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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

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