Internal Prosthetic Manual - BioHorizons

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TABLE OF CONTENTSIntroduction1Treatment Planning2-5Restorative OptionsImplant-level Cement-retained RestorationsImplant-level Screw-retained RestorationsAbutment-level Screw-retained RestorationsBall Abutment Overdenture6789Impression TechniquesOverviewEmergence Profile ChartsPrepared Abutment Impression, Closed Tray - Crown and Bridge TechniqueImplant-level Impression, Closed Tray - Indirect Transfer TechniqueImplant-level Impression, Open Tray - Direct Pick-up TechniqueAbutment-level Impression, Closed Tray - Indirect Transfer TechniqueAbutment-level Impression, Open Tray - Direct Pick-up TechniqueBall Abutment Impression, Closed Tray - Indirect Transfer TechniqueCustom Tray Fabrication10-1112-1415-1617-2021-2425-2829-3233-3536-37Abutment Selection Flow Chart38-39Restorative OptionsSingle or Multiple-unit Cement-retained - Chairside Abutment ModificationSingle-tooth Screw-retained - Custom Cast Abutment (Hexed)Single-tooth Cement-retained - Laboratory Prepared AbutmentMultiple-unit Screw-retained - Custom Cast Abutments (Non-hexed)Multiple-unit Cement-retained - Laboratory Prepared AbutmentsBall Abutment Overdenture, Existing Denture, Chairside Pick-upBall Abutment Overdenture, New DentureBar Overdenture - Screw-retained Implant or Abutment-level, Cast BarBar Overdenture - Screw-retained Implant-level, Laser Welded BarIcon Legend41-4647-5153-5859-6263-6869-7273-7677-8485-9091shop online at www.biohorizons.comA
INTRODUCTIONBioHorizons Internal and Tapered Internal implant systems share identical prosthetic platforms with a secure internal hexconnection to allow complete cross-compatibility between the two systems. Both implants offer the flexibility of either twostage,single-stage or immediate load treatment plans.Each Internal and Tapered Internal implant comes with a free, gold-hued esthetic 3inOne Abutment. This multi-purposeabutment may be used:• at placement as a surgical mount• as an impression coping when coupled with the Ball-top Screw• as a final/temporary abutment for a cemented restorationThe beveled restorative platform provides an excellent biomechanical seal at the implant/abutment interface and aids indistributing lateral load away from the Abutment Screw. These features, combined with the use of Spiralock® screw technology,virtually eliminate unwanted screw loosening.This manual serves as reference for BioHorizons Internal and Tapered Internal implants and prosthetic components. It is intendedsolely to provide instructions on the use of BioHorizons products. It is not intended to describe the methods or proceduresfor diagnosis, treatment planning, placement or restoration of implants; nor does it replace clinical training or a clinician’s bestjudgment regarding the needs of each patient. BioHorizons strongly recommends appropriate training as a prerequisite for theplacement/restoration of implants and associated treatment.The procedures illustrated and described within this manual reflect idealized patient presentations with conditions adequatefor commencement of the restorative phase of treatment. No attempt has been made to cover the wide range of actual patientconditions which may adversely affect prosthetic outcomes. Clinician judgment as related to any specific case must alwayssupersede any recommendations made in this or any BioHorizons literature.1shop online at www.biohorizons.com
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 18 and 19: P R E P A R E D A B U T M E N T I M
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 -
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SINGLE-TOOTH CEMENT-RETAINEDClinica
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MULTIPLE-UNIT SCREW-RETAINEDLab 1 -
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MULTIPLE-UNIT SCREW-RETAINEDLab 7 -
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MULTIPLE-UNIT CEMENT-RETAINEDLab 1
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MULTIPLE-UNIT CEMENT-RETAINEDLab 5
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MULTIPLE-UNIT CEMENT-RETAINEDClinic
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BALL ABUTMENT OVERDENTUREClinical 1
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BALL ABUTMENT OVERDENTUREClinical 6
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BALL ABUTMENT OVERDENTURELab 1 - Po
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BALL ABUTMENT OVERDENTURELab 7 - Pr
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BAR OVERDENTURE SCREW-RETAINEDLab 2
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BAR OVERDENTURE SCREW-RETAINEDLab 6
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BAR OVERDENTURE SCREW-RETAINEDClini
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BAR OVERDENTURE SCREW-RETAINEDIMPLA
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ICON LEGENDSymbol descriptions for
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Internal Prosthetic Manual - BioHorizons

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