Customised prosthesis design manual

Customised prosthesis design

manual

2

TABLE OF CONTENT

Responsibility and warranty 4

1. Responsibility 4

2. Serenity® Guarantee 4

Anthogyr CAD/CAM restoration 5

1. Simeda® Restorations 5

2. Different types of prostheses 5

3. CAD/CAM materials available 7

4. Platforms available 8

WebOrder 10

1. Order via WebOrder 10

2. Preparation of the master model 10

3. Order by submitting a file 11

4. Order by submitting a model 12

5. Delivery times 15

Validation of your scanner 16

1. Explanations 16

2. Terms and conditions 16

3. Validity 16

Digitisation 17

Design of personalised Simeda® abutments 19

1. Indications and profiles available 19

2. Design limits 19

3. Specifications for customised abutments on Axiom® BL & TL titanium base 20

4. Specifications for AxIN® screw-retained teeth 21

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CUSTOMISED PROSTHESI S DESIGN MANUAL

Design of Simeda® implant bridges 22


2. Design limits 23

3. Specifications for customised prostheses with inLink® connection 24

4. Specifications for customised prostheses with Multi-Unit Angulated Access 25

Design of superstructures type Simeda® implant stilt 26


2. Design limits 27

3. Specifications for customised Simeda® prostheses with inLink® connection 27

4. Specifications for customised prostheses with Angulated Access 27

Design of implant bars for Simeda® removable prostheses 28

1. Implant bars for clips 28

A. INDICATIONS AND PROFILES AVAILABLE 28

B. DESIGN LIMITS 29

C. SPECIFICATIONS FOR CUSTOMISED PROSTHESES ON AXIOM® TL PLATFORM 29

2. Implant bars for attachments 30

A. INDICATIONS AND PROFILES AVAILABLE 30

B. DESIGN LIMITS 32

C. SPECIFICATIONS FOR CUSTOMISED PROSTHESES ON AXIOM® TL PLATFORM 32

Design of tooth-supported prostheses 33

1. Tooth-supported restorations 33

2. Model preparation 33

3. Design limits 33

4

Responsibility and warranty

1. Responsibility Anthogyr is committed to respecting the morphology validated by the laboratory within the capabilities of machining equipment. The implant connections are controlled by a 3D machine for multiple-unit restorations and by mechanical measurements for single-unit restorations. The customised products manufactured are validated with the final

prosthetic check: check on the master model or on the analogue if required by the customer file.

Upon receiving a customised part manufactured by Anthogyr, the dental technician and the dentist approve the part

before use.

The implant connections of the Anthogyr customised prostheses need no modification.

→ If required by the clinical situation, modifications to zirconia prostheses should be done with a high-speed fine-grain diamond tool under abundant irrigation, and cobalt-chrome and titanium prostheses with a tungsten carbide tool, within the design limits defined in this manual. For cobalt-chrome frames designed to be coated with ceramic directly, use

mineral-based finishing burs, and avoid diamond and tungsten tools (risk of bubbles appearing).

→ ANY MODIFICATION CONSTITUTES A RISK OF MECHANICALLY WEAKENING THE PART. These components should be installed by clinicians trained in dental implantology only. Prosthetic parts must be

attached to avoid inhaling them or swallowing them during intraoral use.

In case of defects, Anthogyr has no other obligation than replacing the part. Under no circumstances will Anthogyr be

responsible for procedures performed by the prosthetist and the practitioner.

As provided for by law, Anthogyr guarantees the customer against any hidden defect due to defective materials, design

or production affecting the products delivered and rendering them unfit for use.

Guarantees do not apply in the event of misuse, negligence or poor maintenance on the part of the buyer, as in the case

of normal wear.

All brands and company names belong to their respective owners

2. Serenity® Guarantee

The customised prostheses manufactured by Anthogyr benefit from the Serenity® guarantee programme.

Anthogyr cannot be held liable for any clinical problems and accepts no liability for anything that is the responsibility of the dental technician and/or dentist. Approval of the customised dental prosthesis is the responsibility of the laboratory and of the dentist. If the order is made by master model, Anthogyr will send a design file and the product will be

machined only after receiving confirmation by the laboratory or the dentist in WebOrder.

In order to exercise their rights, the customer must return the Serenity® form, duly completed, and the defective part to

Anthogyr no more than 90 days after becoming aware of any flaws.

The replacement of defective components will not extend the conditions of the aforementioned guarantee.

For any additional information, please refer to the general warranty conditions of the Anthogyr Serenity® programme on

www.anthogyr.fr/services/anthogyr-serenity

The Serenity® programme applies to all the subsidiaries of the Anthogyr group. The other countries are covered by a 5-

year product guarantee.

5


1. Simeda® Restorations

Simeda® customised prostheses are designed for implant-supported prosthetic restorations attached to MPS (Multi

Platform Solutions) implant platforms or to tooth-borne prosthetic restorations.

2. Different types of prostheses

A. IMPLANT-SUPPORTED RESTORATIONS

Prostheses attached to dental implants or conical abutments/Multi Unit/inLink®.

*On titanium base according to the implant platform.

According to the type of prosthesis, the permanent screws are supplied with it.

Anthogyr CAD/CAM restoration

Visual

Machined titanium

CoCr Zircone Sina

Z/T/ML Additive titanium

Customised abutment X - X* -

Screw-retained tooth X X X* -

Bar for removable prosthesis X X - -

Superstructure / Stilts X X - X

Implant bridge X X X -

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B. TOOTH-SUPPORTED RESTORATIONS

Cemented prostheses on natural teeth or on implant abutments.

* Manufactured by Vita

** Manufactured by IVOCLAR VIVADENT

Visual Titanium CoCr Sina Z/T/ML

zirconia Vita

ENAMIC®*

Vita SUPRINITY®

PC*

IPS e.max®

CAD**

Bridge with 2 to 14 elements

X X X - - -

Coping

X X X - - -

Inlay / Onlay and veneer

- - X X X X

Crown

- - X X X X

7


3. CAD/CAM materials available

GRADE V TITANIUM (ACCORDING TO ISO (5832-3)

→ Milled Ti: machined titanium → Additive titanium: additive titanium with rough or textured surface → Resistance to breakage >860 MPa → Young’s Modulus 110GPa → Vickers Hardness 350 HV → Thermal expansion coefficient 10.3 µm/mK → Volume mass 4.42 g/cm3 → Please refer to the information sheet “Technical specifications of Titanium”

TYPE V COBALT-CHROME (ACCORDING TO ISO 22674)

→ Resistance to breakage >900 MPa → Vickers Hardness 275 HV → Thermal expansion coefficient 14.2±0.3 µm/mK → Volume mass 8.3 g/cm3 → Please refer to the information sheet “Technical properties of Simeda® cobalt-chrome alloy”

SINA Z/T/ML ZIRCONIA (ACCORDING TO ISO 6872)

→ Sina Z: opaque zirconia, available in 16 shades → Sina T: translucent zirconia, available in 16 shades → Sina ML: multi-layer zirconia, available in 6 shades → Resistance to breakage >1150 MPa → Young’s Modulus 210GPa → Vickers Hardness 1250 HV → Thermal expansion coefficient 10 µm/mK → Please refer to the information sheet “Technical properties of Sina Z/T zirconia and Sina ML zirconia”

VITA ENAMIC®

→ Single-unit, crown type, inlay/onlay veneer restorations → Resistance to breakage >150-160 MPa

VITA SUPRINITY® PC

→ Single-unit, crown type, inlay/onlay veneer restorations → Resistance to breakage 420 MPa → Thermal expansion coefficient 12.3 µm/mK

IPS E.MAX CAD

→ Single-unit, crown type, inlay/onlay veneer restorations → Resistance to breakage 360 MPa → Thermal expansion coefficient 10.5 µm/mK

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4. Platforms available

A. AXIOM® MULTI LEVEL® PLATFORMS

AXIOM® BL, BONE LEVEL

→ The Axiom® BL implants present a single-unit connection Ø2.7 mm. → They are used in combination with Multi Unit abutments or inLink® abutments for multiple-unit screw-retained

restorations.

.

COMPATIBILITY WITH AXIOM® BL PLATFORM

• Single-unit screw-retained indexed restoration : → single diameter Ø2.7 mm → Indexed conical connection

→ M1.6 threading

• Multiple-unit screw-retained restoration on

Multi-Unit abutments : → 2 platform diameters: Ø4.0/Ø4.8 → Non-indexed flat connection → M1.4 threading

• Multiple-unit screw-retained restoration on inLink® abutments : → 2 platform diameters: N: Ø4.0 / R: Ø4.8 → Non-indexed flat connection → M2.8 threading

Prosthesis

Axiom® BL implant

Customised abutment

Axiom® BL M1.6 screw

Multi Unit abutment

Axiom® BL implant

Prosthesis

Multi Unit M1.4 screw

Retaining ring

Lock (guide)

Axiom® BL implant

Prosthesis

InLink® abutment

Connections available

Indexed conical connection Non-indexed flat connection

(Multi Unit) Non-indexed flat connection

(inLink®)

Single-unit prosthesis X IMPOSSIBLE IMPOSSIBLE

Multiple-unit screw-retained prosthesis

IMPOSSIBLE X X

Implant bar IMPOSSIBLE X IMPOSSIBLE

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AXIOM® TL, TISSU LEVEL

Les implants Axiom® TL comportent plusieurs connexions :

COMPATIBILITY WITH AXIOM® TL PLATFORM

B. PLATEFORMES MPS

The list of compatible implant platforms available can be found on the Anthogyr website at the following address: http://www.anthogyr.fr/sites/default/files/simeda/implants-fr.pdf → Example of brands available: Straumann®, Nobel Biocare®, Zimmer®, Biomet 3i®, Dentsply®…

inLink® connection

M1.6 threading

• Single-unit screw-retained indexed

restoration : → 2 platform diameters: N: Ø4.0 / R: Ø4.8 → Indexed flat connection → M1.6 threading

• Multiple-unit screw-retained restoration

on inLink® connection : → 2 platform diameters: N: Ø4.0 / R: Ø4.8 → Non-indexed flat connection → M2.8 threading

• Bar-type restoration for removable

prosthesis : → 2 platform diameters: N: Ø4.0 / R: Ø4.8 → Non-indexed flat connection → M1.6 threading

Retaining ring

Lock (guide)

Axiom® TL implant

Prosthesis

Prosthesis

Axiom® TL implant

Axiom® TL M1.6 screw

Bar

Axiom® TL implant

M1.6 Axiom® TL bar screw

Trilobe

Connections available

Indexed flat M1.6 connection Non-indexed flat connection

(inLink®) Non-indexed flat M1.6

connection

Single-unit prosthesis X IMPOSSIBLE IMPOSSIBLE

Multiple-unit screw-retained prosthesis

IMPOSSIBLE X IMPOSSIBLE

Implant bar IMPOSSIBLE IMPOSSIBLE X

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1. Order via WebOrder Login on the following page: https://weborder.anthogyr.com/register/En

→ Technical Support will quickly provide you with an ID (username and password) to access Anthogyr WebOrder.

→ All orders (via file or form) must go through WebOrder.

→ WebOrder allows you to track in real time the following steps:

2. Preparation of the master model → Use extra hard plaster without adding resin or polymer.

→ Remove all traces of silicone oil from the analogue or the bite registration.

→ If a base is used, it must be easy to disassemble to facilitate removal before scanning.

→ Prepare models with removable soft tissue complete on all prosthesis contact areas, and remove all traces of

insulation.

→ The implant analogues must be stable and intact. (No shocks, scratches, dirt).

→ The implant platform should extend about 2 mm above the plaster:

→ Confirm the model using a plaster validation key.

WebOrder

Modelling

Shipping Finishing

Check Production

Receipt of a

form

Design approval

(customer)

Receipt of a file

2 m

m

OK NO

WARNING!

Assembling an abutment on an implant analogue is contraindicated. Use adequate conical abutment analogues.

Example of a direct implant

Example of Multi-Unit abutment

2 m

m

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3. Order by submitting a file

A. CAD SOFTWARE COMPATIBLE

Technical Support will assist you with the installation of the Anthogyr and MPS implant platforms library on your

system .

B. CAD-FILES (DESIGN FILES)

The following table shows the types of files to submit via WebOrder according to the software used:

For the FAM, you should still transfer the files with the prep line

For the ExoCAD® software, everything already is included in the file .constructionInfo.

C. SCAN FILE

This option allows the customer to leave the design step to Anthogyr SA (Mersch).

The files to submit are:

→ Master model

→ Opposite

→ Scan adapter or preparation

→ Occlusion

The file formats to send are as follows:

→ STL

→ DCM

ExoCAD® 3Shape® DentalWings®

.stl X X X

.constructionInfo X - -

.xml - X X

→ With Version "Engine Build 4138" and above

→ With Version 2014 and above

→ With Version 2.9 and above

3Shape® DentalWings®

.pts X -

.pol - X

WARNING! - Following the “automatic” digitisation protocol, do not add manually digitised images. - Use a scan-adapter for each connection during the digitisation process. - The impression file must not contain any errors (e.g. : Artefacts, missing information, etc.): If the impression contains too many errors, we will require you to send us the actual physical model for the preparation of the case.

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D. LIMITATIONS OF WARRANTY

Anthogyr reserves the right to withdraw the Serenity® guarantee if one of the following elements is found on a submitted

STL file:

→ Abutments + bridge order without sending the model.

→ The design does not comply with the design limits defined in this guide.

→ STL file with connections referenced in our compatibility list as not guaranteed for the multiple-unit or zirconia

prosthesis.

4. Order by submitting a model

A. ELEMENTS TO SEND FOR DIGITISATION

→ Master model with removable soft tissue

→ Master model validated with a plaster key

→ Opposite

→ Wax up

→ Tick the “transport” option to have Anthogyr organise the delivery of the elements

required by the laboratory to Anthogyr S.A.

B. VALIDATION OF MODELLING

→ Available on PC/Mac, tablet or smartphone

→ Please have your Anthogyr WebOrder login credentials at hand. (If you can’t remember them, please contact

Technical Support).

View: → Click on the validation link emailed to you.

→ Connect to Anthogyr WebOrder. https://weborder.anthogyr.com/start:

→ Click on Design Validation.

→ Select the order, then click on View or Export.

View will display the Viewer 3D ExoCAD® directly on the Internet, but it will no longer be available after validation as it

won’t be downloaded. (Save the link if you wish to view it after validation, as it will be available for 90 days).

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Validation, Modification: After viewing the design, you can validate it, request a modification or ask

to be contacted by Technical Support.

Upon receipt of a file awaiting validation, you will receive an email and an

SMS to inform you that your work is awaiting validation.

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C. PLACEMENT IN ARTICULATOR

The table below lists all the articulators used by Anthogyr SA (Mersch).

D. LIMITATIONS OF WARRANTY

Anthogyr reserves the right to withdraw the Serenity® guarantee if one of the following elements is found

on the model sent: → Master model that does not show the occlusion.

→ Implant-supported master model without removable soft tissue (does not allow to control passivity).

→ Multiple-unit implant-supported master model without wax-up.

→ Single-unit implant-supported master model without wax-up or opposite.

→ Master model with several analogues referenced in our implant compatibility list as not guaranteed for multiple-unit

or zirconia prosthesis.

→ Master model with one (or more) analogue(s) presenting traces of grinding or wear that cannot guarantee passivity.

→ Master model with at least one movable analogue in the plaster.

→ Master model with at least one analogue covered in plaster or too close that does not allow the placement of scan-

adapters.

→ Master model sectioned for implant-supported multiple-units.

→ Master model with inLink® conversion abutments (scan-adapters are assembled on analogues only).

→ Master model with a screwed-cemented case on conical connections.

Articulator available at Anthogyr

Brand Base Photo

Artex Amann Girrbach

Articulator

Sam Articulator

Quick Master

Fag Articulator

ASA Articulator

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5. Delivery times Please see the table at the following address:

https://www.anthogyr.fr/sites/default/files/fr_2020-01_delaisdelivraison_simedaconnect.pdf

NOTE: Our lead times are based on working days. Our production times are based on standard projects. Large or specific orders may increase production times. The production times stated are based on average maximum hours required. Your order(s) will be completed sooner if production schedules allow it. The 3:00 pm on D0 deadline for orders is

determined according to our production organisation.

For information purposes, current lead times are provided below:

IMPLANT-SUPPORTED PROSTHESIS

TOOTH-SUPPORTED PROSTHESIS

* Manufactured by Vita

** Manufactured by IVOCLAR VIVADENT

WARNING! Standard lead times apply to CAD-files uploaded on WebOrder before 3:00 pm GMT +1(Luxembourg). Standard lead times apply to scan-files uploaded on WebOrder before 12:00 pm GMT +1(Luxembourg).

Machined titanium

CoCr

Sina Z, Sina T, Sina ML zirconia

IPS e.max CAD®** VITA ENAMIC®* VITA SUPRINITY

PC®*

PMMA Additive titanium

Abutment, screw-retained tooth D+2 D+2 - - -

Abutment + cap D+4 D+4 D+4 - -

Abutments + bridge < 6 elements D+4 D+4 - - -

Abutments + bridge ≥ 6 elements D+5 D+5 - - -

Implant bridge < 6 elements D+3 D+3 - D+3 -

Implant bridge ≥ 6 elements D+5 D+5 - D+5 -

Bar on 2 implants (Horix-Hader-Ackermann-Dolder)

D+3 - - - -

Bar ≥ 3 implants (Horix-Hader-Ackermann-Dolder)

D+5 - - - -

Suprastructure + prosthesis on stilts (Montreal, Wrap around)

D+5 - - - D+6

Titanium

CoCr Sina Z, Sina T, Sina

ML zirconia

IPS e.max CAD®** VITA ENAMIC®* VITA SUPRINITY

PC®*

PMMA

Crown D+2 D+2 D+2 D+2

Inlay, onlay, veneer D+2 D+2 D+2 -

Bridge < 6 elements D+2 D+2 - D+2

Bridge ≥ 6 elements D+3 D+3 - D+3

https://www.anthogyr.fr/sites/default/files/fr_2020-01_delaisdelivraison_simedaconnect.pdf

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Technical Support will assist you with the installation of the Anthogyr and MPS implant platforms library on your

system.

Anthogyr SA Mersch offers training in digitalisation and modelling of implant-supported products. For more information,

contact Technical Support.

1. Explanations For the sake of clarity, we will call “Scanner Set” this set comprised of the following: - Laboratory scanner - User - Scan-adapter

- Model

The conditions for sending the digital workflow from the scanner are met when the following criteria are met:

→ Validated user training

→ Adequacy of scanner for type of restoration and quality of scan adapters

→ Implant library installed

Based on this validation, the laboratory may send all its multiple workflows and benefit from the Serenity® guarantee.

2. Terms and conditions The users of a “not yet validated” Scanner Set who submit a project via digital file (project meeting the previous

conditions) without master model to verify the accuracy of the implant platforms, will not be able to obtain guarantee of

passivity on their model or in the patient’s mouth.

The responsibility of the laboratory for the conditions of use of its scanner still applies and the quality of digitisation depends on the conditions of use and recalibration of the scanner, the quality of the scan-adapters used and the strict

observance of scanning operations.

3. Validity Scanner Set validation remains effective until the customer detects a case of non-passivity. After 2 complaints of non-

passivity, Anthogyr may request a new scanner validation process.

Validation of your scanner

WARNING! If the model received does not meet the Anthogyr warranty criteria, no inspection will be performed.

WARNING! Failure to fulfil these conditions may result in the production of faulty prostheses, according to the laboratory.

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EQUIPMENT REQUIRED

Use the laboratory scan-adapters according to the type of project: → SAA: single-unit prostheses.

→ SAO: multiple-unit protheses.

→ SA: single-unit and multiple-unit prostheses.

The digitisation and design of prostheses without sending the model require the use of the latest version of Anthogyr’s

scan-adapters and the validation of your scanner.

PROTOCOL

When positioning the scan-adapter, ensure the analogues are clean (no scanning spray), are free from signs of wear or

shock and are steady in the model.

Remove the soft tissue when positioning the scan-adapter.

Secure the scan-adapters with the pink screws supplied and the specific tightening tool (Ref. SATOOL) by applying a

moderate torque (for more information, please refer to the user leaflet (063SAKIT_NOT) IFU code: 152-27-SAA.

Digitisation

Scan-Adapter tightening tool Laboratory Scan-Adapter

OK NO

WARNING! For multiple-unit protheses, position scan-adapters on both the master model and the analogue. If the model includes reflecting areas, use a scanning spray to avoid compromising the digitisation. Avoid spraying the scan-adapters. Avoid spraying the analogues. Verify the correct positioning of the scan-adapter. The scan-adapter platform should be touching the analogue platform.

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Perform the digitisation: → Calibrate the scanner.

→ Check the luminosity and height of the model.

→ Scan the required number of views.

→ Select the appropriate library for the implant platform.

For more details, please refer to the documentation received with the delivery of your system.

Perform the modelling according to your expectations and observing the design limits.

WARNING! The scanner should be placed on a steady surface, free from vibrations (e.g. a laboratory machining surface).

The scanner should be away from external light or heat sources. This can result in a loss of accuracy in the short or me-dium term.

Calibration is required on a daily basis before the first digitisation. After turning on the scanner, wait 15 to 20 minutes before calibration. Do not add any views on the scan adapter. For projects such as bridges on customised abutments, multi casts should preferably not be used. Scan the project by separating the abutments (preparation of a sectioned model).

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1. Indications and profiles available

INDICATIONS

→ Personalised implant abutments for single-unit restoration or multiple-unit

cemented restoration.

→ Personalised teeth for screw-retained single-unit restoration .

NOTE

By default, Anthogyr SA (Mersch) manufactures a standard anatomical profile (anatomical tooth shape with slight gum

compression).

2. Design limits → Some connections are not guaranteed in zirconia, please see the compatibility list:

http://www.anthogyr.fr/sites/default/files/simeda/implants-fr.pdf

MAXIMUM ANGULATION LIMIT COMPARED TO THE IMPLANT:

→ 37.5 degrees for cobalt-chrome and titanium.

→ 15 degrees for zirconia.

MAXIMUM TOTAL ABUTMENT HEIGHT (INCLUDING CONNECTION):

→ 24 mm in cobalt-chrome and titanium.

→ 19 mm in Sina Z/T/ML zirconia.

MINIMUM WALL THICKNESS:

→ 0.4 mm in the cobalt-chrome and titanium.

→ 0.6 mm in the Sina Z/T/ML zirconia.

Design of personalised Simeda® abutments

WARNING! Before sanding, protect the implant platform with an implant analogue and protect the gum profile with wax .

WARNING! All single-unit implant cases involving more than one tooth are contraindicated and not guaranteed.

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3. Specifications for customised abutments on

Axiom® BL & TL titanium base A. ABUTMENT OR SCREW-RETAINED ZIRCONIA TOOTH ON STRAIGHT

AXIOM® BL TITANIUM BASE

INDICATIONS

→ Customised Simeda® single-unit restoration in Sina Z/T/ML zirconia single-unit restoration on

titanium base with straight channel for Axiom® BL implant.

INFORMATION

→ The abutments are supplied attached to an Axiom® BL titanium base.

→ The single-unit screw-retained teeth are supplied unattached to the Axiom® BL titanium base.

→ Supplied with an Axiom® BL M1.6 screw.

→ Available in two diameters and several gingival heights:

B. ABUTMENT OR SCREW-RETAINED ZIRCONIA TOOTH ON STRAIGHT

AXIOM® TL TITANIUM BASE

INDICATIONS

→ Customised Simeda® Sina Z/T/ML zirconia single-unit restoration on titanium base with straight channel for Axiom®

TL implant.

INFORMATION

→ The abutments are supplied attached to an Axiom® TL titanium base.

→ The single-unit screw-retained teeth are supplied not attached to the Axiom® TL titanium base.

→ Supplied with an Axiom® TL M1.6 screw.

→ Available in two platform diameters: N (Ø4.0) /R (Ø4.8):

∅ 4.0 ∅ 5.0

HG (mm) 1.2 1.5 2.5 3.5 1.5 2.5 3.5

Sandblast compatible part refer-

ence

OPFLEX403 OPFLEX413 OPFLEX423 OPFLEX433 OPFLEX513 OPFLEX523 OPFLEX533

N (∅ 4.0) R (∅ 4.8)

Sandblast compatible part reference TFLEX-N TFLEX-R

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4. Specifications for AxIN® screw-retained teeth

INDICATIONS

→ Customised Simeda® Sina Z/T/ML zirconia single-unit restoration on AxIN® titanium

base with up to 25° Angulated Access.

INFORMATION

→ On Axiom® BL implant or on Axiom® TL implant.

→ Screw-retained restoration with no cement or adhesive.

→ On Axiom® BL implants, the AxIN® solution is contraindicated in the molar sector on an

AxIN® base 1.5 mm thick, with a Ø4.0 and Ø5.0 mm. diameter

→ The AxIN® solution is contraindicated in the molar sector on a TL implant with a 1.5 mm

neck height on platforms N and R.

NOTE: The AxIN® prosthesis is supplied with its permanent base and screw.

Handle AxIN® bases carefully.

A. DIGITISATION OF THE MASTER MODEL

EQUIPMENT REQUIRED

→ The screw supplied with the implant analogue should not be used in case of an AxIN® restoration.

PROTOCOL

→ Digitalise the platform using the Scan Adapter with an Anthogyr SA Mersch approved laboratory scanner by selecting

the appropriate library.

B. PROSTHESIS DESIGN

→ Design the abutment with an open CAD software or with a wax-up:

- Angulated access up to 25°

- Minimum height of the zirconia crown on an AxIN® base: 4.9 mm

- Minimum diameter of the zirconia crown on an AxIN® base: 4.5 mm

C. PREPARATION OF THE PROSTHESIS

Please see the Axiom® Multi level® prosthesis manual, available on the website ifu.anthogyr.com (search code: AXIN152-27-B41, for example).

For Axiom® TL For Axiom® BL

Scan-Adapter tightening tool SATOOL-01

Laboratory Scan-Adapter 152-27-SAA

Implant analogue TA100-N / TA100-R

Implant analogue OPIA100

Laboratory Scan-Adapter 156-0X-SAA

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INDICATIONS

→ Implant bridge designed to be ceramic coated directly or covered with single-unit crowns for each tooth.

PROFILES AVAILABLE

*The anatomical implant bridge design in Zirconia Sina -Z (Z1) is not recommended for aesthetic reasons, please prefer

a realization in Sina-T (Z2) or Sina-ML (Z3).

Possibility of creating: → emergence profiles at the implant level

→ lingual retainers

→ occlusal rests

→ ceramic supports around the screw channels

→ angulated screw channels for specific connections

For cobalt-chrome bridges, please refer to the instructions “Technical properties of the Simeda® cobalt-chrome alloy

and recommendations for ceramic coating” available on the Anthogyr website.

Design of Simeda® implant bridges

Thimble Crown

→ Implant bridge with preparation for single-unit cemented crowns

Implant bridge

→ Implant bridge for the homothetic reduction of the prosthetic project

Anatomical implant bridge*

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2. Design limits

LENGTH OF PONTICS :

→ Extension length: e ≤ 11 mm (all materials).

→ Length of internal pontics: p ≤ 35 mm for metal; p ≤ 21 mm for Sina Z/T/ML zirconia.

MINIMUM WALL THICKNESS :

→ 0.5 mm for cobalt-chrome and titanium.

→ 0.6 mm in Sina Z/T/ML zirconia.

MINIMUM TRANSVERSAL CONNECTOR SECTIONS (ALL MATERIALS):

→ Front teeth: up to 21 mm: 9 mm²,

over 21 mm: 12 mm².

→ Back teeth: metal: 9 mm², zirconia: 12 mm².

MAXIMUM HEIGHT OF THE IMPLANT BRIDGE:

→ 24 mm in cobalt-chrome and in titanium.

→ 19 mm in Sina Z/T/ML zirconia.

Implant platforms

e

p

WARNING! The bi-maxillary zirconia bridges are contraindicated and not guaranteed.

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3. Specifications for customised prostheses with

inLink® connection

INDICATION

→ Multiple-unit screw-retained prosthesis in titanium, cobalt-chrome or Sina Z/T/ML

zirconia.

INFORMATION

→ On Axiom® BL+inLink® abutment or on Axiom® TL abutment.

→ Free angulation between 0° and 25°.

→ Implant platform N (Ø4.0) or R (Ø4.8).

Note: Each prosthesis is supplied with its permanent locks. The laboratory locks must

be ordered via WebOrder.


EQUIPMENT REQUIRED

PROTOCOL

→ Digitise the platforms using scan-adapters with a laboratory scanner validated by Anthogyr. (please see section

“Digitisation”).

→ To reduce to a minimum the volume of the prosthesis in the vestibular and lingual area,

place the Scan-Adapter laser markings in the prosthetic groove.


→ Design the frame with CAD software or with a wax-up created on temporary abutments.


Please see the Axiom® Multi level® prosthesis manual, available on the website ifu.anthogyr.com (search code: ILL100, for example).

The laser marking on the top of the Scan-Adapter determines the position in the prosthesis of the future machined groove.

Machined groove housing the inLink® lock ring.

Laboratory Scan-Adapter 156-0X-SAO


Implant analogue TA100-N / TA100-R

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Multi-Unit Angulated Access INDICATION

→ Multiple-unit screw-retained prosthesis in titanium, cobalt-chrome or Sina Z/T/ML

zirconia.

INFORMATION

→ Possible screw channel angulation at 0°/10°/15°/20°/25°

→ 2 platform diameters: N: Ø4.0 / R: Ø4.8 for Multi Unit Axiom® BL abutment

→ MPS Platform: please see the implant compatibility list.

Note: For any prostheses supplied with at least one angulated screw channel, use Angulated Access permanent screws for all screw channels and a cylindrical prosthetic

ancillary.


EQUIPMENT REQUIRED

PROTOCOL

→ Digitise the platforms using scan-adapters with a laboratory scanner validated by Anthogyr. (please see section

“Digitisation” and the implant compatibility list for MPS platforms).


→ Design the frame with CAD software or with a wax-up created on temporary abutments.


Note : Each prosthesis is supplied with a gripper and its own permanent screw.

The laboratory screws must be ordered via WebOrder.

Please refer to the instructions “Technical properties of the MUAA screw” or to the instructions on the Multi Unit

angulated access channels available on the website ifu.anthogyr.com (search code: MUAA140, for example).

WARNING! The permanent prosthetic screws and the gripper are intended solely for the use of the practitioner.


Laboratory Scan-Adapter 151-03-SAO / 151-04-SAO

Implant analogue MUNA100 / MUA100

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INDICATIONS

→ Preparation of a fixed resin prosthesis on machined or additive titanium superstructure.

NOTE: clips or female parts are not supplied by Anthogyr.

PROFILES AVAILABLE

Design of superstructures type Simeda® implant

stilt

Profiles available Name Design option

Montréal

superstructure Retention

Gingival/lingual retainer

Wrap-around

superstructure Retention

Canada Superstructure

(T profile)

Retention or horizontal drilling

Gingival retainer

Polished surface

Wrap-around superstructure

Montréal superstructure Canada Superstructure

(T profile)

WARNING! To have a mucosal contact or a slight gingival compression, a model should be made with soft tissue on the entire con-tact surface, otherwise a 0.3 mm space will be applied.

Additive titanium

Surface available Rough Textured

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Possibility of creating: → emergence profiles at the implant level.

→ lingual retainers.

→ occlusal rests.

→ angulated screw channels for specific connections.

→ a rough or textured surface (in additive titanium only)

2. Design limits

MINIMUM SURFACE SECTION:

→ 12 mm² or minimum 4 mm diameter.

LENGTH OF PONTICS :

→ p ≤ 46 mm

EXTENSION LENGTH:

→ In case of a Wrap-Arounds bar: e ≤ 30 mm.

→ In case of a Montréal bar: e ≤ 40 mm.

→ In case of a Canada bar (T profile): e ≤ 40 mm.

SPECIFICATIONS FOR ADDITIVE TITANIUM PROSTHESES:

→ In case of a superstructure with textured surface, a 0.3 mm maximum overlay is applied on the textured area.

3. Specifications for customised Simeda® prostheses

with inLink® connection Please see page 24.


Angulated Access Please see page 25.

Implant platforms

e

p

28

1. Implant bars for clips

A. INDICATIONS AND PROFILES AVAILABLE

INDICATIONS

→ Stabilisation of a removable prosthesis.

NOTE: clips or female parts are not supplied by Anthogyr.

PROFILES AVAILABLE

Design of implant bars for Simeda® removable

prostheses

Ackermann® Bar Dolder® Bar

Profiles available Name Gingival contact Dimensions Design limits

Dolder® Y micro-resilient (mini)

NO H : 2.20 mm Ø 1.60 mm

Maximum extension : 6 mm Length of pontics : 35 mm

Dolder® Y macro-resilient

(standard) NO

Ø 2.20 mm H : 3.00 mm


Dolder® U

micro-rigide (mini) YES

Ø 1.60 mm H : 2.20 mm L : 160 mm


Dolder®U macro-rigide

(standard) YES

Ø 2.20 mm H : 3.00 mm L : 2.20 mm


Preci-Horix®; Hader®

YES Ø 1.80 mm

H min: 2.80 mm L : 1.00 mm


Ackermann®; Bredent

NO Ø 1.80 mm


NO Ø 1.90 mm

NO Ø 2.00 mm

Polished surface

WARNING! Only the dimensions of the profiles available are guaranteed. In case of CAD Files, use the appropriate library.

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B. DESIGN LIMITS

EXTENSION :

→ See the previous table.

LENGTH OF PONTICS :

→ See the previous table.

MINIMUM WALL THICKNESS :

→ 1 mm if cantilever extension with clip.

MINIMUM THICKNESS BETWEEN THE SURFACE OF THE INTERNAL SCREW HEAD AND THE

SURFACE OF THE EXTERNAL CYLINDER :

→ > 0.25 mm when using distal implants.

C. SPECIFICATIONS FOR CUSTOMISED PROSTHESES ON AXIOM® TL

PLATFORM

→ When manufacturing a bar for clips on Axiom® TL implants (Implant platform 156-05-SAO and 156-06-SAO), the non-indexed

M1.6 connection must be used.

→ Specific laboratory screws (Ref. TS162P-2 and Ref. TS163P-2) must be ordered via WebOrder, Accessory section.

WARNING!

This type of prosthesis cannot be manufactured on inLink® abutments screwed on Axiom® BL because the inLink® abut-ments lack the M1.6 thread.

Implant platforms

e

p

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2. Implant bars for attachments

A. INDICATIONS AND PROFILES AVAILABLE

INDICATIONS

→ Stabilisation of removable prosthesis.

INFORMATION

→ Preparation of a removable resin prosthesis clipped on screwed attachments, cemented or machined in the primary bar. The retention is made with the female part of the attachment screwed, cemented or machined on the primary bar and the female part included in the secondary resin prosthesis (the secondary part is not made by Anthogyr SA

(Mersch)).

NOTE: Anthogyr does not supply any attachments .

COMPATIBLE SCREWED ATTACHMENTS

Bars with screwed or cemented attachments

Bars with integrated attachments

Brand and designation Visual Threading diameter

Threading size (mm)

Commercial reference

Anthogyr reference

Locator®

2.03 M2.0 Sodimed Ref :

8587-2 033OC01

Ot equator

2.25 M2.0 Rhein-83®

Ref : 039SFE2 033OC02

Normo Sphere

2.15 M2.0 Rhein-83®

Ref : 038SFN2 033OC05

Micro Sphere

2.15 M2.0 Rhein-83®

Ref : 039SFM2 033OC07

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COMPATIBLE CEMENTED ATTACHMENTS

COMPATIBLE INTEGRATED ATTACHMENTS

Brand and designation Visual Maximum length

(mm) Commercial

reference Anthogyr reference

Precis horix

5

Ceka® Ref : 1802

033OC72

7 033OC42

Precis vertex(Barre)

7 033OC61

Precis vertex(Bridge)

7 033OC62

Anchor M3

- Ceka® Ref : OL 0285 TI

033OC41

Vario Soft 3 (VS3)

7 Bredent® Ref :

430 0518 0 033OC53

Vario Kugel Snap (VKS)

7 Bredent® Ref :

430 0542 0 033OC54

Vario Soft 3 sv (VS3)

7 Bredent® Ref :

430 0518 0 033OC55

MK1

- MK1® Ref :

9600 033OC56

Brand and designation Visual Diameter of the

casing (mm) Commercial

reference Anthogyr reference

Titanium casing for micro Sphere

Ø1.60 Rhein-83®

Ref : 139KSFM 033OC06

Titanium casing for Normo Sphere

Ø1.60 Rhein-83®

Ref : 139KSN 033OC08

CEKA M2 (AXIAL-PRECI CLIX)

Ø2.0 Ceka® Ref : OL 0885 TI

033OC22

CEKA M3 (AXIAL-PRECI CLIX)

Ø3.0 Ceka® Ref : OL 0285 TI

033OC23

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B. DESIGN LIMITS

EXTENSION LENGTH :

→ e ≤ 8 mm

LENGTH OF PONTICS :

→ p ≤ 35 mm

MINIMUM SECTIONS :

→ Rectangular profile = minimum 4 mm height and 2 mm width.

→ Circular profile = minimum 3 mm diameter .

C. SPECIFICATIONS FOR CUSTOMISED PROSTHESES ON AXIOM® TL

PLATFORM

→ When manufacturing a bar for attachments on Axiom® TL implants (Implant platform 156-05-SAO and 156-06-SAO), the non-

indexed M1.6 connection must be used.

→ Specific laboratory screws (Ref. TS162P-2 and Ref. TS163P-2) must be ordered via WebOrder, Accessory section. .

WARNING! This type of prosthesis cannot be manufactured on inLink® abutments screwed on Axiom® BL because the inLink® abut-ments lack the M1.6 thread.

Implant platforms

e

p

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1. Tooth-supported restorations

→ Crowns.

→ Copings and bridges with 2 to 14 elements.

→ Inlays / Onlays and veneers.

→ Available en Titanium, Cobalt chrome, Sina Z/T/ML zirconia, Vita ENAMIC®, Vita SUPRINITY® PC, IPS e.max® CAD*.

2. Model preparation → Use extra hard plaster without adding resin or polymer.

→ Casts should have no cast spacer.

→ To facilitate the preparation of the occlusion, have an opposite model that can easily be positioned on the master

model. (Please refer to the list of articulators on page 14).

→ Eliminate all small air bubbles from the plaster on the occlusal surface.

→ Prepare a cervical limit well cleared and easily identifiable.

→ The various elements of the master model should be easy to disassemble (Casts/Adjacent tooth), and must not be

subject to rotation or shifting.

→ The casts should be free from major undercuts or air bubbles, to be able to fit the framework.

3. Design limits LENGTH OF PONTICS

→ 35 mm for cobalt-chrome and titanium.

→ 21 mm in Sina Z/T/ML zirconia .

MAXIMUM EXTENSION

→ 10 mm (all materials).

WALL THICKNESS

→ 0.5 mm for cobalt-chrome and titanium.

→ 0.6 mm in Sina Z/T/ML zirconia.

MINIMUM CONNECTOR

→ 9.0 mm² for cobalt-chrome and titanium.

→ 12 mm2 in Sina Z/T/ML zirconia.

* Please refer to the instructions “Technical properties of the Sina Z/Sina T zirconia and Sina ML zirconia” and “Technical properties of the Simeda® cobalt-chrome alloy and recommendations for ceramic coating” available on the

Anthogyr website.

Design of tooth-supported prostheses

WARNING! The bi-maxillary zirconia bridges are contraindicated and not guaranteed.

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NOTES

35


NOTES

A Anthogyr SA

8, um Mierscherbierg L-7526 Mersch - Luxembourg Tél. +352 266 404 1 Fax +352 266 404 44

www.anthogyr.com

Photo credits: Anthogyr - All rights reserved - Actual products may vary Medical devices for use by dental professionals. Please read the instructions and user manuals thoroughly

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HOW TO CONTACT TECHNICAL SUPPORT

Telephone: (+352) 266 404 1

Email: [email protected]

Web: www.anthogyr.com Rubrique Digital / Le Service en + / Support Technique

https://www.anthogyr.fr/digital/wrapper/le-service-en/support-technique-cad-cam-anthogyr

https://www.anthogyr.fr/digital/wrapper/le-service-en/support-technique-cad-cam-anthogyr

Customised prosthesis design manual

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