Isi tsi treatment planning and placement (updated design)
1. OCO Biomedical Presents The Next Generation of Endosseous Implants Treatment Planning & Placement Presentation
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6. In 2002 OCO Biomedical introduced the next generation of endosseous implants: The ISI Complete ® , TSI, and The ERI Immediate Load capable Dual-Stabilization® Dental Implant System July 20, 2010
7. OCO Biomedical’s Dual Stabilization Line designed to “grow bone” by compressing it with tension For a Predictable Immediate Load or 2 stage conventional Dental Implant:
32. Basics for fixed: 4 Main buttresses for fixed or implant supported teeth Ideal minimum Implant diameter Minimum implant length 10 to 12 mm
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34. So, if not following the buttress parameters and ignoring the physical properties:
35. [ PLACEMENT PROTOCOL AND PROCEDURE ] ISI Complete ® One-piece and TSI Two-piece Dual Stabilization ® Implants July 20, 2010
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38. Drill Sequence : 1. High Speed #8 surgical bur 2. Pilot drill 3. Guided tissue punch 4. Counter sink if needed 5. Pilot drill again to final depth 6. Final osteotomy former (drill)
140. Seating the implant to the final depth with the ratchet- torque wrench to 45 n/cm
141. A well placed TSI implant in the 2 nd Bi, non esthetic zone. The top of the implant is at tissue level. A healthy situation
142. A straight pedestal abutment is placed with the driver and torqued to 30 n/cm
143. The straight pedestal 5.5 mm abutment in place. Actually an ISI could have been used at less cost
144. A TRIP, (tissue retraction impression pick-up) is snapped in place, med bodied material injected into the top and picked up with a tray of heavy body material
146. The Implant lab analog snapped into the TRIP and ready to be poured and mounted ready for the final restoration to be constructed with less difficulty than a conventional crown
181. The new ERI Implant OCO Dual–Stabilization Implant designed for the esthetic zone or in any case where a low gingival profile implant is indicated
278. Mark Right and Left Position of Foramina on the Denture With a Pencil
279. Drill a Small Shallow Hole Where the Denture is Marked With a #8 HS Burr
280. Drop a 5mm Metal Ball (or a BB) Into the Hole and Cover With a Drop of Soft Liner
281. Now you know Exactly Where The Mental Foramina are relative to the denture Transfer a Mark From the Denture To the Gingiva Approximately 3 mm mesial the metal markers
282. Implants are placed low in the gingiva because of the vertical height of the denture