9 shop online at store.biohorizons.com RESTORATIVE PROTOCOL Seat the denture back in the patient’s mouth. Use a small-tipped syringe to flow acrylic or pink composite material around each of the titanium copings to capture and pick them up in the denture. Immediately wipe away excess material from the occlusal surfaces and the top of the titanium copings. The patient is immediately guided into Centric Relation (CR) and held in the CR position until the acrylic material sets. Modify the provisional prosthesis by removing the flanges and distal cantilevers using a carbide bur. For maxillary cases, remove the palate as well. Fill in any voids, and smooth all rough edges. Secure the provisional prosthesis to the working cast and make any final modifications. Once adjustments are complete, final polishing is performed in preparation for delivery to the patient. Once the acrylic material has set, the wax, Teflon tape and coping screws are removed. The denture is removed from the patient’s mouth with the titanium copings picked up. The lab technician will fill any voids around the copings during the laboratory finishing. An extra-long 0.50” hex driver (19mm) may be necessary depending on the depth of the titanium copings and the thickness of the TeethXpress prosthesis.
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