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Simpleline Ii: Surgical / Prosthesis Manual

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SimpleLine II

Surgical / Prosthesis Manual

SimpleLine II

SURGICAL MANUAL
Surgical Drill Sequence
Fixture Installation
Fixture Connection
Surgical Kit Maintenance
Warnings

04
05
06
08
09

04

SimpleLine ll Surgical / Prosthesis Manual

Surgical Drill Sequence


8 10 12 14 16

Final drill
First
guide
drill

Second
guide
drill

2.2

2.6

Tap drill

3.4

3.8

4.3

4.8

3.4

3.8

4.3

4.8

2.85

3.3

3.85

4.4

3.4

3.8

4.3

4.8

Platform: 4.8
Body:

3.4

Platform: 4.8
Body:

3.8

Platform: 4.8
Body:

/6.5

4.3

Platform: 6.5
Body:

4.8

D1~3 Bone

SimpleLine ll Surgical / Prosthesis Manual

Fixture Installation

Guide & Final Drill: 800~1,200rpm / 30~45N.cm


Tap Drill: 20~60rpm / 30~45N.cm

D1 Bone
Platform: 6.5

/ Body: 4.8
Final drill
4.3

Final drill
4.8

Tap drill
4.8

6.5

Full depth

4.8

D2, 3 Bone
Platform: 6.5

/ Body: 4.8
Final drill
4.3

Final drill
4.8

Tap drill
4.8

6.5

5mm
10mm

Half depth

4.8

D4 Bone
Platform: 6.5

/ Body: 4.8
Final drill
4.3

Final drill
4.8

6.5

4.8

05

06

SimpleLine ll Surgical / Prosthesis Manual

Fixture Connection

Caution_ When opening the fixture pack,


hold the fixture container upward
and engage the adapter into the
fixture.

By hand-piece
20rpm / 35Ncm

By ratchet

Directions Using the Hand-piece / Ratchet Adapter


Hand-piece
adapter

Ratchet
adapter

Connection

Hand-piece
adapter

Ratchet
adapter

The ratchet adapter and the fixture interal octa must be


connected firmly together.

SimpleLine ll Surgical / Prosthesis Manual

Removal of Fixture Mount

07

Removal Mechanism
of Fixture Mount

By handpiece

Run the hand-piece in


reverse mode.

Rotate the mount screw


in reverse.

Fix the mount holder


firmly to the mount.
Fix the mount holder
firmly to the mount.

The fixture gets separated


from the mount.

By ratchet

Use the ratchet to rotate


the mount in reverse.

Fix the mount holder


firmly to the mount.
* In case the power of motor is not enough to rotate the mount in reverse

08

SimpleLine ll Surgical / Prosthesis Manual

Surgical Kit Maintenance


Sterilization and Instrument Care Procedures
Please follow legal regulations, as well as hygienic guidelines to prevent contamination and infection.
Please remember that you are responsible for the maintenance and sterilization of your medical / dental
products/devices. It is important to use and follow proper cleaning, disinfection and sterilization procedures.
It is also important to follow the manufactures recommendation on the usage of drills.
Please keep a log as to the number of times the drills are used.
Drills are used per implant placed not per patient. Bone density determines the life of the drills.
Replace white and red o-rings on adapters and hex drivers, if worn and dried out.
Drills should be considered for replacement around 20 uses based on bone density.
01 All instruments immediately after use must be pre-soaked for a few minutes in a germicidal bath to loosen and
prevent debris from attaching to instruments. Do not soak over-night.
02 Scrub with a soft brush to remove any debris.
03 For internal irrigation drills use a reamer or small gauge needle to cleanout drill internally.
04 If using an ultrasonic cleaner, wrap drills in a 2 x 2 to prevent rubbing against each other.
05 Rinse thoroughly under warm water.
06 Clean all instrument trays with a germicidal cleaner prior to replacing instruments in kit.
07 Dry completely and place back into kit.
08 Always check for damage or corrosion after rinsing and drying.
09 Seal the tray in a sterilization pouch.
10 Sterilize using a steam autoclave at 121C / 250F for 30 minutes or refer to manufactures recommendations.
11 Store in a dry area at room temperature.

Maintenance Period for Surgical Drills


All surgical drills should be replaced after approximately 40 uses based on
bone density

Guide Drill (First, Second)

Final Drill

(800~1200rpm, 30~45Ncm with Irrigation)

(800~1200rpm, 30~45Ncm with Irrigation)

Tap Drill
(20~30rpm, 30~45Ncm with Irrigation)

SimpleLine ll Surgical / Prosthesis Manual

09

Warnings
Warnings
Dental Implant surgery and restoration involve complex dental procedures. Appropriate and adequate
training in proper technique is strongly recommended prior to use.
Improper medical examination and / or treatment plan can result in implant failure and / or loss of supportive bone.
Improper initial stability and / or excessive occlusal forces during healing period may lead to osseointergration failure.
Excessive insertion torque may lead to mechanical failure or implant biologic failure due to bone compression and
necrosis.
When forces or loads are greater than its design, implant or abutment fracture could happen. Therefore clinicians
should make careful decisions with regards to clinical treatment planning to minimize the risk of fracture. Appropriate
implant quantity, occlusal interface and a nightguard are essential. Potential excessive loading conditions may include
the following:
01
02
03
04
05
06
07
08
09
10
11

Inadequate number of implants are placed


Implant width and / or length are inappropriate for a treatment site
Prosthesis which has excessive cantilever length due to inadequate biomechanical design
Continuous occlusal force may be generated by incomplete connection between implant and abutment and /
or abutment screw loosening
Direct casting abutment angles are greater than 30from the vertical axis of the implant.
Angled abutment is excessively eliminated.
Occlusal interferences causing excessive lateral forces
Patient parafunctions such as bruxism
Inadequate dental laboratory casting procedures
Improper prosthesis fit
Trauma from patient habits or accidents
Excessive marginal bone loss caused by inadequate bone width and / or advanced periimplantitis

PROSTHESIS MANUAL
Types of Abutment

11

Prosthetic Procedure 1

12

Abutment Level- Solid / Dual Abutment

13

Abutment Level- SCA Abutment

16

Prosthetic Procedure 2

19

Fixture Level [Pick-up Type]- Dual Abutment

20

Fixture Level [Transfer Type]- Dual Abutment

23

Fixture Level- SCA Abutment

26

Fixture Level- Dual Milling Abutment

28

Fixture Level- Angled Abutment

30

Fixture Level- Direct Casting Abutment

32

Prosthetic Procedure 3

34

Abutment Level- Screw Abutment

35

Cementation Repair Method (SCRP)

38

Prosthetic Procedure 4

40

Positioner

41

Ball Attachment

43

Magnetic Attachment

45

SimpleLine ll Surgical / Prosthesis Manual

11

Types of Abutment
Two-Pieces

One-Piece

Octa

Solid Abutment

Dual Abutment

Dual Milling Abutment

Non-Octa

SCA Abutment

15

Octa

Screw Abutment

Octa

25

Octa

Angled Abutment

Direct-Casting Abutment

Ti

Octa

Cylinder

Non-Octa

Plastic

Non-Octa

Metal-Casting Abutment

Abutment Level

Dual Abutment
Solid Abutment
SCA Abutment

Abutment level

Dual Abutment
SCA Abutment
Dual Milling Abutment
Angled Abutment (15
/ 25)
Direct-Casting Abutment
Metal-Casting Abutment
Temporary Abutment

Fixture level

Positioner

Screw Abutment

Positioner
Ball
Magnetic

Screw retained (Abutment level)

Non-Octa

Temporary Abutment

Octa

Fixture Level

Octa

Non-Octa

For denture use

Ball

Overdenture

Magnetic

12

SimpleLine ll Surgical / Prosthesis Manual

Prosthetic Procedure 1
Impression Technique and Restoration Selection

Solid / Dual / SCA Abutment

Abutment Level Impression


Closed Tray Technique

Solid Abutment

Dual Abutment

SCA Abutment

4.8 / 6.5

Octa 4.8 / 6.5

Octa / Non-octa 4.8 / 6.5

Impression Coping

Impression Coping

Transfer (Snap on) 4.8 / 6.5

Transfer (Snap on) 5.5 / 6.5

Analog

Analog

4.8 / 6.5

5.5 / 6.5

Burn-out Cylinder

Single

Bridge

Single

Bridge

Non-Rotational

Rotational

Non-Rotational

Rotational

4.8 / 6.5

4.8 / 6.5

5.5 / 6.5

5.5 / 6.5

Modification
Cemented Restoration

SimpleLine ll Surgical / Prosthesis Manual

13

Abutment Level- Solid / Dual Abutment


[Multiple Units]

Clinical Procedure

Healing Abutment

Solid Abutment or
Dual Abutment

Abutment Level
Impression

Provisional
Restoration with or
without Comfort Cap

Comfort Cap

Chairside

Fixture installation

Choose solid abutment


or dual abutment

Tighten the abutment


with 25~30Ncm and
retighten it after 15 minutes

Seat the impression coping


over the abutment.

Injection of impression material

Impression taking

Impression coping comes off


with the impression.

Insert comfort cap

14

SimpleLine ll Surgical / Prosthesis Manual

Abutment Level- Solid / Dual Abutment


[Multiple Units]

Laboratory Procedure
Gold
Crown

Porcelain
Crown

Lab Analog Connection

Cylinder

Crown Wax-up

Final Restoration
Cementation Type

Lab Side

Insertion of analog into impression

Make sure analog seats securely on the


impression coping (line up the flat side
of analog to the flat side of the coping).

Soft tissue modeling

Fabrication of master model

Snap the burn-out cylinder


securely to the analog.

Cut the cylinder after measuring proper


height considering the
distance with opposing teeth.

Fabrication of burn-out cylinder and


plastic bar in preparation for wax-up

Completion of wax-up

Fabrication of metal framework

SimpleLine ll Surgical / Prosthesis Manual

15

Abutment Level- Solid / Dual Abutment


[Multiple Units]

Trimming of the extended margin by


using the rubber wheel

Metal framework and reamer

Use the reamer to eliminate Lip


caused by snap-on mechanism.

Metal Framework after removal of Lip

Metal framework

Porcelain build-up

[Only Dual Abutment]

SCRP : Once an access hole has been created, it could be converted to a


SCRP (Screw & Cement Retained Prosthesis).

Final prosthesis

Access hole is made when burn-out


cylinder is used for the wax-up.

Extended margin around the metal


framework due to snap-on mechanism

Trimming of the extended margin by


using the rubber wheel

Metal framework and reamer

Use the reamer to eliminate Lip


caused by snap-on mechanism.

Metal framework after removal of Lip

Metal framework

Final prosthesis

16

SimpleLine ll Surgical / Prosthesis Manual

Abutment Level- SCA Abutment


[Multiple Units]

Clinical Procedure

Healing Abutment

SCA Abutment

Abutment Level
Impression

Provisional
Restoration with or
without Comfort Cap

Comfort Cap

Chairside

Fixture installation

Choose SCA abutment


(Octa / Non-octa)

Tighten the abutment


with 25~30Ncm and
retighten it after 15 minutes

Seat the impression coping


over the abutment.

Injection of impression material

Impression taking

Impression coping comes off


with the impression.

Insert comfort cap

SimpleLine ll Surgical / Prosthesis Manual

17

Abutment Level- SCA Abutment


[Multiple Units]

Laboratory Procedure
Gold
Crown

Porcelain
Crown

Lab Analog Connection

Cylinder

Crown Wax-up

Final Restoration
Cementation Type

Lab Side

Insertion of analog into impression

Make sure analog seats securely on the


impression coping (line up the flat side
of analog to the flat side of the coping).

Soft tissue modeling

Fabrication of master model

Snap the burn-out cylinder


securely to the analog.

Cut the cylinder after measuring proper


height considering the
distance with opposing teeth.

Fabrication of burn-out cylinder and


plastic bar in preparation for wax-up

Completion of wax-up

Fabrication of metal framework

18

SimpleLine ll Surgical / Prosthesis Manual

Abutment Level- SCA Abutment


[Multiple Units]

Trimming of the extended margin by


using the rubber wheel

Metal framework and reamer

Use the reamer to eliminate Lip


caused by snap-on mechanism.

Metal Framework after removal of Lip

Metal framework

Porcelain build-up

SCRP : Once an access hole has been created, it could be converted to a


SCRP (Screw & Cemented Retained Prosthesis).

Final prosthesis

Access hole is made when burn-out


cylinder is used for the wax-up.

Extended margin around the metal


framework due to snap-on mechanism

Trimming of the extended margin by


using the rubber wheel

Metal framework and reamer

Use the reamer to eliminate Lip


caused by snap-on mechanism.

Metal framework after removal of Lip

Metal framework

Final prosthesis

SimpleLine ll Surgical / Prosthesis Manual

19

Prosthetic Procedure 2
Impression Technique and Restoration Selection

Dual / SCA / Dual Milling / Angled / Direct-Casting /


Metal-Casting / Temporary Abutment
Fixture Level Impression

Octa

Non-octa
Octa

Non-octa

Impression Coping / Pick-up

Impression Coping / Transfer

Open Tray technique (Complicated case)

Closed Tray technique (Simple case)

4.8 / 6.5

4.8 / 6.5

Analog
4.8 / 6.5

Dual
Abutment

SCA
Abutment

Dual Milling
Abutment

Angled
Abutment

Direct-Casting
Abutment

Metal-Casting
Abutment

Temporary
Abutment

Octa
4.8 / 6.5

Octa / Non-octa

Octa

Octa / Non-octa

4.8 / 6.5 / 7.5

Octa
15 / 25

Octa / Non-octa

4.8 / 6.5

4.8 / 6.5

4.8 / 6.5

Octa / Non-octa
Ti / Plastic

4.8 / 6.5

4.8 / 6.5

Modification

Modification

Cemented Restoration

Screw-Retained Restoration

20

SimpleLine ll Surgical / Prosthesis Manual

Fixture Level [ Pick-up Type]- Dual Abutment


[Multiple Units]

Clinical Procedure

Healing Abutment

Impression Coping
Pick-up Type

Fixture Level Impression


Open Tray

Chairside

Pick-up type impression coping


(Octa)

Apply adhesive on open tray.


(Individual tray)

Injection of the impression material

Impression taking

Remove the screw before removing the


impression tray.

Inner-surface of impression

SimpleLine ll Surgical / Prosthesis Manual

21

Fixture Level [ Pick-up Type]- Dual Abutment


[Multiple Units]

Laboratory Procedure
Gold
Crown

Porcelain
Crown

Lab Analog Connection

Assemble the
Dual Abutment

Burn-out Cylinder
cutting for
height adjustment

Crown Wax-up

Final Restoration
Cementation Type

Lab Side

Insertion of analog into impression

Soft tissue modeling

Fabrication of master model

Assemble a proper abutment.

After surveying, abutment milling


is possible if necessary.

Fabrication of positioning jig

Fabrication of the cap with


pattern resin.

Wax-up

Metal framework

22

SimpleLine ll Surgical / Prosthesis Manual

Fixture Level [ Pick-up Type]- Dual Abutment


[Multiple Units]
Chairside

Final prosthesis

Use positioning jig to transfer the abutment in the model to oral cavity then
tighten it to 25~30Ncm.
Re-tighten it after 15 minutes.

Insertion of the final prosthesis and


occlusal adjustment

* In the process of seating the prosthesis, the components can be rebounded by gingival tissue.
In that case, it is advised to apply occlusal load on the prosthesis for 10~15 minutes.

SCRP- Lab Side

Formation of access hole for


pick-up coping screw

Wax-up

Metal framework

SCRP- Chairside

Final prosthesis

Use positioning jig to transfer the


abutment in the model to the oral cavity
then tighten it to 25~30Ncm.
Re-tighten it after 15 minutes.

Insertion of final prosthesis and


adjustment of occlusion

* In the process of seating the prosthesis, the components can be rebounded by gingival tissue.
In that case, it is advised to apply occlusal load on the prosthesis for 10~15 minutes.

SimpleLine ll Surgical / Prosthesis Manual

23

Fixture Level [ Transfer Type]- Dual Abutment


[Multiple Units]

Clinical Procedure

Healing Abutment

Impression Coping
Transfer Type

Fixture Level Impression


Closed Tray

Chairside

Injection of impression material

Transfer type impression coping


(Octa)

Impression of fixture level

Impression taking

Inner-surface of impression

24

SimpleLine ll Surgical / Prosthesis Manual

Fixture Level [ Transfer Type]- Dual Abutment


[Multiple Units]

Laboratory Procedure
Gold
Crown

Porcelain
Crown

Lab Analog Connection

Assemble the
Dual Abutment

Burn-out Cylinder
cutting for
height adjustment

Crown Wax-up

Final Restoration
Cementation Type

Lab Side

Insertion of analog into impression

Make sure analog seats securely on the


impression coping (line up the flat side
of analog to the flat side of the coping).

Soft tissue modeling

Fabrication of master model

Soft tissue condition after the retrieval of


impression coping

Selection of dual abutment


of proper height

Verify by surveying the selected abutment.


(Milling is possible if necessary)

Fabrication of positioning jig

Fabricate the cap with pattern resin.

SimpleLine ll Surgical / Prosthesis Manual

25

Fixture Level [ Transfer Type]- Dual Abutment


[Multiple Units]

Completion of wax-up

Completion of metal framework

Final prosthesis build-up on the


framework with porcelain

Chairside

Use the positioning jig to transfer the


abutment in model to oral cavity then
tighten it to 25~30Ncm.
Re-tighten after 15 minutes.

Insertion of final prosthesis.


Adjust occlusion. Place lab wax into
opening of abutment to protect screw
head, then cement.

SCRP- Lab Side

Make an access hole in the resin cap by


using the pick-up coping screw.

Completed wax-up.

Metal framework

SCRP- Chairside

Final prosthesis

Use positioning jig to transfer


abutment in model to oral cavity then
tighten it to 25~30Ncm.
Re-tighten after 15 minutes.

Insertion of final prosthesis and occlusal


adjustment. Place wax into opening of
the abutment prior to
sealing with composite.

* In the process of seating the prosthesis, the components can be rebounded by gingival tissue.
In that case, it is advised to apply occlusal load on the prosthesis for 10~15 minutes.

26

SimpleLine ll Surgical / Prosthesis Manual

Fixture Level- SCA Abutment


[Multiple Units]

Clinical Procedure

Healing Abutment

Fixture Level Impression


Pick-up Type
Open Tray

Fixture Level Impression


Transfer Type
Closed Tray

Laboratory Procedure
Gold
Crown

Porcelain
Crown

Lab Analog Connection

Assemble the
SCA Abutment

Burn-out Cylinder
cutting for
height adjustment

Crown Wax-up

Final Restoration
Cementation Type

Lab Side

Insertion of analog into impression

Soft tissue modeling

Fabrication of master model

SimpleLine ll Surgical / Prosthesis Manual

Fixture Level- SCA Abutment

27

[Multiple Units]

Assemble a proper abutment.

After surveying, abutment milling


is possible if necessary.

Fabrication of positioning jig

Fabrication of the cap with


pattern resin

Wax-up

Metal framework

Use positioning jig to transfer the


abutment in the model to the oral cavity
then tighten it to 25~30Ncm.
Re-tighten it after 15 minutes.

Insertion of the final prosthesis and


occlusal adjustment

Final prosthesis

SCRP- Lab Side

Formation of access hole for


pick-up coping screw

Final prosthesis

Chairside

* In the process of seating the prosthesis, the components can be rebounded by gingival tissue.
In that case, it is advised to apply occlusal load on the prosthesis for 10~15 minutes.

Wax-up

Metal framework

SCRP-Chairside

Use positioning jig to transfer the


abutment in the model to the oral cavity
then tighten it to 25~30Ncm.
Re-tighten it after 15 minutes.

Insertion of final prosthesis and adjustment of occlusion

* In the process of seating the prosthesis, the components can be rebounded by gingival tissue.
In that case, it is advised to apply occlusal load on the prosthesis for 10~15 minutes.

28

SimpleLine ll Surgical / Prosthesis Manual

Fixture Level- Dual Milling Abutment


[Single Unit]

Clinical Procedure

Healing Abutment

Fixture Level Impression


Pick-up Type
Open Tray

Fixture Level Impression


Transfer Type
Closed Tray

Laboratory Procedure

Lab Analog Connection Dual Milling Abutment


Connection

Modification

Crown Wax-up

Final Restoration
Cementation Type

Lab Side

Impression coping and


analog assembly

Soft tissue modeling

Master model

SimpleLine ll Surgical / Prosthesis Manual

29

Fixture Level- Dual Milling Abutment


[Single Unit]

Select an appropriate
dual milling abutment.

Abutment after milling process

Fabrication of positioning jig

Fabrication of pattern resin cap

Completion of wax-up

Metal framework

Chairside

Final prosthesis

Use positioning jig to transfer the


abutment in the model to the oral cavity
then tighten it to 25~30Ncm.
Re-tighten it after 15 minutes.

Insertion of final prosthesis and occlusal


adjustment

* In the process of seating the prosthesis, the components can be rebounded by gingival tissue.
In that case, it is advised to apply occlusal load on the prosthesis for 10~15 minutes.

30

SimpleLine ll Surgical / Prosthesis Manual

Fixture Level- Angled Abutment


[Single Unit]

Clinical Procedure

Healing Abutment

Fixture Level Impression


Pick-up Type
Open Tray

Fixture Level Impression


Transfer Type
Closed Tray

Laboratory Procedure

Lab Analog Connection

Angled Abutment
Connection

Modification

Crown Wax-up

Final Restoration
Cementation Type

Lab Side

Placement of analog
on the impression.

Soft tissue modeling

Unscrew and separate impression from


the model.

SimpleLine ll Surgical / Prosthesis Manual

31

Fixture Level- Angled Abutment


[Single Unit]

Master model

Select an angled abutment.

Modification of angled abutment


& fabrication of positioning jig

Fabrication of pattern resin cap

Wax-up

Metal framework

Insertion of the angled


abutment using positioning jig

Insertion of final prosthesis and


occlusal adjustment

Chairside

Final prosthesis

32

SimpleLine ll Surgical / Prosthesis Manual

Fixture Level- Direct-Casting Abutment


[Single Unit]

Clinical Procedure

Healing Abutment

Fixture Level Impression


Pick-up Type
Open Tray

Fixture Level Impression


Transfer Type
Closed Tray

Laboratory Procedure

Lab Analog Connection

Direct-Casting Abutment
Connection

Modification

Crown Wax-up

Final Restoration
Cementation Type

Lab Side

Placement of analog
on the impression.

Soft tissue modeling

Unscrew and separate impression


from the model.

SimpleLine ll Surgical / Prosthesis Manual

33

Fixture Level- Direct-Casting Abutment


[Single Unit]

Placement of direct casting abutment

Completed customized abutment

Fabrication of positioning jig

Fabrication of pattern resin cap

Wax-up

Metal framework

Insertion of customized abutment using


positioning jig

Insertion of final prosthesis and


occlusal adjustment

Chairside

Final prosthesis

Fixture Level- Temporary Abutment


[Multiple Units]
<Using Ti Abutment>

Ti-Temporary
Abutment

Plastic
Temporary
Abutment

Considering the opposing teeth before


seating the temporary abutment, trim off
the abutment as needed and complete
the temporary abutment prosthesis with
direct resin.

<Using Plastic Abutment>

34

SimpleLine ll Surgical / Prosthesis Manual

Prosthetic Procedure 3
Impression Technique and Restoration Selection

Screw Abutment
Abutment Level Impression

Screw Abutment
4.8 / 6.5

Closed
Tray Technique

Open
Tray Technique

Impression Coping Transfer

Impression Coping Pick-up

Hex / Non-hex 4.8 / 6.5

Hex / Non-hex 4.8 / 6.5

Analog
4.8 / 6.5

Burn-out Cylinder

Gold Cylinder

Metal Cylinder

Titanium Cylinder

4.8 / 6.5

4.8 / 6.5

4.8 / 6.5

4.8 / 6.5

Bridge

Single

Bridge

Single

Bridge

Single

Bridge

Single

(Non-hex)

(Hex)

(Non-hex)

(Hex)

(Non-hex)

(Hex)

(Non-hex)

(Hex)

Polishing Protector

Temporary Restoration

4.8 / 6.5

Ti-Retaining Screw
Screw-Retained Restoration

SimpleLine ll Surgical / Prosthesis Manual

35

Abutment Level- Screw Abutment


[Multiple Units]

Clinical Procedure

Healing Abutment

Screw Abutment

Impression Coping
Transfer Type

Abutment Level
Impression

Chairside

Screw abutment and delivery holder

Select and seat an appropriate screw


abutment with delivery holder.

Tighten it to 25~30Ncm.
Re-tighten it after 15 minutes
with screw abutment adapter.

Screw abutment transfer copings


(abutment level)

Placement of impression copings

Injection of impression material

Impression taking

Inner-surface of impression

Placement of comfort cap on


screw abutment

36

SimpleLine ll Surgical / Prosthesis Manual

Abutment Level- Screw Abutment


[Multiple Units]

Laboratory Procedure

Lab Analog Connection

Cylinder Connection

Modification

Crown Wax-up

Final Restoration
Screw Retained

Lab Side

Insertion of analog into impression

Position impression coping and


analog assembly in the exact location of
the impression.

Soft tissue modeling

Fabrication of master model

Removal of impression coping

Connect the screw abutment cylinder


and tighten it with Ti-retaining screw.

Trim cylinder to its appropriate height


considering the distance with
opposing teeth.

Connect the plastic bar in the middle of


trimmed burn-out cylinders to help
support the resin pattern.
Resin pattern may have shrinkages.

Wax-up

SimpleLine ll Surgical / Prosthesis Manual

37

Abutment Level- Screw Abutment


[Multiple Units]

Gold framework

Removal of lip remaining in the interior of


metal framework by using reamer

Completion of final prosthesis

Insertion of final prosthesis and occlusal


adjustment. Tighten it with
Ti-retaining screw (10 Ncm).

Completion of gold framework

38

SimpleLine ll Surgical / Prosthesis Manual

Cementation Repair Method (SCRP)


[Screw & Cement Retained Prosthesis]

In light of Implant Prosthesis:


Screw type restoration simplifies prosthetic repair or insertion and removal of the prosthesis to any given situation.
Cement type restoration tend to have a stable occlusion and may enhance the adaptability.
However the weak point is, it cannot be removed after permanent cementation.
A SCA abutment can be cemented or screw retained.
Solid abutments are cement retained and no occlusal hole is necessary.

In case of Screw Loosening or Prosthesis Repair

In case of the following:


screw loosening or
prosthesis repair

In order to unscrew, form access hole


on the occlusal surface with bur.

Unscrew, and remove the prosthesis


from the oral cavity.

Both cemented prosthesis and


abutment are removed.

Finish the repair and seat it inside


the oral cavity.

Tighten the prosthesis with


25~30Ncm by a screw driver
* In case of screw abutment connection,
Ti-Retain screw has to be tightened to 10Ncm.

Fill the access hole with cotton.

Finally fill the access hole with resin.

Final prosthesis

SimpleLine ll Surgical / Prosthesis Manual

39

Cementation Repair Method (SCRP)


[Screw & Cement Retained Prosthesis]
Separation of Prosthesis with Abutment due to Cement Loss

Remove the screw completely with


25~30Ncm and remove prosthesis
from the oral cavity.

Spread cement after removing


the old one.

Unscrew and remove the excessive


cement outside the oral cavity.

Insert the separated prosthesis material


and abutment in the oral cavity.

Set in the oral cavity.


* In case of screw abutment connection,
Ti-Retain screw has to be tightened to 10Ncm.

Tighten the prosthesis with


25~30Ncm by screw driver.

In case of prosthesis loosening and adding the interproximal surface is necessary

In case of getting additional


contact due to contact loosening

Position the prosthesis in the mouth and


tighten the screw with 25~30Ncm,
then fill up the access hole.

Form access hole using bur

Unscrew, and remove the cemented


prosthesis with abutment in the oral cavity.

Add contacts with resin on the


prepared space under

Insert the prosthesis in the oral cavity


and screw it in. Afterwards, perform light
curing, then polish the contact area.

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SimpleLine ll Surgical / Prosthesis Manual

Prosthetic Procedure 4
Impression Technique and Restoration Type

Overdenture Procedure
Positoner / Ball / Magnetic Attachment

Positioner

Ball Abutment

Implant Keeper

4.8

4.8 / 6.5

4.8 / 6.5

Abutment Level Impression

Positioner Impression Coping

Ball Impression Coping

Positioner Analog

Ball Analog

Positioner Block Out Spacer

Socket Spacer

Magnetic Assay
Positioner Metal Socket
/ Plastic Socket

Positioner Attachment
for Overdenture

Mini Denture Socket and O-ring

Ball and Socket Attachment


for Overdenture

Magnetic Attachment
for Overdenture

SimpleLine ll Surgical / Prosthesis Manual

41

Positioner
Chairside

Connect the Positioner abutment onto


the fixture.

Produce the individual tray for


denture impression

After the impression material is set,


discard the individual tray.

Affix the impression coping on the


Positioner abutment.

abutment and the impression coping


together, apply the impression material.

Take impression for the production of


individual tray

Take the final impression with the


prepared individual tray.

Image of the set final impression


(with impression coping).

Lab side

Positioner analog

Insert the Positioner analog into the


embedded impression coping.

Block out procedure to achieve the


space required for the metal socket.

Fabrication fo denture with


conventional method

Create the master model

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SimpleLine ll Surgical / Prosthesis Manual

Positioner
Case 1

Chairside

Secure spaces for the female sockets.

Place the block out spacer on the


positioner abutment in the patients
mouth.

Connect the metal socket onto the


positioner abutment.

Apply a small amount of resin into the


space created for the metal socket.

Position the denture in the mouth and


wait until the resin is completely set.

Remove the white plastic socket (100gf)


using the positioner tool and assemble with
the regular plastic socket giving the desired
retention force (300, 500 or 1000gf).

Remove the denture after the resin is


fully set. Image of the denture
with the metal socket.

Remove the block out spacer from the


patients mouth.

Polish and the overdenture


is complete.

Case 2

Chairside

Create holes for the placement


of the metal sockets.

Place the block out spacer on the


Positioner abutment in the intraoral

Connect the metal socket onto the


positioner abutment.

Examine the interference


between inner surface of the
holes and the female sockets

Apply the resin into the holes and wait


until it is completely set

Remove the white plastic socket (100gf)


using the positioner tool and assemble with
the regular plastic socket giving the desired
retention force (300, 500 or 1000gf).

Apply additional resin around the metal


socket where there is a shortage of
resin.

Apply resin around the metal socket.

Polish and the overdenture


is complete.

SimpleLine ll Surgical / Prosthesis Manual

43

Ball Attachment
Chairside

Connect the ball abutment


with fixture

Affix the impression coping


on the mini ball type fixture.

Take Impression for the production of


individual tray

Produce the individual tray for


denture impression

Apply the impression material.

Take the final impression with the


prepared individual tray.

After the impression material is set,


discard the individual tray.

Image of the set final impression


(with impression coping).

Lab side

Ball analog

Insert analogs into the embedded


impression coping.

Socket spacer

Fabrication of denture
with conventional method

Create the master model

44

SimpleLine ll Surgical / Prosthesis Manual

Ball Attachment
Case 1

Chairside

Secure spaces for the female sockets.

Connect the female sockets to the


ball abutments in the intraoral.

Apply small amount of the resin


into the secured area.

Position the denture in the mouth and


wait until the resin is completely set.

Female sockets are placed


in the denture

Polish and the overdenture


is complete.

Case 2

Chairside

Create holes for the placement


of the female sockets.

Connect the female sockets to the


ball abutments in the intraoral.

Examine the interference between inner


surface of the holes and the
female sockets

Apply the resin into the holes and wait


until it is completely set.

Place the female sockets

Apply resin around the female sockets

Polish and the overdenture


is complete.

SimpleLine ll Surgical / Prosthesis Manual

45

Magnetic Attachment
Chairside

Remove healing abutment

Connect implant keeper with fixture and


tighten it with 25~30 Ncm

Implant keepers connected with


the fixtures

Position the magnetic assay on the


implant keeper.

Secure spaces for the magnetic assays

Examine the interference between inner


divet of the denture and the magnets

Apply resin on the divets of the


dentures inner surface

Position the denture into the mouth and


wait until the resin is completely set.

Position the denture into the mouth and


wait for initial setting

Remove the denture and apply resin


around the magnets

After the resin is completely set,


remove excess. Polish and the
overdenture is complete.

Case 1

46

SimpleLine ll Surgical / Prosthesis Manual

Magnetic Attachment
Case 2

Create holes for the placement of


the magnets

Examine the interference between inner


surface of the holes and
the magnets

Apply small amount of resin into the


hole

Position the denture in the mouth and


wait until the resin is completely set.

After initial setting, remove denture from


mouth.

Add the resin around the magnets.

Polish and the overdenture is complete.

Copyright January, 2013 DENTIUM

SimpleLine II
Surgical / Prosthesis Manual

Specifications are subject to change without prior notice.


Some products to be launched in the market after necessary approvals are also listed in this catalog.
HEAD OFFICE
3105 Trade Tower, 513 Yeongdong-daero, Gangnam-gu, Seoul, Korea (135-731)
HOMEPAGE
www.dentium.com

SL2M-1301 [Rev.1]
T +82-2-501-8560 F +82-2-567-9578

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