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ICX-PROSTHETICS MANUAL 4.1
THE IMPLANT-SYSTEM OF THE FUTURE.
The FAIR PremiumImplant-System
59per ICX-implantall lengths all diameters*plus VAT
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I C X - p r o s t h e t i c s M a n u a l 4 . 1C O N T E N T
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Service ................................................................................................................4
I. Impression taking ..........................................................................................6 Ia.) ICX-templant 3.75mm; 4.1mm; 4.8mm
ICX-plus 3.45 Closed tray impression ................................................................................................................ 7 Open tray impression ................................................................................................................10 Direct impression ....................................................................................................................... 12
Ib.) ICX-mini 2.9mm ..........................................................................................................................14 Direct impression ........................................................................................................................14
Prosthetic / dental technicianFor ICX-templant 3.75mm, 4.1mm, 4.8mm
ICX-plus 3.45 ICX-mini 2.9mm
II. Single tooth replacement ..................................................................... 17-25 a. Screw retained
b. Cement retained
III. Implant supported bridges ................................................................. 26-32 a. Screw retained
b. Cement retained
IV. Telescopic crowns ................................................................................ 34-37 a. ICX-Universal abutment
b. ICX-Gold and burn-out abutment
c. ICX-CAD/CAM-bonded abutments
V. Bar retained overdentures ................................................................... 38-40 a.Direct bar
b. Passive Stegarbeiten
c. Stegarbeiten auf ICX-multi (nachzulesen im ICX-multi-Handbuch)
VI. ICX-mini ................................................................................................ 41-45 a. With ICX-mini-solid abutment ................................................................................................ 41
b. With T-Ecco .................................................................................................................................42
c. With Dalbo®-Plus ................................................................................................................ 44 -48
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Explanation of signs & symbols
Colour coding and corresponding diameters on ICX drills and implants
Explanation of signs & symbols on packaging and product information sheets
LOT number
article number
item has been sterilised by γ ray sterilisation
use before/expiry date
single use only
read the user manual carefully
templant® products comply with CE standards according to 93/42 EWG
WHITE l = Ø 2.9mm
YELLOW l = Ø 3.45mm
RED l = Ø 3.75mm
GREEN l = Ø 4.1mm
BLUE l = Ø 4.8mm
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SE
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IC
EExplanation of signs & symbols
Personal ordering service
Free exchange of all ICX implants
10–year osseointegration guarantee
20–year supply guarantee
Order forms
Request free fax–forms for your next order
Terms and conditions
Terms and conditions apply (please refer to www.medentis.de)
The FAIR PremiumImplant-System
You have any questions?
For more information please call:
Tel.: +49 (0)2641 9110-0 E-Mail: [email protected]
www.medentis.de
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Impression taking for:
ICX-templant® 3.75mm · 4.1mm · 4.8mm
ICX-plus 3.45mm
ICX-mini 2.9mm
User manual for:
➲ Closed tray impression………………………Page 7
➲ Open tray impression……………………… Page 10
➲ Direct impression…………………………… Page 12
The FAIR PremiumImplant-System
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Over view: I . I M P R E S S I O N T A K I N G
ICX-templant®: I a . C L O S E D T R A Y I M P R E S S I O N
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ICX-templant offers an easy and accurate way to take closed tray impressions
For closed tray impressions ICX-templant 3.75mm, 4.1mm, 4.8mm and ICX-plus 3.45mm
use the same impression post (art. no.: C-005-0200002).
The article “ICX-impression post titanium, closed tray” (art. no.: C-005-0200002)
contains following components:
1. Impression cap
2. Connecting screw
3. Impression post
1. Using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025), remove the healing
abutment and connect the impression post finger tight to the implant.
Please ensure that the impression post is seated correctly on the implant before tightening
the connection screw.
2. Seat the impression cap onto the impression post. The impression can be taken
now using a conventional or a specially made tray.
Important:To ensure the accuracy required for the final restoration, a firm impression
material such as polyether or silicone based materials should be used.
Soft impression materials such as alginates are not recommended.
1.
2.
art. no.: C-005-0200002
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ICX: I a . C L O S E D T R A Y I M P R E S S I O N
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3. After the impression material has fully set, the impression can be removed from
the patient’s mouth. The impression caps will remain firmly fixated in the impres-
sion material.
4. Remove the impression post using the ICX hexagon screw driver SW 1.4 (i.e. art.
no. C-015-100025). Reposition and tighten the healing abutment and send the
impression post together with the impression to the dental lab.
Important:
For closed tray impressions always mark the impression post used
for each implant. The dental technician has to use the same post
for the same site. Best use a water resistant marker and the plastic
vials supplied (see picture). Please advise the dental technician if
the impression was taken of an ICX-plus implant.
5. Dental technician
The dental technician connects the impression post to the lab analogue
(i.e. art. no.: C-006-010001 or for ICX-plus C-006-010002) with the connecting screw.
Now the impression post is placed in the impression cap that remained i
n the impression and the model can be cast following the supplier‘s recommendation.
TIP:
We recommend a gingival mask as a standard.
ICX impression caps are single use items as accurate fit cannot be guaranteed when reused.
To reordered use art. no.: C-005-040002.
3.
5.
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The FAIR PremiumImplant-System
You have any questions?
For more information please call:
Tel.: +49 (0)2641 9110-0 E-Mail: [email protected]
www.medentis.de
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ICX-templant®: I A . O P E N T R A Y I M P R E S S I O N
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ICX-templant offers an easy and accurate way to take open tray impressions.
For open tray impressions ICX-templant 3.75mm, 4.1mm, 4.8mm and ICX-plus 3.45mm use the same impressi-
on post. However, this impression post is available in two different lengths.
The article ‘ICX-impression post titanium, open tray’ (art. no.: C-005-0300002)
contains following components:
1. Connecting screw 1. Connecting screw
2. Impression post 2. Impression post
1. 1. Choose the correct length impression post depending on the space available.
Using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025), remove the
healing abutment and connect the impression post finger tight to the implant.
Please ensure that the impression post is seated correctly on the implant before
tightening the connection screw.
2. Prior to taking the impression, ensure that the custom made or customised impression tray has hole(s)
of appropriate size in the correct place(s) to allow access to the connection screw of the impression post.
The connection screw should not touch the impression tray. The impression can now be taken using a
firm impression material. Please ensure the impression material penetrates the grooves of the impression
post sufficiently to ensure the impression post stays positioned accurately in the impression when the
impression is removed.
Important:To ensure the accuracy required for the final restoration,
a firm impression material such as polyether or silicone
based materials should be used. Soft impression materials
such as alginates are not recommended.
1.
art. no.: C-005-0300001 art. no.: C-005-0300002
Open tray impression post long
Open tray impression post short
2.
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ICX-templant®: I A . O P E N T R A Y I M P R E S S I O N
3. Once the impression material has fully set, the impression posts need to
be unscrewed from the implants. Remove excess impression material from
the heads of the connection screws and unscrew them fully using the
ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025).
4. Important:
Remove the impression carefully from the patient’s mouth. The impression
posts will remain in the impression material. Please ensure that they are
correctly and firmly positioned in the impression.
5. Reposition and tighten the healing abutment and send the impression
and connecting screw to your dental lab.
Important:Please advise the dental technician if the impression was taken of an ICX-plus implant!
6. Dental technician
The dental technician connects the impression post to the lab analogue (i.e. art. no.: C-006-010001 or for
ICX-plus C-006-010002) with the connecting screw. The model can now be made following the supplier‘s
recommendation.
TIP:
We recommend a gingiva mask as a standard.
3.
4.
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ICX-templant®: I a . D I R E C T I M P R E S S I O N
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ICX-templant offers an easy and accurate way to take direct impressions.
Instead of using impression posts to transfer to the dental lab you also have the option of using a prefabri-
cated abutment of zirconia or titanium. These are available in different angulations, gingival heights and as
standard or ICX-Aesthetic Line abutments.
1. 1. After choosing the correct abutment remove the healing abutment and connect the abutment to the
implant. Please ensure that the abutment is seated correctly on the implant before tightening the enclo-
sed connection screw. The connecting screw is tightened using the ICX hexagon screw driver SW 1.4 (i.e.
art. no. C-015-100025), and the ICX ratchet (art. no. 960001). Tighten to a torque of 30 Ncm.
2. 2. Now you can reshape the abutment to your individual requirements. The abutments can be reshaped
similarly to a crown preparation. You have the option to change the margin of the preparation, change
emergence profile and the height of the abutment.
Important:
After reshaping the abutment please check again the correct positioning of the
abutment and the torque level of the connecting screw of 30Ncm.
3. After reshaping the abutment and confirming the correct positioning and
the torque level, close the screw access in the abutment using a composite
material of your choice. To prevent the screw head from being filled with
composite (in case of the need to re-access the screw) place a cotton wool pellet
or folded up PTFE (Polytetrafluorethylene) tape on the screw first.
+1.
3.
art. no. C-015-100025 art. no. 960001
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ICX-templant®: I a . D I R E C T I M P R E S S I O N
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ICX-templant®: I a . D I R E C T I M P R E S S I O N
4. Fill the access with composite avoiding overfill.
5. After confirming tight fit of the abutment and closing the screw access of the abutment, proceed to taking the
impression. The impression is taken in the same way as you would take an impression of natural teeth prepa-
red for crown or bridgework.
Important:To ensure the accuracy required for the final restoration, a firm impression material such as polyether or silicone
based materials should be used. Soft impression materials such as alginates are not recommended.
6. Dental technician
The dental technician manufactures the master model in the same way as for conventional crown and bridge-
work following the manufacturer‘s recommendations.
4. 4.
✗
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ICX- mini : I b . D I R E C T I M P R E S S I O N T A K I N G - A -
The ICX-mini-implant system offers an easy and accurate way to take direct impressions
A: For the use of ICX-T-Ecco (art. no. T-13825) and ICX-Dalbo®-plus (please see page 44)
B: For use of ICX-mini-solid abutment (art. no. C-026-010501)
A1. Instead of an impression post, choose the correct heights (2mm or 3mm) ICX-t bona screw (i.e. art. no.
C-002-090002) or leave the ICX-t bona screw of 1mm in place. To connect the ICX-t bona onto the implant
use the ICX-t bona placement tool (art. no. C-015-100007) together with the ICX ratchet (art. no. 960001)
set to a torque of 25 Ncm.
A2. Now the impression can be taken in the same way as you would take an impression of natural teeth prepared
for crown and bridgework.
Important:To ensure the accuracy required for the final restoration, a firm impression material such as polyether or silicone
based materials should be used. Soft impression materials such as alginates are not recommended.
A3. Send the impression and the supplied lab analogues to your dental laboratory.
A4. Dental technician
The dental technician positions the laboratory analogues in the impression, ensuring exact positioning. The
master model is now manufactured in the same way as for conventional crown and bridgework following the
manufacturer‘s recommendations.
A1.
A4.
art. no. T-13825art. no. C-015-100007
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ICX- mini : I b . D I R E C T I M P R E S S I O N T A K I N G - B -
B1. Instead of an impression post place the ICX-mini-solid abutment (art. no. C-026-010501) onto the ICX-
mini-implant following the instructions (page 41).
B2. Now the impression is taken in the same way as you would take an impression of natural teeth prepared
for crown and bridgework.
Important:To ensure the accuracy required for the final restoration, a firm impression material such as polyether or sili-
cone based materials should be used. Soft impression materials such as alginates are not recommended.
B3. Send the impression to your dental laboratory.
B4. Dental technician
The dental technician manufactures the master model in the same way as for conventional crown and brid-
gework following the manufacturer‘s recommendations.
B1.
art. no. C-026-010501
The FAIR PremiumImplant-System
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The FAIR PremiumImplant-System
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Over view:: P R O S T H E T I C / D E N T A L L A B O R A T O R Y
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Prosthetic / dental laboratory
for ICX-templant 3.75mm · 4.1mm · 4.8mm ICX-plus 3.45 ICX-mini 2.9mm
II. Single tooth replacement ...................................................17-25
a. Screw retained
b. Cement retained
III. Implant supported bridges ................................................ 26-32 a. Screw retained
b. Cement retained
IV. Telescopic crowns ............................................................... 34-37 a. ICX-Universal abutment
b. ICX-Gold- and burn-out abutment
c. ICX-CAD/CAM-bonded abutments
V. Bar ........................................................................................38-40 a. Direct bar
b. Indirect bar
c. Bars supported on ICX-multi (see ICX-multi-manual)
VI. ICX-mini ............................................................................... 41-45 With ICX-mini-solid abutment ..........................................................................41
With T-Ecco ..........................................................................................................42
With Dalbo®-Plus ................................................................................................ 44
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After impression and model making, dentist and dental technician have two prosthetic options
to restore a single tooth.
a. Screw retained crown
b. Cement retained crown
It is recommended for the dentist to ask the technician to make a wax up as part of the treatment planning
prior to implant placement to ensure best possible prosthetic results.
This can be used to make a surgical stent, be an aide when making a temporary restoration and serves as a
reference to judge the available space when the final restoration is being made.
Material- and abutment selectionAfter liaising with the dentist, the dental technician selects the best abutment for each implant.
Possible options are:
1. Provisional abutment (chair side or dental laboratory)
2. Standard titanium abutment
3. ICX aesthetics abutment
4. ICX universal abutment
5. Standard ceramics abutment
6. ICX aesthetics abutment ceramics
7. Gold and burn-out abutment
8. ICX CAD/CAM abutment
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1a. Provisional Abutments for screw retained restorations
The dental technician connects the ICX-healing abutment with a collar height of 2mm or
4mm (i.e. art. no. C-004-514720 or C-004-514740) with the ICX hexagon screw driver SW 1.4
(i.e. art. no. C-015-100025) onto the implant analogue in the master model. The supplied
connection screw is finger tightened.
The ICX-Peek abutment can now be reshaped to individualise it. You have the option to change the margin
of the preparation, change emergence profile and the height of the abutment. Use the silicon key made from
the wax up as an aid. Close the connection screw canal with modelling wax and make a temporary crown
in the conventional way. Once finished, drill into the incisal/palatal region to reopen the connection screw
canal. You can remove the remaining modelling wax carefully steaming out the wax.
The provisional implant crown is checked and send to the dentist.
The dentist can fit the provisional crown onto the implant with the ICX hexagon screw driver SW 1.4 (i.e.
art. no. C-015-100025) and the ICX ratchet (art. no. 960001) tightened to a torque of 15 Ncm. Close the screw
access in the temporary crown using a composite material of your choice. To prevent the screw head from
being filled with composite, place a cotton wool pellet or folded up PTFE tape on the screw first.
The provisional implant can be removed as required by re-accessing the screw canal.
1b. Provisional Abutments for cement retained restorations
The dentist fits the provisional ICX-abutment with hex onto the implant. A choice of heights
of 6mm, 8mm and 10mm as well as diameters of 5mm or 7mm is available. The supplied
connection screw is tightened by hand using ICX hexagon screw driver SW 1.4 (i.e. art. no.
C-015-100025).
Mark the gingival margin on the abutment, unscrew and remove the temporary abutment from the mouth
and connect it to an analogue (i.e. art. no. C-006-010001 or for ICX-plus no. C-006-010002). You can now
reshape the abutment to your individual requirements. The abutments can be reshaped similarly to a crown
preparation. You have the option to change the margin of the preparation, change emergence profile and
the height of the abutment.
Once you have reached the required shape, fit the provisional abutment onto the implant with the ICX
hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no. 960001) tightened to a
torque of 15 Ncm and close the screw access in the temporary abutment using a composite material of your
choice. To prevent the screw head from being filled with composite, place a cotton wool pellet or folded up
PTFE tape on the screw first. Apply a thin film of vaseline onto the finished temporary abutment to prevent
the temporary crown material from adhering to the temporary abutment and proceed to make a provisional
crown in the same way you would for a natural tooth.
art. no. C-004-504720 to C-004-514740
Example.: art. no. C-004-524706
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2b. Titanium abutments (Cement retained)
Dental technician:
For single tooth restorations use abutments with Hex only. Measure the gingiva level on
the master model to determine shape and angulation of the prefabricated abutment re-
quired. This will enable you to select the best matching abutment. Several collar heights
and shape options are available.
Please confirm whether a ICX-plus or standard implant was used by the dentist.
Connect the titanium abutment you have selected to the master model with the lab screw using the ICX he-
xagon screw driver SW 1.4 (i.e. art. no. C-015-100025). Mark heights, widths and gingival level using the silicone
key made from the wax up.
To customise the abutment remove it from master model and connect the abutment to an additional mat-
ching analogue that is used as a work model. Now you can reshape the abutment to your individual require-
ments. The margin of the preparation, emergence profile and the height of the abutment can all be modified
as needed.
Once the abutment fits your requirements you can make a crown in the way you do for a natural tooth. After a
final check and cleaning it is useful to make an insertion jig to help the dentist with the correct positioning of
the abutment.
Dentist:
Insert the titanium abutment with the jig provided to ensure correct positioning and tighten the connec-
ting screw using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no.
960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and close the screw access using a
composite material of your choice. To prevent the screw head from being filled with composite, place a cotton
wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first, avoid overfill.
Try the crown in and if accurate fit is confirmed, cement the crown with your preferred method and materials.
Example: art. no. C-010-020025
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3b. Ceramic abutments (cement retained)
Important
Please note that ceramic abutments are only intended for use in the anterior region and cannot
be used in the molar and premolar region.
Dental technician:
For single tooth restorations use abutments with Hex only. On the master model, measure the gingival level and
determine shape and angulation of the prefabricated abutment required. This will enable you to select the best
matching abutment. Several collar heights and shape options are available.
Please confirm whether a ICX-plus or standard implant was used by the dentist.
Connect the ceramic abutment you have selected to the master model with the lab screw using the ICX hexagon
screw driver SW 1.4 (i.e. art. no. C-015-100025). Mark heights, widths and gingival levels using the silicone key
made from the wax up.
To customise the abutment remove it from master model and connect the abutment to an additional matching
analogue that is used as a work model. Now you can reshape the abutment to your individual requirements. The
margin of the preparation, emergence profile and the height of the abutment can all be modified as needed.
Important
To customise the ceramic abutments only use suitable fine diamond coated burrs in a fast speed handpiece
under minimal pressure. Please also ensure sufficient water spray for cooling to avoid excessive heat and do
not reduce any of the abutment walls beyond minimum thickness of 0.5mm.
Once the abutment fits your requirements you can make a crown in the way you do for a natural tooth. After a
final check and cleaning it is useful to make an insertion jig to help the dentist with the correct positioning of the
abutment.
Dentist:
Insert the ceramic abutment with the jig provided to ensure correct positioning and tighten the connecting
screw using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and
the ICX ratchet (art. no. 960001). Tighten to a torque of 30 Ncm, confirm accurate
positioning and close the screw access using a composite material of your choice.
To prevent the screw head from being filled with composite, place a cotton wool
pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first, avoid
overfill.
Try the crown in and if accurate fit is confirmed, cement the crown with your
preferred method and materials.
S e r v i c e -Te l . : + 4 9 ( 0 )2 6 41 9110 - 0 · w w w. m e d e n t i s . d e S e r v i c e -Te l . : + 4 9 ( 0 )2 6 41 9110 - 0 · w w w. m e d e n t i s . d e22
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4a. Gold and burn-out abutment (screw retained)
Dental technician:
For cast metal ceramics single tooth restorations use abutments with Hex only.
The two options available are ICX gold abutment (art. no. C-008-010001) or
ICX burn-out abutment (art. no. 008-030001).
– The choice of abutment will be determined by the alloy to be used for the final
restoration. The ICX gold abutment requires a high gold content alloy whereas
the ICX burn-out abutment can be used with non-precious alloys.
– The machined connection area of the ICX gold abutment will tend to provide a
more accurate fit than the cast alternative using the ICX burn-out abutment.
Connect the abutment of your choice hand tight to the master model with the lab screw using the
ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025).
Shorten the abutment according to the silicone key and customise the abutment by adding modelling wax/
resin aiming for a reduced shape of the final tooth shape required. Please ensure to maintain a minimum
thickness along the screw channel of 0.7mm to avoid complications during the casting process. Keep the
screw canal open and do not model over the shoulder of the abutment. Cast in the usual way ensuring
compatibility of alloys and following manufacturer‘s recommendations. Please ensure NOT to sandblast the
connection area of the abutment as this will compromise fit.
You can now layer porcelain onto the abutment using the same techniques you would for a conventional
crown made of the alloy used.
Dentist:
Insert the metal ceramic single tooth restoration and ensure correct positioning. Tighten the connecting
screw using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no.
960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and close the screw access using a
composite material of your choice. To prevent the screw head from being filled with composite, place a cotton
wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first.
It is possible to re-access the connection screw by removing the filling from the screw canal if this should be
required in the future.
+
art. no. C-008-010001
Artikel-Nr. C-015-100025 Artikel-Nr. 960001
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4b. Gold and burn-out abutment (cement retained) Dental technician:
For single tooth restorations use abutments with Hex only. The two options
available are ICX gold abutment (art. no. C-008-010001) or IXC burn-out abut-
ment (art. no. 008-030001).
– The choice of abutment will be determined by the alloy to be used for the
abutment. The ICX gold abutment requires a high gold content alloy whereas
the IXC burn-out abutment can be used with non-precious alloys.
– The machined connection area of the ICX gold abutment will tend to provide a more accurate fit than the
cast alternative using the IXC burn-out abutment.
Connect the abutment of your choice hand tight to the master model with the lab screw using the ICX
hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025).
Shorten the abutment according to the silicone key and customise the abutment by adding modelling wax/
resin aiming for a reduced shape of the final tooth shape required. Please ensure to maintain a minimum
thickness along the screw channel of 0.7mm to avoid complications during the casting process. Keep the
screw canal open and do not model over the shoulder of the abutment. Cast in the usual way ensuring
compatibility of alloys and following manufacturer‘s recommendations. Please ensure NOT to sandblast the
connection area of the abutment as this will compromise fit.
Once the abutment fits your requirements, you can make a crown in the way you do for a natural tooth.
After a final check and cleaning it is useful to make a insertion jig to help the dentist with the correct posi-
tioning of the abutment.
Dentist:
Insert the individually cast abutment with the jig provided to ensure correct positioning and tighten the
connecting screw using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet
(art. no. 960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and close the screw access
using a composite material of your choice. To prevent the screw head from being filled with composite,
place a cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first, avoid overfill.
Try the crown in and if accurate fit is confirmed, cement the crown with your preferred method
and materials.
art. no. C-008-010001 art. no. C-008-010001
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5a. ICX-CAD/CAM-abutments (screw retained) Dental technician:
For single tooth restorations use abutments with Hex only. The two options
available are ICX CAD/CAM- abutment (art. no. C-029-000002) or ICX CAD/
CAM- abutment (art. no. C-029-000004).
The ICX CAD/CAM- abutment GH 0mm is not compatible with ICX-plus imp-
lant therefore please confirm with the dentist the type of implant used.
The chosen CAD/CAM- abutment will serve as a base to bond the crown to that you will manufacture.
You can scan your abutment or, with some systems, use the ICX-scanabutment (art. no. C-030-000001). You
are free to choose your preferred material for milling.
When bonding the crown to the abutment, ensure the screw canal remains open. Remember to first finish the
crown fully before bonding it to the abutment.
Dentist:
Insert the restoration your dental lab has made ensuring correct
positioning and tighten the connecting screw using the ICX hexagon
screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art.
no. 960001). Tighten to a torque of 30 Ncm, confirm accurate positio-
ning and close the screw access using a composite material of your
choice. To prevent the screw head from being filled with composite,
place a cotton wool pellet or folded up PTFE (Polytetrafluorethylene)
tape on the screw first.
It is possible to re-access the connection screw by removing the filling from the screw canal if this should be
required in the future.
left: art. no. C-029-000002right: art. no. C-029-000004
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5b. ICX CAD/CAM-abutments (cement retained) Dental technician:
For single tooth restorations use abutments with Hex only. The two op-
tions available are ICX CAD/CAM- abutment (art. no. C-029-000002) or ICX
CAD/CAM- abutment (art. no. C-029-000004).
The ICX CAD/CAM- abutment GH 0mm is not compatible with ICX-plus imp-
lant therefore please confirm with the dentist the type of implant used.
The ICX CAD/CAM- abutment will serve as a base to bond your mesio structure to.
You can scan your abutment or use the ICX-scanabutment (art. no. C-030-000001) to create a stump shape.
When bonding the milled mesio structure to the abutment ensure the screw canal is open. You can design
the crown in the usual way and after a final check and cleaning it is useful to make a insertion jig to help the
dentist with the correct fit of the abutment.
Dentist:
Insert the abutment with the jig provided to ensure correct positioning and tighten the connecting screw
using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no. 960001).
Tighten to a torque of 30 Ncm, confirm accurate positioning and close
the screw access using a composite material of your choice. To prevent
the screw head from being filled with composite, place a cotton wool
pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first,
avoid overfill.
Try the crown in and if accurate fit is confirmed, cement the crown with
your preferred method and materials.
After tightening the connection screw and closing the screw canal,
the crown is tried in and cemented.
left: art. no. C-029-000002right: art. no.C-029-000004
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After impression and model making, dentist and dental technician have two prosthetic options for implant
supported bridgework.
a. Screw retained restorations
b. Cement retained restoration
It is recommended for the dentist to ask the technician to make a wax up as part of the treatment planning
prior to implant placement to ensure best possible prosthetic results.
This can be used to make a surgical stent, be an aide when making a temporary restoration and serves as a
reference to judge the available space when the final restoration is being made.
Choosing the correct abutments for implant supported bridges:
1. Provisional abutment (chair side or dental laboratory
for individualised healing abutments)
2. Standard titanium abutments
3. ICX aesthetics abutments
4. ICX universal abutments
7. Gold and burn-out abutments
8. ICX CAD/CAM-abutments
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1a. Provisional abutments (screw retained)
Dental technician:
The dental technician connects the ICX-healing abutment with a collar height of 2mm or
4mm (i.e. art. no. C-004-514720 or C-004-514740) with the ICX hexagon screw driver SW 1.4
(i.e. art. no. C-015-100025) onto the implant analogue in the master model. The supplied
connection screw is finger tightened.
The ICX-Peek abutment can now be reshaped to individualised it. You have the option to
change the margin of the preparation, change emergence profile and the height of the abutment. Use the
silicon key made from the wax up as an aid. Close the connection screw canal with modelling wax and make
a temporary crown in the conventional way. Once finished, drill into the incisal/palatal region to reopen the
connection screw canal. You can remove the remaining modelling wax by carefully steaming out the wax.
The provisional implant bridge is checked and send to the dentist.
Dentist:
The dentist can fit the provisional crown onto the implant with the ICX hexagon screw driver SW 1.4 (i.e. art.
no. C-015-100025) and the ICX ratchet (art. no. 960001) tightened to a torque of 15 Ncm. The screw access in
the temporary crown can be closed using a composite material of your choice. To prevent the screw head
from being filled with composite, place a cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape
onto the screw first.
The provisional implant prosthetics can now be removed as required (i.e. to modify it).
1b. Provisional abutments (cement retained)
The dentist connects the ICX-healing abutments with hex to the implants in the patient‘s
mouth. The dentist can choose the most suitable heights and diameter for every implant to
be restored temporarily. The ICX-healing abutments are available in heights of 6mm, 8mm,10mm
and diameters of 5mm and 7mm.
Once the healing abutments are hand tight in place they can be marked according to the adjustments
needed (i.e. mark gingival level and height if shortening is required).
The healing abutments are now removed from the mouth and once connected to an analogue (i.e. art. no.
C-006-010001 or in case of an ICX-plus implant C-006-010002) can be customised to your preferred prepara-
tion shape.
Please ensure the finished abutments are parallel to each other to allow removal of the temporary bridge.
Once you are happy with the shapes of your abutments, connect them to the implants in the patient’s mouth
with the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no. 960001) tigh-
tened to a torque of 15 Ncm and close the screw access in the temporary crown using a composite material
of your choice. To prevent the screw heads from being filled with composite, place a cotton wool pellet or
folded up PTFE (Polytetrafluorethylene) tape onto the screws first. Now apply a thin film of vaseline onto the
finished temporary abutments to prevent the temporary material from adhering to the temporary abut-
ments and proceed to make a provisional bridge in the same way you would for natural teeth.
art. no. C-004-514720 or C-004-514740
Example art. no. C-004-524706
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2b. Titanium Abutments for cement retained implant supported bridges
Dental technician:
For cement retained implant supported bridges use abutments with Hex only. On the
master model, measure the gingiva levels and determine shape and angulation of the
prefabricated abutments required. This will enable you to select the best matching abut-
ments. Several collar height and shape options are available.
Please confirm whether a ICX-plus or standard implant was used by the dentist.
Connect the titanium abutments you have selected to the master model with the lab screws using the ICX
hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025). Mark heights, widths and gingival levels. The silicone
key made from the wax up can be used as a reference.
To customise the abutments, remove the abutment in question from the master model and connect it to an
additional matching analogue that is used as a work model. This way you can reshape all abutments to your
individual requirements. The margin of the preparation, emergence profile and the height of the abutment
can be changed as needed.
Please ensure the finished abutments are parallel to each other to allow removal of the future bridge.
Once the abutments fit your requirements you can make a bridge in the way you would for natural teeth. Af-
ter a final check and cleaning it is useful to make a insertion jig to help the dentist with the correct positioning
of the abutments in the mouth.
Dentist:
Insert the individualised titanium abutments with the jig provided by the dental lab. Tighten the connecting
screws using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no.
960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and close the screw accesses using a
composite material of your choice (picture 2). To prevent the screw heads from being filled with composite,
place a cotton wool pellet (picture 1) or folded up PTFE (Polytetrafluorethylene) tape on the screw first. Avoid
overfill (picture 3).
Try the bridge in and if accurate fit is confirmed, cement it with your preferred method and materials.
✗1. 2. 3.
Example art. no. C-010-020025
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3a. Screw retained gold and burn-out abutments for implant supported bridgesbt
Dental technician:
For screw retained implant supported bridges use abutments without Hex only. The two
options available are the ICX gold abutment (art. no. C-008-010002) or the IXC burn-out
abutment (art. no. 008-030002).
– The choice of abutment will be determined by the alloy to be used for the abutments. The ICX gold abut-
ments requires a high gold content alloy whereas the IXC burn-out abutment can be used with non-pre-
cious alloys.
– The machined connection area of the ICX gold abutments will tend to provide a more accurate fit than the
cast alternative using the IXC burn-out abutment.
Using the lab screw, connect the abutments of your choice hand tight to the master model with the ICX hexa-
gon screw driver SW 1.4 (i.e. art. no. C-015-100025).
Shorten the abutments according to the silicone key and customise the abutments by adding modelling wax/
resin aiming for a reduced size shape of the final teeth. Please ensure to maintain a minimum thickness along
the screw channels of 0.7mm to avoid complications during the casting process. Keep the screw canals open
and do not model over the shoulder of the abutment. Cast in the usual way ensuring compatibility of alloys
and following manufacturer‘s recommendations. Please ensure NOT to sandblast the connection areas of the
abutments as this will compromise fit.
Once the metal framework incorporating the abutments fits your requirements you can layer the porcelain in
the way you do for a bridge on natural teeth.
Dentist:
Deliver the metal ceramic bridge onto the implants in the patient‘s mouth. Ensure correct fit and tighten the
connecting screws using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet
(art. no. 960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and close the screw access using
a composite material of your choice. To prevent the screw head from being filled with composite, place a
cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first.
It is possible to re-access the connection screws by removing the fillings from the screw canals if this should
be required in the future.
Example art. no. C-008-030001
+art. no. C-015-100025 art. no. Artikel-Nr. 960001
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3b. Cement retained gold and burn-out abutments for implant supported bridges
Dental technician:
For cement retained implant supported bridges use abutments with Hex only.
The two options available are the ICX gold abutment (art. no. C-008-010001) or
the IXC burn-out abutment (art. no. 008-030001).
– The choice of abutment will be determined by the alloy to be used for the
abutments. The ICX gold abutments requires a high gold content alloy where-
as the IXC burn-out abutment can be used with non-precious alloys.
– The machined connection area of the ICX gold abutments will tend to provide a more accurate fit than
the cast alternative using the IXC burn-out abutment.
Using the lab screw, connect the abutments of your choice hand tight to the master model with the ICX
hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025).
Shorten the abutments according to the silicone key and customise the abutments by adding modelling
wax/resin aiming for reduced size shape of the final teeth. Please ensure to maintain a minimum thickness
along the screw channels of 0.7mm to avoid complications during the casting process. Keep the screw
canals open and do not model over the shoulder of the abutment. Cast in the usual way ensuring compati-
bility of alloys and following manufacturer‘s recommendations. Please ensure NOT to sandblast the connec-
tion areas of the abutments as this will compromise fit.
Once the abutments fit your requirements you can make a bridge in the way you would for natural teeth.
After a final check and cleaning, make a jig to help the dentist with the correct positioning of the abut-
ments.
✗1. 2. 3.
art. no. C-008-010001
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Dentist:
Insert the individually cast abutments with the jig provided to ensure correct positioning and tighten the
connecting screws using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet
(art. no. 960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and close the screw access using
a composite material of your choice. To prevent the screw heads from being filled with composite, place a
cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screws first, avoid overfill.
Try the bridge in and if accurate fit is confirmed, cement it with your preferred method and materials.
4a. ICX CAD/CAM-abutments for implant supported bridges (screw retained)
Dental lab:
For screw retained implant supported bridges use abutments without Hex (ICX-CAD/CAM- abutment
(art. no. C-029-001001)). The CAD/CAM- abutments will serve as a base to bond the bridge to that you
will manufacture.
You can scan your abutments or, with some systems, use the ICX-scanabutment (art. no. C-030-000001). You
are free to choose your preferred material for milling.
When bonding the bridge to the abutment, ensure the screw canals remain open. Remember to first finish
the bridge fully before bonding it to the abutment.
Dentist:
Deliver the restoration your dental lab has made onto the implants in the patient’s mouth. Ensure correct
positioning and tighten the connecting screw using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-
100025) and the ICX ratchet (art. no. 960001). Tighten to a torque of 30 Ncm. Confirm accurate positioning and
close the screw access using a composite material of your choice. To prevent the screw head from being filled
with composite, place a cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first.
It is possible to re-access the connection screws by removing the fillings from the screw canals if this should
be required in the future.
art. no. C-029-001001
+art. no. C-015-100025 art. no. Artikel-Nr. 960001
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4b. ICX CAD/CAM-abutments for implant supported bridges (cement retained)
For cement retained implant supported bridges use abutments with Hex
only. The two options available are ICX-CAD/CAM- abutment (art. no.
C-029-000002) or ICX-CAD/CAM- abutment (art. no. C-029-000004).
The ICX-CAD/CAM- abutment GH 0mm is not compatible with
ICX-plus implant therefore please confirm with the dentist the type
of implant used.
The ICX-CAD/CAM- abutment will serve as a base to bond your mesio structure to.
You can scan your abutment or use the ICX-scanabutment (art. no. C-030-000001) to create a stump shape.
When doing this please make sure the individual stumps are parallel to each other to allow the bridge to be
inserted.
You are free to choose your preferred material for milling. When bonding the milled mesio structure to the
abutment, ensure the screw canals remain open to allow access for removal of the lab screws. After bonding
the mesio structure to the abutment, cover the screw canal with modelling wax. You can design the bridge in
the usual way and, after a final check and cleaning, it is useful to make a insertion jig to help the dentist with
the correct positioning of the abutments.
Dentist:
Insert the abutments with the jig provided and tighten the connecting screws (not the lab screws) using the
ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no. 960001). Tighten to a
torque of 30 Ncm, confirm accurate positioning and close the screw access using a composite material of your
choice. To prevent the screw head from being filled with composite, place a cotton wool pellet or folded up
PTFE (Polytetrafluorethylene) tape on the screw first, avoid overfill.
Try the bridge in and if accurate fit is confirmed, cement it with your preferred method and materials.
✗1. 2. 3.
left: art. no.. C-029-000002right: art. no.C-029-000004
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Over view:I I I . M U L T I U N I T B R I D G E W O R K
The FAIR PremiumImplant-System
You have any questions?
For more information please call:
Tel.: +49 (0)2641 9110-0 E-Mail: [email protected]
www.medentis.de
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Over view:I V. T E L E S C O P I C C R O W N S ( T O S U P P O R T O V E R D E N T U R E S )
Telescopic crowns present a way of anchoring an overdenture on to implants without the need for transversal
connectors like bars. Slightly conical abutments (primary copings) which are all aligned parallel to each other
are connected onto the implants. Thin cap like secondary copings are made that fit tightly over those abut-
ments. These are incorporated into the denture to provide retention.
The principle is similar to a cement retained implant bridge being fitted onto the abutments without cemen-
tation.
After impression taking and model making, the dentist and dental technician have several abutment options
for a precision coping supported overdenture.
a. ICX-universal abutment
b. ICX-gold and burn-out abutment
c. ICX-CAD-CAM-bonded abutment
It is recommended for the dentist to have a mock up denture made by the dental technician in the treatment
planning stage to achieve a predictable, functionally and cosmetically pleasing result.
The mock up denture can later be used to make a surgical stent for implant placement. In the prosthetic
phase an impression with a silicone putty can be taken of the mock up denture or the surgical stent to make a
silicone key. The silicone key then provides an indication of the space available.
a. ICX-universal abutment
Dental technician:
For telescopic overdentures use abutments with Hex only.
Abutment heights to choose from are 9mm, 9.5mm and 15.5mm. Each available in diame-
ters of 5.2 or 7mm.
Using the lab screw, connect the abutments of your choice hand tight to the master model
with the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025).
You can now customise the abutment to your individual requirements and change
emergence profile and the height of the abutment as needed.
Using the silicone key taken of the mock up denture, determine the joint milling angle for all abutments. Pro-
ceed with milling the abutments, cover the screw canal with modelling wax and manufacture an overdenture
with the secondary copings to fit the milled abutments.
After a final check and cleaning it is useful to make an insertion jig to help the dentist with the correct positio-
ning of the milled abutments.
Example art. no. C-009-100001
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Over view:I V. T E L E S C O P I C C R O W N S ( T O S U P P O R T O V E R D E N T U R E S )
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Dentist:
Insert the milled primary abutments with the jig provided to ensure correct positioning and tighten the connec-
ting screws (not the lab screws) using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX
ratchet ( art. no. 960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and close the screw access
using a composite material of your choice. To prevent the screw head from being filled with composite, place a
cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first, avoid overfill.
Try the fit of the overdenture and if the fit is as expected, deliver the overdenture.
b. ICX-gold and burn-out abutments
Dental lab:
For telescopic overdentures use abutments with Hex only. The two options availa-
ble are ICX-gold abutment (art. no. C-008-010001) or IXC burn-out abutment (art. no.
008-030001).
– The choice of abutment will be determined by the alloy to be used for the abut-
ments. The ICX gold abutments requires a high gold content alloy whereas the IXC
burn-out abutment can be used with non-precious alloys.
– The machined connection area of the ICX gold abutments will tend to provide a more accurate fit
than the cast alternative using the IXC burn-out abutment.
Using the lab screw, connect the abutments of your choice hand tight to the master model with the ICX hexagon
screw driver SW 1.4 (i.e. art. no. C-015-100025).
Shorten the abutments according to the silicone key and customise the abutments by adding modelling wax/
resin aiming for reduced size shape of the final teeth. Please ensure to maintain a minimum thickness along the
screw channels of 0.7mm to avoid complications during the casting process. Keep the screw canals open and do
not model over the shoulder of the abutment. Cast in the usual way ensuring compatibility of alloys and following
manufacturer‘s recommendations. Please ensure NOT to sandblast the connection areas of the abutments as this
will compromise fit.
Proceed to mill the abutments and once the milled abutments fit your requirements you can manufacture the
secondary copings and the overdenture.
After a final check and cleaning, make a jig to help the dentist with the correct positioning of the abutments.
+art. no. C-015-100025 art. no. 960001
left: art. no. C-008-010001right: art. no.C-008-030001
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Over view:I V. T E L E S C O P I C C R O W N S ( T O S U P P O R T O V E R D E N T U R E S )
Dentist:
Insert the milled primary abutments with the jig provided to ensure
correct positioning and tighten the connecting screws (not the lab
screws) using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-
100025) and the ICX ratchet (art. no. 960001). Tighten to a torque of 30
Ncm, confirm accurate positioning and close the screw access using
a composite material of your choice. To prevent the screw head from
being filled with composite, place a cotton wool pellet or folded up
PTFE (Polytetrafluorethylene) tape on the screw first, avoid overfill.
Try the fit of the overdenture and if the fit is as expected, deliver the overdenture.
c. ICX CAD/CAM abutments
For telescopic overdentures use abutments with Hex only. The two options
available are ICX CAD/CAM- abutment (art. no. C-029-000002) or ICX CAD/CAM-
abutment (art. no. C-029-000004).
The ICX CAD/CAM- abutment GH 0mm is not compatible with ICX-plus implant
therefore please confirm with the dentist the type of implant used.
The ICX CAD/CAM- abutment will serve as a base to bond your primary coping to.
You can scan your abutment or use the ICX-scanabutment (art. no. C-030-000001). Design and mill your prima-
ry copings. When bonding them to the abutment ensure the screw canals are open to allow access for removal
of the lab screws.
Also when manufacturing the secondary copings remember to cover the screw canal with modelling wax to
avoid them getting blocked. Manufacture the secondary copings to fit the milled abutments and overdenture.
After a final check and cleaning it is useful to make an insertion jig to help the dentist with the correct positio-
ning of the milled abutments.
art. no. C-029-000002
art. no. C-029-000004
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Over view:I V. T E L E S C O P I C C R O W N S ( T O S U P P O R T O V E R D E N T U R E S )
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Dentist:
Insert the milled abutments (primary copings) with the jig provided to ensure correct positioning and tighten
the connecting screws (not the lab screws) using the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-
100025) and the ICX ratchet (art. no. 960001). Tighten to a torque of 30 Ncm, confirm accurate positioning and
close the screw access using a composite material of your choice. To prevent the screw head from being filled
with composite, place a cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first,
avoid overfill.
Try the fit of the overdenture and if the fit is as expected, deliver the overdenture.
+ art. no. C-015-100025 art. no. 960001
The FAIR PremiumImplant-System
You have any questions?
For more information please call:
Tel.: +49 (0)2641 9110-0 E-Mail: [email protected]
www.medentis.de
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BA
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Over view:V . B A R R E T A I N E D O V E R D E N T U R E S
After impression taking and model making the dentist and dental technician have several abutment options
for a bar retained overdenture.
a. Direct bar
b. Passive bar
c. Bars on ICX-multi implants (details in the ICX multi manual)
It is recommended for the dentist to have a mock up denture made by the dental technician in the treat-
ment planning stage to achieve a predictable, functionally and cosmetically pleasing result.
The mock up denture can later be used to make a surgical stent for implant placement. In the prosthetic
phase an impression with a silicone putty can be taken of the mock up denture or the surgical stent to
make a silicone key. The silicone key then provides an indication of the space available.
a. Dental technician:
Dental lab:
For screw retained implant supported bars use abutments without Hex. Agree with dentist the material
best suited for the case.
For high gold content alloys use ICX-bar-system gold abutment
(art. no. C-011-010002)
For non-precious alloys use ICX-bar-system burn-out abutment
(art. no. C-011-030002)
For titanium use ICX-bar-system titanium abutment
(art. no. C-011-020002 or art. no. C-011-020002)
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Over view:V . B A R R E T A I N E D O V E R D E N T U R E S
Over view:V . B A R R E T A I N E D O V E R D E N T U R E S
– High gold content alloys use ICX-bar-system gold abutments can be cast onto or
soldered to. The abutments are connected to the master model using the lab screw with
the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025). You can now model the
bar by using prefabricated bars that are cast, soldered or lasered onto the abutments.
– The ICX-bar-system burn-out abutments burn out fully together with the modelling
wax in the casting process. The burn-out copings are connected to the master model
using the lab screw with the ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025).
You can now model the bar. Please ensure a minimum layer of 0.3mm of wax on the
burn-out copings. The abutment can be cast in a material of your choice.
Please confirm that the connection area is cast well.
– The ICX-bar-system titanium abutments are available in heights of 9mm and 13.5mm. The
abutments are connected to the master model using the lab screw with the ICX hexagon
screw driver SW 1.4 (i.e. art. no. C-015-100025). Prefabricated bars can now be customised
to fit and laser them onto the abutments.
After fitting the bar tension free onto the master model you can manufacture the bar retained prosthesis in
the conventional way.
Dentist:
Fit the bar manufactured by the dental technician onto the im-
plants. Ensure good and tension free fit and tighten the connecting
screws (not the lab screws) using the ICX hexagon screw driver SW
1.4 (i.e. art. no. C-015-100025) and the ICX ratchet (art. no. 960001) to
a torque of 30 Ncm.
Close the screw access using a composite material of your choice.
To prevent the screw head from being filled with composite, place a
cotton wool pellet or folded up PTFE (Polytetrafluorethylene) tape on the screw first, avoid overfill.
Try the fit of the overdenture and if the fit is as expected, deliver the overdenture.
S e r v i c e -Te l . : + 4 9 ( 0 )2 6 41 9110 - 0 · w w w. m e d e n t i s . d e40
Over view:V . B A R R E T A I N E D O V E R D E N T U R E S
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b. Passive bars
Dental technician:
For passive bars you can use abutments with or without hex.
Agree with dentist the material best suited for the case.
You can choose from all available ICX-bar-systems and ICX-bar-base.
Abutments with hex can be customised. Abutments without hex must not be customised as there is no refe-
rence for correct positioning onto the implants. Please provide a jig for the dentist to ensure correct positio-
ning onto the implants for all individualised abutments. Also please ensure that the abutments are parallel
to each other so the bars can be bonded to the abutments intraorally. Before sending the work to the dentist
please condition bar and abutments to achieve maximum bond strengths.
Dentist:
Fit the bar abutments onto the implants (for all individualised abut-
ments use the jig provided to ensure correct positioning). Ensure good
fit and tighten the connecting screws (not the lab screws) using the
ICX hexagon screw driver SW 1.4 (i.e. art. no. C-015-100025) and the ICX
ratchet (art. no. 960001) to a torque of 30 Ncm.
Close the screw access using a composite material of your choice. To
prevent the screw head from being filled with composite, place a cotton wool pellet or folded up PTFE (Poly-
tetrafluorethylene) tape on the screw first, avoid overfill.
Confirm accurate and tension free fit of the bar onto the abutments and bond the bar onto the abutments.
Now try the fit of the overdenture and if the fit is as expected, deliver the overdenture.
c.bars on ICX-multi implants (please refer to the ICX- multi-manual)
art. no. C-029-001001
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ICX-mini
Ball anchorage systems are a versatile, cost effective solution that is easy for clinician and patient to handle
and to clean.
a. ICX-mini solid abutment
b. T-Ecco
c. Dalbo®-Plus
It is recommended for the dentist to have a mock up denture made by the dental technician in the treat-
ment planning stage to achieve a predictable, functionally and cosmetically pleasing result.
The mock up denture can later be used to make a surgical stent for implant placement. In the prosthetic
phase an impression with a silicone putty can be taken of the mock up denture or the surgical stent to
make a silicone key. The silicone key then provides an indication of the space available.
a. ICX-mini-solid abutment
a1) The ICX mini solid abutment is a cap that is cemented onto the ICX-Ball-abutment-implant.
This abutment is best suited for a direct impression method. Here for the abutment is cemen-
ted directly onto the ball abutment implant using a dual curing resin cement (i.e. Panavia F 0.2
(kuraray), please refer to the manufacturer‘s manual for details of use).
a2) After the cementation the abutment can be individualised by shaping it in the way you would
shape a natural tooth intraorally (i.e. air turbine and diamond coated burrs). Once prepared, a
conventional precision impression is taken.
Dental technician:
Manufacture a crown in the way you would for a natural tooth.
art. no. C-026-010501
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Over view:V I . T - E C C O
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b. T-Ecco
The T-Ecco ball anchorage system consists of:
T-Ecco-female and ICX-Analog
b1) Fitting the Female(s) to the denture in the dental lab
Cast a master model with the t-bona analogue. Place the
T-Ecco female including the red plastic band onto the
analogue. If more than one implant is to be restored, it is
essential to determine a common path of insertion for the
overdenture. Undercuts have to be blocked out. Make sure
no resin will enter under the female or into the slots of the
female. Use the enclosed plastic ring to protect the pre-
cious metal inner of the female. The female part can now
be cured into the acrylic of the denture.
b2. Fitting the Female(s) to the denture chairside
The overdenture has to have a large enough
space to fit the female. Punch a hole in a small
piece of rubber dam and fit it over the ball
abutment and the surrounding gingiva. Place the
female onto the ball abutment. If more than one
ball abutment is involved, determine a common
path of insertion for the overdenture. Ensure no
resin will be able to enter under the female or
into the slots of the female therefore undercuts
and voids under the female have to be blocked
out.
+
ausblocken
art. no. T-13825
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Over view:V I . T - E C C O
ICX
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Place some chairside denture resin into the space for the female(s) inside the denture and place the denture
in the patient’s mouth. After the resin has set, remove the denture from the patient’s mouth and fill any
remaining voids with additional resin and/or remove any excess material.
b3) Activating the female
To activate the female, place the denture on a secure surface.
With the activator apply gentle, axial pressure to the female in the
denture whilst rotating the activator slightly. This will tighten the
arms of the female and therefore tighten the hold of the denture.
To check the tightness, use a spare abutment or lab analogue.
b4) Deactivating the female
To deactivate the female, place the denture on a secure surface.
With the deactivator apply gentle, axial pressure to the female in
the denture. This will push the arms of the female apart slightly
and loosen the hold of the denture. To check the tightness, use a
lab analogue.
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c. Dalbo®-Plus
The Dalbo®-plus ball anchorage system consists of:
Dalbo®-Plus-female and ICX-Analog
The conceptThe Dalbo system combines a high reliability with great flexibility.
The Dalbo®s-plus comes with a choice of 3 female inserts which each have a diffe-
rent retention range allowing a variable retention levels for each female ranging
from 200 grams to 1200 grams. This is achieved by a different number of slots in the
insert allowing them to be wedge together to variable degrees by tightening them
into the threat of their housing.
Thus resulting in:– Variably adjustable retention levels for each connector
– Compensates diverging implant axis of up to 40°
– Possibility to combine implant borne Dalbo®-plus with root cap
born Dalbo®-plus (on natural teeth)
– Easy replacement of worn female inserts guarantees longevity of restoration
The Dalbo®-plus elliptic version is specially designed for chair side fitting to
provide an increased retention in the acrylic of the overdenture.
The Dalbo®-plus standard female insert The Dalbo®-System female insert is the retentive part used.
Every female part insert has flexible precious metal lamellae.
When inserting the denture, the flexible lamellae open and slide
smoothly over the spherical male part without damaging it, ensuring
durable denture retention, minimum servicing. The female inserts can be
replaced by unscrewing the insert from its housing.
+
Dalbo®-PLUS Female TEelliptic - completeart. no. DP-055890
Dalbo®-PLUS standard female insert(without groove)art. no. DP-055643
Over view:V I . D A L B O ® - P L U S
ICX
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i.e. art. no. DP-055890
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The Dalbo®-plus female tuning insertsThe retention of older, existing restorations with worn ball anchors
can be improved with Dalbo®-PLUS female tuning inserts.
These components have a reduced inner diameter but feature
additional groves in the lamellae.
They can be exchanged easily by unscrewing the insert from its housing.
The screwdriver/activator is used for fine adjustment of the denture retention.
Dalbo®-plus female tuning insert(one grove)art. no. DP-055687
Dalbo®-plus female soft tuning insert(two groves)art. no. DP-050068
Dalbo®-plus
screwdriver/activator
art. no. DP-072609
Which female insert to choose?
Dalbo®-plus standardfemale insert(without groove)
Dalbo®-plus female tuning insert(one groove)
Dalbo®-plusfemale tuning-soft insert (two grooves)
Achtung:Diese Adresse hat Spaltenbreite 40.25 mm für
Dental-Buch und gleichartige Layouts
Cendres+Métaux SARue de Boujean 122CH-2501 Biel/Bienne
Phone +41 58 360 20 00Fax +41 58 360 20 [email protected] www.cmsa.ch/dental
TuningTuning softStandard
Dalbo®-PLUS Dalbo®-PLUS
Die Dalbo®-PLUS Matrize basicist für den Einbau im Labor bestimmt. Sie kann direkt einpolymerisiert oder in ein Metall gehäuse eingeklebt werden. Das dem Produkt beigelegte rote Dublierhilfsteil vereinfacht den Herstellprozess einer Klebebox im Labor entscheidend: Aufsetzen – Unterschnitt aus blocken – Dublieren – Modellieren – Einbetten – Giessen – Ausbetten – Strahlen – Kleben – fertig!
Die Dalbo®-PLUS Matrize ellipticist für den Einbau direkt im Munde des Patienten bestimmt. Erfahrungen zeigen, dass sich die Kunststoffqualität durch den Direkteinbau verschlechtert und die Matrizen bei hohen Belastungen aus der Prothese herausbrechen können. Unsere Lösung ist die elliptische Ausgestaltung der Kunststoffretention; sie erhöht die Haltekraft im Prothesenkörper markant!
Haltekraft im Prothesenkörper: Dalbo® Matrizen im VergleichAlle Kugelmatrizen haben unter Laborbedingungen einen ausreichenden Halt im Prothesenkörper. Auffallend ist der hohe Wert der Dalbo®-PLUS Matrize elliptic, welche zum Teil sogar über den mechanischen Eigen-schaften des Kunststoffes liegt.
Der Lamellen-Retentionseinsatzist das eigentliche Halteelement im System. Er ist aus Elitor® gefertigt, einer gelben Edelmetall-Legierung mit idealen mechanischen Eigenschaf-ten für eine langlebige und sichere Funktion. Der Einbau ist kinderleicht und schnell gemacht. Mittels Spezialschraubenzieher/Aktivator, ohne Demontage der Matrize aus dem Prothesenkörper, kann der Einsatz aus dem Gehäuse gedreht und wieder eingesetzt werden.
Die Tuning-Lamellen-RetentionseinsätzeDie zwei speziellen Tuning-Retentionseinsätze mit reduziertem Innendurchmesser ermöglichen einen aussergewöhnlichen, breiten Friktionsspielraum und die Wiederherstellung der Haltekraft.
Wo wird welcher Retentionseinsatz eingesetzt?
Ausführung basic Dublierhilfsteil
Ausführung elliptic
Version Standard(basal: keine Rille)
Version Tuning soft(basal: 1 Rille)
Version Tuning(basal: 2 Rillen)
Vergleich der Dalbo® Matrizen für Kugelanker
Referenz Dalbo®-B
Dalbo®-Classic
Dalbo®-Classic elliptic
Dalbo®-PLUS basic
Dalbo®-PLUS elliptic
Ausreisskraft [N]
0 200 400 600 800 1000 1200 1400
Optimaler Wirkungsbereich
Maximaler Wirkungsbereich
2.27 2.26 2.25 2.24 2.23 2.22 2.21 2.20 2.19 2.18 2.17 2.16 2.15
in mm
2.27 2.26 2.25 2.24 2.23 2.22 2.21 2.20 2.19 2.18 2.17 2.16 2.15
in mm
Optimal operating window
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Compensates diverging implant axis of up to 40°
The Dalbo®-plus can compensate diverging implant axis of up to 40° making it possible to restore these
challenging cases.
(Ludwig K.; Kern M.; Hartfill H.: Analysis of the wear of ball attachments with 50’000 fitting-withdrawal cycles
in a water bath and eccentric end loading. Quintessenz Journal of Dental Technology, 02/2006).
20° 20°
Achtung:Diese Adresse hat Spaltenbreite 40.25 mm für
Dental-Buch und gleichartige Layouts
Cendres+Métaux SARue de Boujean 122CH-2501 Biel/Bienne
Phone +41 58 360 20 00Fax +41 58 360 20 [email protected] www.cmsa.ch/dental03
.200
9
IndikationenAbnehmbare, starr oder resilient verankerte Prothetik auf Implantaten und WurzelkappenBeispiele:– Hybridprothetik– Unilaterale Prothesen, transversal verblockt– Schalt- und Freiendprothesen in Kombination
Beschreibung des KonzeptesDer Dalbo®-PLUS basic und Dalbo®-PLUS elliptic dürfen aufgrund ihres einmaligen, patentierten Prinzips als eine Exklusivität bei der Verankerung von Hybrid prothesen auf natürlichen Zähnen und Implantaten bezeichnet werden. Durch das Eindrehen des Lamellen-Retentionseinsatzes mit dem Schraubenzieher/Aktivator in das Gehäuse, schliessen sich die vier Lamellen. Dadurch wird eine gezielte Aktivierung erzeugt. Dank eines Spezial gewindes und des durchgehend geschlitzten Lamellen-Retentions einsatzes, welcher sich beim Eindrehen verkeilt, wird ein unbeabsichtigtes Verstellen verhindert. Der Retentionsbereich des Einsatzes Standard beginnt bei mindestens 200 Gramm und reicht über 1200 Gramm.
PatrizenDie Patrize (V) ist aus der palladium- und kupferfreien, angussfähigen Edelmetall-Legierung Valor® hergestellt. Sie kann ausschliesslich durch Anguss oder Lötung mit der Wurzelkappe verbunden werden. Der Anguss ist zeitsparend und erübrigt den Einsatz von Fügematerialien.Die laserschweissbare Spezialpatrize (E) aus Elitor® wurde speziell für diese Technologie entwickelt. Das ausgeklügelte Patrizenauflagedesign erlaubt ein rationelles, sicheres und schonendes Auflasern auf Wurzel-kappen.
MatrizenDie Matrize (TE) ist in zwei Ausführungen erhältlich: Die Variante elliptic unterscheidet sich im Matrizendesign zur Variante basic in der massiv ausgeprägten, elliptisch ausgeformten Kunststoffretention, aber mit identischer Einbauhöhe. Diese Ausführung ist indiziert für den direkten Einbau im Munde oder ganz einfach, wo eine extrastarke Haltekraft der Matrize im Prothesenkörper gewünscht wird.
Tuning-MatrizensystemDer Kugelanker ist das älteste und meist verwendete Verankerungsprinzip. Unzählige Hersteller teilen sich den Markt. Kleinste Unterschiede im Kugeldurch messer, der Werkstoffwahl, der Geometrie und des Toleranzfel-des beeinflussen den Friktionsspielraum.Zwei Tuning-Matrizen mit unterschiedlichen Innendurchmessern der Lamellen-Retentionseinsätze ermöglichen die Wiederherstellung der Haltekraft, unabhängig vom verwendeten System oder gar altersbedingten Verschleisserscheinungen.
AnwendungseinschränkungenUnilaterale Prothesen ohne Transversalabstützung
Bedingungen für eine korrekte VerarbeitungIdealerweise steht ein einfaches Parallelometergerät zur Bestimmung der besten Einsetzrichtung zur Verfügung.
Zusätzliche HinweisePatrizen, Matrizen und einige Hilfsinstrumente sind mit den Teilen des bekannten Dalbo®-B und des Dalbo®-Classic kompatibel und untereinan-der austauschbar.
Ausführung basic
Patrize Valor® (V)
Ausführung elliptic
Lamellen-Retentionseinsatz Standard
Dalbo®-PLUSSupraradikuläre, retentive Resilienzverankerung
Charakteristika– Durch Eindrehen eines Lamel-
len-Retentionseinsatzes in das Gehäuse wird eine sichere und dauerhafte Aktivierung erreicht.
– Retention von «sanft» bis «stark» einstellbar
– Aufgebaut auf dem bewährten und bekannten Kugelanker-prinzip nach Dr. Dalla Bona
– Ideal für Implantatarbeiten
Verarbeitungsnutzen– Zeitersparnis durch anguss-
fähige Patrize in Edelmetall (Pd-Cu-frei)
– Zwei Matrizen-Varianten mit identischer Einbauhöhe zur Auswahl: Die Ausführung elliptic verfügt über eine verstärkte Kunststoff-retention. Dies sichert den Verbleib auch bei stärkster Belastung.
– Pfeilerdivergenzen können kompensiert werden: Auf Wurzelkappen, je nach Aktivation von 8° – 16°. Auf Implantaten, je nach System, bis zu 40°.
– Die Abmessungen entsprechen dem Dalbo®-B, daher eine ideale Aufwertungsmöglichkeit von bestehenden Arbeiten.
– Spezialpatrize für die Laserschweisstechnik erhältlich
Medizinischer Nutzen– Einfaches, stufenloses
Einstellen des Prothesenhaltes, patientenindividuell während der Behandlung durchführbar
– Hohe Flexibilität: Drei unter-schiedlich dimensionierte Lamellen-Retentionseinsätze erhöhen den Friktionsspielraum und können simpel und ohne zeit aufwändige Neu-einpolymerisation der Matrize ausgetauscht werden.
– Die Matrizen-Variante elliptic erhöht die Haltekraft im Prothesenkörper, ideal für den direkten Einbau im Munde!
– Sicherheit für den Patienten, da die Materialien frei von toxischen Elementen sind.
Die Produkte sind CE gekennzeichnet. Details siehe Produktverpackung.
S e r v i c e -Te l . : + 4 9 ( 0 )2 6 41 9110 - 0 · w w w. m e d e n t i s . d e S e r v i c e -Te l . : + 4 9 ( 0 )2 6 41 9110 - 0 · w w w. m e d e n t i s . d e 47
Over view:V I . D A L B O ® - P L U S
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Dalbo®-PLUS Dalbo®-PLUS
3.60
3.103.70
basic
5.80
3.103.70
elliptic
3.60 2.25
2.40
3.20
1.90
Die PatrizenFür die Wurzelkappentherapie stehen je nach Anwendung zwei Werk-stoffvarianten zur Verfügung. Die Patrize in Valor® kann sowohl gelötet als auch zeitsparend direkt mit der Kappe angegossen werden. Immer häufiger wird durch Lasern die Patrize mit der Kappe verbunden. Dazu steht ein spezielles Patrizendesign zur Verfügung, welches eine einfachere und sicherere Laserung ermöglicht.
Kugelabutments auf ImplantatenKugelankersysteme sind in der Implantologie nicht mehr weg zu denken. Sie sind kosten günstig, durch den Patienten einfach zu reinigen und haben in der Regel eine hohe Lebensdauer. Bei vielen Patienten konnte durch diese Therapieform die Lebensqualität markant verbessert werden.Der Kugelankerdurchmesser 2.25 mm, welchen Cendres+Métaux vor über 40 Jahren im Markt eingeführt hat, hat sich zum Standard entwickelt. Viele Implantatsysteme wie z.B. die von Straumann, Nobel Biocare, Camlog, Thommen Medical, Astra Tech, 3i und viele andere sind mit unserem Dalbo® Kugelankersystem kompatibel. Wir empfehlen für den Direkt einbau das Matrizenkonzept elliptic.
Einstellen der HaltekraftEin eingebauter Dalbo®-PLUS wird an der titanfarbenen Umrandung des goldgelben Lamellen-Retentionseinsatzes erkannt. Dieser wird ausschliesslich mit dem Schraubenzieher/Aktivator (Best.-Nr. 072 609) mittels Drehbewegung im Uhrzeigersinn aktiviert. Desaktiviert wird durch Drehen im Gegenuhrzeigersinn.
Die höchste Aktivierungsstärke wird nach maximal eineinhalb Umdre-hungen erreicht. Als Aktivierungs- «Nullstellung» gilt die basal bündige Ausrichtung von Matrizengehäuse und Lamellen-Retentionseinsatz. Pro ¼-Umdrehung wird die progressiv zunehmende Haltekraft um ca. 200 g erhöht (siehe Grafik). Der Lamellen-Retentionseinsatz kann bei Bedarf, ohne Demontage der Matrize, ersetzt oder bei fortgeschrittenen Kugel-abnützungen durch die Tuning Lamellen-Retentionseinsätze ausgetauscht werden.
NEU:Lehrenset erleichtert die Haltekrafteinstellung!Mit der Patrizenlehre kann die Einstellung in der Prothese überprüft werden.Die Matrizenlehre enthält ein Originalgehäuse, mit welchem die Haltekraft der verschiedenen Lamellen-Retentionseinsätze im Munde einzeln überprüft werden kann.
1:1
Bestell-Nr.ID-Nr.
Komplettteile Beschreibung
055 750 43.04.8 TEV
Dalbo®-PLUS TEV basic
055 889 43.04.9 TEV
Dalbo®-PLUS TEV elliptic
1:1 Einzelteile
Stan
dard
055 752 Matrize TE basic komplett
Zum Einkleben oder Einpolymerisieren in den Prothesenkörper. Nicht anlöten. Aktivierbar. Lieferung inkl. Dublierhilfsteil
055 890 Matrize TE elliptic komplett
Zum direkten Einbau in die Prothese im Munde des Patienten. Aktivierbar.
055 643 Lamellen- Retentionseinsatz E
Zum Einschrauben in das Gehäuse
Verkaufsprogramm
Dalbo® Patrize Valor® (V) Dalbo® Laserschweisspatrize Elitor® (E)
Die Behandlung wurde realisiert von:Christophe Rignon-Bret (DCD, MS, PhD, Associate Professor), Jean-Marie Rignon-Bret (DCD, DSO, DEO, Professor, Direktor der Abteilung Heraus nehmbarer Zahnersatz).René Descartes-Universität Paris 5, Frankreich
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out-blocking
c1) Fitting the Female(s) to the denture in the dental lab
Cast a master model with the t-bona analogue. Place the
whole Dalbo®-plus female insert including the golden
female insert onto the analogue. If more than one implant
is to be restored it is essential to determine a common
path of insertion for the overdenture. Undercuts have to
be blocked out. Make sure no resin will enter under the
female or into the slots of the female. Use the enclosed
plastic ring to protect the precious metal inner of the
female. The female part can now be cured into the acrylic
of the denture.
c2) Fitting the Female(s) to the denture chairside
The overdenture has to have a large enough
space to fit the female. Punch a hole into a
small piece of rubber dam and fit it over the ball
abutment and the surrounding gingiva. Place the
female onto the ball abutment. If more than one
ball abutment is involved determine a common
path of insertion for the overdenture. Ensure no
resin will be able to enter under the female or
into the slots of the female therefore undercuts
and voids under the female have to be blocked out.
Place some chair-side resin into the space for the female(s) inside the denture and place the denture in the
patient’s mouth. After the resin has set, remove the denture from the patient’s mouth and fill any remaining
spaces with additional resin and/or remove any excess material.
S e r v i c e -Te l . : + 4 9 ( 0 )2 6 41 9110 - 0 · w w w. m e d e n t i s . d e S e r v i c e -Te l . : + 4 9 ( 0 )2 6 41 9110 - 0 · w w w. m e d e n t i s . d e48
The female insert can be exchanged/replaced easily by unscrewing the insert from its housing.
The screwdriver/activator is used for fine adjustment of the denture retention.
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c3) customising retention
The DalboⓇ-plus is easily recognised by the grey metal outer part and golden metal inner part. With the
special Dalbo screw driver/activator (art. nr. DP-072 609), turning clockwise will activate (increase retention)
turning counter clockwise will deactivate (decrease retention). Maximum activation is reached at one and a
half clockwise turns. The neutral retention point is when the grey metal outer part and golden metal inner
part are level.
One quarter turn will in/decrease retention by approximately 200g (see picture). The golden female insert
can be removed without removing the outer housing that is polymerised to the overdenture. Once the ball
abutment is increasingly worn through daily use it can be replaced by a female tuning insert (see page 45).
The FAIR PremiumImplant-System
You have any questions?
For more information please call:
Tel.: +49 (0)2641 9110-0 E-Mail: [email protected]
www.medentis.de