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PROSTHETIC PROCEDURE MANUAL PX SYSTEM. CEMENTED RESTORATION Implant Level Impression. Angled Abutment. Set Screw. Impression Coping Pick-up. Implant Analog. Cemented Abutment. CEMENTED RESTORATION Abutment Level Impression. Plastic Copings. Solid Abutment. Single . Impression Coping
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CEMENTED RESTORATIONImplant Level Impression Angled Abutment Set Screw Impression Coping Pick-up Implant Analog Cemented Abutment
CEMENTED RESTORATIONAbutment Level Impression Plastic Copings Solid Abutment Single Impression Coping Transfer Solid Abutment Analog Wide Solid Abutment Bridge
IMPRESSION COPINGSImplant Level – Pick-up 1.2mm Hex Driver Guide Pin Engaging • Implant level impression, pick-up impression coping (open tray technique) • Impression coping is packaged with corresponding guide pin • Use 1.2mm Hex driver to assemble/ disassemble
IMPRESSION COPINGSAbutment Level – Transfer • Abutment level impression, transfer impression coping (closed tray technique)
CEMENTED ABUTMENT 1.2mm Hex Driver HEIGHT Engaging Fastening torque 30 Ncm
ANGLED ABUTMENT 1.2mm Hex Driver HEIGHT Engaging Fastening torque 30 Ncm
SOLID ABUTMENT 1.2mm Hex Driver HEIGHT Protective Cap Non Engaging Fastening torque 30 Ncm
WIDE SOLID ABUTMENT 1.2mm Hex Driver HEIGHT Protective Cap Non Engaging Fastening torque 30 Ncm
SET SCREW DIAMETER LENGTH • Cemented Abutment screw is 10mm long • Angled Abutments screw is 8mm long • Set screws are packaged along with corresponding abutment
CLINICAL PROCESSFixing Impression Copings (1/3) • View of patient’s mouth
CLINICAL PROCESSFixing Impression Copings (2/3) • Remove healing abutment / cover screw with 1.2mm Hex Driver • Insert impression coping inside corresponding implant connection
CLINICAL PROCESSFixing Impression Copings (3/3) • Fasten impression coping with corresponding guide pin • Tighten guide pin with 1.2mm hex driver
CLINICAL PROCESSTaking The Impression (1/6) • Apply the light impression material on corresponding site of oral cavity
CLINICAL PROCESSTaking The Impression (2/6) • Pour the heavy impression material inside the impression tray
CLINICAL PROCESSTaking The Impression (3/6) • Position tray for impression taking • Apply pressure until top part of guide pin appears • wait for impression material to set • Transfer impression copings will require prefabricated tray • Pick-up impression copings will require previously customized tray
CLINICAL PROCESSTaking The Impression (4/6) • Remove guide pin
CLINICAL PROCESSTaking The Impression (5/6) • Check tray for impression errors / success
CLINICAL PROCESSTaking The Impression (6/6) • Replace healing abutment / cover screw in corresponding site
LABORATORY PROCESS1. Fixing Analogs & Making Artificial Gum (1/4) • Fix analogs on corresponding impression coping
LABORATORY PROCESS1 - Fixing Analogs & Making Artificial Gum (2/4) • Apply (Spray) separating product on impression areas
LABORATORY PROCESS1. Fixing Analogs & Making Artificial Gum (3/4) • Apply artificial gum product on intervention area • Wait for product to dry
LABORATORY PROCESS1. Fixing Analogs & Making Artificial Gum (4/4) • Trim gum
LABORATORY PROCESS2. Master Modeling (1/3) • Prepare (mix) the stone
LABORATORY PROCESS2. Master Modeling (2/3) • Pour the mixed stone inside the impression
LABORATORY PROCESS2. Master Modeling (3/3) • Master model finishing work
LABORATORY PROCESS3. Abutment Milling (1/5) • Fix the abutment to the analog
LABORATORY PROCESS3. Abutment Milling (2/5) • Abutment Milling (Step 1)
LABORATORY PROCESS3. Abutment Milling (3/5) • Abutment Milling (Step 2)
LABORATORY PROCESS3. Abutment Milling (4/5) • Abutment Milling (Step 3)
LABORATORY PROCESS3. Abutment Milling (5/5) • Post Milling
LABORATORY PROCESS4. Pattern Resin & Wax-Up (2/3) • Wax-up process (Steps 1 & 2)
LABORATORY PROCESS4. Pattern Resin & Wax-Up (3/3) • Wax-up process (Steps 3 & 4)
LABORATORY PROCESS5. Sprewing (1/2) • Sprewing (Step 1)
LABORATORY PROCESS5. Sprewing (2/2) • Sprewing (Step 2)
LABORATORY PROCESS6. Investment (1/2) • Investment (Step 1)
LABORATORY PROCESS6. Investment (2/2) • Burn out (Step 3) • Investment (Step 2)
LABORATORY PROCESS7. Casting • Cast and extract cast structure
LABORATORY PROCESS8. Adaptation & Metal Trimming • Check cast structure for adaptation on master model
LABORATORY PROCESS10. Transfer Jig (1/2) • Make the transfer Jig
LABORATORY PROCESS10. Transfer Jig (2/2) • Place the abutment(s) inside the oral cavity by using the transfer jig