Mini Dental Implants - 16 Pages

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Catalogue excerpts

Mini Dental Implants Surgical & Restorative Protocols

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MDI Mini Dental Implants Mini Dental Implants 3M ESPE focuses on dental applications and the development of new technology to simplify dentistry and significantly improve the lives of our customers globally. IMTEC, now part of 3M ESPE, originally created a revolution in implantology with the introduction of the IMTEC MDI Implant system and has grown into the global leader in small-diameter implants, now the 3M ESPE MDI mini dental implant system. As a progressive company, 3M ESPE continues to provide innovative solutions through our line of implants, dental products and digital dentistry technology...

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MDI Implant Surgical Protocols 1 MDI Implant Surgical Protocols Mandibular Denture Stabilization Preoperative Planning After patient selection and evaluation protocols have been completed, the number of MDI implants required (minimum of four) is determined and thoroughly discussed with the patient. The patient’s lower denture is then fabricated or modified, followed by identification of appropriate implant sites. After site selection, the MDI implants should be placed at least 5mm apart. For mandibular placement, the implants should be placed beginning at least 7mm anterior to the mental foramen. Site...

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MDI Implant Surgical Protocols 2 Use of the Winged Thumb Wrench Use the Winged Thumb Wrench to thread the implant into place until the wrench becomes difficult to turn. IMPORTANT: If no significant resistance is met during this mid-stage of insertion, the prognosis for the implant reaching its full potential is doubtful. The patient’s bone at this site possibly lacks the required density for predictable success. Use of the Ratchet or Adjustable Torque Wrench with Ratchet Adapter • The Ratchet Wrench or Adjustable Torque Wrench will then finalize the insertion process. • Grasp the wrench (with...

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MDI Implant Surgical Protocols 3 MDI Implant Surgical Protocols Maxillary Denture Stabilization 1 Site Preparation Entry points are made with the Pilot Drill (Item S1011) by perforating the cortical plate. Use of the Finger Driver Insertion of the MDI implant begins with the vial cap and continues with the Finger Driver until more torque is necessary. 2.4mm diameter MDI implants require use of the 1.1mm Pilot Drill (Item S1011). 2.9mm diameter MDI implants require use of the Disposable Tissue Punch (Item S0150)* followed by the Drill Duo Kit (Item 2010D). *The 1.5mm Disposable Tissue Punch can...

 Open the catalogue to page 6

MDI Implant Surgical Protocols 4 Use of the Winged Thumb Wrench Insertion continues with the Winged Thumb Wrench. Use of the Ratchet or Adjustable Torque Wrench with the Ratchet Adapter To verify initial stability is sufficient for each implant, connect the Ratchet Adapter to the Adjustable Torque Wrench and confirm at least 35 Ncm of resistance. IMPORTANT: If no significant resistance is met during this mid-stage of insertion, the prognosis for the implant reaching its full potential is doubtful. The patient’s bone at this site possibly lacks the required density for predictable success. MDI...

 Open the catalogue to page 7

MDI Implant Surgical Protocols 5 MDI Implant Surgical Protocols 2.9mm MDI Implant Protocol 2.9mm MDI implants are not recommended for placement in extremely dense (D1) or extremely soft (D4) bone. Site Preparation Probe soft tissue at implant site and record tissue thickness. Create pilot hole using 1200-1500 rpm and sterile irrigation. Remove soft tissue at implant site using the 1.5mm tissue punch. Soft Bone Drilling Protocol (D3 Bone) Entry divots are made with the #2 Round Bur. Then the 1.7mm Pilot Drill is used to perforate the cortical plate. Dense Bone Drilling Protocol (D2 Bone) Entry...

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MDI Implant Surgical Protocols 6 Use of the Winged Thumb Wrench Insertion continues with the Winged Thumb Wrench. Insertion of the MDI implant begins with the vial cap or with the Finger Driver and continues with the Finger Driver until more torque is necessary. Use of the Ratchet or Adjustable Torque Wrench with the Ratchet Adapter Insertion continues with the Ratchet Adapter connected to the Ratchet or Adjustable Torque Wrench. To verify initial stability is sufficient for each implant, connect the Ratchet Adapter to the Adjustable Torque Wrench and confirm at least 35 Ncm of resistance. Final...

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MDI Impression & Temporization Protocol 7 MDI Impression & Temporization Protocol 2.9mm Implants 1 Taking An Impression A Pick-Up impression is made using the retentive impression coping. Forming the Temporary Restoration Once adjacent teeth are lubricated with petroleum jelly, Tapered Abutment (2923) or O-Ball (2924) Immediate Temporization Caps are seated on the implants. 3M™ ESPE™ Protemp™ Plus Temporization Material is then extruded in the temporary crown impression or stint and placed in the patient’s mouth for 1 minute and 40 seconds to 2 minutes and 50 seconds from the onset of mixing. Finishing...

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MDI Direct Restorative Protocols 8 MDI Direct Restorative Protocols Hard Pick-Up Protocol 1 Relieve denture to accommodate implants and metal housings, creating individual holes or a trough. Trim Blockout Shims to appropriate length and place one shim on each implant to block out undercuts. Place Metal Housings on each implant and check for passive fit over shims. Place denture in patient’s mouth and check for passive fit over implants and housings. Apply a thin layer of adhesive to the tissue-contact surface of the denture. NOTE: Hard Pick-Up Protocol continues on next page.

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MDI Direct Restorative Protocols 9 MDI Direct Restorative Protocols Hard Pick-Up Protocol (Continued) Extrude SECURE Hard Pick-Up material directly onto Metal Housings and into the troughed denture. Seat denture in patient’s mouth and have patient apply normal bite pressure in centric occlusion, and allow 7-9 minutes for SECURE Hard Pick-Up material to set. Removable O-Ring (0550-01) housed inside metal housing. Remove denture and all blockout shims, trim and polish. Seat the final denture and inform the patient to keep the denture in place for the first 48 hours after placement to prevent tissue...

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