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teeth Express immediate load conversion

technique confirm that the abutment

platforms are free of any debris or soft

tissue place the multi myth healing caps

and hand tighten using the hex tracker

syringe bite registration material into

the dentures that will be used for the

conversion place the denture over the

multi me healing caps and have the

patient close into light centric

occlusion once the bite registration

material has set remove the denture use

an acrylic burner to create small holes

through the denture at each point where

an indenting was created by the

multi-unit healing caps place the

titanium copings onto the multi-units

using the prosthetic screws and a long

on 5o hex driver and height try in the

modified denture to verify the alignment

of the holes in the denture and the

position of the titanium copings if they

are in alignment widen the holes and

ensure that the titanium copings pass

freely through them a minimum clearance

of one millimeter is recommended on all

sides of the titanium Kovach modify the

height of the titanium copings to ensure

that the patient can bite into occlusion

place a rubber dam over the titanium

coating to protect sutures and to block

out undercut place cotton into the

titanium coping screw channels and cover

them with dental wax to prevent acrylic

from entering the channel place the

denture over the titanium coping and

syringe global acrylic into the holes

and around the titanium coping allow the

patient to bite into light centric


once the acrylic is hardened remove the

dental wax and cotton from the titanium

coping screw channel and remove the

prosthetic screws remove the modified

denture and the titanium copings will be

picked up within the denture add acrylic

to any voids around the coping and

shorten the posterior cantilever remove

the denture flange to avoid any contact

with the tissue and smooth any rough or

sharp surfaces to complete the

provisional restoration place the

provisional restoration and torque the

prosthetic screws to 15 Newton

centimeters place a resilient temporary

material into the screw access channels

and fill the remainder of the channels

with a composite resin