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Screw Retained PreFormance® Temporary Cylinders Single Or Multi-Unit

Screw Retained
PreFormance® Temporary Cylinders
Single Or Multi-Unit

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ABUTMENT SELECTION
5.
The PreFormance Temporary Cylinders are designed to allow acrylic resin to be added to them to develop the desired subgingival and supragingival contour to the crown or bridge. The hexed cylinder is used for single units and the non hexed cylinder is used for multiple unit provisional restorations. Match the color of the implant analog to determine the platform diameter.

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6. Place the selected PreFormance Temporary Cylinders into each analog. Secure the abutments into place using a Certain® Titanium Abutment Screw for hexed cylinders or a large diameter titanium abutment screw for nonhexed cylinders and the Large Hex Driver.

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PROVISIONAL RESTORATION FABRICATION
7.
Drill holes in the vacuum formed template in the areas of the PreFormance Temporary Cylinders. Place the vacuum formed template on the master cast over the temporary cylinders. Reduce the cylinders as necessary so these fit within the template using a carbide bur. Seal the cylinder access holes with wax or putty. Select one cylinder in an area with dense bone to process into the provisional. Block out the retention facets on all other cylinders with wax. Place the cast back on the articulator. Add acrylic resin into the retention facets on the selected cylinder and fill the tooth portion of the template with acrylic resin. 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 PreFormance Temporary Cylinders in place. Articulate, wax the provisional on the duplicate cast and process it in acrylic resin.


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8. Clear the cylinder access hole and remove the abutment screw from the selected cylinder. Remove the template from the cast over the non-processed cylinders with the selected temporary cylinder inside the acrylic. Remove the provisional from the template. Remove all excess acrylic from around the margin areas of the provisional. Relieve the holes for the other cylinders as necessary so the provisional can be placed over those and removed easily. Fill in any voids. Finish the crown or bridge to the desired contour and polish.

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CT GUIDED SURGICAL IMPLANT PLACEMENT
9. CLINICIAN
Place the implants using the surgical guide and following the surgical guide 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
10.
Place a PreFormance Temporary Cylinder on an implant on the opposite of the arch from the selected lab processed cylinder. Secure the cylinder into place using an abutment screw and the Large Hex Driver. Seal the access hole with impression material. Try in the provisional over the PreFormance Temporary Cylinder and secure it into place by threading an abutment screw through the lab processed cylinder. Verify that it fits to the cylinder margins properly. Adjust the occlusion as indicated and remove the provisional.

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11. Place acrylic resin into the retention facets on the PreFormance Temporary Cylinder and into the cylinder area on the provisional. Seat the provisional over the cylinder and secure it into place by threading an abutment screw through the lab processed cylinder. Have the patient close into occlusion. Allow the acrylic to set per the manufacturer’s instructions. Remove the abutment screws and remove the provisional. Place the remaining PreFormance Temporary Cylinders on the implants and lute these into the provisional by repeating the prior steps. Fill in any voids. Remove any excess acrylic and polish. Screw the provisional into place with the titanium abutment screws using the Large Hex Driver. Torque the screws to 20Ncm using the Large Hex Driver Tip and a torque device. Place a temporary filling material in the access holes and seal those with composite resin. Adjust the occlusion as indicated. If a flap procedure was used during surgery, suture the tissue around the provisional.