List of instruments needed for
the restorative portion of implant treatment.
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| Hexagonal screwdriver | |
| Slotted screwdriver | |
| Slotted screwdriver short | |
| Unigrip Screwdriver | |
Single Crown on CeraOne Abutment
(retrievable by perforating the crown).
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| Impression | Impression coping: DCB119-0 for RP;
DCB688-0 for WP |
Remove the white plastic cap; place immediately the coping; adjust the height of the coping; take the impression; replace the cap immediately after the impression; instruct the patient to push daily on the white cap. |
| Cementation | Zinc Phosphate cement | Remove the white cap; pre adjust the contacts; place a drop of Dycal on the screw head; fill up the chimney with Cavit; be certain that the crown has a vent for the evacuation of the cement; Use a fairly liquid cement mix. |
Single Crown on Procera Custom
Abutment (retrievable by perforating the crown).
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| Impression | NA | Remove the temporary crown; clean the custom abutment; place a retracting cord beyond the margin of the abutment; leave the cord during the impression; take the impression; remove the cord; re-cement the provisional crown. |
| Cementation | Zinc Phosphate cement | The cementation technique is identical as a regular crown. |
Single Non Segmented Screw Retained
Crown (retrievable).
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| Impression | Hex screwdriver DIA313-0; impression coping DCA1037-0 for NP, DCA1040-0 for RP and DCA1043-0 for WP. | Remove the healing abutment using the hex screwdriver. place immediately the impression coping by hand; engage the hex and tighten the screw. Take an X-ray to verify that the coping is in place; use a custom perforated impression tray; immediately after insertion, gain access to the screw heads of the copings; after setting, untighten the screws heads and lift them slightly before removing the tray. rinse the impression and send it to the lab; do not pour. Your lab should only use the following components : AurAdapt DCA1085-0 for NP, DCA1087-0 for RP and DCA1086-0 for WP. |
| Metal framework insertion | Hex screwdriver DIA313-0 and UniGrip screwdriver DIA932-0 | Remove the healing abutment with the hex screwdriver; place the framework in place; insert the screw with the UniGrip screwdriver; the screw should stop in a fraction of a turn; any friction in the rotation would indicate a problem; take an X-ray to verify the fit; remove and replace the healing abutment; it is recommended to use an antibiotic ointment (Aureomycine) on the components in order to 1) prevent the components to fly, 2) serve as an antibacterial ointment 3) serve as a lubricant. |
| Delivery | NobelBiocare torque controller set at 20 Ncm for NP, 32 Ncm for RP, 45 Ncm for WP; Hex screwdriver DIA313-0 and UniGrip screwdriver DIA932-0; contra angle UniGrip screwdriver DIA923-0; counter torque bracket with appropriate sleeve DIA602-0 for NP, DIA604-0 for RP and DIA607-0 for WP | After removing the healing abutment, place the crown; use a small amount
of antibiotic ointment on the screw; first adjust the contacts; if the
screw does not rotate freely until a positive stop, you usually have a
contact interference. Adjust the contacts very slowly; when you feel that
the contact are adjusted, adjust the occlusal table. Validate your adjustment
with an X-ray to verify that the framework is in place; the proper torque
can be applied only after contact adjustment is satisfactory.
In the case of a contact interference, the lateral forces applied would be capable of breaking the softer bone to titanium interface. After completion of this stage, fill up the chimney with cotton embedded with antibiotics covered by a hard silicone (UV cured). |
Fixed Partial Denture on EsthetiCone Abutments.
Fixed Partial Denture on MirusCone Abutments.
Fixed Non Segmented Partial Denture (fixture level).
Bar Over Denture.
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| Impression | Hex screwdriver DIA313-0
Tapered impression copings DCB080-0 |
Remove the cover screws and tighten by hand the impression copings |
| Indexing | Hex screwdriver DIA313-0
Slotted screwdriver DIB047-0 |
Light torque should be used on the gold screws |
| Bar trying | Hex screwdriver DIA313-0
Slotted screwdriver DIB047-0 |
Light torque should be used on the gold screws |
| Bar delivery | Hex screwdriver DIA313-0
Slotted screwdriver DIB047-0 NobelBiocare torque controller is recommended |
The gold screws should be tightened at 10 Ncm, which is a moderate
pressure easily reached with a hand screwdriver.
If you are not certain about the torque output of your hands, use the torque controller set at 10 Ncm. |
Fixed Full Denture