Day of Surgery
Pin Guide
- Seat Pin Guide with Fixation Base and use the windows to ensure full seat.
- Lay full facial flap to expose bone apical to Fixation Base. (FIG. 1A)
- Return the guide to the mouth and drill the facial holes for the pins, holding the Pin Guide firmly in place. (FIG. 2)
- Drill to depth and place the pins. (FIG. 3)
- Once all the sites are drilled and pins are placed, pull out the CHROME Locs to remove the Pin Guide.
Fixation Base
- Extract teeth and reduce the bone to the top coronal aspect of the Fixation Base. Ensure a smooth, horizontal plane of bone following the upper plane of the Fixation Base. (FIG. 4) This must be a smooth transition or the Carrier Guide will not seat.
- Insert the Carrier Guide to ensure enough reduction. (FIG. 5) Repeat steps 1 and 2 until passive.
- Complete bone leveling. (FIG. 6)
Osteotomy Guide
- Insert the Osteotomy Guide into the anchored Fixation Base. Use the CHROME Locs to ensure the guide is fully seated. (FIG. 7)
- Perform osteotomy drilling according to protocols determined by your implant system of choice. (FIG. 8)
- Place implants through the guide if the surgical kit allows. (FIG. 9)
- Once all implants are seated, remove the Osteotomy Guide.
Carrier Guide
- Place the Carrier Guide. (FIG. 10) Screw down the multi-unit abutments as indicated in the drill report.
- Once the abutments are placed in the correct rotation, the driver will be able to engage the screws. (FIG. 11)
- With all abutments seated and torqued, screw the temporary cylinders to the abutments and verify their correct position and trajectory using the drill report and ultimately the Provisional. (FIG. 12)
Provisional Prosthetic
- With the Carrier Guide and temporary cylinders in place, slide the gaskets over the cylinders to protect the multi-unit abutments. (FIG. 13)
- Seat the Provisional onto the carrier pegs.
- Use the provided blue plugs to block-out the temporary cylinders.
- Backfill the voids between the temporary cylinders and the Provisional with STELLAR. (FIG. 14)
- Once fully set (dual cure, follow instructions), unscrew the cylinders and remove the Provisional. (FIG. 15)
- Trim down the temporary cylinders with a disc or bur, fill all voids in the Provisional with acrylic, adjust and polish to finish.
RAPID Appliance
- Seat a new set of temporary cylinders and provided gaskets to protect the multi-unit abutments. (FIG. 16)
- Seat the RAPID Appliance onto the carrier pegs. (FIG. 17)
- Use the provided blue plugs to block-out the temporary cylinders.
- Backfill the voids between the temporary cylinders and the RAPID Appliance with STELLAR.
- Once fully set (dual cure, follow instructions), unscrew the cylinders and remove the RAPID Appliance. (FIG. 18)
Guide Removal & Seating
- Disengage and remove the Carrier Guide. (FIG. 19)
- Disengage the CHROME Locs and remove the pins and Fixation Base. (FIG. 20)
- Suture the gingival flap.
- Place the provisional prosthetic. (FIG. 21) Leave the screws loose until all screws are seated, then tighten all down following protocol per the implant manufacturer.
