Restorative Manual - Biomet 3i

1 Restorative ManualOSSEOTITE Certain Implant System andOSSEOTITE External Hex Implant SystemAbutment PlacementImpression MakingFinal RestorationCertain InternalConnection SystemExternal HexConnection SystemIcon Key:OSSEOTITE Certain Internal Connection Implant System:OSSEOTITE External HexConnection Implant System:OSSEOTITE Certain Internal and OSSEOTITE External HexConnection Implant System:How To Use TheIcon Key:The icons represent the connection types of the implant system, and both internal and external connection types are represented in this Manual . In the fully illustrated protocols, each icon is present by each step. When a dark blue icon and a light blue icon are present together, the dark blue indicates which systemis illustrated.

2 When both icons are dark blue, then both systems are illustrated together. 1 Table Of ContentsIntroduction ..Page2 Treatment Planning ..Page3 System DistinctionsOSSEOTITE Certain ..Page4 OSSEOTITE External Hex ..Page5 Certain QuickSeat Activator Tool ..Page6 Certain Impression Coping And Non-Hexed Cylinder Draw Angles ..Page7 Certain UCLA Abutment ..Page8 Certain Non-Hexed Abutments ..Page9 Implant Level Impressions ..Page 10 Implant and Abutment Level ImpressionsPick-Up Impression Copings ..Page 11 Twist Lock Transfer Impression Copings ..Page 14 Prosthetic Abutment Selection Guide ..Page 17 Restorative Products Flow Chart ..Page 18 Provide Abutment Selection 19 Provide Abutment Selection.

3 Page 20 Provide Abutment Placement ..Page 21 Cement RetainedProvide Abutment Non-Prepared Post ..Indirect Technique ..Page 22 Provide Abutment Prepared Post ..Indirect Technique ..Page 26 PreFormance Post ..Indirect Technique ..Page 30 PreFormance Post ..Direct Technique ..Page 3215 Pre-Angled PreFormance Post ..Indirect Technique ..Page 3415 Pre-Angled PreFormance Post ..Direct Technique ..Page 36 GingiHue Post ..Indirect Technique ..Page 45 GingiHue Technique ..Page 4715 Pre-Angled GingiHue Technique ..Page 5015 Pre-Angled GingiHue Technique ..Page 52 ZiReal Post (all ceramic) ..Indirect Technique ..Page 55 ZiReal Post (all ceramic) ..Direct Technique.

4 Page 57 UCLA Custom Abutment Single-Unit ..Indirect Technique ..Page 59 UCLA Custom Abutment Technique ..Page 61 Screw RetainedPreFormance Temporary Cylinder Technique ..Page37 PreFormance Temporary Cylinder Multi-Unit ..Indirect Technique ..Page39 Titanium Temporary Cylinder Single-Unit ..Indirect Technique ..Page 41 Titanium Temporary Cylinder Technique ..Page 43 UCLA Abutment Single-Unit ..Indirect Technique ..Page 64 UCLA Abutment Multi-Unit ..Indirect Technique ..Page 66 Conical Abutment Technique ..Page 68 Conical Abutment Multi-Unit ..Indirect Technique ..Page 71 Bar Supported OverdentureStandard Abutment Hader Bar ..Page 74 UCLA Abutment Hader Bar ..Page 85 Implant Retained Fixed ProsthesisStandard Abutment Fixed Hybrid.

5 Page 83 UCLA Abutment Fixed Hybrid ..Page 88 Tissue Supported OverdentureLOCATOR Abutment ..Indirect Technique ..Page 91 LOCATOR Abutment ..Direct Technique ..Page 96 Dal-Ro Abutment ..Indirect Technique ..Page 98 Dal-Ro Abutment ..Direct Technique ..Page103O-Ring technique ..Page105O-Ring technique ..Page1102 Introduction This Manual is designed to serve as a reference guide for dental practitioners to utilize 3i Restorative components and instruments to their maximum potential. 3i's implant systems have been developed to meet the diverse needs of patients and to offer practitioners a choice of Restorative techniques customized to meet each individual s 's unique implant and Restorative component designs pro-vide practitioners with a wide range of Restorative options,including support for single tooth crowns, fixed and remov-able prostheses and attachments for securing 's implant and abutment systems utilize proven restorativedesigns and provide clinicians and patients with predictabletreatment InformationThis Manual provides instruction for Restorative practitioners in the use of 3i's Restorative systems.

6 The success of any dental implant system depends upon proper use of the components and is not intended for use as a substitute for professional training and PlanningTreatment PlanningPatient Evaluation And SelectionSeveral important factors must be considered when evaluating a patient prior to implant surgery. The presurgical evaluation must include a careful and detailedassessment of the patient s general health, medical history, oral hygiene, motivation and expectations. If thepatient s medical history reveals an existing condition or signals a potential problem that may compromise treatment and/or the patient s well being, consultation with aphysician is recommended. In addition, the clinician shoulddetermine if the patient presents with an acceptable anatomi-cal foundation that is conducive to implant placement.

7 Anextensive intraoral examination should be performed to evalu-ate the oral cavity for any potential bone or soft-tissue pathol-ogy. The clinician should also determine the periodontal sta-tus of the remaining teeth, the health of the soft tissue, thepresenceof occlusal abnormalities or parafunctional habits,such as bruxism or crossbite and any other conditions thatcould adversely affect the Restorative PlanningProper treatment planning includes selection of appropriate implant lengths, diameters and locations. Thenumber of implants is a fundamental consideration for the long-term success of an implant supported an implant is placed, the anatomical foundation of thetreatment area must be carefully the presurgical Restorative planning phase, it is important for the surgeon, Restorative dentist and laboratory technician to participate in determining the type ofprosthesis and Restorative components that will be decision making is critical for determining the locationof implants and should be finalized prior to implant top-down treatment planning approach is recommended,whereby the final prosthesis is designed.

8 Implant locationsdetermined and Restorative components selected prior to initi-ating implant surgery. Clinical information necessary for determining appropriate treatment options includes but is not limited to: determining vertical dimension, evaluating the space available between the alveolar crest and the opposing dentition to confirm that available space exists to accommo-date the proposed abutment and final restoration, locating theposition of important anatomic structures and determiningbone dimensions where implants are to be placed. The heightrequired by the Restorative components varies with the typeof abutment. Therefore, the surgeon and Restorative dentistshould carefully evaluate abutment dimensions.

9 Diagnosticcasts should be used pre-operatively to evaluate the residualridge and to determine the position and angulation of allimplants. These casts allow the clinician to evaluate theopposing dentition and its effect on implant position. A surgi-cal guide is helpful in determining the precise intraoral posi-tion and angulation of the implants and should be included inthe pre-operative treatment visualizing the final design of the prosthesis prior to implantsurgery, both Restorative and surgical clinicians have the oppor-tunity to identify potential Restorative problems. They can thenmake the necessary modifications to implant selection, locationand the overall treatment plan prior to actually placing theimplants, thus improving treatment predictability and System DistinctionsOSSEOTITE Certain Implant SystemThe internal connection implant that is designed for ease ofuse and simplicity.

10 QuickSeat Connection: It Clicks! The OSSEOTITE CertainImplant System features the QuickSeat Connection, whichhas an audible and tactile click when placing impressioncopings and abutments. This click feedback providesconfirmation and confidence to the clinician that thecomponents are properly seated. Abutment Fingers cause the click and also provideretention for the prosthetic components in the implantbefore the screw is placed. A screw is needed to fully seatthe components when restorations are being tried in ordefinitively placed. The 6/12 internal connection has both a hex and a 12-point double hex. The hex has two functions: engaging thedriver tip for mountless delivery during implant placementand providing anti-rotation for all straight abutments.