Combination Cement / Screw Retained QuickBridge™ And Conical Temporary Cyl
Combination Cement / Screw Retained
QuickBridge™ And Conical Temporary Cylinder
Multi-Unit Only
ABUTMENT SELECTION
5. Select
the proper Conical Abutment collar height for each implant by measuring
the tissue depth on the buccal side at each position. If a 1mm
subgingival margin is desired, subtract 1mm. If using QuickBridge,
subtract 2.5mm. Next, select the proper abutment angulation; straight,
17º or 25º. Allow approximately 2mm of interarch distance space between
the top of the abutment and the opposing occlusion. Finally, match the
color of the analog platform to determine the platform diameter.
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6. Place the selected Conical Abutments into each analog. Line up the hexes and press firmly until feeling and/or hearing the audible and tactile click. Secure the abutments into place with the Conical Abutment Screws using the Abutment Driver. |
PROVISIONAL RESTORATION FABRICATION 8. Drill
holes in the vacuum formed template in the areas over the Conical
Temporary Cylinders. Place the vacuum formed template onto the master
cast over the cylinders and caps to verify there is no interference
with it seating completely. Reduce the cylinders as necessary so these
fit within the template using a carbide bur. Seal the cylinder access
holes with wax or putty. Place the cast back on the articulator. Add
acrylic resin into the retention facets on the selected cylinder and
fill the tooth portion of the template with acrylic resin. Fully seat
the template on the cast over the temporary cylinders and QuickBridge
Caps using the articulation. Allow the acrylic to set per the
manufacturer’s instructions. or Duplicate
the master cast with the Conical Abutments, temporary cylinder and
QuickBridge Caps in place. Articulate, wax the provisional on the
duplicate cast and process it in acrylic resin.
7. Select
one abutment in an area with dense bone to process a Conical Temporary
Cylinder into the provisional. Select another abutment area across the
arch where a temporary cylinder will be processed into the provisional
chairside. Place a Conical Temporary Cylinder on the two selected
abutments and secure these into place using retaining screws and the
Large Hex Driver. Thread a QuickBridge Titanium Cylinder on each of the
remaining abutments using the Large Hex Driver. Place a QuickBridge Cap
on each cylinder and press down firmly until fully seated. Block out
the retention facets on the QuickBridge Caps and one of the temporary
cylinders with wax.
9. Clear
the cylinder access hole and remove the retaining screw from the
selected Conical Temporary Cylinder. Remove the template from the cast
over the remaining cylinder and the QuickBridge Caps with the Conical
Temporary Cylinder inside the acrylic. Remove the provisional from the
template. Remove all excess acrylic from around the margin areas of the
provisional and the access holes. Relieve the holes for the temporary
cylinder and the QuickBridge Caps as necessary so the provisional can
be placed over these and removed easily. Fill in any voids. Finish the
bridge to the desired contour and polish. Remove the wax from the
temporary cylinder and the QuickBridge Caps and return these with the
case for chairside pick up.
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CT GUIDED SURGICAL IMPLANT PLACEMENT See page 8 for an example of a surgical plan. |
POST SURGICAL DELIVERY OF PROVISIONAL RESTORATION 12. If
a flap procedure was used during surgery, suture the tissue around the
Conical Abutments. Place acrylic resin into the retention facets on the
temporary cylinder and into the cylinder area on the provisional. Seat
the provisional over the cylinder and secure it into place by threading
a retaining screw through the lab processed temporary cylinder. Have
the patient close into occlusion. Allow the acrylic to set per the
manufacturer’s instructions. Remove the retaining screws and remove the
provisional. Place acrylic resin into the retention facets on each
QuickBridge Cap and into each cap area on the provisional. Seat the
provisional over the caps and secure it into place by threading
retaining screws through the two temporary cylinders. Have the patient
close into occlusion. Allow the acrylic to set.
11. Place
each Conical Abutment into the implants, one by one, in the proper
locations. Press firmly until feeling and/or hearing the click. Thread
the Conical Abutment Screws into the implants using the Abutment
Driver. Verify an accurate fit of each abutment by visualizing the
interfaces or by taking a radiograph. Torque the abutment screws to
20Ncm using the Abutment Driver Tip and a torque device. Place the
Conical Temporary Cylinder onto the abutment on the opposite side of
the arch from the lab processed cylinder and secure it into place with
a retaining screw. Seal the access hole with impression material. Place
a QuickBridge Titanium Cylinder on each of the abutments using the
Large Hex Driver except for the abutment with the selected lab
processed temporary cylinder. Place a QuickBridge Cap on each cylinder
and press down firmly until fully seated. Try in the provisional over
the temporary cylinder and the QuickBridge Caps and secure it into
place by threading a retaining screw through the lab processed
cylinder. Verify that it fits to the cylinder and cap margins properly.
Adjust the occlusion as indicated and remove the provisional.
13. Remove the retaining screws and remove the provisional. Fill in any voids. Remove any excess acrylic and polish. 14. Line
the QuickBridge Cylinders with temporary cement. Seat the provisional
on the Conical Abutments and snap it over the QuickBridge Cylinders.
Screw the provisional into place with a Gold-Tite® Retaining Screw
using the Large Hex Driver. Torque the screw to 20Ncm using the Large
Hex Driver Tip and a torque device. Have the patient close into
occlusion. Remove any excess cement from around the cap margin areas.
Allow the cement to set per the manufacturer’s instructions. Place a
temporary filling material in the access holes and seal these with
composite resin. Adjust the occlusion as indicated.
ART1019
REV A 10/07