13.07.2015 Views

Internal Prosthetic Manual - BioHorizons

Internal Prosthetic Manual - BioHorizons

Internal Prosthetic Manual - BioHorizons

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TREATMENT PLANNINGTwo-stage Surgical ProtocolsThe original protocol for placing modern dental implants was two-stage(submerged) surgery, and it is still widely used today. The implant is placedbelow the soft tissue and protected from occlusal function and other forcesduring osseointegration. A low-profile Cover Cap is placed on the implantto protect it from the ingress of soft tissue.Following osseointegration, a second surgery exposes the implant and atransmucosal Healing Abutment is placed to allow for soft tissue healingand development of a sulcus. <strong>Prosthetic</strong> restoration begins after soft tissuehealing.Single-stage Surgical ProtocolsSingle-stage surgery leaves the implant/abutment connection exposed tothe oral cavity via an integrated transmucosal element (e.g. <strong>BioHorizons</strong>Single-stage), or a removable Healing Abutment (e.g. <strong>BioHorizons</strong><strong>Internal</strong>). This eliminates the need for a second surgery to expose theimplant. Although the implant is not in occlusal function, some forces canbe transmitted to it through the exposed transmucosal element.<strong>Prosthetic</strong> restoration begins following osseointegration of the implant andsoft tissue healing.Non-functional Immediate RestorationsSingle-stage surgery with non-functional immediate restoration providespatients a non-occlusal provisional prosthesis early in the treatment plan.An abutment may be placed on the implant at or shortly after surgery, anda provisional restoration secured to it with temporary cement. Alternatively,a screw-retained prosthesis may be fabricated. The provisional can helpcontour the soft tissue profile during healing.Immediate Function RestorationsSingle-stage surgery with Immediate Function is possible in good qualitybone where multiple implants exhibiting excellent initial stability canbe splinted together. Splinting implants together can offer a significantbiomechanical advantage over individual, unsplinted crowns.3shop online at www.biohorizons.com

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