3.implant components and basic techniques3
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3.implant components and basic techniques3
- 4. Original Brånemark Style Hex-headed Implant
- 6. Replace Select™ New Tri-channel Internal Connection
- 8. Replace Select Tapered Implant Immediate placement into extraction sockets Anatomic advantages with taper Ease of achieving initial stability Immediate loading Esthetic restorative components Simplified placement (including staff responsibilities)
- 10. Four Diameters 3.5mm 4.3mm 5.0mm 6.0mm 2.4mm 2.7mm 3.25mm 3.8mm Replace Select Implants
- 11. Straumann implants! Standard Standard Plus Tapered Effect
- 13. Standard implants 4.8 mm 4.8 mm 4.8 mm 6.5 mm 3.3 mm 4.1 mm 4.8 mm 4.8 mm S Ø 3.3 mm S Ø 4.1 mm S Ø 4.8 mm S Ø 4.8 mm WN RN RN RN
- 14. Standard Plus implants 3.5 mm 4.8 mm 4.8 mm 4.8 mm 6.5 mm 3.3 mm 3.3 mm 4.1 mm 4.8 mm 4.8 mm SP Ø 3.3 mm SP Ø 3.3 mm SP Ø 4.1 mm SP Ø 4.8 mm SP Ø 4.8 mm NN RN RN RN WN
- 15. Tapered Effect implants 4.8 mm 4.8 mm 6.5 mm 3.3 mm 4.1 mm 4.8 mm
- 16. Straumann’s 8° Morse taper connection • Proven validity and function since 1986 • Loosening torque slightly higher than tightening torque • Proven resistance against long-term cyclic loading • Standardized tightening torque of 35 Ncm • 91% of functional load transferred into Morse taper for optimal load distribution • Stability against rotational loosening Sutter et al. 1988/Schroeder et al. 1996/Norton 1997
- 17. Morse taper! Non-rotation through mechanical lock: 8° or less will yield a mechanically locking friction fit
- 18. Morse taper connection! • 8° Morse taper absorbs 91% of • Thread only takes the functional 9% of the load functional load!
- 19. Prosthetics Regular neck implants and abutments
- 20. Solid abutments! RN 4.0 mm RN 5.5 mm RN 7.0 mm WN 4.0 mm WN 5.5 mm RN (Regular Neck) WN (Wide Neck)
- 21. synOcta® prosthetic system! • Abutment selection on the model! • Implant level impression capability! • Provisionalization ! • Custom abutment!
- 22. synOcta® abutments WN (Wide Neck) RN (Regular Neck)
- 23. Indications for Narrow Neck Implants • ingle tooth replacement S • axilla: lateral incisors M • andible: central/lateral incisors M • inimal space (5.0 mm) M Abutment Possibilities For screw-retained For cement-retained
- 34. Allows 40º misalignment NP 1-7mm RP 1-9mm WP 1-7mm
- 41. Screw-retained & Cemented Restorations Hexed UniGrip Minimum interarch space required: .5mm 3.5mm Ø3.7mm (NP) Ø4.3mm (RP) Ø5.3mm (WP)
- 42. Screw-retained Restorations UniGrip Non-hexed Minimum interarch space required: 3.5mm .5mm Ø3.7mm (NP) Ø4.3mm (RP) Ø5.3mm (WP)
- 43. Optional (Recommended for WP) Wax/Invest Screw- retained- One Piece Bake porcelain Restoration directly to Casting Abutment
- 45. pre-defined margin get to use an impression coping
- 46. Easy Abutment with Healing Cap
- 47. Easy Abutment with Screw Access Plug in place - No modification of the Easy Abutment was required in this case.
- 48. Easy Abutment Snap-on Impression Cap in place.
- 49. Impression material is injected into the Snap-on Impression Cap.
- 50. The Snap-on Impression Cap is captured in the impression.
- 51. An Easy Abutment Analog may be used if the abutment has not been modified. Note the accurate impression of the sub-gingival margin.
- 52. A standard soft-tissue model is fabricated.
- 53. Pre-fabricated Plastic Cap Copings may be used if the Easy Abutment has not been modified.
- 54. The restoration is completed using standard crown & bridge procedures.
- 56. …is cemented in place with ImProv™ temporary cement.
- 57. Cemented Restorations NP 2.7mm RP 2.8mm WP 3.2mm 11mm 1.4mm 11mm 2.8mm 1.5mm 15° NP Ø4.5mm RP Ø5 - 7mm WP Ø6 - 8mm Straight RP only
- 58. Abutment prepared on the master cast Optional (Recommended for WP)
- 59. Screw-retained & Cemented Restorations 6mm Now with UniGrip! Torque 4.1mm without deforming 12mm 2mm Square UniGrip Retentive connection
- 60. Porcelain baked directly to Abutment Abutment prepared on the master cast Screw- retained Alternative: Porcelain baked Optional directly to abutment
- 68. Note lingual set screw channels
- 73. Result: Reduced load magnification and less chance of implant overload.
- 74. *Note width of the occlusal table *Note size of the embrasures
- 83. Are different names for the same type of coping.
- 84. Open Tray Pickup Square
- 85. Are different names for the same type of coping.
- 86. Closed Tray Transfer Tapered
- 92. Flat Head Screw Guide Pin Pick-up / with guide pin
- 93. How do we know they are accurate?
- 96. Remove index from mouth and pour a registration in quick set intra oral plaster type II before taking final impression.
- 109. dentulous E Mandible – Overlay Dentures dentulous Maxilla – Overlay Dentures E
- 110. Visit ffofr.org for hundreds of additional lectures on Complete Dentures, Implant Dentistry, Removable Partial Dentures, Esthetic Dentistry and Maxillofacial Prosthetics. The lectures are free. Our objective is to create the best and most comprehensive online programs of instruction in Prosthodontics