Procedure & Laboratory Manual (continued from previous page)
15d. Copy Milled Framework Place the Copy Milled Framework on the cast and screw into place using try in screws. Place the cast on the articulator. Opaque and build porcelain on the framework or apply acrylic resin. Place the matrix on the cast periodically as a guide for the proper contouring. Stain and glaze the porcelain or polish the acrylic.
RESTORATIVE DENTIST - Final Visit 16a. Hader Or Dolder® Bar Restoration Remove the healing abutments or caps from the implants or abutments. Place the bar onto the implants or abutments. Thread the abutment or retaining screws into the implants or abutments until finger tight using the manufacturer’s recommended driver. Visually verify a passive fit on all interfaces. If the interfaces are subgingival, take a radiograph to verify a passive fit. Torque the screws to the recommended level with a torque device following the manufacturer's instructions. Place the overdenture onto the bar engaging the attachments. Make any occlusal adjustments necessary. Instruct the patient on insertion and removal of the prosthesis and on proper oral hygiene.
16b. Fixed-Hybrid Restoration Remove the healing abutments or caps from the implants or abutments. Place the fixed-hybrid prosthesis onto the implants or abutments. Thread the abutment or retaining screws into the implants or abutments until finger-tight using the manufacturer’s recommended driver. Visually verify a passive fit on all interfaces. If the interfaces are subgingival, take a radiograph to verify a passive fit. Torque the screws to the recommended level with a torque device following the manufacturer’s instructions. Make any occlusal adjustments necessary. Place a protective material over the screw heads. Seal the access holes with composite resin and polish. Instruct the patient on proper oral hygiene.
16c. Milled Primary And Secondary Bar Restoration Remove the healing abutments or caps from the implants or abutments. Place the primary bar onto the implants or abutments. Thread the abutment or retaining screws into the implants or abutments until finger-tight using the manufacturer’s recommended driver. Visually verify a passive fit on all interfaces. If the interfaces are subgingival, take a radiograph to verify a passive fit. Torque the screws to the recommended level with a torque device following the manufacturer’s instructions. Place the secondary prosthesis onto the bar, engaging the attachments. Make any occlusal adjustments necessary. Instruct the patient on insertion and removal of the prosthesis and on proper oral hygiene.
16d. Copy Milled Framework Remove the healing abutments or caps from the implants or abutments. Place the copy milled bridge onto the implants or abutments. Thread the abutment or retaining screws into the implants or abutments until finger-tight using the manufacturer’s recommended driver. Visually verify a passive fit on all interfaces. If the interfaces are subgingival, take a radiograph to verify a passive fit. Torque the screws to the recommended level with a torque device following the manufacturer’s instructions. Make any occlusal adjustments necessary. Place a protective material over the screw heads. Seal the access holes with composite resin and polish. Instruct the patient on proper oral hygiene.
