe dsc gol ztnar E-Mail zah idt.de rzt-goldschm http://zahna
logical ived physio ll ho have rece and visio.lign so far te w ts en ti PP The pa H at io B th high and s made of restoration fort is very e. ewing com ch etic outcom e th th es e at us th c about th ti as si u th they are en , ty of BioHPP ural elastici at n e th e to bl due y relia Moreover, permanentl ly to achieve paired easi re be so we expect al n ca h ic h w s restoration necessary. should it be ore more and m oration type feedback and st re is th We will use the positive re based on in the futu ics. characterist
Klaus Goldschmidt, Lingen (Germany)
Material-specific properties of
gen
D 49808 Lin
Compared to all other substructure materials used in dental techniques, BioHPP is a physiological material which features elasticity similar to that of bone material and hence can also compensate load transfers to the local bone. Materials, such as gold, titanium, non-pecious metals and ceramic have a hardness that is ten times higher than the one of bone so that the passive fit needs to be achieved and checked using complex procedures, especially for large-size restorations. Thanks to the bond strength of BioHPP and the materials from the visio. lign veneering system, reliable and durable restorations can be fabricated to offer patients high chewing comfort. If restorations are damaged by parafunctions or overloading, they can be repaired easily and quickly.
Thermocycling 10,000 cycles 5°C / 55°C in accordance with DIN EN ISO 10477 E-modulus
— 4,000 MPa
Flexural strength
— >150 MPa (no material failure)
Comparison of elasticity of bone - substructure materials Logarithm depiction 1.000.000 NPM Gold
100,000
[MPa]
log (E-modulus)
Zirconium
Titanium
Compacta
10,000 Spongiosa
1,000
Bone
BioHPP
Zirconium
Gold
NPM
Titanium
Full arch restorations, in particular, benefit from the bone-like flexibility of BioHPP.
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[email protected]
elegance abutment
Goldschmidt, Lingen (Germany)
novo.lign veneers are used to fabricate the substructure on the model using the traditional dental laboratory procedure. Fit and design are checked in the patient‘s mouth so that any necessary adjustments can be discussed with the patients already during this early stage of treatment. Then a matrix is prepared and the substructure is modelled and pressed subsequently in the for 2press system. Afterwards the substructure is finished with cross-cut burs, the prosthetic caps are attached and then it is veneered with the materials of the visio.lign veneering system. Thanks to transversal screw retention, screw holes in the occlusal surface are avoided and complex sealing steps are not required. Since the transversal screw remains in the denture, the denture can be easily and quickly inserted in the mouth. The bridge is held in a permanently stable position with just a few turns (three-point fixation).
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SKY elegance – prefabricated direct abutments with BioHPP
TopDent
Obadan Dr. Florian Parter, rii, Bloc i 4, Strada Duna dria, an ex Al , CP 140025 Romania Teleorman, 7.402 + 40.247.31
c i 4, Parter
Dunarii, Blo dan, Strada Florian Oba Romania TopDent Dr. , Teleorman, , Alexandria CP 140025
r us new BioHPP offe for patients. ts made of ns en io tm at u or ab st The te re for immedia possibilities e same ced since th sts are redu for the temporary co t en tm th Trea n be used bo so expect abutment ca ive restoration. We al s. ite esthetic it n fi the red-wh and the de of t en em improv noticeable erties positive prop such so use the , al ts en ill w tm e u w ab elegance Of course, Y te SK ia d te ed m ca abri eak“ for im of the pref and „Off-P e“ ad Sh e . as „Whit the future orations in implant rest
Dr. Florian Obadan, TopDent, Alexandria (Romania)
The traditional protocol in implant dentisty including implant insertion with submerged healing, incision and insertion of the gingival former, impression and integration of the definitive abutment result in traumatization of the gingiva during each step since the gingiva that is adapted to the component is damaged. In such cases, immediate insertion of the titanium abutment is contraindicated since direct force transmission that is not reduced may jeopardize osseointegration.
0° and 15° angled abutments in the diameters S, M and L are available, which can be easily individualized in the mouth. Additionally, the XL abutment for individual tooth-shaped abutments is available, which can be quickly shaped to obtain the desired design using cross-cut tungsten carbide burs.
The „Off-Peak“ cushioning property of BioHPP on the SKY elegance abutments offers the opportunity to attach the definitive restorations immediately to the implants since - due to the reduction of forces applied to the implant - stress peaks are minimized and the local bone is exposed to lower stress. The prefabricated SKY elegance abutments can be integrated immediately after surgery. Permanent stability of the screw retention of the abutment in the implant is ensured by the screw seating in the titanium base. First a composite material is used to fabricate the temporary restoration which should be left in the mouth at least 2 or 3 months. Then the definitive restoration is fabricated. The temporary is removed for this purpose. Now the gingival line can be checked and, if required, the emergence profile of the SKY elegance abutment can be adapted. Afterwards the impression is taken with the abutment in place just like for a natural prepared tooth. The familiar materials, such as ceramics, metal ceramics or the visio.lign system can be used for the fabrication of the definitive crown.
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[email protected]
elegance abutment
The rest of the tooth is carefully extracted in a way to make sure that the vestibular bone lamella is preserved.
Then the implant is placed in the esthetic region.
The suitable prefabricated SKY elegance abutment can be selected and inserted.
Then the gingiva is sutured back up.
Fabrication of the temporary restoration.
The patient leaves the clinic and the esthetic appearance is almost unimpaired.
Dr. Florian Obadan, TopDent, Alexandria (Romania)
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Zahnärzte
BioHPP for telescopic restorations
am Rathau
s · ulm
raxis
Gemeinschaftsp
weiss dr. michael iss dr. margit we
terbusch dr. ellen Rit er axel schröd und partner
am Rathaus t • Zahnärzte tal concep nau OPUS•DC den • D-89073 Ulm/Do 74 Neue Straße
• Ulm
itable for perfectly su ations are clean their or st to re le ic ab Telescop ho are not w ts en ti pa numerous s properly. restoration is re material substructu tients ew pa n a by , d PP appreciate With BioH ly h ig h . is te h bi hic nt available, w e color and the pleasa it h w s due to it
t ntal concep OPUS•DC de Rathaus • Ulm am Zahnärzte 74 e aß Neue Str /Donau D-89073 Ulm14016-23 1 Tel. +49 73 96871-29 1 Fax +49 73 opus-dc.de marketing@ ental-concept.de www.opus-d
Dr. Michael Weiss, Ulm (Germany)
Telescopic restorations represent a proven method to enable the fabrication of removable restorations that are easy to care and still firmly anchored. The high resistance to abrasion of BioHPP ensures lasting and reliable retention of the prosthetic restoration. The primary telescopes can be modelled individually without major effort independent of the fact whether the basis is formed by natural teeth or implant abutments. Afterwards the pressed primary telescopes can be easily and quickly parallelized with crosscut tungsten carbide burs. Highly esthetic veneering of the secondary parts can be achieved in combination with the visio.lign veneering system. Moreover, the flexibility of the material allows safe and durable connection of implants and natural teeth. The soft bite ensures high chewing comfort.
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[email protected]
elegance abutment
Dr. Michael Weiss, Ulm (Germany)
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BioHPP for bar restorations tr. 196 nline.de und-Weber-S | praxis.gruessel@t-o narzt | Edm tschland Grüßel Zah estfalen, Deu Praxis Ingo Nordrhein-W | rne He 44651
narzt Grüßel Zah Praxis Ingo eber-Str. 196 Edmund-W rne He 51 446 estfalen Nordrhein-W Deutschland e.de el@t-onlin praxis.gruess
ith bar ent cases w various pati The ed y. or da st to re l e ti We hav PP up un H io B ing of e ew ad about the ch and easy dentures m ry pleased al ve ov e m ar re ts patien ation and mple integr comfort, si . re tu n de the cleaning of
Ingo Grüßel (dentist), Herne (Germany)
Primary splinted bar restorations on a limited number of implants, such as those fabricated with the SKY fast & fixed therapeutic concept, represent an option that has been successfully tested over many years to provide older patients with durable, fixed and stable prosthetic restorations, in particular in the atrophied jaw. Moreover they ensure perfect support of lips and cheeks. The milled bar avoids tilting of the denture when it is exposed to loading. Since there are no sufficient data about the suitability of BioHPP as a bar material yet, we currently recommend the exclusive use as a substructure material for the fabrication of the secondary structure. The abrasion resistance of BioHPP in combination with all bar materials is highly impressive, regardless whether non-precious or precious metal alloys are used.
The translucency that is achieved by the special shade of BioHPP enhances the esthetic appearance of the restoration.
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[email protected]
elegance abutment
Ingo Grüßel (dentist), Herne (Germany) Martin Heinrichs (MDT), Bochum (Germany)
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Bestellinformation Ordering information - bredent for 2press and BioHPP
BioHPP dentin-shade 1 (granulate) 20 g REF 540F2PB2 (granulate) 100 g REF 540F2PB3
REF 570F2PV3
dentin-shade 2 REF 540F2P22 REF 540F2P23
Brevest for 2press carton with approx. 7.35 kg incl. 1000 ml Bresol for2press
REF 360F2P16 for 2press mold Set, 16 mm REF 360F2P26 for 2press mold Set (metal ring), 26 mm
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Contents 1 x for 2press pneumatic vacuum press device 1 x for 2press mould (mould system, consisting of mould plate size 3/16 mm and silicone ring) 35 x 210 g Brevest for 2press investment material incl. 1000 ml Bresol for 2press liquid 25 x for 2press filler (disposable press plunger size 16 mm for pressing the material into the mould) 20 g BioHPP, thermoplastic high-performance resin
BioHPP Pellet Ø 25 mm 75 g (5 x15 g) Pellet Ø 25 mm 150 g (10 x 15 g) Pellet Ø 15 mm 20 g (5 x 4 g) Pellet Ø 15 mm 40 g (10 x 4 g)
dentin-shade 1 dentin-shade 2 REF 540F2PB4
REF 540F2P24
REF 540F2PB5
REF 540F2P25
REF 540F2PB6
REF 540F2P26
REF 540F2PB7
REF 540F2P27
REF 520F2PL2 Bresol for 2press liquid 1000 ml liquid for brevest for 2press investment material
One-way extrusion die REF 570F2P16 for 2press filler, 16 mm REF 570F2P26 for 2press filler, 26 mm
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[email protected]
Fig. not to scale. Subject to errors and changes.
REF 140 0060 1 for 2press Basic Set This set contains basic equipment for immediate work. Based on the size of the model, the for2press Basic Set is sufficient for 5–7 press processes and contains all of the necessary materials.
elegance
Ordering information - bredent medical
abutment
SKY elegance individual abutments
5.8 5,8 mm
3,0 3.0 mm
REF SKYETB00 SKY elegance titanium base incl. screw 2.2
3.5 mm 3,5
SKY elegance prefabricated abutments
REF SKYEES00 SKY elegance S 0° abutment incl. screw 2.2
5.5 mm
9.4 mm
9.4 mm
4.5 mm
REF SKYEEM00 SKY elegance M 0° abutment incl. screw 2.2
4.0
3.5 mm
3.5 mm
5.5 mm 9.4 mm
REF SKYEES15 SKY elegance S 15° abutment incl. screw 2.2
REF SKYEEM15 SKY elegance M 15° abutment incl. screw 2.2
3.5 mm
7 mm 9.4 mm
REF SKYEXL00 SKY elegance XL 0° abutment incl. screw 2.2
REF SKYEEL00 SKY elegance L 0° abutment incl. screw 2.2
3.5 mm
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SKY elegance Abutments for ultimate esthetics
Other offers that may be of interest to you SYSTEM
SKY fast & fixed
- The new class of materials in prosthetics
vvii ssiioo. l.i lging n
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08.06.2011
15:55 Uhr
Seite 1
For clear shapes and absolute stability.
Extraction - Implantation - Immediate fixed bridge
Physiological, aesthetical, durable
REF 000 200 GB
REF 000 600 GB
REF 000 224 GB
bredent medical GmbH & Co. KG Weissenhorner Str. 2 | 89250 Senden | Germany T: (+49) 0 73 09 / 8 72-4 40 F: (+49) 0 73 09 / 8 72-4 44 www.bredent-medical.com @:
[email protected] Subject to errors and changes 000769GB-20140715