For genuine TissueCare. This means long-term stability for hard tissue and soft tissue, lasting esthetics and the certainty that you will see your patients laughing without the embarrassment of visible crown margins for many years to come.


Frequently asked questions and answers about ANKYLOS® C/X

Do you want to know more about ANKYLOS® C/X? We have collected the most commonly asked questions and answers for you here.

What does ANKYLOS C/X mean? (Product name)

The "C/X“ ending stands for the option of using the new implant as a tapered connection only (C/) as before or using it with the new indexed connection (/X) to position the abutment without a transfer tray. All components are identified accordingly on the label (laser-marking on the product): •Components that use the proven TissueCare Connection (tapered principle) as the connecting element between implant and abutment are marked with "C". •Components that use the index in addition to the TissueCare Connection are marked with "X". •Components that can be used both for indexed and non-indexed prosthetics are marked with "C/X". Examples: M-17-3050 / 31024150 ANKYLOS Regular C/ abutment GH0.75/A0 = component is the version without index under the connection taper. M-17-3010 / 31024110 ANKYLOS Regular /X abutment GH0.75/A0 = component is the version with index under the connection taper. M-17-1301 / 31024010 ANKYLOS Regular C/X gingiva former 0.75 = component can be used for both indexed prosthetics and non-indexed prosthetics.

Does the index change the properties of the implant-abutment connection? (Product properties)

The properties of the TissueCare tapered connection are not changed. A location aid (index) is added to the well-known properties of ANKYLOS to locate the direction of the angulation of the prosthetics

What components are compatible with ANKYLOS C/X? (Compatibility)

ANKYLOS C/X implants must only be used with components that are laser-marked with "C/X“ "C/" or "/X“, or that belong to the following product groups: Balance Anterior and Posterior abutments, CERCON Balance, provisional abutments Balance, sulcus formers Balance Anterior and SynCone abutments. The use of incompatible components may result in fitting problems, reduction of fatigue strength or damage to the implant. Old abutment components of the following product groups that are not marked are not compatible: Standard abutments, Standard sulcus former compact, Balance Basis abutments, sulcus former Balance posterior, ball anchors, magnetic abutments (no longer in production), Permador abutments.

What happens with the existing abutments? (Compatibility)

All existing abutments have a laser marking "C/" since October 2008. The tapered connection has also been somewhat shortened with all abutments with the "long" tapered connection (i.e. Standard system, Balance Base, ball anchor, sulcus former Standard compact and Balance posterior) to prevent collision with the index. The product numbers remain the same but "C/" is added to the name of the product on the label (e.g. Standard abutment "C/" a/3.0/6.0).

How can "old" implants be restored? (Compatibility)

All prosthetic components marked with "C /" fit into the ANKYLOS plus implant (backwards compatibility).

How can the implants be identified in x-ray images? (Compatibility)

The implants can be distinguished by the following features in the x-ray image (particularly in 1:1 dental film): ANKYLOS C/X implants have an obvious step (index) between the top margin of the internal thread in the bottom section of the connection taper. Depending on the tilt of the implant toward the plane of the film the four grooves into which the adapter connects in ANKYLOS plus or ANKYLOS classic implants are visible. ANKYLOS C/X implants no longer have the four grooves.

What is changed with the indexing in the ANKYLOS implant system? (Clinical experience)

The complete implant system is not changed but the proven properties of ANKYLOS are supplemented. The indexing does not change the properties of the TissueCare Connection. The index is a location aid for the direction of the angulation of the prosthetics. All the studies and literature concerning ANKYLOS plus and ANKYLOS classic can still be cited, because the external shape of the implant body has not been changed.

What is new with the placement head? (Surgery)

The new placement head has a shoulder between the abutment and implant shoulder and therefore an obvious transition between the two components. The colored appearance of implant and placement head remains unchanged compared to the ANKYLOS plus implants with the implant being matte gray and the placement head machined silver. The new placement head has the same diameter as the A-implant, an important factor for preparation with guided surgery.

Has the implant body been changed externally? (Surgery)

The implant body is identical to the earlier version. The changes in the product affect the internal geometry between the internal thread and the connection taper. The new placement head grips the tapered connection and uses it to transfer the rotation forces. This means that the four grooves on the face of the implant for the adapter are no longer necessary and are therefore not part of the ANKYLOS C/X implants.

Are new instruments required for implant placement? (Surgery)

The new placement head requires new implant driver instruments (ratchet inserts in three lengths, motorized implant driver instruments in two lengths). The previous implant driver instruments with the internal square do not fit ANKYLOS C/X implants.

Has the overall height of the instruments changed? (Surgery)

The overall height of the implant placement head and implant driver remains the same, even though the new placement head is longer that the ANKYLOS plus adapter.

Have the ANKYLOS surgical kits been changed? (Surgery)

With the introduction of ANKYLOS C/X, the surgical kits have been fitted with the new insertion instruments and they now also have new product numbers for identification.

Why is the cover screw packed separately? (Surgery)

The new placement head grips the tapered connection, the cover screw is therefore no longer premounted in the implant but is now packed separately in the inner blister. Because the cover screw is mounted separately it has been changed. It now has an additional 1 mm hexagon under the internal thread. The 1 mm screwdriver is required for placement. The cover screw is removed with the current unscrew instrument. The membrane screws fit in the new cover screw.

Modified seating procedure (Surgery)

We observe and evaluate the introduction of the system as close to real time as possible to test its acceptance and to be able to respond quickly to questions. During this process we have noted that in some cases the placement head is difficult to remove. Therefore, we would like to provide some additional information on the mechanical behavior of the placement head.

How many prosthetic lines are available with ANKYLOS C/X? (Prosthetic)

Two prosthetic lines are available with ANYKLOS C/X: Components marked with "C/" that use the tapered connection only, and like the prosthetics on ANKYLOS® plus can be positioned freely in a 360° circle. Components marked with "/X" that can be aligned in the implant without a transfer tray using the index ("/ X"). Some components that can be used for both options are marked with "C/X" Some abutments for which an index would be useless are supplied without index only (e.g. SynCone or Balance Basis abutments)

Is the index used for rotation-locking? (Prosthetic)

The index is solely a location aid for transferring the alignment of the abutments from the master cast to the original implant. The rotation lock and stability is guaranteed solely by the keyed and friction-locked tapered connection, as has been impressively demonstrated by more than 20 years of clinical use.

How have the Regular abutments been changed? (Prosthetic)

The new Regular abutments have been improved in the areas that have been criticized with the Balance posterior abutments in the market (head volume, reversed gingiva curvature, lack of angulation). With the introduction of ANKYLOS C/X the Regular abutments will replace the Balance posterior abutments.

What must be considered when making impressions? (Prosthetic)

The indexed transfer posts have a lasered straining screw for screw retention like the prosthetic abutments. The transfer post is positioned in the index in the implant just like an indexed abutment and then screwed tight. A plastic screw extension is available to lock the screw channel. Once the impression material has set loosen the straining screw and make sure that it rotates. Then remove the tray. If you do not wish to transfer the index position, the transfer components of the Balance system (transfer post for transfer technique with "C/“ laser marking only) can be used. The well-known transfer components of the Balance system remain part of the product range. The transfer posts for open tray technique with bolt remain compatible with ANKYLOS C/X in all cases. The transfer posts for transfer technique are compatible only if they are laser-marked with "C/“ and the packaging is labeled with "C/". Products without marking will collide with the taper in the index when used with ANKYLOS C/X and would damage it

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