Internal Prosthetic Manual - BioHorizons

ABUTMENT-LEVEL IMPRESSIONOPEN TRAY - DIRECT PICK-UP TECHNIQUEIMPORTANTOpen Tray Direct Pick-up Impression TechniqueThe Direct Pick-up impression technique requires the use of a custom tray or modified stock tray with screw access holes over the area of theimplants. The holes allow the long screws to protrude through the top of the tray. See pages 36-37 for custom tray fabrication.Clinical 1 - Remove healing abutmentRemove the Healing Abutments from the implants with the .050”(1.25mm) Hex Driver.Make sure the implant prosthetic platform is free of bone and soft tissue.Irrigate the internal thread connection of the implant and dry.Helpful HintWhen working with multiple implants, remove one HealingAbutment at a time, replacing it immediately with theAbutments for Screw of choice. This reduces the likelihoodof soft tissue collapsing onto the implant. Work from theposterior to the anterior.Clinical 2 - Seat abutments for screwPlace the appropriate Abutments for Screw on the implant with the HexAdapter. Take a radiograph along the long axis of the implants to ensurethe Abutments for Screw are fully seated. Torque the Abutments forScrew to 30 Ncm using the Hex Adapter and a calibrated Torque Wrench.The abutments will remain in the mouth from this point forward.The female hex of the HexAdapter engages the malehex of the Abutment forScrew during seating.shop online at www.biohorizons.com30