prosthetic procedure manual px system

PROSTHETIC PROCEDURE MANUALPX SYSTEM

CEMENTED RESTORATIONImplant Level Impression

Set ScrewImpression

CopingPick-up

Implant Analog

Cemented Abutment

Angled Abutment

CEMENTED RESTORATIONAbutment Level Impression

Solid Abutment

Solid Abutment

Analog

Single

Bridge

Impression CopingTransfer

Wide Solid Abutment

Plastic Copings

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

IMPRESSION COPINGSAbutment Level – Transfer

• Abutment level impression, transfer impression coping (closed tray technique)

IMPLANT ANALOG

SOLID ABUTMENT ANALOG

CEMENTED ABUTMENT

Fastening torque 30 Ncm

HEIGHT

Engaging

1.2mm Hex Driver

ANGLED ABUTMENT

Fastening torque 30 Ncm

HEIGHT

Engaging

1.2mm Hex Driver

SOLID ABUTMENT

Fastening torque 30 Ncm

HEIGHT

Non Engaging

1.2mm Hex Driver

Protective Cap

WIDE SOLID ABUTMENT

Fastening torque 30 Ncm

HEIGHT

Non Engaging

1.2mm Hex Driver

Protective Cap

SET SCREW

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

LENGTH

DIAMETER

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 (1/3)

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)

• Investment (Step 2)

• Burn out (Step 3)

LABORATORY PROCESS7. Casting

• Cast and extract cast structure

LABORATORY PROCESS8. Adaptation & Metal Trimming

• Check cast structure for adaptation on master model

LABORATORY PROCESS9. Finishing

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