on. Nothing quite prepares you for your first 'spinner' - often detected when you first unscrew the healing abutment. Mention it in your consent and should it happen just explain, reflect and move on. It's good to document your failures for audit purposes. Impressions The technique is similar to a post crown. Simply put: Healing abutment off; screw in pick up post; cut hole into tray to accommodate post; take impression; clear extruded material from hole to locate post; wait for set; unscrew post; remove. Spend time taking the shade. Screw Vs Cement retained is a big topic of discussion, both having pros and cons. Retrievability is a very desirable thing but the screw hole can weaken the porcelain. Excess cement can however cause peri-implantitis and unexpected debond. Ultimately both have their place and the decision is case 15:08 selective. URGENT ADVERT.qxp_Layout 1 08/02/2017 Page 2 Crown fit The lab will have sent a transfer jig made from Duralay to help you seat the abutment. Tighten with the torque wrench as per the manufacturers guidelines (usually 25ncm) then fit the crown. Stress the need for follow-up appointments and give rigorous OHI focused on implant care. Take a PA at 1, 3 and 5 years to monitor. I'm sure you can appreciate that there's a lot more to it than that. I just hope it's given you some insight and even clarity about dental implants. I'll be learning for some years yet and I hope that like me, you never lose the hunger for knowledge. In the words of Benjamin Franklin: "An investment in knowledge pays the best interest". Remember the journey is long... and it's a marathon, not a sprint. Finance 4 Patients is leading the way in patient finance for dental practices across the UK. A simple and affordable way for your patients to spread the cost of their dental treatments. No Set Up Fees. No Monthly Fees. No FCA required. Free Finance Calculator. Free Online Marketing Material. Introduce services you may not have been able to before, helping to increase turnover. 18 Improves cash flow. Increase treatment uptake. SEPTEMBER 2017 // dentaltownuk.com Affordable monthly payments makes it easier for patients to receive the treatment they want. 0333 222 4444 www.finance4patients.com info@finance4group.comhttp://finance4portal.com/defacto/ http://www.dentaltownuk.com