Surgical Manual - Implant Supply
Surgical Manual - Implant Supply
Surgical Manual - Implant Supply
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<strong>Surgical</strong> <strong>Manual</strong>
DENTIS<br />
<strong>Surgical</strong> <strong>Manual</strong><br />
Contents<br />
04<br />
05<br />
06<br />
08<br />
[ Introduction ]<br />
[ <strong>Implant</strong> overview ]<br />
[ Drilling sequence overviews ]<br />
[ Drilling sequences ]<br />
●Taper type<br />
●s-Clean & i-Clean tapered implants<br />
●Straight type<br />
●s-Clean & i-Clean straight implants<br />
●e-Clean tapered implants<br />
●SAVE implants
13<br />
19<br />
31<br />
[ <strong>Implant</strong> surgery ]<br />
[ <strong>Surgical</strong> drills, instruments and kits ]<br />
[ Cleaning and sterilization ]
Introduction<br />
To ensure successful dental implantation, it is<br />
imperative to have a knowledgeable, skilled dental<br />
surgeon as well as precision analysis and performance<br />
of the procedure. Such requires both surgical and<br />
prosthetic success. The Dentis <strong>Surgical</strong> <strong>Manual</strong> (DSM)<br />
was prepared to offer elementary guidance to those<br />
planning to perform the procedure and to help them<br />
ensure successful surgical implantation.<br />
_Pre-surgical preparation instructions<br />
● Offer the patient a full explanation on the implantation procedure and secure his/her<br />
understanding and consent.<br />
● Check the patient’s overall health condition and oral cavity and its condition and bone<br />
quality via intra-oral x-ray examination.<br />
● Explain to the patient his/her oral health condition and problems, if any, as well as the<br />
various treatment methods and their respective strengths and weaknesses to establish the<br />
treatment plan.<br />
_Check if the patient has one of the following:<br />
● High blood pressure<br />
● Congenital or acquired heart disease<br />
● Ischemic heart disease (angina, myocardial infarction, etc.)<br />
_Loading time<br />
● In general, a lower-jaw procedure requires 3 months of healing, and an upper-jaw<br />
procedure, 6 months.<br />
● The surgeon may perform immediate loading or early loading depending on the condition<br />
of the patient. In such case, the initial fixture is considered when performing loading.<br />
_Dentis implant<br />
● Offers 3 types of system (s-Clean, i-Clean, e-Clean)<br />
● Clean implant<br />
● One-stage procedure and two-stage procedure available<br />
● Convenient No-Mount system<br />
● <strong>Implant</strong>s with various surface configurations<br />
● I-Fix implant allowing abutment selection<br />
● Recovery, posterior tooth-pulling, SAVE implant for immediate implantation
<strong>Implant</strong> Overview<br />
We offer the s-Clean system, i-Clean system, e-Clean system, I-Fix, and SAVE<br />
system to accommodate better a wide range of inter-oral environments that<br />
we encounter clinically. We also offer the RBM (resorbable blast media)<br />
surface-treated and HA (hydroxyapatite)-coated implant systems selected by<br />
the surgeon in accordance with the patient’s bone quality.<br />
<strong>Implant</strong> Overview<br />
● Systems applicable to 1-stage surgery and 2-stage surgery<br />
● Systems applicable to single-case and multiple-case<br />
● No-Mount system available to enhance procedural convenience<br />
● I-Fix system recommended for a mandibular anterior case, and SAVE implant, for posterior tooth extraction and/or failed case<br />
● 50Ncm of implantation torque recommended at below 20rpm<br />
Ø 3.5 Ø 3.7 Ø 4.1 Ø 4.3 Ø 4.8 Ø 5.1 Ø 5.5 Ø 6.0 Ø 6.5 Ø 7.0<br />
I II I II I II I II I II I II II II<br />
RBM/HA RBM/HA RBM/HA RBM/HA RBM RBM RBM RBM<br />
RBM<br />
RBM<br />
RBM/HA RBM/HA RBM/HA RBM/HA RBM RBM<br />
RBM<br />
RBM<br />
RBM RBM RBM<br />
Dentis <strong>Surgical</strong> <strong>Manual</strong> I •04 ••05
Drilling Sequence Overviews<br />
Taper type<br />
Point<br />
Drill<br />
Ø 2.2<br />
Drill<br />
Pilot<br />
Drill<br />
Ø 2.8<br />
Drill<br />
Taper Drill<br />
Ø 3.5 Ø 3.7 Ø 4.1 Ø 4.3 Ø 4.8 Ø 5.1 Ø 5.5 Ø 6.0 Ø 6.5 Ø 7.0<br />
C'sink<br />
Body Ø 3.7<br />
option<br />
Body Ø 4.1<br />
option<br />
Body Ø 4.3<br />
option<br />
Body Ø 4.8<br />
option<br />
Body Ø 3.5<br />
option<br />
Body Ø 4.1<br />
option<br />
Body Ø 5.1<br />
option
Point<br />
Drill<br />
Ø 2.2<br />
Drill<br />
Pilot<br />
Drill<br />
Ø 2.8<br />
Drill<br />
Taper Drill<br />
Ø 3.5 Ø 3.7 Ø 4.1 Ø 4.3 Ø 4.8 Ø 5.1 Ø 5.5 Ø 6.0 Ø 6.5 Ø 7.0<br />
C'sink<br />
Drilling Sequence Overviews<br />
Body Ø 5.5<br />
option<br />
SAVE II<br />
Body Ø 6.0<br />
option<br />
SAVE II<br />
Body Ø 6.5<br />
option<br />
SAVE II<br />
Body Ø 7.0<br />
option<br />
SAVE II<br />
●D1 bone density: Use a tap.<br />
Straight type<br />
Point<br />
Drill<br />
Ø 2.2<br />
Drill<br />
Pilot<br />
Drill<br />
Ø 2.8<br />
Drill<br />
Pilot<br />
Drill<br />
Ø 3.5<br />
Drill<br />
Pilot<br />
Drill<br />
Ø 4.2<br />
Drill<br />
C'sink<br />
Body Ø 4.1<br />
Body Ø 4.8<br />
●D1 bone density: Use a tap.<br />
Dentis <strong>Surgical</strong> <strong>Manual</strong> I •06 ••07
Drilling Sequences<br />
s-Clean & i-Clean tapered implants<br />
● Ø 3.7 x 12mm <strong>Implant</strong><br />
Point drill<br />
Ø 2.2 drill<br />
Depth<br />
gauge<br />
Ø 2.2 / 2.8<br />
Pilot drill<br />
Ø 2.8 drill Ø 3.7 drill Countersink<br />
Tap<br />
(Option)<br />
Ø 3.7 Fixture<br />
● Ø 4.1 x 12mm <strong>Implant</strong><br />
Point drill<br />
Ø 2.2 drill<br />
Depth<br />
gauge<br />
Ø 2.2 / 2.8<br />
Pilot drill<br />
Ø 2.8 drill Ø 3.7 drill Ø 4.1 drill Countersink<br />
Tap<br />
(Option)<br />
Ø 4.1 Fixture
Drilling Sequences<br />
● Ø 4.3 x 12mm <strong>Implant</strong><br />
Point drill<br />
Ø 2.2 drill<br />
Depth<br />
gauge<br />
Ø 2.2 / 2.8<br />
Pilot drill<br />
Ø 2.8 drill Ø 3.7 drill Ø 4.3 drill Countersink<br />
Tap<br />
(Option)<br />
Ø 4.3 Fixture<br />
● Ø 4.8 x 12mm <strong>Implant</strong><br />
Point drill<br />
Ø 2.2 drill<br />
Depth<br />
gauge<br />
Ø 2.2 / 2.8<br />
Pilot drill<br />
Ø 2.8 drill Ø 3.7 drill Ø 4.3 drill Ø 4.8 drill Countersink<br />
Tap<br />
(Option)<br />
Ø 4.8 Fixture<br />
Dentis <strong>Surgical</strong> <strong>Manual</strong> I •08 ••09
e-Clean tapered implants<br />
● Ø 3.5 x 12mm <strong>Implant</strong><br />
Point drill<br />
Ø 2.2 drill<br />
Depth<br />
gauge<br />
Ø 2.2 / 2.8<br />
Pilot drill<br />
Ø 2.8 drill Ø 3.5 drill Countersink<br />
Tap<br />
(Option)<br />
Ø 3.5 Fixture<br />
● Ø 4.1 x 12mm <strong>Implant</strong><br />
Point drill<br />
Ø 2.2 drill<br />
Depth<br />
gauge<br />
Ø 2.2 / 2.8<br />
Pilot drill<br />
Ø 2.8 drill Ø 3.5 drill Ø 4.1 drill Countersink<br />
Tap<br />
(Option)<br />
Ø 4.1 Fixture<br />
● Ø 5.1 x 12mm <strong>Implant</strong><br />
Point drill<br />
Ø 2.2 drill<br />
Depth<br />
gauge<br />
Ø 2.2 / 2.8<br />
Pilot drill<br />
Ø 2.8 drill Ø 3.5 drill Ø 4.1 drill Ø 5.1 drill Countersink<br />
Tap<br />
(Option)<br />
Ø 5.1 Fixture
s-Clean & i-Clean straight implants<br />
● Ø 4.1 x 12mm <strong>Implant</strong><br />
Drilling Sequences<br />
Point drill<br />
Ø 2.2 drill<br />
Depth<br />
gauge<br />
Ø 2.2 / 2.8<br />
Pilot drill<br />
Ø 2.8 drill<br />
Ø 2.8 / 3.5<br />
Pilot drill<br />
Ø 3.5 drill<br />
Countersink<br />
Tap<br />
(Option)<br />
Ø 4.1 Fixture<br />
● Ø 4.8 x 12mm <strong>Implant</strong><br />
Point drill<br />
Ø 2.2 drill<br />
Depth<br />
gauge<br />
Ø 2.2 / 2.8<br />
Pilot drill<br />
Ø 2.8 drill<br />
Ø 2.8 / 3.5<br />
Pilot drill<br />
Ø 3.5 drill<br />
Ø 3.5 / 4.2<br />
Pilot drill<br />
Ø 4.2 drill Countersink<br />
Tap<br />
(Option)<br />
Ø 4.8 Fixture<br />
SAVE implants<br />
● Ø 5.5 x 12mm <strong>Implant</strong><br />
Point drill<br />
Ø 2.2 drill<br />
Depth<br />
gauge<br />
Ø 2.2 / 2.8<br />
Pilot drill<br />
Ø 2.8 drill Ø 3.7 drill Ø 4.3 drill Ø 4.8 drill Ø 5.5 drill<br />
Tap<br />
(Option)<br />
Ø 5.5 Fixture<br />
Dentis <strong>Surgical</strong> <strong>Manual</strong> I •10 ••11
● Ø 6.0 x 12mm <strong>Implant</strong><br />
Point drill<br />
Ø 2.2 drill<br />
Depth<br />
gauge<br />
Ø 2.2 / 2.8<br />
Pilot drill<br />
Ø 2.8 drill Ø 3.7 drill Ø 4.3 drill Ø 4.8 drill Ø 5.5 drill Ø 6.0 drill<br />
Tap<br />
(Option)<br />
Ø 6.0 Fixture<br />
● Ø 6.5 x 12mm <strong>Implant</strong><br />
Point drill Ø 2.2 drill<br />
Depth<br />
gauge<br />
Ø 2.2 / 2.8<br />
Ø 2.8 drill Ø 3.7 drill Ø 4.3 drill Ø 4.8 drill Ø 5.5 drill Ø 6.0 drill Ø 6.5 drill<br />
Pilot drill<br />
Tap<br />
(Option)<br />
Ø 6.5 Fixture<br />
● Ø 7.0 x 12mm <strong>Implant</strong><br />
Point drill Ø 2.2 drill<br />
Depth<br />
gauge<br />
Ø 2.2 / 2.8<br />
Tap<br />
Ø 2.8 drill Ø 3.7 drill Ø 4.3 drill Ø 4.8 drill Ø 5.5 drill Ø 6.0 drill Ø 6.5 drill Ø 7.0 drill<br />
Pilot drill<br />
(Option)<br />
Ø 7.0 Fixture
<strong>Implant</strong> Surgery<br />
The illustration on this page is the surgical procedure for implanting an<br />
s-Clean tapered II model (Ø4.8). It walks you through the method and<br />
sequence of using the tool. If you are to implant an i-Clean or an e-Clean<br />
model, refer to the drilling sequence. If you are using the Dentis <strong>Implant</strong><br />
System for the first time, we recommend that you familiarize yourself with the<br />
surgical procedure first.<br />
<strong>Implant</strong> Surgery<br />
Primary surgery<br />
1● Incision<br />
- Using a scalpel, make a very small cut where the implant will be<br />
placed.<br />
2● Point Drill<br />
- Using a point drill, make a guide hole for the initial drilling.<br />
- While drilling, cortical bone thickness and bone density will be<br />
determined.<br />
- We recommend 1,200 rpm ~ 1,500 rpm as well as continued drilling<br />
that reaches the bottom of the laser-marked section.<br />
3● Initial Drill (Ø2.2 Drill)<br />
- Make a hole within the punched hole using a Ø2.2 drill whose length<br />
is equal to the length of the implant to be placed.<br />
- Drilling that continues to the drill stopper will create a hole whose<br />
depth is 0.5mm greater than the actual implant length. Thus, be sure<br />
to drill until you reach the laser-marked spot to have a hole whose<br />
depth is equal to the implant’s length.<br />
- We recommend 1,200 rpm ~ 1,500 rpm. When drilling the hole, be<br />
sure to pump via sufficient liquid injection.<br />
Dentis <strong>Surgical</strong> <strong>Manual</strong> I •12 ••13
4● Ø2.2 / Ø2.8 Pilot Drill<br />
- Create a guide hole that will maintain the path of the hole made via<br />
Ø2.2 drilling and to perform Ø2.8 drilling.<br />
- Place the guide onto the hole and drill.<br />
- We recommend 800 rpm ~ 1,000 rpm. Continue drilling around the<br />
circumference until you reach the marked spot.<br />
5● Ø2.8 Drill<br />
- Make a hole within the punched hole using a Ø2.8 drill whose length<br />
is equal to the length of the implant to be placed.<br />
- Drilling that continues to the drill stopper will create a hole whose<br />
depth is 0.5mm greater than the actual implant length. Thus, be sure<br />
to drill until you reach the laser-marked spot to have a hole whose<br />
depth is equal to the implant’s length.<br />
- We recommend 800 rpm ~ 1,000 rpm, although the rate may vary<br />
according to the bone density.<br />
- When drilling, be sure to pump via sufficient liquid injection.<br />
6● Ø3.7 Drill<br />
- Make a hole within the punched hole using a Ø3.7 drill whose length<br />
is equal to the length of the implant to be placed.<br />
- The Ø3.7 drill is tapered; thus requiring no pilot drill to maintain the<br />
path.<br />
- Drilling that continues to the drill stopper will create a hole whose<br />
depth is 0.5mm greater than the actual implant length. Thus, be sure<br />
to drill until you reach the laser-marked spot to have a hole whose<br />
depth is equal to the implant’s length.<br />
- We recommend 800 rpm ~ 1,000 rpm. When drilling, be sure to<br />
pump via sufficient liquid injection.<br />
※ Drilling at 50rpm or below will allow self-bone harvesting. In such case, no<br />
liquid injection is necessary.
7● Ø4.3 Drill<br />
- Make a hole within the punched hole using a Ø4.3 drill whose length<br />
is equal to the length of the implant to be placed<br />
- The Ø4.3 drill is tapered; thus requiring no pilot drill to maintain the<br />
path.<br />
- Drilling that continues to the drill stopper will create a hole whose<br />
depth is 0.5mm greater than the actual implant length. Thus, be sure<br />
to drill until you reach the laser-marked spot to have a hole whose<br />
depth is equal to the implant’s length.<br />
- We recommend 800 rpm ~ 1,000 rpm. When drilling, be sure to<br />
pump via sufficient liquid injection.<br />
※ Drilling at 50rpm or below will allow self-bone harvesting. In such case, no<br />
liquid injection is necessary.<br />
<strong>Implant</strong> Surgery<br />
8● Ø4.8 Drill<br />
- This is the final drilling stage. Make a hole within the punched hole<br />
using a Ø4.8 drill whose length is equal to the length of the implant<br />
to be placed<br />
- The Ø4.8 drill is tapered; thus requiring no pilot drill to maintain the<br />
path.<br />
- Drilling that continues to the drill stopper will create a hole whose<br />
depth is 0.5mm greater than the actual implant length. Thus, be sure<br />
to drill until you reach the laser-marked spot to have a hole whose<br />
depth is equal to the implant’s length.<br />
- We recommend 800 rpm ~ 1,000 rpm. When drilling, be sure to<br />
pump via sufficient liquid injection.<br />
※ Drilling at 50rpm or below will allow self-bone harvesting. In such case, no<br />
liquid injection is necessary.<br />
9● Countersink<br />
- With the guide established, place the countersink into the drilled<br />
hole after performing final drilling, and then drill.<br />
- A drill is used to create a cortical bone hole; a countersink must be<br />
used for bone quality that is at or above normal levels.<br />
- Drill until you reach the bottom of the laser-marked spot. Adjust the<br />
depth of drilling according to the bone quality.<br />
- We recommend 800 rpm ~ 1,000 rpm. When drilling, be sure to<br />
pump via sufficient liquid injection.<br />
※ Pay particular attention while drilling since there is no stopper available.<br />
Dentis <strong>Surgical</strong> <strong>Manual</strong> I •14 ••15
10● <strong>Surgical</strong> Tap<br />
- Tapping must be used with hard bone but may be omitted with soft<br />
bone.<br />
- Set the engine to torque mode when tapping. When the tapping<br />
stops, shift the mode back to reverse, and then tap.<br />
- Continue tapping until you reach the spot where the screw threads<br />
begin.<br />
- We recommend 25 rpm ~ 30 rpm.<br />
11● Ø4.8 Fixture Placement<br />
- Connect the s-Clean no-mount driver (a surgical kit component) to<br />
the fixture. To verify the connection accuracy, check if the bottom of<br />
the driver’s laser-marked part is aligned with the fixture’s bevel.<br />
- When placing the fixture, make sure the engine is set to torque<br />
mode. Set the maximum torque to 40 Ncm.<br />
- When the engine stops, remove the no-mount driver, and then<br />
perform final placement using the ratchet driver.<br />
※ With the torque set to 50 Ncm or higher, make sure no bone necrosis occurs.<br />
12● Cover Screw Connection<br />
- Remove the cover screw from the Ampoule using a 1.25 hex hand<br />
driver, and then connect the screw to the fixture. When moving the<br />
screw into the inter-oral cavity, make sure the screw faces upward<br />
to prevent it from falling.<br />
- When connecting the screw to the fixture, set the torque to 8Ncm or<br />
below.<br />
- With the 1-stage procedure, cover screw connection may be<br />
omitted. Move on to the healing abutment connection.<br />
※ When performing the torque with surgical gloves on, take care not to exert<br />
too much force. Excessive force may interfere with cover screw removal<br />
during the secondary procedure.
13● Suturing<br />
- After connecting the cover screw to the fixture, suture the incised<br />
gum. Make sure there is enough gum tissue for connection.<br />
<strong>Implant</strong> Surgery<br />
Secondary surgery<br />
1● Incision<br />
- Using a tool such as explorer, confirm the site of fixture implantation,<br />
and then make the cut using a scalpel.<br />
2● Cover Screw Removal<br />
- Remove the cover screw using a 1.25 hex hand driver. If it does not<br />
work, use a 1.25 torque driver to ensure removal.<br />
※ Make sure the patient does not swallow while removing the screw.<br />
Dentis <strong>Surgical</strong> <strong>Manual</strong> I •16 ••17
3● Healing Abutment Connection<br />
- Considering the gingival height and abutment specification, select<br />
the optimal healing abutment, and then connect.<br />
- Connect using a 1.25 hex hand driver and set the torque preferably<br />
to 8 Ncm or below.<br />
4● Suturing<br />
- Suture using the needle and dental floss.
<strong>Surgical</strong> Drills, Instruments and Kits<br />
<strong>Surgical</strong> Drills<br />
● Stopper Drills<br />
- Stopper drills are divided into two types: tapered drills and straight drills.<br />
· Enhanced procedural convenience<br />
· Easier manipulation of drilling depth<br />
· Straight drills with additional dimension line on their blades allowing a<br />
drill to place the fixture, vary widely in length (reference line: at the<br />
bottom)<br />
· Allows posterior use without connecting to the drill extension<br />
· Capable of preventing a jam with the hand piece caused by applying<br />
excessive force<br />
· Drill blades designed to be 0.5mm shorter than their nominal<br />
dimension (except for the drill tip)<br />
Tapered drill<br />
18<br />
3<br />
L+0.5<br />
Straight drill<br />
18<br />
3<br />
L+0.5<br />
<strong>Surgical</strong> Drills, Instruments and Kits<br />
● Drill tip<br />
- Though it is a part that affects the cutting performance of the drill the<br />
most, the drill tip creates a useless void during implant placement.<br />
- All Dentis drills are designed to feature a uniform 0.6mm tip to cope with<br />
the fact that tip length varies with implant diameter.<br />
Drill Tip<br />
● Marking Line and <strong>Implant</strong> Placement Depth (Length : 12mm)<br />
Point drill<br />
Depth<br />
gauge<br />
Tapered drill Straight drill Pilot drill Countersink Tapered Tap Straight Tap Fixture<br />
Dentis <strong>Surgical</strong> <strong>Manual</strong> I •18 ••19
Instruments<br />
● Point Drill<br />
· Marks the fixture placement site<br />
· Allows the estimation of cortical bone thickness and bone density<br />
· Serves as a guide to initial drilling<br />
· Prevents a jam with the hand piece<br />
· Uses an engine<br />
· Recommended rate: 1,500 rpm<br />
· Material: TrimRite<br />
14.2<br />
2<br />
16<br />
● Round Drill<br />
· Has the same functions as those of the point drill<br />
· Used when removing the ridge<br />
16<br />
9.6<br />
9.6<br />
● Pilot Drill<br />
· Creates the approach path for the next drill<br />
· Corrects the path after drilling<br />
· Must be used when drilling via straight drill<br />
· Prevents a jam with the engine<br />
· Recommended rate: 800 rpm - 1,000 rpm<br />
· Material: TrimRite<br />
16<br />
9.6
● Multi Stopper Drill<br />
· Allows easier manipulation of drilling depth<br />
· Used exclusively for the save fixture<br />
· Has a removable stopper that can accommodate various lengths with a<br />
single drill<br />
· Has a marking that lets you perform the procedure without the stopper<br />
(reference line: at the top)<br />
· Prevents the ridge’s interference in the vertical direction during stopper<br />
removal<br />
· Offers chamfering for the flat surface to prevent a jam with the hand<br />
piece<br />
<strong>Surgical</strong> Drills, Instruments and Kits<br />
● CounterSink<br />
· Forms the fixture flange/neck shape during fixture placement with<br />
hard bone<br />
· Features a long-shank design that requires no drill extension in the<br />
posterior area<br />
· Shank cross-section that prevents a jam with the engine<br />
· Marking (0.5mm in thickness); reference line at the bottom<br />
· Recommended rate: 800 rpm ~ 1,000 rpm<br />
· Material: TrimRite<br />
21.4<br />
8.7<br />
● Tap Drill<br />
· Tool that realizes the fixture’s screw threads for D1 bone quality<br />
· Functions as a wrench by using the tap driver as adaptor<br />
· Dimension: Taper type : Ø3.5; Ø3.7; Ø4.1; Ø4.3; Ø4.8; Ø5.1<br />
Straight type: Ø3.5; Ø4.2<br />
· Performs tapping up to the L mark<br />
· Recommended torque: 30Ncm<br />
· Material: TrimRite<br />
16<br />
12<br />
L<br />
D<br />
Dentis <strong>Surgical</strong> <strong>Manual</strong> I •20 ••21
● Drill Extension<br />
· Used when extending the length of a tool that includes a drill and other<br />
hand pieces<br />
· Features increased holding strength via internal latch<br />
· Align the tool shank’s tip cross-section to that of the extension, and then<br />
connect the two. Make sure not to exert too much force on the contact<br />
point.<br />
15.5<br />
13<br />
● Tissue Punch<br />
· Tool used during flapless surgery<br />
· Can be used for both primary and secondary surgeries<br />
· Dimension: Ø3, Ø4, Ø5, Ø5.5, Ø6<br />
· Recommended rate: 800 rpm<br />
· Material: TrimRite<br />
14.2<br />
Ø 5<br />
7.5<br />
● Handle Reamer<br />
· Used when removing the internal lip of the cast after plastic coping<br />
casting with the rigid-type internal connection<br />
· Offers 4 types depending on the tip configuration<br />
· The reamer bite’s blade angle matches the coping angle.<br />
· Material: TrimRite<br />
22.5<br />
63<br />
47.5<br />
Ø7.5
● Hex Driver<br />
· Used to tighten screws with the engine or wrench<br />
· Features added holding ability<br />
· Specification: 0.9 hex; 1.2 hex; 1.25 hex<br />
· Be sure to hold it so that its tip will face upward when carrying it inside<br />
the oral cavity.<br />
· Maximum allowable torque: 20 Ncm for 0.9 hex; 35 Ncm for 1.2 hex; 45<br />
Ncm for 1.25 hex<br />
· Material: TrimRite<br />
■ 0.9 - Blue Color ■ 1.2 - Green Color ■ 1.25 - Yellow Color<br />
16.2<br />
7(12)<br />
7.5<br />
15(10)<br />
<strong>Surgical</strong> Drills, Instruments and Kits<br />
For engine<br />
For wrench<br />
● Mount Driver<br />
· Used as connected to the mount or tap via engine or wrench<br />
7.5<br />
· Features added holding ability<br />
· Be sure to hold it so that its tip will face upward when carrying it inside<br />
the oral cavity.<br />
· Recommended (allowable) torque: 50 Ncm<br />
· Material: TrimRite<br />
· Hex 2.4 used exclusively for e-Clean Mount (Ø3.5) and for s-Clean<br />
MOA abutments and taps<br />
· Hex 3.0 used exclusively for e-Clean Mount (Ø4.1 and Ø5.1)<br />
20<br />
(15)<br />
3.2<br />
16(8)<br />
For engine<br />
For wrench<br />
● No Mount Driver<br />
· Tool used for fixture placement<br />
· Has a stopper that helps confirm precision fixture connection<br />
· Features added holding ability<br />
· Recommended torque: 50 Ncm<br />
· Material: TrimRite<br />
14.2<br />
14.2<br />
14.55<br />
14(22)<br />
17.75<br />
(11.75)<br />
14.75<br />
(22.75)<br />
4.05<br />
For engine For wrench<br />
4.75<br />
For engine For wrench<br />
Dentis <strong>Surgical</strong> <strong>Manual</strong> I •22 ••23
● I-FIX Driver<br />
· Tool used for I-Fix placement<br />
· Offers laser marking to help confirm the direction of connection<br />
· Recommended torque: 50 Ncm<br />
· Material: TrimRite<br />
31(26)<br />
26(31)<br />
● Solid Abutment Driver<br />
· Used exclusively for solid abutments<br />
· Align the driver’s laser-marked site (▼) and the solid abutment’s groove,<br />
and then perform torque.<br />
·Features added holding ability<br />
·Can be used regardless of the abutment length<br />
·Used as hand and ratchet<br />
·Recommended torque: 35 Ncm<br />
7.5<br />
12<br />
● Excellent Solid Abutment Driver<br />
· Used exclusively for excellent solid abutments<br />
· Align the driver’s laser-marked site (▼) and the excellent solid<br />
abutment’s groove, and then perform torque.<br />
· Can be used regardless of the abutment length<br />
· Features added holding ability<br />
· Used as hand and ratchet<br />
· Recommended torque: 35 Ncm<br />
7.5<br />
12
● Octa Abutment Driver<br />
· Used exclusively for octa-abutments<br />
· Offers no holding ability<br />
· Categorized into short driver and long driver depending on the<br />
length<br />
· Used as hand and ratchet<br />
· Recommended torque: 35 Ncm<br />
7.5<br />
12(16)<br />
<strong>Surgical</strong> Drills, Instruments and Kits<br />
● O-Ring Abutment Driver<br />
· Used exclusively for O-ring abutments<br />
· Used as hand and ratchet<br />
· Categorized into short driver and long driver depending on the length<br />
7.5<br />
12(6)<br />
Ø2.8<br />
● Parallel Pin<br />
· Tool used to confirm the path after drilling (Ø2.2 and Ø2.8)<br />
· Helps estimate the buccolingual width (BL)<br />
· Helps estimate the fixture implantation distance<br />
· Helps confirm the occlusion on the tooth in the opposite arch<br />
※Note: Connect dental floss to the hole in the diameter dimension<br />
area to prevent the patient from swallowing.<br />
10<br />
1.5<br />
10<br />
Ø2.2<br />
Dentis <strong>Surgical</strong> <strong>Manual</strong> I •24 ••25
Ø1.8<br />
● Depth Gauge<br />
10<br />
· Tool used to confirm the depth after drilling (Ø2.2 and Ø2.8)<br />
· Features outstanding depth identification via length-specific<br />
dimension marking<br />
· Dimension: Ø2.2; Ø2.8<br />
· The I-Fix depth gauge (Ø1.2; Ø1.7) serves as both depth gauge and<br />
parallel pin.<br />
24<br />
10<br />
13 16<br />
Ø1.3<br />
For I-Fix only<br />
● Probe Depth Gauge<br />
· Confirms the depth after drilling (Ø2.2) (A)<br />
· Has the ability to measure the gingival depth for<br />
the s-Clean system (B)<br />
· Features outstanding depth identification via<br />
length-specific dimension marking<br />
A<br />
B<br />
Ø2.8<br />
● Positioning Guide<br />
· Used after drilling (Ø2.2; Ø2.8)<br />
·Helps estimate the post-drilling distance<br />
· Enables effective drilling for the next fixture placement by using a<br />
vertical hole<br />
※Note: Connect dental floss to the hole in the diameter dimension<br />
area to prevent the patient from swallowing.<br />
10<br />
3<br />
9.8<br />
Ø2.2
● Open Wrench<br />
· Holds down the mount’s square plane during<br />
mount screw removal after fixture placement<br />
and prevents fixture rotation<br />
· Helps prevent shaking while maneuvering the<br />
ratchet drive using the holding key<br />
<strong>Surgical</strong> Drills, Instruments and Kits<br />
● Ratchet Wrench<br />
· Used when performing unlimited torque<br />
● Torque Wrench<br />
· Capable of performing 15 Ncm ~ 35 Ncm<br />
torque<br />
· Can be used as ratchet during fixture<br />
placement and tapping<br />
· Single wrench that enables 15 Ncm, 25 Ncm,<br />
and 35 Ncm torque as well as unlimited torque<br />
· Features holding ability<br />
· Be sure to eliminate all residual blood after<br />
use, since the blood remaining after<br />
implantation could lead to inaccurate torque<br />
or system failure.<br />
※ With all Dentis tools, the recommended maximum number of use is 50.<br />
Dentis <strong>Surgical</strong> <strong>Manual</strong> I •26 ••27
<strong>Surgical</strong> Kits<br />
● Combined Kit<br />
· Kit designed for tapered-body implant systems<br />
· Features all the necessary implantation tools for the primary<br />
surgery<br />
· Used for various cases with its wide variety of drill options<br />
· Offers a stopper drill to enhance procedural convenience<br />
· Allows active steam emissions during autoclave sterilization<br />
· Made from engineering plastics with excellent durability and<br />
heat resistance<br />
Code : DCK<br />
● i-Clean / s-Clean Kit<br />
· Kit used exclusively for i-Clean or s-Clean tapered-body<br />
implantation<br />
· Features all the necessary implantation tools for the primary<br />
surgery<br />
· Offers a stopper drill to enhance procedural convenience<br />
· Provides a spare hole to allow extra tools<br />
· Its simple layout offers outstanding visual recognition.<br />
· Allows active steam emissions during autoclave sterilization<br />
· Made from engineering plastics with excellent durability and<br />
heat resistance<br />
Code : DIK<br />
● e-Clean Kit<br />
· Kit used exclusively for e-Clean tapered-body implantation<br />
· Features all the necessary implantation tools for the primary<br />
surgery<br />
· Offers a stopper drill to enhance procedural convenience<br />
· Provides a spare hole to allow extra tools<br />
· Its simple layout offers outstanding visual recognition<br />
· Allows active steam emissions during autoclave sterilization<br />
· Made from engineering plastics with excellent durability and<br />
heat resistance<br />
Code : DEK
● Straight Kit<br />
· Kit used exclusively for straight fixture placement<br />
· Features all the necessary tools for straight fixture implantation<br />
during the primary surgery<br />
· Offers a stopper drill to enhance procedural convenience<br />
· Adopts a color line to enhance procedural convenience<br />
· Provides a spare hole to allow extra tools<br />
· Made from engineering plastics with excellent durability and<br />
heat resistance<br />
Code : DCSK<br />
<strong>Surgical</strong> Drills, Instruments and Kits<br />
● SAVE Kit<br />
· Kit used exclusively for SAVE implant placement<br />
· Offers a drill stopper to enhance procedural convenience<br />
· Allows active steam emissions during autoclave sterilization<br />
· Features a semi-transparent top case (cover) that facilitates<br />
the observation of internal components<br />
· Offers simple design<br />
· Made from engineering plastics with excellent durability and<br />
heat resistance<br />
Code : DSK<br />
● I-Fix Kit<br />
· Kit used exclusively for mini-implant placement<br />
· Enables post, o-ring, and angle-type procedures<br />
· Allows active steam emissions during autoclave sterilization<br />
· Features a semi-transparent top case (cover) that facilitates<br />
the observation of internal components<br />
· Offers a simple design<br />
· Made from engineering plastics with excellent durability and<br />
heat resistance<br />
Code : DMK<br />
Dentis <strong>Surgical</strong> <strong>Manual</strong> I •28 ••29
● Restorative Kit<br />
· Features all the necessary tools for the secondary surgery<br />
· Has tools used exclusively for abutment and screw fixture<br />
· The 0.9 hex driver is used for tightening external C/S and I-Fix<br />
mount screws.<br />
· Allows active steam emissions during autoclave sterilization<br />
· Features a semi-transparent top case (cover) that facilitates the<br />
observation of internal components<br />
· Made from engineering plastics with excellent durability and heat<br />
resistance<br />
Code : DRK<br />
● Pro Kit<br />
·Confirms post-i Fixture placement implant size and soft tissue<br />
thickness<br />
·Made from plastics that allow easy removal from the fixture<br />
·Capable of accommodating various product groups<br />
·Can be used semi-permanently<br />
·Features a semi-transparent top case (cover) that facilitates the<br />
observation of internal components<br />
·Made from engineering plastics with excellent durability and heat<br />
resistance<br />
Code : DPK<br />
● GBR Kit<br />
· Features fixed screws that are used to prevent bone detachment<br />
after the GBR procedure and tools to perform the procedure<br />
· Enhances procedural convenience via various screw length<br />
options (4mm; 6mm; 8mm)<br />
·Offers storage space for the mesh (sold separately)<br />
·Helps minimize tissue damage by adopting cross-head design<br />
· Provides the machine and hand driver to enhance procedural<br />
convenience<br />
·Offers autoclave sterilization<br />
Code : DGK<br />
● Tissue Punch<br />
· Allows incision-free procedure during the primary and secondary<br />
surgeries<br />
· Makes tissue removal easier by creating a hole of the appropriate<br />
size during use<br />
· Features outstanding cutting efficiency<br />
· Helps heal fast after the procedure<br />
· Offers easier product identification via marking in the head area<br />
※ Dentis offers one (1) year warranty from the date the packing is opened.
Cleaning and sterilization<br />
If you have purchased the Dentis surgical kit or Dentis<br />
surgical tool(s), and you will be using it(them) for surgery,<br />
be sure to perform autoclave sterilization (15 minutes at<br />
132°C or 30 minutes at 121°C) prior to the surgery. You<br />
must also pay attention to the warnings below.<br />
Cleaning and sterilization<br />
● Keep the post-procedural tools in distilled water or alcohol. After implant placement is completed, be sure<br />
to rinse the surface of the tools thoroughly with distilled or running water.<br />
● DO NOT use peroxide for storing or washing the tools since it could cause discoloration and/or corrosion<br />
on the coating or marking of the tools. Be sure to remove the blood from the tools’surface thoroughly.<br />
● After washing, completely eliminate the moisture from the tools’surface and place them inside the surgical<br />
kit case. Storing the tools outside the case will expose them to an ambient environment conducive for<br />
corrosion and may compromise their service life.<br />
● When completing autoclave sterilization, immediately remove the tools or the kit from the sterilization<br />
agent, remove the moisture from the surface of the tools or kit, and store them in an ambient environment.<br />
Leaving the products in the agent long after sterilization is completed will compromise the products’<br />
service life due to ambient moisture and could cause corrosion to set in early.<br />
● Drills, gauges, and hex drivers may not be subjected to ultrasonic sterilization.<br />
● Our torque ratchets allow easy assembly and disassembly. When washing, make sure you disassemble<br />
them before subjecting them to ultrasonic sterilization. When no ultrasonic sterilizer is available,<br />
disassemble the ratchet and thoroughly remove the bone residues and other matters from the head and<br />
spring of the ratchet before putting it away for storage.<br />
● We prohibit our tools from being used for purposes other than dental implantation procedures.<br />
Dentis <strong>Surgical</strong> <strong>Manual</strong> I •30 ••31
Distributor<br />
ASKLEPION-Trade s.r.o., Londynska 160/39, 120 00 Praha 2, Czech Republic<br />
Phone No.: +420 – 234 716 509, 512<br />
www.dentis-implant.com, info@dentis-implant.com
s-Clean Prosthetics <strong>Manual</strong>
DENTIS s-Clean System
Contents<br />
1 s-Clean <strong>Implant</strong> System<br />
2 Features of s-Clean Fixture<br />
1. Tapered Fixtures<br />
2. HAPTITE Fixtures<br />
3. Tapered Ⅱ Fixtures<br />
4. Straight Fixtures<br />
5. SAVE Fixtures<br />
3 Restorative KIT<br />
4 s-Clean Abutment System<br />
1. Sole Abutments<br />
2. Couple Abutments<br />
3. Angled Abutments<br />
4. Gold UCAL Abutments<br />
5. Sub-octa Abutment<br />
6. O-Ring Abutments<br />
04<br />
06<br />
06<br />
07<br />
08<br />
09<br />
10<br />
11<br />
12<br />
12<br />
16<br />
20<br />
24<br />
28<br />
32
1s-Clean <strong>Implant</strong> System<br />
Fixture System<br />
<strong>Implant</strong><br />
Diameter<br />
ø 3.7<br />
Length :<br />
8, 10, 12, 14mm<br />
ø 4.1<br />
0.4mm<br />
0.4mm<br />
RBM<br />
HAPTITE<br />
<strong>Implant</strong><br />
Diameter<br />
Tapered Tapered II Straight Tapered<br />
SAVE SAVE II<br />
Hex 2.5<br />
Ø3.4<br />
Ø3.7<br />
Hex 2.5<br />
Ø3.4<br />
Ø4.1<br />
L<br />
0.4mm<br />
0.4mm<br />
1.5˚<br />
Hex 2.5<br />
Ø3.4<br />
Ø3.7<br />
Hex 2.5<br />
Ø3.4<br />
Ø4.1<br />
L<br />
Hex 2.5<br />
Ø3.4<br />
Ø4.1<br />
0.4mm<br />
0.4mm<br />
Hex 2.5<br />
Ø3.4<br />
Ø3.7<br />
Hex 2.5<br />
Ø3.4<br />
Ø4.1<br />
L<br />
ø 5.5<br />
Length :<br />
7, 8, 10, 12mm<br />
ø 6.0<br />
0.4mm<br />
Hex 2.5<br />
Ø3.4<br />
Ø5.5<br />
Hex 2.5<br />
Ø3.4<br />
Ø6.0<br />
RBM<br />
L<br />
Hex 2.5<br />
Ø3.4<br />
Ø5.5<br />
Hex 2.5<br />
Ø3.4<br />
Ø6.0<br />
L<br />
0.4mm<br />
Length :<br />
L<br />
L<br />
L<br />
L<br />
Length :<br />
L<br />
L<br />
8, 10, 12, 14mm<br />
1.5˚<br />
7, 8, 10, 12mm<br />
Fixture<br />
Abutment<br />
Cylinder<br />
Abutment System<br />
Healing Abutment<br />
Cover Screw<br />
Sole<br />
Couple<br />
Sub Octa<br />
ø4.5 ø5.5 ø6.5<br />
Sole<br />
Hex N-Hex Hex N-Hex Hex N-Hex Hex N-Hex Hex N-Hex<br />
Free<br />
Couple<br />
FreeMill<br />
Angled (15。. 25。)<br />
Gold<br />
Moa Abutment<br />
Sub Octa<br />
Hex N-Hex<br />
Gold<br />
Tapered<br />
Straight<br />
Zero<br />
Margin<br />
Zero Margin
<strong>Implant</strong><br />
Diameter<br />
RBM<br />
HAPTITE<br />
<strong>Implant</strong><br />
Diameter<br />
RBM<br />
Tapered Tapered II Straight<br />
Tapered<br />
SAVE II<br />
Hex 2.5<br />
Hex 2.5<br />
Hex 2.5<br />
Hex 2.5<br />
Ø3.4<br />
Ø4.3<br />
Ø3.4<br />
Ø4.3<br />
Ø3.4<br />
Ø4.3<br />
Ø3.4<br />
ø 4.3<br />
0.4mm<br />
0.4mm<br />
0.4mm<br />
ø 6.5<br />
Ø6.5<br />
Length :<br />
8, 10, 12, 14mm<br />
L<br />
1.5˚<br />
L<br />
L<br />
Length :<br />
7, 8, 10, 12mm<br />
L<br />
Hex 2.5<br />
Hex 2.5<br />
Hex 2.5<br />
Hex 2.5<br />
Hex 2.5<br />
ø 4.8<br />
0.4mm<br />
Ø3.4<br />
Ø4.8<br />
0.4mm<br />
Ø3.4<br />
Ø4.8<br />
Ø3.4<br />
Ø4.8<br />
0.4mm<br />
Ø3.4<br />
Ø4.8<br />
ø 7.0<br />
Ø3.4<br />
Ø7.0<br />
Length :<br />
L<br />
L<br />
L<br />
L<br />
Length :<br />
L<br />
8, 10, 12, 14mm<br />
2˚<br />
7, 8, 10, 12mm<br />
Cylinder Impression Coping / Cap Lab Analog Plastic Coping Temporary<br />
O-ring<br />
Impression Cap<br />
Single<br />
Bridge<br />
O-Ring<br />
Retainer<br />
Hex N-Hex<br />
Titanium<br />
Hex N-Hex<br />
Pick-Up<br />
Hex N-Hex<br />
Transfer<br />
Lab Analog<br />
Hex N-Hex<br />
Plastic<br />
Pick-Up<br />
Transfer<br />
Hex N-Hex<br />
Plastic<br />
Abutment<br />
s-Clean Fixture System I •04 ••05
2Features of s-Clean Fixture<br />
1. . Tapered Fixture<br />
No-Mount System<br />
The Dentis No-Mount System helps confirm the path on which the procedure is to be performed and<br />
enables the surgeon to shorten the surgery time and perform accurately by minimizing interference<br />
with the surrounding teeth.<br />
Micro Threads to Prevent Bone Loss<br />
The system minimizes bone loss and helps prevent infection-induced absorption of the cortical bone<br />
by acting as a wedge even in thin cortical bone and by offering stable initial bonding strength and<br />
dispersing the bone's stimulus and stress.<br />
Safe Cutting Edge<br />
The system enables safe, smooth implantation by minimizing bone resistance during implant<br />
placement.<br />
RBM Surface Treatment (1.5μm ~ 1.8μm)<br />
We adopted the RBM (resorbable blast media) method for the surface treatment of the fixture to be<br />
inserted into the alveolar bone. Surface roughness (Ra) of 1.5μm ~ 1.8μm is the ideal value for<br />
osseointegration.<br />
× 5,000<br />
Self-Tapping Groove<br />
The groove helps with the self-tapping during implantation and serves as the void where surplus<br />
bone is to accumulate. It also increases the post-placement bond strength.
2. 2<br />
HAPTITE Fixture<br />
Super High-Speed Resorbable Blast Media (RBM) Coating<br />
The coating technique developed by RIST (POSCO Research Institute) solved the inconsistent<br />
coating and peeling problems that had been associated with the conventional under-2μm plasmasprayed<br />
hydroxyapatite (HA) coating. Super high-speed RBM coating, the first of such method in the<br />
world, was developed via 100% local technology, offering a high level of reliability.<br />
Increased Initial Bond Strength via HA Coating on the RBM Surface<br />
Having a modulus of elasticity similar to that of the bone, HA coating offers post-placement effects<br />
that are close to natural teeth. The coating also boasts of outstanding biocompatible and bioactive<br />
qualities that facilitate initial osseointegration compared to conventional implant models.<br />
Realizing Gingival Sealing Effects via Hybrid HA Coating<br />
To help realize the gingival sealing effects resulting from securing biological width, a 1mm section of<br />
the anterior micro threads was treated as the safe zone for the RBM surface. This has helped prevent<br />
exposure of the HA coating layer resulting from soft tissue complication.<br />
Excellent Coating Bond Strength<br />
The excellent bond strength of HAPTITE coating is 60 Mpa or higher.<br />
Osteo-Blast Bonding Test<br />
The osteo-blast attached to the surface of the HAPTITE coating has quite a few cells and a highly<br />
developed extra-cellular matrix; thus allowing the easy bonding of bone tissues during HAPTITE<br />
placement as well as fast osseointegration.<br />
High Crystalline HA<br />
The X-ray diffraction test has confirmed the extremely high crystalline content of the HAPTITE HA<br />
coating (crystalline content ≥ 95%).<br />
Tapered Design<br />
The design guarantees excellent initial bond strength in sites with less desirable bone quality. It also<br />
enables easy, stabler performance of the procedure and shortens the surgery time.<br />
Features of s-Clean Fixture I •06 ••07
3. Tapered II Fixture<br />
Convenient No-Mount System<br />
The Dentis No-Mount System helps confirm the path on which the procedure is to be performed and<br />
enables the surgeon to shorten the surgery time and perform accurately by minimizing interference<br />
with the surrounding teeth.<br />
Tapered Design<br />
The design guarantees excellent initial bond strength in sites with less desirable bone quality. It also<br />
enables easy, stabler performance of the procedure and shortens the surgery time.<br />
Wide-Valley Threads that Increase Initial Bond Strength<br />
We have adopted a single thread design with wide-valley threads that help secure increased initial<br />
bond strength in the cortical bone as well as placement torque value of 35 Ncm ~ 40 Ncm to help reduce<br />
bone stress.<br />
RBM Surface Treatment (1.5μm ~ 1.8μm)<br />
For the surface treatment for the fixture to be inserted into the alveolar bone, we have adopted the RBM<br />
(resorbable blast media) method and have secured surface roughness value (Ra) of 1.5μm ~ 1.8μm,<br />
which is considered most desirable for osseointegration.<br />
× 5,000<br />
Safe Cutting Edge<br />
The edge design minimizes bone resistance during implant placement and enables safe, smooth<br />
implantation.<br />
Self-Tapping Groove<br />
The groove helps with the self-tapping during implantation and serves as the void where surplus<br />
bone is to accumulate. It also increases the post-placement bond strength.
4. Straight Fixture<br />
Outstanding <strong>Implant</strong>ation in Various Kinds of Bone Quality<br />
The Dentis CLEANLANT straight series enables smooth implantation regardless of bone quality,<br />
thereby enhancing the implantation results. The bone is free of excessive stress; thus, stable<br />
implantation is guaranteed.<br />
Top-Part Compatibility to Maximize Convenience<br />
The series have top-part compatibility with Dentis's existing tapered-body implant models.<br />
Convenient No-Mount System<br />
Our no-mount system helps confirm the path on which the procedure is to be<br />
performed and enables the surgeon to shorten the surgery time and perform<br />
accurately by minimizing interference with the surrounding teeth.<br />
RBM Surface Treatment (1.5μm - 1.8μm)<br />
Dentis adopts the RBM (resorbable blast media) method for the surface<br />
treatment of the fixture to be inserted into the alveolar bone. Surface roughness<br />
(Ra) of 1.5μm ~ 1.8μm is the ideal value for osseointegration.<br />
<strong>Implant</strong> Design to Ensure Outstanding Initial Stability<br />
4˚<br />
R0.65<br />
0.9mm<br />
0.1mm<br />
Using a double-thread screw helps reduce the placement time and increase<br />
initial stability. The design also helps with self-tapping during placement -- acting<br />
as the void where surplus bone is to accumulate -- and increases postplacement<br />
bond strength. The apex taper with a 5-degree angle serves as the<br />
guide for the implant to settle securely inside the drilled hole and induces stable<br />
implantation of the fixture.<br />
5˚<br />
5˚<br />
Features of s-Clean Fixture I •08 ••09
5. SAVE Fixture<br />
Submerged System<br />
Convenient No-Mount System<br />
The Dentis no-mount system helps confirm the path on which the procedure is to be performed<br />
and enables the surgeon to shorten the surgery time and perform accurately by minimizing<br />
interference with the surrounding teeth.<br />
Top-Part Compatibility to Maximize Convenience<br />
The system requires no additional SAVE abutment and allows the use of existing products;<br />
thus offering cost-effective benefits.<br />
Switching Platform Method<br />
The application of the switching platform method for the fixture shoulder helps minimize alveolar<br />
bone loss. The bone loss is an issue that requires aggressive intervention.<br />
Micro-Thread to Prevent Bone Loss<br />
The micro-thread offers stable initial bond strength and appropriate amounts of stimulus to the<br />
cortical bone. It also disperses the stress applied on the bone to help minimize bone loss.<br />
Optimal RBM Surface Treatment<br />
We have adopted the RBM (resorbable blast media) method for the surface treatment of the<br />
fixture to be inserted into the alveolar bone. Surface roughness (Ra) of 1.5μm ~ 1.8μm is the ideal<br />
value for osseointegration.<br />
Safe Cutting Edge/Tapered Design<br />
For this tapered design, we have adopted a double-thread screw and have implemented -- in<br />
× 5,000<br />
addition to the cutting edge at the bottom of the screw -- a fine cutting edge for the entire<br />
thread along the screw's rotation arc. This has enabled smooth, stable implantation using the<br />
transmission of consistent force during fixture placement.
3Restorative KIT<br />
Code : DRK<br />
Restorative Kit<br />
· Offers tools needed for the secondary surgery<br />
· Includes tools used exclusively for the<br />
abutment and screw fixture<br />
· The 0.9 hex driver is used for external C/S and<br />
I-Fix mount screws.<br />
· Allows active steam emissions during<br />
autoclave sterilization<br />
· Features a semi-transparent top case (cover)<br />
that facilitates the observation of internal<br />
components<br />
· Made from engineering plastics with excellent<br />
durability and heat resistance<br />
s-Clean Prosthetics <strong>Manual</strong> I •10 ••11
4s-Clean Abutment System<br />
1. Sole Abutment<br />
A cemented-type abutment, the sole abutment can accommodate both<br />
single- and multi-unit cases. It has the following characteristics:<br />
1 Allows abutment impression<br />
2 Accommodates both single- and multi-unit cases<br />
3 Features cemented-type prosthetic tooth<br />
4 Offers outstanding stress dispersion via friction fixture enabled by 11°taper connection<br />
5 Applied ZrN coating to ensure aesthetically pleasing prosthesis<br />
Sole Abutment (ZrN Coating) Cuff Height Code No.<br />
5.5mm<br />
Cuff: 1.0,1.5,2.0, 2.5,<br />
3.5, 4.5, 5.5mm<br />
1.0mm<br />
1.5mm<br />
2.0mm<br />
2.5mm<br />
3.5mm<br />
4.5mm<br />
5.5mm<br />
5.5mm<br />
Ø4.5<br />
DSSA4510PC<br />
DSSA4515PC<br />
DSSA4520PC<br />
DSSA4525PC<br />
DSSA4535PC<br />
DSSA4545PC<br />
DSSA4555PC<br />
Ø5.5<br />
DSSA5510PC<br />
DSSA5515PC<br />
DSSA5520PC<br />
DSSA5525PC<br />
DSSA5535PC<br />
DSSA5545PC<br />
DSSA5555PC<br />
Ø6.5<br />
·<br />
DSSA6515PC<br />
DSSA6520PC<br />
DSSA6525PC<br />
DSSA6535PC<br />
DSSA6545PC<br />
DSSA6555PC<br />
● Step 1. Healing Abutment Removal<br />
- Using the 1.25 hex driver, remove the healing abutment.<br />
1) Tissue healing completed after the secondary<br />
surgery<br />
2) Healing abutment removal via the 1.25 hex<br />
driver<br />
3) Healing abutment removed<br />
● Step 2. Impression Cap Fixture<br />
- Connect the torque ratchet to the 1.25 hex driver and attach the fixture to the sole abutment to secure 30 Ncm.<br />
For impression, have the impression cap aligned with the matching diameter and push the cap inward until you hear a clicking sound.
1) Using the torque ratchet, fix the sole abutment<br />
(1.25 driver; 30Ncm torque).<br />
2) Complete the inter-oral sole abutment fixture. 3) Push in the impression cap until you hear a<br />
clicking sound.<br />
Impression Cap Abutment Diameter Code No.<br />
Ø4.5<br />
Ø5.5<br />
Ø6.5<br />
DSIPC45<br />
DSIPC55<br />
DSIPC65<br />
● Step 3. Pick-up Type<br />
- Inject impression materials and take the impression on the prepared tray.<br />
After the impression-taking, fix the sole healing cap inside the oral cavity to protect the abutment during the prosthesis manufacturing period<br />
and to help minimize the feel of foreign substance inside the oral cavity of the patient.<br />
1) Inject impression materials. 2) Take the impression. 3) Fix the sole healing cap until prosthesis is<br />
complete (protect the abutment and reduce<br />
patient discomfort).<br />
● Step 4. Master Model Fabrication<br />
- Detach the impression. Fix the lab analog to the impression cap until you hear a "clicking" sound. Apply artificial gum around the fixture to<br />
recreate tissues. Box the impression and inject plaster to complete the model.<br />
Lab Analog Abutment Diameter Code No.<br />
Ø4.5<br />
Ø5.5<br />
Ø6.5<br />
DSSLA45<br />
DSSLA55<br />
DSSLA65<br />
1) Detach the impression. 2) Fix the lab analog to the impression cap (make<br />
sure you hear a "clicking" sound; avoid applying<br />
too much force to prevent deformation).<br />
3) Recreate tissues for fixture implantation using<br />
artificial gum.<br />
s-Clean Prosthetics <strong>Manual</strong> I •12 ••13
4) Box impression using boxing wax and utility<br />
wax.<br />
5) Inject plaster (make sure no deformation occurs<br />
when using the vibrator).<br />
6) Complete model fabrication.<br />
● Step 5. Wax-up<br />
- Push the plastic coping into the completed model until you hear a "clicking" sound. Using a bur, adjust the height to that of the surrounding<br />
teeth. Perform full wax-up to recreate the tooth pattern.<br />
Plastic Coping Abutment Diameter Type Code No.<br />
Single<br />
Bridge<br />
Ø4.5<br />
Ø5.5<br />
Ø6.5<br />
Single<br />
Bridge<br />
Single<br />
Bridge<br />
Single<br />
Bridge<br />
DSSP45S<br />
DSSP45B<br />
DSSP55S<br />
DSSP55B<br />
DSSP65S<br />
DSSP65B<br />
1) Fix the single plastic coping to the lab analog<br />
top (push in until you hear a "clicking" sound).<br />
2) Adjust the height to the surrounding teeth using<br />
a bur.<br />
3) Complete height adjustment.<br />
4) Perform full wax-up to recreate the tooth<br />
pattern.<br />
5) Cut on the full wax crown according to the<br />
buccolingual width and core width.
● Step 6. Casting & Porcelain<br />
- Fabricate the prosthetic tooth from the cast pattern.<br />
1) Mount the sprue to the wax pattern's<br />
nonfunctional cusp.<br />
2) Centrifugal casting machine used commonly<br />
for casting<br />
3) Body completed via centrifugal casting<br />
machine<br />
4) Remove the inner lips using a reamer to ensure<br />
precision cast match.<br />
5) Carry out metal work. 6) Perform the 1 st and 2 nd opaque processes.<br />
7) Carry out porcelain buildup. 8) Perform contouring and grazing to complete<br />
prosthetic fabrication.<br />
9) Prosthetic tooth completed<br />
● Step 7. Cementation & Delivering<br />
- Fix the completed prosthetic tooth inside the oral cavity.<br />
1) Remove the previously installed healing cap in<br />
the oral cavity.<br />
2) Perform cementation on the completed prosthetic<br />
tooth, and then fix to the sole abutment to mount<br />
the tooth inside the oral cavity.<br />
s-Clean Prosthetics <strong>Manual</strong> I •14 ••15
2. Couple Abutment<br />
An SCRP-type abutment, the couple abutment can accommodate both<br />
single- and multi-unit cases. It has the following characteristics:<br />
1 Allows impression on both fixture and abutment levels<br />
2 Accommodates both single- and multi-unit cases<br />
3 Features an SCRP-type prosthetic tooth<br />
4 Offers outstanding stress dispersion via friction fixture enabled by 11°taper connection<br />
5 Applied ZrN coating to ensure aesthetically pleasing prosthesis<br />
Couple Abutment ZrN Coating Hex Cuff Height(H) Code No.<br />
H<br />
Cuff<br />
Hex<br />
* Abutment+Abutment Screw Set Code : Abutment Code + S(ex: DSCA4510NS)<br />
1.0mm<br />
1.5mm<br />
2.0mm<br />
2.5mm<br />
3.5mm<br />
4.5mm<br />
5.5mm<br />
1.0mm<br />
1.5mm<br />
2.0mm<br />
2.5mm<br />
3.5mm<br />
4.5mm<br />
5.5mm<br />
5.5mm<br />
7mm<br />
Ø4.5<br />
DSCA4510HPC<br />
DSCA4515HPC<br />
DSCA4520HPC<br />
DSCA4525HPC<br />
DSCA4535HPC<br />
DSCA4545HPC<br />
DSCA4555HPC<br />
DSCA4510H7PC<br />
DSCA4515H7PC<br />
DSCA4520H7PC<br />
DSCA4525H7PC<br />
DSCA4535H7PC<br />
DSCA4545H7PC<br />
DSCA4555H7PC<br />
Ø5.5<br />
DSCA5510HPC<br />
DSCA5515HPC<br />
DSCA5520HPC<br />
DSCA5525HPC<br />
DSCA5535HPC<br />
DSCA5545HPC<br />
DSCA5555HPC<br />
DSCA5510H7PC<br />
DSCA5515H7PC<br />
DSCA5520H7PC<br />
DSCA5525H7PC<br />
DSCA5535H7PC<br />
DSCA5545H7PC<br />
DSCA5555H7PC<br />
Ø6.5<br />
DSCA6515HPC<br />
DSCA6520HPC<br />
DSCA6525HPC<br />
DSCA6535HPC<br />
DSCA6545HPC<br />
DSCA6555HPC<br />
DSCA6515H7PC<br />
DSCA6520H7PC<br />
DSCA6525H7PC<br />
DSCA6535H7PC<br />
DSCA6545H7PC<br />
DSCA6555H7PC<br />
● Step 1. Healing Abutment Removal<br />
- Using the 1.25 hex driver, remove the healing abutment.<br />
1) Tissue healing completed after the secondary<br />
surgery<br />
2) Healing abutment removal with the 1.25 hex<br />
driver<br />
3) Healing abutment removed<br />
● Step 2. Pick-up Type<br />
- After connecting the fixture to the impression coping, use the 1.25 hex driver and hold the guide pin with your fingers, and then take the impression.<br />
Impression Coping (Pick-Up) Type Height Code No.<br />
Hex<br />
N-Hex<br />
* Impression Coping+Guide Pin Set Code : Impression Coping Code + S(ex: DSIH45LS)<br />
Hex<br />
N-Hex<br />
Long<br />
Short<br />
Long<br />
Short<br />
Ø4.5<br />
DSIH45L<br />
DSIH45S<br />
DSIN45L<br />
DSIN45S<br />
Ø5.5<br />
DSIH55L<br />
DSIH55S<br />
DSIN55L<br />
DSIN55S<br />
Ø6.5<br />
DSIH65L<br />
DSIH65S<br />
DSIN65L<br />
DSIN65S
1) Connect the pick-up impression coping to take<br />
an impression. Using the guide pin and 1.25 hex<br />
driver, fix the impression coping to the fixture.<br />
2) Fix the impression coping to minimize errors<br />
that may occur during the impression-taking<br />
process.<br />
3) Fix using pattern resin.<br />
● Step 3. Master Model Fabrication<br />
- Remove the impression body and connect the lab analog to the impression cap.<br />
Apply artificial gum around the fixture to recreate tissues. Box the impression and inject plaster to complete the master model.<br />
Lab Analog<br />
Code No.<br />
DSCLA<br />
1) Fabricate the individual tray customized to the patient's oral configuration to ensure precision impressiontaking.<br />
2) Complete the injection of impression materials.<br />
3) Using the 1.25 hex driver, remove the guide pin<br />
and detach the impression body.<br />
4) Connect the lab analog to the impression coping.<br />
Fix using the 1.25 hex driver and guide pin.<br />
5) Recreate tissues for the fixture implantation<br />
area using artificial gum.<br />
s-Clean Prosthetics <strong>Manual</strong> I •16 ••17
6) Perform boxing on the impression using boxing and utility waxes. Mix plaster and inject, taking care not to<br />
cause deformation.<br />
7) Complete the master model fabrication.<br />
● Step 4. Wax-up<br />
- Using the 1.25 hex driver, fix the couple abutment to the oral cavity model. Using a bur, adjust the height to that of the surrounding teeth.<br />
Perform full wax-up to recreate the tooth pattern.<br />
1) Connect the couple abutment to the lab analog.<br />
Fix using the 1.25 hex driver.<br />
2) Remove the artificial gum.<br />
3) Confirm the abutment height and labiolingual<br />
width and diameter. Perform milling with the<br />
milling machine and bur.<br />
4) Prevent wax pattern deformation by using<br />
pattern resin. Fabricate the resin cap.<br />
5) With full waxing, recreate unique tooth patterns.<br />
● Step 5. Casting & Porcelain<br />
- Fabricate the prosthetic tooth from the cast pattern.
1) Perform wax cut-back to secure a void where<br />
porcelain is to be injected.<br />
2) Mount the sprue. 3) Centrifugal casting machine used commonly for<br />
casting<br />
4) PFM model with completed casting 5) Connect the couple abutment to the PFM<br />
model to check the match.<br />
6) Perform the 1 st and 2 nd opaque processes to<br />
remove PFM's signature metallic shine.<br />
7) Carry out porcelain buildup and put it in the<br />
porcelain furnace to cure.<br />
8) Final prosthetic tooth completed 9) Using a transfer jig, fix the couple abutment<br />
inside the oral cavity.<br />
● Step 6. Cementation & Delivering<br />
- Fix the completed prosthetic tooth inside the oral cavity.<br />
1) Fix the abutment screw and tighten with the<br />
1.25 hex driver (30 Ncm).<br />
2) Mount the final prosthetic tooth inside the oral<br />
cavity.<br />
s-Clean Prosthetics <strong>Manual</strong> I •18 ••19
3. Angled Abutment<br />
Angled abutment is used for cases with poor implantation path, offering 15°and 25°models.<br />
Angled Abutment ZrN Coating Hex Angle Cuff Code No.<br />
15。<br />
25。<br />
15˚<br />
25˚<br />
2mm<br />
4mm<br />
2mm<br />
4mm<br />
Ø4.5<br />
DSAA45152HC<br />
DSAA45154HC<br />
DSAA45252HC<br />
DSAA45254HC<br />
Ø5.5<br />
DSAA55152HC<br />
DSAA55154HC<br />
DSAA55252HC<br />
DSAA55254HC<br />
Ø6.5<br />
DSAA65152HC<br />
DSAA65154HC<br />
DSAA65252HC<br />
DSAA65254HC<br />
Angled Abutment ZrN Coating N-Hex Angle Cuff Code No.<br />
15。<br />
* Abutment+Abutment Screw Set Code : Abutment Code + S(ex: DSAA45152S)<br />
25。<br />
15˚<br />
25˚<br />
2mm<br />
4mm<br />
2mm<br />
4mm<br />
Ø4.5<br />
DSAA45152NHC<br />
DSAA45154NHC<br />
DSAA45252NHC<br />
DSAA45254NHC<br />
Ø5.5<br />
DSAA55152NHC<br />
DSAA55154NHC<br />
DSAA55252NHC<br />
DSAA55254NHC<br />
Ø6.5<br />
DSAA65152NHC<br />
DSAA65154NHC<br />
DSAA65252NHC<br />
DSAA65254NHC<br />
● Step 1. Healing Abutment Removal<br />
- Remove the healing abutment using the 1.25 hex driver.<br />
1) Tissue healing completed after the secondary<br />
surgery<br />
2) Remove the healing abutment with the 1.25 hex<br />
driver.<br />
3) Remove the healing abutment.<br />
● Step 2. Pick-up Type<br />
- After connecting the fixture to the impression coping, use the 1.25 hex driver and hold the guide pin with your fingers, and then take the<br />
impression.<br />
Impression Coping (Pick-Up) Type Height Code No.<br />
Hex N-Hex<br />
* Impression Coping+Guide Pin Set Code : Impression Coping Code + S(ex: DSIH45LS)<br />
Hex<br />
N-Hex<br />
Long<br />
Short<br />
Long<br />
Short<br />
Ø4.5<br />
DSIH45L<br />
DSIH45S<br />
DSIN45L<br />
DSIN45S<br />
Ø5.5<br />
DSIH55L<br />
DSIH55S<br />
DSIN55L<br />
DSIN55S<br />
Ø6.5<br />
DSIH65L<br />
DSIH65S<br />
DSIN65L<br />
DSIN65S
1) Connect the pick-up impression coping.<br />
Using the 1.25 hex driver, connect the guide pin.<br />
2) Inject impression materials around the<br />
impression coping.<br />
3) Complete the injection of impression materials.<br />
● Step 3. Master Model Fabrication<br />
- Remove the impression body and connect the lab analog to the impression cap.<br />
Apply artificial gum around the fixture to recreate tissues. Box the impression and inject plaster to complete the master model.<br />
Lab Analog<br />
Code No.<br />
DSCLA<br />
1) Connect the lab analog to the impression<br />
coping and fix using the 1.25 hex driver.<br />
2) After the lab analog connection, form artificial<br />
gum to recreate patient-specific tissue patterns.<br />
3) Perform boxing using boxing wax and utility<br />
wax.<br />
4) Mix plaster and inject, taking care not to cause<br />
impression deformation.<br />
5) Complete the master model fabrication.<br />
s-Clean Prosthetics <strong>Manual</strong> I •20 ••21
● Step 4. Wax-up<br />
- Using the 1.25 hex driver, fix the angled abutment to the master model. Using a bur, adjust the height to that of the surrounding teeth.<br />
Perform full wax-up to recreate the tooth pattern.<br />
1) Connect the angled abutment to the lab analog.<br />
2) Using the milling machine and bur, confirm the<br />
abutment height and labiolingual width and<br />
diameter and perform milling.<br />
3) Prevent wax pattern deformation by using<br />
pattern resin. Fabricate the resin cap.<br />
4) Perform full waxing to recreate the tooth<br />
pattern.<br />
5) Carry out wax cut-back to secure a void where<br />
porcelain is to be injected.<br />
● Step 5. Casting & Porcelain<br />
- Fabricate the prosthetic tooth from the cast pattern.<br />
1) Mount the sprue. 2) Centrifugal casting machine used commonly for<br />
casting<br />
3) PFM model with completed casting
4) Check the match by connecting the angled<br />
abutment top to the PFM model.<br />
5) Perform porcelain buildup and put it in the<br />
porcelain furnace to cure.<br />
6) After glazing, complete the prosthetic tooth.<br />
● Step 6. Cementation & delivering<br />
- Fix the completed prosthetic tooth inside the oral cavity.<br />
1) Remove the healing abutment. 2) Connect the completed prosthetic tooth to the<br />
fixture inside the oral cavity. Tighten the screw<br />
to 30 Ncm using the 1.25 hex driver.<br />
3) Block out the screw hole. Fix the completed<br />
prosthetic tooth to the abutment via<br />
cementation.<br />
s-Clean Prosthetics <strong>Manual</strong> I •22 ••23
4. Gold UCLA Abutment<br />
The gold UCLA abutment in gold casing allows dental professionals to fabricate prosthetic teeth<br />
with greater flexibility and precision.<br />
Gold UCLA Abutment Diameter Type Code No.<br />
Hex<br />
DSGCH<br />
Hex<br />
N-Hex<br />
* Abutment+Abutment Screw Set Code : Abutment Code + S(ex: DSGCHS)<br />
N-Hex<br />
DSGCN<br />
● Step 1. Healing Abutment Removal<br />
- Remove the healing abutment using the 1.25 hex driver.<br />
1) Tissue healing completed after the secondary<br />
surgery<br />
2) Remove the healing abutment with the 1.25 hex<br />
driver.<br />
3) Healing abutment removed<br />
● Step 2. 인상채득(Pick-up Type)<br />
- After attaching the fixture to the impression coping, connect the 1.25 hex driver to the guide pin and fix with a 30 Ncm force. Afterward, take<br />
the impression.<br />
Impression Coping (Pick-Up) Type Height Code No.<br />
Hex N-Hex<br />
* Impression Coping+Guide Pin Set Code : Impression Coping Code + S(ex: DSIH45LS)<br />
Hex<br />
N-Hex<br />
Long<br />
Short<br />
Long<br />
Short<br />
Ø4.5<br />
DSIH45L<br />
DSIH45S<br />
DSIN45L<br />
DSIN45S<br />
Ø5.5<br />
DSIH55L<br />
DSIH55S<br />
DSIN55L<br />
DSIN55S<br />
Ø6.5<br />
DSIH65L<br />
DSIH65S<br />
DSIN65L<br />
DSIN65S<br />
1) Connect the impression coping to take an<br />
impression. Connect the guide pin to the 1.25<br />
hex driver and fix the impression coping to the<br />
fixture.<br />
2) Pick-up impression coping completed 3) Inject impression materials around the<br />
impression coping.
4) Impression material injection completed<br />
5) Fix the 1.25 hex driver to the guide pin to pick<br />
up the impression. Rotate and remove.<br />
6) Impression removal completed<br />
● Step 3. Master Model Fabrication<br />
- Remove the impression body and connect the lab analog to the impression cap.<br />
Apply artificial gum around the fixture to recreate tissues. Box the impression and inject plaster to complete the master model.<br />
Lab Analog<br />
Code No.<br />
DSCLA<br />
1) Connect the lab analog to the impression<br />
coping and fix using the 1.25 hex driver and<br />
guide pin.<br />
2) Form artificial gum to recreate patient-specific<br />
tissue patterns.<br />
3) Perform boxing on the impression body. Mix<br />
plasters and inject, taking care not to cause<br />
impression deformation.<br />
4) Master model fabrication completed<br />
s-Clean Prosthetics <strong>Manual</strong> I •24 ••25
● Step 4. Wax-up<br />
- Using the 1.25 hex driver, fix the gold UCLA abutment to the master model. Using a bur, adjust the height to that of the surrounding teeth.<br />
Perform full wax-up to recreate the tooth pattern.<br />
1) To ensure precision prosthetic fabrication,<br />
perform dying to distinguish the target tooth<br />
from the surrounding teeth.<br />
2) Cut the master model (target tooth) to ensure<br />
the smooth detachment of the surrounding<br />
teeth.<br />
3) Connect the gold UCLA abutment to the lab<br />
analog. Tighten the screw using the 1.25 hex<br />
driver.<br />
4) Using the milling machine and hand piece, cut<br />
out the tooth segment to ensure that there is no<br />
interference with the surrounding teeth or tooth<br />
in the opposite arch.<br />
5) Carry out full waxing to recreate unique tooth<br />
patterns.<br />
6) Secure space on the buccolingual side to inject<br />
light-curing resin.<br />
● Step 5. Casting & Porcelain<br />
- Fabricate the prosthetic tooth from the cast pattern.<br />
1) Mount the sprue on the wax pattern's<br />
nonfunctional cusp and perform embedment<br />
grouting.<br />
2) Centrifugal casting machine used commonly for<br />
casting<br />
3) Gold model completed via centrifugal casting<br />
machine
● Step 6. Cementation & Delivering<br />
- Fix the completed prosthetic tooth inside the oral cavity.<br />
1) Connect the gold prosthetic tooth to the lab<br />
analog. Tighten the screw with the 1.25 hex<br />
driver and confirm the match.<br />
2) Check the match between teeth in opposite<br />
arches and interference with the surrounding<br />
teeth. Afterward, perform polishing.<br />
3) Healing abutment or cover screw removed<br />
4) Connect the completed prosthetic tooth to the<br />
fixture in the oral cavity. Tighten the screw to 30<br />
Ncm using the 1.25 hex driver.<br />
5) Fixture of Gold UCLA abutment to prosthetic<br />
tooth completed<br />
s-Clean Prosthetics <strong>Manual</strong> I •26 ••27
5. Sub-octa Abutment<br />
Sub-octa abutment is used for screw-type prosthetics and multiple-unit cases with poor path.<br />
Sub-octa Abutment Abutment Diameter Cuff Code No.<br />
ZrN Coating<br />
Ø4.8 1.0mm<br />
1.5mm<br />
2.5mm<br />
3.5mm<br />
4.5mm<br />
5.5mm<br />
ZrN Coating<br />
DSOA480PC<br />
DSOA481PC<br />
DSOA482PC<br />
DSOA483PC<br />
DSOA484PC<br />
DSOA485PC<br />
● Step 1. Healing Abutment Removal<br />
- Remove the healing abutment with the 1.25 hex driver.<br />
1) Tissue healing completed after the secondary<br />
surgery<br />
2) Remove the healing abutment with the 1.25 hex<br />
driver.<br />
3) Healing abutment removed<br />
● Step 2. Pick-up Type<br />
- After attaching the abutment in the oral cavity using the octa abutment driver, connect the pick-up type impression coping with the 1.25 hex driver<br />
(30 Ncm). Take the impression. Afterward, install the healing cap to help minimize the feel of foreign matter inside the oral cavity of the patient.<br />
Impression Coping Abutment Diameter Type Code No.<br />
Ø4.8 Pick-Up DIOIO<br />
DIOIN<br />
Hex<br />
N-Hex Pick-Up<br />
* Impression Coping+Guide Pin Set Code : Impression Coping Code + S(ex: DIOIOS)<br />
1) Connect the abutment in the oral cavity using<br />
the octa driver.<br />
2) Complete the fixture of the octa abutment in the<br />
oral cavity (30 Ncm).<br />
3) Connect the pick-up impression coping.<br />
Connect the 1.25 hex driver to the guide pin. Fix<br />
the impression coping to the abutment.
4) Impression coping fixed in the oral cavity 5) Fix with pattern resin to reduce impression<br />
coping error that may occur during impressiontaking.<br />
6) Inject impression materials around the<br />
impression coping.<br />
7) Impression material injection completed<br />
8) Remove the guide pin with the 1.25 hex driver. 9) Fix the octa healing cap inside the oral cavity.<br />
10) Impression competed<br />
● Step 3. Master Model<br />
Lab Analog Abutment Diameter Code No.<br />
Ø4.8 DIOLA<br />
s-Clean Prosthetics <strong>Manual</strong> I •28 ••29
1) Connect the lab analog to the impression<br />
coping. Fix with the guide pin and 1.25 hex<br />
driver.<br />
2) Form artificial gum.<br />
3) Mix the plaster and inject. Take care not to<br />
cause impression deformation.<br />
4) Master model completed.<br />
● Step 4. Wax-up<br />
- Using the 1.25 hex driver, fix the gold cylinder to the master model. Using a bur, adjust the height to that of the surrounding teeth.<br />
Perform full wax-up to recreate the tooth pattern.<br />
1) Lab analog as exposed in the master model<br />
(matches actual oral cavity patterns)<br />
2) Connect the gold cylinder to the sub-octa lab<br />
analog using the 1.2 hex driver.<br />
3) Check the abutment height and labiolingual<br />
width and diameter. Perform milling using the<br />
milling machine and bur.<br />
4) Carry out full waxing to recreate the tooth<br />
patterns. With bridge crowns, fix the cylinder<br />
with pattern resin, and then wax up to prevent<br />
deformation induced by shrinking wax.<br />
5) After gold casting, secure space where lightcuring<br />
resin is to be injected to increase<br />
labiolingual aesthetics.
● Step 5. Casting<br />
- Fabricate the prosthetic tooth from the cast pattern.<br />
1) Mount the sprue.<br />
2) Centrifugal casting machine used commonly for<br />
casting<br />
3) Gold prosthetic teeth with complete casting<br />
4) Check the bite of teeth in opposite arches.<br />
Perform occlusion polishing.<br />
5) Labiolingual side filled with light-curing resin to<br />
improve aesthetic quality<br />
● Step 6. Delivering<br />
- Remove the cap, and then install the completed prosthetic teeth.<br />
1) Healing cap previously fixed in the oral cavity<br />
now removed<br />
2) Connect the completed prosthetic teeth to the<br />
abutment in the oral cavity.<br />
3) Insert the screw into the fixed prosthetic teeth.<br />
Fix with the 1.2 hex driver.<br />
4) Using the torque ratchet, fix the prosthetic teeth<br />
to the abutment (20 Ncm torque).<br />
5) Remove the hole created at the center of the<br />
occlusion plane by injecting light-curing resin.<br />
Recreate the occlusion plane.<br />
s-Clean Prosthetics <strong>Manual</strong> I •30 ••31
6. O-Ring Abutment<br />
An attachment-retained prosthetic product, the O-ring abutment is used with patients with a<br />
fully edentulous maxilla.<br />
O-Ring Abutment Abutment Diameter Cuff Code No.<br />
Cuff: 0.5, 2, 4mm<br />
Ø3.4<br />
Ø4.5<br />
Ø4.5<br />
0.5mm<br />
2mm<br />
4mm<br />
DSORA00<br />
DSORA20<br />
DSORA40<br />
● Step 1. Healing Abutment Removal<br />
- Remove the healing abutment using the 1.25 hex driver.<br />
1) Tissue healing completed after the secondary<br />
surgery<br />
3) Remove the healing abutment using the 1.25<br />
hex driver's torque ratchet.<br />
4) Healing abutment removed<br />
● Step 2. Pick-up Type<br />
- After attaching the O-ring abutment in the oral cavity using the O-ring abutment driver, take the impression.<br />
1) Connect the abutment in the oral cavity using<br />
an O-ring abutment driver.<br />
2) Connect the torque ratchet to the driver and<br />
tighten the abutment with torque (30 Ncm).<br />
3) Abutment connection completed in the oral<br />
cavity
4) Inject impression materials around the<br />
abutment.<br />
5) Complete the injection of impression materials.<br />
6) Impression body completed<br />
● Step 3. Master Model Fabrication<br />
- Remove the impression body and connect the lab analog to the impression cap. Apply artificial gum around the fixture to recreate tissues.<br />
Box the impression and inject plaster to complete the master model.<br />
O-Ring Lab Analog<br />
Code No.<br />
DOLA<br />
1) To fix, push the lab analog into the ball portion in<br />
the now-detached master model.<br />
2) Perform boxing to ensure precision recreation<br />
of the border area.<br />
3) Mix the plaster and inject. Take care not to<br />
cause impression deformation.<br />
4) Master model completed<br />
s-Clean Prosthetics <strong>Manual</strong> I •32 ••33
● Step 4. Wax-up<br />
- Considering the patient's interocclusal height, adjust the wax rim and arrange the resin teeth. By adjusting the denture, confirm the occlusion and<br />
tooth arrangement. Fix the denture with plaster, and then inject resin into the wax model using a flask. Perform curing and finish the resin denture.<br />
1) Fabricate the wax rim considering the patient's<br />
interocclusal height. Send the rim to the dentist.<br />
2) Following the wax rim adjustment in the oral<br />
cavity, take an interocclusal impression and<br />
send it to the fabricator.<br />
3) Arrange the resin teeth according to the<br />
occlusion record.<br />
4) Adjust the denture in the oral cavity. Check the<br />
occlusion and the tooth arrangement.<br />
5) Place the wax denture inside the flask to<br />
fabricate the resin denture. Fix with plaster.<br />
6) With the wax denture fixed, connect the flask<br />
wall and inject plaster completely. Cover to<br />
remove the air inside.<br />
7) Using hot wax, remove the previously fixed wax<br />
to secure space where resin is to be injected.<br />
8) Inject resin into the flask, pressurize with the<br />
press machine, and fill with resin around the<br />
wax model.<br />
9) Resin-filled flask<br />
10) Resin denture complete with curing<br />
11) Perform polishing to smooth out the resin tip<br />
(generated during pressurization) and rough<br />
surface.<br />
12) Resin denture fully adjusted inside the oral<br />
cavity
● Step 5. Delivering<br />
- Place the denture onto the oral cavity model. Confirm the locations where retainers are to be inserted. Create holes and fix the retainers using<br />
resin. With the dark O-rings, smooth out the resin-filled sites. Replace the dark rings with the red O-rings and fix them onto the oral cavity.<br />
O-Ring Retainer<br />
Code No.<br />
DOR<br />
O-Ring<br />
Code No.<br />
ORING<br />
1) Connect the retainers to the O-ring abutments.<br />
Using wax, block out retainer tops so that the<br />
denture-fixing resin will not flow into the O-rings.<br />
2) Using a bur, create holes where retainers are to<br />
be inserted.<br />
3) Let resin flow into the holes and fix the retainers.<br />
At this time, use the dark O-rings.<br />
4) Using a bur, smooth out the surface of sites<br />
where resin-filled holes are located. Polish to<br />
complete.<br />
5) Replace the dark rings with the red O-rings<br />
(final rings).<br />
6) Fix teeth onto the oral cavity.<br />
s-Clean Prosthetics <strong>Manual</strong> I •34 ••35
Distributor<br />
ASKLEPION-Trade s.r.o., Londynska 160/39, 120 00 Praha 2, Czech Republic<br />
Phone No.: +420 – 234 716 509, 512<br />
www.dentis-implant.com, info@dentis-implant.com