Implant prosthetic
1
Implant prosthetic 1) TS System Structure
Crown
Abutment
Gingiva
Abutment Screw
Internal type Taper Contact
Bone Fixture
2
Sub-merged
Implant prosthetic ◆ Fixture
◆ Abutment • Hex type Hex
A
A A
A
taper taper
Hex
Section A-A • Non-Hex type
A
taper
Section A-A 3
Section A-A
A
Non-Hex
Implant prosthetic 2) Structural feature of TS System
1. Internal taper contact
ďƒź Firmly Connected
A
A
2. Hex Connection (Hex Type)
ďƒź To prevent rotation and provide direction In Non Hex case, can not provide direction 4
Implant prosthetic 3. Main Components of TS Abutment 1) Connection Fixture and abutment connecting 2) Diameter Maximum diameter of abutment 3) Gingiva Height (G/H) Part in contact with gingiva 4) Height (H) Part in connected to prosthetic
5
Implant prosthetic 1) Connection ◆ Classification by Connection ① Mini
② Regular Φ2.8
A
Φ3.35
A
A
Hex 2.1 M1.6 screw
A
Hex 2.5 M2.0 screw
6
Implant prosthetic
◆ Classification by Hex, Non-Hex
① Hex
② Non-Hex Φ3.35
A
Φ3.35
A
A
Hex 2.5
A
Non-Hex
M2.0 screw
M2.0 screw
7
Implant prosthetic ◆ Classification by 1-piece, 2-piece
① 1-piece
② 2-piece Φ3.35
A
Φ3.35
A
A
Non-Hex
A
Hex 2.5
M2.0 screw
M2.0 screw
8
Implant prosthetic 2) Diameter
Φ4.0
D
Φ4.5
Φ5.0 9
Φ6.0
Φ7.0
Implant prosthetic 3) G/H (Gingiva Height)
G/H
G/H 1mm
G/H 2mm
G/H 3mm 10
G/H 4mm
G/H 5mm
Implant prosthetic 4) Abutment Height
H
H 4mm
H 5.5mm 11
H 7mm
Implant prosthetic 1. TS Abutment System Line-Up ZioCera Abutment GoldCast / NP Cast Abutment Angled / FreeForm ST Abutment
Convertible / Multi / Multi Angled Abutment Rigid / Transfer Abutment
Temporary Abutment
Stud / Port / Locator Abutment TS III
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Implant prosthetic ◆ OSSTEM’s abutment line-up (TS system) ● 1-piece type Abutment
Rigid
convertible
Multi
O-ring
Locator
● 2-piece type Abutment
Transfer
Temporary
Quick Temporary
Angled
FreeForm ST
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ZioCera
SmartFit
GoldCast
NP Cast
Multi Angled
Implant prosthetic ◆ Necessary Component
To form gingival according to prosthetic design
Varies by diameter & thickness of gum
1) Healing Abutment
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Implant prosthetic Impression taking
Building a crown in mouth of patient is impossible. Replication of oral condition of patient stone model for prosthetic work. To copy pt’s oral shape to stone model
Pt’s Oral
Impression Body
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Working Model
Implant prosthetic ◆ Relevant Component 1) Lab analog - Rigid Lab analog It represents rigid ABT in working model.
- Fixture Lab analog It represents fixture in working model.
2) burn-out cylinder
Rigid Lab analog
Fixture Lab analog
It works as framework of prosthetic with connecting to Rigid lab analog Marginal part is trimmed with optimized reamer after casting prosthetic.
3) Working model - Replication of patient’s oral condition.
Single
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Bridge
Implant prosthetic Crown It works as natural tooth. Equal level of biting satisfaction as natural teeth Has to be comfortable for daily life. Deliver beautiful smile to patient
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Implant prosthetic 1. Taking Natural Teeth Impression VS. taking Implant Impression Natural Teeth Impression Taking Natural Teeth
Implant Impression Taking â–ś Abutment Direct Impression Taking
Rigid Abutment
Direct Impression Taking on natural teeth
Working Model
Impression Taking
Working Model (Abutment Level)
Impression Taking
Working Model (Fixture Level)
â–śImp. Coping for Impression Taking
Pick-Up Imp. coping
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Implant prosthetic 2. Types of Impression Taking 1) Abutment level Impression Impression Level 2) Fixture level Impression
3) Transfer type Impression Fixture Level 4) Pick Up type Impression 19
Implant prosthetic 1. Abutment level Impression VS. Fixture level Impression â—† The major differences between Abutment Level and Fixture Level Impression. Type
Oral
Impression Impression Coping
Working Model Impression Material
Rigid Lab Analog
Abutment
Abutment Level Impression Fixture
Impression Coping Impression Material
Fixture Level Impression Fixture
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Fixture Lab Analog
Implant prosthetic 1) Abutment level Impression
Impression Materilal
(1) Process flow
Healing
Connect Abutment
Connect Impression Coping
Apply Impression Material
Impression Taking
Remove Impression Body from working Model
Remove Impression Body from the mouth
Working Model
Make Working Model
Apply stone
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Connect Lab analog
Impression Body
Implant prosthetic (2) Clinical Case Example (Rigid ABT. 3 bridge)
Connect Fixture to Abutment
Connect Lab analog to Impression Body
casting
Connect Rigid Imp. Coping to Abutment
Impression
Working Model
Connect Burn-out cylinder
Completion of Prosthesis
Final Restoration
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Impression Body
Wax Up
Implant prosthetic (4) OSSTEM Products Line up
Rigid ABT.
Transfer ABT.
Impression Coping
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Rigid Lab analog
Burn-out Cylinder
Implant prosthetic 2) Fixture level Impression
Apply Impression Material
(1) Process flow
Healing
Remove Healing ABT.
Connect Impression Coping
Apply Impression Material
Impression Taking
Screw Guide Pin
Remove Guide pin from working model
Unscrew Guide Pin in the mouth And then separate Imp body From fixture
Working Model
Make Working Model
Apply stone
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Connect Lab analog
Impression Body
Implant prosthetic (2) Clinical Case Example (Transfer ABT. 2 bridge)
Connect Pick-Up type Imp. coping to Fixture
Impression
Impression Body
Working Model
Connect ABT and customize
Wax Up
Completed Prosthesis
Connect ABT with Jig
Final Restoration
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Connect Lab analog to Impression body
Casting
Implant prosthetic (4) OSSTEM Products Line up
Transfer ABT.
Angled ABT.
FreeForm ST ABT.
ZioCera ABT.
GoldCast ABT.
NP-Cast ABT.
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Fixture Lab analog
Pick-Up Imp. Coping
Transfer Imp. Coping
Implant prosthetic
- 1. Abutment level impression VS. Fixture level impression
Summary Abutment level impression
Oral
Fixture level impression
Working Model
Oral
Working Model
• Copy abutment shape and position to working
• Copy fixture connection and position to working
model.
model.
• Impression taking is based on the abutment
• Impression taking based on the fixture
information.
information.
• Minimize possibility of error during lab
• Possible error during lab procedure.
procedure.
• Relatively complicated on the prosthetic
• Relatively easy to handle with the prosthetic
procedure.
procedure.
• Use exclusive component
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Implant prosthetic
- 2. Pick-Up type impression VS. Transfer type impression
2. Pick-Up type Impression VS. Transfer type impression â—† The major differences between Pick-up and Transfer type Impression. Type
Oral
Impression Taking
Imp. Body
Impression Coping Impression Material
Transfer type Impression Fixture
Impression Coping Impression Material
Pick up type Impression Fixture
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Implant prosthetic – Pick-Up Type Impression 1) Pick-Up type Impression
Impression Material
(1) Process flow
Healing
Remove Healing ABT.
Connect Impression Coping
Impression Taking
Apply Impression Material Screw Guide Pin
Remove Guide pin from working model
Unscrew Guide Pin in the mouth And then separate Imp body From fixture
Working Model
Make Working Model
Apply stone
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Connect Lab analog
Imp. Body
Implant prosthetic – Pick-Up Type Impression (2) Clinical Case Example (Transfer ABT. 2 bridge)
Connect Pick-Up type Imp. coping to Fixture
Impression
Impression Body
Connect Lab analog to Impression body
Working Model
Connect ABT and customize
Wax Up
Casting
Completed Prosthesis
Connect ABT with Jig
Final Restoration
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Implant prosthetic – Pick-Up Type Impression (4) OSSTEM Products Line up
Transfer ABT.
Angled ABT.
FreeForm ST ABT.
ZioCera ABT.
GoldCast ABT.
NP-Cast ABT.
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Fixture Lab analog
Pick-Up Imp. Coping
Implant prosthetic – Pick-Up Type Impression 2) Transfer type Impression Impression Material
(1) Process flow
Healing
Remove Healing ABT.
Connect Impression Coping
Apply Impression Material
Impression Taking
1. Remove Impression from working model 2. Remove Imp. Coping
Remove Imp. Body from mouth
Working Model
Make Working Model
Apply stone
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Connect Impression Coping + Lab analog to Imp. Body
Impression Body
Implant prosthetic – Pick-Up Type Impression (2) Clinical Case Example (Transfer ABT. 2 bridge)
Connect Transfer type Imp. coping to Fixture
Connect Imp. Coping + Lab analog to Imp. Body
Casting
Impression
Impression Body
Working Model
Completed Prosthesis
Connect ABT and customize
Connect ABT with Jig
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Connect Imp. Coping to Lab analog
Wax Up
Final Restoration
Implant prosthetic – Pick-Up Type Impression (4) OSSTEM Products Line up
Transfer ABT.
Angled ABT.
FreeForm ST ABT.
ZioCera ABT.
GoldCast ABT.
NP-Cast ABT.
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Fixture Lab analog
Transfer Imp. Coping
Implant prosthetic 2. Types of TS Abutment System 1) Rigid Abutment
(1) Features • Cement retained prosthetic. • Abutment level impression.
• prosthetic process is similar to the natural teeth. • Apply to the fixture placed in parallel with other implants or adjacent teeth cases.
•Use M2.0 for Mini, Regular both
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Implant prosthetic 1) Rigid Abutment
2) Specification D 4.5
Classification Screw or as one body
1-piece
Connection 1
Mini regular Hex Non-Hex D 4.0 D 4.5 D 5.0 D 6.0 D 7.0 1 2 3 4 5 4.0 5.5 7.0
Connection 2
Diameter
G/H
H
2-piece
ďƒ¨ Total : 95EA
G/H 1
G/H 2
G/H 3
G/H 4
G/H 5
G/H 1
G/H 2
G/H 3
G/H 4
G/H 5
D 5.0
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I. Understanding of Rigid Abutment 1. Introduction of Rigid Abutment 1) Features
• TS System’s basic ABT
Abutment Body
▶ 1-Piece type / Non-hex ▶ Same upper shape with Transfer Abutment Can be distinguished by Groove
• Apply to every case where Fixture is properly placed. • 1.2 Hex driver / Outer driver • Production procedure of prosthetic that is similar to natural tooth Screw
• Abutment level impression taking • Cement Type prosthetic
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I. Understanding of Rigid Abutment ▶ Specification summary ▶ Summary Total : 95EA
D
Classification Body type
1-piece 2-piece 4.0
H
H(Height)
5.5 7.0 1 2
G/H
3
Gold Coloring
4
G/H
5
Connection 1
Fixture level
Connection 2
Hex Non-Hex Mini
Regular D Ø4.0 D Ø4.5
Connection
D (Diameter)
D Ø5.0 D Ø6.0 D Ø7.0
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M/R R
Rigid Abutment 1. Introduction of Rigid Abutment
▶ 체결 Tool
3) Connection
(1) Driver : 1.2 Hex driver / Outer driver
M R
(Short / Long type)
Ø 4.0
Ø 4.5
Ø 4.0
Ø 4.5 Ø 5.0 Ø 6.0
OR
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Ø 7.0
Rigid Abutment
(2) Torque Wrench - Figure out the exact connection torque by each Screw type before using a Torque Wrench Rigid (M/R) recommended torque : 30Ncm ① Spring type Torque wrench
② Bar type Torque wrench
Stop when the neck of the Torque Wrench starts bending
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- Stop at the marking of 30 Ncm
Rigid Abutment 2. Rigid Abutment impression taking 1) Rigid Component
Rigid ABT.
Impression Coping
Rigid Lab analog
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Burn-out Cylinder
Rigid Protect Cap
Rigid Retraction Cap
Rigid Abutment 2) Components of impression taking and working model (1) Rigid Impression Coping Use for Rigid Abutment impression taking Different colors by Abutment height <4.0mm>
<5.5mm>
(2) Rigid Lab analog Replicating Rigid Abutment on the working model Different colors by Abutment height
(3) Rigid Burn-out cylinder Use for framework of prosthetic by connecting with Rigid lab analog Smooth margin part by using a reamer after prosthetic casting
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< Single >
< Bridge >
<7.0mm>
Rigid Abutment 3) Oral related Rigid Components Protect Cap connection
Temporary prosthetic production by using protect cap
(1) Rigid Protect Cap
<4.0mm>
<5.5mm>
<7.0mm>
<4.0mm>
<5.5mm>
<7.0mm>
Protects Rigid Abutment in oral Minimizes irritation feeling for patient Can be used for coping of temporary crown
(2) Rigid Retraction Cap Enables accurate margin based impression taking in case of direct impression taking
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Rigid Abutment 4) Impression taking methods â&#x2013;ś After Abutment connection in oral area, take impression by connecting with Impression coping ď&#x192; Abutment to be replicated with stone model
(1) Impression taking By Imp. Coping
Connect Imp. coping to ABT
Impression taking
stone model
(2) Abutment direct Impression coping
Impression taking
Connect Rigid Abutment to implant
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stone model
Rigid Abutment 5) Work flow (Abutment level Imp. )
Impression material
Healing
Connect Abutment
Connect Impression Coping
Apply impression material
Impression taking
Remove impression body from the mouth Remove impression body from working model
Working model
Working model production
Apply stone
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Connect Lab analog
Impression body
Rigid Abutment
â&#x2013;ś Clinical case example (Rigid ABT. 3 bridge)
Connect ABT. to Fixture
Connect Lab analog to impression body
casting
Connect Solid Imp. Coping
Impression
Working model
prosthetic completion
Connect Burn-out cylinder
Apply Cement
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Impression body
Wax Up
Final restoration
Rigid Abutment
▶ Wax Up
Click!!! Accurate connection
- Single -
- Bridge -
< Lab Analog >
< Rigid Burn-out cylinder >
Connection
Length adjusting
Connect Pattern Resin 47
Wax Up
Rigid Abutment ▶ Casting
Sprue
Casting body
Fitting by using
Finishing
reamer
Tip (R/W) Bite Handle
<Reamer>
→ Rotate to remove internal lip
48
a.
Snap-on by plastic’s elasticity
b.
Metal loses its elasticity from casting.
c.
Fitting by using Reamer
Implant prosthetic 2) Transfer Abutment
• Cement retained prosthetic • Abutment level impression / Fixture level impression
• Apply to the fixture placed in parallel with other implants or adjacent teeth cases. • Two-piece structure and easy to maintain or manage on
prosthetic compared with Rigid Abutment.
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Implant prosthetic 1) Transfer Abutment
2) Specification D 4.5
Classification Screw or as one body
1-piece
Connection 1
Mini regular Hex Non-Hex D 4.5 D 5.0 D 6.0 D 7.0 1 2 3 4 5 4.0 5.5 7.0
Connection 2
Diameter
G/H
H
2-piece
ď&#x192;¨ Total : 110EA
G/H 1
G/H 2
G/H 3
G/H 4
G/H 5
G/H 1
G/H 2
G/H 3
G/H 4
G/H 5
D 5.0
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Transfer Abutment 1. Introduction of Transfer Abutment 1) Features
• TS System’s the most standard ABT Abutment Body
▶ 2-Piece (Screw Separation type) : Convenient Maintenance/Management compared to Rigid Abutment
•Same margin’s vertical shape with Rigid Abutment ▶ Component compatible
• Apply to every case where Fixture being properly placed. • 1.2 Hex driver • Production procedure of prosthetic that is similar to natural tooth • Abutment level / Fixture level impression Screw
• Cement Type / Combination Type prosthetic
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Transfer Abutment 1. Introduction of Transfer Abutment 2) Specification 7.0
• Same vertical shape with Rigid Abutment’s Margin
5.5 4.0 5.0
①H
4.0 3.0
③D
2.0 1.0
② G/H
⑤ Connection 2 : Mini
④ Connection 1 : Hex Non-Hex
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Regular
Transfer Abutment
① Height
7.0mm 5.5mm
4.0mm
①H
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Transfer Abutment • Gold Coloring : Aesthetics oriented
② G/H 5.5mm
1.0mm
2.0mm
3.0mm
4.0mm
5.0mm
② G/H
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Transfer Abutment
③D
Mini
Regular D
Ø 4.0 Ø 4.5
Ø 4.5
Specification added in 2014
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Ø 5.0
Ø 6.0
Ø 7.0
Transfer Abutment
④ Connection
Mini
Hex
Non-Hex
Good Path in single or bridge Hex Bad path in bridge Non-Hex (Transfer jig)
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Regular
Transfer Abutment ▶ Specification summary ▶ Summary Total : 110EA D
Classification Screw match Y/N
1-piece 2-piece 4.0
H
H(Height)
5.5 7.0 1 2
G/H
3
Gold Coloring
4 5
G/H
Connection 1 Fixture level
Connection 2
Hex Non-Hex Mini
Regular D Ø4.0 D Ø4.5
D (Diameter)
D Ø5.0 D Ø6.0
Connection
D Ø7.0
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M M/R R
Transfer Abutment 2. Transfer Abutment impression ▶ Abutment management based on impression taking types 1) Abutment level impression
Impression taking object 2) Fixture level impression 1) Abutment level impression ▶ ABT connection prior to impression Select appropriate ABT specification from oral and connection → Re-connecting is not possible after disconnection from fixture 2) Fixture level impression ▶ ABT connection after impression Select appropriate ABT specification from working model and connect→ Decreases Chair Time After prosthetic production, connect the abutment in oral with same area from the working model (use Transfer Jig)
58
Transfer Abutment 2. Transfer Abutment impression 1) Abutment level impression
• Same margin’s vertical shape with Rigid Abutment ☞ Component compatible
(1) Introduction
▶ Abutment level impression : Same method with Rigid Abutment
1) Abutment level impression
Impression target
2) Fixture level impression
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Transfer Abutment • Same margin’s vertical shape with Rigid Abutment ☞ Component compatible
1) Abutment level impression
M R
Ø 4.0
▶ Driver : 1.2 Hex driver / Outer driver
(2) Connection
(Short / Long type 구비)
Ø 4.5 Ø 4.5 Ø 5.0 Ø 6.0 OR
60
Ø 7.0
Transfer Abutment ▶ Torque Wrench - Figure out the exact connection torque by each Screw type before using a Torque Wrench Transfer ABT recommended tightening torque : (M : 20Ncm / R : 30Ncm)
① Spring type Torque wrench
② Bar type Torque wrench
- Stop when the neck of the Torque Wrench starts bending
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- Stop at the marking of 30 Ncm
Transfer Abutment 1) Abutment level impression
• Same margin’s vertical shape with Rigid Abutment ☞ Component compatible
(3) Components
▶ Transfer ABT. Component
Transfer ABT.
Impression Coping
Rigid Lab analog
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Burn-out Cylinder
Rigid Protect Cap
Rigid Retraction Cap
Transfer Abutment • Same margin’s vertical shape with Rigid Abutment ☞ Component compatible
2) Components of impression taking and working model (1) Rigid Impression Coping Use for Rigid Abutment impression taking Different colors by Abutment height
<4.0mm>
<5.5mm>
(2) Rigid Lab analog Replicating Rigid Abutment on the working model Different colors by Abutment height
(3) Rigid Burn-out cylinder Use as framework of prosthetic by connecting with Rigid lab analog Smooth inside of margin part with a reamer after prosthetic casting
63
< Single >
< Bridge >
<7.0mm>
Transfer Abutment
▶ Oral related Components
Protect Cap connection
Temporary prosthetic production with protect cap
④ Rigid Protect Cap
<4.0mm>
<5.5mm>
<7.0mm>
<4.0mm>
<5.5mm>
<7.0mm>
Protects Rigid Abutment in oral area Minimizes irritation feeling from patient Utilizes as lower part of temporary prosthetic
⑤ Rigid Retraction Cap Enables accurate margin based impression taking in case of direct impression taking • Same margin’s vertical shape with Rigid Abutment ☞ Component compatible
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Transfer Abutment 1) Abutment level impression
(4) Procedure
â&#x2013;ś After Abutment connection in oral area, take impression by connecting with Impression coping ď&#x192; Abutment to be replicated with stone model
1) Impression taking By Imp. Coping
Impression taking
Connect Imp. coping to implant
stone model
2) Abutment direct Impression coping
Impression taking
Connect Rigid Abutment to implant
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stone model
Transfer Abutment 5) Process flow (Abutment level Imp. )
Impression material
Healing
Connect Abutment
Connect Impression Coping
Apply impression material
Impression taking
Remove impression body from the mouth Remove impression body from working model
Working model
Working model production
Apply stone
66
Connect Lab analog
Impression body
Transfer Abutment 2) Fixture level impression
(1) Introduction
â&#x2013;ś Selection can be made based on the dentistâ&#x20AC;&#x2122;s preference and clinical situation
1) Abutment level
Impression level 2) Fixture level Impression
- Transfer type impression Method perspective - Pick Up type impression 67
Transfer Abutment 2) Fixture level impression
Transfer ABT.
â&#x2013;ś Transfer Component
(2) Components
Transfer Imp. Coping
68
Pick-Up Imp. Coping
Fixture Lab analog
Transfer Abutment
① Transfer Impression Coping Impression taking with Close Tray Triangular-circle (
) structure with excellent location and path
recognition Easy and accurate Coping re-location Use for simple clinical cases (single or simple bridge case) Use for short vertical dimension in pt’s mouth where posterior impression taking is limited 69
Transfer Abutment
② Pick-Up Impression Coping Impression taking with Open Tray Holeinone structure with excellent impression stability
Asymmetric structure that minimizes interference with surrounding teeth
Stable impression taking in Bridge case
③ Lab analog Works as fixture in working model <M> 70
<R>
Transfer Abutment 2) Fixture level impression
(3) Procedure
â&#x2018; Transfer Imp. Coping Process Impression material
Healing
Healing ABT. removal
Connect Impression Coping Apply impression material
Impression taking
After Imp. Coping connects with Lab analog, then connect to impression body
After removing impression body from Working model, then remove impression coping
r
r Remove impression body from working model
Working model
Working model production
Apply stone
71
Impression Coping + Lab analog connection
Remove impression body from the mouth by removing Guide Pin
Impression body
Transfer Abutment â&#x2013;ś Clinical case example (Transfer ABT. 2 bridge)
Connect Transfer type Imp. coping to Fixture
Connect Lab analog with Imp. Coping combined to impression body
Casting
Impression
Impression body
Working model
prosthetic completion
ABT. Connection and adjustment
ABT. connection with Jig
72
Connect Imp. Coping to Lab analog
Wax Up
Final restoration
Transfer Abutment
â&#x2018;Ą Pick-up Imp. Coping Process Impression material
Healing
Healing ABT. removal
Connect Impression Coping Apply impression material
Impression taking
r
Separate impression body by removing Guide Pin from working model
Remove impression body from the mouth by removing Guide Pin Remove impression body from working model
Working model
Working model production
Apply stone
73
Fixed by Guide Pin
Lab analog connection
Impression body
Transfer Abutment â&#x2013;ś Clinical case example (Transfer ABT. 2 bridge)
Connect Pick-up type Imp. coping to Fixture
Working model
prosthetic completion
Impression
Impression body
ABT. connection and adjustment
Wax Up
ABT. connection with Jig
Final restoration
74
Connect Lab analog to impression body
Casting
Transfer Abutment
▶ Wax Up
Click!!! Accurate Connection
- Single -
- Bridge -
< Lab Analog >
< Rigid Burn-out cylinder >
Connection
Length adjusting
Connect Pattern Resin 75
Wax Up
Implant prosthetic 3) Angled Abutment • Cement retained prosthetic. • Fixture level impression. • When the path of fixture and prosthetic are not parallel (This path can be compensated up to maximum 23° without modifying).
• Possible to customize with minimal milling. • A, B type (Two types of Hex Indexing).
76
Implant prosthetic 3) Angled Abutment
2) Specification
D 5.0
Classification Screw or as one body
1-piece
Connection 1
Mini regular Hex (A, B) Non-Hex D 4.5 D 5.0 D 6.0 2 4
Connection 2 Diameter G/H
2-piece
ï&#x192;¨ Total : 24EA
G/H 2
Hex (A type)
Hex (B type)
Non-Hex
Hex (A type)
Hex (B type)
Non-Hex
G/H 4
77
Angled Abutment 1. Introduction 1) Angled Abutment
Difficult to place in same path like natural tooth ď&#x192;¨ Angled type ABT. is need to be fixed according to the insertion angle. 78
Angled Abutment
◆ Applied case
Single / Bridge restoration Case what needs path adjustment Cement retained / Combination retained restoration
◆ Limitation Cannot be used Angled ABT. only in posterior bridge (Due to over cantilever force) Not recommendable for posterior single implant due to strong biting force
79
Angled Abutment 2. System types and features 1) TS System
EbonyGold Screw Only 17˚ angled Can compensate up to 23º Hex : A-type, B-type Non-Hex A, B type marking
Gold color Tightening Torque - Mini : 20Ncm
- Regular : 30Ncm
80
Angled Abutment
Mini (Φ4.5)
Regular (Φ4.5 / Φ5.0 / Φ6.0)
81
Angled Abutment
2) SS System
Ti Screw Angled exclusive screw 15˚ / 20˚ angled Octa / Non-Octa Marking doesn’t exist Tightening Torque
- Regular : 30Ncm - Wide
Octa
Non-Octa
82
: 30Ncm
Angled Abutment Regular (Φ4.8)
Wide (Φ6.0)
83
Angled Abutment
3) US System
Ti Screw 15˚ / 25˚ angled Double Hex Non-Hex doesn’t exist
Tightening Torque - Mini
: 30Ncm
- Regular : 30Ncm
- Wide Double Hex
84
: 30Ncm
Angled Abutment Mini (Φ4.5)
Regular (Φ4.8)
Wide (Φ6.0) / Wide PS (Φ6.0) / R-type (Φ6.0)
85
Angled Abutment 3. Angled type ABT. prosthetic and precautions 1) Max. Path adjustment angle - Cement type (1) TS type
(2) SS type
15º : Max. 21º
20º : Max. 26º
(3) US type
15º : Max. 19º
25º : Max. 29º
Maximum 23º Path adjustment is available without trimming ABT.
86
Angled Abutment 2) Abutment Selector – TS only
Decide path direction prior to actual ABT. connection 87
Angled Abutment
3) Placement
Avoid to use for posteriors Fracture may occur in case of strong biting force
Avoid to use angled bridge for posteriors Fracture may occur due to Over cantilever force
88
Angled Abutment
4) trimming amount
ď&#x192;ź In case of aggressive trimming for path adjusting Strength will be decreased due to very thin cover thickness
89
Angled Abutment 4. Angled type ABT. prosthetic procedure
[ Case summary ] TS Angled Abutment Maxillary #11 Fixture level impression Cement type prosthetic
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Implant prosthetic 4) Ziocera Abutment / Ziocera Angled Abutment • Cement retained prosthetic (Screw / Cement / Combination Retained prosthetic can be available). • Fixture level impression. • Using biocompatible Zirconia material. • Use in anterior Esthetic restoration prosthetic • Straight / 17° Angled : 2 types and easy to mill.
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Implant prosthetic 4) Ziocera Abutment / Ziocera Angled Abutment
2) Specification â&#x20AC;&#x201C; Straight type D 5.5
Classification Screw or as one body
1-piece
Connection 1
Mini regular Hex Non-Hex D 4.5 D 5.5 D 6.5 3.5 5.0
Connection 2 Diameter G/H
2-piece
G/H 3.5
G/H 5.0
D 6.5
ď&#x192;¨ Total : 16EA
G/H 3.5
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G/H 5.0
Implant prosthetic 4) Ziocera Abutment / Ziocera Angled Abutment 2) Specificationâ&#x20AC;&#x201C; Angled type
D 5.5
Classification Screw or as one body
1-piece
Connection 1
Mini regular Hex Non-Hex D 5.5 D 6.5 3.0 4.0
Connection 2 Diameter
G/H
2-piece G/H 3.0
D 6.5
ď&#x192;¨ Total : 4EA
G/H 4.0
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Implant prosthetic 5) GoldCast Abutment
• Screw retained prosthetic. • Fixture level impression. • Make abutment by casting with Gold Alloy. • Recommend to use for case has the limitations of existed abutments. • No non-precious alloy casting.
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Implant prosthetic 5) GoldCast Abutment
2) Specification D 4.0
Classification Screw or as one body
1-piece
Connection 1
Mini regular Hex Non-Hex D 4.0 D 4.5 1.0 3.0
Connection 2 Diameter
G/H
2-piece
G/H 1.0
G/H 3.0
G/H 1.0
G/H 3.0
D 4.5
ď&#x192;¨ Total : 8EA
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Implant prosthetic 6) NP-Cast Abutment
• Screw retained prosthetic. • Fixture level impression. • Make abutment by casting with the dental nonprecious metal alloy (UCLA type prosthetic available by replacing Gold). • Recommend to use for overcoming of the limitations
of existed abutments.
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Implant prosthetic 6) NP-Cast Abutment
2) Specification D 4.0
Classification Screw or as one body
1-piece
Connection 1
Mini regular Hex Non-Hex D 4.0 D 4.5 1.0 3.0
Connection 2 Diameter
G/H
2-piece
G/H 1.0
G/H 3.0
G/H 1.0
G/H 3.0
D 4.5
ď&#x192;¨ Total : 8EA
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Implant prosthetic 7) FreeForm ST Abutment
• Cement retained prosthetic. • Fixture level impression. • Difficult cases to use Transfer abutment and customize with UCLA type. • Could be customized by milling with large scales of width, height, margin height compared to Transfer abutment.
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Implant prosthetic 7) FreeForm ST Abutment
2) Specification D 5.0
Classification Screw or as one body
1-piece
Connection 1
Mini regular Hex Non-Hex D 4.0 D 5.0 D 6.0 D 7.0 1.5 3.0
Connection 2
Diameter
G/H
2-piece
G/H 1.5
G/H 3.0
D 6.0
ď&#x192;¨ Total : 24EA
G/H 1.5
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G/H 3.0
FreeForm Abutment 1. Introduction 1) FreeForm ST Abutment Normal ABT.
FreeForm ST ABT.
Existing normal ABT. Is difficult to modify margin area. Difficult to form natural margin shape Not enough space for customizing
Able to customize margin shapes which normal ABT can’t perform.
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FreeForm Abutment
◆ Applied case
Single / Bridge restoration In case when producing prosthetic is large sized or needs large amount of path adjusting Cement retained / Combination retained restoration
◆ Limitation Avoid aggressive trimming during Customizing (strength may decrease due to very thin cover thickness)
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FreeForm Abutment 2. System types and features 1) TS System
– FreeForm ST ABT.
EbonyGold Screw
G/H 1.5mm / 3mm Hex / Non-Hex customizable available
Straight type Taper type Gold color Tightening Torque - Mini
: 20Ncm
- Regular : 30Ncm Octa
Non-Octa
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FreeForm Abutment Mini (Φ4.0)
Regular Straight (Φ4.0 / Φ5.0)
Regular Taper (Φ5.0 / Φ6.0)
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FreeForm Abutment 3. FreeForm ST type ABT. prosthetic basic and precautions 1) Customize
Straight margin area and large portion for customizing During Lab process, manually customizing is available. Creates natural margin line of prosthetic Able to adjust path Φ4.0 can be customized and used in case what has narrow inter-proximal space 10
FreeForm Abutment 4. FreeForm ST type ABT. prosthetic basic
[ Case summary ] TS FreeForm ST Abutment Mandible #46, #47 Fixture level impression Cement type prosthetic
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FreeForm Abutment Step 1) Unscrew Healing Abutment
Step 2) Impression
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FreeForm Abutment Step 3) Working model production
Step 4) Abutment adjusting
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FreeForm Abutment Step 5) Wax Up
Step 6) Casting
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FreeForm Abutment Step 7) Final prosthetic attachment
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Implant prosthetic 8) Convertible Abutment
• Screw retained prosthetic. • Abutment level impression. • Use for Screw Retained prosthetic in the multiple case. • Use when passive fit is not good
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Implant prosthetic 8) Convertible Abutment
2) Specification D 4.0
Classification Screw or as one body
1-piece
Connection 1
Mini regular Hex Non-Hex D 4.0 D 5.0 D 6.0 1 2 3 4 5
Connection 2 Diameter
G/H
2-piece
G/H 1
G/H 2
G/H 3
G/H 4
G/H 1
G/H 2
G/H 3
G/H 4
D 5.0
ď&#x192;¨ Total : 18EA
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G/H 5
Implant prosthetic 9) Multi Abutment
• Screw retained prosthetic. • Abutment level impression.
• Use for Screw Retained prosthetic in the multiple case. • Use when passive fit is not good • Can compensated up to maximum 60° by using Esthetic-low cylinder.
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Implant prosthetic 9) Multi Abutment
2) Specification D 4.8
Classification Screw or as one body
1-piece
Connection 1
Mini regular Hex Non-Hex D 4.8 1 2 3 4 5
Connection 2 Diameter
G/H
2-piece
G/H 1
ď&#x192;¨ Total : 10EA
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G/H 2
G/H 3
G/H 4
G/H 5
Implant prosthetic 10) Multi Angled Abutment
• Screw retained prosthetic. • Abutment level impression. • Use for Screw Retained prosthetic in the multiple case. • Use in All on 4 surgery. • Can compensated up to maximum 60° by using Esthetic-low cylinder. 11
Implant prosthetic 10) Multi Angled Abutment
2) Specification
17˚
Classification Screw or as one body
1-piece
Connection 1
Mini regular Hex Non-Hex D 4.8 2.5 3.0 3.5 4.0 5.0
Connection 2 Diameter
G/H
2-piece
G/H 2.5
G/H 3.0
G/H 4.0
G/H 3.5
G/H 4.0
G/H 5.0
30˚
Total : 12EA
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Implant prosthetic 11) Stud Abutment
• Over-denture prosthetic. • Abutment level impression. • Used Stud Type abutment when there’s under 20° of Path divergence between 2~4 fixtures case. • Used with O-ring type or Dalbo type.
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Implant prosthetic 11) Stud Abutment
2) Specification D 3.5
Classification Screw or as one body
1-piece
Connection 1
Mini regular Hex Non-Hex D 3.5 1 2 3 4 5 6
Connection 2 Diameter
G/H
2-piece
G/H 1
ď&#x192;¨ Total : 12EA
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G/H 2
G/H 3
G/H 4
G/H 5
G/H 6
Implant prosthetic 12) LOCATOR Abutment
• Over-denture prosthetic. • Abutment level impression. • Use Over-denture in the patient has a limitation of vertical dimension problem case (Locator abutment vertical dimension is lower than O-ring but has a strong retention). • Maximum up to 40° path can be compensated
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Implant prosthetic 12) LOCATOR Abutment
2) Specification D 3.7
Classification Screw or as one body
1-piece
Connection 1
Mini regular Hex Non-Hex D 3.7 1 2 3 4 5
Connection 2 Diameter
G/H
2-piece
G/H 1
ď&#x192;¨ Total : 10EA
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G/H 2
G/H 3
G/H 4
G/H 5
Implant prosthetic 3. TS Abutment Restoration Types 1) Cement retained restoration
Rigid ABT.
Transfer ABT.
Connect Abutment
FreeForm ST ABT.
Angled ABT.
cementation
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ZioCera ABT.
Crown Cementation
Implant prosthetic 2) Screw retained restoration
GoldCast ABT.
Screw tightening
NP-Cast ABT.
ZioCera ABT.
Convertible ABT.
Connected Abutment
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Multi ABT.
Multi angled ABT.
Screw hole block out
Implant prosthetic 2) ER type restoration
Transfer ABT.
prosthetic fabrication
FreeForm ST ABT.
Angled ABT.
Screw tightening
cementation
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Screw hole block out
Implant prosthetic Types of Abutment by Restoration * Select abutment type according to the type of prosthetic
① Cement type 1-piece type
Rigid abutment
Transfer ABT.
2-piece type
Angled ABT.
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FreeForm ST ABT.
ZioCera ABT.
Implant prosthetic ② Screw type
GoldCast ABT.
NP Cast ABT.
ZioCera ABT.
Angled ABT.
FreeForm ST ABT.
③ Combination type
Transfer ABT.
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Implant prosthetic Types of Abutment by Restoration * Select abutment type according to the type of prosthetic
① Cement type 1-piece type
Rigid abutment
Transfer ABT.
2-piece type
Angled ABT.
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FreeForm ST ABT.
ZioCera ABT.
Implant prosthetic ② Screw type
GoldCast ABT.
NP Cast ABT.
ZioCera ABT.
Angled ABT.
FreeForm ST ABT.
③ Combination type
Transfer ABT.
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