Internal Prosthetic Manual - BioHorizons

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P R E P A R E D A B U T M E N T I M P R E S S I O NPREPARED ABUTMENT IMPRESSIONClinical 1 - Remove provisionalIf the patient presents to you with the abutment in place, simply remove thetemporary, if present, and proceed with the clinical step 2.Remove the Healing Abutment from the implant with the .050” (1.25mm) HexDriver. Make sure the implant prosthetic platform is free of bone and soft tissue.Place the prepared abutment onto the implant and hand-tighten the AbutmentScrew with the .050” (1.25mm) Hex Driver. Take a radiograph along the long axisof the implant to ensure that the abutment is seated completely in the hex of theimplant.Clinical 2 - Impression preparationTorque the Abutment Screw to 30 Ncm using a calibrated Torque Wrench andthe .050” (1.25mm) Hex Driver. Counter-torque may be applied by grasping theabutment with an abutment clamp or hemostat. Block out the screw access holeon the top of the abutment with material of choice.The use of retraction cord or impression medium may be necessary to ensure thetransfer of the margins on the modified abutment.Clinical 3 - Make impressionSyringe light or medium-bodied impression material around abutment. Usemedium or heavy-bodied impression material in the tray. Make a full-arch crown& bridge impression with the elastomeric impression material of choice. Sendthe impression, an opposing model or impression and a bite registration to thelaboratory for crown fabrication. For chair-side provisional fabrication, lightlylubricate the modified abutment and use the technique and material of choice.Send to Lab• Impression• Bite registration• Opposing model or impression• ShadeLab 4 - Fabricate stone modelPour the standard crown & bridge impression in die stone. A reinforced die maybe helpful if the preparation is extremely thin. Articulate and prepare accordingto standard laboratory procedures.shop online at www.biohorizons.com16
IMPLANT-LEVEL IMPRESSIONCLOSED TRAY - INDIRECT TRANSFER TECHNIQUENarrow IndirectCopingRegular IndirectCopingAbutment ScrewPackaged with alltwo-piece abutmentsWide IndirectCoping3inOneAbutmentBall-topScrewImplantAnalogTools needed.050” (1.25mm)Hex DriverHandWrench.050” Hex Driver(regular)Parts shown are for the 4.5mm prosthetic platform (3.5mm and 5.7mm platforms are not shown). Please refer to theTapered Internal Catalog & Surgical Manual (L0603) or the Internal / Single-stage Product Catalog (ML0115) for completecomponent ordering information including part dimensions.17shop online at www.biohorizons.com
Page 2 and 3: TABLE OF CONTENTSIntroduction1Treat
Page 4 and 5: TREATMENT PLANNINGFor ideal results
Page 8 and 9: RESTORATIVE OPTIONSImplant-level Ce
Page 10 and 11: RESTORATIVE OPTIONSAbutment-level S
Page 12 and 13: IMPRESSION TECHNIQUESOverviewThere
Page 14 and 15: EMERGENCE PROFILE CHARTS3.5mm Prost
Page 16 and 17: EMERGENCE PROFILE CHARTS5.7mm Prost
Page 20 and 21: IMPLANT-LEVEL IMPRESSIONClinical 1
Page 22 and 23: IMPLANT-LEVEL IMPRESSIONLab 6 - Cre
Page 24 and 25: IMPLANT-LEVEL IMPRESSIONOPEN TRAY -
Page 26 and 27: IMPLANT-LEVEL IMPRESSIONLab 6 - Ass
Page 28 and 29: ABUTMENT-LEVEL IMPRESSIONClinical 1
Page 32 and 33: ABUTMENT-LEVEL IMPRESSIONOPEN TRAY
Page 36 and 37: BALL ABUTMENT IMPRESSIONClinical 1
Page 38 and 39: CUSTOM TRAY FABRICATIONIN PREPARATI
Page 40 and 41: ABUTMENT SELECTION FLOW CHARTABUTME
Page 42 and 43: Restorative TechniquesTable of Cont
Page 44 and 45: CEMENT-RETAINED SINGLE / MULTIPLE U
Page 50 and 51: SINGLE-TOOTH SCREW RETAINEDLab 1 -
Page 52 and 53: SINGLE-TOOTH SCREW-RETAINEDLab 7 -
Page 54 and 55: NOTESshop online at www.biohorizons
Page 56 and 57: S I N G L E - T O O T H C E M E N T
Page 58 and 59: SINGLE-TOOTH CEMENT-RETAINEDLab 5 -
Page 60 and 61: SINGLE-TOOTH CEMENT-RETAINEDClinica
Page 62 and 63: MULTIPLE-UNIT SCREW-RETAINEDLab 1 -
Page 64 and 65: MULTIPLE-UNIT SCREW-RETAINEDLab 7 -
Page 66 and 67: MULTIPLE-UNIT CEMENT-RETAINEDLab 1
Page 68 and 69:
MULTIPLE-UNIT CEMENT-RETAINEDLab 5
Page 70 and 71:
MULTIPLE-UNIT CEMENT-RETAINEDClinic
Page 72 and 73:
BALL ABUTMENT OVERDENTUREClinical 1
Page 74 and 75:
BALL ABUTMENT OVERDENTUREClinical 6
Page 76 and 77:
BALL ABUTMENT OVERDENTURELab 1 - Po
Page 78 and 79:
BALL ABUTMENT OVERDENTURELab 7 - Pr
Page 81 and 82:
BAR OVERDENTURE SCREW-RETAINEDLab 2
Page 83 and 84:
BAR OVERDENTURE SCREW-RETAINEDLab 6
Page 85 and 86:
BAR OVERDENTURE SCREW-RETAINEDClini
Page 87 and 88:
BAR OVERDENTURE SCREW-RETAINEDIMPLA
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
ICON LEGENDSymbol descriptions for
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