Denture Conversion Manual 16.1 GB

Conversion of existing denture into a
fixed provisional bridge – direct method

Procedures manual
Note: In order to improve readability, Nobel Biocare does not use ™
or ® in the running text. By doing so, however, Nobel Biocare does
not waive any right to the trademark or registered mark and nothing
herein shall be construed to the contrary.
3
Contents
Introduction Position and angulation of implants 4

Multi-unit Abutments Plus vs Multi-unit Abutments 5
Conversion procedure for Immediate Function Direct method chairside 6

Direct method with dental laboratory support – when 13
additional acrylic needs to be added
Product information Multi-unit Abutments 22
Prosthetic components 25
Appendix Customer service worldwide 27
4 Denture conversion manual // Introduction
Position and angulation of implants
Prosthetic-driven planning
The tooth positions for the planned restoration should be
determined preoperatively, allowing for the selection of the
most appropriate position and angulation for each planned
implant. The existing or the newly fabricated full denture must
be in the correct VDO (vertical dimension of occlusion) and
have the proper AP (anterior-posterior) tooth position in order
to allow fabrication of a surgical guide.
Replica of the existing or newly fabricated denture.
Surgical guide
The prosthetic team should ensure that the surgical team
understands the tooth positions required for the final prosthe-
sis. An appropriate method can be to provide a surgical guide.
A quick and simple way of fabricating such a guide is to make
a replica in clear acrylic resin, either of the existing or the
newly fabricated denture.
To help visualize the surgical field, the palatal portion of the

clear surgical guide can be removed, except for a supporting
posterior connection. Leaving only the buccal contours of the
teeth helps the surgeon to angulate the drills correctly during
Surgical guide helps to angulate the drills correctly and to
osteotomy preparation and to maintain the desired implant maintain the desired implant angulation during insertion.
angulation during insertion.
If immediate loading is planned, the guide also helps to select

the appropriate abutments (angled or straight), allowing for
properly aligned prosthetic screw access holes.
NobelClinician
The NobelClinician Software helps the treatment team to
achieve optimized esthetic outcomes, as they can plan the
implant treatment based on the patient’s anatomy and pros-
thetic requirements.
In addition, a surgical guide together with all required compo-

nents for either guided pilot drilling or fully guided surgery can
be ordered through the NobelClinician Software.
Denture conversion manual // Introduction 5
Multi-unit Abutments Plus vs Multi-unit Abutments
For implants with internal conical connection, Multi-unit Abutments Plus and Temporary Snap Copings
Multi-unit Plus are available. Their snap functionality is designed to simplify the workflow during the try-in
and adjustment of the provisional prosthesis.
For implants with internal conical connection:

Multi-unit Abutments Plus
The Temporary Snap Copings Multi-unit Plus snap onto the
Multi-unit Abutments Plus, which reduces the need for screw
fixation during the try-in and adjustment of the provisional
prosthesis.
Notes:
–– Alternatively, the copings can be attached with the
prosthetic screws during try-in by manually tightening the
screws with the Screwdriver Manual Unigrip.
–– Until the copings are fully secured with the prosthetic
screws, care should be taken that they do not detach from
the Multi-unit Abutment Plus (e.g., through pressure from
the tongue).
–– The Temporary Snap Copings Multi-unit Plus are not
compatible with the conventional Multi-unit Abutments.
For implants with external hex and internal tri-channel

connection: Multi-unit Abutments
The Temporary Copings Multi-unit are attached to the Multi-
unit Abutments with the prosthetic screws during try-in by
manually tightening the screws with the Screwdriver Manual
Unigrip.
Delivered with pre-mounted holder

Each Multi-unit Abutment and Multi-unit Abutment Plus is
delivered with a pre-mounted holder for easy handling, which
doubles as a guide for checking abutment orientation.
6 Denture conversion manual // Conversion procedure for Immediate Function
Direct method chairside
Notes:
–– The following illustrations show the conversion of either an existing or a previously fabricated denture
into a fixed provisional full-arch bridge on abutment level following the Immediate Function protocol.
–– This chairside procedure can be applied if limited adjustments have been made to the tissues during
surgery and the denture is forseen to be stable.
–– The fixed provisional bridge can be used for immediate (Immediate Function) or delayed loading of
four or more implants in either jaw with an existing opposing dentition.
1 Ensure denture is suitable

In order to successfully convert a denture into a fixed provi-
sional bridge, the following is recommended for consideration:
–– Function: The denture should be functional. After several
years of use, many dentures are worn and weakened, which
will ultimately affect the strength of the fixed provisional
bridge.
–– Fit: The fit of the denture is critical. If the base is not stable,
the conversion process may not be successful.
–– Occlusion: The denture should be in an ideal occlusal and
vertical relationship.
–– Esthetics: If the esthetics of the denture are not acceptable
to the patient, a new denture is recommended for this
procedure.
2 Confirm implant positions and choose Multi-unit

Abutments
Place the surgical guide to confirm implant positions. This
guide also helps in selecting the correct Multi-unit Abutments.
Denture conversion manual // Conversion procedure for Immediate Function 7
3 Connect and tighten Multi-unit Abutments

Connect Multi-unit Abutments to the implants and tighten
them.
Notes:
–– For straight Multi-unit Abutments, tighten the abutment
screw to 35 Ncm using Screwdriver Machine Multi-unit and
Manual Torque Wrench Prosthetic.
–– For angulated Multi-unit Abutments, tighten the abutment
screw to 15 Ncm using Screwdriver Machine Unigrip and
Caution: Never exceed recommended maximum tightening

torque. Overtightening may lead to a screw fracture.
4 Place healing caps and suture surgical site

–– Place Healing Caps Multi-unit and manually tighten pros-
thetic screws with the Screwdriver Manual Unigrip.
–– Close and suture tissue flap around the abutments.
5 Make trial insertion

–– Place impression material into denture. Be sure to keep the
palatal aspect of the denture free from impression material.
–– Make trial insertion and check denture against the opposing
dentition to assure that occlusal relationships are correct.
–– Remove any undercuts or tissue interferences.
–– Verify clearance for Healing Caps Multi-unit.
–– Remove impression material and repeat above until the final
esthetic position with the correct occlusal plane is achieved.
–– Remove trial impression material before final indexing.
Note: Trial insertion may take several attempts to remove any

undercuts or tissue interferences that keep the denture from
seating in the final esthetic position at the correct occlusal
plane.
6 Register abutment positions for final indexing

palatal aspect free from impression material.
–– Place denture into patient’s mouth with finger pressure on
palatal area to index the position of the Healing Caps
Multi-unit.
–– Use opposing dentition to verify occlusal relationship.
–– Remove denture together with impression material.
7 Make holes for temporary copings

–– Drill holes into the denture where Healing Caps Multi-unit
have left an impression using a carbide bur.
–– Remove impression material.
8 Place temporary copings

–– Remove Healing Caps Multi-unit.
–– Attach Temporary Copings Multi-unit to the Multi-unit
Abutments.
Notes:
–– For implants with internal conical connection, snap the
Temporary Snap Copings Multi-unit Plus onto the Multi-unit
Abutments Plus or manually tighten the prosthetic screws
with the Screwdriver Manual Unigrip.
–– For implants with external hex and internal tri-channel
connection, attach the Temporary Copings Multi-unit by
manually tightening the prosthetic screws with the Screw-
driver Manual Unigrip.
–– Ensure that no soft tissue is trapped between coping and
abutment.
9 Verify passive fit

–– Confirm passive fit of the denture by placing it over the
temporary copings.
–– Confirm proper midline position as well as occlusal plane.
Note: If needed, reduce the length of the temporary copings

to eliminate any occlusal interferences.
10 Lute denture to temporary copings

–– For Temporary Snap Copings Multi-unit Plus: Secure the
copings in the proper position during luting by manually
tightening the prosthetic screws with the Screwdriver
Manual Unigrip.
–– Block out screw access holes.
–– Use rubber dam or other suitable material to protect
surgical site.
–– Lute the denture with liquid resin to the temporary copings
in the patient’s mouth.
–– With the denture in patient’s mouth, allow the resin to set in
an ideal occlusal relationship.
11 Remove denture
–– Manually unscrew the prosthetic screws of the temporary
copings with the Screwdriver Manual Unigrip.
–– Remove denture together with luted temporary copings
from patient’s mouth.
–– Finish luting procedure extraorally and polish.
Tip: A Protection Analog Multi-unit could be used to protect

the temporary copings from liquid resin.
12 Trim titanium copings

Use a carbide bur to trim the titanium copings extraorally so
that they are flush with the resin.
13 Trim denture
In order to complete the conversion of the denture into a fixed
provisional bridge, remove the palatal portion and recontour
the buccal flange. In addition, remove cantilevers that exist
distal to the position of the most posterior implants.
ü
14 Finalize provisional bridge
Make sure that the palatal surface of the bridge is convex and
smoothly polished to avoid food impaction and bacteria
accumulation. 
15 Connect provisional bridge

–– Place the provisional bridge on the Multi-unit Abutments
and tighten the prosthetic screws to 15 Ncm using Screw-
driver Machine Unigrip and Manual Torque Wrench Pros-
thetic.
–– Block out screw access holes and fill them with suitable
material.
–– Check and adjust the occlusion if necessary.
16 Wait for sufficient healing

Allow for the implants to osseointegrate before fabrication of
the final restoration.
Direct method with dental laboratory support –

when additional acrylic needs to be added
Notes:
–– The following illustrations show the conversion of either an existing or a previously fabricated denture
into a fixed provisional full-arch bridge on abutment level with the support of the dental laboratory
following the Immediate Function protocol.
–– This procedure can be applied if adjustments have been made to the tissues and the denture therefore
needs to be adjusted to fill the voids.
–– The fixed provisional bridge can be used for the immediate (Immediate Function) or delayed loading of
four or more implants in either jaw with an existing opposing dentition.
1 Ensure that denture is suitable

In order to successfully convert a denture into a fixed provi-
sional bridge, the following is recommended for consideration:
–– Function: The denture should be functional. After several
years of use, many dentures are worn and weakened, which
will ultimately affect the strength of the fixed provisional
bridge.
–– Fit: The fit of the denture is critical. If the base is not stable,
the conversion process may not be successful.
–– Occlusion: The denture should be in an ideal occlusal and
vertical relationship.
–– Esthetics: If the esthetics of the denture are not acceptable
to the patient, a new denture is recommended for this
procedure.
2 Confirm implant positions and choose Multi-unit

Abutments
Place the surgical guide to confirm implant positions. This
guide also helps in selecting the correct Multi-unit Abutments.
3 Connect and tighten Multi-unit Abutments

Connect Multi-unit Abutments to the implants and tighten
them.
Notes:
–– For straight Multi-unit Abutments, tighten the abutment
screw to 35 Ncm using Screwdriver Machine Multi-unit and
–– For angulated Multi-unit Abutments, tighten the abutment
screw to 15 Ncm using Screwdriver Machine Unigrip and
Caution: Never exceed recommended maximum tightening

torque. Overtightening may lead to a screw fracture.
4 Suture surgical site

–– Place Healing Caps Multi-unit and manually tighten pros-
thetic screws with the Screwdriver Manual Unigrip.
–– Close and suture tissue flap around the abutments.
5 Make trial insertion

palatal aspect of the denture free from impression material.
–– Make trial insertion and check denture against the opposing
dentition to assure that occlusal relationships are correct.
–– Remove any undercuts or tissue interferences.
–– Verify clearance for Healing Caps Multi-unit.
–– Remove impression material and repeat above until the final
esthetic position with the correct occlusal plane is achieved.
–– Remove trial impression material before final indexing.
Note: Trial insertion may take several attempts to remove any

undercuts or tissue interferences that keep the denture from
seating in the final esthetic position at the correct occlusal
plane.
6 Make vent and retention holes

–– Before placing impression material for the final index, make
vent holes in the palatal side of the denture to reduce
hydraulic pressure.
–– In addition, place retention holes in the flange for increased
retention of the impression material.
7 Register abutment positions for final indexing

palatal aspect free from impression material.
–– Place denture into patient’s mouth with finger pressure on
the palatal area to index the position of the Healing Caps
Multi-unit.
–– The denture is checked against the opposing dentition to
verify that occlusal relationships are correct.
Note: Do not remove impression material from denture.

8 Make anterior holes for anterior temporary copings

Drill holes into the anterior part of the denture where the
Healing Caps Multi-unit have left an impression using a carbide
bur.
9 Place anterior temporary copings

–– Remove anterior Healing Caps Multi-unit.
–– Attach Temporary Copings Multi-unit to the anterior
Multi-unit Abutments.
Notes:
abutment.
10 Verify anterior passive fit

–– Confirm passive fit of the denture by placing it over the
anterior temporary copings.
–– Confirm proper midline position.
–– Check occlusion with opposing dentition to be sure that
there are no interferences from the temporary copings in
centric occlusion.
Note: If needed, reduce the length of the anterior temporary

copings to eliminate any occlusal interferences.
11 Lute denture to anterior temporary copings

Manual Unigrip.
–– Use rubber dam or other suitable material to protect the
surgical site.
–– Lute the denture with liquid resin to the anterior temporary
copings in the patient’s mouth.
12 Remove denture
13 Make posterior holes for posterior temporary copings

Drill holes into the posterior part of the denture where the
Healing Caps Multi-unit have left an impression using a
carbide bur.
14 Place posterior temporary copings

–– Remove posterior Healing Caps Multi-unit.
–– Attach Temporary Copings Multi-unit to the posterior
Multi-unit Abutments.
Notes:
abutment.
15 Verify posterior passive fit

–– Attach denture to anterior Multi-unit Abutments.
–– Be sure there is no denture base material touching the
posterior temporary copings.
–– Confirm proper midline position.
–– Check occlusion with opposing dentition to be sure that
there are no interferences from the temporary copings in the
centric occlusion.
Notes:
–– If needed, reduce the length of the posterior temporary
copings to eliminate any occlusal interferences.
16 Lute denture to posterior temporary copings

Manual Unigrip.
–– Use rubber dam or other suitable material to protect the
surgical site.
–– Lute the denture with liquid resin to the posterior temporary
copings in the patient’s mouth.
17 Remove denture
18 Finalize provisional bridge in dental laboratory

–– Fabricate a working model according to established
procedures and mount in articulator.
–– Trim Temporary Copings Multi-unit Titanium, if applicable,
and fill voids with acrylic.
–– Remove the palatal portion of the denture and recontour the
buccal flange. In addition, remove cantilevers that exist
distal to the position of the most posterior implants.
Notes:
–– Make sure that the palatal surface of the bridge is convex
and smoothly polished to avoid food impaction and bacteria
accumulation.
–– Avoid or minimize any cantilever on the provisional bridge.
 ü
19 Connect provisional bridge

–– Place the provisional bridge on the Multi-unit Abutments
and tighten the prosthetic screws to 15 Ncm using Screw-
driver Machine Unigrip and Manual Torque Wrench Pros-
thetic.
–– Block out screw access holes and fill them with suitable
material.
–– Check and adjust the occlusion, if necessary.
20 Wait for sufficient healing

Allow for the implants to osseointegrate before fabrication of
the final restoration.
22 Denture conversion manual // Product information
Multi-unit Abutments
External hex Internal conical Internal tri-channel
connection connection connection
Brånemark System® and NobelActive®, NobelParallel™ and NobelReplace®, Replace Select™,
NobelSpeedy® Groovy NobelReplace® Conical Connection NobelSpeedy® Replace,
NobelReplace® Platform Shift
NP RP WP NP RP WP NP RP WP 6.0
1 mm
1 mm
Multi-unit Abutment 1
mm 29176 29179 29184 – – – 29196 29199 29204 –
1.5 mm
Multi-unit Abutment Plus 1.5

mm – – – 38878
38879
38880 – – – –
2 mm
2 mm
mm 29177 29180 29185 – – – 29197 29200 29205 –
2.5 mm

mm – – – 38881
38882
38883 – – – –
3 mm
3 mm
mm 29178 29181 29186 – – – 29198 29201 29206 –
3.5 mm

mm – – – 38884
38885
38886 – – – –
4 mm
4 mm
mm – 29182 – – – – – 29202 – –
4.5 mm

mm – – – – 38887 – – – – –
5 mm
5 mm
mm – 29183 – – – – – 29203 – –
0.5 mm
Adapter NobelReplace® 6.0 to WP

(add 0.5 mm to abutment height) – – – – – – – – – 32412
Clinical screw and pre-mounted holder included.

Denture conversion manual // Product information 23

2 mm
2 mm
17° Multi-unit Abutment 2

mm 29187
29189 – – – – 29235
29237 – –
2.5 mm
17° Multi-unit Abutment Plus 2.5

mm – – – 38888
38889
38890 – – – –
3 mm
3 mm

mm 29188
29190 – – – – 29236
29238 – –
3.5 mm

mm – – – 38891
38892
38893 – – – –
4 mm
4 mm

mm – 29191 – – – – – 29239 – –
3.5 mm

mm – – – 38894
38895 – – – – –
4 mm
4 mm

mm – 29192 – – – – – 29240 – –
30° Multi-unit Abutment

Non-Engaging 4 mm 4 mm 4 mm
(For All-on-4® treatment

concept with guided surgery)* – 33411 – – – – – 33409 – –
4.5 mm

mm – – – 38896
38897 – – – – –
5 mm
5 mm

mm – 29193 – – – – – 29241 – –
30° Multi-unit Abutment

Non-Engaging 5 mm 5 mm 5 mm
(For All-on-4® treatment

concept with guided surgery)* – 33412 – – – – – 33410 – –
Clinical screw and pre-mounted holder included.

* Abutment Holder, Jig Stabilizer and clinical screw included.

Abutment Screw Multi-unit Angled 29194 29195 – 36892 37893 37893 29242 29243 – –
Prosthetic Screw Multi-unit 29285 29285 29286 29285 29285 29285 29285 29285 29285 –
4.1 mm 4.1 mm 4.1 mm
Healing Cap Multi-unit (1/pkg) 31145 31145 29066 31145 31145 31145 31145 31145 31145 –
Healing Cap Multi-unit (5/pkg) 29064 29064 – 29064 29064 29064 29064 29064 29064 –
4.1 mm 4.1 mm 4.1 mm
Healing Cap Wide Multi-unit (1/pkg) 31146 31146 29067 31146 31146 31146 31146 31146 31146 –
Torque guide for clinical screws for Nobel Biocare implant systems
Straight Multi-unit Abutment 35 Ncm

17° and 30° Multi-unit Abutment 15 Ncm
Prosthetic screw 15 Ncm
Denture conversion manual // Product information 25
Prosthetic components
Temporary Coping Multi-unit

Titanium (with Prosthetic Screw) 29046 29046 29047 – – – 29046 29046 29046 –
Temporary Snap Coping
Multi-unit Plus
(with Prosthetic Screw)
Not compatible with the

conventional Multi-unit Abutments – – – 38915
38915
38915 – – – –
Abutment Replica Multi-unit (1/pkg) 38918 38918 31162 38918 38918 38918 38918 38918 38918 –
Abutment Replica Multi-unit (5/pkg) 38919 38919 – 38919 38919 38919 38919 38919 38919 –
Guide Pin Multi-unit 10

mm (1/pkg) 31154 31154 31156 31154 31154 31154 31154 31154 31154 –
mm (5/pkg) 29102 29102 – 29102 29102 29102 29102 29102 29102 –

mm (1/pkg) 31155 31155 31157 31155 31155 31155 31155 31155 31155 –
mm (5/pkg) 29103 29103 – 29103 29103 29103 29103 29103 29103 –
Screw access guidance Multi-unit

(for Temporary Snap Coping Multi-unit Plus and
Simplified creation of the screw
Temporary Coping Multi-unit) access channel
The Temporary Snap Coping Multi-unit Plus
Drill Guide 38917 snaps onto the corresponding Drill Guide.
Access to the screw channel is then created
using the Apical Drill.
Apical Drill 38853

Lab Screw Multi-unit (1/pkg) – – 31163 – – – – – – –
Lab Screw Multi-unit (5/pkg) 29287 29287 – 29287 29287 29287 29287 29287 29287 –
Lab Screw Multi-unit Angled (1/pkg) 37896 37897 – 37896 37897 37897 31166 31167 – –
Protection Analog Multi-unit (5/pkg) 29123 29123 29124 29123 29123 29123 29123 29123 29123 –
Prosthetic Kit 37448

(The articles below can also be purchased individually.)
Kit includes
Screwdriver Machine Unigrip™ 20 mm 29151
Screwdriver Machine Unigrip™ 30 mm 29153
Screwdriver Machine Multi-unit 21mm 29158
Omnigrip™ Screwdriver Machine 20 mm 37379
Omnigrip™ Screwdriver Machine 30 mm 37381
Manual Torque Wrench Prosthetic 29165
Screwdrivers
Screwdriver Manual Unigrip 36 mm 29150
Screwdriver Manual Multi-unit 25 mm 29156

Screwdriver Manual Multi-unit
Brånemark System® WP 25 mm 29157
Screwdriver Machine Multi-unit 21 mm 29158

Screwdriver Machine Multi-unit
Brånemark System® WP 20 mm 29159
Denture conversion manual // Appendix 27
Customer service worldwide

Americas Europe, Middle East and Africa Russia
Brazil Austria Nobel Biocare Russia
Nobel Biocare Brazil Nobel Biocare Austria Phone: +7 495 974 77 55
Phone: 0800 16 999 6 Phone: +43 1 892 89 90 South Africa
Canada Belgium Nobel Biocare South Africa
Nobel Biocare Canada Nobel Biocare Belgium Phone: +27 11 802 0112
Phone: +1 800 939 9394 Phone: +32 2 467 41 70 Spain
Chile Denmark Nobel Biocare Spain
Dental Biocare Nobel Biocare Denmark Phone: +34 900 850 008
Phone: +56 220 19282 Phone: +45 39 40 48 46 Sweden
Colombia Finland Nobel Biocare Sweden
Hospimedics S.A. Nobel Biocare Finland Phone: +46 31 335 49 00
Phone: +57 1 640 0608 Phone: +358 20 740 61 00 Switzerland
Mexico France Nobel Biocare Switzerland
Nobel Biocare Mexico Nobel Biocare France Phone: 0800 211 424
Phone: +52 55 524 974 60 Phone: +33 1 49 20 00 30 United Kingdom
USA Germany Nobel Biocare UK
Nobel Biocare USA Nobel Biocare Germany Phone: +44 208 756 3300
Phone: +1 800 322 5001 Phone: +49 221 500 850
Hungary
Distributor markets
Nobel Biocare Hungary
Asia Pacific Phone: +36 1 279 33 79 Algeria, Bulgaria, Croatia, Cyprus,
Australia Czech Republic, Greece, Jordan, Kuwait,

Ireland
Nobel Biocare Australia Lebanon, Malta, Romania, Saudi Arabia,
Nobel Biocare Ireland
Phone: 1800 804 597 Serbia, Slovenia, Tunisia, Turkey,
Phone: 1800 677 306
United Arab Emirates
China Italy Phone: +34 933 560 562
Nobel Biocare China Nobel Biocare Italy
Phone: +86 21 5206 6655 Phone: +39 800 53 93 28
Hong Kong Lithuania
Nobel Biocare Hong Kong Nobel Biocare Lithuania
Phone: +852 2845 1266 Phone: +370 5 268 3448
India Netherlands
Nobel Biocare India Nobel Biocare Netherlands
Phone: 1800 266 9998 Phone: +31 30 635 49 49
Japan Norway
Nobel Biocare Japan Nobel Biocare Norway
Phone: +81 3 6717 6191 Phone: +47 64 95 75 55
New Zealand Poland
Nobel Biocare New Zealand Nobel Biocare Poland
Phone: 0800 441 657 Phone: +48 22 549 93 52
Singapore Portugal
Nobel Biocare Singapore Nobel Biocare Portugal
Phone: +65 6737 7967 Phone: +351 800 300 100
Taiwan
Nobel Biocare Taiwan
Phone: +886 080 00 779
nobelbiocare.com/contact
v 16.1
nobelbiocare.com
80567 GB 1609 © Nobel Biocare Services AG, 2016. All rights reserved. Nobel Biocare, the Nobel Biocare logotype and all other trademarks are, if nothing else is stated or is evident from the context in a certain
case, trademarks of Nobel Biocare. Please refer to nobelbiocare.com/trademarks for more information. Product images are not necessarily to scale. Disclaimer: Some products may not be regulatory cleared/
released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. For prescription use only. Caution: Federal (United States) law restricts this device
to sale by or on the order of a licensed dentist. See Instructions for Use for full prescribing information, including indications, contraindications, warnings and precautions.

Denture Conversion Manual 16.1 GB

Uploaded by

Copyright:

Available Formats

Denture Conversion Manual 16.1 GB

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Denture Conversion Manual 16.1 GB

Uploaded by

Copyright:

Available Formats

What is the purpose of the surgical guide?

What is the purpose of the surgical guide?

What are the differences between Multi-unit Abutments Plus and Multi-unit Abutments?

What are the differences between Multi-unit Abutments Plus and Multi-unit Abutments?

Conversion of existing denture into a

fixed provisional bridge – direct method

Introduction Position and angulation of implants 4

Conversion procedure for Immediate Function Direct method chairside 6

Position and angulation of implants

Replica of the existing or newly fabricated denture.

To help visualize the surgical field, the palatal portion of the

If immediate loading is planned, the guide also helps to select

In addition, a surgical guide together with all required compo-

Multi-unit Abutments Plus vs Multi-unit Abutments

For implants with internal conical connection:

For implants with external hex and internal tri-channel

Delivered with pre-mounted holder

Direct method chairside

1 Ensure denture is suitable

2 Confirm implant positions and choose Multi-unit

3 Connect and tighten Multi-unit Abutments

Caution: Never exceed recommended maximum tightening

4 Place healing caps and suture surgical site

5 Make trial insertion

Note: Trial insertion may take several attempts to remove any

6 Register abutment positions for final indexing

7 Make holes for temporary copings

8 Place temporary copings

9 Verify passive fit

Note: If needed, reduce the length of the temporary copings

10 Lute denture to temporary copings

Tip: A Protection Analog Multi-unit could be used to protect

12 Trim titanium copings

15 Connect provisional bridge

16 Wait for sufficient healing

Direct method with dental laboratory support –

1 Ensure that denture is suitable

2 Confirm implant positions and choose Multi-unit

3 Connect and tighten Multi-unit Abutments

Caution: Never exceed recommended maximum tightening

4 Suture surgical site

5 Make trial insertion

Note: Trial insertion may take several attempts to remove any

6 Make vent and retention holes

7 Register abutment positions for final indexing

Note: Do not remove impression material from denture.

8 Make anterior holes for anterior temporary copings

Note: Do not remove impression material from denture.

9 Place anterior temporary copings

10 Verify anterior passive fit

Note: If needed, reduce the length of the anterior temporary

11 Lute denture to anterior temporary copings

13 Make posterior holes for posterior temporary copings

Note: Do not remove impression material from denture.

14 Place posterior temporary copings

15 Verify posterior passive fit

16 Lute denture to posterior temporary copings

18 Finalize provisional bridge in dental laboratory

19 Connect provisional bridge