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PROSTHETIC PROCEDURE MANUAL BR SYSTEM

PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

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Page 1: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

PROSTHETIC PROCEDURE MANUALBR SYSTEM

Page 2: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

CEMENTED RESTORATION

Impression Copings

Set Screw

Pick-up

Transfer

Implant Analog

CementedAbutment

AngledAbutment

Page 3: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

IMPRESSION COPINGSImplant Level – Pick-up

• 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

Engaging

Guide Pin

1.2mm Hex Driver

Page 4: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

IMPRESSION COPINGSImplant Level – Transfer

• Implant level impression, transfer impression coping (closed tray technique)• Impression coping is packaged with corresponding guide pin• Use 1.2mm Hex driver to assemble/ disassemble

Engaging

Guide Pin

1.2mm Hex Driver

Page 5: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

IMPLANT ANALOG

Page 6: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

CEMENTED ABUTMENT

Fastening torque 30 Ncm

HEIGHT

CUFF

DIAMETER

Engaging

1.2mm Hex Driver

Page 7: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

ANGLED ABUTMENT

• Options of 15 degrees and 25 degrees• Angled Abutments are packaged alongside corresponding set screw• Fastening torque 30 Ncm

HEIGHT

CUFF

DIAMETER

Engaging

1.2mm Hex Driver

Page 8: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

SET SCREW

• Cemented Abutment screw is 10mm long• Angled Abutments screw is 8mm long• Set screws are packaged along with corresponding abutment

LENGTH

DIAMETER

Page 9: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

CLINICAL PROCESSFixing Impression Copings (1/3)

• View of patient’s mouth

Page 10: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

CLINICAL PROCESSFixing Impression Copings (2/3)

• Remove healing abutment / cover screw with 1.2mm Hex Driver

• Insert impression coping inside corresponding implant connection

Page 11: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

CLINICAL PROCESSFixing Impression Copings (3/3)

• Fasten impression coping with corresponding guide pin• Tighten guide pin with 1.2mm hex driver

Page 12: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

CLINICAL PROCESSTaking The Impression (1/6)

• Apply the light impression material on corresponding site of oral cavity

Page 13: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

CLINICAL PROCESSTaking The Impression (2/6)

• Pour the heavy impression material inside the impression tray

Page 14: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

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

Page 15: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

CLINICAL PROCESSTaking The Impression (4/6)

• Remove guide pin

Page 16: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

CLINICAL PROCESSTaking The Impression (5/6)

• Check tray for impression errors / success

Page 17: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

CLINICAL PROCESSTaking The Impression (6/6)

• Replace healing abutment / cover screw in corresponding site

Page 18: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS1. Fixing Analogs & Making Artificial Gum (1/4)

• Fix analogs on corresponding impression coping

Page 19: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS1 - Fixing Analogs & Making Artificial Gum (2/4)

• Apply (Spray) separating product on impression areas

Page 20: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS1. Fixing Analogs & Making Artificial Gum (3/4)

• Apply artificial gum product on intervention area• Wait for product to dry

Page 21: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS1. Fixing Analogs & Making Artificial Gum (4/4)

• Trim gum

Page 22: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS2. Master Modeling (1/3)

• Prepare (mix) the stone

Page 23: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS2. Master Modeling (2/3)

• Pour the mixed stone inside the impression

Page 24: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS2. Master Modeling (3/3)

• Master model finishing work

Page 25: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS3. Abutment Milling (1/5)

• Fix the abutment to the analog

Page 26: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS3. Abutment Milling (2/5)

• Abutment Milling (Step 1)

Page 27: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS3. Abutment Milling (3/5)

• Abutment Milling (Step 2)

Page 28: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS3. Abutment Milling (4/5)

• Abutment Milling (Step 3)

Page 29: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS3. Abutment Milling (5/5)

• Post Milling

Page 30: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS4. Pattern Resin & Wax-Up (1/3)

Page 31: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS4. Pattern Resin & Wax-Up (2/3)

• Wax-up process (Steps 1 & 2)

Page 32: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS4. Pattern Resin & Wax-Up (3/3)

• Wax-up process (Steps 3 & 4)

Page 33: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS5. Sprewing (1/2)

• Sprewing (Step 1)

Page 34: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS5. Sprewing (2/2)

• Sprewing (Step 2)

Page 35: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS6. Investment (1/2)

• Investment (Step 1)

Page 36: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS6. Investment (2/2)

• Investment (Step 2)

• Burn out (Step 3)

Page 37: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS7. Casting

• Cast and extract cast structure

Page 38: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS8. Adaptation & Metal Trimming

• Check cast structure for adaptation on master model

Page 39: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS9. Finishing

Page 40: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS10. Transfer Jig (1/2)

• Make the transfer Jig

Page 41: PROSTHETIC PROCEDURE MANUAL BR SYSTEM. CEMENTED RESTORATION Impression Copings Set Screw Pick-up Transfer Implant Analog Cemented Abutment Angled Abutment

LABORATORY PROCESS10. Transfer Jig (2/2)

• Place the abutment(s) inside the oral cavity by using the transfer jig