nobel biocare snappy Instructions For Use

Snappy ™ Abutment
Instructions for use
Important: Please read.
Disclaimer of liability:
This product is part of an overall concept and may only be used in conjunction with the
associated original products according to the instructions and recommendation of
Nobel Biocare. Non-recommended use of products made by third parties in conjunction
with Nobel Biocare products will void any warranty or other obligation, express or
implied, of Nobel Biocare. The user of Nobel Biocare products has the duty to determine
whether or not any product is suitable for the particular patient and circumstances.
Nobel Biocare disclaims any liability, express or implied, and shall have no responsibility
for any direct, indirect, punitive or other damages, arising out of or in connection with any
errors in professional judgment or practice in the use of Nobel Biocare products. The user
is also obliged to study the latest developments in regard to this Nobel Biocare product
and its applications regularly. In cases of doubt, the user has to contact Nobel Biocare.
Since the utilization of this product is under the control of the user, they are his/her
responsibility. Nobel Biocare does not assume any liability whatsoever for damage arising
thereof. Please note that some products detailed in this Instruction for Use may not be
regulatory cleared, released or licensed for sale in all markets.
Description:
A premanufactured dental implant abutment directly connected to the endosseous dental
implant intended for use as an aid in prosthetic rehabilitation.
Internal conical connection for NobelActive® CC, NobelReplace® CC and NobelParallel™ CC.
Internal tri-channel connection for: NobelReplace®, Replace Select™ and NobelSpeedy®
Replace.
External hex connection for: Brånemark System® and NobelSpeedy® Groovy.
Intended use:
Dental implant abutments are intended to be used in the upper or lower jaw and used for
supporting tooth replacements to restore chewing function.
The abutments in combination with two-stage endosseous implants are used as the foun-
dation for anchoring tooth replacements in either jaw. Restorations range from replacing
one single tooth to fi xed partial dentures using cement- retained supra-constructions.
Indications:
Snappy™ abutment is a premanufactured prosthetic component directly connected to
the endosseous dental implant and is intended to as an aid in temporary and permanent
prosthetic rehabilitation.
Contraindications:
Snappy™ abutment is contraindicated in patients:
– who are medically unfi t for an oral surgical procedure.
– in whom adequate sizes, numbers or desirable positions of implants are not reachable
to achieve safe support of functional or eventually parafunctional loads.
– allergic or hypersensitiv to commercially pure titanium, titanium alloy Ti-6Al-4V
(titanium, aluminum, vanadium), polycarbonate and polysulfone.
Cautions:
Pre-operative hard tissue or soft tissue defi cits may yield a compromised esthetic result or
unfavorable implant angulations.
To secure the long term treatment outcome it is advised to provide comprehensive regu-
lar patient follow up after implant treatment and to inform about appropriate oral hygiene.
All instruments and tooling used in surgery must be maintained in good condition and
care must be taken that instrumentation does not damage implants or other components.
Special attention has to be given to patients who have local or systemic factors that could
interfere with the healing process of either bone or soft tissue or the osseointegration
process (e.g., cigarette smoking, poor oral hygiene, uncontrolled diabetes, oro-facial
radiotherapy, steroid therapy, infections in the neighboring bone).
Special caution is advised in patients who receive bisphosphonate therapy.
In general, implant placement and prosthetic design must accommodate individual
patient conditions. In case of bruxism or unfavorable jaw relationships reappraisal of the
treatment option may be considered.
Never exceed 35 Ncm prosthetic tightening torque for the abutment screw. Overtightening
of abutment may lead to a screw fracture.
Because of the small size of the devices, care must be taken that they are not swallowed
or aspirated by the patient.
It is strongly recommended that clinicians, new as well as experienced implant users,
always go through special training before undertaking a new treatment method.
Nobel Biocare offers a wide range of courses for various levels of knowledge and
experience. For more info please visit www.nobelbiocare.com.
Working the fi rst time with a colleague, experienced with the new device/treatment
method, avoids eventual complications. Nobel Biocare has a global network of mentors
available for this purpose.
Close cooperation between surgeon, restorative dentist and dental laboratory technician
is essential for a successful implant treatment.
Handling procedure:
Modifi cations of abutments could be performed using copious water irrigation using
high-speed drilling device and a fi ne diamond drill.
Note: Occlusal reduction of the Snappy™ Abutment should not be performed when plan-
ning to use Snappy™ impression coping as retention may be compromised.
Clinical procedure:
1. Select appropriate abutment and check occlusal clearence.
2. Connect the abutment (A). It is recommended to verify the fi nal abutment seating
using radiographic imaging.
3. Tighten the abutment to 35 Ncm using Unigrip™ Screwdriver and Manual Torque
Wrench prosthetic (B).
Caution: Never exceed recommended maximum 35 Ncm prosthetic tightening torque
for the abutment screw. Over tightening of abutment may lead to a screw fracture.
4. Press the impression coping onto the abutment. A "snap" indicates that the impres-
sion coping is in place (C).
1/2
A B
5. Take an impression (D)
6. Provisionalize using plastic temporary coping or a healing cap (E).
Caution: Do not use plastic temporary coping with polyurethane cements. The cement
will not cure.
D E
Laboratory procedure:
7. Produce a working model with removable gingival material.
Caution: When fabricating the model, use only Snappy™ Abutment 4.0 Abutment
Replica in corresponding 4.0 Impression Coping and Snappy™ Abutment 5.5 Abutment
Replica in corre sponding 5.5 Impression Coping. Verify correct fi t before casting the model.
8. Fabricate a crown or bridge with NobelProcera® or with conventional casting
technique using the plastic copings as burn-out patterns.
9. Complete the restoration with ceramic if applicable.
Clinical procedure:
10. Remove temporary restoration if applicable.
11. Use the Unigrip™ Screwdriver and Manual Torque Wrench prosthetic to verify the
tightening of the abutment to 35 Ncm.
Caution: Never exceed recommended maximum 35 Ncm prosthetic tightening
torque for the abutment screw. Over tightening of abutment may lead to a screw
fracture.
12. Cement the fi nal restoration using conventional procedures after sealing of
access hole (F).
Caution: Do not use temporary cement when cementing ceramic crowns and
bridges, due to increased risk of microfractures.
C