PROSTHETIC PROCEDURES

INDEX

Catalog presentation..............................................................3
CONNECTION CONEXA......................................................4
- Unique prosthetic connection...........................................4
- Unlocking system...............................................................5
PROSTHETIC KIT ....................................................................5
PROSTHETIC OPTIONS.........................................................6
HEALING COMPONENTS......................................................7
IMPRESSION COMPONENTS...............................................8
PULL-OFF TRANSFER.............................................................9
FACILITY TRANSFER.............................................................10
PICK-UP TRANSFER..............................................................11
TEMPORARY ABUTMENT - PEEK........................................12
TEMPORARY ABUTMENT - TITANIUM...............................14
TRY-INN ABUTMENT............................................................16
CEMENTED-RETAINED RESTORATION.............................17
TITANIUM ABUTMENT.........................................................18
CASTABLE ABUTMENT – PLEXIGLASS...............................20
- Investment.......................................................................22
MULTI-SCAN ABUTMENT....................................................23
- Traditional method..........................................................24
- With cad/cam..................................................................25
MULTI-USE ABUTMENT........................................................26
BRIDGE...................................................................................28
- Impression taking ..........................................................28
- Temporary prosthesis.....................................................29
- Definitive prosthesis.......................................................30
EQUATOR SYSTEM...............................................................32
EQUATOR..............................................................................33
SPHERICAL ANCHOR SYSTEM ...........................................34
O-BALL ABUTMENT.............................................................35
BAR SYSTEM..........................................................................37
- Impression taking ..........................................................38
- Definitive prosthesis.......................................................39

2
 B&B DENTAL
implant company

Welcome to this updated edition of DURAVIT prosthetic procedure manual.

B. & B. Dental S.r.l. is an Italian leading company in biomedical field specialized in the development of
dental implants and materials for bone regeneration. The experience gained over the years has helped
to provide high quality prosthetic implant technologies and innovative materials with affordable prices.
Products and techniques are constantly improved, developed and innovated, paying attention to
customer satisfaction and to meet customer needs. This is the main goal that B. & B. Dental aims to
achieve.

B. & B. Dental produces and markets:

- B&B DENTAL SYSTEM: dental implant system.
- B&B DENTAL GUIDED SURGERY SYSTEM: guided surgery system.
- B&B DENTAL CRESTAL SINUS LIFT: system used for the sinus lift.
- NOVOCOR PLUS and materials for bone regeneration.
- T-BARRIER TITANIUM MEMBRANES.
- T-BARRIER COLLAGEN MEMBRANES.

B. & B. Dental promotes also training courses especially for dentists and dental technicians, during
which implant-prosthetic techniques are taught step by step. Knowledge about the specific use of the
individual components of the DURAVIT system are provided, as the opportunity to experience directly
the wide range of the offered prosthetic solutions.

CATALOG PRESENTATION

The awareness that the realization of a proper prosthesis on implant is a critical step for their long-
term life time, has motivated the writing of this demonstrative catalog dedicated to dental technicians.

The catalog describes in details all the prosthetic components of the DURAVIT system and their use.
Especially it is designed for being used by clinicians, who have undergone at least basic surgical and
in-clinic implant training. All the information have specific illustrations in order to guide professionals
through the wide range of options for the impression taking and the following built of the definitive
prosthesis. Therefore it explains the essential steps regarding implant planning, surgical and prosthetic
procedures.

B. & B. Dental has an interest to keep up-dated each doctor over the latest trends and treatment
techniques about implants in order to provide the most simple implant solution even in case of
complex cases.

3
CONEXA
THE REVOLUTIONARY CONNECTION

PLATFORM SWITCHING
PROSTHETIC SCREW
Reduction of bone loss.
The only function is to bring in total
connection the abutment and the Long term esthetic stability.
implant.
Perfect bacterial seal.
It is not subjected to loads,
eliminating the risk of breakage.

CONICAL CONNECTION
“MORSE TAPER 5°“
Cold weld seal.
Elimination of micro-movements.
Elimination of unscrewing. INTERNAL HEXAGON
The hexagon enhances the
resistance to torsional loads
and allows an easy transfer of
the abutment position from the
laboratory to the dental office.
UNIQUE PROSTHETIC CONNECTION
Thanks to the unique prosthetic connection (hole diameter 3 mm), the range is compatible with all prosthetic implants 3P, EV and
WIDE, regardless of the stump or pillar chosen and the diameter of the implant.

3P LINE EV LINE WIDE LINE

4
UNLOCKING SYSTEM
The morse taper is created by the friction between two conical surfaces (implant and abutment), that combined with the push and
pressure applied in the insertion, locks them. The locking can be deleted only using an extractor screw “EXTRACTOR” (Ref. INN-6060).

Unscrew the prosthetic. Insert the extractor screw

1 2 inside the
abutment by using the
hexagonal driver.

Screw clockwise the Once the abutment

3 extractor screw until 4 comes out unscrew the
the abutment comes extractor.
out.

PROSTHETIC KIT Ref. KITPROTESICO

TORQUE SPHERICAL SCREW DRIVERS EXTRACTOR

RATCHET Ref. INN-00637 Ref. INN-6060
Ref. 00376DIN

MANUAL DRIVERS PROSTHETIC SCREW DRIVER

Ref. INN-00604 Ref. INN-61000 (short)
Ref. INN-61000L (long)

5
PROSTHETIC OPTIONS

CEMENT-RETAINED RESTORATION
The cemented implant is defined as an intermediate element of cemented prosthesis
(abutments), screwed directly on the implants.

Advantages: Disadvantages:
- Improved esthetics due to compliance - Difficulty in the removal of the prosthesis;
with the emergence profile; - Risk that the concrete comes out below
- The concrete sealant facilitates the the gum line.
passivation of the structure;
- Easy occlusal balancing. Abutment used for the
cement-retained restoration in a
cemented prosthesis.

SCREW-RETAINED RESTORATION
The screwed implant is defined as an intermediate element of screwed prosthesis
(abutments), in turn, screwed directly on the implant.

Advantages: Disadvantages:
- Easy disassembly of the prosthesis; - Anatomical emergence profile
- Connection through anatomical pillars; sometimes difficult to achieve;
- No use of sealant cements. - Projection of the screws on the occlusal
surface;
- Difficult to control the liability. Abutment used for screw-retained
restoration in a screwed prosthesis.

ATTACHMENT-RETAINED RESTORATION
There are several indications for overdenture treatment in connection with implant
therapy. Functionality, esthetics, phonetics and hygienic requirements in certain clinical
situations require the use of the overdenture as an option of treatment.
Indications for overdenture treatment:

- An unfavorable jaw relation which makes denture due to oral irritations and/or loss
treatment with a fixed bridge restoration of bone for denture fixation
difficult; - Edentulous patients with a cracked palate;
- Esthetic problems, e.g. the need for lip - Economic constraints.
Abutment used for attachment-
support in the upper jaw;
retained restorations of overdenture.
- Patient’s dissatisfaction with removable

6
HEALING COMPONENTS

TIGHTENING:
Insert the healing screw into the implant
and tighten with only light finger force.

COVER SCREW
It is provided in the implant package. Use it when you want
to cover completely the implant after its insertion.
The implant will be reopened 3-6 months later, followed by
the use of healing screw.

H. 3
H. 2
H. 1

INN-6053 INN-6053/1 INN-6053/2 INN-6053/3

HEALING SCREWS Ø5
INDICATED FOR ANTERIOR AREA
These components are used to rehabilitate soft tissue on the implant in order to
insert the final prosthetic abutment later on. ø5
ø5
ø5
ø5
ø5 H. 7
H. 5
H. 3
H. 1 H. 2

Ref. INN-6010 Ref. INN-6011 Ref. INN-6012 Ref. INN-6014 Ref. INN-6015

HEALING SCREWS Ø6
INDICATED FOR POSTERIOR AREA
These components are used to rehabilitate soft tissue on the implant in order to
insert the final prosthetic abutment later on.

ø6
ø6
ø6
ø6
ø6
H. 7
H. 5
H. 3
H. 2
H. 1

INN-6020 INN-6021 INN-6022 INN-6023 INN-6024

Surgical procedures Laboratory procedures 7

IMPRESSION COMPONENTS

PULL-OFF TRANSFER
(CLOSED TRAY TECHNIQUE)

Made of plastic and single-use only.

It provides an impression taking that is easy and fast for each patient.

Each package contains 3 pieces.

Ref. INN-00306

The transfer has to be combined with the analog. PULL-OFF ANALOG

Ref. INN-00585 TRANSFER INN-00585
INN-00306

TRANSFER FACILITY PLASTIC

(CLOSED TRAY TECHNIQUE) CAP
INN-00507
t is packaged in 3 pieces. It ensures optimal fit and precise impression
taking in cases of large disparallelism.

Each package contains: 1 plastic cap, 1 screw and 1 metal transfer.

Each package of plastic cap contains 2 pieces. METAL METAL

TRANSFER TRANSFER
(Short) (Long)
The transfer has to be combined with the analog INN-00585, INN-00506 INN-00506L
as shown above.

PICK-UP TRANSFER
(OPEN TRAY TECHNIQUE)
The pick-up transfers ensures an optimal fit and a precise impression taking
for each patient.

The package contains: 1 pick-up transfer and 1 short pick-up screw.

It is available even the long pick-up screw.

The transfer has to be combined with the analog INN-00585, as shown COMPLETE SET COMPLETE SET TRANSFER
- post screw - post screw SCREW
above. - hexagonal open - rotating open (Long)
tray transfer tray transfer INN-00608L
INN-00600 INN-00601

8
PULL-OFF IMPRESSION TRANSFER
CLOSE TRAY TECHNIQUE

Clean the internal Position the transfer

1 connection of the 2 in the analog and
implant throughly from push until you feel the
blood, tissue, etc. tactile response of
prior to the impression engagement.
procedure.

Make little lateral Take the impression

3 movements to verify the 4 using an elastomeric
correct insertion of the impression material
transfer. (polyvinyl siloxane or
polyether rubber).

Note: Due to its low

tensile strength,
hydrocolloid is not
suitable for this
application.

Once the material is Position the analog in

5 cured, carefully remove 6 the tray and smoothly
the tray. push until you feel the
tactile response of
The transfer remains in engagement.
the impression material
automatically when it is
pulled off from the tray.

A gingival mask should Fabricate the master

7 always be used 8 cast using standard
to ensure that the methods and type 4
emergence profile of dental stone
the crown is optimally (DIN 6873).
contoured.

Surgical procedures Laboratory procedures 9

FACILITY TRANSFER
CLOSE TRAY TECHNIQUE

Place the facility transfer Place the plastic

1 accurately into the 2 impression cap on the
implant and tight the top of the transfer
guide screw by hand and push the
or using the hexagonal impression cap in apical
screwdriver. direction until it
clicks.

The impression cap is

now firmly seated on
the facility transfer.

Take the impression Once the material

3 using an elastomeric 4 is cured, carefully
impression material remove the tray.
(polyvinyl siloxane or
polyether rubber). The impression
cap remains in the
Note: impression material.
Due to its low tensile
strength, hydrocolloid
is not suitable for this
application.

Unscrew and remove Mount the impression

5 the facility transfer 6 transfert on the analog
and send it using the transfer screw.
together with the
impression tray to the Place the transfer in the
dental technician. tray and push until you
feel the tactile response
of engagement.
It is now firmly seated
on the impression cap.

A gingival mask should Fabricate the master

7 always be used 8 cast using standard
to ensure that the methods and
emergence profile is type 4 dental stone
optimally contoured. (DIN 6873).

10
PICK-UP TRANSFER
OPEN TRAY TECHNIQUE

Clean the internal Place the pick-up

1 connection of the 2 transfer accurately into
implant thoroughly the implant and by
from blood, tissue, etc. hand (Fig. A) or using
prior to the impression the hexagonal
procedure. screwdriver tight the
pick-up screw.

A B

Make perforations Take the impression

3 in the custom-made 4 using an elastomeric
impression tray impression material
(polyvinyl siloxane or
polyether rubber).

Uncover the screws

before the material is
cured.

Once the material is The pick-up transfer

5 cured, loosen the pick- 6 remains automatically
up screws and in the impression
remove the tray. material.

Reposition and fix the A gingival mask should

7 analog in the impression 8 always be used
using the guide screw. to ensure that the
To avoid inaccuracies emergence profile of
when connecting, the the crown is optimally
analog must be posi- contoured.
tioned exactly in line Fabricate the master
with the grooves of the cast using standard
analog before screw- methods and
ing in. type 4 dental stone
(DIN 6873).

Surgical procedures Laboratory procedures 11

TEMPORARY ABUTMENT - PEEK

INTENDED USE PEEK STRAIGHT ABUTMENTS

- Immediate load. Complete with prosthetic screw
ø5 ø5 ø5
- Individual soft tissue management for esthetic
cases.
- Screw- or cement-retained temporary crowns.
- Peek abutment has been designed as temporary
abutment, easily customized by the clinician or in
the laboratory by the dental technician.
- Easy to customize by the doctor during the
H. 1
surgery as well as by the technician in laboratory. H. 2 H. 3

CHARACTERISTICS FV107.04/1 FV107.04/2 FV107.04/3

- Modifications of peek material can be realized
immediately, easily and quickly.
- Easy-to-achieve esthetics due to tooth-colored PEEK 15° ANGLED ABUTMENTS
and metal free. Complete with prosthetic screw
ø5
- Conexa connection ø5
ø5

NOTE
Maximum 121° sterilizable.

H. 1 H. 2 H. 3

IMPORTANT NOTE FV107.05/1 FV107.05/2 FV107.05/3

The correct position of angled abutments

can be checked considering that the external
hexagon of the driver is in phase with the PEEK 25° ANGLED ABUTMENTS
internal hex. Complete with prosthetic screw
ø5
ø5
ø5

TIGHTENING:
The tightening of the prosthetic screw is realized with the 1.27
hex screwdriver and torque ratchet. For the final seating are
recommended torques of 25 Ncm.

H. 1 H. 2
H. 3

PEEK KIT
000.08
FV107.06/1 FV107.06/2 FV107.06/3
The box contains 1 pc for each code.

PROSTHETIC SCREW

INN-6050

12
 Place the pre-selected Hand-tighten the
1 abutment inside the 2 temporary abutment
analog. using the hexagonal
screw.

Individualize the Use a standard

3 temporary abutment. 4 procedure to fabricate
the cement-retained
single crown
(e.g. grind out a
prefabricated
plastic tooth).

Coat the internal Cement the

5 configuration of the 6 superstructure to the
crown with abutment and
temporary cement remove superfluous
and cement it on the cement.
temporary abutment.

Surgical procedures Laboratory procedures 13

TEMPORARY ABUTMENTS - TITANIUM
User-adjustable temporary abutments in titanium.

INTENDED USE NON-ROTATING STRAIGHT ABUTMENTS

- User-adjustable both by doctor and technician. Complete with prosthetic screw
- Anterior and posterior area ø5 ø5 ø5
- Non-rotating abutments are used for:
• Screw- or cement-retained temporary crowns;
• Cement-retained temporary bridges.
- Rotating abutments are used for screw-retained
temporary bridges.
H. 1
H. 2 H. 3

CHARACTERISTICS
- Narrow diameter for interdental spaces.
INN-2080 INN-2081 INN-2082
- Precise fit and high stability due to titanium
material.
- Conexa connection.

ROTATING STRAIGHT ABUTMENTS

NOTE
Complete with prosthetic screw
Do not use for longer than 180 days.
ø5 ø5 ø5
Place temporary restorations out of occlusion.
The temporary abutment can be shortened
vertically no more than 6 mm with usual tools and
technique. The devices are provided non-sterile
and they are for single use only. Abutment can be
steam sterilized (134C°/5 Min). H. 1
H. 2 H. 3

INN-2090 INN-2091 INN-2092

Fabricate the master For optimal esthetic

1 cast including a gingival 2 planning, model a full
mask. anatomical wax-up.

Make a silicon key over Place the Try-Inn

3 the full wax-up 4 abutment on the implant
in order to define the or implant analog.
optimal shape of the
customized temporary This will aid in checking
abutment. the gingival height.

14
 Mount the temporary Shorten the temporary
5 abutment on the master 6 abutment and then
cast or in patient's check the heights
mouth. with the silicone key
Mark the appropriate previously cut.
heights according to
the individual situation.

Sandblast and coat with Fill the silicon key with

7 opaque. 8 acrylic resin.

Temporarily seal the

screw channel.

Press the silicon key on Remove excess acrylic.

9 the model and use a 10
standard technique to
fabricate the temporary
crown.

Polish and clean the Place the temporary

11 temporary restoration, 12 restoration on the
implant and tighten the
Reopen the screw screw with torques of
channel. 25 Ncm.

Surgical procedures Laboratory procedures 15

TRY-INN KIT ABUTMENTS

Try-Inn kit abutments helps the dental technician to select the most suitable abutment, based on the inclination and the
transmucosal height of the implant that has been inserted.

Try-Inn abutments are color-coded,

well-marked on the holder and easily
readable.

The box contains 3 pcs for each code

(see table beside) for a total of 27
abutments.

Place the Try-Inn abutment on the 0° Ref. 15° Ref. 25° Ref.
implant (intra-oral use) or on the
H1 PC107.01/1 PC107.02/1 PC107.03/1
implant analog (extra-oral use).
H2 PC107.01/2 PC107.02/2 PC107.03/2
This will aid in checking the gingival H3 PC107.01/3 PC107.02/3 PC107.03/3
height (H.1, H.2 e H.3 mm) and axial
alignment of the potential restoration
(0°, 15° e 25°).

Try-Inn abutments are fabricated in

sterilizable polymer material.
Easy to handle thanks to the plastic
holder.

Turn the plastic kit upside down to read

the corresponding ø5 titanium abut-
ment.

16
CEMENTED-RETAINED RESTORATION

TITANIUM ABUTMENTS Ø 5
(CEMENT-RETAINED RESTORATION)

Ø 5 indicated for anterior area.

They are available in 3 heights (H. 1, H. 2, H. 3 mm) accord-

ing to the gingiva, mimicking optimal preparations of natural
teeth, which provide the opportunity to create esthetics for 0° Ref. 15° Ref. 25° Ref. Ref.
all teeth. H1 INN-2000 INN-2015 INN-2025 INN-6050
H2 INN-2001 INN-2016 INN-2026 INN-6050
H3 INN-2002 INN-2017 INN-2027 INN-6050
The package contains: 1 abutment and 1 prosthetic screw.
H4 INN-2004 INN-2018 INN-2028 INN-6050
H5 INN-2005 INN-6050
H6 INN-2006 INN-6050

TITANIUM ABUTMENTS Ø 6
(CEMENT-RETAINED RESTORATION)

Ø 6 indicated for posterior area.

They are available in 3 heights (H. 1, H. 2, H. 3 mm) accord-

ing to the gingiva, mimicking optimal preparations of natural
teeth, which provide the opportunity to create esthetics for 0° Ref. 15° Ref. 25° Ref. Ref.
H1 INN-2030 INN-2065 INN-2075 INN-6050
all teeth.
H2 INN-2031 INN-2066 INN-2076 INN-6050
H3 INN-2032 INN-2067 INN-2077 INN-6050
The package contains: 1 abutment and 1 prosthetic screw.

Surgical procedures Laboratory procedures 17

TITANIUM ABUTMENT
CEMENTED RESTORATION

Fabricate the master For optimal esthetic

1 cast including a gingival 2 planning, model a full
mask. anatomical wax-up.

Make a silicone key over Place the Try-Inn

3 the full wax-up in order 4 abutment on the
to define the optimal implant or implant
shape of the customized analog.
titanium abutment.
This will aid in checking
the gingival height
(H.1, H.2, H.3 mm) and
axial alignment of the
potential restoration
(0°, 15° e 25°).

(See page 16)

Place the pre selected Modify the abutment as

5 abutment inside of the 6 required.
analog.

Sandblast the modified Wax an individual resin

7 abutment. 8 cap onto the abutment.

Once the ceramic cap

will be cemented, the
sandblasting increase
the mechanical attach.

18
 Contour a wax model Check the wax-up with
9 according to the ana- 10 the silicone key.
tomical circumstances
of the individual cast.

Investment. Gently divest the

11 12 customized abutment
Cast the framework with ultrasound, water
in the conventional jet, pickling acid or a
manner. glass fiber brush.

Verify that the metal Sandblast the metal

13 crown fits precisely on the 14 crown in order to create
customized abutment. a mechanical attach with
the veneer.
Note: The long term
success of the pros-
thetic work depends on
the accurate fit of the
restoration. The entire
procedure will have to be
repeated, if casting errors
occur.

Veneer the Position the abutment

15 superstructure. 16 in the implant and
tighten the screws
to 25 Ncm using the
hexagonal screwdriver
along with the torque
ratchet.

Surgical procedures Laboratory procedures 19

CASTABLE ABUTMENT - PLEXIGLASS

INTENDED USE STRAIGHT ABUTMENTS

Cement-retained bridges via mesostructure Complete with prosthetic screw
(custom abutment technique). ø5 ø5 ø5

CHARACTERISTICS
- Easy-to-achieve esthetics due to individual
realization of the emergency profile and adaptation
to the margin of the gingival contour.
- Superfluous cement easily removable by raising
the cement margin using an individually designed H. 1
H. 2
mesostructure. H. 3

CA107.08/1 CA107.08/2 CA107.08/3

15° ANGLED ABUTMENTS

Complete with prosthetic screw
ø5
ø5
ø5

H. 1
H. 2 H. 3

IMPORTANT NOTE CA107.09/1 CA107.09/2 CA107.09/3

- The use of castable abutments for Duravit

implant system is not advisable, due to the 25° ANGLED ABUTMENTS
difficulty to obtain a perfect conical fitting Complete with prosthetic screw
between implant and abutment. ø5
ø5
ø5
- Use the castable abutment only in cases of
extreme disparallelism.
- Do not use for a single crown.

H. 1 H. 2 H. 3

CA107.10/1 CA107.10/2 CA107.10/3

PROSTHETIC SCREW

TIGHTENING:
The tightening of the prosthetic screw is realized with the 1.27
hex screwdriver and torque ratchet. For the final seating are
recommended torques of 25 Ncm.
INN-6050

20
 Fabricate the master For optimal esthetic
1 cast including a gingival 2 planning, model a full
mask. anatomical
wax-up.

Make a silicone key

over the full wax-up
in order to define the
optimal shape of the
abutment.

Place the pre selected Modify the abutment

3 abutment inside the 4 as required.
analog.

Invest the customized Sandblast the modified

5 abutment. 6 abutment.

Wax an individual resin Sandblast the metal

7 cap onto the abutment. 8 crown in order to create
a mechanical attach
Investment of the resin
with the veneer.
cap.
Cast the framework Veneer the
in the conventional superstructure.
manner.

Surgical procedures Laboratory procedures 21

INVESTMENT

In order to avoid overflow of the cast-on alloy, clean the copings

thoroughly prior to investment (removal of wax particles,
insulating agents with a cotton pellet or brush moistened with
alcohol).

Ensure that there is no wax on the delicate margin.

The use of investment materials for rapid heating methods
(speed investment materials) is not recommended.

When processing the investment material, follow the

manufacturer’s instructions. Observe the recommended mixing
ratio and preheating time exactly.

Make sure the screw channel and the internal configuration of

the copings are filled with investment material from the bottom
to the top in order to avoid air bubbles (see images).

22
MULTI-SCAN ABUTMENT

INTENDED USE NON-ROTATING MULTI SCAN

- Cemented-retained restoration. Complete with prosthetic screw
- Screw-retained restoration.
- Single and multiple crowns

CHARACTERISTICS 4 mm

- Possibility of creating a transmucosal profile 0,5 mm

customized for every single patient.
- NIMETIC CEM (3M Espe), PANAVIA 21 (Kuraray
Medical Inc.) are the materials recommended for INN-00652
bonding the prosthetic manufacture.
- Conexa connection
ROTATING MULTI-SCAN
Complete with prosthetic screw

4 mm
TIGHTENING:
0,5 mm
The tightening of the prosthetic screw is realized with the 1.27
hex screwdriver and torque ratchet. For the final seating are
recommended torques of 25 Ncm.
INN-00651

PROSTHETIC SCREW

The portion of the abutment can be customized as

follows:
INN-6050

WITH TRADITIONAL METHOD

Utilization of a pre-fabricated castable placed
on the abutment, that need to be adjusted and
modeled with wax and/or acrylic, and fabrication
of the portion of customized abutment through
fusion.

WITH CAD/CAM
Scanbody allows to digitally get the abutment
position on the model. The customized modelling
includes a dedicated software and a laboratory
working with drilling machine (CAM). Interface,
link and B&B Dental scanbody are available for the
following libraries:

INN-SCAN

Surgical procedures Laboratory procedures 23

TI BASE CEREC (Linea L)

INTENDED USE CEREC BASE

- Cemented-retained restoration. Complete with prosthetic screw
- Screw-retained restoration.

CHARACTERISTICS
- Titanium base. H. 1 H. 2 H. 3

- Completely customized prostheses.

- Use of CAD/CAM technology for the production
of zirconium abutments that has to be fixed on
the central pillar. INN-00655 INN-00655/2 INN-00655/3
- Conexa connection.

PROSTHETIC SCREW

NOTE: INN-6050

Scanbodies are included in ScanPost and TiBase for the implant optical acquisition. The grey cap is used with omnicam system. The white cap is used with
bluecam system. 2 different connections are available: S (code: 6431295) and L (code: 6431303).

UCLA ABUTMENT

INTENDED USE UCLA ABUTMENT

- Ideal for overcasting. Complete with prosthetic screw
- Cemented-retained restoration.
- Screw-retained restoration.
- Use for single or multiple crowns.

CARACTERISTICS
- Made of gold.
- Completely customizable.
- Model anatomically the gingiva.
- Conexa connection.
INN-6048

PROSTHETIC SCREW

INN-6050

24
MULTI-SCAN ABUTMENT
SCREWABLE RESTORATION
WITH THE TRADITIONAL METHOD

For optimal esthetic Make a silicone key

1 planning, model a full 2 over the full wax-up
anatomical wax-up. in order to define the
optimal shape of the
customized titanium
abutment.

Place the multi-scan Contour a wax model

3 abutment on the analog 4 according to the ana-
and hand-tighten tomical circumstances
the screw using the of the individual cast.
hexagonal screwdriver.
Check the wax-up with
Place the castable the silicone key.
cilinder onto the
Check that the hole of
multi-scan abutment.
the prosthetic screw is
free of residues.

Casting and divestment. Verify that the metal

5 6 crown fits precisely
Cast the framework
on the customized
in the conventional
abutment.
manner.
Sandblast the metal
crown in order to create
a mechanical attach
with the veneer.
Veneer the
superstruture.

Cement the Position the abutment

7 superstructure to the 8 in the implant and
abutment. tighten the screws
to 25 Ncm using the
Remove superfluous
hexagonal screwdriver
cement.
along with the torque
ratchet.

Surgical procedures Laboratory procedures 25

MULTI-SCAN ABUTMENT
SCREWABLE RESTORATION
WITH CAD/CAM

Fabricating the scan model.

1
Fabricate a master cast with the corresponding analog.
Option A: Fabricate a duplicate model made from scan plaster.
Option B: Cast the master cast directly by using scan plaster.
For optimal esthetic planning, model a full anatomical wax-up and scan it too.
To determine the spacing available for further processing, the silicone key can be viewed on-
screen.

Put the scan model in Based on the

2 the laser scanner. 4 design data, the
customized structure
is manufactured by a
melling center.

Shape the abutment Check the zirconium

3 5
on screen, using the framework.
software.
Veneer the
superstructure.

A
Cement the zirconium
6 cap to the multi-scan
abutment.
Remove superfluous
cement.

7 Tighten the prosthetic

screw to 25 Ncm
using the hexagonal
screwdriver along with
the torque ratchet.

26
MULTI-USE ABUTMENTS

INTENDED USE STRAIGHT ABUTMENTS

- Screwed bridges
- “All-on-four” and “All-on-six” prosthesis
- Bar-retained overdentures. ø5 ø5 ø5

STRAIGHT MULTI-USE ABUTMENT

2,5 mm
The straight multi-use abutment has a conical top with H. 1 H. 2
an external hexagon, that allows to tighten it by mean of
a multi-use driver (manual or ratchet connection).

ANGLED MULTI-USE ABUTMENT INN-4750/1 INN-4750/2 INN-4750/3

The 17° and 30° angled multi-use abutments help to
achieve parallelism for non-parallel implants. They are
can be easily connected through a multi-use holder (Ref.
023MUA) and then fixed with a prosthetic screw.
17° ANGLED ABUTMENTS
Complete with prosthetic screw

ø5 ø5 ø5

IMPORTANT NOTE 2,5 mm

H. 1 H. 2 H. 3
The correct position of angled abutments can be
checked considering that the external hexagon of
the driver is in phase with the internal hex.
INN-1760/1 INN-1750/2 INN-1750/3

WARNING: Implant with a lenght of 6,5 mm requires

the use of a specific prosthetic screw, shorter than the
standard one.

30° ANGLED ABUTMENTS

Complete with prosthetic screw
TIGHTENING:
The tightening of the prosthetic screw is realized with the 1.27 ø5 ø5 ø5
hex screwdriver and torque ratchet. For the final seating are
recommended torques of 15 Ncm. 2,5 mm

H. 2 H. 3
H. 1

INN-3050/1 INN-3050/2 INN-3050/3

PROSTHETIC SCREW

SHORT
INN-5146 INN-5146S

Surgical procedures Laboratory procedures 27

SURGICAL ACCESSORIES

HEALING CAP CLOSED TRAY MUA POST SCREW OPEN TRAY TRANSFER
SCREW TRANSFER INN-00612 INN-00610
INN-6030 INN-00611 Complete with transfer screw

LABORATORY ACCESSORIES

CONNECTING MUA ANALOG TEMPORARY CASTABLE SPHERICAL SCAN BODY

SCREW INN-00586 ABUTMENT ABUTMENT ANCHOR Ø 2.3 Compatible with
INN-6051 INN-5144 INN-5145 INN-1023 the following
Complete with Complete with libraries:3Shape/
connecting screw connecting screw Exocad/Dental
Wings/Carestream/
Sicat
IMPORTANT NOTE

Il serraggio della vite protesica va effettuato con cricchetto dinamometrico e chiave

protesica 1,27. Vengono raccomandati torques di 15 Ncm per l’alloggiamento finale.

LABORATORY INSTRUMENTS
MULTI-USE DRIVER

MULTI-USE HOLDER O-BALL MANUAL DRIVER O-BALL TORQUE RATCHET

023-MUA 00440M DRIVER
INN-00637

28
BRIDGE
SCREWABLE PROSTHESIS
TAKING IMPRESSION

Position the multi- Screw the close tray

1 use abutments in the 2 transfers onto the multi-
implants. use abutments.
Tighten them to 25 Ncm
using the screw driver
(ref. INN- 00637) along
with the torque ratchet.

Take the impression Once the material is

3 using an elastomeric 4 cured, carefully remove
impression material the tray.
(polyvinyl siloxane or
The elastomer will take
polyether rubber).
the conical shape of the
Note: close tray transfer for a
Due to its low tensile safety reposition of the
strength, hydrocolloid analog.
is not suitable for this
application.

Unscrew close tray Screw the healing caps

5 transfers from the mouth 6 onto the multi-use
and send all to the abutments in order to
dental technician. keep opened the soft
tissues until the final
restoration is inserted.

Screw the transfer onto A gingival mask

7 the multi-use analog. 8 should always be used
to ensure that the
Push the transfer and
emergence profile of
analog in the tray. It is
the crown is optimally
now firmly seated in the
contoured.
impression tray.
Fabricate the master
cast using standard
methods and type 4
dental stone (DIN 6873).

Surgical procedures Laboratory procedures 29

TEMPORARY PROSTHESIS

For optimal esthetic Make a silicon key

9 planning, model a full 10 over the full wax-up
anatomical wax-up. in order to fine the
optimal shape of the
customized temporary
abutment.

Place the temporary Shorten the temporary

11 cylinder on the multiuse 12 abutment and then
analog. check the heights
with the silicone key
This will aid in checking
previously cut.
the gingiva height

Sandblast and coat with Fill the silicon key with

13 opaque. 9
14 acrylic resin and press it
on the model and use a
standard technique to
fabricate the temporary
crown.

Remove excess acrylic. Place the temporary

15 16 restoration on the
Polish and clean the
implant and tighten the
temporary restoration.
screw with torques of
Reopen the screw 25 Ncm.
channel.

30
DEFINITIVE PROSTHESIS

Fabricate the master For optimal esthetic

9 cast including a gingival 10 planning, model a full
mask. anatomical wax-up.

Make a silicone key over Place the castable

11 the full wax-up in order 12 cylinder on the analogs
to define the optimal and hand tighten the
shape of the customized occlusal screws using
titanium abutment. the screw driver.
Note:
Do not over tighten the
castable cylinder.

Shorten the castable Fabricate the

13 cylinder to the height 14 superstructure on
of the occlusal floor the abutments using
according to the standard modeling
individual situation. methods.
Make sure that the wax
layer on the abutment
is sufficiently thick (at
least 0.7 mm).

Check the wax-up with Check that the wax

15 the silicone key. 16 framework of the bridge
is absolutely tension-
free before investing
the framework.
This is accomplished
according to commonly
known bridge
techniques.

Surgical procedures Laboratory procedures 31

 Invest the bridge Gently divest the
17 framework according 18 customized abutment
to standard methods with ultrasound, water
without using wetting jet, pickling acid or a
agents. glass fiber brush.

Control for tension-free Sandblast and coat the

19 fitting on the master 20 superstructure.
cast.
If the bridge is not
tension-free and
wiggles, cut the bridge
and resplint it tension
free.

Do an additional try-on Veneer the

21 of the tension-free fit 22 superstructure.
of the framework in the
patient’s mouth.

Tighten the occlusal

23 screws to 25 Ncm,
using the hexagonal
screwdriver along with
the torque ratchet.

32
EQUATOR ANCHOR SYSTEM

COMPLETE SET INCLUDES:

1 Anchor abutment
1 Stainless steel housings +
1 Retentive caps - violet “strong”
1 Retentive caps - white “standard”
1 Retentive caps - pink “soft”
1 Retentive caps - yellow “extra-soft”
H. 5
H. 4
1 Processing cap - black H. 1 H. 2 H. 3

130DIN1 130DIN2 130DIN3 130DIN4 130DIN5

CAPS WITH METAL HOUSING

STAINLESS STEEL RETENTIVE CAPS RETENTIVE CAPS RETENTIVE CAPS RETENTIVE CAPS
HOUSINGS STRONG STANDARD SOFT EXTRASOFT
141CAE (2 pieces) 140CEV (4 pieces) 140CET (4 pieces) 140CER (4 pieces) 140CEG (4 pieces)

LABORATORY ACCESSORIES

PROCESSING IMPRESSION LABORATORY PULL-OFF IMPRESSION

CAPS - BLACK COPINGS ANALOGS COPING
140CEN (4 pieces) 144MTE (2 pieces) 144AE (2 pieces) 044CAIN (2 pieces)

SURGICAL INSTRUMENTS

1 METAL INSERTION 1 BLUE PLASTIC 1 SQUARE DRIVER 1 OT-EQUATOR SQUARE

TOOL FOR CAPS “MULTIUSE” CONNECTOR FOR SCREWDRIVER FOR
185IAC INSERTION TOOL TORQUE IMPLANT ABUTMENT
124ICP 760CE (SQUARE 1,25MM)
774CHE

Surgical procedures Laboratory procedures 33

EQUATOR
INDIRECT TECHNIQUE

Select the height of the Place the impression

1 Equator abutment. 2 copings on the Equator
abutments.
The top margin of the
abutment should be 1
mm above the mucosa.
Tighten the abutment
to 25 Ncm using the
ratchet along with the
torque control device.

Take the impression uti- Place the analogs inside

3 lizing the mucodynamic 4 the impression copings.
technique (vinyl poly-
siloxane or polyether
rubber).
Send the impression to
the dental laboratory.

A gingival mask should Place the denture

5 always be used to en- 6 caps with the black
sure that the emergence processing males onto
profile of the crown is the Equator abutments,
optimally contoured. or the analogs in the
master cast.
Fabricate the master
cast using standard
methods and type 4
dental stone (DIN 6873).

The dental technician

7 returns the completed
Equator overdenture to
the doctor’s office for
final placement.

34
SPHERICAL ANCHOR SYSTEM

INTENDED USE
Dentures retained by implants in the mandible and
maxilla.

CHARACTERISTICS
- Simple.
- Divergence compensation up to 20° between two
implants.
- Minimum height for limited occlusal space.
- Reliable.
- Excellent long-term performances due to high
wear on resistance of components.

SPHERICAL ANCHORS O-BALL TRANSFERT

ANALOG
ø 1,8 ø 1,8 ø 1,8
Ø 1,8

H. 1
H. 2
H. 3

INN-1040 INN-1041 INN-1042 INN-00621 INN-00624

ø 2,3 ø 2,3 ø 2,3 ø 2,3

ø 2,3 ø 2,3

H. 1
H. 2
H. 3 H. 4
Ø 2,3

H. 5 H. 6

INN-1060 INN-1061 INN-1062 INN-1064 INN-1065 INN-1066 INN-00623 INN-00625

ø 2,5 ø 2,5 ø 2,5

Ø 2,5

H. 1
H. 2
H. 3

INN-1050 INN-1051 INN-1052 INN-00622 INN-00626

Surgical procedures Laboratory procedures 35

Ø 1.8 METAL HOUSINGS
The prosthetic housings are available in three
different retentions, achieved by using the
appropriate silicon o-ring and metal housing. SOFT RETENTION MEDIUM RETENTION HARD RETENTION
MD-3004/1 MD-3004 MD-3004/2

O-RING (BIG) O-RING (SMALL)

MD-3005/1 (5 pieces) MD-3005 (5 pieces)

Ø 1.8 PLASTIC CAPS AND METAL HOUSING

NOTE: The metal housing is sold individually, without having a plastic cap inside. ELASTIC SOFT EXTRA SOFT 041CAM
049PCM 040CRM SN 060CRM AY (2 pieces)
(6 pieces) (6 pieces) (6 pieces)

Ø 2.3 PLASTIC CAPS

AND METAL HOUSING
NOTE: The metal housing contains inside the plastic cap.

SOFT MEDIUM HARD

INN-00629/1 INN-00629 INN-00629/3

Ø 2.3 ONLY PLASTIC CAPS

6pcs each package
SOFT MEDIUM HARD
INN-00630/S INN-00630 INN-00630/H

Ø 2.5 PLASTIC CAPS AND METAL HOUSING

ELASTIC SOFT EXTRA SOFT 041CAN

049PCN 040CRN SN 060CRN AY (2 pieces)
(6 pieces) (6 pieces) (6 pieces)
NOTE: The metal housing is sold individually, without having a plastic cap
inside.

36
O-BALL ABUTMENT
INDIRECT TECHNIQUE

Select the height of the Place the metal housing

1 O-ball abutment. 2 onto the spherical
anchors.
The top margin of the
abutment should be 1
mm above the mucosa.
Tighten the abutment
to 25 Ncm using the
ratchet along with the
torque control device.

Take the impression uti- Once the material is

3 lizing the mucodynamic 4 cured, carefully remove
technique (vinyl poly- the tray.
siloxane or polyether
The impression cap
rubber).
remains in the impres-
Send the impression to sion material.
the dental laboratory.

A gingival mask should Place the denture

5 always be used to en- 6 caps onto the O-ball
sure that the emergence abutments, or the
profile of the crown is analogs in the master
optimally contoured. cast.
Fabricate the master
cast using standard
methods and type 4
dental stone (DIN 6873).

The dental technician

7 returns the completed
o-ball overdenture to the
doctor’s office for final
placement.

Surgical procedures Laboratory procedures 37

EQUATOR O-BALL ABUTMENT
DIRECT TECHNIQUE DIRECT TECHNIQUE

Select the height of the Select the height of the

1 Equator abutment. 1 O-Ball abutment.
The top margin of the The top margin of the
abutment should be 1 abutment should be 1
mm above the mucosa. mm above the mucosa.
Tighten the abutment Tighten the abutment
to 25 Ncm using the to 25 Ncm using the
ratchet along with the ratchet along with the
torque control device. torque control device.

Place the protection disc Place the protection

2 first and then the metal 2 disc first and then the
cap. metal cap.

Hollow out the existing Hollow out the existing

3 denture base in the areas 3 denture base in the
of the denture caps. areas of the denture
caps.

The dental technician The dental technician

4 returns the completed 4 returns the completed
o-ball overdenture to o-ball overdenture to
the doctor’s office for the doctor’s office for
final placement. final placement.

38
BAR SYSTEM

OT BAR

CASTABLE BAR GINGIVAL CONNECTOR

(2 pcs) (OPTIONAL)
0220BB

PLASTIC CLIP

POSITIONING POSITIONING CASTABLE BOX MEDIUM SOFT

CLIP A (4 pcs) CLIP B (4 pcs) (4 pcs) RETENTION RETENTION
023CPA 02CPB 025CPB (4 pcs) (4 pcs)
027CRG 026CRR

INSTRUMENTS

SHORT DRIVER TOOL FOR INSERTING CLIP KEY FOR PARALLELOMETER

00578/S 029OIC 028OCP

Surgical procedures Laboratory procedures 39

BAR SYSTEM
SCREWABLE PROSTHESIS
IMPRESSION TAKING

Select the height of the Place the impression

1 multi-use abutment. 2 post accurately into the
implant and tight the
The top margin of the
transfer screw by hand
abutment should be 1
(Fig. A) or using the
mm above the mucosa.
hexagonal screwdriver.
Tighten the abutment
to 25 Ncm using the
ratchet along with the
torque control device.

Make perforations Take the impression

3 in the custom-made 4 using an elastomeric
impression tray. impression material
(polyvinyl siloxane or
polyether rubber).

Note:
Due to its low tensile
strength, hydrocolloid
is not suitable for this
application.

Once the material Fix the analog in the

5 is cured, loosen the 6 impression using the
transfer screws and transfer screw.
remove the tray.

Analogs fixed inside the A gingival mask

7 transfer. 8 should always be used
to ensure that the
emergence profile of
the crown is optimally
contoured.
Fabricate the master
cast using standard
methods and type 4
dental stone (DIN 6873).

40
DEFINITIVE PROSTHESIS

Place the castable Fabricate the

9 cylinder on the analogs 10 bar by using the
and hand tighten the parallelometer.
occlusal screws using the
Note:
screwdriver.
The space between
Shorten the castable the bar and the gingiva
cylinder according to the must be at least 2 mm.
individual situation.

Use a residue-free Check that the wax

11 burn-out plastic to fix 12 framework of the bar
the bar segments to the is absolutely tension-
castable cylinder. free before investing
the framework. This is
accomplished accord-
ing to commonly known
techniques.

Do an additional try-on Tighten the occlusal

13 of the tension-free fitting 15 screws to 25 Ncm
of the framework in the using the hexagonal
patient’s mouth. screwdriver along with
the torque ratchet.

Surgical procedures Laboratory procedures 41

42
 REV. 03 - 01/07/2016

B&B DENTAL
implant company EN ISO
13485
Via San Benedetto, 1837 - 40018 San Pietro in Casale (BO) Italy Sistema Qualità Certificato
Tel. +39 (0) 51.81.13.75 - Fax +39 (0) 51.666.94.00 UNI EN ISO
Système Qualité 13485
Certifié
info@bebdental.it - www.bebdental.it UNI EN ISO 13485