ucla abutment procedure
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![Page 1: UCLA Abutment Procedure](https://reader031.vdocuments.us/reader031/viewer/2022012404/568bd4fa1a28ab203496c599/html5/thumbnails/1.jpg)
UCLA Abutment for Tissue Level Implant
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The presentation that follows lists only one combination of parts. Obviously the clinical situation may call for substitution of another part on this slide
Cover screw in place
UCLA Abutment for Tissue Level Implant
![Page 3: UCLA Abutment Procedure](https://reader031.vdocuments.us/reader031/viewer/2022012404/568bd4fa1a28ab203496c599/html5/thumbnails/3.jpg)
UCLA Abutment for Tissue Level Implant
Prosthetic instruments needed
![Page 4: UCLA Abutment Procedure](https://reader031.vdocuments.us/reader031/viewer/2022012404/568bd4fa1a28ab203496c599/html5/thumbnails/4.jpg)
Firmly insert the head of the Hex Driver into the Thumbwheel
UCLA Abutment for Tissue Level Implant
![Page 5: UCLA Abutment Procedure](https://reader031.vdocuments.us/reader031/viewer/2022012404/568bd4fa1a28ab203496c599/html5/thumbnails/5.jpg)
UCLA Abutment for Tissue Level Implant
Assemble screw driver with ITI -Adapter (thumb-wheel / adapter)Insert assembled screw driver into cover screw and turn counter clockwise
Remove cover screw from implant
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UCLA Abutment for Tissue Level Implant
Overhead view on impression transfer shows the center screw within the transfer The screw can spin separately from the impression coping
Side view of impressiontransfer
Male octagon at the base of the impression transfer matches the female octagon within the implant
![Page 7: UCLA Abutment Procedure](https://reader031.vdocuments.us/reader031/viewer/2022012404/568bd4fa1a28ab203496c599/html5/thumbnails/7.jpg)
Insert screw into impression copingInsert the impression transfer into implant and rotate until male octagon of the transfer is aligned with female octagon of the implant and transfer
Use driver assembly to tighten screw clockwise with light finger pressure
UCLA Abutment for Tissue Level Implant
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UCLA Abutment for Tissue Level Implant
Remove screwdriver assembly
Apply wax to the top of the impression transfer to seal screw access.
![Page 9: UCLA Abutment Procedure](https://reader031.vdocuments.us/reader031/viewer/2022012404/568bd4fa1a28ab203496c599/html5/thumbnails/9.jpg)
Inject impression material around the impression transfer
UCLA Abutment for Tissue Level Implant
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UCLA Abutment for Tissue Level Implant
Seat impression to capture dental archInsert tray with impression material
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UCLA Abutment for Tissue Level Implant
Remove the impression from the mouth when material has set
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UCLA Abutment for Tissue Level Implant
Use a sharp instrument to remove the wax from the impression transfer
Remove impression transfer from implant
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Insert cover screw back into implant
Cover screw in place
UCLA Abutment for Tissue Level Implant
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Insert impression transfer into analog matching the respective octagons and turn fixation screw clockwise with finger pressure
Insert transfer/analog assembly into impression
UCLA Abutment for Tissue Level Implant
![Page 15: UCLA Abutment Procedure](https://reader031.vdocuments.us/reader031/viewer/2022012404/568bd4fa1a28ab203496c599/html5/thumbnails/15.jpg)
Make sure to align the flats within the rubber of the impression with the flats on the implant level impression coping
Impression transfer/analog inside impression
UCLA Abutment for Tissue Level Implant
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Apply soft tissue replica material around implant level analog Pour dental Straight into impression
UCLA Abutment for Tissue Level Implant
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Remove model from impression and loosen the fixation screw of the impression transfer by turning screw driver counter clockwise
Remove impression transfer from analog
UCLA Abutment for Tissue Level Implant
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UCLA Abutment for Tissue Level Implant
Insert screw driver assembly into fixation screw in the UCLA abutment
Insert abutment into implant level analog and align the male octagon of the abutment with the female octagon of the implant level analog. Turn the fixation screw within the abutment clockwise (the abutment will remain stationary.)
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Create a wax up of the desired shape of the abutment by subtracting or adding to the plastic of the UCLA abutment
Completed custom cast abutment made from the wax up of the UCLA abutment
UCLA Abutment for Tissue Level Implant
![Page 20: UCLA Abutment Procedure](https://reader031.vdocuments.us/reader031/viewer/2022012404/568bd4fa1a28ab203496c599/html5/thumbnails/20.jpg)
Apply a seal to the top of the custom cast UCLA abutment
Wax up the form of the undercasting over the completed custom cast UCLA abutment
UCLA Abutment for Tissue Level Implant
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Build and fire the Ceramic in the usual manner
Ceramic crown on model
Cast wax up using a conventional technique and insert it in the casting on the stone model
UCLA Abutment for Tissue Level Implant
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Use the screw driver assembly to insert the abutment
Separate the screw driver assembly from the hex driver
UCLA Abutment for Tissue Level Implant
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Insert the hex driver within the 30Ncm torque ratchet
Insert driver into the abutment screw and turn torque ratchet clockwise until torque of 30 Ncm is reached and the head of the ratchet releases
UCLA Abutment for Tissue Level Implant
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UCLA Abutment for Tissue Level Implant
Cement restoration on abutment