Basic Course Understanding of basic features specification prosthetic
Basic Course Understanding of basic features, specification, prosthetic of Gold. Cast / NP-Cast Abutment Total Pages : 40 Pages Training Duration: 50 mins 1 / 40 www. befrest. com
Training Courses Total 69 hours in the Course Basic : Understanding of prosthetic 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 / 40 www. befrest. com
prosthetic Contents Basic Advanced Final Understanding of prosthetic for Implant - - prosthetic for Implant Components and Procedures - - Classification of prosthetic for Implant - - Basic Concept of Implant Impression Prosthetic Practice I (prosthetic 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 183 hours / 40 42 hours
Concept The Purpose of the Training - Understanding of Gold. Cast / NP-Cast Abutment The Goal of the Training - Learning basic features and specification of Gold. Cast / NP-Cast Abutment - Understanding of Gold. Cast / NP-Cast Abutment에 prosthetic Key Points - Screw type prosthetic - Casting - Alloy - Oxide film 4 / 40 www. befrest. com
Contents 1. 1 minute Presentation 2. FAQ 3. Contents I. Basic product line-up knowledge II. Detailed specification of each system III. prosthetic production procedure and precautions IV. Quiz 5 / 40 5 www. befrest. com
1. 1 minute Presentation Product Classification Features To customers ① Abutment of Metal connection part and Plastic ② TS/SS/US system ③ M/R/W Connection available for each system ④ More various product lineup compared to other manufacturers. Gold. Cast Customer / Benefit NP-Cast ① Easy and free to cut/adjust of plastic abutment part compared to existing Ti abutment. ② Various selection of Cement/Screw/Combi. Type based on pro sthetic plan. ③ Able to select the prosthetic material between metal or gold. ④ Provides excellent longterm stability based on stable connection structure. ⑤ Can be applied to multiple clinical cases. 6 / 40
2. FAQ 1. In what case do you use Gold. Cast/NP-Cast Abutment - Apply to all cases including anterior, canine, posterior. Cast abutment is easy and free to cut/adjust of plastic abutment part compared to existing Ti Abutment as w ell as overcoming the limitation of path, aesthetics and location. 2. What type of advantages do Gold. Cast/NP Cast abutment have compared to Smart. Fit Abutment(CAD/CAM)? Smart. Fit takes turn-around time due to the procedure but CAST system can be fabricated in dental lab at the site right away and also with Cast ABT system you can make Cement & screw type restorations both. 7 / 40 www. befrest. com
2. FAQ 3. What type of advantages/disadvantages does Gold. Cast Abutment have compared to NPCast Abutment? ADV : Metal connection part is composed of Au-Pt-Pd metal components and are bio-friendly that there is no abnormal reaction and Gold. Cast abutment maintains clean connection part without any post-cleaning due to less creation of oxide during prosthetic production process. Dis. ADV : Cost increases as only Gold is being used in casting in order to prevent the alteration in metal shape. 4. What ’s advantage/disadvantage NP-Cast Abutment have compared to Gold. Cast Abutment? ADV : Metal connection part is composed of bio-friendly Cr-Co-Mo unmetal components that are normally being used in orthopedics implant Gold. Cast abutment. Metal castin g is available and economical compared to Gold. Cast Abutment. Dis. ADV : Only Ni-Cr casting is available and is not available for patients with Ni allergy. Postcleaning is mandatory due to creation of oxide during prosthetic production process. 8 / 40 www. befrest. com
3. Contents Gold. Cast / NP-Cast Abutment I. Basic knowledge 9 / 40 www. befrest. com
I. Basic knowledge 1. Natural tooth~ Normal prosthetic ~ Implant prosthetic <Natural tooth> <1 st cavity -Prep. > <Normal prosthetic> 10 / 40 <2 nd cavity> <Implant placement and prosthetic> www. befrest. com
I. Basic knowledge 2. Implant prothesis type <Cement type> Adv. : Similar to natural tooth, normal prosthetic No specific influence from Fixture insertion angle Dis. Adv. : Difficult residual Cement removal (infection) Difficult prosthetic removal in case of repair <Screw type> Adv. : Cement not used Easy prosthetic removal in case of repair Dis. Adv. : Big influence from Fixture insertion angle Screw hole exposure(occlusion) <Combi type> Adv. : Easy to remove Cement Easty to remove prosthetic during repair Dis. Adv. : Big influce from Fixture insertion angle Screw hole exposure(occlusion) 2 nd prosthetic Cementation to ABT. 2 nd Screw connection 3 rd Separation of ABT. And prosthetic and Cement removal 2 nd Cementation to abutment 1 st Move ABT. and connect to Fixture 1 st Move casting connected ABT. to Fixture 1 st Move ABT. and connect to Fixture 4 th Connect ABT. and prosthetic (combined) to Fixture 11 / 40
I. Basic knowledge 3. prosthetic types that can be produced with existing abutments Product Cement type Screw type TS Rigid ABT. (1 -piece) Combi. type X X TS Transfer ABT. (2 -piece) X 12 / 40 www. befrest. com
I. Basic knowledge 4. prosthetic types that can be produced with Gold. Cast / NP-Cast Abutment Product Cement type Screw type Combi. type TS Gold. Cast ABT. (2 -piece) TS NP-Cast ABT. (2 -piece) 13 / 40 www. befrest. com
I. Basic knowledge 5. Gold. Cast / NP-Cast Abutment ? - Made in Plastic – easy to delete - Connection part with Fixture - metal - ABT. that is able to delete and customize for patient’s case - Abutment is included in prosthetic Casting www. befrest. com <Gold. Cast> <NP-Cast> - Developed in UCLA of U. S in 1980 A. K. A UCLA type abutment - Initiated with Plastic and Gold material. Recently, it is being use CCM in South Korea and countries in South America. 14 / 40 *ccm : Co-Cr-Mo alloy
I. Basic knowledge 6. Upper part Plastic ? Connection part Metal ? <Gold. Cast> <NP-Cast> Straight Taper Horizontal Retention Groove Vertical Retention Groove Round Neck www. befrest. com 15 / 40 Guide (to identify after prosthetic production)
I. Basic knowledge 7. Product material <Gold. Cast> • Plastic part : POM (Poly. Oxy. Methylene) • Metal part : Gold + Platinum + Palladium alloy (Au-Pt-Pd alloy) <NP-Cast> • Plastic part : POM (Poly. Oxy. Methylene) • Metal part : Cobalt + Chrome + Molybdenum alloy (Co-Cr-Mo alloy) 16 / 40 www. befrest. com
I. Basic knowledge 8. Gold. Cast / NP-Cast Abutment annual sales “Gold price raised after year 2010 prosthetic cost increased for Gold. Cast NP-Cast sales increased” 17 / 40 www. befrest. com
I. Basic knowledge 9. Each System’s product line-up TS Gold. Cast SS NP-Cast Com. Octa Gold US Com. Octa NP-Cast 18 / 40 UCLA Gold UCLA NP-Cast www. befrest. com
3. Contents Gold. Cast / NP-Cast Abutment II. Detailed specification of each System 19 / 40 www. befrest. com
II. Detailed specification of each system 1. TS System <Gold. Cast Abutment> <NP-Cast Abutment> H Diameter (D) Mini Regular Ø 4. 0 Ø 4. 5 Height (H) 10. 0 G/H 1. 0 , 3. 0 Hex/Non-Hex 2. 1 / 2. 0 2. 5 / 2. 4 Tightening torque 20 Ncm 30 Ncm 20 / 40 www. befrest. com
II. Detailed specification of each system 2. SS System <Com. Octa Gold Abutment> <Com. Octa NP-Cast Abutment> H H 1. 5 Diameter (D) Regular Wide Ø 4. 8 Ø 6. 0 Height (H) 11. 5 Height (H) 12. 0 Octa/Non-Octa 2. 9 / 2. 7 Tightening torque 30 Ncm Note Shoulder contact 21 / 40 www. befrest. com
II. Detailed specification of each system 3. US System <UCLA Gold Abutment> <UCLA NP-Cast Abutment> H P H 1. 2 P Mini Reg. Wide PS R-type Platform(P) Ø 3. 5 Ø 4. 1 Ø 5. 0 Diameter (D) Ø 4. 0 Ø 4. 5 Ø 5. 5 Ø 6. 0 Height (H) Hex N-Hex Tightening torque 12. 0 2. 4 2. 75 2. 7 3. 1 3. 4 4. 0 0. 5 Mini Reg. Wide PS Platform(P) Ø 3. 5 Ø 4. 1 Ø 5. 0 Diameter (D) Ø 4. 0 Ø 4. 5 Ø 5. 5 3. 4 4. 0 2. 7 3. 1 Height (H) 2. 7 3. 1 3. 3 3. 8 Hex N-Hex 20 Ncm 30 Ncm 22 / 40 Tightening torque 12. 0 2. 4 2. 75 2. 7 3. 1 20 Ncm 30 Ncm www. befrest. com
3. Contents Gold. Cast / NP-Cast Abutment III. prosthetic production procedure and precautions 23 / 40 www. befrest. com
III. prosthetic production procedure and precautions 1. prosthetic production procedure 1) Implant placement 2) Connect impression components 3) Impression preparation and impression taking 4) Complete impression taking 5) Connect Lab analog 6) stone (replica) working model production 24 / 40 www. befrest. com
III. prosthetic production procedure and precautions 7) Completed working model 10) Spruing 8) Connect product and adjustment 11) Prepare Investment 25 / 40 9) prosthetic shape wax-up 12) Investment www. befrest. com
III. prosthetic production procedure and precautions Gold Ni-Cr 13) Burn-out 15) Complete casting and removing materials from investment 14) Casting 16) Sprue cutting and polishing 26 / 40 17) Final restoration www. befrest. com
III. prosthetic production procedure and precautions 2 -1. Precautions during prosthetic production <Gold. Cast> • Plastic : POM (Poly. Oxy. Methylene) • Metal part : Gold + Platinum + Palladium 합금 (Au-Pt-Pd alloy) • Casting only with Gold alloy <NP-Cast> • Plastic : POM (Poly. Oxy. Methylene) • Metal part : Cobalt + Chrome + Molybdenum alloy (Co-Cr. Mo alloy) • Casting only available by Ni-Cr alloy 27 / 40 www. befrest. com
III. prosthetic production procedure and precautions 2 -2. Limitation of alloy components during casting 1) Gold. Cast Abutment Alloy Melting range (℃) Gold. Cast abutment (Au-Pt-Pd) 1400~1450 Dental gold alloy 950~1150 Dental Ni-Cr alloy 1200~1400 Gold. Cast ABT. deformation 28 / 40 www. befrest. com
III. prosthetic production procedure and precautions 2) NP-Cast Abutment Alloy Melting range (℃) NP-Cast abutment (Co-Cr-Mo) 1400~1550 Dental Ni-Cr alloy 1200~1400 Dental Co-Cr alloy 1400~1550 NP-Cast ABT. Deformation, Excessive oxide film : Difficult to remove, casting precision↓ 29 / 40 www. befrest. com
III. prosthetic production procedure and precautions 3. Precautions during prosthetic production 1) Gold. Cast Abutment - Casting only with Gold alloy (Non-precious metal alloy is not available ABT. Deformation occurs) - Screw type prosthetic production is not available for multiple cases in TS/SS fixture use TS Multi/Convertible ABT. , SS Octa ABT. use Non-Hex/Non-Octa if the path among implants is precise Casting shrink X 30 / 40 www. befrest. com
III. prosthetic production procedure and precautions 2) NP-Cast Abutment - Casting only by Ni-Cr alloy (Co-Cr alloy is not available ABT. Deformation, difficult to remove oxide film, casting precision↓) - Never use for patients who has Ni-Cr allergy - Screw type prosthetic production is not available for multiple cases in TS/SS fixture. Use TS Multi/Convertible ABT. , SS Octa ABT. Not recommended even if the path among implants has precise path (Larger casting shrink occurs Bigger margin of errors compared to Gold. Cast ABT) Casting shrink X 31 / 40 www. befrest. com
III. prosthetic production procedure and precautions - Removal of oxide film around the fixture connection part shall be completed by the standard guide. Rubber Point, Rubber Wheel (which frequently being used tools at dental lab) is not available (1) Cement type prosthetic Oxide film appeared after casting Glass bead blasting (Pressure : 4~6 bar) Oxide film removal by applying rouge at the Cotton wheel Gray color State of oxide film removed 32 / 40 www. befrest. com
III. prosthetic production procedure and precautions (2) Screw type prosthetic Oxide film appeared after casting Thicker oxide after Porcelain burning Glass bead blasting (Pressure : 4~6 bar) Gray color State of oxide film removal 33 / 40 Block out with utility wax Oxide film removal by applying rouge at the Cotton wheel www. befrest. com
3. 교육 내용 IV. Quiz 34 / 40 www. befrest. com
IV. Quiz Q 1~Q 2) Quiz for general surgical knowledge of UCLA Type ABT 1. Please, select incorrect statement about features of UCLA Type ABT. A : 3) 1) Customizable abutment in dental lab. 2) Mostly fixture part is in metal and upper part is in plastic. 3) It is made of Gold alloy, Plastic, CCM, Titanium materials. 4) It is invented by UCLA university. 2. Please, select incorrect statement about features of UCLA Type ABT. A : 5) 1) Can fabricate customized cement type prosthetic. 2) It is possible to make screw-retained type of prosthetic. 3) The ABT. made of gold alloy is only applicable with precious alloy(Gold). 4) The ABT. made of CCM alloy is only applicable with non-precious alloy(Ni-Cr). 5) The ABT. made of Plastic is only applicable with non-precious alloy(metal). 35 / 40 35 www. befrest. com
IV. Quiz Q 3) Quiz for Osstem UCLA Type ABT 3. Please, select incorrect statement of TS Gold. Cast ABT and NP-Cast ABT A : 3) design features. 1) The characteristic of NP-Cast ABT is that it has guide structure under Hex. 2) When Ivory colored plastic is for Hex type, white colored plastic is for Non-Hex type. 3) The top edge of Gold. Cast ABT is Tapered. 4) The metal part and plastic part of Gold. Cast / NP-Cast ABT is pressed and fit. 36 / 40 36 www. befrest. com
IV. Quiz 4. Please, select incorrect statement about directions of UCLA Type ABT. A : 2) 1) It is possible to make Cement/Screw type crown. 2) It is made by CAD/CAM Milling in dental laboratory. 3) It is easily modified to any design because the upper part is plastic. 4) It is possible to make prosthetic for Combi Type (SCRP Type). 5. Please, select correct method of eliminating oxide film of NP-Cast ABT. A : 2) 1) Polish slightly with rubber point. 2) After blasting with glass bead, apply rouge to Cotton wheel then polish slightly. 3) After blasting with alumina, apply rouge to cotton wheel then polish slightly. 4) Put into acid liquid and remove it by pickling method. 37 / 40 www. befrest. com
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