From: Terry Pannkuk
To: ankylos@rxdentistry.com
Sent: Thursday, May 06, 2010 6:01 AM
Subject: Commercial or Science?

This is the type of thing that raises my eyebrows:  the artistic representation of the Ankylos having perfectly
flat bone with absolutely no crater or even slightly above the abutment connection versus the Astra placed into an
osseous crater.  These are beautiful drawings but are these an Ankylos commercial?

I just simply want to see 5 year post treatment results to see if the bone still looks that way.  Enquiring minds
want to know.   If this system can hold bone into the Morris taper slot gap like it’s drawn, I’ll buy the system
tomorrow and junk my Astra. -  Terry



Terry, Here is a 5 year post op of an Ankylos.
I think it looks like the drawing of Dr. Ciabanu.
Don't scrap your other system...that's not the point.  I just want to show you that these results are attainable.
By the way, when you said you wonder if the system can hold the bone in the Morris taper slot...you may have
trouble finding the definition of that...it's Morse taper - Barry



Terry...you are putting too much weight on a graphic artists illustrations.  yes the graphic artist is talented,
yes he is a dentist by training, but still illustrations are just that...illustrations.  and these particular
drawings we not done on behalf of the company (TDS) rather by an individual placing the fixtures.

If you want radiographic evidence of bone over the shoulder of an Ankylos implant, I can provide it.
If you want histological evidence of bone over the shoulder of an Ankylos implant, i can provide it.
If you want radiographic evidence of bone loss (cratering) around many other 'traditional' systems i can provide
as well as refer you to a lot of lit which supports this.
and yes there are 5 year post treatment results...gosh the implant system is older than NBC RS.

just about to jump on a plane to fly to the far off land of Edmonton (yes it snowed there yesterday) give a private
teaching to another Ankylos convert...got my Kool-Aid and we will drink it together tomorrow.

a little tongue in cheek humour. - Dwayne

Start buying the Akylos set, you are going to be amazed!!
Met vriendelijke groeten, Jaap-Wim Spaargaren

Terry, this is not my case, it comes from Frankfurt University. This shows the bone levels with a distal cantilever
on a severe bruxer after 8 years. See how stable the bone has remained!!! I have been using it for over 5 years and
the referrals have accepted the system pretty well, even though they were use to another system. Trust me, you will
recommend the best treatment for endo and they do not question you because of your expertise and knowledge that
it is the best option for the patient. Read the science and studies behind it, tell them to let you place this type
of implant for your patients and that you will make them familiar with the restorative aspects of it. I provide them
with a prosthetic kit so that they do not have to buy anything, once they uncover the first one and see how clean it is,
the great tissue that they have around the implant and abutment, you will make them a believer. When I started many
years ago I had the same opposition to the "NEW" system ( around since 1987 ), but if they trust you as I know they do,
it will work beautifully for you. If you want the system Victor Onwudiwe and he can send a rep to your area, he is on
the forum. Good luck with everything my friend. - Jose

P.S. Do not throw your Astra implants away, put them on E-bay!!




Jose, just had a chance to see the x-ray.
Indeed very nice long term result - but same result is achievable with systems as well as long as occlusion
correctly managed. -  Liviu

Liviu, you are a 100% correct and I understand that by re-establishing the anterior guidance to help in the
dis-occlussion of the posterior teeth you achieve this result, but what I have seen with other systems is that
you still need the implant in slight under-occlusion to protect it and even still the screw sometimes comes loose.
Frustrating, with the Morse taper connection I have not seen that happen. Thanks for your comments and expertise
in this matter, hope to see you in Barcelona, take care my friend - Jose

Jose, thank you very much. I have attached one of my cases for your information.
Promise to look into the Ankylos system soon! :0) - Liviu