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Myanmar Society of Oral Implantology
(MSOI) &
MDA (Mandalay Division) Collaboration
AB Dental
Implant Seminar and Training
Supported by BenQ and MDA ( Mandalay Division)
AB Dental ( Israel)
• A.B. Dental has obtained approvals from
regulatory agencies in multiple countries:
• FDA (USA), CE (Europe), Russia Federation,
AMAR (Israel), Chinese FDA, India FDA, Taiwan
FDA, Australian TGA, Ukraine and more
BenQ was established in 2001
2010 – A brand new start in the medical
field for BenQ
• Trident Medical Corp. joined BenQ and was
officially changed to “BenQ Medical
Technology Corporation” in 2010.
• Now, BenQ Medical Technology, which is the
largest medical corporation in Taiwan,
provides the best medical solutions
domestically and internationally.
• 2014 – A big step forward for BenQ into the
dental industry
• BenQ Medical Technology, a well-known brand in
the domestic region, collaborated with AB Dental
Device Ltd, from Israel, a leading company in
dental implants and oral rehabilitation.
• Together we established “BenQ AB Dentcare
Corporation.”
• Our mission is to lead a new way into the dental
industry in the Asia-Pacific region.
BenQ AB DentCare Corp.
7FL, 52 Zhou-z St., Neihu
Dist., Taipei 11493, Taiwan
Tel : +886-2-2658-3588
Fax : +886-2-2658-9788
BenQABDentCare.com
AB Dental Germany UG
Friedrichstrasse 94 Berlin
10117 Germany
Tel : +49 – 030 – 609857880
Ben Q Myanmar
Dr. Lwin Mar Htun
Ph.09 250 571 571
_ Product Catalog 2015-2016, 2017
1. Impression procedures
2. Cement retained restoration
3. Screw retained restoration
4. Overdenture restoration
_ AB Biomaterials
_ Prosthetic Product Overview
_ 3 D laser sintering, customized implants
system
www.ABdent.com
Product Catalog 2017
BenQ Dental Implant
• Biological Surface
• Implant Characteristics
• Drilling Protocol
• Conical Implant-I 5
• Narrow Integral Implant- I 6
• One Piece Ball Implant- I 6 b
• Integral Implant- I 7
• Short & Wide Implant- I 15
Titanium Alloy
Ti-6Al-4V ELI Grade 5
Biological Blasting with
Calcium Phosphate
Sterilization by Gamma irradiation
The smooth part of neck collar is 0.5mm
height to prevent gum retraction
The neck rings are for improving bone to
implant connection
Platform Switching
• The wide particle range bioactive ceramic media
blasting with mild gradative multi-step cleaning
assures a moderately rough surface
• Representative three-dimensional topographical
reconstruction showing texturization at the
micrometer and the nanometer level
AB dental implant
Narrow Integral Implants
One Piece Ball Implant
Short and Wide Implant
Healing
Caps
Straight
Abutment
Angular Abutment
Individual
CAD/CAM
Overdenture Impression Transfer
Prosthetic Products
• Healing cap
• Impression
• Analog
• Individual
• Temporary abutment
• Straight/ Angular abutment
• Screw / cement retained
PK ( Prosthetic Kit)
3.5mm 3.75mm
Surgical Kit
• Pin Fixation(x3)
• Punch for cutting gums
• Guide Drill Bit (2x17) (2x21) (2x25) (2x30)
• Guide Drill Bit (2.5x17)(2.5x21)(2.5x25)(2.5x30)
• Guide Drill Bit (2.8x17)(2.8x21)(2.8x25)(2.8x30)
• Guide Drill Bit(3.2x17)(3.2x21)(3.2x25)(2.8x30)
• Guide Drill Bit(3.65x17)(3.65x21)(3.65x25)(3.65x30)
• Tapered screw for template
• Drivers for installing the implant thru AB Guide(x4)
• Handles (dia 2.0, 2.5, 2.8, 3.2, 3.65)
Drilling Protocol
Implant bed dia & Implant dia
-BenQ AB guide
-Implantation thru
the sleeve
-Fixture mount
attached to hexagon
of the implant
• Two types of traditional impression
• techniques can be used according to the
treatment necessities and objectives, Closed
Tray (Indirect) and Open Tray (Direct).
Open Tray Technique
1. The transfer was brought to the impression
2. A custom tray with screw access holes is
required
3. After the impression material sets, the screw
of transfer is removed through the hole
4. The impression is removed from the patients’
mouth with the transfer
5. Then the analog is connected to the transfer
• Advantages: more precise, allow splinting
effect
• Disadvantage: Not suitable for posterior areas
with a limited intermaxillary space
Fixture level
Step 1. Exposure
Placing the Transfer
Step 02 Adjust tray and Check Fit
Step 03: Cover transfer with
impression material
Step 04: Take impression
Step 05: Impression Accuracy
Closed Tray Impression Technique
1. The transfer is screwed into the implant
2. Impression taking with heavy body
3. The transfer is removed from the mouth and
connected with appropriate analog
4. The transfer+ analog re-inserted into the
impression
Abutment level
CLOSED TRAY
Impression
Technique
Useful Tip
1. Remove healing abutment and replace
immediately with impression coping
2. Work from the posterior to anterior
Step 02: Placing the transfer
Step 03: Placing the transfer
Step 04: The X-ray
Step 05: Filling out the hole
Step 06: Cover transfer with
impression material
Step 07: Impression taking
Using custom tray
for accuracy and
passive casting
Step 08: Impression accuracy
Step 09: Removing the transfer
Step 10 & 11: Replacing
the healing cap
Step 12:Connecting Implant Analog and transfer
Step 13: Simulation of Gingiva
1. Insert transfer-analog unit back into
the impression
2. The flat side of the transfer matches
the flat side in the impression
Step 14: DONE
Cement- Temporary or permanent
• Advantages:
1.All abutments can be used (straight or angled)
or individualized CAD-CAM
2.Eliminating the access hole (a perfect esthetic
for the abutment screw)
3.The laboratory process is simplified and costs
reduced
4. A passive fit between the bridge and the
abutments is more easily achieved
Disadvantages
• In limited interocclusal cases, retention is
difficult
• Excess cement must be totally removed
subgingivally
• Retrievability of the cemented restoration is
difficult in some cases
• Ready made abutment – cement
• Custom made abutment - screw
Step 01- Impression taking
-Remove healing cap, measure the gingival
height, choose the proper abutment (G/H)
-Take an impression with (open/closed )
tray
-Take an impression of opposite jaw and a
bite registration
-Send to lab…
- Pours the impression, create a stone
model
- Choose the proper ready made
abutments or custom made abutments
- Fabrication of the framework over the
prepared abutments is carried out
Optional Abutments
Finish line
0.5mm to 1mm subgingival
in esthetic zone and
At the level of gingiva in
non- esthetic areas
Step 02- Expose and Temporary Restoration
Pay attention to the orientation marks
on model and intraoral
Make sure the abutment and margins are
free of all temporary cement
Step 03 Metal-coping framework
Try in the metal-coping framework. Verify fit, margins adaptation
and intra- occlusal space.
Adjust as necessary. Take an X-ray to verify that abutment and
metal coping are matched
Put the abutment
over the implant
and tighten the
screw…..
If a multiple unit framework does not fit
perfectly…
• Try each part individually
in the patient’s mouth.
• The parts are then cold-
soldered intraorally ( with
pattern resin, composite
and POP)
• Re-soldered in the Lab
• Checked again in the
patient’s mouth
Step 04 Tightening the abutment
Take X-ray to verify good connection
Use the torque wrench, applying 30Ncm
Check the proximal contacts, margin and
integrity and occlusion
Step 05.. Delivery
Advantages
• Wide and standard Implants platforms can be
used
• Easier to retrieve for servicing, revisions and
hygiene maintenance
• Avoids undesirable cement accumulation
subgingivally
Disadvantages
• May necessitate double impression procedures:
• the first one, an implant level impression
procedure, for constructing a study model for
selecting the proper abutments
• the second one, after abutment connection
intraorally, an abutment level impression
procedure for constructing the working model
Step 01: Expose
Remove healing cap from the implant(s) and by using a probe
measure the gingival height surrounding every implant
Choose the proper abutment gingival height according to
these
measures
Step 02: Impression Taking
Take an impression of the selected implants using the open or
closed tray technique
Take an impression of the opposite jaw and a bite registration
and send to the laboratory.
Step 03: Choosing the proper abutment
Step 04: Abutment Level Impression
Step 05: Working Model
• Fabrication of the framework by using proper
plastic sleeve which is being fitted to abutment
• Alternatively, using the CAD/CAM tech by using
“A.B Dental” scanning abutment/base
Step 06: Try in Procedure
Step 07: Checking the Framework
Smooth screwing any noticeable disturbance in case of multiple units
Step 08: Framework try-in
After receiving the framework with
the porcelain built-up back from the lab
Step 09: Tightening the screw
Step 10: Allowing future access
• Put a cotton pellet, was or Teflon tape into
the hole of the screw
• Filling the access hole with composite
• Check the occlusion
Need to understand clearly
• Transfer-
• Pick up-
• Fixture level-
• Abutment level-
• Open Tray-
• Close Tray-
Self Tapping
Countersink
Platform switching
Hex- Internal/external
BIC- Bone/Implant con:
Male/Female parts
Wrench/Ratchet
Ball and Low connector Retained
Overdenture
• .
STEP 01:
Remove the healing cap
Step 02: Selection of the abutment
• The collar height of the ball attachment should
extend 1-2mm above the gingival height
• Screw the ball attachment onto the implant using
30Ncm
Optional Abutments
Step 03: Impression Procedure
Custom made impression
tray
For ball and low connector ,
use close tray
Step 04: Insertion of Impression coping
and abutment analog into the impression
Remove ball attachment or low connector from
the patient's mouth connect to an analog
and place correctly inside the impression
Send to the lab: Stone model and fabricating of
an overdenture
Step 05: After receiving overdenture
from the lab
Remove
the
healing
cap
Step 06: Attaching the ball attachment
Screw the ball attachment onto the
implant . It is male part.
Female – Metal Housing and silicon cap
to overdenture
If dentist will do_ See step 07
Keep clearance between 2-3 mm from
the bottom of the coping
Step07: Placing Protective Disk and Silicon Caps
- Protective disk on ball
attachment
- It make sure no acrylic will
flow to the base of the ball
- Place a silicon cap and the
metal cap on the ball
attachment
Step 08: Placing the metal cap
Place metal cap over the silicon cap
The metal cap along with the silicon cap
will eventually be part of the
overdenture
Step 09: Housing preparation on
denture
Drill a space in the
denture where the
metal cap will fit
Mix acrylic and fill the
space
Step 10: Placing the denture
Place the
denture
intraorally using
occlusal force
and guidance
Remove the protective disk and
any excess acrylic material
Instruct the patient for proper
placement and removal
Bar Retained Overdenture
Step 01,02:
Exposure and Impression Procedure
- Make custom tray
- Open or closed impression tech:
- Use transfer system of choice
- Fill out the access in the retaining
screw using wax
- Check a free access to the
transfer’s retaining screw through
the impression tray
Step 03: Impression material
Put impression material (
light body) around the
transfer, making sure to
leave the top of the
screw exposed
Take impression,
making sure that the
top of the transfer is
completely exposed
and clean
Step 04: Final Impression
After set, loosen the long screw and
remove the tray
Make sure that the transfer stays firmly
inside the impression
Step 05: Insertion of the analog and
transfer into the impression
- Place analog on the
transfer
- Tighten the screw to
analog to avoid any
movement of the transfer
- Transfer is still in
impression
Replace healing
caps
SEND to Lab for
Metallic Bar
Step 06: Framework Try-in
• Try the metallic bar in the
patient's mouth. Check that the
bar fits passively onto the
abutments by screwing it a time
• When passive fit is not
achieved, cut and solder the
metal bar (or)
• Make a new impression and
send to the lab in order to cast
a new bar
Step 07: Occlusal Rim
Make an occlusal rim
over the metal bar,
Record the vertical
dimension of the
occlusion
Send to lab together
with tooth color.
Step 08: Waxed Denture Try-in
Remove the healing caps
Sit the denture try-in
Verify occlusion, esthetics
and phonetics
Make necessary adjustments
Remove the denture wax try-
in, set it on the lab model
send back to the lab
Step 09: Final Result
• Place the bar onto the abutments
• Check passive fit
• Insert the finished denture in the patient’s
mouth, engaging the attachment
• Make occlusal or tissue adjustments as
necessary
• Patient instruction ( removal and hygiene)
Indications
• Socket and Ridge Preservation
• Filling of Extraction Socket
• Bone defects
• Lateral Augmentation/Ridge Augmentation
• Lateral Bone Window Closure
• Sinus Augmentation
• Closed Sinus Augmentation (Closed)
• Sinus Augmentation with Implantation
Biofill- B
• 100% Bovine Cancellous Substitute without
cortical portion
• Innovative pulverizing technique allows
multiporous structure, maximizing blood
vessel ingrowth
• Size: 0.5-1.2mm..1.2-1.7mm
• It passed Virus inactivation test, Toxicity test,
Biocompatibility test and Gamma Sterilization
Biofill-H
• Bone grafts and tissues from Human Source
• Preparation_ Granules, Blocks
• Product of DIZG, the largest European Tissue
Bank…
• DIZG & AB Dental..AB Dental & Ben Q..
Human Bone Series
• CORTIFLEX® –Demineralized Cortical Strip
(flexible after rehydration)
• EPIFLEX®- Matrix of Human Skin Allograft,
cell free
• MINERALIZED CORTICAL GRANULES
• CORTICAL/ CANCELLOUS BLOCKS
• DBM-DEMINERALIZED BONE MATRIX-
93% DBM+ 7% Hyaluronic acid, paste
• DEMINERALIZED CORTICAL
GRANULES -
• Porous synthetic ceramic- 99.9% beta
tricalcium phosphate (ß TCP)
• Macroporosity and porous interconnectivity
allow an excellent osteointegration and total
vascularization
• Highly bioactive, stimulate the proliferation
and differentiation of osteoblasts
• Total replacement within 1-6 months
Product Catalog 2017
Professional 3D Integrated
Implant Service
Solution Provider
• AB Dental was awarded the patent by the
European Patent Office for P14 (EP2266498),
first filed in 2009!
This invention is designed especially for screw
retained dentures. The P14 eases the process
and enables the insertion of the dental bridge
in cases where the existing implants are at
extreme angles, 17 degree and 30 degree,
without damaging the esthetics.
• Performance of laser sintered Ti–6Al–4V
implants with bone-inspired porosity and
micro/nanoscale surface roughness in the
rabbit femur
• David J Cohen, Alice Cheng, Kaan Sahingur,
Ryan M Clohessy, Louis B Hopkins, Barbara D
Boyan and Zvi Schwartz
• Published: Biomedical Materials, 28 April 2017
• While surface roughness at the
micro/nanoscale can promote osteogenesis,
macro-scale porosity is important for
promoting mechanical stability of the implant
over time
• In this study, we used a rabbit femur model to
compare osseointegration of laser sintered
solid and porous implants. Ti–6Al–4V implants
were laser sintered in a clinically relevant size
and shape.
• One set of implants had a novel porosity based
on human trabecular bone; both sets had grit-
blasted/acidetched surfaces.
• After characterization, implants were inserted
transaxially into rabbit femora; mechanical
testing, micro-computed tomography
(microCT) and histomorphometry were
conducted 10 weeks post-operatively.
• There were no differences in pull-out strength
or bone-to-implant contact.
• However, both microCT and histomorphometry
showed significantly higher new bone volume
for porous compared to solid implants.
• Bone growth was observed into porous implant
pores, especially near apical portions of the
implant interfacing with cortical bone
A. 3D Planning on CT with Denture.
B. The denture was scanned with 6
markers in the mouth and also by itself
C. Sagittal Views in ABGuided 3D
Software. The planned implant position
relates to the position of the bar in the
denture.
D. Sagittal Views in ABGuided 3D Software. The
planned implant position relates to the position
of the bar in the denture.
E.
F.
G. 6 GP Markers in the Patient’s Denture for CT
Scan. The ABGuide is a Digital Copy of the Denture
H. 3D Printed Model with Analogs before Surgery,
P17 Bar, an Analog Model is 3D printed directly
from the planning. The bar can be transferred to
the mouth, with small adjustments.
I. Impression Copings for Open Tray.
Another option is to take an impression, to
position the P17 adaptors and Bar.
.
J. Post-Op Model cast in the clinic
K. Bar on Post-Op model
L. Bar on implants
M. Post op CT
N. 3 D planning
O.Sagittal sections from Post-Op
CT
P. Sagittal sections from Post-Op CT
Q. Sagittal sections from Post-Op
CT
R. Sagittal sections from Post-Op
S. 3D images from Post-Op CT
T. 3 D images from Post-Op CT
U. 3 D images from Post-Op CT
V. 3 D images from Post-Op CT
W. Post-Op axial view from CT
X. Connecting the retention clips to the denture.
The undercuts are blocked out to prevent acrylic
from going under the bar.
Y. Access to clips
Z. Clips attached
Great thanks to
BenQ
MDA ( Mandalay Division)
MDA ( Central)
Speakers from MSOI
Wishing to all….Good treatment for your patient

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Ben-Q Dental Implant System

  • 1. Myanmar Society of Oral Implantology (MSOI) & MDA (Mandalay Division) Collaboration AB Dental Implant Seminar and Training Supported by BenQ and MDA ( Mandalay Division)
  • 2. AB Dental ( Israel) • A.B. Dental has obtained approvals from regulatory agencies in multiple countries: • FDA (USA), CE (Europe), Russia Federation, AMAR (Israel), Chinese FDA, India FDA, Taiwan FDA, Australian TGA, Ukraine and more
  • 3. BenQ was established in 2001 2010 – A brand new start in the medical field for BenQ • Trident Medical Corp. joined BenQ and was officially changed to “BenQ Medical Technology Corporation” in 2010. • Now, BenQ Medical Technology, which is the largest medical corporation in Taiwan, provides the best medical solutions domestically and internationally.
  • 4.
  • 5. • 2014 – A big step forward for BenQ into the dental industry • BenQ Medical Technology, a well-known brand in the domestic region, collaborated with AB Dental Device Ltd, from Israel, a leading company in dental implants and oral rehabilitation. • Together we established “BenQ AB Dentcare Corporation.” • Our mission is to lead a new way into the dental industry in the Asia-Pacific region.
  • 6. BenQ AB DentCare Corp. 7FL, 52 Zhou-z St., Neihu Dist., Taipei 11493, Taiwan Tel : +886-2-2658-3588 Fax : +886-2-2658-9788 BenQABDentCare.com AB Dental Germany UG Friedrichstrasse 94 Berlin 10117 Germany Tel : +49 – 030 – 609857880 Ben Q Myanmar Dr. Lwin Mar Htun Ph.09 250 571 571
  • 7. _ Product Catalog 2015-2016, 2017 1. Impression procedures 2. Cement retained restoration 3. Screw retained restoration 4. Overdenture restoration _ AB Biomaterials _ Prosthetic Product Overview _ 3 D laser sintering, customized implants system www.ABdent.com
  • 9. BenQ Dental Implant • Biological Surface • Implant Characteristics • Drilling Protocol • Conical Implant-I 5 • Narrow Integral Implant- I 6 • One Piece Ball Implant- I 6 b • Integral Implant- I 7 • Short & Wide Implant- I 15
  • 10.
  • 11. Titanium Alloy Ti-6Al-4V ELI Grade 5 Biological Blasting with Calcium Phosphate Sterilization by Gamma irradiation The smooth part of neck collar is 0.5mm height to prevent gum retraction The neck rings are for improving bone to implant connection Platform Switching
  • 12. • The wide particle range bioactive ceramic media blasting with mild gradative multi-step cleaning assures a moderately rough surface • Representative three-dimensional topographical reconstruction showing texturization at the micrometer and the nanometer level
  • 14.
  • 16. One Piece Ball Implant
  • 17. Short and Wide Implant
  • 18.
  • 19.
  • 21.
  • 26. Prosthetic Products • Healing cap • Impression • Analog • Individual • Temporary abutment • Straight/ Angular abutment • Screw / cement retained
  • 28.
  • 29.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36. • Pin Fixation(x3) • Punch for cutting gums • Guide Drill Bit (2x17) (2x21) (2x25) (2x30) • Guide Drill Bit (2.5x17)(2.5x21)(2.5x25)(2.5x30) • Guide Drill Bit (2.8x17)(2.8x21)(2.8x25)(2.8x30) • Guide Drill Bit(3.2x17)(3.2x21)(3.2x25)(2.8x30) • Guide Drill Bit(3.65x17)(3.65x21)(3.65x25)(3.65x30) • Tapered screw for template • Drivers for installing the implant thru AB Guide(x4) • Handles (dia 2.0, 2.5, 2.8, 3.2, 3.65)
  • 38. Implant bed dia & Implant dia
  • 39. -BenQ AB guide -Implantation thru the sleeve -Fixture mount attached to hexagon of the implant
  • 40.
  • 41. • Two types of traditional impression • techniques can be used according to the treatment necessities and objectives, Closed Tray (Indirect) and Open Tray (Direct).
  • 42. Open Tray Technique 1. The transfer was brought to the impression 2. A custom tray with screw access holes is required 3. After the impression material sets, the screw of transfer is removed through the hole 4. The impression is removed from the patients’ mouth with the transfer 5. Then the analog is connected to the transfer
  • 43. • Advantages: more precise, allow splinting effect • Disadvantage: Not suitable for posterior areas with a limited intermaxillary space Fixture level
  • 46. Step 02 Adjust tray and Check Fit
  • 47. Step 03: Cover transfer with impression material
  • 48. Step 04: Take impression
  • 49.
  • 51.
  • 52. Closed Tray Impression Technique 1. The transfer is screwed into the implant 2. Impression taking with heavy body 3. The transfer is removed from the mouth and connected with appropriate analog 4. The transfer+ analog re-inserted into the impression Abutment level
  • 54.
  • 55. Useful Tip 1. Remove healing abutment and replace immediately with impression coping 2. Work from the posterior to anterior
  • 56. Step 02: Placing the transfer
  • 57. Step 03: Placing the transfer
  • 58. Step 04: The X-ray
  • 59. Step 05: Filling out the hole
  • 60. Step 06: Cover transfer with impression material
  • 61. Step 07: Impression taking Using custom tray for accuracy and passive casting
  • 63. Step 09: Removing the transfer
  • 64. Step 10 & 11: Replacing the healing cap
  • 65. Step 12:Connecting Implant Analog and transfer
  • 66. Step 13: Simulation of Gingiva 1. Insert transfer-analog unit back into the impression 2. The flat side of the transfer matches the flat side in the impression
  • 68.
  • 69. Cement- Temporary or permanent • Advantages: 1.All abutments can be used (straight or angled) or individualized CAD-CAM 2.Eliminating the access hole (a perfect esthetic for the abutment screw) 3.The laboratory process is simplified and costs reduced 4. A passive fit between the bridge and the abutments is more easily achieved
  • 70. Disadvantages • In limited interocclusal cases, retention is difficult • Excess cement must be totally removed subgingivally • Retrievability of the cemented restoration is difficult in some cases • Ready made abutment – cement • Custom made abutment - screw
  • 71. Step 01- Impression taking -Remove healing cap, measure the gingival height, choose the proper abutment (G/H) -Take an impression with (open/closed ) tray -Take an impression of opposite jaw and a bite registration -Send to lab… - Pours the impression, create a stone model - Choose the proper ready made abutments or custom made abutments - Fabrication of the framework over the prepared abutments is carried out
  • 72. Optional Abutments Finish line 0.5mm to 1mm subgingival in esthetic zone and At the level of gingiva in non- esthetic areas
  • 73. Step 02- Expose and Temporary Restoration Pay attention to the orientation marks on model and intraoral Make sure the abutment and margins are free of all temporary cement
  • 74. Step 03 Metal-coping framework Try in the metal-coping framework. Verify fit, margins adaptation and intra- occlusal space. Adjust as necessary. Take an X-ray to verify that abutment and metal coping are matched Put the abutment over the implant and tighten the screw…..
  • 75. If a multiple unit framework does not fit perfectly… • Try each part individually in the patient’s mouth. • The parts are then cold- soldered intraorally ( with pattern resin, composite and POP) • Re-soldered in the Lab • Checked again in the patient’s mouth
  • 76. Step 04 Tightening the abutment Take X-ray to verify good connection Use the torque wrench, applying 30Ncm Check the proximal contacts, margin and integrity and occlusion
  • 78.
  • 79. Advantages • Wide and standard Implants platforms can be used • Easier to retrieve for servicing, revisions and hygiene maintenance • Avoids undesirable cement accumulation subgingivally
  • 80. Disadvantages • May necessitate double impression procedures: • the first one, an implant level impression procedure, for constructing a study model for selecting the proper abutments • the second one, after abutment connection intraorally, an abutment level impression procedure for constructing the working model
  • 81. Step 01: Expose Remove healing cap from the implant(s) and by using a probe measure the gingival height surrounding every implant Choose the proper abutment gingival height according to these measures
  • 82. Step 02: Impression Taking Take an impression of the selected implants using the open or closed tray technique Take an impression of the opposite jaw and a bite registration and send to the laboratory.
  • 83. Step 03: Choosing the proper abutment
  • 84. Step 04: Abutment Level Impression Step 05: Working Model • Fabrication of the framework by using proper plastic sleeve which is being fitted to abutment • Alternatively, using the CAD/CAM tech by using “A.B Dental” scanning abutment/base
  • 85. Step 06: Try in Procedure
  • 86. Step 07: Checking the Framework Smooth screwing any noticeable disturbance in case of multiple units
  • 87. Step 08: Framework try-in After receiving the framework with the porcelain built-up back from the lab
  • 88. Step 09: Tightening the screw
  • 89. Step 10: Allowing future access • Put a cotton pellet, was or Teflon tape into the hole of the screw • Filling the access hole with composite • Check the occlusion
  • 90. Need to understand clearly • Transfer- • Pick up- • Fixture level- • Abutment level- • Open Tray- • Close Tray- Self Tapping Countersink Platform switching Hex- Internal/external BIC- Bone/Implant con: Male/Female parts Wrench/Ratchet
  • 91.
  • 92. Ball and Low connector Retained Overdenture • . STEP 01: Remove the healing cap
  • 93. Step 02: Selection of the abutment • The collar height of the ball attachment should extend 1-2mm above the gingival height • Screw the ball attachment onto the implant using 30Ncm
  • 95. Step 03: Impression Procedure Custom made impression tray For ball and low connector , use close tray
  • 96. Step 04: Insertion of Impression coping and abutment analog into the impression Remove ball attachment or low connector from the patient's mouth connect to an analog and place correctly inside the impression Send to the lab: Stone model and fabricating of an overdenture
  • 97. Step 05: After receiving overdenture from the lab Remove the healing cap
  • 98. Step 06: Attaching the ball attachment Screw the ball attachment onto the implant . It is male part. Female – Metal Housing and silicon cap to overdenture If dentist will do_ See step 07 Keep clearance between 2-3 mm from the bottom of the coping
  • 99. Step07: Placing Protective Disk and Silicon Caps - Protective disk on ball attachment - It make sure no acrylic will flow to the base of the ball - Place a silicon cap and the metal cap on the ball attachment
  • 100. Step 08: Placing the metal cap Place metal cap over the silicon cap The metal cap along with the silicon cap will eventually be part of the overdenture
  • 101. Step 09: Housing preparation on denture Drill a space in the denture where the metal cap will fit Mix acrylic and fill the space
  • 102. Step 10: Placing the denture Place the denture intraorally using occlusal force and guidance Remove the protective disk and any excess acrylic material Instruct the patient for proper placement and removal
  • 104. Step 01,02: Exposure and Impression Procedure - Make custom tray - Open or closed impression tech: - Use transfer system of choice - Fill out the access in the retaining screw using wax - Check a free access to the transfer’s retaining screw through the impression tray
  • 105. Step 03: Impression material Put impression material ( light body) around the transfer, making sure to leave the top of the screw exposed Take impression, making sure that the top of the transfer is completely exposed and clean
  • 106. Step 04: Final Impression After set, loosen the long screw and remove the tray Make sure that the transfer stays firmly inside the impression
  • 107. Step 05: Insertion of the analog and transfer into the impression - Place analog on the transfer - Tighten the screw to analog to avoid any movement of the transfer - Transfer is still in impression Replace healing caps SEND to Lab for Metallic Bar
  • 108. Step 06: Framework Try-in • Try the metallic bar in the patient's mouth. Check that the bar fits passively onto the abutments by screwing it a time • When passive fit is not achieved, cut and solder the metal bar (or) • Make a new impression and send to the lab in order to cast a new bar
  • 109. Step 07: Occlusal Rim Make an occlusal rim over the metal bar, Record the vertical dimension of the occlusion Send to lab together with tooth color.
  • 110. Step 08: Waxed Denture Try-in Remove the healing caps Sit the denture try-in Verify occlusion, esthetics and phonetics Make necessary adjustments Remove the denture wax try- in, set it on the lab model send back to the lab
  • 111. Step 09: Final Result • Place the bar onto the abutments • Check passive fit • Insert the finished denture in the patient’s mouth, engaging the attachment • Make occlusal or tissue adjustments as necessary • Patient instruction ( removal and hygiene)
  • 112.
  • 113. Indications • Socket and Ridge Preservation • Filling of Extraction Socket • Bone defects • Lateral Augmentation/Ridge Augmentation • Lateral Bone Window Closure • Sinus Augmentation • Closed Sinus Augmentation (Closed) • Sinus Augmentation with Implantation
  • 114.
  • 115. Biofill- B • 100% Bovine Cancellous Substitute without cortical portion • Innovative pulverizing technique allows multiporous structure, maximizing blood vessel ingrowth • Size: 0.5-1.2mm..1.2-1.7mm • It passed Virus inactivation test, Toxicity test, Biocompatibility test and Gamma Sterilization
  • 116.
  • 117. Biofill-H • Bone grafts and tissues from Human Source • Preparation_ Granules, Blocks • Product of DIZG, the largest European Tissue Bank… • DIZG & AB Dental..AB Dental & Ben Q..
  • 118. Human Bone Series • CORTIFLEX® –Demineralized Cortical Strip (flexible after rehydration) • EPIFLEX®- Matrix of Human Skin Allograft, cell free • MINERALIZED CORTICAL GRANULES • CORTICAL/ CANCELLOUS BLOCKS • DBM-DEMINERALIZED BONE MATRIX- 93% DBM+ 7% Hyaluronic acid, paste • DEMINERALIZED CORTICAL GRANULES -
  • 119.
  • 120. • Porous synthetic ceramic- 99.9% beta tricalcium phosphate (ß TCP) • Macroporosity and porous interconnectivity allow an excellent osteointegration and total vascularization • Highly bioactive, stimulate the proliferation and differentiation of osteoblasts • Total replacement within 1-6 months
  • 121. Product Catalog 2017 Professional 3D Integrated Implant Service Solution Provider
  • 122.
  • 123.
  • 124.
  • 125.
  • 126.
  • 127. • AB Dental was awarded the patent by the European Patent Office for P14 (EP2266498), first filed in 2009! This invention is designed especially for screw retained dentures. The P14 eases the process and enables the insertion of the dental bridge in cases where the existing implants are at extreme angles, 17 degree and 30 degree, without damaging the esthetics.
  • 128. • Performance of laser sintered Ti–6Al–4V implants with bone-inspired porosity and micro/nanoscale surface roughness in the rabbit femur • David J Cohen, Alice Cheng, Kaan Sahingur, Ryan M Clohessy, Louis B Hopkins, Barbara D Boyan and Zvi Schwartz • Published: Biomedical Materials, 28 April 2017
  • 129. • While surface roughness at the micro/nanoscale can promote osteogenesis, macro-scale porosity is important for promoting mechanical stability of the implant over time • In this study, we used a rabbit femur model to compare osseointegration of laser sintered solid and porous implants. Ti–6Al–4V implants were laser sintered in a clinically relevant size and shape.
  • 130. • One set of implants had a novel porosity based on human trabecular bone; both sets had grit- blasted/acidetched surfaces. • After characterization, implants were inserted transaxially into rabbit femora; mechanical testing, micro-computed tomography (microCT) and histomorphometry were conducted 10 weeks post-operatively.
  • 131. • There were no differences in pull-out strength or bone-to-implant contact. • However, both microCT and histomorphometry showed significantly higher new bone volume for porous compared to solid implants. • Bone growth was observed into porous implant pores, especially near apical portions of the implant interfacing with cortical bone
  • 132.
  • 133. A. 3D Planning on CT with Denture.
  • 134. B. The denture was scanned with 6 markers in the mouth and also by itself
  • 135. C. Sagittal Views in ABGuided 3D Software. The planned implant position relates to the position of the bar in the denture.
  • 136. D. Sagittal Views in ABGuided 3D Software. The planned implant position relates to the position of the bar in the denture.
  • 137. E.
  • 138. F.
  • 139. G. 6 GP Markers in the Patient’s Denture for CT Scan. The ABGuide is a Digital Copy of the Denture
  • 140. H. 3D Printed Model with Analogs before Surgery, P17 Bar, an Analog Model is 3D printed directly from the planning. The bar can be transferred to the mouth, with small adjustments.
  • 141. I. Impression Copings for Open Tray. Another option is to take an impression, to position the P17 adaptors and Bar.
  • 142. . J. Post-Op Model cast in the clinic
  • 143. K. Bar on Post-Op model
  • 144. L. Bar on implants
  • 145. M. Post op CT
  • 146. N. 3 D planning
  • 148. P. Sagittal sections from Post-Op CT
  • 149. Q. Sagittal sections from Post-Op CT
  • 150. R. Sagittal sections from Post-Op
  • 151. S. 3D images from Post-Op CT
  • 152. T. 3 D images from Post-Op CT
  • 153. U. 3 D images from Post-Op CT
  • 154. V. 3 D images from Post-Op CT
  • 155. W. Post-Op axial view from CT
  • 156. X. Connecting the retention clips to the denture. The undercuts are blocked out to prevent acrylic from going under the bar.
  • 157. Y. Access to clips
  • 159. Great thanks to BenQ MDA ( Mandalay Division) MDA ( Central) Speakers from MSOI Wishing to all….Good treatment for your patient