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Cement Retained Provide® Abutment And Temporary Cylinder Single Or Multi-Unit

Cement Retained Provide®
Abutment And Temporary Cylinder
Single Or Multi-Unit

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ABUTMENT SELECTION
5. Select the proper Provide Abutment collar height for each implant by measuring the tissue depth on the buccal side at each position. If a 1mm subgingival margin is desired, subtract 1mm. Also, select the proper post height that will allow approximately 2mm of interarch space between the top of the post and the opposing occlusion. Finally, match the color of the implant analog to determine the platform diameter.

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6. Place the selected Provide Abutments into each analog. Line up the hexes and place the flat side of the post to the buccal. Press firmly until feeling and/or hearing the audible and tactile click. Secure the abutments into place using a Certain® Try In Screw and the Large Hex Driver.

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7. Preparation of the post portion of the Provide Abutment may be necessary to achieve the proper draw for multiple units. A carbide bur is recommended. Do not prepare the margin area of the abutment as this will impact the fit of interfacing components. Number each abutment with the tooth position on the flat side with a bur. Seal the abutment access holes with wax or putty.


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PROVISIONAL RESTORATION FABRICATION
8.
Select the appropriate Provide Temporary Cylinder for single or multiple units. Place the temporary cylinders on each abutment and verify complete seating at the margin. Place a small amount of wax at the margin area of each Provide Temporary Cylinder to ensure that the fit remains passive on the abutment margin during fabrication of the provisional. Place the vacuum formed template on the master cast over the temporary cylinders. Reduce the cylinders as necessary so these fit within the template. Block out the retention facets on the cylinders with wax. Block out the undercuts on the adjacent teeth. Apply a separator to the cast. Fill the tooth portion of the template with acrylic resin. Place the cast back on the articulator. Fully seat the template on the cast over the temporary cylinders using the articulation. Allow the acrylic to set per the manufacturer’s instructions.

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Duplicate the master cast with the Provide Abutments and temporary cylinders in place. Articulate, wax the provisional on the duplicate cast and process it in acrylic resin.

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9. Remove the template from the Provide Abutments with the temporary cylinders inside the acrylic. Remove the provisional from the template. Remove the temporary cylinders from the provisional. Remove all excess acrylic from around the margin areas of the provisional. Fill in any voids. Finish the crown or bridge to the desired contour and polish.


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10. CLINICIAN
Place the implants using the surgical guide and following the surgical plan provided by the guide manufacturer.

See page 8 for an example of a surgical plan.


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POST SURGICAL DELIVERY OF
PROVISIONAL RESTORATION
11.
Place each Provide Abutment into the implants, one by one, following the tooth position numbers on the buccal. Press firmly until feeling and/or hearing the audible and tactile click. Thread the Certain® Gold-Tite® Screw into the implant using the Large Hex Driver. Verify an accurate fit of each abutment by visualizing the interfaces or taking a radiograph. Torque the abutment screws to 20Ncm using the Large Hex Driver Tip and a torque device. Seal each access hole with a temporary filling material. Place a small amount of temporary cement inside each Provide Temporary Cylinder and seat it on the Provide Abutment. Try in the provisional over the temporary cylinders and verify it fits to the margins properly. Adjust the occlusion as indicated and remove the provisional.

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12. If a flap procedure was used during surgery, suture the tissue around the Provide Abutments. Place acrylic resin into the retention facets on each Provide Temporary Cylinder and into each abutment area on the provisional. Seat the provisional on the cylinders and have the patient close into occlusion. Allow the acrylic to set per the manufacturer’s instructions. Remove the provisional. Fill in any voids. Remove any excess acrylic and polish. Place temporary cement into the provisional, seat it on the abutments and have the patient close into occlusion. Remove any excess cement from around the margin areas. Allow the cement to set per the manufacturer’s instructions.