Internal Prosthetic Manual - BioHorizons

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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
ABUTMENT-LEVEL IMPRESSIONClinical 3 - Seat direct pick-up copingsPlace Abutment for Screw Direct Pick-up Copings onto the Abutmentsfor Screw. Hand-tighten.Try in the impression tray to verify that the screws protrude through theopenings without interference.Clinical 4 - Make an impressionSyringe a medium or heavy-bodied impression material around theentire Direct Pick-up Impression Copings.Clinical 5 - Make an impressionLoad the custom impression tray with a medium or heavy-bodiedimpression material and seat in the mouth.Wipe impression material off the top of the screws before it sets. Allowthe impression material to set.shop online at www.biohorizons.com31
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 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 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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Internal Prosthetic Manual - BioHorizons

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