1. OCO Biomedical Presents The Next Generation of Endosseous Implants Restoring OCO Biomedical Dental Implant Systems

2. [ RESTORATIVE PROCEDURE AND LAB TECHNIQUE ] I-Mini, ISI Complete One-piece, TSI & ERI Two-piece Dual Stabilization ™ Implants July 20, 2010 THE DIRECT TECHNIQUE

4. TRIP: Tissue Retraction Impression Pickup For Direct Restorative Technique For straight abutments For offset abutments

6. Fixed CB Solid Abutments (4mm, 5.5mm, & 7mm heights)

7. IOT Over Denture Abutments (0mm, 2mm, 3mm, & 4mm heights)

8. Locator Abutments (.07mm, 2.0mm, 3.0mm, 4.0mm, 5.0mm, & 6.0mm heights)

9. Shielded Abutments (straight & 15degree offset) Long & Short Available

10. Pedestal Abutments (Straight & Offset)

21. Margin Analog Example

22. Tissue Retraction Impression Pickup Snapped over the abutment

23. Take an impression

24. Indexing will be captured in the impression

25. Using the margin analog tool, gently dab the margin analog into the impression

26. The lab will pour in Polyurock and it will harden to replicate the abutment

37. Working Model

40. Case Example: Simple Direct Restoration of an ISI, One-Piece and TSI with a Solid Abutment

41. Pre-op Surgical removal and grafting

42. 6 wks postop 4 mo postop

43. Ceka Bond (from Preat) placed on threads of the solid, C&B abutment

44. Solid abutment threaded into TSI Implant

45. Abutment torqued to 30 N/cm

46. TRIPS (Tissue Retraction Impression Pickups) “snapped” over the abutments onto the implant’s margin.

47. Flood Impression material through the occlusal opening and out the vents of the TRIP

49. TRIPS are pulled out into the impression perfectly capturing the margin and indexing of the implant/abutment

50. Solid Analog Modified to match the vertical height on the abutment of the implant

51. Analogs engaged in the Impression

52. Models poured, trimmed, ACs placed on analogs, crowns cast, porcelain added and finished. Easier than a conventional crown!

53. Crowns cemented

54. Finalized case. Total lab fee $410.00 - $50.00 implant surcharge. The surcharge was Removed

63. Restoring a 15 yr old case

76. TSI Implant Restoration: Example Cases

77. ISI & TSI Implant Restoration: Example Cases

78. ISI & TSI Implant Restoration: Example Cases

79. ISI & TSI Implant Restoration: Example Cases

80. Upper and lower Restored

81. But, Did She Like It, NO! Could Not Be Cleaned To Her Satisfaction ; so

82. Porcelain trimmed to make cleansable and soft gingival prosthesis constructed

83. Case finalized and cleansable

91. The Finished PMF Crown

92. Upper First Molar

93. Upper First Molar

94. Upper First Molar - Seated

95. Splinting Natural and Implant Supported Crowns

96. Use an Interlock , Small , Round, With No Stops. Allows Vertical Movement on Natural Tooth

97. Prepped Natural Tooth and Implants

98. Cemented Natural tooth and Implant Crowns

99. Completed Case

101. RESTORATIVE PROCEDURE AND LAB TECHNIQUE TSI/ERI Two-piece Dual Stabilization ™ Implants and the assortment of accessory Abutments that are modified, fitted, and made ready along with the restoration by the dental laboratory, to be delivered [ The Indirect Technique – TSI &ERI ]

102. Natural Contour Esthetic Abutment

103. Restoring Central Incisor with a 3mm Healing Cuff

104. 3mm Healing Cuff Removed

105. Placing the Impression Coping

106. The IC is engaged by threading in the ball impression screw by hand or with a .050 hex driver

107. With the tip removed, Inject Medium Body Impression Material Around the IC and Ball

108. Complete the Impression with Heavy Body Material in a Triple or Standard Tray

109. Snap on the TSI Analog If the I-TRIP is not removed with the impression, snap it into the TSI Analog, and then place both pieces into the boldly indexed impression area.

110. Snap Into The Impression

111. Pour and Articulate a Soft Tissue Model

112. Place a 2, 3, 4 or 5 mm Soft Tissue Healing Cuff to Maintain the Emergence Profile

113. The Dental Lab Shapes, Sizes and Parallels the Selected Abutment(s)

114. With the Abutments Shaped, the Restoration(s) is Completed on the Soft Tissue Model

115. With the Healing Cuff Removed, the Indexed Abutment(s) are Positioned with the Locking Screw – 20 n/cm

116. The Final Restoration(s) is Cemented to Place and the Case is Finalized

117. Conventional Construction of a Zirconium Core Crown total cost: $189.00

118. Open Tray Impression Technique for the ERI or TSI Dental Implants Using an impression coping and TSI/ERI Analogs

127. Two ERI Implant Placed (Central Incisors)

128. Engage the Natural Contour Esthetic Abutments and Ball Impression Screws

129. Glob around abutments and screws with medium body impression material

130. Fill the tray with hard body impression material and take an impression

131. Remove the ball impression screws and abutments and thread them into corresponding TSI/ERI analogs

132. Snap the abutments and analogs into the impression as indexed

133. Place healing screws in ERI or use two more abutments and make Temps

134. Final Crowns

136. Tissue needed to be trimmed away

140. Abutments are torqued to 25 N/cm

144. ERI (or TSI) Dental Implant placed further than 15 degrees out of parallel

146. 1mm healing collar is engaged for a period of healing

147. Remove the healing collar after implant integration

148. The Biotorq driver engages with the custom abutment and is used to fixate the abutment into the implant Biotorq Driver Custom Abutment Driver and Abutment engaged

149. Biotorq Driver threads in the fixed Custom Abutment

150. Torque the abutment to 30 N/cm

154. Engage the UCLA Impression pickup and position the flat side facially

155. Using the Thumb Knob and .050 hex driver, thread the ball impression screw into the UCLA Impression Pickup

157. Flood medium body impression material around the UCLA Impression Pickup

159. Use hard body impression material in the tray

164. Flat side of Impression Pickup is formed in the impression

165. Remove the UCLA Impression Pickup from the Custom abutment (in the mouth) and engage it to the Custom Abutment Analog

166. Warning! Do not remove the Custom Abutment or change its indexing. This abutment is to remain permanently fixated into the implant

167. Snap the UCLA Impression Pickup and the Custom Abutment Analog into the impression Match the flat side on the abutment to the flat side in the impression

170. Hand tighten Custom Abutment healing collar over the custom abutment with the same Thumb Knob and .050 hex driver

172. Impression with Custom Analog and Impression Pickup in place Octa Waxing Sleeve used by lab for custom abutment

173. [ O-BALL OVERDENTURE RESTORATIONS ] Using the Dual Stabilization ® Implant System

183. In less than 2 weeks the healing looks great and he’s ready for a reline and the final female attachments X

185. The relieved denture is put to place and the patient guided into occlusion

186. O-ball analogs placed into denture with impression

187. Analogs in model on reline jig female attachments are now placed on the analogs before processing

188. Finished Denture after Reline

189. Dentures in place and ground into occlusion

190. Flanges are trimmed and the size of the denture is minimized

191. I-Mini IOT Restoration Case

200. O-Ball Overdenture: creating a Chrome framework

201. Snap Caps (with O-rings) on to O-balls. Take an impression if deep in tissue.

202. Do not place caps in impression (have lab pour model)

204. The lab will create a cast chrome cobalt framework to be incorporated for the model

205. The lab will incorporate the framework into the denture

207. Thank You Questions? Q&A