8 shop online at www.biohorizons.com SURGICAL MANUAL INTRODUCTION This surgical manual serves as a reference for using the Tapered Short implants and surgical instruments. It is intended solely to provide instructions on the use of BioHorizons products. It is not intended to describe the methods or procedures for diagnosis, treatment planning, or placement of implants, nor does it replace clinical training or a clinician’s best judgment regarding the needs of each patient. BioHorizons strongly recommends appropriate training as a prerequisite for the placement of implants and associated treatment. The procedures illustrated and described within this manual reflect idealized patient presentations with adequate bone and soft tissue to accommodate implant placement. No attempt has been made to cover the wide range of actual patient conditions that may adversely affect surgical and prosthetic outcomes. Clinician judgment as related to any specific case must always supersede any recommendations made in this or any BioHorizons literature. Before beginning any implant surgical procedure with BioHorizons implants: • Read and understand the Instructions for Use that accompany the products. • Clean and sterilize the surgical tray and instruments per Instructions for Use. • Become thoroughly familiar with all instruments and their uses. • Study surgical kit layout and iconography. • Design a surgical treatment plan to satisfy the prosthetic requirements of the case. BioHorizons Tapered Short Implants are intended for use in the mandible or maxilla as an artificial root structure for single tooth replacement or for fixed bridgework and dental retention. The implants may be restored using delayed loading, or with a terminal or intermediate abutment for fixed or removable bridgework, and for overdentures. For short implants, clinicians should closely monitor patients for any of the following conditions: peri-implant bone loss, changes to implant’s response to percussion, or radiographic changes in bone to implant contact along the implant’s length. If the implant shows mobility or greater than 50% bone loss, the implant should be evaluated for possible removal. If the clinicians choose a short implant, then clinicians should consider a two-stage surgical approach, splinting a short implant to an additional implant, and placement of the widest possible fixture. Allow longer periods for osseointegration and avoid immediate loading.
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