Xive - Dentsply Sirona Manual

Xive®
Prosthetic Manual
Smartness
in practice
Xive provides flexibility, smartness and userfriendliness
to dental professionals favoring the advantages of a
hexagon interface connection.
The system was originally developed in a unique

and pioneering collaboration between clinicians
and industry. Experience met innovation with one
common purpose – to develop an implant system
that is as intuitive as it is efficient, delivering reliability
and peace of mind to dental professionals and their
patients worldwide.
2
Xive®
CONTENTS
System concept 4
Treatment planning 8
Implant healing & exposure

Implant healing 12
Implant exposure 14
Soft tissue management and temporary solutions 15
Xive® S prosthetics
Basics of Friadent® / Xive® S prosthetics 24
Xive® S prosthetic navigator 27
Impression taking 34
Impression taking on implant level 36
Impression taking on abutment level 42
Restorations with Xive® S

Single tooth crowns 46
Fixed solutions for larger tooth gaps and the edentulous jaw 66
Removable solutions for the edentulous jaw 86
Xive® TG prosthetics
The basics of Xive TG prosthetics 106
Xive TG prosthetic navigator 108
Impression taking with Xive TG 110
Restorations on Xive TG implants 112
Please read this manual carefully before using the system for the first time and observe the
directions and notes in the instructions for use of the system components and instruments
at all times. We also recommend that all users attend a training course in the system before
using a new implant system for the first time.
3
System concept
Comprehensive
implant selection
Xive® implant diameters and lengths
Whether the narrowest gap or edentulous jaw, hard or

soft bone, single or two stage, immediate or delayed
loading, Xive helps you achieve outstanding and pre-
dictable results for every case. With a comprehensive
range of implants from 3.0 mm up to 5.5 mm diameter,
and 8 mm up to 18 mm length, the bone-specific
preparation protocol and wide range of prosthetic
options available with the system is appreciated by
dental professionals around the world.
The wide range of implant diameters and lengths in
combination with the cylindrical implant body opti- Color coding
mizes the available bone volume – even in anatomi-
cally complex situations. In many cases additional Each Xive implant diameter is identified by different
grafting procedures are not necessary. color-coding, which can be found on all implant
In addition to the subgingival Xive S cylindrical packages, instruments and prosthetic components.
screw implants, the Xive implant range also includes The color-coding makes it easy to identify the
the option of transgingival Xive TG implants. The diameter and select the right prosthetic components.
endosseous section of both types of implants is
identical, which means that preparation for both
implant types uses the same instruments. The D 3.0 D 3.4 D 3.8 D 4.5 D 5.5
selection of type of implant to use can then be
decided during the surgical procedure. Bronze Silver Yellow Blue Red
4
System concept
Xive® implant-abutment connection
Xive® S: Xive® TG:

The deep, internal hexagon connection The extended implant neck with
external square
The deep, internal hexagon Xive S implant-abutment Xive TG extended implant neck and external square
connection locks the prosthetic components in the connection permit
implant by transferring lateral forces directly from the
internal geometry of the implant via the abutment. • Clear and fast positioning of the abutment
due to eight positioning options
Xive S implant-abutment connection permits
• Simplicity of use and prosthetic flexibility
• Clear and accurate positioning of the abutment due to one prosthetic diameter (D 3.8) for all
due to six positioning options implant diameters
• Rotation lock due to internal hexagon • Optimal platform for the premium and cost-
effective full arch restorations with Atlantis
• Stability due to 3.5 mm deep parallel guide surfaces patient-specific bar or bridge suprastructures
in the implant and wide plateau on the implant face due to extended implant neck
• Wide range of restorative options • Avoiding of gingiva irritations due to prosthetic

protocol on gingiva level
Once the Friadent abutment screw is tightened, it is
not exposed to any horizontal stresses. This effectively • Surgical flexibility due to same drilling procedure
prevents screws from loosening and breaking. as Xive S
Transgingival area
Friction area
Condensation area
Cutting area
Deep, internal hexagon implant-abutment connection with Xive S and Xive TG with self-cutting threads
rotation lock and special core design for internal condensation
5
System concept
Easy and versatile prosthetics
The Xive® Esthetic concept – The multifunctional TempBase 3-in-1

Individualized contouring of the concept
emergence profile
For the highest level of function and esthetics, a The multifunctional TempBase is delivered premounted
treatment concept using anatomically designed com- on all Xive S implants as a placement head. It can
ponents is ideal. The Xive Esthetic concept consists then be used as a temporary abutment. Since there
of four treatment steps for using pre-fabricated, yet is no changing of components, there is no additional
customizable, components of the Xive system. The compromise to the surrounding tissue structures
surgical protocol is adapted to the bone quality, and or additional costs. The pre-fabricated, clippable
an emergence profile is created using the unique TempBase Cap ensures a fast and easy temporary
TempBase. During impression taking, the contoured restoration closest to that of a final crown with a
emergence profile is captured with an individualized single-stage chairside procedure immediately after
transfer coping. The final restoration can be fabricated implant placement.
using either the option of a patient-specific Atlantis
Abutment or a two-piece option with the Xive In the case of submerged healing, an impression can
TitaniumBase. be taken using the TempBase directly after surgery.
The dental laboratory can use this impression to
Xive® TG and Atlantis® – fabricate a high-quality, precision-fit temporary
Premium and cost-effective full arch restoration during the healing period, which can then
restorations be immediately placed after second-stage surgery.
Atlantis patient-specific bar or bridge suprastruc-

tures on transgingival Xive TG implants provide all the
benefits of function and esthetics and cost-effective-
ness. The one-stage surgical protocol saves time and
money and is comfortable for the patient. Due to the
transgingival implant design, additional abutments for
prosthetic restorations are no longer necessary. The
prosthesis can be restored at the gingival level with a
tension-free Atlantis bridge or bar-supported restora-
tion.
Temporary
restoration
Implant placement
and index registration
Xive TempBase and Friadent

Atlantis Abutments Atlantis implant suprastructures TempBase Cap
6
System concept
The Platform-Switch concept – The SmartFix® concept –

experience the freedom in prosthesis The prosthetic solution on angled implants
fixation
Some factors that impact bone level and soft tissue The SmartFix concept is a time-saving treatment
health around the implant are construction-related for immediate loading on four implants with screw-
and can have a large effect on treatment success. retained restorations. It provides a stable prosthetic fit
and avoids critical anatomical areas by using implants
For example, the use of diameter-reduced abutments, placed on an angle, provided with 15° or 30° angled
referred to as “Platform-switching” (PS), can help to Xive MP Abutments.
maintain bone levels and soft tissue health.
For prosthetic restorations, either a conventionally-
Bone maintenance with Platform-Switch fabricated superstructure or Atlantis suprastructures
with a high precision fit can be selected.
The specific design of the beveled, polished implant
collar with the integrated option for platform-switch-
ing is a key feature of the Xive design. In combination
with the use of reduced-diameter abutments, this
results in a positive effect on peri-implant tissues. To
achieve a successful restoration following the plat-
form-switching concept, it is essential not only to use
the reduced-diameter final abutment, but also to start
with a reduced-diameter Cover Screw and continue
with the corresponding prosthetic components. The
Xive prosthetic portfolio includes all of these compo-
nents.
7
Treatment planning
Aspects of
treatment planning
Treatment planning is based on a comprehensive The following points must be considered:

consultation with the patient, which is used to
determine exactly what the patient wants and • Medical history
expects from the treatment, discover any possible • General diagnosis – exclusion of contraindications
contraindications and to explain the treatment in
detail to the patient. • Specialist consultation for risk factors
•D
etailed intraoral diagnosis (PAR diagnosis,
It is followed by a complete general and specific
functional examination, reasons for tooth loss,
medical history and intraoral diagnosis with analysis of
evaluation of the old denture, general radiology
the initial anatomical situation.
examination)
The treatment plan can be prepared after examination

and evaluation of all diagnostic documentation.
The plan should include:
• Pre-prosthetic planning
• Surgical planning
• Schedule
• Cost schedule
8
Treatment planning
Accurate planning of every implant procedure is

essential for the long-term success of the treatment.
The planning process defines all actions and lists
alternatives that can meet the patient‘s expectations
of the function and esthetics of the implant-prosthetic
rehabilitation.
Indications for Xive® S and Xive® TG
Xive implants make an excellent prosthetic restoration

for all surgical indications possible. Xive implants are
particularly good in situations as follows:
•G
rafting is not wanted or is not indicated (e.g.,
atrophied alveolar ridge, multiple implant-supported
restorations in posterior regions)
• A cylindrical implant design offers advantages –

particularly in the posterior tooth region
• In indications where the maximum possible use of

the local bone is required (implant lengths 8 mm to
18 mm)
•H
igh primary stability is required for immediate
Xive S Xive TG
function of implants
(subgingival) (transgingival)
• Immediate or delayed implant placement is planned
Features specially for Xive® S
The two-piece Xive S implants allow submerged

healing as well as a single-stage procedure, possibly
with fabrication of a high-quality temporary denture
with the Xive TempBase at the time of implant
placement.
Single tooth
Xive S is ideal in situations such as: restoration in the
mandible with a
• Limited interalveolar volume – subgingival Xive S
implant.
smallest implant diameter D 3.0
• Temporary and definitive components are wanted

for a simple and fast prosthetic restoration
•A
high degree of prosthetic flexibility is required
Features specially for Xive® TG
Xive TG is a one-piece, transgingival option

for situations in which:
•A
single-stage, implant-supported restoration
is desired Transgingival
restoration in the
•A
cost-effective full arch restoration is indicated maxilla with Xive TG.
9
Treatment planning
Conventional treatment planning
Pre-prosthetic planning Surgical planning
Pre-prosthetic planning with the dental technician The surgical template, which is used to transfer the pre-
is the most important factor for the esthetic and prosthetic planning to the clinical situation, is fabricated
functional success of the implant procedure. The target on completion of the surgical and prosthetic treatment
is the best possible tooth-analog placement of the planning.
implants.
The correct seating of the surgical template must
During the first planning session with the patient, be checked in the oral cavity. The width of the
impressions are taken for use as the base for vestibular and oral lamellae should be at least 1.5 mm.
laboratory fabricated diagnostic aids. The position and direction of important anatomical
structures such as the mental foramen or maxillary
A diagnostic wax-up of the planned prosthetic sinus must be determined by radiographs. Grafted
restoration is made. regions must be confirmed to have completely
regenerated to a mechanically stable state before
A thermoformed splint with radiographic balls that preparation.
can be accurately repositioned in the patient‘s mouth
is prepared. It can be subsequently modified into a Planned prosthetic measures must be checked to
conventionally-fabricated surgical template. ensure that they can actually be implemented with
reasonable surgical procedures. All aspects of pre-
The pre-prosthetic planning is simplified with the prosthetic and surgical planning interact directly
Friadent Select components. with one another. Every change in the pre-prosthetic
planning will affect the surgical planning and vice
versa. This also includes the number, diameters, length,
position and alignment of the implants. The available
bone volume and important anatomical structures are
examined in a radiographic image, which is prepared
with the laboratory-fabricated radiographic template
with the radiographic balls
in the patient‘s mouth.
The dimensions inside the oral cavity can be calculated

accurately from the defined diameter of the radio-
graphic balls. The implant lengths are selected by
placing the transparent Xive x-ray template on the
OPG.
Diagnostic Wax-up. Thermoformed splint with radiographic balls. Xive radiographic template.
10
Treatment planning
Computer-guided treatment planning
Simplant® software Simplant® SAFE Guide
Digital treatment planning based on three-dimensional A patient-specific Simplant SAFE Guide is fabricated
imaging enables the therapy to be planned with by stereolithography using the digital planning data.
absolute accuracy and makes the result of the This guarantees that the planning will be fully and
treatment predictable. accurately transferred to the patient‘s mouth, even in
the posterior region, due to the unique drill guide with
Guided surgery from Dentsply Implants includes a lateral access.
complete solution for digital treatment planning and
template-guided implant placement based on the The Sleeve-on-Drill system (drills with a guide sleeve
Simplant software. attached to the instrument), which has been especially
developed for template-guided implant placement,
The advantages of digital treatment over conventional enables exact transfer of the planned implant position
planning include: and secures placement of the implants.
•S
afe three-dimensional planning in the submillimeter
range and with reference to the desired restoration
•A
utomatic collision control, which indicates
inadequate clearances between implants or to the
nerve (inferior alveolar nerve)
• Information on peri-implant bone quality for

assessment of possible primary stability
Digital treatment planning with Simplant. Patient-specific Simplant drill guide. Sleeve-on-Drill system and
drill guide with lateral access.
11
Implant healing & exposure
Implant healing
Submerged – transgingival – immediately

restored – immediately loaded
After insertion of the implants, the Xive system enables

various healing modes depending on the indication
and type of planned restoration:
Submerged healing Transgingival healing
In the case of a two-stage Transgingival healing of the The geometry of the subsequent
treatment protocol with implants makes it possible prosthetics can already be
submerged healing, seal the to avoid a second surgical taken into consideration
implant with the Cover Screw procedure. It also allows for when selecting the diameter.
and suture the mucosa over optimal soft tissue healing Since the gingiva former is a
the implant. A load-free healing and the formation of an ideal separate component to the
period must be ensured. As a emergence profile. The implant is implant in contrast to the one-
general rule, the implant should sealed with a gingiva former. piece transgingival implants,
be left to heal between three an abutment with another
and four months, regardless emergence height can be
of the location in the mandible selected during the healing
and maxilla. In the case where period, hence ensuring
augmentation is simultaneously esthetics.
performed, the healing time must
be extended accordingly.
12
Implant healing & exposure | Implant healing
•S ubmerged after placing the Cover Screw The multifunctional Friadent TempBase is premounted
•T ransgingival with gingiva former on all Xive S implants as a placement head. In many
or immediate restoration with Xive TG cases, the unique TempBase concept for Xive allows
• Immediate restoration/immediate loading for immediate high-quality temporary restoration.
Immediate loading of the implants is also possible
under adequate conditions.
Immediate restoration Immediate loading
If the clinical prerequisites for an An immediately-loaded, bar- Xive S implants D 3.4 – D 5.5
immediate restoration with a supported prosthesis can be are suitable for both one-stage
temporary restoration are met, fabricated on at least four and two-stage procedures as
it is an excellent opportunity Xive TG implants placed well as for cement-retained,
to provide the patient with an interforaminally in the mandible. removable or screw-retained
implant-supported restoration restorations. With appropriate
immediately after implant occlusal loading, Xive S implants
placement. Second-stage D 3.4 – D 5.5 can be used for
surgery is no longer necessary, immediate implant placement or
and the patient is able to see immediate loading if sufficient
an immediate result. primary stability can be
achieved. Multiple restorations
can be splinted.
13
Implant healing & exposure I Implant exposure
Step-by-step:
Implant exposure
In the case of submerged healing of the implant, the short-term temporary restoration, the following steps
minimally-invasive exposure of the implants usually are not necessary. If needed, a customized temporary
takes place after three to four months, followed by restoration can be fabricated (see page 19) or the
contouring of the soft tissue, as described below. impression can be taken immediately (see page 36).
In the case of transgingival healing of the implants
or in the case of an immediate restoration with a
Incision Exposure Removing the

Friadent Cover Screw
After locating the implant Spread the wound edges slightly Insert the Hex Driver 0.9 mm for
and administering anesthesia using an angled rasp until the ratchet or contra-angle handpiece
directly over the implant (e.g., Cover Screw is visible. The central into the internal hex of the color-
intraligamentary system), a crestal thread of the Cover Screw is coded Cover Screw and turn
incision is made to expose the located using the probe. Remove it counterclockwise out of the
Cover Screw. Locating the implants as little connective tissue or bone implant. Clean and dry the internal
can be facilitated by re-using the as possible above the Cover Screw hex of the implant with air-water
drill guide. using the cup curette, if necessary. spray before inserting the gingiva
forming component.
14
Implant healing & exposure I Soft tissue management and temporary solutions
Soft tissue management and

temporary solutions
For details regarding

Platform-Switch options
please see pages 48–49.
An alternative procedure An alternative procedure An alternative procedure
Friadent TempBase – Xive Gingiva Former C – Friadent EsthetiCap –

Temporary solution included Optimal healing and contouring Temporary solution for esthetic
contouring
Every Xive S implant is delivered The Xive Gingiva Former C The Friadent EsthetiCap offers
with a pre-mounted TempBase, provides a circular contouring of the option of customizable
which can be used to manufacture the peri-implant soft tissue by a temporary restoration and
a temporary restoration or for an close attachment of the gingiva. contouring of the soft tissue
index impression taking with the Xive Gingiva Formers C are also for esthetically demanding
aid of the Friadent TempBase Cap. available in slim and PS versions. restorations.
More detailed information about More detailed information about More detailed information about
the Friadent TempBase and step- the Xive Gingiva Former C and Friadent EsthetiCap and step-
by-step instructions on the use step-by-step instructions on by-step instructions on its use
are provided on pages 16–19. the use are provided on pages are provided on pages 22–23.
20–21.
15
Implant healing & exposure | Soft tissue management and temporary solutions
Step-by-step: Xive® TempBase concept,

temporary single tooth restoration
The following example shows the chairside fabrication

of a temporary crown using a pre-fabricated plastic
tray.
Placing the Friadent Polymerizing the temporary Preparing the temporary crown
TempBase Cap crown
Leave the Friadent TempBase Modify the prepared thermoformed Remove and trim the temporary
abutments on the implants or, if splint or the pre-fabricated plastic crown.
necessary, reinsert them. tray (e.g., Frasaco) to be placed
over the TempBase without Place the prepared temporary
Select a Friadent TempBase Cap difficulty. Then, coat with tooth- crown on the Friadent TempBase
according to the implant/TempBase colored plastic, position and abutment with temporary cement.
diameter. For fabrication of a polymerize. Place a rubber dam
temporary crown, remove the in the oral cavity before using Grind the temporary restoration
lateral retention slot and the polymerizates to prevent irritation so it is out of contact for occlusion
diamond-shaped head of the of the mucosa or an allergic and articulation.
Friadent TempBase Cap. reaction.
Place the modified TempBase Cap Before using polymerizates,

on the TempBase. please see the manufacturer‘s
instructions for use.
16
Step-by-step: Temporary restoration

of multiple implant placement
A temporary bridge is fabricated using the same

procedure as described before for the case of a single
tooth restoration. However, the Friadent TempBase
Caps must be firmly connected with multiple implants.
Placing the Friadent Splinting of the Friadent Polymerizing and placing the
TempBase Caps TempBase Caps temporary bridge
Leave the Friadent TempBase Place a band coated with light- Apply tooth-colored resin to the
abutments on the implants or, if curing plastic in the lateral splint, mount it, remove excess, and
necessary, reinsert them. retention slots to fix the position polymerize.
of the TempBase Caps in relation
After removal of the diamond- to one another and for mechanical Take off the temporary bridge,
shaped head, position the reinforcement of the temporary prepare and, if applicable, place
appropriate Friadent TempBase bridge. with temporary cement.
Caps on the TempBase abutments
until the parts securely engage. When manufacturing a temporary
bridge structure, the lateral
Modify the prepared vacuum- retention slot of the TempBase
formed splint so it can be placed Cap must remain intact.
over the TempBase Caps without
interference, and then remove after
the try in.
17
Step-by-step:
Xive® TempBase concept, index impression
Chairside procedure
Placing the TempBase Cap Relieving the drill template Impression taking
Leave the Friadent TempBase Hollow-grind the drill template to Fill the template with a
abutment on the implant or, if allow it to be placed correctly on polymerizate (pattern resin or
necessary, reinsert it for the the TempBase Cap. light-curing composite such as
index impression. CronMix K plus, Merz Dental
GmbH) placed on the TempBase
After removing the lateral tab, Cap and polymerized.
position a TempBase Cap of the
right size on the TempBase until Place a rubber dam in the oral
the parts securely engage. cavity before using polymerizates
to prevent irritation of the mucosa
The index impression is ideally or an allergic reaction.
taken with a drill template
fabricated on a model before Before using polymerizates,
surgery. please see the instructions in the
manufacturer‘s instructions for
use.
18
An alternative procedure
0.9 mm
14 Ncm
Placing the Friadent Cover Screw Suturing In the laboratory
Remove the template once the Suture the wound to prevent the During the healing period, the
polymerizate has set. ingress of bacteria and saliva. laboratory fabricates a master
cast that shows the exact implant
Remove the TempBase with the Send the impression and the position at the time of implant
Hex Screwdriver 0.9 mm. Use the TempBase to the laboratory for placement.
same screwdriver to place the further processing.
Friadent Cover Screw. On this master cast, an individual
After osseointegration, expose the temporary restoration is manu-
implant and prepare the temporary factured, which can be delivered
restoration on the TempBase with to the patient immediately after
the aid of the TempBase Cap. exposure of the implants.
19
Step-by-step:
Xive® Gingiva Former C
The Xive Gingiva Formers C are for or simple contouring

of the peri-implant soft tissue. The curved emergence
profile – gives space to improve esthetic outcome.
Xive Gingiva Former C

and Xive Gingiva Former PS C
A gingiva former is placed for soft tissue The mucosa is adapted and fixed in Xive Gingiva Former slim C
contouring during the healing period position by sutures. and Xive Gingiva Former PS slim C
(Photos: H. Salama, DMD and M. Salama,
DMD, Atlanta, GA/USA).
Xive Gingiva Former C The following are optionally Xive Gingiva Former PS C
available:
• Curved emergence profiles - • For contouring of the soft
matching impression copings and Xive Gingiva Former slim C tissue when a restoration with
final abutments diameterreduced abutments is
• For perfect contouring of the soft planned
• Titanium alloy tissue with limited mesio-distal
space • Supports the security of
• 1.22 Hex screwdriver connection - achieving long-term esthetic
hand-tightening outcomes
• Solid color-coded
• Laser tagged on the top
For details regarding Xive Gingiva Former PS slim C

Platform-Switch options,
please see pages 48–49.
20
5 mm
The Xive Gingiva Former
C is screwed in hand-tight
with a 1.22 hex-screwdriver.
GH 1 GH 2 GH 3 GH 5
1.22 mm
Removing the Placing the Suturing

Friadent Cover Screw Xive Gingiva Former C
After implant exposure, unscrew Select the gingiva former corres- Adapt and tightly suture the soft
the Friadent Cover Screw and ponding to the implant diameter tissue around the gingiva former
remove it using the Hex Screw- interdental space and gingival without tension.
driver 0.9 mm. The internal implant height. Place it with the Hex
geometry can be cleaned and Screwdriver 1.22 mm and screw it Grind the existing temporary
rinsed. in hand-tight. In special cases such denture, such as a clasp denture
as restricted space use the Gingiva or a bridge fixed to adjacent
Formers slim. All gingiva formers teeth, before delivery to ensure
are color-coded and laser-tagged that there is no pressure on the
according to their diameter. gingiva former. A final prosthetic
restoration of the implant should
be placed only after the peri-
implant soft tissue has healed
without irritation.
21
Step-by-step:
Friadent® EsthetiCap
Friadent EsthetiCap is an anatomically shaped

abutment for manufacturing screw- or cement-
retained temporary crowns or bridges. It can be
adapted as a patient-specific gingiva former for
esthetic soft tissue contouring.
EsthetiCap as a customized temporary Clinical Case: MDT Renzo Casellini, Friadent EsthetiCap, oval and triangular
abutment for optimal shaping of the Los Angeles, CA, USA with screw for EsthetiCap
emergence profile.
Friadent EsthetiCap
The Friadent EsthetiCap offers the

option of customizable temporary
restorations and contouring of
the soft tissue for esthetically
demanding situations.
• For esthetically demanding

temporary crowns and bridges
• Two anatomical profiles – oval

and triangular
• Customizable by grinding
or layering
• Cementable
• X-ray-opaque due to zirconium

dioxide additives
• Not available for implants D 3.0
22
Due to a patented
compound of PEEK
and zirconium
dioxide additives,
the EsthetiCap is
x-ray-opaque and
easy to grind.
0.9 mm
14 Ncm
Placing the Friadent EsthetiCap Friadent EsthetiCap Friadent EsthetiCap

as a temporary restoration as a gingiva former
After implant exposure, unscrew Temporary restorations on a Friadent Adapt and tightly suture the soft
and remove the Friadent Cover EsthetiCap can be either cement- tissue around the EsthetiCap
Screw using the Hex Driver 0.9 mm. retained or directly veneered. without tension.
The internal implant geometry can
be cleaned and rinsed. The restoration is cement-retained When using the Friadent
with temporary cement. Excess EsthetiCap as a gingiva former, the
Use the Hex Driver 0.9 mm and cement should be thoroughly abutment must be shortened to
the prosthetic ratchet or a torque- removed from the crown margins. the corresponding gingival height.
controlled contra-angle handpiece
with Hex Driver for contra-angle Grind any existing temporary Optimal contouring of the
handpiece 0.9 mm to screw the restoration before positioning in emergence profile can be
EsthetiCap to 14 Ncm. order to prevent pressure from achieved when using the
being exerted on the EsthetiCap. EsthetiCap as a customized
gingiva former.
A final prosthetic restoration of
the implant should be placed only
once the peri-implant soft tissue
has healed without irritation.
23
Basics of Friadent® /
A range of pre-fabricated and patient-specific

abutments offers versatile prosthetic options on both
the implant and abutment levels, including immediate
restorations for almost every possible indication.
The internal connection with self-guiding properties

and the color-coded or laser-marked components
supports reliable and efficient work processes.
Friadent Friadent Xive Friadent Xive Friadent Xive

TempBase Cover Gingiva EsthetiCap Transfer Coping EstheticBase EstheticBase PS,
with Screw Former C oval and PickUp C straight straight and
TempBase triangular and Xive Transfer and angled, angled,
Cap Coping C Horizontal or Horizontal or
Transverse Transverse
Screw optional Screw optional
24
Xive® S Prosthetics
Friadent Friadent Friadent Xive Atlantis Friadent/ Xive MP Friadent Friadent Xive
Cercon CeraBase, AuroBase TitaniumBase Abutments Xive MP Abutment Telescopic Ball and Locator
Abutment, conical and for Xive Abutment, PS Abutment Socket Abutment
straight and anatomical straight Attachment
angled and angled
25
Prosthetics
Using the Friadent® screwdrivers
Friadent Friadent
14
Hex Driver Hex Driver
HAND
Width across Width across
flats of 1.22 mm flats of 0.9 mm
TIGHT hand-tight 14 Ncm
Xive Friadent Friadent Friadent MP Friadent

Gingiva Former C TempBase Cover Screw Cover Screw Horizontal and
Transfer Coping Pick Up C Transverse
Transfer Coping C Screw
24
Friadent Hex Driver
Width across flats of 1.22 mm
24 Ncm
Friadent Friadent MP Friadent MP Friadent MP Friadent Atlantis

Standard PickUp Guide Pin Screw for Coping Screw Attachment Screw
Abutment Screw Friadent Castable Sleeve Xive TG Screw
Friadent PickUp Guide Pin Xive TG Coping Screw
Screw for Abutment Screw
EstheticBase
30
Friadent Friadent
24
Seating Instrument Locator Insert
for MP Insert Screw for Prosthetic Ratchet
24 Ncm 30 Ncm
Friadent Xive
MP Insert Screw Locator Abutment
26
Xive® S prosthetic navigator
The Xive system offers various options for Due to the variety of the abutments, a decision on the
manufacturing the superstructure depending on the prosthetic procedure is still possible after the implants
indication and type of prosthetic restoration. heal or at the time of implant exposure. This allows you
to achieve the best functional and esthetic solution for
each case.
Fixed solutions
Cement-retained Screw-retained
Crown/anterior region: Crown/anterior and posterior region:
• Friadent Cercon Abutment • Friadent EstheticBase Abutment
• Friadent CeraBase Abutment (horizontal/transversal)
• Friadent EstheticBase Abutment • Friadent AuroBase Abutment
(horizontal/occlusal)
Crown/anterior and posterior region: • Atlantis Crown Abutment for Xive
• Friadent EstheticBase Abutment • Xive TitaniumBase screw-retained crown
• Friadent AuroBase Abutment (occlusal)
• Xive TitaniumBase Abutment
Single tooth
• Atlantis Abutment for Xive
replacement
Bridge/anterior and posterior region Bridge/anterior and posterior region

and full-arch restorations: and full-arch restorations:
• Friadent EstheticBase Abutment • Friadent EstheticBase Abutment
(horizontal/transversal)
• Friadent AuroBase Abutment
• Xive TitaniumBase Abutment
(horizontal)
Larger tooth gaps • Atlantis Abutment for Xive
• Friadent MP Abutments/SmartFix
Bridge/posterior region concept:
and full-arch restorations: • Friadent Castable/Cast-to Waxing Sleeve
• Friadent MP Abutments/ • Atlantis Bridge/Hybrid
Friadent PassivFit • Xive WeldOne concept
Edentulous jaw
Removable solutions
• Xive Locator
• Friadent Ball and Socket Attachment
• Friadent Telescopic Abutment
• Friadent MP Abutment
• Friadent MP Abutment with Atlantis bar
Edentulous jaw • Friadent MP Abutment with Atlantis 2in1 solution
• Atlantis Conus Abutment
Detailed instructions for selecting the most suitable restorative procedure for the individual case can be found on the following pages.
27
Xive S prosthetic navigator
Solutions for single tooth restorations
Cement-retained
Anterior and posterior region
Friadent EstheticBase/ Friadent Cercon* Xive TitaniumBase Patient-specific

Friadent AuroBase Abutment/ Atlantis abutment
Friadent CeraBase*
The Friadent EstheticBase The restorations on The Xive TitaniumBase The Atlantis abutments
Abutment with pre- Cercon zirconium combines the proven enable patient-specific
fabricated screw holes for dioxide ceramic strength of a pre- cement-retained
horizontal or transverse abutments provide fabricated titanium (Atlantis Abutments)
screws can be customized superior esthetics for abutment with the and single tooth screw-
and has an anatomically the anterior region and, esthetics of an indivi- retained (Atlantis Crown
contoured shoulder, at the same time, excel dually designed Abutment) resto-rations
available in various with extremely high ceramic component. in the anterior and
gingival heights. stability. posterior region and
This solution allows represent an excellent
The Friadent AuroBase The abutment can be the dental laboratory base for the best
Abutment serves as the customized and is avail- to design and manu- possible results in both
basis for fabrication able in versatile designs. facture a CAD/CAM function and esthetics.
of individual crown Two shades of white restoration within their
abutments as well for the outstanding preferred workflow.
as of cement-retained biocompatible material
or individually screw- provide for the perfect
retained crowns. integration of the
cement-retained
crowns.
*only in the anterior

region
For instructions, For instructions, For instructions, For instructions,

see pages 52, 58. see pages 55, 57. see page 62. see page 64.
28
Screw-retained
Friadent EstheticBase Friadent AuroBase Patient-specific Xive TitaniumBase

(horizontal/transversal) Atlantis Crown Abutment screw-retained crown
The Friadent EstheticBase The Friadent AuroBase The Atlantis Crown The Xive TitaniumBase
Abutment with pre- Abutment serves as Abutment is an efficient, combines the proven
fabricated screw the basis for fabrication effective and esthetic strength of a pre-
holes for horizontal or of individual crown alternative to traditional fabricated titanium
transverse screws can be abutments as well as cast abutments for abutment with the
customized and has an of cement-retained single tooth, screw-re- esthetics of an indivi-
anatomically contoured or individually screw- tained restorations with dually designed
shoulder, available in retained crowns. porcelain or composite ceramic component.
various gingival heights. applied directly to the
The castable plastic abutment. The Xive TitaniumBase
This abutment can be cylinder enables almost oclusally screw-retained
used to fabricate both unlimited individuality The Atlantis Crown single tooth crown
cement-retained and in the design of the Abutment is available in makes it possible for
laterally screw-retained abutment. five shades of zirconia, the dental laboratory
single crowns. including a translucent to produce esthetic
option in white as well ceramic veneered or full
in titanium. contour crowns glued
onto the TitaniumBase.

see page 52. see page 58. see page 65. see page 62.
29
Fixed solutions for larger tooth gaps

and the edentulous jaw
Cement-retained restorations
Friadent EstheticBase Friadent AuroBase Xive TitaniumBase Patient-specific

Atlantis Abutments
Friadent EstheticBase For the fabrication of The Xive TitaniumBase Patient-specific Atlantis
Abutments with pre- customized abutments combines the proven abutments are an ideal
drilled holes for horizon- using the bridge tech- strength of a pre- alternative to pre-
tal or transverse screws nique, the Friadent fabricated titanium fabricated abutments.
can be customized. AuroBase can be used in abutment with the
They have an anatomi- cases presenting special esthetics of an indivi- Atlantis abutments
cally contoured shoulder, challenges such as large dually designed support cement-retained
available in various axial divergences or a ceramic component. bridge restorations
gingival heights. These small interocclusal clear- in the anterior and
abutments can be ance. Bridge construc- This solution allows the posterior region and
used to support both tions on AuroBase can dental laboratory to represent an excellent
cement-retained and be fabricated as cement- design and manufacture base for the best
laterally screw-retained retained or horizontally a CAD/CAM bridge possible results in both
bridges. screw-retained restora- restorations within their function and esthetics.
tions. preferred workflow.

30
Screw-retained restorations
The SmartFix concept The WeldOne concept
Friadent EstheticBase/ Xive/Friadent MP Xive/Friadent MP WeldOne concept

Friadent AuroBase Abutments Abutments with the for Xive
Atlantis Bridge/Hybrid
Friadent EstheticBase The Friadent MP Atlantis implant supra- The WeldOne concept
Abutments can be used Abutment is used structures are digitally allows immediate
to fabricate horizontally to fabricate screw- designed using the restoration of implants
and transversally screw- retained bridge scanned-in diagnostic with a stable, tension-
retained restorations on frameworks for tooth set-up. free fitting framework
multiple implants with restoring multiple construction for
bridges. implants. The Atlantis Bridge temporary and durable
is compatible with restorations on the day
For the fabrication of Friadent Castable and ceramic or resin of implant placement.
customized abutments Cast-to Waxing Sleeves veneering.
with the bridge are used to fabricate
technique, the Friadent screw-retained bridges
AuroBase is used in on Xive/ Friadent MP
challenging cases. Abutments.

see pages 52/58. see pages 71/76. see page 80. see page 84.
31
Removable solutions for the edentulous jaw
Removable overdentures
Xive Locator Friadent Friadent AuroBase Friadent Telescopic

Ball and Socket Abutment
Attachment
The Locator Abutment The Friadent Ball and For the fabrication of The Friadent Telescopic
provides long-term Socket Attachment customized abutments Abutment is used to
stability and ease of offers an economical using the bridge tech- secure overdentures on
use. The low vertical possibility for stabiliza- nique, the Friadent telescopic or conical
height is ideal for tion of overdentures AuroBase is used for crowns.
the majority of all in the mandible with cases presenting special
overdenture patients. outstanding potential challenges such as The Friadent Telescopic
Axial divergences and for oral hygiene. large axial divergences Abutment, made of
limited occlusal space or a small interocclusal titanium, represents the
can be easily corrected The restoration can clearance. Bridge con- primary component
using Locator. be fabricated either structions on AuroBase and allows customized
directly chairside can be fabricated as preparation, even with
or a prosthesis is cement-retained or axial divergences.
manufactured in the horizontally screw-
dental laboratory. retained restorations.

32
The SmartFix concept The Atlantis Conus concept
Friadent MP Friadent MP Abutment/ Friadent MP Abutment/ Atlantis Conus concept

Abutment/bars Atlantis bar Atlantis 2in1 solution
In combination with MP Patient-specific Atlantis The primary structure The Atlantis Conus
abutments, Friadent Bar bar-supported resto- consists of an individual concept is a unique
Copings are used for rations provide bar, the secondary implant-supported
the fabrication of bar tension-free fixation structure of a bridge solution for creating
constructions. of removable, implant- or hybrid design. a cost-effective,
They are offered as pre- supported CAD/CAM The secondary structure friction-retained, non-
fabricated components prostheses with utmost is compatible with resilient and removable
for both soldering and precision. a resin veneering overdenture with the
laser welding. technique (bridge) comfort of a fixed
or for individually bridge, providing
positioned synthetic your patients with
teeth (hybrid). renewed comfort
and confidence.

33
Impression taking
Instrument Set/
Prosthetic Tray
For a seamless course of treatment, all instruments

are clearly arranged and fixed.
The Xive prosthetic tray includes a handpiece hex

driver in 0.9 mm and 1.22 mm (short and long)
versions and a torque-controlled screwdriver for
manual and ratchet application in all versions (hex
0.9 mm with 14 Ncm, hex 1.22 mm with 24 Ncm).
The instruments for tightening MP screws and the
Friadent ball and socket attachments by hand or
ratchet are included in the tray as well.
As with all manual screwdrivers, torque control is

achieved by a special mechanism in the head of the
screwdriver insert, which audibly clicks once a pre-
set torque is achieved. All screwdrivers are made of
surgical stainless steel.
Friadent Prosthetic Set Mini

The Friadent Prosthetic Set Mini contains all
instruments necessary for the prosthetic restoration
of implants (not included: MP abutment seating
instruments).
Friadent Hex Driver for Friadent Hex Driver Friadent

contra-angle handpiece for ratchet Select Abutment
1 short, 1.22 mm 7 short, 1.22 mm 14 D 3.0/A 0 (straight)*
2 long, 1.22 mm 8 long, 1.22 mm 15 D 3.4/A 0 (straight)
3 short, 0.9 mm 9 short, 0.9 mm 16 D 3.8/A 0 (straight)
4 long, 0.9 mm 10 long, 0.9 mm 17 D 4.5/A 0 (straight)
18 D 5.5/A 0 (straight)
5 Friadent 11 Friadent Seating
Seating Instrument Instrument MP 19 D 3.0/A 15 (angled 15°)*
for MP Insert Screw Insert Screw for 20 D 3.4/A 15 (angled 15°)
Contra-angle ratchet 21 D 3.8/A 15 (angled 15°)
handpiece
12 Friadent
Friadent Ratchet
6 Friadent Handle Seating Instrument
22 without insert
for Handpiece Hex for EstheticBase
Driver 13 Friadent
Seating Instrument
7
8 22
9
10
11
1 12
2 13
3 14
4 15
5 16
6 17
18
19
20
21
34
Impression taking
Components for impression taking
Xive Transfer Copings C / Xive Transfer Copings The design of the Friadent MP Abutment provides
PickUp C precisely capture the vertical and horizontal for an impression on abutment level, after completed
implant position as well as the orientation of the deep osseointegration and soft tissue contouring, without
internal hex. They are suitable for all gingiva formers C. removal of the Friadent MP Inserts and the MP Insert
Screw.
Xive Transfer Coping C, Xive TransferCap C Xive Transfer Coping PS C Friadent MP Transfer Impression Coping/
Standard Abutment Screw
Xive Transfer Coping PickUp C Xive Transfer Coping PickUp PS C Friadent MP PickUp Impression Coping/
MP PickUp Guide Pin
Impression taking on implant level Impression taking on abutment level
Xive Transfer Coping PickUp C The Transfer Coping C Short is Friadent MP Impression Copings
(open tray technique) / used for a mucosa thickness of up
Xive Transfer Coping C to 3 mm. The Transfer Coping C • For transferring the position of
(closed tray technique) long is used for a mucosa thickness the MP abutment to the master
above 3 mm. model
• Transferring the implant position
to the master model Xive TransferCap C • Available for PickUp technique
• Titanium alloy (closed tray technique) (open tray) and repositioning
• 1.22 Hex screwdriver connection – technique
hand-tightening • Transfer Cap C with click-function • The already positioned MP
• Solid color-coded abutment remains in the implant
• Available short and long Two parallel flat sides stabilize during the impression procedure
• One hand procedure – captive the abutment and prevent it from
screw for safe handling twisting in the impression material. To enable a precise impression on
• Also suitable for impressions follow- abutment level on the inserted MP
ing soft-tissue contouring with the Xive Transfer Coping PS C/Xive abutments, color-coded Friadent
the Xive Gingiva Former slim C Transfer Coping PickUp PS C MP Transfer Impression Copings
The platform-switch components are available for implant diameters
The TransferCoping PickUp C for the switch from D 3.8 to D 3.4 D 3.4 - D 5.5 mm.
Short is used in case occlusal are laser-marked with PS.
height is limited, the long version
provides more retention. 35
Impression taking on implant level (indexed)
Step-by-step: The repositioning technique

on implant level, closed tray
Xive Transfer Copings C precisely capture the For occlusal fixation, Xive Transfer Copings C are
vertical and horizontal implant position as well as the equipped with a captive screw.
orientation of the internal hex.
1.22 mm 1.22 mm
Removing the Placing the Screwing in the

Xive Gingiva Former C Xive Transfer Coping C Xive Transfer Coping C
Use the Hex Driver 1.22 mm to Dependent on the position of the The Transfer Coping C is to hand-
unscrew the gingiva-forming implant, the Xive Transfer Coping C tighten with the captive screw using
component. is positioned in the hex of the the Friadent Hex Driver 1.22 mm.
implant. The Transfer Coping can
easily be placed in a unique and
precise position using the six
options in the hexagon connection.
Check the fit of the Transfer

Coping. The soft tissue should not
be pinched, but rather should fit
closely around it.
36
Impression taking on implant level (indexed)
1.22 mm
Placing the Impression taking Reinserting

Xive TransferCap C the Gingiva Former
Push the Xive TransferCap C onto Apply impression material around Reposition the Xive Gingiva
the Transfer Coping. the Transfer Coping. Place the tray, Former C after the impression is
filled with impression material, and taken. This avoids collapse of the
Ensure that the flat areas of Transfer make the impression. After the tissue around the implant shoulder.
Coping C match with the flat areas impression material has set, remove
of the TransferCap C. Click function the tray; the TransferCap C should
ensures the correct seating. remain in the impression.
Before repositioning, connect the

implant analog with the Transfer
Coping C. When repositioning the
Transfer Coping C, its flat areas
must align with the flat areas of the
TransferCap C.
37
Impression taking on implant level
Step-by-step: The PickUp technique on implant

level, Xive® Transfer Coping PickUp C, open tray
Xive Transfer Copings PickUp C precisely capture the The reduced and slightly conical design of the
vertical and horizontal implant position as well as the hexagon part of this abutment enhances easier
orientation of the internal hex. positioning and repositioning. Deep, distinctive
The design is also to simplify impression procedures retention areas provide stable and secure
on divergently placed implants. retention in the impression material.
1.22 mm
Removing the Placing the Checking the fit of the

Xive Gingiva Former C Xive Transfer Coping PickUp C Xive Transfer Coping PickUp C
Use the Hex Driver 1.22 mm to Dependent on the position of For proper seating of the Xive
unscrew the gingiva-forming the implant, the Xive Transfer Transfer Coping PickUp C, the soft
component. Coping PickUp C can be easily tissue should not be pinched, but
and precisely placed using the six rather fit closely around it.
options given by the hex.
38
Impression taking on implant level
1.22 mm 1.22 mm
Screwing in the Impression taking Reinserting of the

Xive Transfer Coping PickUp C Xive Gingiva Former C
The Transfer Coping PickUp C is Perforate the tray to accept Reposition the Xive Gingiva
to hand-tighten with the captive the PickUp Screw. Apply the Former C after the impression is
screw using the Friadent Hex impression material around the taken. This prevents the collapse
Driver 1.22 mm. Transfer Coping PickUp C. Place of the created gingival emergence
the tray, filled with the impression profile and protects the implant
material, and take the impression. lumen.
Once the material has set, loosen

the screw and remove the
impression. The Transfer Coping
PickUp C remains in the impression
without repositioning.
39
Impression taking on abutment level
Step-by-step: The repositioning technique

on abutment level, closed tray
The correct transfer of the clinical situation to the After the completion of osseointegration and soft
master model is the prerequisite for a tension-free, tissue contouring, the Friadent MP Abutment allows
precise fit of the prosthetic restoration. for taking impressions on gingiva, respectively
abutment level, without removal of the Friadent MP
Inserts and the MP Insert Screw.
0.9 mm 0.9 mm
14 Ncm 14 Ncm
Removing the Inserting the Friadent Impression taking

Friadent MP Cover Screw MP Transfer Impression Coping
Use the Hex Driver 0.9 mm to Screw the Friadent MP Transfer Prior to taking the impression,
remove the Friadent MP Cover Impression Coping onto the MP seal the screw access hole with
Screw. The MP Insert and the abutment by using the Hex Driver wax to prevent the ingress of the
MP Insert Screw remain in the 0.9 mm. impression material.
implant since impression taking
is performed supragingivally. Apply the impression material
around the Transfer Coping. Place
the tray, filled with the impression
material, and make the impression.
After the impression material has
set, remove the tray.
Seal the MP abutment again with

the Friadent MP Cover Screw until
the final restoration is delivered.
40
Step-by-step: The PickUp technique

on abutment level, open tray
0.9 mm 1.22 mm
14 Ncm 24 Ncm
Removing the Inserting the Friadent Impression taking

Friadent MP Cover Screw MP PickUp Impression Coping
Use the Hex Driver 0.9 mm to Position the Friadent MP PickUp Perforate the tray to accept the
remove the Friadent MP Cover Impression Coping on the MP PickUp Guide Pin. Apply the
Screw. The MP Insert and the MP abutment and tighten it with the impression material around the MP
Insert Screw remain in the implant MP PickUp Guide Pin using the PickUp Impression Coping. Place
since the impression taking is Hex Driver 1.22 mm. the tray, filled with the impression
performed supragingivally. material, and make the impression.
After the impression material has

set, unscrew the PickUp Guide Pin
to remove the tray. The MP PickUp
Impression Coping will remain
in the impression. Seal the MP
Abutment again with the Friadent
MP Cover Screw until the final
restoration is delievered.
41
Step-by-step:
Impressions for CAD/CAM restorations
A precise master cast manufactured by the dental lab- The procedure described below includes several
oratory that reproduces the clinical situation is crucial treatment sequences and is conducted in close
for the precise fit of an Atlantis implant suprastructure. collaboration with the dental laboratory.
Atlantis implant
suprastructures:
patient-specific bridges
and bar-supported
dentures
Patient-specific Atlantis
implant suprastructures for
Xive are always fabricated on
abutment level and fixed with
an occlusal screw.
During the one-stage/direct

prosthetic procedure, MP
Abutments remain in the
patient’s mouth. Using the
two-stage/indirect prosthetic
prosecure, the MP Abutments,
corresponding to the gingival
height, are selected in the
dental laboratory. They are First appointment: In the dental laboratory:
delivered to the patient with Impression taking for the situation Fabrication of the situation model,
the final prosthetic restora- model individual tray and primary splint
tion.
After removing the gingiva-forming Make a situation model from the
Atlantis implant suprastruc- components and, if given, delivery impression. Fabricate a customized
tures are available in titanium of the Friadent MP Abutments, tray for the PickUp technique
and cobalt-chrome. take an impression using the based on this model. Ensure there
PickUp technique with the PickUp is adequate space for the impres-
Impression Copings (see page 41). sion material when the tray is
made.
If you are using Friadent MP Abut-
ments, seal them with Friadent Use Friadent MP Impression
MP Cover Screws until the next Copings for the fabrication of
stage. Otherwise, reposition the the primary splinting. Divide the
abutments with corresponding autopolymer splint (e.g., Integrity,
gingiva-forming components (see Dentsply DeTrey) into individual
page 15). segments and send it to the clinician
for making the intraoral splinting
Send the impression to the labora- and taking the impression.
tory.
42
Second appointment: Splint impression

Intraoral splinting of the synthetic
elements
Remove the gingiva-forming com- Splint the tension-free synthetic Take the impression over the
ponents and, if required, insert the segments intraorally with the same splinted retention caps using the
Friadent MP Impression Copings. autopolymer used by the labora- impression material (i.e., Aquasil
Attach the individual synthetic tory. Ultra, Dentsply DeTrey) and the
segments for the primary splint customized tray. After the dental
to the MP impression copings using impression material has set, remove
the corresponding abutment the abutment screws and tray.
screws. Ensure that there is ade-
quate space between the individual Send this final impression, including
segments. Trim the synthetic mate- the retention caps, to the labora-
rial where there is contact. tory for fabricating the master cast.
43
Step-by-step:
Impressions for CAD/CAM restorations
The laboratory will fabricate the master cast and the

wax mock-up of the intraorally splinted situation from
the second impression.
In the dental laboratory: Third appointment:

Prepare the wax-up and Try-in of wax-up
transfer key
After completing the master cast, Try-in the wax mock-up with the
make a wax mock-up with tailored tailored teeth made by the labo-
teeth. ratory in respect to function and
esthetics. Correct if necessary.
Make a second transfer key from
the autopolymer (e.g., Integrity,
Dentsply DeTrey) in order to be
able to compare the implant posi-
tion in the master cast with the
clinical situation. Splint the key in
the laboratory.
Send components to the clinician

for the try-in.
44
Sheffield Test
The Sheffield Test facilitates

a simple check of the fit of a
primary splinted mesiostructure
on implants. After the structure
has been positioned, each fixa-
tion screw is tightened separately
while the other screws are not
screwed in. Thus, the structure is
only attached to one implant at a
time.
Sheffield Test
If the framework is tension-free,
the entire structure will rest on all
of the implants when one screw is
Attach the autopolymer transfer tightened.
key tothe implants. Check the
tension-free fit of the transfer key
with fixation screws, which are
each separately tightened in
sequence (see the Sheffield Test
on the right).
If the structure is not tension-free,

a gap will be formed between the
implants and the part of the struc-
ture that is not screwed in.
45
Restorations with Xive® S implants
Single tooth crowns
For the replacement of single missing teeth by implant-

supported single crowns, the Xive system offers a wide
range of pre-fabricated and patient-specific prosthetic
options. These can be used to manufacture naturally
esthetic restorations for the long-term maintenance of
peri-implant hard and soft tissues.
Restorations with Restorations with Restorations with

Friadent EstheticBase Friadent Cercon Friadent AuroBase
The Friadent EstheticBase Abutment The Friadent Cercon Abutment The Friadent AuroBase Abutment
with pre-fabricated screw holes allow for all-ceramic recon- serves as the basis for fabrication
for horizontal or transverse screws structions meeting the highest of individual crown abutments
can be customized and has an esthetic demands in the anterior as well as of cement-retained
anatomically contoured shoulder, region. or individually screw-retained
available in various gingival heights. crowns. The castable plastic
This abutment can be used to All-ceramic single tooth restorations cylinder enables almost unlimited
fabricate both cement-retained on Cercon Abutments must always individuality in the design of the
and laterally screw-retained single be cemented. abutment.
crowns.
46
Xive® S
Restorations with Restorations with patient- Restorations with patient-

Xive TitaniumBase specific Atlantis abutments specific Atlantis abutments
Xive TitaniumBase combines the Atlantis abutments enable

proven strength of a prefabricated patient-specific cement-retained
titanium abutment with the (Atlantis Abutments) and single
esthetics of an individually tooth screw-retained (Atlantis
designed ceramic component. Crown Abutment) restorations in
the anterior and posterior region
This solution allows the dental and represent an excellent base
laboratory to design and manu- for the best possible results in
facture a CAD/CAM restoration both function and esthetics.
within their preferred workflow.
47
Restorations with Xive S implants | Single tooth crowns
Step-by-step:
Xive® Platform-Switch concept
Example: Using special PS prosthetic

components for D 3.8 implants
Implant diameter
D 3.8 D 4.5 D 5.5
Restorative
procedure D 3.8 PS D 3.8 D 4.5
1. Cover Screw
2. Gingiva Removing the TempBase/

Former submerged healing
Xive implants are always supplied

with the matching diameter
Friadent TempBase. If submerged
3. Impression healing is planned, unscrew the
Coping TempBase retaining screw with the
Hex Screw-driver 0.9 mm and
remove it. Then, place the Xive
Cover Screw PS D 3.8 and tighten
at max. 14 Ncm. Continue with
4. EstheticBase wound closure.
Abutment
This procedure is also appli-

cable for the D 4.5 and
D 5.5 implant diameters.
Observe the respective use
of the appropriate diameter-
reduced abutments. The
Platform-Switch components
are intended for use with
48
Xive implants only.
Xive® S
Gaining soft tissue through platform-switching
For successful restorations with Xive platform- with the appropriate prosthetic components. The
switching, it is essential to use not only the final abut- platform-switching concept is designed to increase
ment at a reduced diameter, but also to start with the soft tissue volume, which contributes to long-term
a diameter-reduced Cover Screw and to continue esthetic outcomes.
Placing the Impression taking Final restoration

Xive Gingiva Former PS C (slim) using the PickUp technique
For transgingival healing place a Precise transfer of the implant For the final restoration remove
Xive Gingiva Former PS C (slim) position is achieved with special the Gingiva Former or temporary
corresponding to the thickness of PS components. For the PickUp abutment and install the final
the soft tissue and hand-tighten technique, use the Xive Transfer abutment and crown, fabricated in
with a 1.22 mm Hex Driver. Coping PickUp PS C. The Xive the dental laboratory.
Transfer Coping PS C is available
for the repositioning technique. Consistent use of PS components
centralizes the implant-abutment
connection, creating an improved
emergence profile.
49
Friadent® EstheticBase
Dr. Marco Degidi, Bologna/Italy Horizontal and

transverse screw
Friadent EstheticBase Abutment
Friadent EstheticBase Abutments The crown abutment also serves as Pre-fabricated Friadent EstheticBase
are used to fabricate horizontally the transition between the contour Abutments are made of titanium
or transversally screw-retained or of the implant and the anatomical and are available for implant
cement-retained single crowns. form of the restoration and thus diameters D 3.0 – D 5.5. They can
has impact on the shape of the be customized by grinding.
interdental space.
50
Xive® S
Xive EstheticBase PS straight (left) and Friadent EstheticBases

straight
Xive EstheticBase PS angled (left) and Friadent EstheticBases Friadent Horizontal and Transverse Friadent Horizontal and Transverse
angled Screws Standard, Friadent Screw Screws Long, Friadent Horizontal
for EstheticBase Screw Seat
Horizontal screws Transverse screws
Friadent EstheticBase Abutments • For fixation of the crown • For fixation of the crown in
are available in 0° (straight) or 15° in the oral abutment wall both the oral and the vestibular
(angled) angulations to the implant abutment wall
axis. The abutments are made from • Available in lengths “standard” or
titanium grade 2 and titanium alloy “long” • Double threading length for
(Ti6Al4V grade 5). optimal stability
• Available with or without the
horizonal screw seat ring. The • With D 3.0 and D 3.4, the
Above the implant connection, an horizonal screw seat ring is horizontal screw is used as a
anatomically shaped preparation used in the dental laboratory transverse screw
margin of the respective gingival for casting high gold content
height (1, 2, 3 or 5 mm) surrounds precious metal alloys • Tighten with Friadent
the abutment. Hex Driver 0.9 mm/14 Ncm
• Tighten with Friadent
Hex Driver 0.9 mm/14 Ncm • Made from titanium alloy grade 5,
Ti6Al4V
• Made from titanium alloy grade 5,
Ti6Al4V
51
Step-by-step:
Friadent® EstheticBase Abutment
The fabrication of both cement-retained and laterally

screw-retained crowns and bridges is possible on
Friadent EstheticBase Abutments.
1.22 mm
1.22 mm
24 Ncm
Removing the Placing the Mounting the superstructure

Xive Gingiva Former C EstheticBase Abutment
Use the Hex Driver 1.22 mm to Place the EstheticBase Abutment Check the fit of the crown on the
unscrew the gingiva former. in the implant according to the abutment. Clean and disinfect the
index position as determined in superstructure. The superstructure
the model. The EstheticBase is to can be cement-retained as well as
tighten with the abutment screw horizontally or transversally screw-
at 24 Ncm using the prosthetic retained.
ratchet and the Friadent Ratchet
Hex Driver 1.22 mm or a torque-
with the respective driver insert.
For the manufacture of bridge construc-

tions, the same procedure is used as
for single crowns. Bridge constructions
on EstheticBase Abutments can be
cemented or screw-retained.
52
Xive® S
An alternative procedure An alternative procedure
0.9 mm 0.9 mm
14 Ncm 14 Ncm
Cementing the superstructure Screwing in the superstructure Screwing in the superstructure

horizontally transversally
Phosphate cements can be used With horizontal screwing, the With transversal screwing, the
for cementing. When doing so, superstructure is secured in the super-structure is secured in
take care to completely remove oral abutment wall. Horizontal both the oral and vestibular
the excess cement at the crown screws are available in standard abutment wall. Transverse screws
margins. When cementing with or long lengths. have double threading length
temporary cement, the upper to ensure optimal stability. With
two-thirds of the abutment have Tighten the horizontal screw D 3.0 and D 3.4, the horizontal
to be roughened. with the Friadent Hex Driver screw is used as a transverse
0.9 mm to the recommended screw.
torque of 14 Ncm.
The use of the transversal screw
with a long head is recommended
for molars since the crown usually
requires wider contouring.
Tighten the transversal screw
with the Friadent Hex Driver
0.9 mm to the recommended
torque of 14 Ncm.
53
Friadent® Cercon®
Friadent Cercon Abutments allow for all-ceramic stable. They are available in both, straight and
reconstructions meeting the highest esthetic demands angled versions. Friadent Cercon Abutments can be
in the anterior region. They offer superior esthetics customized by grinding or firing. They are available in
through brilliant light dynamics. Made from zirconium two shades of white.
dioxide ceramics, Cercon Abutments are extremely
Dr. Marco Degidi, Bologna/Italy
All-ceramic abutments Friadent Cercon Abutments
For situations where the mucosa • One-piece, pre-fabricated from •A

vailable in neutral white or
thickness is less than 2.0 mm, zirconium dioxide, thus extremely dentin-colored
pre-fabricated Cercon or CeraBase stable
ceramic abutments are an esthetic •F
or grinding to perform with
solution. • Available for diameters D 3.8 cooling irrigation
and D 4.5
•F
or tightening with Friadent
• Gingival heights of GH 1 and GH 2 Hex Driver 1.22 mm/24 Ncm
• Angulations from 0° (straight) to For customizing in the dental

15° (angled) laboratory, the “ceramic line”
grinding set from DeguDent is
recommended.
All-ceramic crowns or crowns

with ceramic shoulders should
be cement-retained in all cases.
The indication for ceramic abut-
ments is limited to the anterior
region.
54
Xive® S
Step-by-step:
Friadent® Cercon® Abutment
1.22 mm
1.22 mm
24 Ncm
Removing the Placing the Cercon Abutment Cementing the superstructure

Xive Gingiva Former C
Use the Hex Driver 1.22 mm to Place the Friadent Cercon Abut- Check the fit of the crown on the
unscrew the gingiva former. ment in the implant in the same abutment. Clean and disinfect the
indexed position as determined in superstructure. Phosphate cements
the model. The Cercon Abutment is can be used for cementing. When
to tighten with the abutment screw doing so, take care to remove the
at 24 Ncm using the prosthetic excess cement completely from the
ratchet and the Friadent Ratchet crown margins.
with the respective driver insert.
55
Friadent® CeraBase
Two-piece, pre-fabricated Friadent CeraBase ceramic

abutments meet all the demands for an esthetic
restoration. Single crowns, especially all-ceramic
restorations in the anterior region, can be fabricated.
Friadent CeraBase
The Friadent CeraBase can be The Friadent CeraBase Abut- With indirect processing, the
used to support exceptionally ment for implant diameters tooth-colored post, on which an
aesthetic single crowns in the D 3.4 – D 5.5 mm consists of two all-ceramic crown is cemented, is
anterior region of the maxilla and pieces: the titanium insert and prepared from the ceramic sleeve
mandible. It is ideal for cases with the ceramic sleeve. The abut- in the dental laboratory.
very thin soft tissues. The Friadent ments are available in either wide
CeraBase can be used in straight or anatomical shape. With direct processing for
abutment situations and slightly cement-retained or occlusally
angled cases. The pre-fabricated ceramic screw-retained single crowns,
abutment enables the fabrication the laboratory directly veneers
of esthetic all-ceramic single the ceramic sleeve with the
crowns of high quality, using both appropriate ceramic and adheres
indirect and direct processing. it to the titanium core.
56
Xive® S
Step-by-step:
Friadent® CeraBase Abutment
1.22 mm
24 Ncm
The dental laboratory procedure Placing the Friadent CeraBase Delivery of the final prosthetic
Abutment
The ceramic sleeve is customized Place the customized Friadent Check the fit of the crown on the
according to the anatomical shape CeraBase Abutment in the implant abutment. Clean and disinfect the
of the tooth and veneered directly in the same indexed position as superstructure. Block-out the top
or prepared for the fabrication of determined in the model. of the abutment screw and cement
an all-ceramic crown. the crown onto the Friadent
The Friadent CeraBase is to CeraBase. Carefully remove all
tighten with the abutment screw excess cement.
at 24 Ncm using the prosthetic
ratchet and the Friadent Ratchet In case of correct axial position
Hex Driver 1.22 mm or a torque- of the implant, the CeraBase
controlled contra-angle handpiece Abutment can alternatively be
with the respective driver insert. directly vaneered for an occlusally
screw-retained restoration.
In this case, after removing the

Gingiva Former, the final crown is
to tighten with the abutment screw
at 24 Ncm using the prosthetic
ratchet and the Friadent Ratchet
controlled contra-angle handpiece. 57
Step-by-step:
Friadent® AuroBase Abutments
The one-piece Friadent AuroBase Abutment serves

as the basis for the fabrication of individual crown
abutments for cement-retained or individual screw-
retained crowns. The pre-fabricated castable
abutment allows for almost unlimited individuality
in the design of the abutment.
Friadent AuroBase D 3.0 with Standard Abutment Screw D 3.0 (left)

Friadent AuroBase D 3.4 – D 5.5 with Standard Abutment Screw
Friadent AuroBase The dental laboratory procedure
Special indications for the Friadent • Available in D 3.0 – D 5.5, Place the Friadent AuroBase on
AuroBase are the correction including the corresponding the master cast and customize
of large axial divergences, the abutment screw according to the anatomical
fabrication of occlusal screw- situation.
retained single crowns and of • 14 mm high modeling cylinder
primary parts for telescopic or made of POM resin Wax up the crown framework and
conical crown technique. • Pre-fabricated HSL basis of form individual gingiva margins
castable precious metal alloy corresponding to the planned
prosthetic restoration (for detailed
• 3.4 mm deep, internal hexagon information, please refer to
implant-abutment connection instructions for use).
providing the anti-rotation lock
between abutment and implant When processing the AuroBase
abutments, Friadent Milling
Analogs should always be used for
For bridge restorations, the completing the master cast.
same procedure is used as
for single crowns.
58
Xive® S
1.22 mm 0.9 mm
24 Ncm 14 Ncm
Placing the Friadent Cementing the superstructure Screwing in the superstructure

AuroBase Abutment
Place the individual AuroBase Check the fit of the crown on the Tighten the veneered AuroBase
Abutment into the implant in the abutment. Clean and disinfect the occlusally in the implant using
same position as determined in the superstructure. the Hex Driver 1.22 mm with a
model. The AuroBase Abutment is torque of 24 Ncm.
to tighten with the abutment screw Phosphate cements can usually be
at 24 Ncm using the prosthetic used for cementing. When doing With horizontal screw retention
ratchet and the Friadent Ratchet so, take care to remove the excess (anterior region), use the Hex
Hex Driver 1.22 mm or a torque- cement completely from the crown Driver 0.9 mm to fix the crown on
controlled contra-angle handpiece margins. the AuroBase abutment with a
with the respective driver insert. torque of 14 Ncm.
When cementing with temporary
cements, the upper two-thirds of
the abutment should be roughened
or blasted.
59
Xive® TitaniumBase
For your preferred workflow – Xive TitaniumBase This solution allows the dental laboratory to design
combines the proven strength of a prefabricated and manufacture a CAD/CAM restoration within their
titanium abutment with the esthetics of an individually preferred workflow.
designed ceramic component.
A precision manufactured Individually designed Deep internal hex connection

component for esthetic results with high precision
TitaniumBase for Xive is manu- The ceramic component is designed An important feature of the
factured with the highest precision, and manufactured with the ideal subgingival Xive implant is
meeting the requirements of the emergence profile and shape the deep internal hex implant-
Bone-care with platform-switch according to the preferred workflow abutment connection. The precise
connection – one of the four of the dental laboratory. The extra- hexagon facilitates placement
interdependent features of the oral gluing process gives full control of the abutments in six defined
well-documented Xive system. of the procedure, and any adhesive positions and provides for an
residue can be easily removed. anti-rotation lock between
Note: Xive TitaniumBase Abutments abutment and implant. With
are not compatible with Frialit parallel walls above and below
implants in diameters D 4.5 and the hex, the internal connection
D 5.5. extends over a total length of
aproximately 3.5 mm. This provides
high stability and minimizes
micromovement between the
implant and the abutment.
60
Xive® S
Atlantis® patient-specific abutments
Using Atlantis patient-specific abutments that go Atlantis abutments support cement-retained and
beyond CAD/CAM, offers the optimal foundation for single tooth screw-retained restorations and represent
the greatest degree of individuality on Xive implants. an excellent base for the best possible results in both
function and esthetics.
Greatest possible flexibility No adjustments necessary Atlantis Crown Abutments

and precision for screw-retained restorations
With Atlantis abutments, all The precise connection of Atlantis Atlantis Crown Abutments are
necessary design parameters are abutments for Xive provides a available in titanium and five shade
taken into consideration, which strong and stable fit and optimal of zirconia, including a translucent
makes outstanding prosthetic load transfer. Atlantis patient- option in white.
restorations possible. With the specific abutments also eliminate
patented Atlantis VAD (Virtual the need for chairside modification. It is an efficient, effective and
Atlantis Design) software, each esthetic alternative to traditional
Atlantis abutment is individually Atlantis Abutments cast abutments for single tooth
designed based on the final tooth for cement-retained restorations screw-retained restorations with
shape, taking into consideration porcelain or composite applied
the specific edentulous space, the The Atlantis Abutment is available directly to the abutment.
adjacent teeth and the anatomy of in titanium, gold-shaded titanium
the soft tissue. or zirconia. The zirconia abutments
are delivered in different shades.
Optimized soft tissue management
The emergence profile of Atlantis

abutments can be individually
designed and therefore used for
soft tissue contouring.
61
Step-by-step:
Xive® TitaniumBase Abutment
The customizable Xive TitaniumBase Abutment These allow for fabrication of patient-specific
enables the dental technician to manufacture esthetic, restorations which come as close as possible to the
high-quality ceramic abutments with a titanium core. natural esthetics in both the anterior and posterior
region.
Impression taking Design Fixation of the TitaniumBase

and the scanning procedure
Expose the implants in case of Design the ceramic part according After blasting with aluminum oxide
submerged healing. Remove the to anatomical preferences. and pre-treating with a metal
Cover Screw or gingiva-forming The finished CAD-designed primer, the TitaniumBase is to bond
components using the Hex Driver customized abutment with the with the individually milled ceramic
and take impressions as described virtual TitaniumBase can now be abutment with a suitable adhesive,
starting on page 36. Mount/ manufactured. The fine tuning according the instructions of the
remount the Gingiva Former after of the abutment design should adhesive manufacturer. For optimal
impression taking. The laboratory be based on the preparation positioning, the fabrication of a
receives the impression for casting guidelines for natural teeth as transfer key is recommended.
the model. well as on the guidelines for the
materials being used.
In the dental laboratory, the model
is scanned with/without the The created STL data set, the basis
mounted scan post (ScanBase). for the fabrication of the individual
Use scanspray for gingival masks mesostructure, can either be
to ensure an accurate scan. For locally milled or sent to any desired
restorations with more than four dental milling facility.
teeth, an additional wax-up scan
should be made.
62
Xive® S
1.22 mm 1.22 mm
24 Ncm 24 Ncm
Placing the TitaniumBase Abutment Final restoration Xive TitaniumBase

screw-retained crown
Place the individual TitaniumBase Place the final zirconia crown Alternatively, the full contour
Abutment in the implant with the on the individual TitaniumBase crown or veneered crown can be
index position as determined in the Abutment and cement it intraorally. produced and bonded onto the
model. When doing so, take care to TitaniumBase for the single tooth
remove excess cement completely screw-retained restoration.
The TitaniumBase Abutment is to from the crown margins.
tighten with the abutment screw In this case, after removing the
at 24 Ncm using the prosthetic Gingiva Former, the final crown
ratchet and the Friadent Ratchet is to tighten with the abutment
Hex Driver 1.22 mm or a torque- screw at 24 Ncm using the pros-
controlled contra-angle handpiece thetic ratchet and the Friadent
with the respective driver insert. Ratchet Hex Driver 1.22 mm or a
torque-controlled contra-angle
handpiece with the respective
For the manufacture of driver insert.
bridge contructions, the
same procedure is used as
for single crowns.
63
Step-by-step:
Atlantis® patient-specific abutments
Atlantis patient-specific abutments are available in Atlantis VAD (Virtual Abutment Design) is an expert
biocompatible materials including titanium, gold- system software that designs abutments entirely in a
shaded titanium (titanium nitride coated – TiN) and virtual environment. It’s smart software that can take
different shades of zirconia for esthetically demanding all of the information input and transform it into an
cases. initial abutment design.
Dental practice Dental labotatory Abutment design
Take a digital implant-level Review the digital file or use the The Atlantis Abutment is designed
impression with an intraoral traditional impression to create the at Dentsply Implants, using the
scanner and Atlantis IO FLO. master cast, including a gingiva Atlantis VAD software. The soft-
Analyze the digital file and mask. Either scan the master ware makes it possible to design
transmit the file to the dental cast at the dental laboratory or each abutment in relation to
laboratory with a request for send it to the Dentsply Implants the edentulous space and the
an Atlantis Abutment. production facility. Submit the order surrounding teeth.
in Atlantis WebOrder for design and The abutment design can be
As an alternative, take a precise production. reviewed and approved by the
traditional implant-level impression dental technician in Atlantis 3D
(e.g., Aquasil Ultra, Dentsply Editor before production.
DeTrey) and send the materials
to your dental laboratory with a
request for an Atlantis Abutment.
64
Xive® S
Final restoration Abutment installation Atlantis Crown Abutment
The Atlantis Abutment with the The Abutment is to tighten with The Atlantis Crown Abutment
abutment screw is delivered to the the abutment screw at 24 Ncm is indicated for single tooth,
clinician. using the prosthetic ratchet and screw-retained restorations. It is
the Friadent Ratchet Hex Driver an efficient, effective and esthetic
Additional modification of 1.22 mm or a torque-controlled alternative to traditional cast
the Atlantis Abutment is not contra-angle handpiece with the abutments. Porcelain or compos-
recommended. respective driver insert. ite can be applied directly onto
the abutment and the abutment
Clean and disinfect all components. design supports the veneering
Metal crowns can be cement- material. The Atlantis Crown
retained or screw-retained. All- Abutment is available in titanium
ceramic crowns or crowns with a (grade 5) and in five shades of
ceramic shoulder should always zirconia.
be cemented.
For more information, refer to the
Design guide – Atlantis patient-
For the manufacture of bridge
specific abutments.
constructions, the same procedure
is used as for single crowns. Bridge
constructions on individual abutments
can only be cemented.
65
Restorations with Xive S implants | Larger tooth gaps and the edentulous jaw
Fixed solutions for larger tooth gaps

and the edentulous jaw
Delivery of the prosthetic restoration on implant level
Restorations with Restorations with Restorations with Restorations with

Friadent EstheticBase Friadent AuroBase Xive TitaniumBase patient-specific Atlantis
abutments
Friadent EstheticBase AuroBase Abutments Xive TitaniumBase com- Atlantis abutments

Abutments with pre- with pre-fabricated bines the proven strength enable patient-specific
drilled holes for horizon- implant connection of a prefabricated cement-retained
tal or transverse screws serve as the basis for titanium abutment (Atlantis Abutments)
can be customized. individual abutments, with the esthetics of an and single tooth screw-
They have an anatomi- enabling almost individually designed retained (Atlantis Crown
cally contoured unlimited individuality. ceramic component. Abutment) restorations
shoulder, available in in the anterior and
various gingival heights. They can therefore be This solution allows the posterior region and
used for restoring cases dental laboratory to represents an excellent
These abutments can pre-senting special design and manufacture base for the best possible
be used to support both challenges, such as a CAD/CAM restoration results in both, function
cement-retained and large axial divergences within their preferred and esthetics.
laterally screw-retained or a small interocclusal workflow.
bridges. clearance, with telescopic
or conical crown tech-
nique.
66
Xive® S
The WeldOne
concept
Delivery of the prosthetic restoration on abutment level
Restorations with Restorations with Restorations with Restorations with the

Xive/Friadent Xive/Friadent Xive/Friadent WeldOne concept
MP Abutments: MP Abutments: MP Abutment and
Castable/Cast-to PassivFit Set/Xive MP Atlantis supra-
Waxing Sleeve Retention Sleeves structures
Friadent Castable and The Friadent PassivFit The Atlantis bars, The WeldOne concept
Cast-to Waxing Sleeves Set consists of a titanium bridges or hybrids are provides a stable, pas-
are used to fabricate sleeve and a castable the solution for partially sive-fit framework for
screw-retained bridges plastic sleeve. A pre- edentulous and eden- temporary prostheses
on Xive/Friadent MP defined bonding gap tulous arches, meeting for immediate restora-
Abutments. enables intraoral bonding patient requirements tions on the same day
and thus a passive fit of and preferences for of surgery.
the superstructure. function and esthetics.
The MP Retention
Sleeves are for
polymerizing into
prosthesis/bridges
and impression taking
(PickUp).
67
Xive®/Friadent® MP Abutments
(Multi Purpose)
Friadent MP Abutments are used to support screw-

retained bridges or bar constructions for restoring
multiple implants. The prosthetic procedure can follow
two different protocols: one-stage (direct) or two-stage
(indirect).
Impression taking on abutment level with Color-coded MP Abutment Inserts (D 3.4 - 4.5) and MP Insert Xive MP Abutments angled,
MP Transfer Impression Copings and sealing Screws. The number of grooves on the screw head indicates Xive MP Insert Head premounted
with Cover Screws the gingival height of the matching Abutment Insert. on a seating instrument
Friadent MP Abutment straight/ The SmartFix concept –

Xive MP Abutment angled The prosthetic solution on
implants placed at an angle
The Friadent MP Abutment straight The short and flexible seating The SmartFix concept allows for
and the Xive MP Abutment angled instrument ensures secure handling immediate restoration of edentu-
are made from titanium. They are and simplified placement of the lous patients with screw-retained
available in different diameters and abutment, in particular when space bridges or bar dentures in the
gingival heights. For each gingival is limited. maxilla and mandible on a mini-
height of a straight MP Abutment, mum of four implants.
there is a matching MP Insert Xive MP Abutment PS
Screw to tighten the MP Abutment (platform-switch) To obtain a common path of
Insert in the implant. insertion, the implants placed at an
• Enables the restoration of angle are provided with 15° or 30°
The very small head of the angled implants D 3.8 and D 4.5 with angled Xive MP Abutments.
Xive MP abutments provides diameter-reduced abutments
optimum freedom of design of Two restorative options are avail-
the superstructure with respect to • Platform-switch abutments favor able: Conventional superstructure
height and diameter. long-term esthetic results fabrication or Atlantis implant
• All platform-switch abutments suprastructures with a high preci-
are laser-marked with “PS” sion fit.
68
Xive® S
MP Abutment Insert MP Cover Screw MP Transfer Impression Coping/ MP Analog MP Bar Coping/
+ MP Insert Screw MP PickUp Impression Coping Cast-to Waxing Sleeve/
Castable Waxing Sleeve
One-stage/Direct prosthetic procedure
One-stage/ Two-stage/
Direct prosthetic procedure Indirect prosthetic procedure
Two different prosthetic protocols With the direct procedure, MP With the two-stage procedure, the
can be followed for manufacturing abutments are installed directly impression is taken on implant level
restorations on MP Abutments: after implant placement or at (see p. 36 for the step-by-step
•O ne stage re-entry after submerged healing instructions on impression-taking).
(direct prosthetic procedure) and remain in the patient’s mouth,
following the “one-abutment, one- The MP Abutments, corresponding
•T
wo stage time” principle. to the gingival height, are selected
(indirect prosthetic procedure) in the dental laboratory. They are
The impression is taken on abut- delivered to the patient with the
ment level (see p. 42 for the step- final prosthetic restoration.
by-step instructions on impression-
taking) and the dental laboratory
works on MP Analogs.
69
The SmartFix® concept
The SmartFix concept allows for immediate To obtain a common path of insertion, the implants
restoration of edentulous patients with screw- placed at an angle are restored with 15° or 30° angled
retained bridges or bar dentures in the maxilla Xive MP Abutments.
and mandible on a minimum of four implants.
Avoiding the need for Stable prosthetic fit

bone grafting
Augmentation and critical ana- The area supporting the prosthesis Two fabrication options are
tomical areas can be largely is extended distally by anchoring available for the restorations:
circumvented by using implants the angled implants in existing conventional superstructure
placed in an angled position. For bone volume. The local bone is fabrications or Atlantis implant
example, this avoids sinus floor thus utilized optimally and im- suprastructures with a high
elevation in the maxilla or nerve proves the support of the prosthe- precision fit.
transposition in the mandible. ses by reducing cantilevers.
The SmartFix concept offers the
following advantages:
• Provides stable prosthetic fit
• Avoids critical anatomical areas

by angled implant placement
70
Xive® S
Step-by-step:
The two components of the angled MP abutments shaped outside the oral cavity, if required, to provide
are pre-mounted on a seating instrument. The seating easier placement of the angled MP abutments in the
instrumentis made of PEEK plastic and can be pre- implants.
1.22 mm
24 Ncm
Implant placement Placement of the Unscrew seating instruments

angled prosthetic abutments and reverse
If necessary, insert the implants at Position the abutment body of the Unscrew the seating instrument
an angle, whereby one marker on angled MP Abutment in the im- from the abutment body of the
the implant driver must point in the plant using the seating instrument. angled MP Abutment, rotating it
direction of the implant apex. Axial The abutment platforms should to the left. Then, rotate the seating
divergences between two implants be parallel to the occlusal plane. A instrument through 180° to posi-
can be compensated up to 45°. Friadent Hex Driver with a 1.22 mm tion the abutment head.
Preferably, computer-guided pre- width is used for screw-tightening
operative planning is conducted at a required torque of 24 Ncm.
(i.e., with Simplant).
If necessary, post-preparation of
Further information is given in the the surrounding bone may be
appropriate surgical instruction required prior to delivery of the
manuals. abutment. Check the final fit of
the abutments via suitable radio-
graphic imaging.
71
Step-by-step:
Insertion of abutment heads and Screw-tightening of insert heads Impression taking with
removal of seating instruments and wound closure the PickUp technique
Following final screw retention of Use the Friadent seating instrument Transfer the abutment positions
the abutment body, use the seating for MP Insert Screw to screw in the using the PickUp technique with
instrument to hand-tighten the abutment head at a torque of MP PickUp impression copings in
abutment head into the abutment 24 Ncm. Seal the edges of the combination with MP PickUp guide
body. Snap off and remove the wound with monofilament sutures. pins.
seating instruments from the abut-
ments. Send the impression to the dental
laboratory.
Note: For easier alignment of
the angled implants, leave the
TempBase in the implants. The
axis of the seating instrument
can then be aligned to provide
a common path of insertion.
72
Xive® S
Notes on using the existing prosthesis:

•P
lace the MP Retention Sleeves and • Protect soft tissue by using a cofferdam curved incision
shorten if required • Mix cold-cure polymer (such as Selecta plus,
•H
ollow-grind the prosthesis adequately Dentsply) bubble-free and viscous
•A
void misalignment of the MP Retention Sleeves • Cover MP Retention Sleeves completely,
•A
void excessive polymerization shrinkage let the screw hole accessible
Sealing with Polymerizing into a prosthesis/ Screwing in

Friadent MP Cover Screws bridge the final superstructure
The angled MP abutments remain The existing prosthesis can be Clean and disinfect the super-
in the patient’s mouth. Seal with modified to provide temporary structure and attach it to the
MP Cover Screws until delivery of restoration. To avoid misalignment MP Abutments with the screws
the prosthetic restoration. of the MP Retention Sleeves in the received from the dental laboratory
prosthesis with resulting changes using a 1.22 mm hex screwdriver
in occlusion, avoid any transverse at a torque of 24 Ncm.
and/or vertical displacement of the
prosthesis during the polymeriza-
tion process. Extended functional
margins can be shortened as much
as needed.
73
Friadent® Castable/Cast-to Waxing Sleeves
The Friadent Castable and Cast-to Waxing Sleeves

are used as pre-fabricated wax-up bases for the
fabrication of screw-retained as well as individually
milled bridge and bar constructions on Friadent
MP Abutments.
Friadent Castable Waxing Sleeve Friadent Finisher Friadent Cast-to Waxing Sleeve
Xive/Friadent MP Abutments in The Friadent Finishers, manufactured The Cast-to Waxing Sleeve made
combination with Friadent from stainless steel, are required from POM plastic is mounted on a
Castable Waxing Sleeves are used for simple and exact smoothing of gold cylinder of cast-to precious
to fabricate screw-retained bridge the mating surfaces and rough metal alloy with high melting point.
frameworks. Depending on the patches left by the casting process.
selected procedure (see p. 71), the Friadent Cast-to Waxing Sleeves
MP Abutments are selected either The Finisher for the Screw Head on MP Abutments are used to fab-
chairside or in the laboratory. The Seat ensures that the Friadent ricate screw-retained bridges. De-
waxing sleeves are always selected MP Screw for Castable Sleeve is pending on the selected procedure
in the laboratory according to the correctly seated. (see p. 71), the MP Abutments are
respective MP Abutments. The selected either chairside or in the
dental technician shortens the laboratory. The respective Waxing
waxing sleeve as required and Sleeves are always selected in the
uses it as the basis for the bridge laboratory and can be shortened
framework. After casting, the as required to be used as the base
mating surfaces of the framework for the bridge framework.
must be smoothened with the
Friadent Finishers. Unlike the castable waxing sleeves,
cast-to waxing sleeves do not
require finishing with the Friadent
Finishers.
74
Xive® S
Friadent® PassivFit Set/
Xive® MP Retention Sleeves
Friadent PassivFit Set Xive MP Retention Sleeves
The Friadent PassivFit Set, consisting • Only use adhesives approved for • Polymerizing into a prosthesis/
of a Friadent PassivFit Titanium dental use. Avoid bonding gaps bridge
Sleeve and a Friadent PassivFit that are too large or too small.
Waxing Sleeve, is used for intraoral • Impression taking (pickup)
compensation of inaccuracies with • The wall thickness of the titanium on the abutment level
the superstructure fit. sleeve meets dental technological
requirements and is reinforced by • Titanium Alloy (Grade 5)
The Friadent PassivFit Titanium the superstructure. Mechanical • Color coded & laser tagged
Sleeve serves as a pre-fabricated stability is determined by the
design of the superstructure. • Short and long version
basis for the fixation of individual
superstructures on Friadent MP • Can also serve as a temporary
Abutments. restoration with plastic bridge.
The Friadent PassivFit Waxing

Sleeve is used as a pre-fabricated
modelation base for producing
individual superstructures on
PassivFit Titanium Sleeves.
75
Step-by-step: MP Abutments
with Castable/Cast-to Waxing Sleeves
Impression taking Fabrication of the superstructure One-stage/

and the use of the waxing sleeve Direct prosthetic procedure
Impressions can be taken either on The bridge – or bar – construction Using the Hex Driver 0.9 mm,
the implant level (MP Abutments is waxed-up, cast and, prior to remove the MP Cover Screws from
are selected by the laboratory) or delivery, polished with the intended the MP Abutments.
on the abutment level (the model finishers. No finishers are required
is cast on MP Analogs) using the when using the Cast-to-Waxing Ensure the tight fit of the MP
respective impression copings Sleeve. Insert Screws or, for angled MP
(see p. 36 for the step-by-step Abutments, the Insert Head,
instructions for impression taking). Subsequently, the bridge is using a Hex Driver 1.22 mm at a
veneered. For detailed step-by- torque of 24 Ncm.
The superstructure is fabricated step instructions for the dental
in the dental laboratory using laboratory procedure, please refer
Castable or Cast-to-Waxing to the Xive Laboratory Manual.
Sleeves. The instructions for use
for Castable/Cast-to Sleeves
are to be considered.
76
Xive® S
1.22 mm
24 Ncm
Two-stage/ Checking the fit Placing the superstructure

Indirect prosthetic procedure
Unscrew the gingiva-forming Prior to final completion, check For the final restoration, secure the
components using the Hex Driver the fit for correlation, esthetics, superstructure with the Friadent
0.9 mm, or expose the implants phonetics and bite conditions MP Screws for Castable Sleeves,
and remove the Implant Cover (Sheffield Test, see p. 47). using the Hex Driver 1.22 mm at a
Screws. torque of 24 Ncm.
Then, place the MP Abutments

and tighten them with the
corresponding MP Insert Screws,
using the Seating Instrument
for the MP Insert Screw.
The recommended torque for the
MP Insert Screws is 24 Ncm. The same procedure is used
for the manufacturing of
constructions on Xive TG
Implants. Please use the respec-
tive Xive TG components.
77
with the PassivFit Set (intraorally cemented)
Impression-taking Fabrication of the superstructure One-stage/

and using of the PassivFit Set Direct prosthetic procedure
Impressions can be taken either on The bridge – or bar – construction Using the Hex Driver 0.9 mm,
the implant level (MP Abutments is now waxed-up, cast and remove the MP Cover Screws from
are selected by the laboratory) or veneered, using the Plastic the MP Abutments. Ensure the
on the abutment level (the model Sleeves. For detailed step-by- tight fit of the MP Insert Screws
is cast on MP Analogs) using the step instructions for the dental or, for angled MP Abutments, the
respective impression copings laboratory procedure, please refer Insert Head, using a Hex Driver
(see p. 36 for the step-by-step to the Xive Laboratory Manual. 1.22 mm at a torque of 24 Ncm.
instructions for impression taking).
Place the titanium sleeves on the

MP Abutments or MP Analogs,
secure with Friadent MP Screws
for Castable Sleeve and shorten
individually. Slide the Plastic
Sleeves onto the Titanium Sleeves
and adjust them accordingly.
78
Xive® S
1.22 mm
24 Ncm
Two-stage/ Placing the titanium sleeves Placing the superstructure

Indirect prosthetic procedure
Unscrew the gingiva-forming Place the customized titanium Place the prosthetic restoration on
components using the Hex Driver sleeves on the MP Abutments the titanium sleeves and bond the
0.9 mm, or expose the implants and tighten with Friadent MP framework intraorally. This helps
and remove the Implant Cover Coping Screws using a Hex compensate for any inaccuracies of
Screws. Driver 1.22 mm at a torque of fit of the superstructure.
24 Ncm.
Then, place the MP Abutments
and tighten them with the
corresponding MP Insert Screws,
using the Seating Instrument
The recommended torque for the
MP Insert Screws is 24 Ncm. The same procedure is used
79
with Atlantis® Bridge and Hybrid
Atlantis implant suprastructures offer all options An Atlantis Bridge provides a reduced anatomical
manufacturing patient-specific solutions for restoring framework for optimal ceramic or composite layer
partially- or fully-edentulous jaws on two or more techniques.
implants on the implant or abutment level. An Atlantis Hybrid structure provides additional
retention elements. The restoration can be finished
using plastic teeth and acrylic resin.
Impression taking and the dental The order procedure Design

laboratory procedure
Impressions can be taken either on Framework orders are submitted At the Dentsply Implants
the implant level (MP Abutments through Atlantis WebOrder production facility, the master
are selected by the dental (www.Atlantisweborder.com). The cast and the diagnostic tooth
laboratory) or on the abutment master cast, and if applicable the set-up are scanned in 3D and the
level (the model is cast on MP MP analogs or MP abutments and suprastructure is designed. Prior
Analogs) using the respective the diagnostic tooth set-up or to milling, the design is checked
impression copings (see p. 36 for the design template, are sent to by the dental laboratory with the
the step-by-step instructions for the Dentsply Implants production Atlantis Viewer and approved for
impression taking). facility. production.
At the dental laboratory, a soft- In order to improve the function The completed suprastructure
tissue mask and a silicone key are and esthetics of bridge and hybrid can be delivered with the
used to make a diagnostic tooth restorations, the dental laboratory corresponding Atlantis prosthetic
set-up, or a design template made can take advantage of the option screws. In the dental laboratory, the
of wax or plastic on the master of the angulated screw access. supra-structure is veneered with
model for the manufacture of the This must be indicated in the order ceramic or composite and sent to
bridge or hybrid construction. procedure. the dentist with the screws.
80
Atlantis patient-specific implant
Xive® S
suprastructures offer a unique feature –
angulated screw access. By angling the
screw channel, it is possible to optimally
position the prosthetic screw access,
and to improve the function and esthetics
of the bridge and hybrid restorations.
1.22 mm
24 Ncm
One-stage/ Two-stage/ Placing the suprastructure

Direct prosthetic procedure Indirect prosthetic procedure
Using the Hex Driver 0.9 mm, Unscrew the gingiva-forming Clean and disinfect all components.
remove the MP Cover Screws from components using the Hex Screw the veneered Atlantis
the MP Abutments. Ensure a tight Driver 0.9 mm, or expose the Bridge or Hybrid onto the MP
fit of the MP Insert Screws or, for implants and remove the Implant Abutments and seal the screw
angled MP Abutments, the Insert Cover Screws. accesses.
Head, using a Hex Driver 1.22 mm
at a torque of 24 Ncm. Then, place the MP Abutments Note: For the manufacturing of
and tighten them with the full-arch bridge constructions,
corresponding MP Insert Screws, the same procedure is used as
using the Seating Instrument for larger gaps.
The recommended torque for
the MP Insert Screws is 24 Ncm.
81
The WeldOne concept
With the WeldOne Welding Unit and special welding An electric current leads to fusion of the titanium
components, a titanium wire is permanently connected material at the contact points between the titanium
to the abutments with exactly the correct force to wire and the abutment in milliseconds.
achieve an optimum weld.
Above: An intraorally welded titanium framework

Below: Completed restoration
Different fabrication procedures The WeldOne concept meets the Safe and predictable for immediate
can be selected for this unique patients‘ demand for immediate loading treatment as immediate
concept for prosthetic restorations: restorations – surgical procedure rigid splinting reduces mobility of
and prosthetic delivery on the the implants and thus minimizes
• Temporary restorations on same day of surgery: the risk of implant failures during
implant level the healing phase.
Significant time and cost reduction
• Temporary or durable restorations due to standardized protocol with No additional impression taking
on abutment level specially designed components for of implants necessary thanks to
a reduction of appointments to a simultaneous delivery of a titanium
The WeldOne concept provides a minimum and the opportunity to framework on implant abutments
stable, passively fitting framework reduce total treatment costs. at one time. Advantage of the “one
for temporary or durable prostheses abutment one time” philosophy in
for immediate restorations on the Fewer risks of fractures on case of abutment level restorations.
same day of surgery. temporaries due to immediate
reinforcement of the temporary
It is a fast and economical solution by a titanium framework.
to deliver partial- and full-arch
restorations – suitable for immediate
or late loading.
82
Xive® S
The permanent joint between the titanium wire and

the abutment enables an immediate and stable
titanium framework to be made which will provide
the optimum support for temporary or durable
restorations.
Immediate reinforcement of the temporary Xive Temporary Welding Abutments with Screws for EstheticBase;
by a titanium framework. Xive MP Welding Sleeves with Abutment Screws for Welding Sleeve
and Friadent Titanium Wires
The WeldOne Welding Unit The Xive Temporary Welding Titanium Wires
Abutment
The WeldOne Unit is an electric For fabrication of an intraorally or For fabrication of an intraorally
resistance-pressure spot welding extraorally welded titanium frame- or extraorally welded titanium
unit, specially created with touch work for immediate temporary framework for implant-supported
screen and easy menu guidance. restorations on Xive Implants. prosthetic restorations. Three sizes
The WeldOne Unit is designed for of titanium wires are available to
the intraoral and extraoral welding Xive MP Welding Sleeve ensure the stability of the frame-
technique in dental implantology. work according to the intended
The welding unit is intended For fabrication of an intraorally application and respective
for welding titanium wires to or extraorally welded titanium indication.
abutments or caps on Xive or framework for immediate and late
Ankylos implants directly inside restorations on MP abutments. • Ø 1.2 mm for additional retention
the oral cavity of the patient. • Ø 1.5 mm for inter-implant
distances of up to 8 mm
• Ø 2.0 mm for inter-implant distan-

ces of between 8 mm and 15 mm
Intraoral and extraoral welding may

only be performed subject to relevant
training in order to ensure that the
treatment procedure runs smoothly. 83
Step-by-step:
The WeldOne concept
The WeldOne concept is an advanced protocol Special training courses tailored to meet the indication
addressed to surgeons and prosthodontists who requirements and the experience level are highly
already have experiencewith immediate loading recommended. The teamwork of the surgeon and the
treatment. dental technican is key to success.
Implant placement Placement of dedicated welding Bending, alignment and welding

abutments
After inserting the Xive S Implants Temporary restoration on implant Select the titanium wire according
as parallel to one another as pos- level: Place the Xive Temporary to the intended application and
sible, remove the pre-mounted Welding Abutments in the implants respective indication. Bend the
TempBase Abutments from the and screw hand-tight using the titanium wire using standard dental
Implants with a Hex Driver 0.9 mm. retaining screw supplied and the Hex bending instruments.*
Inter-implant distances should not Driver 1.22 mm. Check the fit of the
exceed the limit of 15 mm. welding abutments. Make sure that After bending, shorten the titanium
no soft tissue is wedged between wire for intraoral or extraoral weld-
abutment and implant. ing accordingly and place it on the
Xive MP Welding Sleeves. Confirm
Durable restoration on abutment the wire is free of tension and gaps.
level: The Xive MP Welding Sleeves Align the titanium wire in a vestib-
are selected corresponding to the ular-oral direction and adjust to the
diameters of the MP Abutments. prosthetic conditions. Position the
Insert the MP Abutments in the two electrodes of the welding unit’s
implants and tighten at a torque of welding clamp centrally on the tita-
24 Ncm. Place the Xive MP Welding nium wire and the Xive MP Welding
Sleeves onto the MP Abutments Sleeve. The clamping force of the
and screw hand-tight with the Xive welding clamp secures the compo-
MP Retaining Screw for Welding nents in position. Then, carry out the
84 Sleeve using the Ratchet Hex Driver welding procedure.
1.22 mm.
Xive® S
Additional retention elements Finalized titanium framework Completed restoration
Release the retaining screws and The welding abutments and sleeves Fill the ready-made plastic pros-
remove the framework from the can be shortened occlusially. If, in thesis with cold- or light-curing
implants or MP abutments using such cases, the Xive MP Retaining resin and place it on the frame-
the Ratchet Hex Driver 1.22 mm. Screw for Welding Sleeve is too work. After the plastic has set,
long, the short Friadent MP Screw undo the retaining screw and
Additional retention elements can for castable sleeve can be used. prepare the plastic prosthesis ac-
be added extraorally with the use cording to the generally accepted
of Ø 1.2 mm titanium wires. Check the manufactured titanium dental regulations.
framework in the patient’s mouth
Note: It is imperative to follow the again to make sure that it is free of Place the prosthetic restoration in
welding parameter settings accord- tension (e.g., Sheffield Test) before the implants or on MP abutments.
ing to the table in the instructions incorporating it into a plastic Make sure that the abutments or
for use and in the user manual. prosthesis. sleeves are correctly seated and
that no soft tissue is wedged be-
* As an alternative, special custom-built Place the finished and opaqued tween the abutment and implant.
tools can be ordered from Ustomed coated titanium framework in the Check the passive fit of the pros-
(www.ustomed.de). patient’s mouth and screw hand- thetic restoration, tighten the pros-
tight with the retaining screw thetic screws using the Ratchet
provided in the implants or on the Hex Driver 1.22 mm at a torque of
MP Abutments. 24 Ncm. Then, check the occlusion.
85
Restorations with Xive S implants | Removable solutions for the edentulous jaw
Removable solutions for the edentulous jaw
The Locator
concept
Restorations with Restorations with Restorations with Restorations with

Xive Locator Friadent Ball and Friadent AuroBase Friadent Telescopic
Socket Attachment Abutments
The self-aligning Locator The adjustable Friadent The AuroBase Abutment The Friadent Telescopic
makes correct placement Ball and Socket Attach- with its pre-fabricated Abutment is used to
of overdentures in both ment offers the option implant connection secure overdentures on
the maxilla and mandible of quick and economical serves as the basis for telescopic or conical
easy and enables the retention of overdentures individual abutments crowns.
compensation of axial in the mandible. Implant enabling almost unlimited
divergences up to 40°. axial divergences of up individuality. The Friadent Telescopic
to 15° can be compen- Abutment, made of
Its low vertical height sated by rotating the It can therefore be titanium, allows custom-
makes it an ideal solution, socket on the ball. used for restoring cases ized preparation even in
even for patients with presenting special cases with axial diver-
restricted mobility or The Friadent Ball and challenges such as large gences.
limited occlusal space. Socket Attachment con- axial divergences or a
cept allows for chairside limited inter-occlusal
processing, using the clearance with telescopic
existing denture, as well or conical crown tech-
as for the manufacturing nique.
of a new prosthesis in
the dental laboratory.
86
Xive® S
The Atlantis
The SmartFix concept
Conus concept
Restorations with Restorations with the Restorations with the Restorations with the
Xive/Friadent MP Friadent MP Abutment/ Friadent MP Abutment/ Atlantis Conus concept
Abutments/Bars Atlantis Bar Atlantis 2in1 solution
Friadent Bar Copings With the Atlantis Bar on Atlantis 2in1 provides The Atlantis Conus
are used to fabricate bar Friadent MP Abutments, primary and second- concept allows you to
constructions to retain the patient’s final res- ary suprastructures for provide fully edentulous
overdentures on Xive/ toration is retained by a removable solution. patients with a cost-
Friadent MP Abutments. attachments on a high The primary structure is effective, implant-
They are available in quality and tension free fixed to implants while supported prosthesis.
versions for soldering, patient specific bar. the secondary struc-
laser-welding or casting. ture attaches to the This solution has the
primary using friction stability of a friction-
and additional retention retained, non-resilient
elements. The second- prosthesis, but the
ary is a bridge or hybrid comfort of a fixed
suprastructure finished restoration.
with custom teeth and
denture resin. The concept is com-
The Atlantis 2in1 solu- posed of patient-specific
tion combines screw- Atlantis Conus Abutments
retained stability with together with pre-fabri-
removable prosthetic cated SynCone Caps.
convenience. 87
The Locator® concept
The availability of a simple and secure fixation of an The Xive Locator makes correct placement of
implant-supported prosthesis is a significant success overdentures in the maxilla and mandible much
factor for restorations in elderly patients. simpler, even for patients with limited mobility,
with restricted occlusal volume or in cases with
divergent implants.
Xive Locator Abutments and Locator Replacement Males (clear/strong, pink/light, blue/extra light.
Extended range: gray/zero, green/strong, orange/light, red/extra light).
Due to the low overall height, the The options of flexible retention Enduring durability of the prosthesis
Locator Attachment System pro- allow compensation of axial diver- due to the secure retention.
vides more room even in limited gences.
occlusal spaces: • Double retention of the Locator
• Retention can be customized abutment in comparison with
• Low profile retention of the using nylon color-coded inserts conventional attachments for a
abutment (replacement males) that offer a significantly improved seating of
range of retentive forces the prosthesis
• Sufficient space for easy insertion
of the prosthesis even with • Axial divergences up to 40° • Optimum prosthesis durability
restricted interocclusal clearance between two implants (20° each) and significantly less wear with
can be compensated the nylon replacement male
The self-aligning design allows inserts
fixation with one click:
• Easy alignment of the prosthesis
• Exact positioning by light

pressure on the prosthesis
88
Xive® S
min. 1.5 mm
Delivering Locator Insertion of Removal of

abutments manually replacement males replacement males
All treatment steps are conducted with the Friadent Locator Insert for The functional area has to be located
three-piece Locator Core Tool Prosthetic Ratchet supragingivally.
Please read the instructions for use To select the suitable Locator
prior to using the Locator Implant abutment, the implant diameter
Attachment System. and the thickness of the gingiva
must be known. The thickness
The Locator Implant Attachment of the gingiva determines the
System may only be used for its required gingival height of the
intended purpose according to the abutment. The exact height of the
general rules for dental/surgical abutment has been selected if the
treatment, occupational safety and functional area is supragingivally
accident prevention. located.
Note: Use the specified torque

insert for final placement of the
Locator abutment in the implant.
89
Step-by-step:
The Locator® concept
The Locator concept allows for the fixation of an exist-

ing denture directly chairside. As an alternative, a new
prosthesis can be manufactured in the dental labora-
tory.
The direct prosthetic procedure The indirect prosthetic procedure
Placing the Locator Abutments Measuring the divergence Manufacturing a new prosthesis
in the laboratory
After removing the gingiva formers, Position the black parallel posts If the prosthesis is manufactured
select the Locator Abutments on the abutments and measure in the laboratory, an impression
matching the gingival height. the degree of divergence with of the clinical situation has to
Screw in the abutments with the Locator Angle Measurement be made after delivery of the
the Locator Insert for Prosthetic Guide. If the divergences are 10° Locator Abutments.
Ratchet or the Locator Driver. or less per implant, the clear,
For secure handling, slide the pink or blue replacement male Position the Locator Impression
abutment holder sleeve onto can be used depending on the Copings with an integrated
the Locator Driver. The Locator amount of retention required. If black replacement male on the
Abutment will snap into the holder the divergences are 10–20° per Locator Abutments, and make an
sleeve and will be retained in place. implant, use the replacement male impression of the complete jaw.
Tighten the Locator Abutments in green, orange, red or grey.
to 30 Ncm with the insert and the The impression with the black
prosthetic ratchet. replacement males remaining in
the impression copings is then
given to the laboratory. The
dental laboratory manufactures
the prosthesis measuring the
divergence on the cast.
90
Xive® S
Preparation of the prosthesis Delivery of replacement males Delivery of prosthesis
Position the white block-out spacers Firmly press the color-coded Check the retention and insert the
and females with an integrated replacement males, selected for prosthesis.
black processing insert on the their divergence and desired
heads of the Locator Abutments. retention force, into the females
Make sure to have a gap-free with the specified part of the
fit and add block-out spacers if Locator Core Tool. The replace-
necessary. Position and fix the ment male must be flush with
grinded prosthesis with polymer or the margin of the female.
cold-set polymer until the polymer
is set. Please consider the directions
of the polymer manufacturer.
Remove the prosthesis and

processing replacement males and
smooth out all sharp edges.
91
Friadent® Ball and Socket Attachment
The adjustable Friadent Ball and Socket Attachment

offers the option of quick and economical retention
of overdentures. Implant axial divergences of up to 15°
can be compensated by rotating the matrix (socket) on
the ball-headed part of the male section (Attachment
Screw).
Friadent Ball and Socket Attachment Friadent Ball and Socket Attachment Friadent Activator/Deactivator
D 3.8, GH 1–5 GH 2, D 3.4–5.5 for Ball and Socket Attachment
Friadent Ball and Socket Friadent Activator and Deactivator

Attachment for Ball and Socket Attachment
The male section of the Friadent The rounded shape makes the The Deactivator has a conical
Ball and Socket Attachment con- Attachment easy to clean and thus working tip, which expands the
sists of the Attachment Insert and particularly suitable for patients lamellae of the Attachment Matrix.
the ballheaded Attachment Screw with limited manual dexterity.
made from pure titanium. The Activator compresses the
It is available in gingival heights of lamellae of the Attachment Matrix,
1, 2, 3 and 5 mm. thus increasing the retention.
The Attachment Insert has the

color-coded implant-abutment
connection and flares slightly from
the implant diameter with rounded
edges.
The adjustable Attachment Matrix

is fabricated from high gold con-
tent precious metal alloy.
92
Xive® S
Friadent® Telescopic Abutment
The Friadent Telescopic Abutment is used to secure

overdentures on telescopic or conical crowns. The
direct processing of the Friadent Telescopic Abutment
allows for fabrication of primary parts without casting.
Friadent Telescopic Abutment

D 3.0–5.5
Friadent Telescopic Abutment
The Friadent Telescopic Abutment For manufacturing screw-retained The reverse conical shape allows
forms the primary part for the single crowns, the Telescopic for customized preparation and
simple and economic fabrication Abutment, except D 3.0 and D 3.4, compensation of axial divergences
of telescopic or conical crowns for can be veneered with titanium with milling technique.
fixing prostheses and removable ceramics (e.g., Duceratin, Ducera
bridges as well as for customized or Vita Titan-keramik, Vita Zahn-
single tooth crowns. fabrik).
Note: The Friadent Telescopic

Abutment D 3.0 can be used for
direct acrylic veneering only.
93
Step-by-step:
Friadent® Ball and Socket Attachment
The Friadent Ball and Socket Attachment concept

allows for fixation of an existing denture directly
chairside. As an alternative, a new prosthesis can be
manufactured in the dental laboratory.
The indirect prosthetic procedure The direct prosthetic procedure
1.22 mm
24 Ncm
Dental Laboratory Placing the Attachment Inserts Alignment of the matrices
After impression taking and After the peri-implant soft tissue Place black silicone rings around
completion of the master cast, has healed, place the Attachment the ball necks and align the matrices
the dental laboratory places Inserts with Friadent Seating towards the pulling direction. This
the corresponding Attachment Instrument for Attachment Insert stabilizes the matrices and prevents
Inserts with the Friadent Seating and MP Insert. The gingival height ingress of auto-polymerizate into
Instrument for Attachment Insert of the inserts must be selected the region below. Axial divergences
and MP Insert and tightens them corresponding to the soft tissue of the implants of up to 15° can be
with the Attachment Screws. The height. compensated with the alignment
Attachment Matrices are to be of the matrices.
polymerized into the denture. Use the Hex Screwdriver 1.22 mm
to tighten the Attachment Screw Place white silicone rings on the
with the recommended torque lamellae of the matrices as spacers
of 24 Ncm. The insert and screw in order to prevent ingress of
form the male part of the Ball and plastic and at the same time to
Socket Attachment. create space to be able to adjust
the matrices to the desired pull-
off force if necessary.
94
Xive® S
Polymerization of the matrices Adjustment of the friction Delivery of prosthesis
Perforate the denture in the areas Adjust the friction with the Check the fit of the prosthesis.
of the implants and place it in the Activator to increase friction or
patient’s mouth. Fix the retentive the Deactivator to decrease
part of the matrix through the it. Redo adjustments after the
perforation with auto-polymerizate. wearing period.
After curing the plastic material,

remove the blue silicone ring and
smooth the intersections in the
denture.
The same procedure is used

95
Step-by-step:
Friadent® Telescopic Abutment
The Friadent Telescopic Abutment is used to secure

overdentures on telescopic or conical crowns. After
taking impressions in the practice, the prosthetic
restoration is manufactured in the dental laboratory.
1.22 mm
Impression taking The dental laboratory procedure Fabrication of the final denture
Expose the implants in case of After casting the model with milling The secondary parts are modeled,
submerged healing. Remove Cover implants incorporated, the dental cast and polymerized into the
Screw using the Hex Driver 0.9 mm technician selects the corresponding denture. The master cast with the
or gingiva-forming components Telescopic Abutments. Then, conical Telescopic Abutments, abutment
using the Hex Driver 1.22 mm and or telescopic crowns are milled screws and the finalized denture
take impression as described directly from the pre-fabricated are given to the dental practice for
starting on page 36. Mount/ telescopic abutments in the milling delivery.
remount Gingiva Formers after machine. By doing so, a common
taking the impression. slide-in direction for the future
prosthesis is achieved.
The laboratory receives the
impression for casting the model.
96
Xive® S
1.22 mm
24 Ncm
Removing the Placing the Friadent Telescopic Delivery of prosthesis

Xive Gingiva Formers C Abutments
Unscrew the Gingiva Formers using The Friadent Telescopic Abutments Check the fit of the prosthesis.
the Hex Driver 1.22 mm. are to tighten with the abutment
screws at 24 Ncm using the prosthetic
Place the customized Friadent ratchet and the Friadent Ratchet
Telescopic Abutments in the same Hex Driver 1.22 mm or a torque-
implants and indexed position as controlled contra-angle handpiece
determined in the model. with the respective driver insert.
97
Friadent® MP bar solutions:

bar copings and assemblies
Friadent Bar Copings are used to fabricate bar

constructions to retain overdentures on Friadent
MP Abutments. They are available in versions for
soldering, laser-welding and casting.
Friadent Bar Copings Gold/Titanium/Castable with Friadent Gold Bar Copings

Friadent MP Coping Screws D 3.4, D 3.8, D 4.5 and D 5.5
Friadent Bar Copings
The following pre-fabricated

components are available for the
fabrication of bar constructions:
• Gold Bar Copings, made from

high gold content precious metal
for the soldering technique
• Titanium Bar Copings for laser-

welding
• Castable Bar Copings
98
Xive® S
Friadent Gold Bar round, Titanium Bar round Friadent Bar Clip Activator
and Gold Bar Clip
Friadent Gold and Titanium Bars Friadent Bar Clip Activator

round
Pre-fabricated Friadent Round The Bar Clip Activator consists of

Bars of high gold content precious three key-shaped instruments with
metal alloy or titanium are available blades in various widths (3, 10 and
in 50 mm lengths and 2 mm round 15 mm) which are related to the
cross-section. They are used to length of the clip.
connect the bar copings in bar
framework. The Friadent Bar Clip Activator is
used to adjust the friction to the
Friadent Bar Clip patient’s needs.
The adjustable Friadent Bar Clips,

fabricated of high gold content
precious metal alloy are polymerized
into the denture base for securely
retaining it on the bar.
99
Step-by-step: MP Abutments with

Friadent® Bar Copings
The prosthetic portfolio for Xive implants provides The prosthetic procedure on MP Abutments can follow
various options for the fixation of overdentures on both one- and two-stage protocols. The instructions
bar constructions. All bar-supported overdentures are below show the two-stage/indirect prosthetic proce-
fabricated on MP Abutments or, as an alternative, on dure. For the one-stage/direct prosthetic procedure,
transgingival Xive TG Implants. see pages 104–105.
MP Abutments:
the two-stage (indirect) procedure
1.22 mm
Impression taking and the The dental laboratory procedure Placing the MP Abutments
dental laboratory procedure
Expose the implants in case of In the dental laboratory, MP Abut- Use the Hex Driver 1.22 mm to
submerged healing. Remove the ments are used according to diam- unscrew the Gingiva Former.
Cover Screw using the Hex Driver eter and gingiva height. The bar
0.9 mm or gingiva-forming copings are screwed in with the Then, place the corresponding
components with a Hex Driver 1.22 MP Abutments. MP Abutments and tighten with an
and take impressions as described MP Insert Screw, using the Seating
starting on page 36. The round bar segments are Instrument for MP Insert Screw.
shortened to the required length, The recommended torque for the
Mount/remount the gingiva formers fixed with wax or plastic and MP Insert Screw is 24 Ncm.
after impression-taking. soldered or lasered to the copings.
The laboratory receives the
impression for casting the model.
100
Xive® S
1.22 mm
24 Ncm
Placing the bar Adjusting the friction Delivery of final prosthesis
Use the Friadent Hex Driver 1.22 mm According to the bar construction, Deliver the prosthesis on the bar
or the Friadent Slot Screwdriver the bar attachments have been and check friction.
2.0 mm to place the bar and poly-merized into the existing
tighten with the Friadent MP Coping denture. Use the Friadent Bar Clip
Screw at a torque of 24 Ncm. Activator to adjust the friction to
the patient’s needs.
The same procedure is used

101
Step-by-step:
MP Abutments with the Atlantis® Bar
With an Atlantis Bar on MP Abutments, a high-quality The prosthetic procedure on MP Abutments can
and tension-free, patient-specific final restoration can follow either the one- or two-stage protocol. The
be manufactured for supporting overdentures. instructions below show the one-stage/direct
prosthetic procedure; for the two-stage/indirect
prosthetic procedure, see pages 102–103.
MP Abutments:
the one-stage (direct) procedure
Placing and sealing the The dental laboratory procedure Design

MP Abutments
Impressions can be taken either on Framework orders are submitted At the Dentsply Implants
the implant level (MP Abutments through Atlantis WebOrder production facility, the master
are selected by the dental (www.Atlantisweborder.com). The cast and the diagnostic tooth
laboratory) or on the abutment master cast and, if applicable, the set-up are scanned in 3D, and the
level (the model is cast on MP MP analogs or MP abutments and suprastructure is designed. Prior
Analogs), using the respective the diagnostic tooth set-up, or to milling, the design is checked
impression copings (see p. 41 for the design template, are sent to by the dental laboratory with the
the step-by-step instructions for the Dentsply Implants production Atlantis Viewer and approved for
impression taking). facility. production.
At the dental laboratory, a soft- In order to improve the function The completed suprastructure
tissue mask and a silicone key are and esthetics of bridge and hybrid can be delivered with the
used to make a diagnostic tooth restorations, the dental laboratory corresponding Atlantis prosthetic
set-up or a design template made can take advantage of the option screws. In the dental laboratory, the
of wax or plastic on the master of the angulated screw access. supra-structure is veneered with
model for the manufacture of the This must be indicated in the order ceramic or composite and sent to
bridge or hybrid construction. procedure. the dentist with the screws.
102
Xive® S
An alternative solution
1.22 mm
24 Ncm
Placing the bar Delivery of prosthesis Atlantis 2in1 solution
Using the Hex Driver 0.9 mm, Place the final prosthesis. The primary structure of the
remove the MP Cover Screws Atlantis 2in1 is screw-retained
from the MP Abutments. Ensure on the MP Abutments. The
a tight fit of the MP Insert Screws secondary structure is a bridge
or, for angled MP Abutments, the or hybrid suprastructure with
Insert Head, by using a Hex Driver an incorporated CAD/CAM-
1.22 mm at a torque of 24 Ncm. fabricated framework, finished
in the dental laboratory with
custom teeth and denture resin.
At final delivery to the patient, the
secondary structure is attached
to the primary stucture using
friction and additional retention
elements.
The same procedure (Atlantis
Bar, as well as Atlantis 2in1
Solution) is used for the manu-
facturing of constructions on Xive
TG Implants. Please use the res-
pective Xive TG components.
103
Step-by-step:
The Atlantis® Conus concept
The Atlantis Conus concept is a conometric solution An all-acrylic existing or new full denture should be
for patient-specific, non-resilient yet removable used as a temporary prosthesis. The example below
prostheses that provide patients with the stability and shows the procedure for a temporary solution, based
comfort of a fixed palate restoration with the ease of on the patient’s existing denture, requiring no new
maintenance of a removable denture. supporting framework. After three to six months, the
prosthesis should be supported by a metal framework.
All-acrylic prosthesis
1.22 mm
24 Ncm
The dental laboratory procedure Placing the Conus Abutments Placing the Caps
and design and preparation of the prosthesis
Models and tooth set-up are After healing, install the Atlantis Place the Caps on the abutments
scanned and the Atlantis Conus Conus Abutments, preferably by applying firm pressure. Then,
Abutments are ordered by the using an insertion guide. Conus place the silicone sleeves to
dental laboratory in Atlantis Abutments are to tighten with masque the undercuts. The
WebOrder. the abutment screws at 24 Ncm sleeves help to prevent any cold-
using the prosthetic ratchet and set polymer from penetrating the
Upon approval of the abutments the Friadent Ratchet Hex Driver sulcus region between the Cap
design (if requested), the 1.22 mm or a torque-controlled and the abutment. Alternatively,
Atlantis Conus Abutments are contra-angle handpiece with the a cofferdam can be used in the
manufactured, inspected and respective driver insert. same manner.
shipped to the customer.
Seal the screw access holes with The prosthesis must match the
composite. mucosa and meet functional and
esthetic requirements. Relieve the
prosthesis sufficiently to create
the space needed for the Caps.
Extended functional margins
should be shortened as far as
possible.
104
Xive® S
Pre-fabricated Caps with retention (for acrylic temporary

Atlantis Conus Abutments prosthesis) and without retention (for precise seating into a
framework)
Metal-framework prosthesis
Polymerization of the Delivery of the prosthesis Final prosthesis

SynCone Caps
Fixation and pick-up of the SynCone Insert the finished prosthesis and The final prosthesis includes a
Cap can be accomplished by one check the retention, stability and supporting framework and
of the two following methods: occlusion. The internal surface of vestibular extensions to accom-
the prosthesis should be evaluated modate the specific needs of the
• The direct method is accomplished to ensure that it is implant-supported patient.
by adding autopolymerizing resin only, with no points of pressure on
or a light-set material to the coping the soft tissue. Note: Bonding of the framework
through the prepared window. to the Cap should be performed
intraorally and not in the dental
• The indirect method is accomplished laboratory.
by picking up the Cap in a reline
impression for processing in the
dental laboratory.
For detailed information,

please refer to the Atlantis
Conus concept manual.
105
The basics of
If function is the first priority, the single-component

transgingival Xive TG implant is a simple and straight-
forward alternative. The complete range of prosthetic
concepts can be implemented with abutments for
single-tooth restorations, bridges and overdentures:
a second surgical procedure is not necessary, the
treatment is completed faster, and efficiency is
maximized.
Xive TG implants of all diameters are restored with

components of one prosthetic diameter (D 3.8).
Xive TG is fully compatible with the prosthetic

components for Xive S because the abutment
interface matches the Friadent MP D 3.8.
Xive TG Xive TG Xive TG

Transfer Transfer PickUp
Impression Impression Impression
Coping Coping Coping
(short) with PickUp
Guide Pin*
* In order to transfer the double square positioning geometry of Xive

TG prosthetic components, impressions for single tooth restorations
on Xive TG have to be taken using the Xive TG PickUp Impression
Coping.
106
Xive® TG
Xive TG Abutment Xive TG Xive TG Xive TG Xive TG Gold/ Xive TG Atlantis

straight und angled AuroBase Castable Cast-to Titanium/Castable Attachment Implant Supra-
with TG Abutment Abutment Waxing Waxing Bar Copings with structures for
Screw with TG Sleeve with Sleeve with TG Coping Screw Xive TG
Abutment TG Abutment TG Abutment
Screw Screw Screw
Simplified procedures – less trauma
The use of a transgingival implant not only means

accelerated implant treatment but also simplified
placement of the prosthetic restoration. Working at
gingival level simplifies the prosthetic procedures
and minimizes trauma to the soft tissue. Xive TG is
the right implant for every case with a transgingival
indication.
107
Xive TG prosthetic navigator
Xive® TG prosthetic navigator
Fixed Solutions
Single crowns and bridges
The Xive TG Abutment The Xive TG The Xive TG Bridge The Xive TG Atlantis
AuroBase Abutment Bridge/Hybrid
Titanium Xive TG The Xive TG AuroBase Xive TG castable or With an Atlantis bridge
Abutments, straight abutment acts as cast-to waxing sleeves or hybrid restoration on
and angled, are used to the base for the are used as a base transgingival Xive TG
fabricate horizontally fabrication of custom for the fabrication of implants, restorations for
screw-retained or abutments for bridges. screw-retained bridges. partially or fully eden-
cemented single tooth The restorations tulous patients can be
crowns and bridges. can be cemented or fabricated.
horizontally screw-
All Xive TG Abutments retained. Individually milled, fixed,
are provided with a high quality Atlantis
horizontal thread. An The cast-to implant bridges and hybrids are
additional horizontal interface provides tension-free and allow
or transverse screw is a machined fit with for larger spans without
necessary for screw- unlimited versatility segmentation.
retained crowns. in fabricating the
abutment, making it
particularly suited for
compensating severe
axial divergences.
For instuctions, please

see the same procedure
For instructions, with Friadent AuroBase, For instructions, For instructions,
see page 112. page 58. see page 114. see page 116.
108
Xive® TG
Removable Solutions
Overdentures
The Xive TG Attachment The Xive TG Bar/ The Xive TG Atlantis The WeldOne Concept
Atlantis Bar 2in1 Solution for Xive TG
Xive TG Attachments, Xive TG bar copings are Atlantis 2in1 provides The WeldOne concept
consisting of a two- used for the fabrication primary and secondary provides a stable,
piece attachment patrix of bar constructions suprastructures for passive fit framework
and an attachment for bar-supported removable solutions. for temporary or
matrix, are used for prostheses. They The primary structure durable prostheses for
fixing overdentures are available as pre- is fixed to implants immediate restorations
in the mandible. The fabricated components while the secondary on the same day of
protocol, with an for both soldering and structure attaches surgery.
option for chairside laser welding. to the primary using
restorations, is simple. friction and additional
Axial divergences can be With an Atlantis bar on retention elements. The
compensated. Xive TG, the patient is secondary is a bridge or
restored with a patient- hybrid suprastructure
specific CAD/CAM- finished with custom
fabricated bar structure teeth and denture resin.
for a final restoration The Atlantis 2in1 solution
of high quality and combines screw-retained
passive fit. stability with removable
prosthetic convenience.
The same procedure is The same procedure The same procedure

used for the is used for the is used for the
manufacturing of manufacturing of manufacturing of
constructions with a Ball constructions on Xive constructions on Xive
and Socket Attachment. MP Abutments. MP Abutments.
109
Impression taking with Xive TG
Impression taking with Xive® TG
Xive TG significantly reduces the inventory as Due to the transgingival implant design, all
all implants utilize 3.8 mm diameter prosthetic impressions are made at the gingival level.The
components. impression for the Xive TG implant can be made
by the repositioning or the PickUp technique.
Same prosthetic diameter
Xive TG D 3.4 Xive TG D 3.8 Xive TG D 4.5 Xive S D 3.8 Xive TG Transfer Xive TG Transfer Xive TG PickUp
plus MP abutment Impression Coping Impression Coping Impression Coping
(short) with PickUp Guide Pin
The implant interface of all Xive TG Implants has the Xive TG Impression Copings
same prosthetic interface diameter, matching the
diameter of the 3.8 Friadent MP Abutment. Therefore, • For transferring the transgingival implant position to
the impression copings for D 3.8 are compatible with the master cast
all Xive TG diameters.
• Available for PickUp (open tray) and transfer
If a transfer of the head square is not required, technique
Friadent MP Transfer Impression Copings D 3.8 are • Transfer Impression Copings short for impression
used. taking with an existing overdenture
In order to transfer the double square

positioning geometry of Xive TG
prosthetic components, impressions
for single tooth restorations on Xive
TG have to be taken using the Xive TG
PickUp Impression Copings.
110
Xive® TG
The repositioning technique The repositioning technique The PickUp technique

(closed tray) (existing prosthesis) (open tray)
Use the Hex Driver 0.9 mm to Use the Hex Driver 0.9 mm Use the Hex Driver 0.9 mm
remove the Xive TG Cover Screws. to remove the Xive TG Cover to remove the Xive TG Cover
Screw the Xive TG Transfer Screws. Screw the Xive TG Screws. Position the Xive TG
Impression Copings onto the Transfer Impression Copings PickUp Impression Copings on
implants. short onto the implants. the implants, and screw the Xive
TG Guide Pins in with the Hex
Apply impression material For impression taking use Driver 1.22 mm. Perforate the tray
around the transfer copings. the existing prosthesis as an to accept the PickUp Guide Pins.
Place the tray, filled with impression tray. After the
impression material, and make impression material has set, Apply impression material
the impression. After the remove the prosthesis and around the PickUp Impression
impresssion material has set, reposition the transfer copings Copings. Place the tray filled with
remove the tray and reposition in the impression. For casting impression material and make the
the transfer copings in the the model, the dental laboratory impression. After the impression
impression. For casting the uses Xive TG Implant Analogs material has set, unscrew the
model, the dental laboratory or Xive TG Soldering Analogs. TG PickUp Guide Pins to remove
uses Xive TG Implant Analogs or the tray. The PickUp Impression
Xive TG Soldering Analogs. The Xive TG implants are sealed Copings will remain in the
with the Xive TG Cover Screws impression without repositioning.
The Xive TG implants are sealed again until the final restoration is
again with the Xive TG Cover delivered. The Xive TG implants are sealed
Screws until the final restoration with the Xive TG Cover Screws
is delivered. again until the final restoration is
delivered. 111
Restorations on Xive TG implants | Solutions for single tooth restoration and larger gaps
Step-by-step:
The Xive® TG Abutment
Titanium Xive TG abutments, straight and angled,

are used to fabricate horizontally screw-retained
or cemented restorations. The pre-fabricated,
customizable abutments are available in one
prosthetic diameter with its base matching all
available Xive TG implant diameters.
0.9 mm 1.22 mm
14 Ncm 24 Ncm
Removing the Xive TG Cover Screw Placing the Xive TG Abutment Cementing the superstructure
Use the Hex Driver 0.9 mm to Place the Xive TG Abutment in Phosphate cements can be used
unscrew the Xive TG Cover Screw. the implant according to the index for cementing. Doing so, take care
position determined on the model. to completely remove the excess
Use the Hex Screwdriver 1.22 mm cement at the crown margins.
or a torque-controlled contra- When cementing with temporary
angle handpiece to tighten the cement, the upper two-thirds of
Xive TG Abutment Screw with the the abutment has to be roughened.
recommended torque of 24 Ncm.
112
Xive® TG
The abutments have a double internal square with a flat-

to-flat width to prevent rotation. This design offers eight
options to position the abutment.
An alternative procedure An alternative procedure
0.9 mm 0.9 mm
14 Ncm 14 Ncm
The dental laboratory procedure Screwing in the superstructure Screwing in the superstructure
horizontally transversally
The abutments can be customized With horizontal screwing, secure With transversal screwing, secure
in the laboratory. Do not allow the superstructure in the oral the superstructure in both the
the wall thickness to fall below abutment wall. Depending on oral and vestibular abutment
0.8 mm during preparation of the the clinical situation, horizontal wall. Transverse screws have
abutment. screws with standard or long double threading length to en-
head lengths can be selected. sure optimal stability.
Tighten the horizontal screw The use of the transversal screw

using the Friadent Hex Driver with a long head is recommend-
0.9 mm to the recommended ed for molars since the crown
torque of 14 Ncm. usually requires wider contour-
ing. Tighten the transversal screw
using the Friadent Hex Driver
0.9 mm to the recommended
torque of 14 Ncm.
113
Restorations on Xive TG implants | Fixed solutions for larger tooth gaps and the edentulous jaw
Step-by-step: The Xive® TG Bridge

with Castable/Cast-to Waxing Sleeves
Impression taking Dental laboratory Fabrication of the superstructure
Take an abutment-level impression, Reposition the Xive TG Transfer The superstructure is fabricated
(see pages 42 and 43 for step-by- Impression Copings in the in the dental laboratory using
step instructions on impression impression. The dental laboratory Castable or Cast-to-Waxing
taking). attaches Xive TG Implant Analogs Sleeves.
or Xive TG Soldering Analogs
to the impression copings for The bridge construction is waxed-
fabricating the master cast. up, cast and, prior to delivery,
polished with the intended
The Xive TG PickUp Impression finishers.
Copings remain in the impression
without repositioning. No finishers are required when
using the Cast-to-Waxing Sleeve.
Subsequently, the bridge is
veneered.
114
Xive® TG
Removing the Xive TG Cover Screw Checking the fit Placing the superstructure
Remove the Xive TG Cover Screw Prior to the final completion, check Secure the superstructure with
using the Hex Driver 0.9 mm. the fit for correlation, esthetics, Xive TG Coping Screws, using the
phonetics and bite conditions Friadent Hex Driver 1.22 mm or the
(Sheffield Test, see p. 47). Friadent Slot Screwdriver 2.0 mm
with a torque of 24 Ncm.
115
Restorations on Xive TG implants | Fixed solutions for larger tooth gaps and the edentulous jaw
Step-by-step:
The Xive® TG Atlantis® Bridge and Hybrid
A patient-specific suprastructure on the Xive TG Due to the transgingival design of the implant,
implant provides the advantages of a high precision, additional abutments are no longer necessary.
patient-specific restoration and the cost-effectiveness The prosthetic restoration for Xive TG allows you
of a transgingival implant. Surgery performed in just to choose between a patient-specific implant
one stage saves time and money and is comfortable suprastructure for a fixed or a removable dental
for the patient. implant prosthesis.
Impression taking and the dental Order procedure Design

laboratory procedure
Take an abutment-level impression, Orders are submitted through At Dentsply Implants, the master
(see pages 42 and 43 for step-by- Atlantis WebOrder cast and the diagnostic tooth
step instructions on impression (www.Atlantisweborder.com). The set-up are scanned and designed
taking). master cast and the diagnostic using the Atlantis 3D editor. Prior
tooth set-up or the design to milling, the design is checked
At the laboratory, a soft-tissue template are sent to Dentsply by the laboratory with the
mask and a silicone key are used Implants. Atlantis Viewer and approved for
to make a diagnostic tooth set- production.
up or a design template made In order to improve function and
of wax or plastic on the master esthetics of bridge and hybrid The completed suprastructure
cast. This model is used for the restorations, the dental laboratory can be delivered with the
manufacture of the bridge or can take advantage of the option corresponding Atlantis prosthetic
hybrid construction. of the angulated screw access. screws.
This must be indicated in the order In the dental laboratory, the
procedure. supra-structure is veneered with
ceramic or composite and sent to
the dentist with the screws.
116
Xive® TG
1.22 mm
24 Ncm
Removing the Xive TG Cover Screws Placing the bridge/hybrid Placing the suprastructure
Remove the Xive TG Cover Screws The Xive TG Coping Screws are Clean and disinfect all components.
using the Hex Driver 0.9 mm. to tighten with the recommended Screw the veneered Atlantis Bridge
torque of 24 Ncm using the pros- or Hybrid onto the Xive TG Implants
thetic ratchet and the Friadent and seal the screw accesses.
Ratchet Hex Driver 1.22 mm or a
torque-controlled contra-angle
handpiece with the respective
driver insert.
117
Notes
118
Notes
119
Dentsply Sirona does not waive any right to its trademarks by not using the symbols ® or ™. 32671618-USX-1810 © 2018 Dentsply Sirona. All rights reserved.
About Dentsply Sirona Implants About Dentsply Sirona
Dentsply Sirona Implants offers comprehensive solutions Dentsply Sirona is the world’s largest manufacturer of
for all phases of implant therapy, including Ankylos®, professional dental products and technologies, with a 130-year
Astra Tech Implant System® and Xive® implant lines, digital history of innovation and service to the dental industry and
technologies, such as Atlantis® patient-specific solutions and patients worldwide. Dentsply Sirona develops, manufactures,
Simplant® guided surgery, Symbios® regenerative solutions, and markets a comprehensive solutions offering including
and professional and business development programs, such as dental and oral health products as well as other consumable
STEPPS™. Dentsply Sirona Implants creates value for dental medical devices under a strong portfolio of world class brands.
professionals and allows for predictable and lasting implant As The Dental Solutions Company™, Dentsply Sirona’s products
treatment outcomes, resulting in enhanced quality of life provide innovative, high-quality and effective solutions to
for patients. advance patient care and deliver better, safer and faster
dentistry. Dentsply Sirona’s global headquarters is located in
York, Pennsylvania, and the international headquarters is based
in Salzburg, Austria. The company’s shares are listed in the
United States on NASDAQ under the symbol XRAY.
Visit www.dentsplysirona.com for more information

about Dentsply Sirona and its products.
THE DENTAL
SOLUTIONS
COMPANY™

Xive - Dentsply Sirona Manual

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Xive®

The system was originally developed in a unique

Implant healing & exposure

Restorations with Xive® S

Xive® implant diameters and lengths

Whether the narrowest gap or edentulous jaw, hard or

Xive® implant-abutment connection

Xive® S: Xive® TG:

• Wide range of restorative options • Avoiding of gingiva irritations due to prosthetic

Easy and versatile prosthetics

The Xive® Esthetic concept – The multifunctional TempBase 3-in-1

Atlantis patient-specific bar or bridge suprastruc-

Xive TempBase and Friadent

The Platform-Switch concept – The SmartFix® concept –

Treatment planning is based on a comprehensive The following points must be considered:

The treatment plan can be prepared after examination

The plan should include:

Accurate planning of every implant procedure is

Indications for Xive® S and Xive® TG

Xive implants make an excellent prosthetic restoration

• A cylindrical implant design offers advantages –

• In indications where the maximum possible use of

Features specially for Xive® S

The two-piece Xive S implants allow submerged

• Temporary and definitive components are wanted

Features specially for Xive® TG

Xive TG is a one-piece, transgingival option

Conventional treatment planning

Pre-prosthetic planning Surgical planning

The dimensions inside the oral cavity can be calculated

Computer-guided treatment planning

Simplant® software Simplant® SAFE Guide

• Information on peri-implant bone quality for

Submerged – transgingival – immediately

After insertion of the implants, the Xive system enables

Submerged healing Transgingival healing

Immediate restoration Immediate loading

Incision Exposure Removing the

Soft tissue management and

For details regarding

An alternative procedure An alternative procedure An alternative procedure

Friadent TempBase – Xive Gingiva Former C – Friadent EsthetiCap –

Step-by-step: Xive® TempBase concept,

The following example shows the chairside fabrication

Place the modified TempBase Cap Before using polymerizates,

Step-by-step: Temporary restoration

A temporary bridge is fabricated using the same

Placing the Friadent Cover Screw Suturing In the laboratory

The Xive Gingiva Formers C are for or simple contouring

Xive Gingiva Former C

• Laser tagged on the top

For details regarding Xive Gingiva Former PS slim C

Removing the Placing the Suturing

Friadent EsthetiCap is an anatomically shaped

The Friadent EsthetiCap offers the

• For esthetically demanding

• Two anatomical profiles – oval

• X-ray-opaque due to zirconium

• Not available for implants D 3.0

Placing the Friadent EsthetiCap Friadent EsthetiCap Friadent EsthetiCap

A range of pre-fabricated and patient-specific

The internal connection with self-guiding properties

Friadent Friadent Xive Friadent Xive Friadent Xive

• A cylindrical implant design offers advantages –

• In indications where the maximum possible use of

• Temporary and definitive components are wanted

• Information on peri-implant bone quality for