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Ankylos

Manufactured by Dentsply
Sourced in United States, Germany

Ankylos is a dental implant system designed for oral rehabilitation. It features a unique implant-abutment connection that aims to promote long-term stability and bone preservation. The Ankylos system provides a range of implant sizes and shapes to accommodate diverse clinical situations.

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5 protocols using ankylos

1

Standardized Resin Bone Models for Implant Evaluation

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Sixteen identical resin models (Bonemodels SLU, Castellon, Spain)eight maxillary and eight mandibular models-were manufactured. Models were made of resin similar to bone density type 3 (maxilla) and type 2 (mandible). To differentiate cortical bone, spongy bone, and ana-tomic structures such as nerves, blood vessels, and maxillary sinuses, the resin material had different radiopacities. The gingiva was made of silicone (Fig. 1). Eight Ankylos (Dentsply Sirona, Charlotte, NC, USA) implants (3.5 × 11.5 mm) were placed in the anterior region (position 21), and 24 Astra Evolution (Dentsply Sirona) implants (4.2 × 13 mm) were placed in the posterior region, positions (15, 36, and 46 ) (n = 32). This allowed for evaluation of different implant types in different implant positions for the same Cerec guide 3 protocol (Dentsply Sirona).
Sample size was calculated for an expected power of 80%, an α of 0.05, and a medium effect size, according to an initial sample of three implants of each type (Table 1).
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2

Immediate Implant Placement Guided by CBCT

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Implant surgeries were performed by an experienced dentist (Xinhua Gu). A mini-flap approach was performed after local anesthesia (Primacaine Adrenaline; Pierre Rolland). Surgical templates were carefully fitted intraorally and stabilized with several fixation pins. Drilling of each implant site was accurately guided, 4 to 6 implants (Ankylos, Dentsply Sirona/ Straumann SLA, Institute Straumann AG/ Nobel Bioactive, Nobel Biocare) were immediately inserted in each jaw and a minimum insertion torque of 35 Ncm was obtained following the recommended protocol to obtain primary stability. Straight or angulated temporary abutments were screwed on top of the implants based on the preoperative digital design. The flap was repositioned and sutured (VICRYL Plus, Ethicon). CBCT was taken to evaluate the positions of the implants and abutments.
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3

Dental Implant Outcomes in Partially Edentulous Patients

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For this cross-sectional analysis, 47 partially edentulous patients (29 female and 18 male) with a total of 64 implants (Ankylos®, Dentsply Sirona Implants, Hanau, Germany) were included. The mean loading time of the implants was 4.23 ± 1.7 years (range, 2‑10 years). All patients have been treated at the Department of Oral Surgery and Implantology, Goethe University, Frankfurt, via standardized surgical and prosthetic protocols. Each patient received a detailed description of the procedure, and informed consent was obtained prior to participation. The study followed the Helsinki Declaration, as revised in 2013, and was approved by the local ethics committee (registration number: 78/18).
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4

Implant Outcomes with Soft-Tissue Augmentation

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The present investigation was designed as an observational, cross-sectional case–control study evaluating the clinical treatment outcomes of implants inserted simultaneously with (test group) and without (control group) soft-tissue volume augmentation. All patients had received the same implant brand (Ankylos®, Dentsply Sirona Implants, Hanau, Germany) in a single university clinic (Department of Oral Surgery and Implantology, Goethe University, Frankfurt) and were recruited during their yearly maintenance visits.
Patients were included in the study once they were informed about the investigation procedures and gave their written informed consent. The procedures in the present study were in accordance with the Declaration of Helsinki, as revised in 2013, and the study protocol was approved by the local ethics committee (registration number: 78/18).
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5

Implant Biofilm Removal via APA Treatment

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Implants (3.5 mm diameter, 9.5 mm height, Ankylos, DENTSPLY Implants, North Carolina, USA) were dip-coated with permanent red ink (Staedler permanent Lumocolor, Nürnberg, Germany) for 10 s to simulate biofilm coated implant surfaces then air dried for 48 h in a hood (Fig. 2a).

Settings for in vitro model used in this study: (a) implant coated with permanent red ink before APA treatment; (b) the customized acrylic holder for fixing the stained implant; (c) schematic illustration of the image taking vertically to the implant axis; (d) digital photograph of treated implant and residual dye determination; (e) representative photographs of implants cleaned by different sizes of β-TCP particles for 180 s by APA treatment.

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