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Ankylos – Surgery

Surgical flexbility

The implant assortment for Ankylos provides you with the versatility you need to satisfy the requirements of each patient’s clinical situation. You will be supported throughout the surgical process by a simple step-by-step surgical protocol, allowing for either transgingival or submerged healing. 

Radiographic templates – transparent templates used to superimpose implant images upon radiographs in order to help you plan implant placement.

Conventional treatment planning

Conventional treatment planning

  • Templates are implant-specific and provide different magnifications that correspond to the radiograph magnification.

Surgical template – a thermoformed splint with radiographic balls that can be accurately repositioned in the patient‘s mouth is prepared: 

  • Can be subsequently modified to a conventionally fabricated surgical template.
  • The pre-prosthetic planning is simplified with pre-selected prosthetic components.
Simplant – Computer-guided treatment planning

Simplant – Computer-guided treatment planning

Simplant dental planning software provides you with accurate and predictable surgery options. It will help you to assess your patients’ anatomy and its exact relationship to the proposed restoration. Treatment planning is easily communicated to your dental team, your dental laboratory, and the patient – everyone can see and understand what the treatment entails.

Learn more about Simplant

Ankylos C/X implants

Ankylos C/X implants

Ankylos C/X implants are available in four diameters and six lengths. The practical size classification makes them suitable for all indications in dental implantology with a manageable number of implants. Individual implants are identified by a capital letter for diameter and a number for length (6.6–17 mm). Color-coding is used to identify the implant diameter. Site preparation instruments are also color-coded. 

Sterile packaging

Ankylos C/X implants are supplied in a double-sterile blister package with an outer carton. This type of package offers the maximum possible product safety in conformance with the increasingly rigid requirements for medical devices. The packaging also makes it easy to store all products for quick retrieval and they are easy to handle during the surgical procedure: Included with each implant is a cover screw and pre-mounted placement head.

Diameters and lengths

Diameter and Lengths

The surgical kits for Ankylos are made from plastic and feature a modular structure including all instruments required for the standardized surgical protocol. The light plastic trays with organizers integrated into the cover for holding used instruments define a specific user sequence during surgery. All instruments are securely held in silicone holders.

Three types of surgical kits are available for Ankylos

  1. Machine-driven protocol (A and B implants only) – includes instruments for motor-driven placement of Ankylos A- and B-implants (diameter 3.5 and 4.5 mm).

  2. Manual insertion protocol – includes instruments for placement of Ankylos A- and B- or A-, B- and C-implants with manual final preparation; instruments for motor-driven final preparation are only available for A- and B-implants; similar to other drill modules, a drill module for C- and D-implants (manual) can be ordered separately and added to the kit.

  3. Guided surgery protocol – includes instruments in 8–14 mm lengths for template-guided placement of Ankylos C/X A- and B-implants; the Sleeve-on-Drill sleeves required for use with guided surgery must be ordered separately.

Ankylos instrument set

An essential precondition for a successful implant placement is your accurate and atraumatic preparation of the bone at the implant site. The instrument set for the Ankylos implant system contains precisely designed and shaped instruments ideal for your site preparations.

Tri-Spade Drills (twist drills)

  • Implant-diameter specific
  • Multiple-use twist drills 
  • Top and bottom edges of the ring markings indicate the implant lengths
  • Areas below the 6.6 mm, and between the 8/9.5 mm and 11/14 mm markings, shaded to improve orientation
Conical Reamers

Conical Reamers

  • One reamer per implant diameter and length
  • Used for conical expansion of the depth drilling in the crestal region
  • Can also be used counterclockwise for bone condensation where bone density is low (manual reamers)



  • One tap per implant diameter can be used for all implant lengths
  • For tapping the implant site
  • It is not necessary to tap where the bone density is significantly reduced

After you have prepared the implant site, you will follow a step-by-step drilling protocol for atraumatic placement of Ankylos.

Depending on the clinical situation, you can follow either the transgingival or the submerged healing protocol. With transgingival healing of the implants, a second surgical procedure is not necessary. Simultaneously, you can take advantage of the regeneration potential of soft tissue for creating the ideal emergence profile.

Bone smoothing

1. Bone smoothing

After mobilization of the mucoperiosteal flap sharp bone crests are lightly smoothed with the internally irrigated round drill. 

Pilot drilling

2.  Pilot drilling

The direction of the implant is defined with the twist drill.

Depth drilling

3. Depth drilling

The top edge of the ring markings indicates the implant lengths. The Tri-Spade drill A is always used first. When placing B, C or D-implants the hole is expanded in ascending order.

Operation of the conical reamer motorized or manual

4. Operation of the conical reamer motorized or manual

The conical reamer is inserted into the drilled hole and preparation is started with clockwise rotation without high pressure.

Operation of the tap motorized or manual

5. Operation of the tap motorized or manual

The thread is prepared clockwise.

Removing the implant from the packaging and placing the implant driver

6. Removing the implant from the packaging and placing the implant driver

Placing the implant motorized or manual

7. Placing the implant motorized or manual

Disassembly of implant driver and placement head

8. Disassembly of implant driver and placement head

Hold the placement head with an open-end wrench, slacken the clamping screw of the placement head with the 1 mm hex screwdriver. Round drills and twist drills are operated at 800 rpm (revolutions per minute). For motorized operation the maximum speed is 15 rpm, the maximum torque 60 Ncm.

Keep the inner blister horizontal with the sealing foil upwards when opening and keep it after removal of the implant holder; it contains the cover screw of the implant, which is mounted after implant placement for submerged healing. The maximum speed is 15 rpm, the maximum torque 50 Ncm.

Submerged healing

9a. Submerged healing

If the implant is planned for submerged healing, the cover screw must be placed after removal of the placement head.

Transgingival healing

9b. Transgingival healing

If transgingival healing is planned for the implant, a gingiva former of corresponding in gingival height and planned prosthetic range must be placed after removal of the placement head.

Download Surgical manual to learn more.