bicon restorative technique

7/28/2019 Bicon Restorative Technique

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Rstorativ Tciqu Maual


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1

Cramo-Mtal Rstoratios 211Dirct Abtmnt Ll Imprssion 3

Cmntation of Cron 4

Indirct Abtmnt Ll Imprssion 56

Non-Sholdrd Abtmnt Slction Gid 78

Imprssion Options 9

Tmporization Options 10

Abtmnt Slction Gid 11

Brvis Ovrdtur Systm 1222

Bris Abtmnt Sstm 1314

Bris Chairsid Tchniq 1520

Indirct Transfr Tchniq 21

Rmoing/Insrting Rbbr O-Ring 22

Locator Abutmt Systm 2328

Locator Abtmnt Sstm 2425

Locator Chairsid Tchniq 2627

Locator Hosing Cap Assmbl 28

Appdix 2937

IAC Polishing Tchniq 30

Maxillar Antrior Sating 3132

Adding Intr-Proximal Contacts to an IAC 3334

Stalth Abtmnt Sstm 3536

Abtmnt Rmoal 37

Copyright 2011 Bicon LIT-260 R1111

Tabl of Cotts


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Cramo-Mtal Rstoratios


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Dirct Abutmt Lvl Imprssio

At the time o implant uncovering,

place a non-shouldered abutment andallow the sot tissue to heal around thehemispherical base o the abutmentor 6 weeks. Choos th idstnon-sholdrd abtmnt that illspport th intrdntal papillaithot ncroaching pon thm.See chart on page 11.

PLACe ABuTMeNT1

Use a sharp #1557 carbide bur to modiy

the abutment, i necessary. us irrigationhn prparing th abtmnts intra-orall to prnt hating and potntialdamag to th bon.

MODIfy ABuTMeNT (OPTIONAL)2

A try-in o the casting prior to theporcelain application is advised to assurea passive seating.

TRy-IN CASTING4

Make a direct impression o themodiied or unmodiied abutment withconventional impression materials andpour a conventional stone model. Thlaborator procdrs ar th samas for th fabrication of crons orfixd bridgs for natral tth. us

a nif or fathrd dg margin.

MAke IMPReSSION3


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Choose the widest abutment to accommodate the edentulous space without encroaching upon

the interdental papillae.

3.5mm abutments are recommended only or mandibular incisors; 4.0mm abutments are primarily

used or maxillary laterals and bicuspids; 5.0mm abutments are more universal in their use; 6.5mmand 7.5mm abutments are ideally suited or molars.

The abutment can rotate 360 to reach a desired position or to achieve parallelism prior to seating.

Use an abutment preparation holder (260-101-395) when modiying abutments extra-orally.

Use irrigation when preparing an abutment intra-orally.

Do not make an impression with the emergence cu.

The use o retraction cord is not necessary.

An emergence cu can act as a means o gingival retraction.

The casting may end with a knie or eathered edge margin anywhere along the coronal aspect o

the abutment.

Use minimal amount o cement at the cervical margin to avoid hydraulic orces which may prevent

the crown rom seating ully.

3ks to Sccss

Cmtatio of Cro

Ater any needed occlusal, interproximal,

or aesthetic contouring, cement thecrown conventionally with minimalcement only at the cervical aspect othe crown to avoid adverse hydraulicorces. Care must be taken to remove allextraneous cement.

CROwN5

Recheck the occlusion ater cementation.

ReCHeCk OCCLuSION6


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Idirct Abutmt Lvl Imprssioit Plastic Slv*

Orientate the external lat(s) o the coloredabutment transer die with the internallat(s) o the correspondingly colorednon-shouldered impression sleeve priorto snapping it into the impression. It isimprati that th corrct abtmnttransfr di b sd. The diameter andheight o the transer die should match thediameter and height o the abutment.

Pour a sot tissue or stone model.

fABRICATe MODeL4

SNAP ON SLeeveS INJeCT IMPReSSION MATeRIAL

Snap the appropriate impressionsleeve or temporization sleeve ontothe colored abutment transer dieand modiy as necessary.

SNAP ON SLeeveS5

1 2

Deinitively seat the abutment with a

gentle tapping orce. Snap impressionsleeves onto the unmodiied abutment.See chart on page 11.

Inject impression material around the

impression sleeves and make impression.

Incorporate the sleeve into the waxpattern or the metal casting.

wAxING6

INSeRT ABuTMeNT

TRANSfeR DIe3

*S gs 7 d 8 f si s.


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Idirct Abutmt Lvl Imprssioit Plastic Slv*

*S gs 7 d 8 f si s.

The diameter and height o the transer dies are sized to match the diameter and height o

the abutments.

It is paramount that the proper abutment transer die height be chosen to pour the stone model

since all transer dies o the same color will snap into the impression sleeve o that color.

The temporization sleeves are more retentive than the impression sleeves.

3ks to Sccss

Try-in metal casting or a passive it.

TRy-IN CASTING7

Apply porcelain ollowing normal layering

techniques until the crown is completed.

PORCeLAIN APPLICATION8

Final view o cemented Ceramo-Metalrestoration.

fINAL CROwNS9


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Non-Shouldered AbutmentAbutmt Slctio Guid

3.5mm Diameter 4.0mm Diameter 5.0mm

0 15 0 15 25 0 15 0 15 0 15 25

40 x 65 0

260-340-001

40 x 65 15

260-340-015

40 x 10 0

260-340-101

40 x 10 15

260-340-115

50 x 50 0

260-350-050

50 x 50 15

260-350-055

50 x 65 0

260-350-001

50 x 65 15

260-350-015

50 x 65 25

260-350-025

40 x 65 0

260-240-001

40 x 65 15

260-240-015

40 x 65 25

260-240-025

40 x 10 0

260-240-101

40 x 10 15

260-240-115

50 x 65 0

260-250-001

50 x 65 15

260-250-015

50 x 65 25

260-250-025

35 x 65 0

260-135-001

35 x 65 15

260-135-015

40 x 65 0

260-140-002

40 x 65 15

260-140-015

40 x 65 25

260-140-025

40 x 10 0

260-140-101

40 x 10 15

260-140-115

50 x 50 0

260-150-050

50 x 50 15

260-150-055

50 x 65 0

260-150-001

50 x 65 15

260-150-015

50 x 65 25

260-150-025

ReSTORATIve/LABORATORy kIT

35 x 65mm

260-135-465

40 x 65mm

260-140-465

40 x 10mm

260-140-410

50 x 50mm

260-150-450

50 x 65mm

260-150-465

35mm

260-135-165

40mm

260-140-165

50mm

260-150-165

10.0

6.5

5.0

Top of Implant

10.0mm

2.5mm

2.5mm

12.0

Top of Implant

10.0

8.0

6.5

5.0

12.0mm

12.010.0

8.0

6.5

5.0

12.0mm

12.0

10.0

6.5

5.0

Top of Implant

12.0mm

3.0mm

IMPLANTS3.0mm Post

2.5mm Post

2.0mm PostIMPLANTSNARROW

Nots: Snap-on sleeves are only specic or abutment diameter. Abutment height is not a criterion or proper selection o snap-on sleeves.


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Diameter 6.5mm Diameter 7.5mm Diameter

0 15 0 15 0 15 0 15 0 15

50 x 10 0

260-350-101

50 x 10 15

260-350-115

50 x 12 0

260-350-201

50 x 12 15

260-350-215

65 x 50 0

260-365-050

65 x 50 15

260-365-055

65 x 65 0

260-365-001

65 x 65 15

260-365-015

75 x 80 0

260-375-801

75 x 80 15

260-375-815

50 x 10 0

260-250-111

50 x 10 15

260-250-115

65 x 50 0

260-265-050

65 x 50 15

260-265-055

50 x 12 0

260-150-201

50 x 12 15

260-150-215

50 x 10mm

260-150-410

50 x 12mm

260-150-412

65 x 50mm

260-165-450

65 x 65mm

260-165-465

75 x 80mm

260-175-480

50mm

260-150-165

65mm

260-165-165

75mm

260-175-165

Top of Implant

10.0mm

2.5mm

10.0

6.5

5.0

2.5mm Top of Implant

12.0mm

12.0

10.0

8.0

6.5

5.0

12.0mm

12.010.0

8.0

6.5

5.0

12.0

10.0

6.5

5.0

Top of Implant

12.0mm

3.0mm

3.0mm Post

2.5mm Post

2.0mm Post

Transer dies correspond to exact diameter ad height o abutment placed. Because o machining tolerances, sleeves may not reach the height o contour or some angled abutments.


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Imprssio Optios

OPTIOn One: Implant-level ImpreSSIon

1 Choose the appropriately sizedtitanium impression postaccording to the diameter o theimplant well

2 Insert the titanium impressionpost into the well o the implantwith nger pressure only

3 Snap the appropriate impressionsleeve onto the impression post

4 Inject impression materialaround the plastic impressionsleeve and make impression

5 Ater making the impression,plastic impression sleeve shouldbe withdrawn within theimpression while titanium postremains in the implant well

6 Remove titanium impressionpost rom implant Assemblethe post with the appropriateimplant analog Insert this unitinto the plastic sleeve in theimpression Pour sot tissuemodel The laboratory technicianmay now choose the properabutment or a PFM or IACrestoration

OPTIOn TwO: DIrect abutment level ImpreSSIon

1 Choose an appropriately sized

abutment and denitively seat

the abutment with a gentle

tapping orce

2 The abutment may be modied

intra-orally with irrigation or

extra-orally with a #1557 carbide

bur, i necessary

3 Inject impression material

around abutment or a direct

impression Pour a stone model

4 Fabricate crown conventionally

at laboratory Insert crown with

minimal cement

OPTIOn ThRee: InDIrect abutment level ImpreSSIon

1 Denitively seat the abutmentwith a gentle tapping orce Snapimpression sleeves onto theunmodied abutment

2 Inject impression materialaround the impression sleevesand make impression

3 Withdraw the plastic impressionsleeves in the impressionChoose appropriately sizedaluminum transer die and insertthe die into the plastic sleeve

4 Pour a sot tissue modelFabricate crowns conventionallySee Bicon Technique Manualsor urther inormation on thisprocedure

Impression

Post

Titanium

Impression

Sleeve

Plastic

Implant

Analog

Titanium

2.0mm

2.5mm

3.0mm


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Tmporizatio Optios

OPTIOn One: tranSItIonal reStoratIon wIth Sleeve

1 Insert appropriate non-shoulderedor stealth shouldered abutmentThe diameter o the abutmentis dictated by the anatomy o

the interdental papillae Theabutment should support thepapillae without encroachingupon them

2 Tap the abutment in the longaxis o the abutment post andimplant well

3 Orientate the internal fat(s) othe appropriate temporizationsleeve with the external fat(s) othe abutment prior to snapping

it onto the abutment

4 Conrm the appropriateness othe temporization sleeve with avacuum ormed template Adjustthe sleeve as necessary

5 Inject transitional crown materialaround the temporization sleeve

6 Inject transitional material intothe vacuum-ormed templateprior to re-inserting it over thetemporization sleeve to orm atransitional prosthesis

7 Remove transitional prosthesisor polishing

8 Snap the completed transitionalprosthesis onto the abutmentto acilitate the ormation andpreservation o an aesthetic sottissue emergence prole

OPTIOn TwO: temporIzatIon wIth a temporary abutment

At time o uncovering, place a temporary abutment The abutment will support the sot tissue and assist in the ormation o the gingival sulcus Theabutment may be modiied to achieve the desired contour Transitional crowns should not be placed on temporary abutments See Bicon catalogs or acomplete listing o abutment sizes and shapes that are available

OPTIOn ThRee: a tranSItIonal proStheSIS In the aeSthetIc zone

4.0 x 4.5 4.0 x 6.5 5.0 x 4.5 5.0 x 6.5

1 Choose appropriately sizedtemporary abutment SeeOption #2 above

2 Insert temporary abutment intothe implant well and gentlyseat the abutment by tappingon the head o the abutmentRemoval o the abutment maybe achieved with a variety oextraction orceps

3 In aesthetic areas, a fipper maybe inserted or aesthetics andunction while tissue is healingaround the temporary abutments

4 View o inserted provisionalrestoration


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Abutmt Slctio Guid

Abutment Diameter Selection Guide for Non-Shouldered Abutments*

MANDIBLEMAXILLA

5.0mm Diamtr

4.0mm Diamtror widr

4.0mm Diamtror widr

3.5mm Diamtror widr

6.5mm

Diamtr

or widr

6.5mm Diamtr

or widr

5.0mm Diamtr

or widr 5.0mm Diamtror widr

*The chart above contains recommendations only. Actual clinical conditions and the clinicians

assessment o the patient should be the main criteria or choosing the size o an abutment or a

particular situation.


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Brvis Ovrdtur

Systm


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Brvis

Abutmts*2.0mm Post

higt Agl Part numbr 0 15

2.0 0 260100404

2.0 15 260100405

4.0 0 260100406

4.0 15 260100407

6.0 0 260100408

6.0 15 260100409

Brvis Abutmts* 3.0mm Posthigt Agl Part numbr 0 15

2.0 0 260300434

2.0 15 260300435

4.0 0 260300436

4.0 15 260300437

6.0 0 260300438

6.0 15 260300439

*Each abutment is packaged with one titanium Brevis housing.

Brvis Abutmts* 2.5mm Posthigt Agl Part numbr 0 15

2.0 0 260250424

2.0 15 260250425

4.0 0 260250426

4.0 15 260250427

6.0 0 260250428

6.0 15 260250429

Brvis Abutmt Systm


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Rstorativ CompotsDscriptio Part numbr

bis a cisid Ki 260100212 r orig bis hsig

bis Issi Ki i hsig 260100218

Issi c ai tsf Di

bis a Issi Ki 260100217

r orig bis hsig Issi c ai tsf Di

bis r origs: hd(10) 260100013

r origs

ed ri

r origs

lig ribis r origs: Sf (10) 260100014

The design o the Bicon abutment system is such that the hemispherical base o the abutmentdoes not sit ush with the neck o the implant. By design, there is a space below the abutmentpost when the abutment is ully seated. When viewing this on a radiograph, it can be seen as aradiolucency. The ollowing diagram depicts the nal seating o a Brevis abutment as well as themethod or measuring each abutment.

3Measurement Guide

Bris Abtmnt

heigt

The height o the Brevis abutment

is measured rom the top o theimplant to the shoulder o the

Brevis abutment. The available

heights are 2.0, 4.0 or 6.0mm. The

total height rom the top o the

implant to the top o the abutment

is approximately 5.0, 7.0 or 9.0mm,

respectively.

Brevis Abutment

2.0

3.0 3.0

4.0

3.0

6.0

Measurement Guide

Brvis Abutmt Systm


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Brvis Cairsid Tciqu

2

Use a shoulder depth gauge to acilitate the selection o the abutment height.

uSe A SHOuLDeR DePTH GAuGe TO DeTeRMINe ABuTMeNT HeIGHT3

Place guide pins into the implants todetermine their axial inclinations.

uNCOveR IMPLANTSPLACe GuIDe PINS4

A registration o the dentures occlusal

relationship prior to the uncovering othe implants will assure that the denture

is not inadvertently displaced by the

abutment or its housing.

uNCOveR IMPLANTSOCCLuSAL ReGISTRATION1

Uncover each implant using a small

crestal incision and use the healing plugremoval instrument to acilitate theremoval o the black healing plug.

uNCOveR IMPLANTS2


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Brvis Cairsid Tciqu

Rotate a combination o 0 and/or 15 angled abutments to achieve parallelism prior to their being

seated. Brevis abutments are available in heights o 2.0, 4.0 and 6.0mm.

PARALLeL ABuTMeNTS5b

Place sot wax in the denture to act as a pressure indicator to determine the relative position o theabutments. Alternatively, the top o the abutment may be marked with a elt tip pen to indicate thelocation o the abutment on the denture.

PLACe BLue wAx6a MARk ABuTMeNTS6b

Place a Brevis housing on each abutmentintra-orally. See #9.

BRevIS HOuSING8

ABuTMeNTS5a

4.0 15

4.0 15

6.0 0

6.0 0

4.0 0

4.0 0

2.0 15

2.0 15

2.0 0

2.0 0

6.0 15

6.0 15

2.0 0 6.0 156.0 04.0 154.0 02.0 15

2.0mm Post

2.5mm Post

3.0mm Post

Liberally relieve denture to accommodatethe Brevis housings. Conirm clearanceor housings by placing the denture overthe housings.

ReLIeve DeNTuRe7


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Brvis Cairsid Tciqu

Place the Brevis housings and a piece o

rubber dam over the abutments to act asan apron to prevent acrylic rom lockingonto an abutment. ensr that thrbbr dam protcts th ndrctof th abtmnt from acrlic bplacing it abo th sholdr of thabtmnt.

PLACe HOuSINGS9

Place the denture into the mouth andinstruct patient to clnch bilatrall oncotton rolls to assr propr satingof th dntr.

ASSuRe PROPeR SeATING12

Inject lowable acrylic around the Brevishousings and into the relieved portionso the existing denture.

INJeCT ACRyLIC11

Inject Vaseline under the rubber

dam aprons to serve as an additionalprecaution to prevent acrylic romlocking under the abutments during thechairside pickup o the Brevis housings.

INJeCT vASeLINe10


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Use an occlusal registration jig to prevent inadvertent displacement o the denture during

the chairside technique.

Use the 15 Brevis abutment to help achieve parallelism or non-parallel implants.

The denture should NOT rock or pivot on the abutments or the housings.

Do not make a direct impression o the overdenture abutments.

Use a rubber dam and Vaseline to prevent locking o the denture beneath the undercut

o the abutments.

Place acrylic into a syringe or ease o use and greater control.

A too viscous mix o acrylic may inappropriately displace the orientation o the Brevis housing

on the abutment.

It is essential or the patient to clench bilaterally on cotton rolls to ensure proper seating o the

housings in the denture.

I the denture is too retentive, slightly relieve the inside o the o-ring lumen with a round bur.

A common cause o accelerated o-ring wear is a Brevis housing whose retentive acrylic was

polymerized while the Brevis housing was not appropriately aligned on the abutment.

3ks to Sccss

n: If d is id kd bis , i is dis i ff

ig i ff. t d d fii f ig is.

ei d i d f i d f i.

Brvis Cairsid Tciqu

Polish the excess acrylic around the

Brevis housings ater the removal o therubber dam.

POLISH exCeSS ACRyLIC13

Radiograph o two Bicon implants and

Brevis abutments. It is paramont thatordntrs b compltl tissborn and onl implant rtaind.If th acrlic is too iscos or onlplacd in th dntr, it ma casdisplacmnt of th hosing rsltingin a misalignmnt of th hosing andxcssi ar of th rbbr o-rings.

RADIOGRAPH14


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Place sot wax to record relative position

o abutments.

1

Record position o abutments in sot wax.

Alternatively, abutments could be markedwith a wet ink prior to inserting dentureor recording an ink transer mark.

2

Mark position o abutments on denture.

3

Liberally relieve denture to accommodateBrevis housings and conirm positionintra-orally.

4

Place rubber dam apron over abutments. Apply Vaseline under rubber dam apron.

65

Brvis Cairsid Tciqu


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Brvis Cairsid Tciqu

Snap Brevis housing onto abutments. Suiciently apply luid acrylic to Brevis

housing to prevent displacement ohousing upon insertion o denture.

Place minimal acrylic into relieved denture.

9

Patient clenches bilaterally on cotton rollswhile acrylic sets.

10

Polish excess acrylic rom denture.

11

7 8


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Idirct Trasfr Tciqu

Rotate a combination o 0 and/or 15 angled abutments to achieve parallelism prior to their being

seated. Brevis abutments are available in heights o 2.0, 4.0 and 6.0mm.

PARALLeL ABuTMeNTS2

Seat black plastic impression caps ontothe Brevis abutments.

SeAT IMPReSSION CAP3

ABuTMeNTS1

4.0 15

4.0 15

6.0 0

6.0 0

4.0 0

4.0 0

2.0 15

2.0 15

2.0 0

2.0 0

6.0 15

6.0 15

2.0 0 6.0 156.0 04.0 154.0 02.0 15

2.0mm Post

2.5mm Post

3.0mm Post

Make impression using Brevisimpression caps. Do not ma a dirctimprssion of th titanim abtmnts.

MAke IMPReSSION uSING CAPS4

Block out undercuts on the model.

BLOCk OuT uNDeRCuTS6

Insert the aluminum transer dies into theimpression caps prior to the pouring o amaster stone model.

INSeRT TRANSfeR DIeS5


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Rmovig/Isrtig Rubbr O-Rigito Brvis housig

Remove rubber o-rings with a scaling

instrument or explorer.

ReMOve HOuSINGS1

Insert the explorer in between the o-ring

and Brevis housing and loosen theo-ring rom the housing.

INSeRT exPLOReR2

Using cotton pliers, squeeze the o-ringinto a igure eight and insert it intothe housing.

Squeeze O-RING3

Place the entire o-ring into the retentivegroove within the Brevis housing.

PLACe O-RING4

uNCOveR IMPLANTS

I the o-ring is ully inserted, yet not securein the retention lip o the housing, use anexplorer to move the o-ring into place.

MOve O-RING INTO PLACe5

Each patient maintains and inserts his denture

dierently. The o-ring should be changed every 6 to

24 months depending upon its wear.

The o-rings should not be soaked in a solution with

high alcohol content. Some cleaning solutions may

dry out the rubber o-rings and cause them to lose

retention aster than normal.

An inappropriately aligned housing will result in

excessive wear o the rubber o-ring.

I excessive wear o o-ring is noted, remove and

re-align the housing in denture with a sufciently

owable acrylic injected onto the housing and into

the relieved denture.

3ks to Sccss


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Locator Abutmt Systm


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Locator Abutmts*

2.0mm Posthigt Diamtr Part numbr

1.0 4.0 260200501

2.0 4.0 260200502

3.0 4.0 260200503

4.0 4.0 260200504

5.0 4.0 260200505

Locator Abutmts* 3.0mm Post

higt Diamtr Part numbr

1.0 4.0 260300501

2.0 4.0 260300502

3.0 4.0 260300503

4.0 4.0 260300504

5.0 4.0 260300505

*Each Locator abutment is packaged with a male processing kit.Locator Abutments are not available in the 2.5mm Post.


The Locator Attachment eatures a denture component with a skirt that easily locates the mating

implant abutment.

The sel-aligning ability o the attachment aids the patient in positioning their prosthesis in a similar

manner as a guide plane created by a milled bar.

The implant retained overdenture can be properly seated without damage to the attachment

components. This is especially important or a patient lacking anatomical structures necessary to

orient their denture due to a severely resorbed mandibular ridge.

Locator Abtmnt Considrations


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25


Locator

AccssorisDscriptio Part numbr

l m

pssig Ki (2)260100519

2.3 kg

(5.0 .)

ri

m

1.4 kg

(3.0 .)

ri

m

0.7 kg

(1.5 .)

ri

m

pssig

m

m

hsig

c

bk

S

l exdd rg

G c (4) 260100521

1.4 kg

(3.0 .)

ri

c

0.9 kg

(2.0 .)

ri

c

0.5 kg

(1.0 .)

ri

c

l exdd rg

og c (4)260100525

l exdd rg

rd c (4)260100526

l Issi Ki 260100524

l Issi c l Issi ag

l c t 260101839

l c t

2.0 3.04.0 5.0

0.56

1.0

The height o the Locator abutment is measured rom the bottom

o the gold portion o the abutment to the shoulder o the Locator

abutment. The available heights are 1.0, 2.0, 3.0, 4.0, or 5.0mm.

Locator Abutment

Locator Abutment with housing


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26

2mm4mm6mm

0mm

2

Use depth gauge to measure and select the appropriate Locator Abutments.

3 uSe A SHOuLDeR DePTH GAuGe TO DeTeRMINe ABuTMeNT HeIGHT

24

2.0mm Post

1.0 2.0 3.0 4.0 5.0

3.0mm Post

1.0 2.0 3.0 4.0 5.0

LOCATOR ABuTMeNTS

Locator Cairsid Tciqu

ReMOve HeALING PLuG1

Healing plug being removed with a

straight curette.

INSeRT GuIDe PINS2

Guide pin inserted into the well o

each implant.

INSeRT LOCATOR ABuTMeNT5

Insert and gently seat abutment.

PLACe BLOCkOuT SPACeR6

Blockout spacer being placed over aLocator Abutment.


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Locator Cairsid Tciqu

MARk HOuSING7

Marker ink being placed on the housing

to indicate its location relative to denture.

INSeRT DeNTuRe8

Denture being inserted.

LOCATe HOuSING POSITION9

Black ink indicating housing position.

PROvIDe ROOM fOR HOuSING10

Acrylic bur being used to provide roomor the housing.

INJeCT ACRyLIC INTO DeNTuRe11

Flowable acrylic being injected into thedenture.

INJeCT ACRyLIC AROuND CAPS12

Flowable acrylic being injected aroundthe housing caps.


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INSeRT DeNTuRe14

Locator Cairsid Tciqu & housig Cap

CLeAN AND POLISH DeNTuRe13

View o denture ater being cleaned

and polished.

Denture being inserted. Patient applying

occlusal orce while metal housing capsare being secured into the denture.

PROCeSSING MALe ReMOvAL1

Removal o the processing male rom themetal housing cap with Locator Core Tool.

HOLD ReTeNTION MALe2

Locator Core Tool is being used to holda pink 1.4 kg (3.0 lb) retention male.

INSeRT ReTeNTION MALe3

Insertion o a pink 1.4 kg (3.0 lb) retentionmale into the metal housing cap.

ASSeMBLeD CAP4

View o housing cap with itsretention male.


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Appdix


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IAC Polisig Tciqu

IAC Polisig Kit

Dscriptio Part numbr

Iac pisig Ki 260103033

IAC1MARk INTeR-

PROxIMAL CONTACTS2

SILICONe PRe-POLISHING DISk

3

PINk CeRAMICPOLISHING DISk

4SILICONe

CARBIDe BRuSH5

DIAMONDPOLISHING PASTe

6

SOfTGOAT HAIR BRuSH

7COTTON

BuffING wHeeL8 THe POLISHeD IAC9


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Maxillary Atrior Satig

Using a Crown Alignment Device, moldhydroplastic resin around the abutment/crownand a threaded Crown Seating Tip to acilitatetapping in the long axis o the abutment postand implant well in order to properly engagetheir locking taper connection

fABRICATeSeATING JIG

Conirm removal o bony intererences witha radiograph

CONfIRM wITHRADIOGRAPH

Eliminate or control bleeding by using acombination o vasoconstrictors, pressureand time Clean the abutment post withan alcohol wipe and implant well with anappropriately sized cotton-tipped applicator

CONTROL BLeeDING &CLeAN COMPONeNTS

Seat the abutment/crown with only ingerpressure or evaluation and removal o anyintererences to its passive seating

PReLIMINARyINSeRTION

Align the abutment/crown prior to conirming

passive interproximal contacts with dental loss,i necessary with an incisal orientation jig When

in doubt, always adjust a contact that you thinkmay be too tight, since non-passive interproximalcontacts will inhibit the engagement o the

abutments locking taper connection

ALIGNABuTMeNT/CROwN

Insert and align abutment/crown using anincisal orientation jig when necessary

CROwNINSeRTION

Remove any excessive interproximal toothcontact by adjusting the abutment/crownRemove any sot tissue or bony intererencesby adjusting the abutment/crown, or byrelieving or removing hard or sot tissue

ReMOveINTeRfeReNCeS

Adjust excessive contacts until dental losscan be passed through the contact area withonly minimal resistance

ADJuSTCONTACTS

While digitally supporting the bridge o thepatients nose, apply an initial seating tap usinga custom seating jig on a threaded straighthandle to assure that the seating orces arebeing directed in the long axis o the implant

INITIALSeATING TAP


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Maxillary Atrior Satig

Markings from the retrusive movement

of the mandible while clenching

indicate the need to reduce the facial

contour of the restorations. Note

that there is no contact in maximal

intercuspation.

Satig CompotsDscriptio Part numbr

c aig Di 260101315

c aig Di c Sig ti

c Sig ti 260101015

hdsi rsi (20g) 260103031

Conirm passive interproximal contacts withdental loss and, i necessary, remove theprosthesis by tapping on the handle o agrasping orceps to adjust any non-passiveinterproximal contact area Alternatively,a thin metal inishing strip may be usedwithout having to remove the restoration

CONfIRM CONTACTS& ReTAP

Establish uniormly balanced contacts while the patient is clenching in all extremeexcursions including retrusive movements of the mandible from an extremeprotrusive position, which may indicate the need to adjust the acial aspect o the restoration

ADJuST CONTACTSwHILe CLeNCHING

ADJuST CONTACTSwHILe CLeNCHING

c dig sidi .

Establish uniorm contacts initially in maximal intercuspation and then in protrusive andretrusive excursions

CHeCkOCCLuSION

Iii s

CHeCkOCCLuSION

cs f djss


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Addig Itr-Proximal Cotacts to a IAC

OPeN CONTACT1 ROuGHeN SuRfACe2CLeAN THe SuRfACe

wITH eTHyL ALCOHOL3

APPLy MODeLINGLIquID

4LIGHT CuRe wITH

PLASMA LIGHT5

ADD POLyCeRAMICMATeRIAL

6

INSeRT IAC fOR fINALADJuSTMeNTS

7 LIGHT CuRe8ReMOve IAC fOR

ADJuSTMeNTS9


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Addig Itr-Proximal Cotacts to a IAC

ReMOve exCeSSMATeRIAL

10uSe PINk

POLISHING DISk11

uSe SOfT GOAT HAIRBRuSH

12

uSe COTTONBuffING wHeeL

13 INSeRT IAC14CLOSeD CONTACTwITH SeATeD IAC

15


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Stalt Abutmt Systm

STeALTH ABuTMeNTS

5.0 x 4.0 05.0 x 2.0 0 5.0 x 6.0 05.0 x 4.0 105.0 x 2.0 10 5.0 x 6.0 103.5 x 1.5 0 4.0 x 1.5 0 4.0 x 3.5 0

5.0 x 3.0 0 5.0 x 3.0 10 5.0 x 4.0 0 5.0 x 6.0 05.0 x 4.0 10 5.0 x 6.0 104.0 x 1.5 0 4 .0 x 3.5 0 5 .0 x 2.0 0 5.0 x 2.0 10

5.0 x 8.0 0 6.5 x 2.0 0 6.5 x 4.0 06.5 x 2.0 10 6.5 x 4.0 105.0 x 3.0 0 5.0 x 3.0 10 5.0 x 4.0 0 5.0 x 6.0 05.0 x 4.0 10 5.0 x 6.0 104.0 x 1.5 0 4 .0 x 3.5 0 5.0 x 2.0 0 5 .0 x 2.0 10

2.0mm Post

2.5mm Post

3.0mm Post

STeALTH ABuTMeNT COMPONeNTS

3.5 4.0 5.0 6.5

Brass Transfr Dis

Stalth Abtmnt Sls

3.5 4.0 5.04.0 5.04.0 5.0 6.5

Short Tall

Stealth Shouldered Abutment

hig

Di

The diameter o the abutment is measured at the

widest part o the abutment. The height o the

stealth shouldered abutment is measured rom the

top o the implant to the shoulder o the abutment.

The heights are 1.5, 2.0, 3.0, 3.5, 4.0, 6.0 or 8.0mm,

depending upon the abutment diameter.

Abutmt Souldr Dpt GaugDscriptio Part numbr

a Sd D Gg 260101380


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CHOSe PROPeR ABuTMeNTS1

SNAP ON SLeeveS3

INSeRT TRANSfeR DIe INTO SLeeve5

SeAT ABuTMeNT S2

MAke IMPReSSION4

POuR MODeL6

Shoulder Depth Measurement

Stalt Abutmt Systm

Sd gg Sd

2mm

4mm

6mm

8mm

2.0


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Abutmt Rmoval

SeATeD ABuTMeNT

SeATeD CROwN

OPTION 1: TwIST AND PuLL

OPTION 1: PROTeCT CROwNTwIST AND PuLL

OPTION 2: TAP OuT

OPTION 2: TAP OuT

Abutmt ForcpsDscriptio Part numbr

a r Fs (u) 260801050

a r Fs (l) 260801051

Abtmnt

Cron


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