INDEX [microdentsystem.com] · 2015-11-24 · INDEX PRESENTATION. INTRODUCTION MULTIPLE PROSTHESIS. REMOVABLE AND IMMEDIATE PROSTHESIS. SINGLE PROSTHESIS CEMENTED PROSTHESIS. Microdent

INDEX

PRESENTATION

INTRODUCTION

MULTIPLE PROSTHESIS

REMOVABLE AND IMMEDIATE PROSTHESIS

SINGLE PROSTHESIS

CEMENTED PROSTHESISMicrodent Ektos conical (straight) abutment or Microdent Ektos angled abutment

PROVISIONAL PROSTHESISMicrodent Ektos multifunction abut-ment or Microdent Ektos Immediate loading conical abutment

Pag. 05

Pag. 06

Pag. 06

Pag. 09

Pag. 11

Pag. 12

Pag. 08

Pag. 09

LABORATORY MANUAL

SINGLE PROSTHESIS

WARNINGS

Impression taking (open tray)

MICRODENT EKTOS MULTIFUNCTION (STRAIGHT) ABUTMENT

MICRODENT EKTOS CONICAL (STRAIGHT) ABUTMENT WITH FLAP

MICRODENT EKTOS CONICAL (STRAIGHT) ABUTMENT WITHOUT FLAP

MICRODENT EKTOS IMMEDIATE LOADING CONICAL (STRAIGHT) ABUTMENT

MICRODENT EKTOS ANGLED ABUTMENT

MICRODENT EKTOS MINI CAPITEL ABUTMENT

MICRODENT EKTOS OSSCILIA RETENTION ABUTMENT

MICRODENT EKTOS ANGLED MINI CAPITEL ABUTMENT

REMOVABLE PROSTHESISMicrodent Ektos Osscilia retention abutment Pag. 24

Planning and preparation of the pa-tient for surgery

Planning and preparation of the patient for surgery



Casting and preparation of models


Prosthesis finishing


Teeth test

Teeth test

Complete prosthesis finishing and copy

Abutment preparation

CEMENT-SCREWED PROSTHESISMicrodent Ektos Mini Capitelabutment - Bars for hybrids

Pag. 32

Pag. 32

Pag. 32

Pag. 32

Pag. 17

MULTIPLE PROSTHESIS

MULTIPLE CEMENT-SCREWED PROSTHESIS

HYBRID CEMENT-SCREWED PROSTHESIS

INSTRUCTIONS FOR USE

MRI SAFETY INFORMATION

SURGICAL INSTRUMENTS

GUARANTEE PROGRAM






Drill types

Sub-structure confection

Ceramic loading


Drill types

Sub-structure confection

Ceramic loading





Ceramic loading

Teeth test




REMOVABLE PROSTHESISMicrodent Ektos Mini Capitel abutment Pag. 28


PRESENTATION

Implant Microdent System S.L. is a company that, from its creation in 1983, has specialized in developing, manufacturing and marketing components for odontological treatments, and, specially, oral implantology.

Always striving for customer satisfaction, Microdent offers all the guarantee, both of quality and service, backed up by its long and ascending professional history in the field of oral implantology.

The periodical offer of formation courses for professionals of the implantology field and the existence of a collaboration and assessment team allows Microdent to have products that verify the most strict quality parameters stablished, as well as to satisfy the needs of its clients.

Microdent has modern facilities equipped with the most cutting-edge technology, thus making Microdent into one of the pioneer companies in the research and manufacture of solutions for oral implantology. The patents obtained by Microdent products demonstrate the continued dedication of the company to the research work.

MICRODENT EKTOS LABORATORY MANUAL 5

INTRODUCTION

LABORATORY MANUALThis manual informs dental practitioners and prosthetists of the different Microdent Implant System abutments available to make a dental prosthesis.This prosthetic manual suggests which Microdent Ektos abutment should be used depending on the situation and/or requirements of the patient.The use of the strict protocols described in this manual guarantees the efficacy of the Microdent products.

Microdent Ektos With internal hexagonal connection

WARNINGS

MICRODENT EKTOS MULTIFUNCTION (STRAIGHT) ABUTMENT

• A retention screw is provided in the container with the abutment. • Do not exceed a torque of 30 Ncm for the final fixation of the abutment. Through laboratory trials, a screwed torque of 10 / 15 Ncm was found to be recommended.• The abutment cut cannot be larger than 4.5 mm measured from the upper part of the abutment. • While the abutment width must not be modified, its height can be customized. A minimum length of 4.50 mm is required in order to cement the prosthesis. • The multifunction abutment is characterized by its multiple functionality: implant holder, transfer and provisional abutment.• The multifunction abutment is supplied with the implant and cover screw in their own packaging in a sterile state.• The multifunction abutment is connected to the implant through the employment of a prosthetic screw, which is also presented in a sterile state.• The upper part of the abutment has a hexagonal socket to accommodate a tool for:- Implant and abutment extraction from the container.- Implant transport from the container to the insertion point.

MICRODENT EKTOS CONICAL (STRAIGHT) ABUTMENT WITH FLAP

• A retention screw is provided in the container with the abutment. • Do not exceed a torque of 30 Ncm for the final fixation of the abutment. Through laboratory trials, a screwed torque of 10 / 15 Ncm was found to be recommended.• The abutment cut cannot be larger than 4.5 mm measured from the upper part of the abutment. • While the abutment width must not be modified, its height can be customized. A minimum length of 4.50 mm is required in order to cement the prosthesis.

MICRODENT EKTOS LABORATORY MANUAL6

MICRODENT EKTOS CONICAL (STRAIGHT) ABUTMENT WITHOUT FLAP

• A retention screw is provided in the container with the abutment. • Do not exceed a torque of 30 Ncm for the final fixation of the abutment. Through laboratory trials, a screwed torque of 10 / 15 Ncm was found to be recommended.• The abutment cut cannot be larger than 4.5 mm measured from the upper part of the abutment.• While the abutment width must not be modified, its height can be customized. A minimum length of 4.50 mm is required in order to cement the prosthesis.

MICRODENT EKTOS IMMEDIATE LOADING CONICAL (STRAIGHT) ABUTMENT

• A retention screw is provided in the container with the abutment. • Do not exceed a torque of 30 Ncm for the final fixation of the abutment. Through laboratory trials, a screwed torque of 10 / 15 Ncm was found to be recommended.• The abutment cut cannot be larger than 4.5 mm measured from the upper part of the abutment. • While the abutment width must not be modified, its height can be customized. A minimum length of 4.50 mm is required in order to cement the prosthesis.

MICRODENT EKTOS ANGLED ABUTMENT

• A retention screw is provided in the container with the abutment.• Do not to exceed a torque of 30 Ncm for the final fixation of the abutment. Through laboratory trials, a screwed torque of 10 / 15 Ncm was found to be recommended.• The abutment cannot be modified.• Angled abutments are not recommended for the posterior region of the mouth.

MICRODENT EKTOS MINI CAPITEL ABUTMENT

• Use the UTSNLEC / UTSNLEC51 keys to screw the abutment and the implant together.• Do not exceed a torque of 30 Ncm for the final fixation of the abutment. Through laboratory trials, a screwed torque of 10 / 15 Ncm was found to be recommended.

MICRODENT EKTOS ANGLED MINI CAPITEL ABUTMENT

• The UTSNATR18 retention screw and the PACN carrier are provided in the container with the angled Mini Capitel abutment.• Use the PACN carrier to fix the angled Mini Capitel abutment to its desired position.• Do not exceed a torque of 30 Ncm for the final fixation of the abutment. Through laboratory trials, a screwed torque of 10 / 15 Ncm was found to be recommended.

MICRODENT EKTOS OSSCILIA RETENTION ABUTMENT

• The use of the hex. 1.20 screwdriver is required to join the product and the implant together.• Do not exceed a torque of 30 Ncm for the final fixation of the abutment.• Do not exceed a disparallelism of 17º between implants.• The exchange of retainers is facilitated through the use of the MC220PB screwdriver.• The retainers are identified by color. The different colors denote different retentive strengths. - Black retainer = soft retention strength 2Kg. For use in laboratory trials. - White retainer = middle retention strength 3Kg. To keep stable for a long period of time. - Red retainer = strong retention strength 4Kg. Only to be used in special cases where an extreme

fixation is required.

MICRODENT EKTOS LABORATORY MANUAL

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PROVISIONAL PROSTHESISMicrodent Ektos multifunction (straight) abutment or Microdent Ektos Immediate loading conical (straight) abutment

INDICACTIONS

A Provisional prosthesis will not be part of the final restoration and will only be used to achieve osseointegration. It must later be replaced by the final prosthesis.

Prosthesis must always be cemented with temporary cement or resin if the prosthesis were made from this material.

Both multifunction abutments (it is individually supplied with the implant) and immediate loading abutments can be used for provisional prosthesis. Multifunction abutments can be used for both single and multiple prosthesis. Use immediate loading hexagonal abutments for single restorations (they can also be used for multiple pros-thesis) and immediate loading circular abutments for multiple prosthesis.

TEMPORARY CEMENTED

HEX. MULTIFUNCTION ABUTMENT

IMMEDIATE LOADING CONICAL HEX.

ABUTMENT

IMMEDIATE LOADING CONICAL CIRCULAR

ABUTMENT

TRANSFER BALL SCREW

OPEN TRAY TRANSFER LONG SCREW

OPEN TRAY TRANSFER LONG SCREW

RETENTION SCREW

RETENTION SCREW

(*)SCREWDRIVERS(DL120)

(*) Screwdriver liable to change to DC120, MH120 or SUH120RL depending on the case

MULTIPLEPROSTHESIS

SINGLE PROSTHESIS

MULTIPLEPROSTHESIS

SINGLE PROSTHESIS

SCREWDRIVERS


CONICAL ABUTMENT HEX. WITH FLAP

ANGLED ABUTMENT HEX. WITH FLAP

CONICAL ABUTMENT HEX. WITHOUT FLAP



SINGLE PROSTHESIS

MULTIPLE PROSTHESIS

CONICAL ABUTMENT CIRCULAR WITH FLAP

ANGLED ABUTMENT HEX. WITH FLAP

CONICAL ABUTMENT CIRCULAR W/OUT FLAP

CEMENTED

CONICAL OR ANGLED

ABUTMENT

CEMENTEDCONICAL OR

ANGLED ABUTMENT

SCREWDRIVERS

SCREWDRIVERS



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CIRCULAR MINICAPITEL ABUTMENT


ANGLED HEX. MINI CAPITEL ABUTMENT


ABUTMENTAPPLICATOR

ABUTMENTAPPLICATOR

RETENTION SCREW

RETENTION SCREW

CEMENTABLE ABUTMENT

CARRIER

CARRIER

RETENTION SCREW

RETENTION SCREW



SCREWDRIVERS

MINI CAPITEL ABUTMENT

HYBRID (BARS) CEMENT-SCREWED

PROSTHESIS

MINI CAPITEL ABUTMENT

CEMENT-SCREWED

CEMENTABLE ABUTMENT



OSSCILIA RETENTION ABUTMENT


ABUTMENTAPPLICATOR

RETENTION SCREW MIDDLE RETENTION STRENGHT

RETENTION SCREW

CEMENTABLEABUTMENT

SOFT RETENTION STRENGHT

STRONG RETENTION STRENGHT

CARRIER

RETENTION SCREW



REMOVABLE AND IMMEDIATE PROSTHESIS

+

SCREWDRIVERMC220PB

• Black retainer = Soft retention 2 Kg. For use in laboratory Trials.• White retainer = Middle retention 3 Kg. To keep stable for a long period of time.• Red retainer = Strong retention 4 Kg. Only to be used in special cases when a very strong fixation is required.

SCREWDRIVER(MC220PB)

SCREWDRIVERS

OSSCILIA ENSEMBLE

MINI CAPITEL


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CEMENTED PROSTHESISMicrodent Ektos Conical (straight) abutment or Microdent Ektos Angled abutment Single prosthesis - Multiple prosthesis

HEALING ABUTMENT AESTHETIC HEALINGABUTMENT

OPEN TRAY TRANSFERSHORT SCREW

CLOSED TRAY TRANSFER SCREW

OPEN TRAY TRANSFERLONG SCREW

CLOSED TRAY TRANSFER BALL SCREW

ANALOG

OPEN TRAY HEX. SHORT TRANSFER

CONICAL ABUTMENTHEX. WITH FLAP

OPEN TRAY CIRCULAR SHORT TRANSFER

CONICAL ABUTMENTCIRCULAR WITH FLAP

OPEN TRAY HEX. LONG TRANSFER

CONICAL ABUTMENTHEX. WITHOUT FLAP

OPEN TRAY CIRCULAR LONG TRANSFER

CONICAL ABUTMENTCIRCULAR W/OUT FLAP

CLOSED TRAY HEX. TRANSFER

AESTHETIC ANGLED ABUTMENT

CLOSED TRAY CIRCULAR TRANSFER

SCREW (*)SCREWDRIVERS(DL120)

Necessary material

HEALINGABUTMENT

SCREW (OPENAND CLOSED

TRAY)

SCREW

TRANSFER

CONICAL ABUTMENT

ANALOG

SCREWDRIVERS



CEMENTED PROSTHESISMicrodent Ektos Conical (straight) abutment or Microdent Ektos Angled abutment Single prosthesis

IMPRESSION TAKING (OPEN TRAY)

Remove the healing abutment with the fixing key and the SUH120RL, DC120HL or DL120HL screwdriver and clean the implant emergence area.

Set the transfer (circular or hexagonal) on the base of the implant ensuring that it is perfectly settled. Screw it to the implant with a long or short open tray screw using the MH120 screwdriver.

It is recommended to use the individual tray designed at Microdent’s laboratory, but if preferred, a plastic tray with the transfer drilled can be used. Make sure the screw heads stand out 1 mm and ensure they are not trapped in the silicone (sometimes it may be best to cover the open tray screw heads, either long or short, with cotton at the clinician’s discretion).

After testing the fitting, set the material for impressions in the tray (silicone of fluid consistence and putty). Then inject the fluid silicone in the mouth around the transfer and take the impression.

Unscrew the open tray screws (long or short) that emerge from the prepared areas of the tray with the fixing key and the SUH120RL, DC120HL or DL120HL screwdriver, check that all of them are free.

Remove the tray and fix the analog very carefully into the impression (so that they do not move), then cast the impression model with type IV clay (ISO 6873).

Silicone is recommended when simulating soft tissues.

CASTING AND PREPARATION OF MODELS

Placing of the false gum

Special silicones are used to model the false implant gum after the crescent shapes of the patient’s gum.

Set the silicone around the analog using a syringe until reaches a height of 3 mm or 4 mm.

Let the silicone harden for 10 minutes. Then trim it until there is no interference with the neighboring pieces and the correct tissue architecture can be obtained. This affords the practitioner the required space for casting, extraction of the analog, placement during the ceramic loading phase and modeling of its emergence.

Casting

Cast the impression model with type IV clay using the proportions indicated by the manu-facturer. Lightly shake the impression to avoid the appearance of pores while casting it.

Flatten the surface of the clay and leave it as horizontal and thick as possible, so that during the trimming the implant copy does not emerge.


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CEMENTED PROSTHESISMicrodent Ektos Conical (straight) abutment or Microdent Ektos Angled abutment Single prosthesis

ABUTMENT PREPARATIONBefore starting the milling, ensure that the insertion of the posterior crown is done with an optimal angle in order to ensure that the contact points are as near as possible to the gum (maximum 4 mm from the jaw bone). Use the parallelometer from the same micro milling machine being used in the process.

The abutment needs to be milling-able without exceeding a length of 4.5 mm measured from the upper part of the abutment. This is necessary in order to avoid any contact with the retention screw.

Once it is parallel, fix the model so it cannot move at all in order to mill it in the desired position. By doing so, the shoulder joint is formed.

DRILL TYPESUse these types of drills or ones with similar features at no more than 15000 r.p.m.

Drill of Tungsten Carbide -EF (Extrafine grain)

Fine S-Cutters

Fine cross cutters for the finishing touch of the metal alloys, acrylics and plaster.

Advantages

• Cross cutters have a large amount of edges for a very accurate finish.

• Allows for grainy, short shavings.

• Creates smooth cuts almost without any pressure applied.

• The smooth surfaces obtained reduce the time needed for additional polishing.

SUB-STRUCTURE CONFECTIONWaxing and casting

Placement of the crown on the abutment for waxing. Wax and model shape the crown depending on the material covering this crown. The practitioner must know the behavior of these materials to avoid any possible physical problems with the patient.

Secure the primary spouts, which are connected to the diffuser, between the secondary spouts. This avoids any contact between the cast and the coating that forms the abut-ment structure of the implant.

Once the wax structure is made, place it into the cast cylinder and proceed to seep the structure in the conventional way.

CERAMIC LOADINGBefore loading the ceramic, prepare the metallic structure following this procedure:

• Sandblast the exterior of the metallic structure (aluminum oxide from 90 µm and pres-sure of 4 bar). Never the interior of the structure.

• Clean with water and steam brushing. Dry thoroughly.

Apply a specific metal conditioner layer and two opaquer layers of the chosen color. Set the ceramic by stratification.It is very important to let the product slowly cool after each heating phase. Do not open the oven above 720º (for some metals this temperature is even lower, so consult the manufacturer) to let the ceramic crystallize in the optimum way.During the last cementation process, it is recommended the use of glass ionomer cement or cement with similar characteristics.


CEMENTED PROSTHESISMicrodent Ektos Conical (straight) abutment or Microdent Ektos Angled abutment Multiple prosthesis

IMPRESION TAKING (OPEN TRAY)

Remove the healing abutment with the fixing key and the SUH120RL, DC120HL or DL120HL screwdriver and clean the implant emergence area.

Set the transfer (circular or hexagonal) on the base of the implant ensuring that it is perfectly settled. Screw it to the implant with a long or short open tray screw using the MH120 screwdriver.



Unscrew the open tray screws (long or short) that emerge from the prepared areas of the tray with the fixing key and the SUH120RL, DC120HL or DL120HL screwdriver, check that all of them are free.

Remove the tray and fix the analog very carefully into the impression (so that they do not move), then cast the impression model with type IV clay.





Set the silicone around the analog using a syringe until it reaches a height of 3 mm or 4 mm.

Let the silicone harden for 10 minutes. Then trim it until it there is no interference with the neighboring pieces and the correct tissue architecture can be obtained. This affords the practitioner the required space for casting, extraction of the analog, placement during the ceramic loading phase and modeling of its emergence.

Casting

Cast the impression model with type IV clay (ISO 6873) using the proportions indicated by the manufacturer.

Lightly shake the impression to avoid the appearance of pores while casting it.

Flatten the surface of the clay and leave it as horizontal and thick as possible, so that the implant copy does not emerge during the trimming.


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CEMENTED PROSTHESISMicrodent Ektos Conical (straight) abutment or Microdent Ektos Angled abutment Multiple prosthesis

ABUTMENT PREPARATIONBefore starting the milling, ensure that the insertion of the posterior crown is done with an optimal angle in order to ensure that the contact points are as near as possible to the gum (maximum 4 mm from the jaw bone). Use the parallelometer from the same micro milling machine being used in the process.

Once it is parallel, fix the model so it cannot move at all in order to mill it in the desired position. By doing so, the shoulder joint is formed.

DRILL TYPESUse these types of drills or ones with similar features at no more than 15000 r.p.m.

Drill of Tungsten Carbide -EF (Extrafine grain)

Fine S-Cutters

Fine cross cutters for the finishing touch of the metal alloys, acrylics and plaster.

Advantages

• Cross cutters have a large amount of edges for a very accurate finish.

• Allows for grainy, short shavings.

• Creates smooth cuts almost without any pressure applied.

• The smooth surfaces obtained reduce the time needed for additional polishing.

SUB-STRUCTURE CONFECTIONWaxing and casting

Placement of the crown on the abutment for waxing. Wax and model shape the crown depending on the material covering this crown. The practitioner must know the behavior of these materials to avoid any possible physical problems with the patient.

Secure the primary spouts, which are connected to the diffuser, between the secondary spouts. This avoids any contact between the cast and the coating that forms the abut-ment structure of the implant.


CERAMIC LOADING

Before loading the ceramic, prepare the metallic structure following this procedure:

• Sandblast the exterior of the metallic structure (aluminum oxide from 90 µm and pressure of 4 bar.). Never the interior of the structure.


Apply a specific metal conditioner layer and two opaquer layers of the chosen color. Set the ceramic by stratification.It is very important to let the product slowly cool after each heating phase. Do not open the oven above 720 o (for some metals this temperature is even lower, so consult the manufacturer) to let the ceramic crystallize in the optimum way.During the last cementation process, it is recommended the use of glass ionomer cement or cement with similar characteristics.


CEMENT-SCREWED PROSTHESISMicrodent Ektos Mini Capitel abutment - Bars for hybridsMultiple cement-screwed prosthesis - Hybrid cement-screwed prosthesis

CARRIER (PACN)


MINI CAPITEL CEMENTABLE

ABUTMENT

OPEN TRAY TRANSFERSCREW

OPEN TRAYTRANSFER

MINI CAPITELRETENTION SCREW


CLOSED TRAY TRANSFER


CIRCULAR MINI CAPITEL ABUTMENT

ANALOG (*)SCREWDRIVER(DL120)

Necessary material

HEALINGABUTMENT


TRAY)

TRANSFER (OPENAND CLOSED

TRAY)

MINI CAPITEL ANDANGLED MINI

CAPITEL ABUTMENT

ANALOG

CARRIER

CEMENTABLEABUTMENT

PROSTHESISSCREW

SCREWDRIVERS




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CEMENT-SCREWED PROSTHESISMicrodent Ektos Mini Capitel abutment - Bars for hybridsMultiple cement-screwed prosthesis

PLANNING AND PREPARATION OF THE PATIENT FOR SURGERY

Provisional prosthesis

To make a hybrid prosthesis is very important to plan the treatment to ensure a good reaction of the patient to the prosthesis. To do so, the practitioner must make a first pro-visional complete prosthesis to be tested by the patient before placing the implants.

This way, the placement of the implants can be planned and an anatomic-prosthetic compromise can be found. This is very important for the success of the implants and prosthesis as a whole. The need for this procedure is based on functional and aesthetic tests previously done with the complete and provisional prosthesis.

Impression taking and creation of individual tray

Follow the conventional steps to take impressions as if a patient was not going to use implants, i.e., a toothless tray (favored type Schreinemaker). This tray will be used to make study models and subsequently manufacture an individual tray.

Use resin to make an individual tray. Place a wax layer between the resin and the model to leave space for the impression material.

Work impression

Test the tray in the patient’s mouth and, if possible, peripherally seal it to get a good model of the bottom of the mouth vestibule. The impression is made from polysulfide.

Before placement, add adhesive to the tray and wait until it dries. Then vigorously beat the polysulfide and place it in the tray taking the impression.

Casting and manufacture of iron base plates with wax rim

The plaster impressions are casted in plaster to be able to manufacture the iron base plate with wax rims in order to determine the vertical dimension, smile line, middle line and canine teeth line.

The iron base plate is made from resin and with a width of 2-3 mm that adapts perfectly to the edentulous rim.

Once polymerized, place the square wax rim (approx. 8 mm based on the patient’s gum recession, a larger recession requires more height) and send it to the clinic.

Teeth test

When the registers and color dose are done, then proceed to assemble the teeth on the wax to test the prosthesis in the patient’s mouth before muffling and finishing the prosthesis.

The practitioner must check the occlusion, vertical dimension, stability, phonetical tests, aesthetics and eccentric relations during this test.




Remove the healing abutment with the fixing key and clean the implant emergence area.

Set the transfer on the base of the implant ensuring that it is perfectly settled. Screw it to the implant with a long open tray screw.



Unscrew the open tray screws that emerge from the prepared areas of the tray with the fixing key and check that all of them are free.




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Let the silicone harden for 10 minutes. Then trim it until there is no interference with the neighboring pieces and the correct tissue architecture can be obtained. This affords the practitioner the required space for casting, extraction of the implant copy, placement during the ceramic loading phase and modeling of its emergence.

Casting




ABUTMENT PREPARATIONLet the silicone harden. Proceed to place the abutments on the model using the fixing key.

In the case of Mini Capitel abutments use cementable abutments.

Waxing and casting

Wax the abutment, keeping in mind that ceramic is loaded onto the abutment.

During the waxing, prepare the space necessary for ceramic loading and compensation (it is important to respect the drilled area of the implant).

Once the wax structure is made, place it into the cast cylinder and proceed to seep the

structure in the conventional way.

CERAMIC LOADINGBefore loading the ceramic, prepare the metallic structure following this procedure:

• Sandblast the exterior of the metallic structure (aluminum oxide from 90 µm and pressu-re of 4 bar.). Never the interior of the structure.


Apply a specific metal conditioner layer and two opaquer layers of the chosen color. Set the ceramic by stratification.It is very important to let the product slowly cool after each heating phase. Do not open the oven above 720º (for some metals this temperature is even lower, so consult the manufac-turer) to let the ceramic crystallize in the optimum way.During the last cementation process, it is recommended the use of glass ionomer cement or cement with similar characteristics.


CEMENT-SCREWED PROSTHESISMicrodent Ektos Mini Capitel abutment - Bars for hybridsHybrid cement-screwed prosthesis



To make a hybrid prosthesis is very important to plan the treatment to ensure a good reaction of the patient to the prosthesis. To do so, the practitioner must make a first provisional complete prosthesis to be tested by the patient before placing the implants.

This way, the placement of the implants can be planned and an anatomic-prosthetic compromise can be found. This is very important for the success of the implants and prosthesis as a whole. The need for this procedure is based on functional and aesthetic tests previously done with the complete and provisional prosthesis.




Work impression

Test the tray in the patient’s mouth and, if possible, peripherally seal it to get a good model of the bottom of the mouth vestibule. The impression is made from polysulfide. Before placement, add adhesive to the tray and wait until it dries. Then vigorously beat the polysulfide and place it in the tray taking the impression.





Teeth test




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IMPRESION TAKING (OPEN TRAY)Remove the healing abutment with the fixing key and clean the implant emergence area.

set the transfer on the base of the implant ensuring that it is perfectly settled. Screw it to the implant with a long open tray screw.






CASTING AND PREPARATION OF MODELSPlacing of the false gum


Set the silicone around the analog using a syringe until reaches a height of 3 mm or 4 mm.

Let the silicone harden for 10 minutes. Then trim it until there is no interference with the neighboring pieces and the correct tissue architecture can be obtained. This affords the practitioner the required space for casting, extraction of the implant copy, placement during the ceramic loading phase and modeling of its emergence.

Casting




ABUTMENT PREPARATIONLet the silicone harden. Proceed to place the abutments on the model using the fixing key.


Waxing and casting






TEETH TESTTo place the teeth, use the silicone key that has been made with the provisional prosthesis.

This way, a copy as similar as possible to the provisional prosthesis is available.

Fix the teeth using wax and send the structure to the clinic for teeth testing.

PROSTHESIS FINISHINGIf everything is correct according to the teeth tests, then wax, muffle, finish and check the prosthesis.

Adapt the prosthesis to the gums following the aesthetic and functionality requirements of the patient. These requirements are different than that of a fixed prosthesis, where the teeth emerge from the gums and therefore have a larger length.

During the last cementation process, it is recommended the use of glass ionomer cement or cement with similar characteristics.


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REMOVABLE PROSTHESISMicrodent Ektos Osscilia retention abutmentOverdentures, indirect technique

OSSCILIA ANALOG

Necessary material


OSSCILIA RETENTIONABUTMENT

METAL CAP SOFT RETENTIONSTRENGTH

SCREWDRIVER(MC220PB)

MIDDLE RETENTIONSTRENGTH

STRONG RETENTIONSTRENGTH

+

• Black retainer = Soft retention 2 Kg. For use in laboratory trials.• White retainer = Middle retention 3 Kg. To keep stable for a long period of time.• Red retainer = Strong retention 4 Kg. Only to be used in special cases when a very strong fixation is required.

OSSCILIA ENSEMBLE

(*)SCREWDRIVER(DL120)

SCREWDRIVERS

ANALOG

ANALOG

OPEN TRAYTRANSFER

OSSCILIAANALOG

HEALINGABUTMENT

OPEN TRAY SCREW

HEALING ABUTMENT AESTHETICHEALING ABUTMENT

OPEN TRAY SHORT TRANSFER SCREW

OPEN TRAY LONG TRANSFER SCREW

OPEN TRAY HEX. SHORT TRANSFER

OPEN TRAY CIRCULAR SHORT TRANSFER

OPEN TRAY HEX. LONG TRANSFER

OPEN TRAY CIRCULAR LONG TRANSFER

OSSCILIA TRANSFER

OSSCILIATRANSFER





To make an Osscilia prosthesis it is very important to plan the treatment to ensure a good reaction of the patient to the prosthesis. To do so, the practitioner must make a first provisio-nal complete prosthesis to be tested by the patient before placing the implants.

This way, the placement of the implants can be planned and an anatomic-prosthetic com-promise can be found. This is very important for the success of the implants and prosthesis as a whole. The need for this procedure is based on functional and aesthetic tests previous-ly done with the complete and provisional prosthesis.


Follow the conventional steps to take impressions as if a patient was not going to use implants, i.e., a toothless tray (favored type Schereinemaker). This tray will be used to make study models and subsequently manufacture an individual tray.


Work impression

Test the tray in the patient’s mouth and, if possible, peripherally seal it to get a good model of the bottom of the mouth vestibule. The impression is made from polysulfide.







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Overdentures (indirect technique)




After testing the fitting, set the material for impressions in the tray (silicone of fluid consis-tence and putty). Then inject the fluid silicone in the mouth around the transfer and take the impression.







Set the silicone around the implant copy using a syringe until it reaches a height of 3 mm or 4 mm.

Casting




Teeth test





COMPLETE PROSTHESIS FINISHING AND COPY

Placement of the Osscilia retention abutment

Once the clay has hardened, place the Osscilia retention abutment.

Also, place the metal cap to create the metallic structure.

Waxing and casting of the structure

Wax the structure keeping in mind that the prosthetic teeth are placed over the metallic structure.

Remove the cap during the waxing process to create an area in the metal to house it. Once the waxing is done, place it into the casting cylinder and proceed to cast the struc-ture following the manufacturer instructions for metal casting.

TEETH TEST

To place the teeth, use the silicone key that has been made with the provisional prosthesis.

This way, a copy as similar as possible to the provisional prosthesis is available.

Fix the teeth using wax and send to the clinic for teeth testing.

The teeth test is done with the cap placed in the patient’s mouth for a better accuracy and to check the strength of its housing in the structure.

PROSTHESIS FINISHING

If everything is correct according to the teeth tests, then wax, muffle, finish and check the prosthesis (indirect technique).

Fix the cap in its housing with the resin, aiming to seal the bottom of the cap and to prevent any resin from entering.



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REMOVABLE PROSTHESISMicrodent Ektos Mini Capitel abutment Indirect technique: Cement-screwed bar

CARRIER (PACN)


MINI CAPITEL CEMENTABLE

ABUTMENT

OPEN TRAY TRANSFERSCREW

OPEN TRAYTRANSFER



CLOSED TRAY TRANSFER


CIRCULAR MINI CAPITEL ABUTMENT

ANALOG (*)SCREWDRIVER(DL120)

Necessary material

HEALINGABUTMENT


TRAY)

TRANSFER (OPENAND CLOSED

TRAY)

MINI CAPITEL ANDANGLED MINI

CAPITEL ABUTMENT

ANALOG

CARRIER

CEMENTABLEABUTMENT

PROSTHESISSCREW

SCREWDRIVERS







To make a hybrid prosthesis is very important to plan the treatment to ensure a good reac-tion of the patient to the prosthesis. To do so, the practitioner must make a first provisional complete prosthesis to be tested by the patient before placing the implants.

This way, the placement of the implants can be planned and an anatomic-prosthetic com-promise can be found. This is very important for the success of the implants and prosthesis as a whole. The need for this procedure is based on functional and aesthetic tests previous-ly done with the complete and provisional prosthesis.




Work impression

Test the tray in the patient’s mouth and, if possible, peripherally seal it to get a good model of the bottom of the mouth vestibule.The impression is made from polysulfide.






Teeth test




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REMOVABLE PROSTHESISMicrodent Ektos Mini Capitel abutmentIndirect technique: Cement-screwed bar





After testing the fitting, set the material for impressions in the tray (silicone of fluid consis-tence and putty). Then inject the fluid silicone in the mouth around the transfer and take the impression.








Let the silicone harden for 10 minutes. Then trim it until it there is no interference with the neighboring pieces and the correct tissue architecture can be obtained. This affords the practitioner the required space for casting, extraction of the implant copy, placement during the ceramic loading phase and modeling of its emergence.

Casting






ABUTMENT PREPARATION

Let the silicone harden. Proceed to place the abutments on the model using the fixing key.


Waxing and casting




TEETH TEST



The teeth test is done with the attach placed in the patient’s mouth for a better accuracy and to check the strength of its housing in the structure.

PROSTHESIS FINISHING

If everything is correct according to the teeth tests, then wax, muffle, finish and check the prosthesis. Place the corresponding attachment for the fastening of the Overdenture on the bar.


During the last cementation process, it is recommended the use of glass ionomer cement or cement with similar characteristics.


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MRI SAFETY INFORMATION

Implants and abutments have not been evaluated for safety and compatibility in the MR environment. Implants and abutments have not been tested for heating, migration, or image artifact in the MR environment. The safety of implants and abutments in the MR environment is unknown. Scanning a patient who has this device may result in patient injury.

INSTRUCTIONS FOR USE

In accordance and compliance with legal requirements, all implants manufactured by Implant Microdent System have instructions for use. These instructions are available at www.microdentsystem.com

SURGICAL INSTRUMENTS

For a proper use and cleaning of surgical instruments, consult their instructions for use.

GUARANTEE PROGRAM

Implant Microdent System provides guarantees for the products it distributes. The terms and conditions of these guarantees are indicated in the Microdent Implant System “Guarantee Program”, consult their instructions for use: www.microdentsystem.com


Documents

INDEX [microdentsystem.com] · 2015-11-24 · INDEX PRESENTATION. INTRODUCTION MULTIPLE PROSTHESIS. REMOVABLE AND IMMEDIATE PROSTHESIS. SINGLE PROSTHESIS CEMENTED PROSTHESIS. Microdent