Implant Retained Fixed Prosthesis
Standard Abutment
Fixed Hybrid
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5. Restorative Dentist
undefined Remove the healing caps from the abutments using a .048” Large Hex Driver. To help prevent accidental swallowing, thread floss through the spinner on the driver. Place the bar onto the abutments. Thread a Hexed Gold- Tite® Retaining Screw into one posterior-most cylinder and finger tighten. Visually verify the bar is seated passively on all implants. Repeat after removing the screw and placing it into the opposite posterior-most cylinder. If a fit discrepancy is found, cut and index the bar intraorally for soldering. Replace the healing caps.

6. Laboratory
undefined Attach the bar onto the analogs with waxing screws using a Large Hex Driver. Transfer the denture teeth from the matrix onto the bar on the cast and wax the hybrid prosthesis for processing. Flask the waxed prothesis and boil out. Separate the flask. Opaque the bar in areas where the acrylic will be processed to it. Block out all undercuts with wax. Process and finish the hybrid prosthesis in a conventional fashion. Polishing protectors should be in place during all finishing and polishing procedures.

7. Restorative Dentist
undefined Remove the healing caps. Place the fixed hybrid prosthesis onto the abutments. Screw the Hexed Gold-Tite Retaining Screws into the abutments. Adjust occlusion, remove and polish. Replace prosthesis and torque the screws 10Ncm using a .048” Large Hex Driver Tip and a torque device. Place a protective material over the screw heads. Seal the access holes with acrylic resin. Make any occlusal adjustments necessary. Instruct the patient on oral hygiene maintenance of the prosthesis.

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