Understanding of composition and process of implant prosthetic

Understanding of composition and process of implant prosthetic www. befrest. com 1

Concept OBJECTIVE - To understand composition and process of implant prosthetic. GOAL - To acquire basic knowledge of implant prosthetic. - To understand generic abutment line-up. Key Point - Abutment / Screw / Crown. www. befrest. com 2

Contents 1. FAQ 2. Contents for education I. Understanding of composition of implant prosthetic. II. Review of implant prosthetic. III. Glossary IV. Quiz 3 www. befrest. com 3

1. FAQ 1. What is PFM and PFG? PFM – Porcelain Fused to Metal is abbreviated to PFM. It is a kind of way of fabricating dental crown. PFM coping is made by the way of casting dental-purposed metal. PFG - Porcelain Fused to Gold is abbreviated to PFG. It is also a kind of way of fabricating dental crown. PFG coping is made by the way of casting gold in the consideration of vulnerable oral condition of patient to allergy. www. befrest. com 4

I. Understanding of composition of implant prosthetic www. befrest. com 5

I. Understanding of composition of implant prosthetic 1. Dental Implant ? Dental Prosthetic Natural teeth Fixture which works as root of natural teeth By acting as natural teeth that are lost ü Can regain the joy of chewing www. befrest. com 6

I. Understanding of composition of implant prosthetic Dental Prosthetic 2. Composition of implant Crown : It works as crown of natural tooth. Abutment: Intermediate component to bridge fixture and crown. Gingiva Bone Fixture: It works as root of natural tooth. www. befrest. c 7

I. Understanding of composition of implant prosthetic 3. Composition of prosthetic Crown Porcelain: It works as natural tooth. Coping: It works as support. Abutment: Intermediate component to bridge fixture and crown. Abutment Screw: A component to connect abutment to fixture. www. befrest. com 8

I. Understanding of composition of implant prosthetic 1) Crown Porcelain 1) It works as natural tooth. 2) It bears stresses from mastication. 3) It represents enamel. 4) Same level of color tone and strength in comparison with natural teeth is required. Abutment Coping 1) Intermediate part to apply porcelain on Abutment Screw 2) Material : Gold alloy, Casted dental alloy, and Zirconia etc. www. befrest. com 9

I. Understanding of composition of implant prosthetic ◆ Types of crown Porcelain • Coping is made of normal type dental casting alloy and it could cause inflammation around PFM gingiva as an allergy reaction. (Porcelain Fused Metal) • Surface of coping is covered with porcelain which esthetic and strong. Abutment Casted alloy • The most popular product. Porcelain • Coping is made of gold which does not cause PFG allergy reaction so it’s good for gum health. (Porcelain Fused Gold) • Surface of coping is covered with porcelain which esthetic and strong. Abutment Gold 10 www. befrest. com

I. Understanding of composition of implant prosthetic ◆ Crown의 종류 Porcelain • full Zirconia crown and coping as all-in -one type or coping only in Zirconia • Look of Zirconia is like natural tooth. • Zirconia is applicable even to molar part due Abutment Zirconia to it’s good strength Gold • full gold crown and coping as all-in -one type. • Coping is made of gold which does not cause Gold allergy reaction so it’s good for gum health. • Exposure of gold is unaesthetic so it’s not Abutment recommendable for the anterior cases. www. befrest. com 11

I. Understanding of composition of implant prosthetic 2) Abutment & Abutment Screw Abutment 1) Connects fixture & crown 2) Spreads mastication stresses to fixture Crown 3) Needs Superb stress propagation Screw Fixture 1) Abutment connects to fixture. 2) Solid connection is required. www. befrest. com 12

I. Understanding of composition of implant prosthetic Abutment ◆ 1 -piece type Abutment and Screw are all in one type. ◆ 2 -piece type Abutment Separated Abutment and Screw type. www. befrest. com 13 +

I. Understanding of composition of implant prosthetic ◆ OSSTEM’s abutment line-up (TS system) ● 1 -piece type Abutment convertible Multi O-ring www. befrest. com Rigid Locator ● 2 -piece type Abutment Transfer Temporary Quick Temporary Angled Free. Form ST 14 Zio. Cera Smart. Fit Gold. Cast NP Cast Multi Angled

II. Review of implant prosthetic www. befrest. com 15

II. Review of implant prosthetic 1. Work flow 1) Osseointegration 2) Gingiva Healing 3) Impression 4) Building Crown www. befrest. com 5) Crown cementation 16

II. Review of implant prosthetic 2. necessary component for each step of prosthetic Gingiva Healing ü A treatment to fit figure of incised gingiva to implant prosthetic to connect after implantation. ü Space and/or passage to assemble implant prosthetic is acquired. ü Form gingival according to prosthetic design www. befrest. com Right after Implantation Past 7 days 17 Completion of Healing

II. Review of implant prosthetic ◆ Necessary Component ü To form gingival according to prosthetic design ü Varies by diameter & thickness of gum 1) Healing Abutment www. befrest. com 18

II. Review of implant prosthetic Impression taking ü Building a crown in mouth of patient is impossible. ü Replication of oral condition of patient stone model for prosthetic work. ü To copy pt’s oral shape to stone model Pt’s Oral www. befrest. com Impression Body 19 Working Model

II. Review of implant prosthetic ◆ Relevant Components 1) Impression Coping ü Materials that need for the process of copying patient’s oral condition to working model. ü Varies by diameter & thickness of gum 2) Tray www. befrest. com 3) Impression material & tip 20

II. Review of implant prosthetic Fabricating a Crown ü Fabrication of artificial tooth similar to natural tooth. ü Deliver satisfaction to patient ü Fabrication of artificial tooth which does not bring inconveniency for patient to feel. www. befrest. com Wax Up Casting Porcelain Build Crown 21

www. befrest. com II. Review of implant prosthetic ◆ Relevant Component 1) Lab analog - Rigid Lab analog ü It represents rigid ABT in working model. - Fixture Lab analog ü It represents fixture in working model. 2) burn-out cylinder Rigid Lab analog Fixture Lab analog ü It works as framework of prosthetic with connecting to Rigid lab analog ü Marginal part is trimmed with optimized reamer after casting prosthetic. 3) Working model - Replication of patient’s oral condition. Single 22 Bridge

II. Review of implant prosthetic Crown ü It works as natural tooth. ü Equal level of biting satisfaction as natural teeth ü Has to be comfortable for daily life. ü Deliver beautiful smile to patient www. befrest. com 23

II. Review of implant prosthetic ◆ Relevant Abutment ü Components for the final product. ü Line-up and specification are various. www. befrest. com 24

III. Glossary www. befrest. com 25

III. Glossary Gingiva : It is fibrous tissue which comprises epithelium and covers bottom part of teeth. Bone : Bone which natural teeth root down and are fixated. Crown : An artificial prosthetic which works as enamel in natural teeth to cap and protect damaged and/or remaining teeth. Abutment : A prop which bridge fixture (root of tooth) to crown. Fixture : Artificial root of tooth which works as root of tooth in natural tooth. Porcelain : A ceramic which forms surface of artificial crown. Coping : A metal which forms inner surface of artificial crown. PFG : (Porcelain Fused Gold) A type of loading porcelain onto gold coping. PFM : (Porcelain Fused Metal) A type of loading porcelain onto metal coping. www. befrest. com 26

III. Terminology Masticatory force : Occurrence of force from masticating foods. : A artificial stuff which is transplanted to a part in body where missing and/or Prosthesis impairment happens to reinforce and/or regain physical and/or biological faculty which became weakened. Lab (laboratory) : A place where prosthetic is fabricated and repaired. Temporary Crown : Temporarily loaded crown ahead of final prosthetic. Impression : A work to replicate figure of teeth and gingiva in the mouth of patient. Impression Coping : A component used to replicate figure of teeth and patient’s gingiva. Lab analog : A stuff replicated from implant prosthetic where impression coping connects. tray : It is a tray used to process impression work. www. befrest. com 27

IV. Quiz www. befrest. com 28

IV. Quiz 1. Please, select one is not dental prosthetic. 1) Crown 2) bridge 3) denture 4) stent A : 4) 2. Please, select incorrect statement about prosthetic for natural teeth. 1) Bridge type prosthetic is applicable. 2) Screw type prosthetic is applicable. A : 2) 3) No need to have abutment. 4) Inflammation can occur due to cement www. befrest. com 29

IV. Quiz 3. Which one works as enamel in natural teeth for mastication? 1) Fixture 2) Abutment 3) Crown 4) Healing Abutment A : 3) 4. Please, select incorrect statement about function of abutment. 1) Connects Fixture to Crown. 2) Deliver stress from mastication to fixture. 3) Propagate stress from mastication to fixture. 4) Works as root of natural teeth. A : 4) www. befrest. com 30

IV. Quiz 5. What is the component that use for gum healing after placing implant? 1) Cover screw 2) Healing Abutment 3) Impression Coping A : 2) 6. After impression taking, which one is not a component that use for prosthetic fabrication? 1) burn-out cylinder 2) Lab analog 3) Impression Coping A : 3) www. befrest. com 31

IV. Quiz 7. What is the process that patient’s oral condition is replicated to working model by building a mould? A : Impression 8. Please, fill out the blank. - PFM : Porcelain Fused ( Metal ) - PFG : Porcelain Fused ( Gold www. befrest. com ) 32

IV. Quiz 9. Please, select wrong statement about features of PFM. A : 3) 1) Can cause inflammation to gum if patient is allergic to Ni-Cr alloy. 2) Surface is covered with porcelain so that it is esthetic and strong. 3) Coping is made of gold which does not cause allergy reaction. 4) The most widely used prosthetic. 10. Please, select unnecessary component in the work of prosthetic. A : 4) 1) Lab analog 2) burn-out cylinder 3) Working model 4) protect cap www. befrest. com 33