Advantages • • • • • • No outside lab fee Minimal chair time Quick turn around time Esthetic and functional control Patient acceptance Delegable to auxiliary staff Techniques • • • • • • Direct scan of stock or custom abutment Abutment level impression (Snappy) Bench-top image of fixture-level impression Scanbody image with Connect (Live or model) Scanbody image with InLab Scanbody/ScanPost image with Chairside 4.2! Chairside Choices Hybrid Abutment Hybrid Abutment Crown Chairside Material Choices IPS e.max Meso inCoris ZI Meso Chairside Abutment • One-time use TiBase Kit specific to your implant (includes Bluecam Scanbody and screw) • Scanpost (optional) • Gray Scanbody if using Omnicam • e.max meso block OR inCoris TZ meso block OR a lab to process your abutment file • CAD block of your choice for crown Scanbody Types Intraoral Scans • Gingiva Mask • Restoration arch • Opposing Arch • Buccal Bite Omnicam Scanpost Model Phase • Buccal Bite Registration as usual • Set Model Axis (new in 4.2) Scale Tool Sprue Removal Fit Check Ceramic Processing • Polish then Crystallize • Stain/Glaze Combination Firing • Crystallize then 2nd Fire Characterization New Firing Pin Note the Firing Differences Completed Ceramic Structures Bonding e.max to TiBase Delivery • • • • • • No different than what you do now Try in abutment with PA for verification Torque to implant brand requirement Block out screw access Try in crown, adjust as needed Cement crown with SpeedCEM or similar Most Common Errors • • • • Incorrect implant designation Incorrect scanbody type selection Incomplete seating of scanbody on TiBase Tissue margin of abutment below level of TiBase • Incorrect model axis • Incorrect parameters PARAMETERS Anatomic Abutment Crown Abutment Abutment Veneering Crown Implant #8 with Custom Healing Abutment All Scans Taken Intraorally e.max HT A2 on F0 inCoris Meso #30 & #31 NB Active 5.0 w/ Contour Healers Healing Abutments Removed Abutments e.max LT C2 Questions? drfernandez@drfernandezdds.hrcoxmail.com 497-4825
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