Internal Prosthetic Manual - BioHorizons

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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
BALL ABUTMENT OVERDENTUREEXISTING DENTURE, CHAIRSIDE PICK-UPTwo attachment options are available for securing dentures with Ball Abutments: the BallAttachment System and the O-ring Attachment System. The Ball Attachment System offers theadvantages of a greater degree of angulation correction and multiple options for insert retention.The O-Ring Attachment System offers a lower profile for cases with limited vertical height.The case demonstrated in this section shows the Ball Attachment System. For procedures withthe O-Ring Attachment system follow the same procedure, substituting the Encapsulators for theAttachment Housings and the O-Rings for the Nylon Inserts.Ball Attachment SetO-Ring Attachment SetAttachmentHousingPositioningNylon InsertDirectional Rings*0°, 7° and 14°Processing O-RingRelative RetentionClinical NylonInsertsClinical O-RingO-Ring EncapsulatorElasticExtra SoftSoftStandard (firmest)Tools neededHandWrenchInsert Seating Tool*30 NcmTorque Wrench.050” Hex Driver(regular)Reamer*Parts shown are for the 4.5mm prosthetic platform (3.5mm and 5.7mm platforms are not shown). Please refer to theTapered Internal Catalog & Surgical Manual (L0603) or the Internal / Single-stage Product Catalog (ML0115) for completecomponent ordering information including part dimensions.*Manufactured by Rhein83 (www.rhein83usa.com).69shop online at www.biohorizons.com
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TABLE OF CONTENTSIntroduction1Treat
Page 4 and 5:
TREATMENT PLANNINGFor ideal results
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RESTORATIVE OPTIONSImplant-level Ce
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RESTORATIVE OPTIONSAbutment-level S
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IMPRESSION TECHNIQUESOverviewThere
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EMERGENCE PROFILE CHARTS3.5mm Prost
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EMERGENCE PROFILE CHARTS5.7mm Prost
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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 -
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 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 93 and 94: ICON LEGENDSymbol descriptions for
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Internal Prosthetic Manual - BioHorizons

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