Bars & Frameworks. Laboratory Manual. Optimization By Design

Transcription

1 Bars & Framewks Labaty Manual Optimization By Design

2

3 Table Of Contents BellaTek Bars & Framewks Introduction BellaTek Bars & Framewks Interface Compatibility Charts BellaTek Bars & Framewks Design Options BellaTek Bars & Framewks Design Matrix BellaTek Bars & Framewks Design Matrix - Process Output Specifications Using edrawings Viewer BellaTek Bars & Framewks Wk Order Fm Instructions Procedures & Labaty Instructions This Manual describes the process to submit a Wk Order Fm f a BellaTek Bar (fmerly known as a CAM StructSURE Precision Milled Bar) Framewk. This Manual is not intended to replace supersede sound medical judgment, the clinician s experience training. BIOMET 3i does not provide medical advice. The clinician should use medically sound treatment planning and procedures f predictable results. F me infmation and recommendations, please refer to the BIOMET 3i Restative Manual (CATRM) treatment planning section.

4 Bars & Framewks Introduction CAD/CAM Patient Specific Restations are the future of restative implant dentistry and BIOMET 3i is leading the way with BellaTek Bars and Framewks. These superstructures provide simplified labaty procedures f implant overdentures, fixed-hybrid prostheses and fixed prostheses. BellaTek Bars and Framewks can be manufactured on most maj brand implant and abutment interfaces. With precision difficult to match using conventional labaty techniques, BellaTek Bars and Framewks are one-piece milled titanium alloy commercially pure titanium structures with a passive fit. One-piece milled framewks are significantly stronger than cast bars and do not require soldering welding. The result is a durable restation with a precise fit. BIOMET 3i designs BellaTek Bars and Framewks in CAD from a labaty clinician submitted Wk Order Fm and then sends the design electronically to the dental labaty f design verification. Following a 24-hour labaty preview period, the CAD design is transferred to a dedicated milling machine f bar framewk fabrication. Then it s polished and ready f overdenture processing the addition of pcelain acrylic resin with minimal finishing required by the labaty. Indications: Implant abutment level interfaces (see compatibility charts on pages 2 and 3) F use on implant overdentures, removable and fixed prosthesis with 2-10 implants Parallel and divergent implants up to 30 4mm less of peri-implant tissue depth 7mm me of interarch distance Virtual Design BIOMET 3i offers virtual design and milling of bars framewks f labaty technicians who wish to minimize their lab when fabricating overdenture and fixed-hybrid restations. The design from the technician is initially made from the Wk Order Fm. BIOMET 3i Design Technicians create the specified design in CAD within the confines of the scanned wax denture to fit the master cast. The design is verified by the labaty technician pri to milling. Copymilled Design Labaty technicians can create their own unique bar framewk design with a resin pattern and send it to BIOMET 3i with the master cast to be scanned and milled. Using a copymilling technique, BIOMET 3i creates a one-piece, titanium alloy CP titanium replica of the design provided, to fit the master cast. BellaTek Bars & Framewks Provide Clinicians And Labaties One Solution At A Time Clinicians Truly Passive Fit Superi Strength As Compared To Conventional Cast Techniques No Soldered Or Welded Joints Lightweight Available F Most Maj Brand Implant Or Abutment Interfaces Labaties CAD/CAM Precision No Soldering Or Welding No Capital Investment Labaty Design Control No Waxing And Casting Biocompatible Alloy 1

5 Bars & Framewks Interface Compatibility Charts CAMLOG Certain 3.4mm Implant IMMILA ILRGHG, ILRGHT Certain 4.1mm Implant IILA20 ILRGHG, ILRGHT Certain 5mm Implant IILAW5 ILRGHG, ILRGHT Certain 6mm Implant IILAW6 ILRGHG, ILRGHT External Hex 3.4mm Implant MMILA UNISG, UNIHG, UNIHT External Hex 4.1mm Implant ILA20 UNISG, UNIHG, UNIHT External Hex 5mm Implant ILAW5 UNISG, UNIHG, UNIHT External Hex 6mm Implant ILAW6 UNISG, UNIHG, UNIHT Low Profile Abutment 3.4mm LPCLA LPCGSH, LPCTSH Low Profile Abutment 4.1mm LPCLA LPCGSH, LPCTSH Low Profile Abutment 5mm LPCLA LPCGSH, LPCTSH Standard Abutment SLA20 GSH30, GSH70 IOL Abutment IOLLAS GSH30, GSH70 Conical Abutment 3.4mm MMCLA GSH30, GSH70 Conical Abutment 4.1mm CLA20 GSH30, GSH70 Conical Abutment 5mm CLA20 GSH30, GSH70 Conical Abutment 6mm WCLA6 GSH30, GSH70 Pre-Angled Conical 17 Abutment CLA20 GSH30, GSH70 Pre-Angled Conical 25 Abutment CLA20 GSH30, GSH70 ASTRA TECH 20 UniAbutment 3.5/4mm UniAbutment 4.5/5mm UniAbutment 3.5/4mm UniAbutment 4.5/5mm BioHizons 3.5mm External Hex Implant mm External Hex Implant mm External Hex Implant mm External Hex Implant mm Internal Implant PYIA PXAS 4.5mm Internal Implant PGIA PXAS 5.7mm Internal Implant PBIA PXAS 6mm Internal Implant PBIA PXAS Single Stage Implant System 3.5mm SYIA PXAS External 3.5mm Abutment External 4mm Abutment External 4.5mm Angled Abutment External 5mm Abutment BIOMET 3i reserves the right to reject any case requests with connections not represented in these charts that do not meet regulaty standards. Please call the manufacturer f all non-biomet 3i Components. CAMLOG 3.8mm Implant J J , J CAMLOG 4.3mm Implant J J , J CAMLOG 5mm Implant J J , J CAMLOG 6mm Implant J J , J CAMLOG Bar 3.8mm Abutment J J CAMLOG Bar 4.3mm Abutment J J CAMLOG Bar 5mm Abutment J J CAMLOG Bar 6mm Abutment J J Conexao External Hex Esteticone Abutment , DENTSPLY Friadent ANKYLOS Plus 3.5mm Implant ANKYLOS Plus 4.5mm Implant ANKYLOS Plus 5.5mm Implant XiVE S 3.4mm Implant XiVE S 3.8mm Implant XiVE S 4.5mm Implant XiVE S 5.5mm Implant ANKYLOS Balance Base Abutment Friadent MP 3.4mm Abutment Friadent MP 3.8mm Abutment Friadent MP 4.5mm Abutment Friadent MP 5.5mm Abutment Implant Direct Spectra System - ScrewPlus 4.7mm Implant Spectra System - ScrewIndirect 5mm Implant Keystone/Lifece 3.75mm External Hex Implant R R mm External Hex Implant R R mm External Hex Implant R R mm External Hex Implant R R Lifece PrimaConnex 3.5mm Internal Implant 45140K Lifece PrimaConnex 4.1mm Internal Implant 45141K Lifece PrimaConnex 5mm Internal Implant 45142K 45060K 45060K 45060K PrimaConnex Multi-Unit 3.9mm Abutment 45160K 45164K Fixed Detachable 3.75,4.5 and 4.75mm Abutment R K Fixed Detachable Abutment R

6 Bars & Framewks Interface Compatibility Charts (Cont d) MIS Seven 3.75mm Standard Platfm Implant MD-RSM10 MD-S0220 Seven RSM10 Multi 4.5mm Abutment MA-RSN10 MM-S0330 Nobel Biocare Brånemark System Mk III 4.1mm RP Implant Brånemark System Mk III 5mm WP Implant Replace Select 3.5mm NP Implant Replace Select 4.3mm RP Implant Replace Select 5mm WP Implant Replace Select 6mm WP Implant Replace HL 3.5mm External Hex Implant Replace HL 4.3mm External Hex Implant Replace HL 5mm External Hex Implant Replace HL 6mm External Hex Implant NobelActive 3.5mm NP Internal Implant NobelActive 4.3mm RP Internal Implant NobelActive 5mm RP Internal Implant PME 4.5mm Abutment PME 5mm Abutment Standard Abutment DCB Brånemark System Multi-unit NP Abutment Brånemark System Multi-unit RP Abutment Brånemark System Multi-unit WP Abutment Southern Implants Parallel IBN 3.43mm External Hex Implant lsn12 UNIHT, TSH3 Straumann Straumann 3.5mm NN Implant Straumann 4.8mm RN Implant Straumann 6.5mm WN Implant Straumann Bone Level 4.1mm RC Implant Straumann Bone Level 4.8mm RC Implant Straumann Bone Level 3.5mm Multi-Base Abutment Straumann Bone Level 4.5mm Multi-Base Abutment SynOcta 4.8mm RN Abutment V4 SynOcta 6.5mm WN Abutment V4 BIOMET 3i reserves the right to reject any case requests with connections not represented in these charts that do not meet regulaty standards. Please call the manufacturer f all non-biomet 3i Components. Sybron Implant Solutions/Innova Endope 3.5mm External Hex Implant 06M-IA/1 05-2RS Endope 4.1mm External Hex Implant 06B-IA/1 05-2RS Endope 5mm External Hex Implant 06WB-IA/1 05-2RS Endope 4.1mm Internal Implant 06I-PIA 05B-2RS Endope 5mm Internal Implant 06WI-PIA 05B-2RS UMA 3.9mm Abutment Thommen SPI Contact 3.5mm Implant SPI Contact 4mm Implant SPI Contact 4.5mm Implant SPI Contact 5mm Implant SPI Contact 6mm Implant SPI Element 3.5mm Implant SPI Element 4mm Implant SPI Element 4.5mm Implant SPI Element 5mm Implant SPI Element 6mm Implant VarioMulti 4.8mm Abutment Zimmer Dental AdVent 4.5mm Implant AVR AVHLS Screw-Vent 3.5mm Implant IA3 MHLAS Screw-Vent 4.5mm Implant IA4 MHLAS Screw-Vent 5.7mm Implant IA5 MHLAS Spline 4mm Implant 04024X Spline 5mm Implant Taper Lock 4.1mm External Hex Implant IAX GPCAS AdVent 4.5mm TAC Abutment ACTR SCTS Calcitek 4.0mm MD Abutment* Calcitek Shoulder 4mm Abutment Cvent TSA Abutment* * * Cvent TSI Abutment* * * Tapered 3.5mm Abutment ACTR SCTS Tapered 4.5mm Abutment ACTR SCTS Tapered 5.7mm Abutment ACTR SCTS Tapered 4.5mm Act Abutment ACTR SCTS Spectra-Cone 4.5mm Abutment SCR SCTS *Please call Attachments International

7 Bars & Framewks Design Options BellaTek Bars and Framewks are compatible with all maj implant systems and match a wide variety of implant and abutment connections. Please refer to the interface compatibility charts when placing your ders f bars and framewks with competitive connections. You can also find the BellaTek Bars and Framewks Design Options and Interface Compatibility Charts by visiting Hybrid Bar Design #1 Hybrid Bar Design #2 Wraparound Bar Fixed prosthesis Metal lingual Low buccal finish line Titanium tissue surface Fixed prosthesis Metal lingual Low buccal finish line Titanium tissue surface Fixed prosthesis Acrylic resin wraparound design Adjustments possible to accommodate f changing tissue contours Easy to repair and modify the acrylic resin ption of the prosthesis Freefm Bar Canada Bar DOLDER Egg Shape Bar Fixed prosthesis Acrylic resin wraparound design Fixed hybrid bar Low lingual finish line Titanium tissue surface Acrylic resin is processed to the bar Removable overdenture design Anteri clips allow f anteri/posteri rotation of the overdenture Provides lateral stability to the overdenture DOLDER U Shape Bar Hader Bar Primary Bar Removable overdenture design Anteri clips allow f anteri/posteri rotation of the overdenture Provides lateral stability to the overdenture Removable overdenture design with clips that engage undercuts Provides lateral stability to the overdenture 4mm between implants is needed f clips Most secure removable overdenture design May be used with attachments secondary casting Bar can be designed with a 2º 6º taper Finish Line Design Features Combination Primary Bar With Hader Or DOLDER Designs Copymilled Bar/Framewk Emergence Profile Implant Cylinder Extensions Combines a milled bar with Hader DOLDER Designs Provides excellent lateral stability to the overdenture Bar can be designed with a 2º 6º taper Ideal f both fixed and removable prosthetic designs Technician-fabricated resin pattern f pcelain acrylic resin bonded to titanium Stability Struts Ask f these design features on the BellaTek Bars & Framewks Wk Order Fm (ART880). 4

8 Bars & Framewks Design Matrix The following infmation describes the Design Matrix requirements f Type I and Type II BellaTek Bars and Framewks. Material: Surgical Grade Titanium Alloy (Ti-6Al-4V #LI). Surgical Grade 4 Titanium (f pcelain baked direct to bar) Description BellaTek DOLDER Bars - Egg Shape and U Shape BellaTek Hader Bar BellaTek Primary Bar BellaTek Combination Primary Bar with Hader DOLDER Designs BellaTek Hybrid Bar Designs #1 and #2 BellaTek Wraparound Bar BellaTek Freefm Bar BellaTek Canada Bar BellaTek Copymilled Bar Bar Type Type I Type I Type I Type I Type II Type II Type II Type II Type II The BellaTek Bars and Framewks Design Matrix details the design parameters f the devices manufactured in the BellaTek Production Center. Customers should adhere to the design specifications shown in this document when completing the BellaTek Bars Wk Order Fm. 5

9 Bars & Framewks Design Matrix Process Output Specifications Type I Bars: Removable Prosthetic-Type Bars* J J Description Minimum Maximum D1 A Platfm Seating Diameter 3.4mm 6.7mm B Total Cylinders 2 10 C Bar Span Between Cylinders 0mm 27mm D1 Bar Height 2.5mm 10mm E Bar Width 1.8mm 10mm F Distal Extension 0mm 10.7mm G Cylinder Height 0mm 10mm H Cylinder Diameter 3.4mm 10mm J Maximum Angulation Between Cylinders 0º 30º BAR CONNECTION GEOMETRY IS FOR REFERENCE PURPOSES ONLY. F G E B A C Ø H G F Type II Bars: Fixed Hybrid & Copymilled Bars* BAR CONNECTION GEOMETRY IS FOR REFERENCE PURPOSES ONLY. D2 Description Minimum Maximum C A Platfm Seating Diameter 3.4mm 6.7mm B Total Cylinders 2 10 C Bar Span Between Cylinders 0mm 23.5mm D2 Bar Height 2.5mm 22mm E Bar Width 4mm 10mm F Distal Extension 0mm 18mm E B F A BIOMET 3i reserves the right to reject any case request that does not meet regulaty standards. This document can also be found by visiting * Sketches are representations of the bars and/ framewks and are not intended as a design print/specification. 6

10 Using edrawings Viewer 1. You will receive an from the BellaTek Production Center (fmerly known as the ARCHITECH PSR Department). Click on the edrawing Viewer link to download the software. This process should take no longer than five minutes to download. 2. On the download edrawing Viewer screen, select edrawing Viewer Only and click next. 3. On the next screen, click download. 7

11 Using edrawings Viewer (Cont d) 4a. On the Expt Eligibility Requirements screen, read and check the box acknowledging that you have read the requirement. 4b. Read and accept the software agreement. NOTE: Steps 1-4 are necessary f initial software download only. 5. Click to open the image file. Image viewing tools are located on the tool bar. Zoom Area tool allows you to zoom in. Choose this tool and select the area you want to zoom in to. Zoom Fit tool reverts back to the iginal image size. Zoom tool allows you to zoom in and out of the image with your mouse. Rotate tool allows you to move the image and view it in 360. Select the Pan tool to move the image two dimensionally on the screen. Selecting Home will take you back to the iginal image location, if changes have not been saved. 8

12 Using edrawings Viewer (Cont d) 6. Select the text with leader tool in the markup section to type comments. Click on the ption of the drawing where you desire the comment(s) to be placed and move the mouse slightly away from the desired comment location. Click again to allow f comments to be typed. Click on the green checkmark to leave a comment. A comment(s) will appear on the screen. 7. If you wish to edit remove the comment(s) you made, place your mouse curs over your comment(s) and right click. 8. Once completed, select the Save As option under the File tab to save the drawing with your comments. 9

13 Using edrawings Viewer (Cont d) 9. Select Send, to return the drawing and comments to the BellaTek Production Center. 10

14 Bars & Framewks Wk Order Fm Instructions 1. Account Infmation Please complete this section clearly. All requested infmation is imptant to ensure the necessary communication of the desired case design. Please make sure your communication is clear and timely as this is imptant from receipt to design verification and the delivery of the finished product. Incomplete infmation on the Wk Order Fm missing case requirements may delay the delivery of the product. 2. Preparing Your Case F Shipment This section serves as a checklist f the mandaty case contents. 3. Structure Type The infmation in this section provides BIOMET 3i with the desired design of the BellaTek Bar Framewk f a particular type of prosthesis. 4. Case Infmation This section is imptant f the scanning and design process. Providing accurate infmation regarding the tooth position of the implants, implant brand and size abutment type will expedite the process of der entry, design and completion. 5. Design Instructions Illustrations of the occlusal view f both a mandible and maxilla are provided in this section. Please sketch the BellaTek Bar Framewk with implant positions and attachment clip positions. Please use the legend provided. 6. Special Instructions Please provide any special infmation necessary to ensure the proper design of the BellaTek Bar Framewk. This may include path of insertion infmation malocclusion. Additional instructions are also welcome. (Please note that additional instructions do not replace the mandaty sections on the prescription fm.) 7-8. BIOMET 3i Screw And Attachment Ordering This section identifies the screw preference and quantity. Please der screws f this case only. Polishing protects and attachments are also available in this section. If components screws other than the BIOMET 3i Brand are preferred, the labaty will be responsible f dering those from the specific implant component manufacturer. 9. Certification This signature denotes that the technician and clinician have verified the master cast f accuracy by trying in a verification index intraally. This signature is mandaty. BIOMET 3i will not fabricate a BellaTek Bar Framewk without this certification from the labaty. Wk Order Fms are also available at The following cases will be returned to the labaty: 1. Cases with me than 10 implants 2. Greater than 30º divergence between implants 3. Less than 7mm of interarch distance 4. Me than 4mm of tissue depth 11

15 Bars & Framewks Wk Order Fm Instructions (Cont d) DO NOT PHOTOCOPY - Available online at *1. Account Infmation (Please Print Or Type) *Indicates Required Fields * Customer Name: Account #: * Bill To: Ship To: _ * Contact: * Phone:_ Fax: * _ * Patient ID: 2. Preparing Your Case F Shipment IMPORTANT: Please include only the following items: Only use new implant analogs. q Copy of the completed Wk Order Please do not send the articulat. q Verified/accurate soft-tissue cast Missing infmation components q Resin pattern if Copymilled Bar is desired can delay your case. q Verified denture wax set-up (decontaminated) Only use current Wk Order Fm q Intraally verified index (decontaminated) online at bellatek.biomet3i.com. **3. Structure Type Overdentures o Hader o o o DOLDER U Shape Macro 2.2mm DOLDER Egg Shape Macro 2.2mm Primary º Taper **4. Case Infmation Tooth Implant Implant Implant Abutment Position Brand** System Platfm Type Diameter 5. Design Instructions See the BellaTek Bars and Framewks Design Matrix (MKT736) online at Maximum implant divergence is 30 Distal Extensions Patient s Left Patient s Right o To 2nd bicuspid o To 2nd bicuspid o To 1st molar o To 1st molar o To 2nd molar o To 2nd molar o Specify in mm = _mm o Specify in mm = _mm Space Between Tissue And Bar Distance o As close as possible o Specify in mm = _mm Shape o Follow tissue contour o Straight Bar Height o Specify in mm = _mm (min. height 2.5mm) Tap Areas F Attachments Occlusal Taps o LOCATOR o TSB Ball o Ceka M3 o 1.4mm 0.3 Tap f GSH30 o 2mm 0.4 Tap f UNIHT Bars & Framewks **See Compatibility Chart in the Procedure and Labaty Manual (INST868) Combination o Hader anteri, Primary distal o Hader anteri, DOLDER distal o DOLDER anteri, Primary distal o DOLDER anteri, Hader distal o Primary anteri, Hader distal o Primary anteri, DOLDER distal Vestibular Taps o Swiss-loc drill only o Lew Passive o 1.5mm no tap drill only o 2.2mm Bredent VKS Wk Order o Design bar accding to the drawings below. l = Implant Position n = Clip Placement s = Attachment Maxillary 6. Special Instructions q Please see back attached page. 7. BIOMET 3i Screw Ordering q I would not like to der screws at this time. Certain Abutment Screws Gold-Tite Hexed Large Diameter (ILRGHG) Titanium Hexed Large Diameter (ILRGHT) Fixed Solutions o Hybrid #1 External Hex Abutment Screws o Hybrid #2 Gold-Tite Square (UNISG) o Wraparound Gold-Tite Hexed (UNIHG) o Free Fm o Copymilled f acrylic (default) Titanium Hexed (UNIHT) Labaty Square Try-in Screw - 5 pack (UNITS) o Copymilled f pcelain o Canada Bar By submitting this Wk Order, you acknowledge and agree that Copymilled Bars are designed by the lab/dering physician. **See Compatibility Chart in the Procedure and Labaty Manual (ART868) Retaining Screws Gold-Tite, 2mm(H) (GSH20) Gold-Tite, 3mm(H) (GSH30) Gold-Tite, 7mm(H) (GSH70) Low Profile Gold-Tite (LPCGSH) Low Profile Titanium (LPCTSH) Waxing Screws Certain - Implant Level, 16mm (IWSU30) External Hex - Implant Level, 15mm (WSU30) Abutment Level, 10mm (WSK10) Abutment Level, 15mm (WSK15) Low Profile Abutment (LPCWS) 8. Attachment Ordering LOCATOR Bar Attachment Kit (LOAB) Hader Clip Gold (ORCG1) Hader Clip Plastic (ORCY1) Qty. Qty. 9. Certification I certify that the analog positions on the cast and the wax try-in have been verified f accuracy and the stated infmation is crect. All items that have contacted the al environment have been decontaminated. This fm authizes BIOMET 3i to fabricate the BellaTek Bar using and consistent with the infmation provided on this Wk Order. I have reviewed the applicable Procedure and Labaty Manual (INST868) f this product. Job # Issued By BellaTek, BellaTek design, Certain and Gold-Tite are registered trademarks and Providing Solutions One Patient At A Time is a trademark of BIOMET 3i LLC. DOLDER is a registered trademark of Dr. Charlotte Fleischer-Dolder and Dr. Fritz Dolder. Ceka is a registered trademark of Ceka Cpation. LOCATOR is a registered trademark of Zest Anchs, Inc BIOMET 3i LLC. Mandibular Contact manufacturer f screws not made by BIOMET 3i. REV L 10/

16 Procedures & Labaty Instructions RESTORATIVE DENTIST - 1st Visit 1. See the BIOMET 3i Restative Manual (CATRM) consult the specific implant system manual f abutment placement and abutment level implant level impression instructions. LABORATORY 2. Fabricate a soft tissue master cast as illustrated using new, undamaged analogs. Using old, damaged loose fitting analogs can interfere with the scanning and design process and may prevent the bar framewk from properly seating. Cases received with either damaged insufficiently anched analogs will be returned to the labaty. 2mm NOTE: The soft tissue material on the master cast must be applied approximately 2mm down from the analog restative interface. It must also be easily removable f the scanning and design process to ensure an accurate fit. 3. Place non-hexed titanium implant abutment tempary cylinders onto the analogs and screw them into place with waxing try-in screws. Fabricate a rigid verification index by luting the cylinders together using a light cure composite resin autopolymerizing acrylic resin. Also, fabricate a recd base with a wax occlusion rim. Return the verification index f intraal fit verification and the wax occlusion rim f interocclusal recds. 13

17 Procedures & Labaty Instructions (Cont d) RESTORATIVE DENTIST - 2nd Visit 4. Remove the healing abutments caps using the proper driver. Place the wax occlusion rim into the mouth and make the interocclusal recds. Place the verification index onto the implants abutments. Place a try-in screw into the posteri-most cylinder of the verification index and finger-tighten. Visually, verify a passive fit on all interfaces. If the interfaces are subgingival, take a radiograph to verify a passive fit. Remove the screw and place it into the opposite posteri-most cylinder of the verification index and repeat. If a fit discrepancy is found, section the index and reassemble it intraally by luting it with a resin material. Remove the index. Immediately replace the healing abutments caps. LABORATORY 5. Verify that the analog positions on the cast are accurate using the verification index. If a fit discrepancy is found, remove the analog(s) and replace it in the cast using the crected verification index. Articulate the casts using the interocclusal recd. Set the denture teeth on the recd base and return the wax denture f try in. If the analogs are not accurate in the master cast, remove the analogs from the cast, re-attach them to the verification index and re-seat the index onto the accurate analogs. Inject dental stone around the analog(s) and allow it to set. The cast is now considered to be accurate. Set the denture teeth on the recd base and return the denture set-up on the recd base f the wax try-in. RESTORATIVE DENTIST - 3rd Visit 6. Remove the healing abutments caps and place the wax try-in into the mouth. Verify occlusion, aesthetics and phonetics. Make any necessary adjustments. If maj adjustments are necessary, make a new interocclusal recd and return the wax denture to the labaty f remounting of the casts, a new set-up and a second wax try-in. 14

18 Procedures & Labaty Instructions (Cont d) LABORATORY 7. Place the verified wax denture on the cast and make a silicone plaster matrix of the tooth positions. Do not remove the teeth from the wax denture. Do not ship the matrix to BIOMET 3i. If requesting fabrication of a virtual designed BellaTek Bar Framewk, go to step 11. If requesting fabrication of a BellaTek Copymilled Bar Framewk, go to the next step. BELLATEK COPYMILLED BARS & FRAMEWORKS 8. Place the verification index on the implant abutment analogs and screw it into place with waxing screws. Reduce the height of the tempary cylinders using a carbide bur so that these fit within the confines of the silicone matrix. Apply a separat to the inside of the matrix of the wax denture and place it on the cast. Pour wax into the impressions of the teeth in the matrix and around the verification index. Remove the matrix and complete the wax pattern of the bar framewk on the lingual palatal surface. 9. Flask the wax denture f processing. Boil the flask and remove the wax from the flask. Remove the verification index and remove the Tempary Cylinders from the index. Place each tempary cylinder back on the analogs with waxing screws. Process the wax denture in acrylic resin. Please use light tooth coled acrylic resin f scanning purposes. 15

19 **See Compatibility Chart in the Procedure and Labaty Manual (INST868) **See Compatibility Chart in the Procedure and Labaty Manual (ART868) BellaTek, BellaTek design, Certain and Gold-Tite are registered trademarks and Providing Solutions One Patient At A Time is a trademark of BIOMET 3i LLC. DOLDER is a registered trademark of Dr. Charlotte Fleischer-Dolder and Dr. Fritz Dolder. Ceka is a registered trademark of Ceka Cpation. LOCATOR is a registered trademark of Zest Anchs, Inc BIOMET 3i LLC. Procedures & Labaty Instructions (Cont d) 10. Finish the resin pattern of the framewk to the desired contours. Make a labaty silicone matrix of the facial surfaces of the teeth and buccal/facial contours of the wax denture. F pcelain applications, cut the teeth back approximately 2mm. The amount of the cut-back will be dependent on the specifics of the framewk design f individual patients. Place the matrix on the cast periodically as a guide f proper contouring and cut-back contours/thickness. On the BellaTek Bars and Framewks Wk Order Fm, please indicate whether it will be processed f acrylic resin a pcelain application. The default is acrylic resin. Wk Order Bars & Framewks *1. Account Infmation (Please Print Or Type) o Design bar accding to the drawings below. *Indicates Required Fields l = Implant Position n = Clip Placement s = Attachment * Customer Name: Account #: * Bill To: Ship To: Maxillary Mandibular _ * Contact: * Phone:_ Fax: 6. Special Instructions * _ * Patient ID: 2. Preparing Your Case F Shipment IMPORTANT: Please include only the following items: q Please see back attached page. Only use new implant analogs. q Copy of the completed Wk Order Please do not send the articulat. q Verified/accurate soft-tissue cast 7. BIOMET 3i Screw Ordering Contact manufacturer f screws not made by BIOMET 3i. Missing infmation components q Resin pattern if Copymilled Bar is desired can delay your case. q Verified denture wax set-up (decontaminated) q I would not like to der screws at this time. Only use current Wk Order Fm q Intraally verified index (decontaminated) online at bellatek.biomet3i.com. Certain Abutment Screws Qty. Gold-Tite Hexed Large Diameter (ILRGHG) **3. Structure Type Titanium Hexed Large Diameter (ILRGHT) Overdentures Combination Fixed Solutions o Hader o Hader anteri, Primary distal o Hybrid #1 External Hex Abutment Screws o DOLDER U Shape Macro o Hader anteri, DOLDER distal o Hybrid #2 Gold-Tite Square (UNISG) 2.2mm o o Wraparound DOLDER anteri, Primary distal Gold-Tite Hexed (UNIHG) o o Free Fm DOLDER Egg Shape Macro o DOLDER anteri, Hader distal Titanium Hexed (UNIHT) 2.2mm o Copymilled f acrylic (default) o Primary anteri, Hader distal o Copymilled f pcelain o Labaty Square Try-in Screw - 5 pack (UNITS) Primary º Taper o Primary anteri, DOLDER distal o Canada Bar By submitting this Wk Order, you acknowledge and agree that Copymilled Bars are Retaining Screws designed by the lab/dering physician. Gold-Tite, 2mm(H) (GSH20) Gold-Tite, 3mm(H) (GSH30) **4. Case Infmation Gold-Tite, 7mm(H) (GSH70) Tooth Implant Implant Implant Abutment Low Profile Gold-Tite (LPCGSH) Position Brand** System Platfm Type Diameter Low Profile Titanium (LPCTSH) Waxing Screws Certain - Implant Level, 16mm (IWSU30) External Hex - Implant Level, 15mm (WSU30) Abutment Level, 10mm (WSK10) Abutment Level, 15mm (WSK15) Low Profile Abutment (LPCWS) 5. Design Instructions 8. Attachment Ordering See the BellaTek Bars and Framewks Design Matrix (MKT736) online at Qty. Maximum implant divergence is 30 LOCATOR Bar Attachment Kit (LOAB) Hader Clip Gold (ORCG1) Distal Extensions Patient s Left Patient s Right Hader Clip Plastic (ORCY1) o To 2nd bicuspid o To 2nd bicuspid o To 1st molar o To 1st molar 9. Certification o To 2nd molar o To 2nd molar o Specify in mm = _mm o Specify in mm = _mm I certify that the analog positions on the cast and the wax try-in have been verified f accuracy and the stated infmation is crect. All items that have contacted the Space Between Tissue And Bar al environment have been decontaminated. This fm authizes BIOMET 3i to Distance Shape fabricate the BellaTek Bar using and consistent with the infmation provided on o As close as possible o Follow tissue contour this Wk Order. I have reviewed the applicable Procedure and Labaty Manual o Specify in mm = _mm o Straight (INST868) f this product. Bar Height o Specify in mm = _mm (min. height 2.5mm) Job # Issued By Tap Areas F Attachments Occlusal Taps Vestibular Taps o LOCATOR o Swiss-loc o TSB Ball drill only o Ceka M3 o Lew Passive o 1.4mm 0.3 Tap f GSH30 o 1.5mm no tap drill only o 2mm 0.4 Tap f UNIHT o 2.2mm Bredent VKS REV L 10/ Complete the BellaTek Bars & Framewks Wk Order Fm. See page 12 f an example. Package the following items securely in a box: Copy Of The Wk Order Fm Verified Soft Tissue Master Cast Unmounted* Verified Wax Denture Verification Index * Casts should be unmounted because BIOMET 3i will mount these f scanning purposes. If casts are sent mounted, some may need to have mountings removed from the cast, requiring remounting and articulating at a later point. This process may break the cast. PLEASE DO NOT SEND: The Articulat The Opposing Cast NOTE: All items and/ materials that have been used intraally must be decontaminated following manufacturer s instructions befe these are sent to BIOMET 3i. Send to: In USA: In Canada: BellaTek Production Center BIOMET 3i Canada, Inc Riverside Drive 8110-B Route Trans Canada Hwy. Building B St Laurent, Québec H4S 1M5 Palm Beach Gardens Flida, USA In Europe: BIOMET 3i Dental Iberica BellaTek Production Center Calle Islas Baleares, Paterna Valencia, Spain

20 Procedures & Labaty Instructions (Cont d) BELLATEK BAR VIRTUAL DESIGN 12a. The soft tissue master cast and the verified wax denture are scanned and transferred into the CAD software. The BellaTek Bar is designed in CAD accding to the Wk Order Fm provided. BELLATEK COPYMILLED BAR OR FRAMEWORK DESIGN 12b. The acrylic resin framewk is scanned, transferred into the CAD software and designed to match the acrylic resin framewk. A link f virtual viewing of the BellaTek Bar Framewk Design will be sent via f a 24-hour preview and design verification (See pages 6-10 f viewing instructions). 13. Following the preview period, the design file is transferred to a milling machine f fabrication. After milling is complete, the BellaTek Bar Framewk is finished and polished. The BellaTek Bar Framewk, any requested components and case materials that are sent to BIOMET 3i are returned to the labaty. The labaty may send the BellaTek Bar Framewk to the restative dentist f intraal try in set the teeth directly onto the bar. The clinician may do the framewk try-in alone combine the framewk try-in with the denture tooth try-in to save one appointment. Once the try-in is completed and the framewk fit and aesthetics are verified, the prosthesis may be processed in a conventional manner. RESTORATIVE DENTIST - 4th Visit (Optional) 14. Remove the healing abutments healing caps. Place the BellaTek Bar Framewk onto the implants abutments. Thread a try-in screw into the posteri-most access opening until finger-tight. Visually verify a passive fit on all interfaces. If interfaces are subgingival, take a radiograph to verify a passive fit. Remove the screw and place it into the opposite posteri-most access opening of the bar framewk and repeat. NOTE: If a fit discrepancy is detected during bar try-in, one of the following crective measures may be used. 1. The BellaTek Bar Framewk may be sectioned and reassembled intraally. Then the analog(s) in the master cast is (are) repositioned by the labaty and a new bar framewk is fabricated. 2. A new impression is made and a new master cast is poured. Then, the verification steps must be repeated and a new bar framewk is fabricated. 17

21 Procedures & Labaty Instructions (Cont d) Hader DOLDER Bar LABORATORY 15a. Hader Or DOLDER Bar Restation Place the wax denture onto the cast. Place the matrix onto the wax denture. Attach the teeth to the matrix. Attach the bar onto the analogs using try-in labaty screws. Transfer the denture teeth from the matrix directly to the bar. Attach the teeth with wax. Finish waxing the overdenture. Place the flask into the boil out tank, separate the flask and remove the wax. Block out all undercuts and access openings with wax. Place the Hader/DOLDER clips other attachments onto the bar. Process and finish the overdenture prosthesis in a conventional manner. Polishing protects should be in place to protect the bar interfaces during all polishing procedures. Return the definitive prosthesis to the restative dentist f delivery. 15b. Fixed-Hybrid Restation Place the wax denture onto the cast. Make a lab matrix of the denture teeth positions. Remove the denture teeth from the wax denture and place them into the matrix. Attach the framewk onto the analogs using try-in labaty screws. Place the matrix with denture teeth back onto the cast and attach the denture teeth to the framewk. Finish waxing, then flask, boil out and process the fixed hybrid prosthesis with denture acrylic resin. Place the polishing protects; finish and polish conventionally. Fixed-Hybrid Bar Milled Primary Bar 15c. Milled Primary And Secondary Bar Restation Make a lab matrix of the denture teeth positions. Remove the denture teeth from the wax denture and place into the matrix. Attach the primary bar onto the analogs using try-in labaty screws. Seal the access openings with wax; block-out undercuts related to the framewk. Place the matrix with the denture teeth back onto the cast and wax the denture teeth to the framewk. Finish waxing, then flask, boil-out and process the removeable overdenture with denture acrylic resin. Place polishing protects; finish and polish conventionally. Return the framewk and prosthesis to the restative dentist f insertion. 15d.BellaTek Copymilled Framewk Place the BellaTek Copymilled Framewk onto the cast and screw it into place using try-in screws. Place the cast on the articulat. Opaque and build pcelain on the framewk apply acrylic resin. Place the matrix on the cast periodically as a guide f proper contouring. Stain and glaze the pcelain polish the acrylic resin. BellaTek Copymilled Framewk 18

22 Procedures & Labaty Instructions (Cont d) RESTORATIVE DENTIST 16a. Hader Or DOLDER Bar Restation Remove the healing abutments caps from the implants abutments. Place the bar onto the implants abutments. Thread the abutment retaining screws into the implants abutments until finger-tight using the manufacturer s recommended driver. Visually verify a passive fit on all interfaces. If the interfaces are subgingival, take a radiograph to verify a passive fit. Tque the screws to the recommended level with a tque device following the manufacturer s instructions. Place the overdenture onto the bar engaging the attachments. Make any occlusal adjustments as needed. Instruct the patient on insertion and removal of the prosthesis and on proper al hygiene. 16b. Fixed-Hybrid Restation Remove the healing abutments caps from the implants abutments. Place the fixed-hybrid prosthesis onto the implants abutments. Thread the abutment retaining screws into the implants abutments until finger-tight using the manufacturer s recommended driver. Visually verify a passive fit on all interfaces. If the interfaces are subgingival, take a radiograph to verify a passive fit. Tque the screws to the recommended level with a tque device following the manufacturer s instructions. Make any occlusal adjustments as needed. Place a protective material over the screw access openings. Seal the access openings with composite resin and polish. Instruct the patient on proper al hygiene. 16c. Milled Primary And Secondary Bar Restation Remove the healing abutments caps from the implants abutments. Place the primary bar onto the implants abutments. Thread the abutment retaining screws into the implants abutments until finger-tight using the manufacturer s recommended driver. Visually verify a passive fit on all interfaces. If the interfaces are subgingival, take a radiograph to verify a passive fit. Tque the screws to the recommended level with a tque device following the manufacturer s instructions. Place the secondary prosthesis onto the bar, engaging the attachments. Make any occlusal adjustments as needed. Instruct the patient on insertion and removal of the prosthesis and on proper al hygiene. 16d. BellaTek Copymilled Framewk Remove the healing abutments caps from the implants abutments. Place the Copymilled Bridge onto the implants abutments. Thread the abutment retaining screws into the implants abutments until finger-tight using the manufacturer s recommended driver. Visually verify a passive fit on all interfaces. If the interfaces are subgingival, take a radiograph to verify a passive fit. Tque the screws to the recommended level with a tque device following the manufacturer s instructions. Make any occlusal adjustments as needed. Place a protective material over the screw access openings. Seal the access openings with composite resin and polish. Instruct the patient on proper al hygiene. 19

23

24 Want Me Options F Fixed & Removable Restations? Try Bars & Framewks! To Learn Me Visit: Check Out The BIOMET 3i Online Ste at (US Customers Only) F Me Infmation, Please Contact Your Local BIOMET 3i Sales Representative. Not Available In All Markets. Global Headquarters 4555 Riverside Drive Palm Beach Gardens, FL Outside the U.S.: Fax: EC REP BIOMET 3i Dental Iberica S.L. WTC Almeda Park, Ed. 1, Planta 1ª Pl. de la Pau, s/n 08940, Cnellà de Llobregat (Barcelona) Spain Phone: Fax: Join Us Follow Us Watch Us Download It BellaTek, BellaTek design, Certain, Gold-Tite, IOL and Optimization By Design are registered trademarks of BIOMET 3i LLC. Providing Solutions One Patient At A Time is a trademark of BIOMET 3i LLC. AdVent, Screw-Vent, Spline and Zimmer are registered trademarks of Zimmer Dental. Astra Tech Implant System is a trademark of Dentsply Implants. Ankylos, Friadent, Frialit and Xive are registered trademarks of Dentsply Friadent Ceramed. Biohizons is a registered trademark of Biohizons, Inc. Brånemark System is a registered trademark and NobelActive, Nobel Biocare, Replace HL and Replace Select are trademarks of Nobel Biocare AG. Camlog is a registered trademark of Camlog Biotechnologies, AG. Ceka is a registered trademark of Ceka Cpation. DOLDER is a registered trademark of Dr. Charlotte Fleischer-Dolder and Dr. Fritz Dolder. LOCATOR is a registered trademark of Zest Anchs, Inc. MIS is a registered trademark of MIS Cpation. PrimaConnex is a registered trademark of Keystone Dental, Inc. ScrewInDirect and ScrewPlus are registered trademarks and Spectra System is a trademark of Implant Direct. SPI is a registered trademark of Thommen Medical. Straumann and SynOcta are registered trademarks of Straumann BIOMET 3i LLC. All trademarks herein are the property of BIOMET 3i LLC unless otherwise indicated. This material is intended f labaties and clinicians only and is NOT intended f patient distribution. This material is not to be redistributed, duplicated disclosed without the express written consent of BIOMET 3i. F additional product infmation, including indications, contraindications, warnings, precautions and potential adverse effects, please visit the BIOMET 3i Website: INST868 REV A 08/14