Basic Course Basic Concept of Implant Impression Taking

Basic Course Basic Concept of Implant Impression Taking Total Page : 43 Pages Training Duration : 50 mins 1 www. befrest. com

Training Course - Prosthesis Total 69 hours in the Course Basic : Understanding of Prosthesis for Implant - 9 hours Advanced : The method of selection for Cover Screw, Healing ABT - 18 hours Final : ABT Category and Selection Guides – 42 Hours 2 www. befrest. com

Training Course - Prosthesis Basic Advanced Final Understanding of Prosthesis for Implant - - Prosthesis for Implant Components and Procedures - - Classification of Prosthesis for Implant - - Basic Concept of Implant Impression Prosthetic Practice I (Prosthesis Kit + ABT Connection) Cover Screw, Healing ABT II / Custom Healing – 2 hours Prosthetic Practice II ( Diversity of ABT Connection) Prosthetic Practice (Impression, ABT) – 5 hours Rigid/Transfer/Angled~ -8 Hours ABT Detail Course -20 Hours ABT Selection Guide -4 Hours Intensive ABT Selection Guide -5 Hours Imp. Coping Selection Guide -2 Hours Intensive Imp. Coping Selection Guide -6 Hours TS Abutment System SS Abutment System Understanding of Digital dentistry Smart. Fit Intensive Smart. Fit Course -4 Hours Understanding of Prosthetic Manual - - 9 hours 18 3 hours 42 hours

Concept Purpose of Training - To understand Basic Concept of taking Implant Impression. Goal of Training - To understand the method of taking Implant Impression. - To understand Overall Prosthesis for Implant. Key Point - Impression - Taking Abutment level Impression VS. Taking Fixture level Impression - Pick-Up Impression VS. Transfer Impression 4 www. befrest. com

Contents 1. FAQ 2. Course Contents I. Understanding of Dental Impression Taking II. Feature of Impression Taking Types III. Glossary IV. Quiz 5 5 www. befrest. com

1. FAQ 1. What is difference between taking Abutment level Impression and Fixture level Impression? The purpose of dental impression taking can deliver the oral environment to the LAB and it is based on Abutment level or Fixture (Implant) level as a criteria. In general, taking Abutment level Impression has a higher precision compare to taking Fixture level Impression. 6 www. befrest. com

2. Course Contents I. Understanding of Dental Impression Taking 1. Purpose of taking Dental Impression. 2. Taking Natural Teeth Impression VS. taking implant Impression. 3. Classification of Dental Impression. 7 www. befrest. com

I. Understanding of Impression Taking 1. Purpose of taking Impression To copy the patient’s oral structure(Teeth & Soft Tissues) to stone model. The process of taking impression for the stone model Working Model. ◆ Impression Taking on the natural teeth Impression Body Oral ü Purpose of Working Model - Impossible to work for the prosthetic in the patient’s mouth. www. befrest. com 8 Working Model

I. Understanding of Impression Taking 1. Purpose of taking Impression ◆ Impression taking for Implant Impression Body Oral Working Model www. befrest. com 9

I. Understanding of Impression Taking 1. Purpose of taking Impression ◆ Main Evaluation Factor ü How exactly was it replicated from the real oral structure? Accuracy Oral Structure ü How easy to use? Convenience Working Model 10 www. befrest. com

I. Understanding of Impression Taking 1. Purpose of taking Impression ◆ General Process of Impression Taking ü The process of making an impression body for the stone model. Impression material on the Tray Impression Harden 11 Remove the tray www. befrest. com

I. Understanding of Impression Taking 1. Purpose of taking Impression ◆ Components of Taking Impression 1) Impression Coping ü Impression coping is for copying the shape & position of the implant to working model. ü Impression coping has a various selection by diameter and gingiva height. 2) Tray 3) Impression Materials & tips 12 www. befrest. com

I. Understanding of Impression Taking 2. Taking Natural Teeth Impression VS. taking Implant Impression Natural Teeth Impression Taking Natural Teeth Implant Impression Taking ▶ Abutment Direct Impression Taking Rigid Abutment Direct Impression Taking on natural teeth Working Model Impression Taking Working Model (Abutment Level) Impression Taking Working Model (Fixture Level) ▶Imp. Coping for Impression Taking www. befrest. com Pick-Up Imp. coping 13

I. Understanding of Impression Taking 3. Types of Impression Taking 1) Abutment level Impression Level 2) Fixture level Impression 3) Transfer type Impression Fixture Level 4) Pick Up type Impression www. befrest. com 14

2. Training Contents II. Features of Impression Taking Types 1. Abutment level Impression VS. Fixture level Impression 2. Pick-up type Impression VS. Transfer type Impression www. befrest. com 15

II. Features of Impression Taking Types 1. Abutment level Impression VS. Fixture level Impression ◆ The major differences between Abutment Level and Fixture Level Impression. Type Oral Impression Coping Abutment Working Model Impression Material Rigid Lab Analog Abutment Level Impression Fixture Impression Coping Impression Material Fixture Level Impression Fixture 16 Fixture Lab Analog

II. Features of Impression Taking Types-Abutment Level 1) Abutment level Impression Materilal (1) Process flow Healing Connect Abutment Connect Impression Coping Apply Impression Material Impression Taking Remove Impression Body from working Model Remove Impression Body from the mouth Working Model Make Working Model Apply stone 17 Connect Lab analog Impression Body

II. Features of Impression Taking Types-Abutment Level (2) Clinical Case Example (Rigid ABT. 3 bridge) Connect Fixture to Abutment Connect Lab analog to Impression Body casting Connect Rigid Imp. Coping to Abutment Impression Working Model Connect Burn-out cylinder Completion of Prosthesis Final Restoration 18 Impression Body Wax Up www. befrest. com

II. Features of Impression Taking Types – Abutment Level (3) Features ü Connect Imp coping to abutment in pt’s mouth Copy abutment shape and position to working model. ü Impression taking based on abutment information. ü Reduce the error possibility for Lab procedure. ü Relatively simple and convenience on prosthetic procedure. ü Use exclusive components. Plastic cap 19 www. befrest. com

II. Features of Impression Taking Types-Abutment Level (4) OSSTEM Products Line up Rigid ABT. Transfer ABT. Impression Coping 20 Rigid Lab analog Burn-out Cylinder www. befrest. com

II. Features of Impression Taking Types – Fixture Level 2) Fixture level Impression Apply Impression Material (1) Process flow Healing Remove Healing ABT. Connect Impression Coping Apply Impression Material Impression Taking Screw Guide Pin Remove Guide pin from working model Unscrew Guide Pin in the mouth And then separate Imp body From fixture Working Model Make Working Model Apply stone 21 Connect Lab analog Impression Body

II. Features of Impression Taking Types-Fixture Level (2) Clinical Case Example (Transfer ABT. 2 bridge) Connect Pick-Up type Imp. coping to Fixture Impression Body Working Model Connect ABT and customize Wax Up Completed Prosthesis Connect ABT with Jig Connect Lab analog to Impression body Casting Final Restoration 22 www. befrest. com

II. Features of Impression Taking Types–Fixture Level (3) Features ü Connect Imp coping to fixture in pt’s mouth Replicate fixture connection and position to working model. ü Fixture level impression taking based on the information of Fixture. ü Error can occur during the lab procedure. ü Relatively complicate on the prosthetic procedure. 23 www. befrest. com

II. Features of Impression Taking Types–Fixture Level (4) OSSTEM Products Line up Transfer ABT. Angled ABT. www. befrest. com Free. Form ST ABT. Zio. Cera ABT. Gold. Cast ABT. NP-Cast ABT. 24 Fixture Lab analog Pick-Up Imp. Coping Transfer Imp. Coping

II. Features of Impression Taking Types - 1. Abutment level impression VS. Fixture level impression Summary Abutment level impression Oral Fixture level impression Working Model Oral Working Model • Copy abutment shape and position to working • Copy fixture connection and position to working model. • Impression taking is based on the abutment • Impression taking based on the fixture information. • Possible error during lab procedure. • Minimize possibility of error during lab procedure. • Relatively complicated on the prosthetic procedure. • Relatively easy to handle with the prosthetic procedure. • Use exclusive component 25 www. befrest. com

II. Features of Impression Taking Types - 2. Pick-Up type impression VS. Transfer type impression 2. Pick-Up type Impression VS. Transfer type impression ◆ The major differences between Pick-up and Transfer type Impression. Type Oral Impression Taking Imp. Body Impression Coping Impression Material Transfer type Impression Fixture Impression Coping Impression Material Pick up type Impression Fixture 26 www. befrest. com

II. Features of Impression Taking Types – Pick-Up Type Impression 1) Pick-Up type Impression Material (1) Process flow Healing Remove Healing ABT. Connect Impression Coping Impression Taking Apply Impression Material Screw Guide Pin Remove Guide pin from working model Unscrew Guide Pin in the mouth And then separate Imp body From fixture Working Model Make Working Model Apply stone 27 Connect Lab analog Imp. Body

II. Features of Impression Taking Types – Pick-Up Type Impression (2) Clinical Case Example (Transfer ABT. 2 bridge) Connect Pick-Up type Imp. coping to Fixture Impression Body Connect Lab analog to Impression body Working Model Connect ABT and customize Wax Up Casting Completed Prosthesis Connect ABT with Jig Final Restoration 28 www. befrest. com

II. Features of Impression Taking Types – Pick-Up Type Impression (3) Features ü Impression Coping and Impression body are in one body. ü Use for the complicated case (single or complicated multiple case). ü Relatively more accurate than Transfer type impression taking. ü Use Custom tray (open tray). 29 www. befrest. com

II. Features of Impression Taking Types – Pick-Up Type Impression (4) OSSTEM Products Line up Transfer ABT. Angled ABT. Free. Form ST ABT. Zio. Cera ABT. Gold. Cast ABT. NP-Cast ABT. 30 Fixture Lab analog Pick-Up Imp. Coping www. befrest. com

II. Features of Impression Taking Types – Transfer Type Impression 2) Transfer type Impression Material (1) Process flow Healing Remove Healing ABT. Connect Impression Coping Apply Impression Material Impression Taking 1. Remove Impression from working model 2. Remove Imp. Coping Remove Imp. Body from mouth Working Model Make Working Model Apply stone 31 Connect Impression Coping + Lab analog to Imp. Body Impression Body

II. Features of Impression Taking Types – Transfer Type Impression (2) Clinical Case Example (Transfer ABT. 2 bridge) Connect Transfer type Imp. coping to Fixture Connect Imp. Coping + Lab analog to Imp. Body Casting Impression Body Impression Working Model Completed Prosthesis Connect ABT and customize Connect ABT with Jig 32 Connect Imp. Coping to Lab analog Wax Up Final Restoration www. befrest. com

II. Features of Impression Taking Types – Transfer Type Impression (3) Features ü Impression Coping and Impression Body are separated. ü Used when the position of Fixture are parallel. ü Use for the simple clinical case (single or simple bridge case). ü Relatively less accuracy than Pick-Up type impression. ü Use closed tray. ü Inadequate application on posterior area due to mouth opening limitation. 33 www. befrest. com

II. Features of Impression Taking Types – Transfer Type Impression (4) OSSTEM Products Line up Transfer ABT. Angled ABT. Free. Form ST ABT. Zio. Cera ABT. Gold. Cast ABT. NP-Cast ABT. 34 Fixture Lab analog Transfer Imp. Coping www. befrest. com

III. Glossary 35 www. befrest. com

III. Glossary Gingiva Alveolar bone Soft tissues overlying the crowns of un-erupted teeth and encircling the necks of those that have erupted. Referring to the bone to which a tooth is attached. An artificial replacement that restores missing tooth structure by surrounding the remaining Crown coronal tooth structure, or is placed on a dental implant. It is made of metal, ceramic or polymer materials or combination of such materials. Abutment Fixture Porcelain A tooth or implant fixture used as a support for prosthesis. A device specially designed to be placed surgically within or on the mandible or maxillary bone as a means of providing for dental replacement. Refers to pressed, fired, polished or milled materials containing predominantly inorganic refractory compounds including porcelains, glasses, ceramics and glass ceramics. Coping A thin covering of the coronal portion of the tooth usually without anatomic conformity. PFG Porcelain Fused to Gold. PFM Porcelain Fused to Metal. 36 www. befrest. com

III. 용어 정리 Occlusion Any contact between biting or chewing surfaces of maxillary and mandible teeth. Any device or appliance replacing one or more missing teeth and/or, if required, associated prosthesis structures(This is a broad term which includes abutment crowns and abutment inlays/onlays, bridges, dentures, obturators, gingiva prostheses. Osseointergration Lab (laboratory) The formation of a direct interface between an implant and bone, without intervening soft tissue. Dental Lab manufactures or customizes a variety of products to assist in the provision of oral health care by a licensed dentist. (Products-crowns, bridges, dentures, prosthetic and orthodontic devices). Temporary Crown Short-term artificial replacement for the natural crown of a tooth. Impression Taking A mold of a part of the mouth from which a replacement or prosthesis may be formed. Impression Coping Lab analog Tray A medical device used to mark the placement of a dental implant in the impression of the teeth. A device that duplicates the shape and position of the implant in the working model. Dental arches-the curving shape formed by the arrangement of a normal set of teeth in each jaw. 37 www. befrest. com

IV. Quiz 38 www. befrest. com

IV. Quiz 1. What called that imprinting teeth and surrounding tissues for working model to be made? Answer : Impression or Impression Taking 2. Fill out the blanks. Type of impression based on the Level Abutment level Imp Fixture impression types on Method Fixture level Imp based Transfer type Imp Pick-Up type Imp 3. Which component should be used generally in Abutment level Impression? 1) 2) 3) 4) Answer : 4) 39 www. befrest. com

IV. Quiz 4. Choose an incorrect Fixture level impression feature: Answer : 1) 1) Use exclusive components. 2) Fixture level impression taking based on the information of Fixture. 3) Relatively complicated on the prosthetic procedure. 4) Use pick up & transfer type Imp coping 5. Choose an incorrect Transfer type impression feature: 1) Used when the position of Fixture is in parallel. 2) Relatively more accurate impression taking. Answer : 2) 3) Used with close tray. 4) Inadequate application on posterior area due to mouth opening limitation. 40 www. befrest. com

IV. Quiz 6. Choose an incorrect component for impression taking? 1) Tray 2) Impression Material 3) lab analog 4) Impression Coping Answer : 3) 7. Please arrange Fixture level impression process in order. 1) Connect Impression Coping 2) Make working model 3) Connect Lab analog 4) Impression taking Answer : 1) 4) 3) 2) 8. The major difference between Pick-Up type and Transfer type impression on Fixture level Impression is whether ( ) will be stuck or not in the impression body. Answer : impression coping 41 www. befrest. com

IV. Quiz 9. Please arrange Transfer type impression taking process in order. 1) Apply impression material and impression taking. 2) Connect Impression coping to fixture in pt’s mouth. 3) Apply stone into impression body and make working model. 4) Connect Impression coping & Lab analog to impression body. ( ) ( ) ( Answer : 2) 1) 4) 3) ) 10. Please arrange Pick-up type impression taking process in order. 1) Apply stone into impression body and make working model. 2) Apply impression material and impression taking. 3) Connect Impression coping in the pt’s mouth. 4) Connect lab analog to impression coping in the impression body. Answer : 3) 2) 4) 1) ( ) ( ) 42 www. befrest. com

Thank you 43 www. befrest. com