Internal Prosthetic Manual - BioHorizons

MULTIPLE-UNIT CEMENT-RETAINEDClinical 10 - Seat the modified abutmentsSanitize prepped abutments and bridge (per standard clinical procedure).Remove the Healing Abutments or provisional prosthesis from theimplant with the .050” (1.25mm) Hex Driver. Make sure the implantprosthetic platforms are free of bone and soft tissue. Irrigate the internalthread connection of the implants and dry.Place the modified abutments and Abutment Screws onto the implantswith the .050” (1.25mm) Hex Driver. Hand-tighten. Take a radiographalong the long axis of the implants to ensure the abutments are seatedcompletely on the implants.If the abutments are seated correctly, torque the Abutment Screws withthe 30 Ncm Torque Wrench and .050” (1.25mm) Hex Driver. Applycounter-torque by grasping the abutments with the Abutment Clamp.Clinical 11 - Cement the final bridgeFill the screw access holes in the abutment with a resilient materialof choice. This allows for future access to the Abutment Screws ifnecessary.Try in crown to confirm fit and contour. Check and modify occlusion ifnecessary.Place a small amount of the cement of choice around the inside marginof the bridge. Soft-access cement may be used for future retrievability.Seat the bridge. Remove all excess cement from sulcus area.Take an x-ray for final prosthesis delivery records. The patient shouldreceive oral hygiene instructions prior to release.shop online at www.biohorizons.com68