User`s guide All In Bar 2015
Contents
1. Ref short ARS PT AC long ARS_PT AC 30 UPV VMD 14 38 px short ARS_PT AT long ARS_PT AT 30 Supplied with fixing screws UPV VGM 14 100 Ref ARS TT 74 4 TETRA abutment cap Li Ref UPV_CPT48 20 on Tetra abutments using the indirect method Sold unit Ref UPV PO 48 Set of 10 parts Ref UPV PO 48 10 THE PROTOCOL Possible IMPRESSIONS An impression will only be taken if the construction is performed indirectly in the laboratory This is a traditional impression process on Tetra abutments However specific transfers are used SHORT PICK UP IMPRESSION for impressions through a splint By using short pick up transfers an impression with a verification of the occlusion can be made Short pick up impression Tetra abutment Supplied with a fixing screw analog UPV VMD 14 100 Pick up impression coping Ref ARS TT 74 Ref UPV HM 48 Ref UPV TM 48 Material required FOR USING BAR ABUTMENTS FOR SETTING TETRA ABUTMENTS Internal hexagonal key Ref CCL_HI20 24 External hexagonal key Ref CCL HE12 XX Internal hexagonal mandrel Ref UMA_HI20 26 External hexagonal mandrel fe n Ref CMA_HE12 XX FOR USING BAR ABUTMENTS External hexagonal key Ref CCL_HE12 XX Torque wrench for prosthesis y Ref CCC 35 STANDARD IMPRESSION traditional method Tetra abutment analog Pop in impression coping2. Take a bite registration and an impression of the patient s upper lower jaws Pour the plaster models and mount with an articulator Create occlusion splints on the plaster models site to be restored and opposing dental arch Fix the female part of the occlusion pins to the opposing splint and the occlusion pins onto the splint of the arch to be restored Gtep 2 optional Put the male ends of the occlusal pins in the female ends Put the models in the articulator in occlusion Connect the male ends to the splint on the side of the future bridge A positioning bar may be added in the front Gtep 3 optional Checking the assembly Hollow out the occlusal splint on the side of the future bridge so that the impression can be made via short pick ups in the splint be careful not to weaken the splint By repositioning the impression in this splint via the 4 occlusion pins on the antagonist occlusion splint the Tetra abutments will be perfectly repositioned with respect to the antagonist teeth Create the titanium framework in the mouth and bridge in the laboratory Gtep 1 For the creation of a bridge with immediate loading Screw the Tetra abutments on the implants see the procedure in the surgery manual or the Tetra product sheet Then screw the protection caps onto the Tetra abutments Stitch around these caps Gtep 2 Unscrew the caps and adjust the bar abutments one at a time keeping their lengths in mind They should
3. Ref UPV PI 48 Ref UPV HM 48 Torque wrench for prosthesis USE This protocol details the utilization steps after the implants are set and after the Tetra abutments are installed The Tetra abutments match the solutions that the company Euroteknika offers for trans screwed prostheses They are available in various gum heights and in three angulations straight 1 2 3 4 mm high 17 2 3 4 mm high and 30 3 4 mm high There are two methods gt Indirect method the bar is fitted and put together in the laboratory after a specific impression on the Tetra abutments is taken is recommended for implants that have already become integrated into the bone gt Direct method the bar is made and put together while the patient is in the dental chair This technique is recommended for implants that are to be installed immediately Indirect METHOD The bar is adjusted and put together in the laboratory after a specific impression on Tetra abutments This technique is recommended for immediate placement Pros gt Quick and simple gt Adjustment of the abutment bar by the prosthesis specialist Gtep 1 Before the extraction and implant insertion create a bite mould of the remaining teeth or on a temporary bridge the patient s occlusion must be stabilised euro st teknik Gtep 2 After installing the implants and the Tetra abutments connect the pick up transfers to the Tetra abutments Take th
4. o 50 91 49 20 Fax 33 0 4 50 91 98 66 www euroteknika com MU ALLINBAR GB 1402 lt teknika EE A euro
5. 5 9 TX ourgery amp Prosthesis 8117 198111 euroteknika is the result of 22 years of clinical applications and 26 years of research and development confirmed by valuable help of international research laboratories The design of our implants is based on the skills of our teams wich are both reactive and experienced in implantology gt Technical and biomechanical skills of our engineers enabling to guarantee the resistance of the component and their adaptation to the oral environment thanks to modern means of simulation gt Biological and physiological skills of the associated laboratories enabling to validate the capacity of osseointegration of our systems gt Clinical and practical skills of our dentists advisers ensuring the ergonomics of our products the confirmation of our protocols and the ranges adapted to the various clinical cases To enable you to take the best advantage of the bar abutments we created this manual with a profesionnal care We invite you to read it with your best attention Each detail even the least important has its importance and underlines even more the difference between the beginner and the specialist Warning p 3 General information p 5 Bar abutments p 6 Storage kit p 7 Protocol p 8 to 16 IMPRESSION TAKING am MATERIAL REQUIRED e P 8 UENO ETE ETE WE Indirect method Direct method P 14 For more information on the ALL BAR s
6. andling technique so as not to compromise the conventionnal hygiene conditions associated with the implant practice gt The non sterile instruments and items delivered used for the implantology treatment must be decontaminated and according to a tested process sterilized at the practice gt The plastic pieces except for the occlusion abutments cannot be sterilised by autoclave Choose cold sterilisation Manufacturing NIA Oo a 5 Store in a dark place gt 3 Our abutments are delivered IEUROTEKNIKA AA PE T3 S4LLANCHES Franci with 2 principal labels and adio NN D Be careful see delailed description E SA E one removable label clearly 1 E www surtekmaeon e o a ce showing the mark the ALL BAR Date of manufacturing k reference and the batch Compling with European requirements directives Me z regarding medical plan 93 42 CEE number for a total of 3 Pilier bar labels REF ARS PT AC Use until labels for the patient s fil W gt 2 labels for the patient s file of the practioner who placed See the instruction manual ELLA LLL ll Sanitation method using radiation the implant and or of the ns eoe REF REF AREK 74 FA1403052457 Product reference numbe Don t reuse O O correspondent gt 1 label for the patient BLO TERIA HH ALL in A REF ARSE 74 w FAT403082487 LOT Don t sterili
7. be long enough to overlap with each other and should limit misalignment in the back Use a cutting disc for this euro teknika GROUP ss Gtep 3 Fold the winglets following the curve of the dental arch with gouge forceps The winglets must be folded outside of the patient s mouth Applying too much stress on implants that are not osseointegrated may result in primary failure Gtep 4 Manually screw the abutments with a torque wrench and external hex key or use the hex mandrel Torque 20 N cm Gtep 5 Attach the abutments to each other with the white resin for dentures that prosthetists use This resin will be mixed in a syringe and applied to the holes Be careful not to fill the screw wells A dam must be used Gtep 6 Install the occlusion splint around the framework that has already been built Attach the occlusal splint to the framework with dots of wax in the vestibule Then register the occlusion of the antagonist teeth with respect to the ALL BAR framework After the occlusion is registered remove the antagonist occlusal splint Gtep 7 Use high resolution impression silicon to take the impression of the peri implant gum Then bind the framework to the splint with traditional impression material Keep access to the screw wells free Gtep 8 Unscrew the splint framework ensemble mount the analogues on the bar abutments and send to the laboratory Fix the protective caps onto th
8. e impression implant site and opposing teeth Gtep 2 Tetra occlusion abutments have been developed in order to recover the occlusion registration They are made from sterilisable plastic by autoclaving and can be retouched In order to be able to re position them on the master model a flat plane has been created at the crown level The occlusion abutments are clipped onto the In the mouth and in occlusion wax resin or straight or angulated Tetra abutments silicone is applied liberally between the occlusion abutments and the opposing teeth occlusion bite mould This makes it possible to record the exact position of the Tetra abutments in relation to the opposing teeth Once you have the mould create a master model and the opposing plaster cast TRITUM LE The occlusion abutments are then mounted onto the analogues Mount the master model and the opposing plaster cast onto the articulator Then align according to the occlusion abutments and the abutment bite mould A 1 EE OT Gtep 4 Mount and shape the ALL BAR abutments e E i ts t ER 4 Gtep 5 Create the resin bridge with commercial teeth Gtep 6 After reception of the prosthetic set remove the protection caps Then screw the set onto the implants gt Phase 1 screw in staggered rows on 3 points to align the occlusion and the gum Phase 2
9. e Tetra abutments GROUP ss euro teknika Gtep 9 Create the master model Mount the master model on the articulator and align using the opposing plaster cast using the occlusion splints This re alignment could also potentially be done with the technique using occlusion abutments Gtep 10 Build dentures with resin in the laboratory Gtep 11 After reception of the prosthetic set remove the protection caps Then screw the set onto the implants gt Phase 1 screw in staggered rows on 3 points to align the occlusion and the gum Phase 2 manually screw the remaining screws in staggered rows Pressure must not be applied when fitting the prosthesis to the implant connections There must be a clear increase in torque and it must be effortless Note experiencing effort on the screws or difficulty inserting the set is a sign of inadequate passiveness This can quickly result in an implant failure Working on the prosthesis will thus be essential for permanent loading gt Phase 3 definitively screw with the torque wrench and the external hex key or with the external hex mandrel Torque 20 N cm Gtep 12 Use your method to block the screw wells cotton or a point of gutta percha must be used Then make the final occlusal and aesthetic adjustments euro teknika GROUP A global solution FOR IMPLANTOLOGY euroteknika groupe 726 rue du G n ral De Gaulle 74700 SALLANCHES France T l 33
10. manually screw the remaining screws in staggered rows Pressure must not be applied when fitting the prosthesis to the implant connections There must be a clear increase in torque and it must be effortless Note experiencing effort on the screws or difficulty inserting the set is a sign of inadequate passiveness This can quickly result in an implant failure Working on the prosthesis will thus be essential for permanent loading gt Phase 3 definitively screw with the torque wrench and the external hex key or with the external hex mandrel Torque 20 N cm Gtep 7 Use your method to block the screw wells cotton or a point of gutta percha must be used Then make the final occlusal and aesthetic adjustments euro teknika GROUP CL LL 1 1 Direct METHOD The bar is made and put together in the dental chair This technique is recommended for implants that are already osseointegrated but it can also be used for immediate loading Pros gt Framework beam is completely passive Cons gt Tedious work in the dental chair gt Makes the surgery last even longer Making occlusal splints optional for both methods With this technique the occlusal splints can find the exact location of the future Tetra abutments with respect to the antagonist teeth after extraction implantation The impression is taken in the occlusal splint on the bridge side Building these splints requires preliminary work Gtep 1 optional
11. mplantology system We will advise of any modifications having an implication in the operation mode According to the importance of the modifications a new manual will be issued Indeed a mark on the back page indicates the date of issue of your surgery manual and enables us to check if you have the latest up date version You will also be able to access our web site to check the latest version of this manual The reproduction and distribution of all or part of this manual need previous agreement from euroteknika GENERAL INFORMATION Instructions gt Multiple or total restoration gt Creating a rigid structure similar to a bar gt Limited execution time in the laboratory gt Immediate loading Parts PACKAGING Sterility and rule of asepsis gt Most of our parts are delivered sterile and can therefore be used straightaway A reference indicator shows the components effective sterility on the packaging The sterility is guaranteed for 5 years from packaging date A standard expiry date is indicated on the label gt Only an undamaged packaging can guarantee the products imperviousness and sterility Do not use implants with packaging which has been damaged or prematurely opened Labels Contraindications gt Single restoration gt Low primary stability when used directly gt Our products have been designed so as to enable handling without affecting their sterility It is therefore important to follow a precise h
12. width Asperities holes and irregularities Sandblasted abutment in allowing the resin to infiltrate in order to allow the resin to the wings have a good grip Goes onto the TETRA abutments of our ranges of implants CENTERED WINGS ABUTMENT SHIFTED WINGS ABUTMENT With a slight shift for the wings overlapping between abutments B diff b IIlTrterence UNE 1 e 1 For cases when the implant is For cases when the implant is not perfectly in the teeth axis EE centered in the teeth axis STORAGE KIT All the tools for building a fixed resin titanium ALL BAR bridge fit into this small case You can use the case for all your appointments with your prosthetist SUPERIOR PLATE ALL BAR 8 short pick up euro teknika impression VA de coping Pick u ARS TT T4 8 occlusion abutments Ref ARSK 74 LOWER PLATE 8 Tetra Derision Abulmerni abutment caps UPV POE 7 8 short centered bar abutments 4 short shifted bar abutments 2 long centered 2 long shifted bar abutments bar abutments 16 bar abutment screws A BE CAREFUL DO NOT STERILIZE 1 housing by BY AUTOCLAVE component to make easier the component re supplying Centered Shifted Short Pick up Occlusion bar abutment bar abutment impression coping abutment Supplied with fixing screw Supplied with fixing screw Set of 4 parts For occlusion registration UPV VMD 14 38
13. ystem please visit our complete internet website www euroteknika implants com The placement ot bar abutments must be done by a practioner who has been previously trained for the dental implantology techniques and in aseptic conditions specific to this type of treatment The following instructions will guide you throughout the different stages of your implantology treatments They contain advice as precise as possible but cannot be used as recipes every clinical situation must be evaluated for each patient A great number of factors acts independently to obtain success in an implantology treatment It Is up to the practioner to recognize the key factors and to use his clinical experience Among other aspects the coordination between the prosthesis laboratory dental technician and the practioner must be perfect so as to give the global treatment plan more consisting Only the practioner remains responsible for his different choices and decisions as to the treatment s feasibility implants prosthetic parts materials used and settings The technical specifications and clinical advice in this manual are given solely as a guideline and cannot give rise to any claims All the essential information is indicated in the instruction for use supplied with products We have taken great care in the design and production of our products However we reserve the right to bring modifications or improvements arising from new technical developments in our i
14. ze twice Serial number Storage OF THE PRODUCTS The abutments must be stored in a clean dry and cool place Precautionary MEASURES gt It is strongly advised to keep in stock abutments which cover different possible cases gt We recommend to use a safety thread on the instruments to avoid any accidental fall of tools in the patient s throat BAR ABUTMENTS Description AND INFORMATION Bar abutments are designed to build a passive bar without using traditional methods The flexibility of these abutments and the fact that they are glued together by adding resin make it easy to build a framework This prosthetic construction may be performed in the mouth direct method or in the laboratory after taking an impression indirect method This is why the bar abutment has the following characteristics gt Abutment with flexible winglets available in two versions shifted and centered and in two lengths gt Sandblasted abutment that enables the resin to stick gt Winglet bodies are flexible on the horizontal axis making them more malleable gt Abutment can be used on Tetra abutments straight or angular available in the following ranges Naturactis Natea Naturall and Uneva 2 horizontally flexible wings and vertically very rigid The horizontal flexibility allows them to be easily bent in order to fit the patient s arch anatomy Possibility to touch up the wings by cutting them in the height and or
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