Secrets to Successful Dentures Part II. Trends in Removable Prosthodontics. Conventional Denture Treatment. Patient Demographics. Patient Demographics
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- Gerald Thomas
- 8 years ago
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1 Srts to Sussu Dnturs Prt II Dhous Contnung Euton Dr. Mr V BS MS DDS DP FRCDC Tops Convnton Dntur Trtmnt: Trns n rmov prosthoonts. Antomy Mxo-Mnur Rtonshp Vrt Dmnson Tooth Ston,, n Ouson Impnt Support Ovrnturs: Ovrntur utmnts Impnt Pmnt Lotor Autmnts Convrtng ntur nto n ovrntur. Drt Pup Trns n Rmov Prosthoonts Convnton Dntur Trtmnt Ptnt Dmogrphs Estht Awrnss Impnt trtmnt Ptnt Dmogrphs Avrg spn o ptnts: 14 Ptnt Dmogrphs Prnt Entuous 18+ yrs o 50 Prnt Entuous 65+ yrs o Prnt Trns n tooth oss
2 Ptnt Dmogrphs W thr n or ompt nturs n 2020? Compt nturs ptnts w nrs rom 33.6 mon uts n 1991 to 37.9 mon uts n Th 10% n n ntusm xprn h or th pst 30 yrs w mor thn ost y th 71% nrs n th ut poputon or thn 55 yrs. Estht Awrnss Estht Awrnss Impnt Trtmnt An nrs n stht wrnss hs prompt n nrs n ptnt mn or quty rmov prosthoont rstortv trtmnt. Out o 33 mon ntuous ptnts ony 2-4% hv rv mpnt trtmnt Estmt 60% o ptnts r NOT gvn mpnts s trtmnt opton Impnt support ovrnturs r now th stnr o r or th ntuous mn Antomy Antomy n Rton to Compt Dnturs Entuous Mx g h m. L rnum. Bu rnum. L vstu. Antror u vstu. Postror u vstu Rtrozygomt sp Corono ug. Hmur noth Ptrygomxry noth g. Fov ptn h. Vrtng n. Rsu vor rg. Pt rug. Insv pp. Mn ptn rph m. Mxry turosty
3 Antomy n Rton to Compt Dnturs Entuous Mx Antomy n Rton to Compt Dnturs Entuous Mx g h m. L rnum Fo o muous mmrn Dos not ontn mus L noth n ntur s nrrow. Bu rnum Ovrs vtor ngu ors My mov n n A-P rton y th tons o th orurs ors n untor g h m. L vstu Rton ontns no mus. Antror u vstu Ovrs untor mus whos rs r ownwr n orwr n mt th hght n thnss o th u ng. Postror u vstu Thnss trmn y th msstr mus Corono pross o th mn nrohs on th sp urng tr xursons L n u ngs o th ntur must ontt mov tssus n orr to m s Antomy n Rton to Compt Dnturs Entuous Mx g h m. Hmur noth Ptrygomxry noth Dos not ontn ny muss or gmnts to ntrr wth th ton o prssur wth postm g. Fov ptn 2 sm pts rprsntng muous gn opnngs Usuy ot ust postror to th vrtng n Antomy n Rton to Compt Dnturs Entuous Mx g h m h. Vrtng n Imgnry n ross pt Connts th ptrygomxry noths Postror Pt S Ar not n Funtons: orr s, prvnt oo mpton nth, mprov rtnton, ompnst or shrng o ntur rsn Prssur on sp muos tht ovrs pt gns Antror orr unton twn hr n sot pt; ow n Postror orr (vrtng n) unton twn mov n mmov sot pt; h n Antomy n Rton to Compt Dnturs Entuous Mx Antomy n Rton to Compt Dnturs Entuous Mx g h m Dntur rng rs. Rsu vor rg Crst s prmry strss rng r Frous CT st sp n st to rry th strss o mstton. Pt rug Sonry strss rng r g h m. Insv pp Gurs th nsv n Prssur w ntrr wth th oo n nrv suppy usng urnng snston Prov r. Mn ptn rph
4 Antomy n Rton to Compt Dnturs Entuous Mn Antomy n Rton to Compt Dnturs Entuous Mn g h. L rnum. Bu rnum. Lngu rnum. L vstu. Bu vstu. Rsu vor rg g. Bu sh h. Rtromor p. Ptrygomnur rph. Myohyo rg. Avoongu suus. Rtromyohyo sp g h. L rnum Fo o muous mmrn Dos not ontn mus. Bu rnum Ovrs prssor ngu ors (VII) Mov y th untor n orurs ors (VII) rsutng n w noth n th ntur. Lngu rnum Ovrs gnogossus mus (XII) Antomy n Rton to Compt Dnturs Entuous Mn Antomy n Rton to Compt Dnturs Entuous Mn Dntur rng rs g h. L vstu. Bu vstu Entr prphry o ntur must n n sot tssus Stty o ntur must om rom th mxmum us o ony ountons whr tssus r rmy n osy tth to on g h. Rsu vor rg g. Bu sh Boun try y th xtrn oqu rg n my y th rst o th rg Atthmnt o untor mus (VII) Bu ng rsts upon untor n shou xtn s r s th tssus prmt Msstr mus (V3) my row untor orwr gnst th ntur usng n nntton t th DB ng Antomy n Rton to Compt Dnturs Entuous Mn g h h. Rtromor p Contns: Rtromor gn Ptrygomnur rph Buntor mus Tmpor tnon Unryng s on s rsstnt to rsorpton Covrg w prov som orr s. Ptrygomnur rph Extns rom th ptrygo hmuus suprory to th vor rg nrory unr th rtromor gn Antomy n Rton to Compt Dnturs Entuous Mn g h. Myohyo rg Atthmnt o myohyo mus (V3) whh orms th musur oor o th mouth Frs r most horzont n ront o th hyo whr thy on thos o th oppost s to orm rph At th v o th hyo thy pss most vrty ownwr to nsrt nto th hyo. Avoongu suus Sops towr th tongu to prmt ton o th myohyo Lngth o ng sty ompr to ntrory s grtr owng to th hng ngth n rton o th myohyo rs
5 Antomy n Rton to Compt Dnturs Entuous Mn Pnorm Rogrph g h. Rtromyohyo sp DL xtnson trmn y styogossus (XII) Postrotr xtnson trmn y supror phryng onstrtor (X) n ptogossus (X) Ovrxtnson my us pn on swowng Mnur Cony Corono Pross o mn Gno Foss Mxry Turosty Ns Sptum Ptrygomxry Fssur EAM Artur Emnn Antror Ns Spn Hr Pt Ort Zygomt Arh Mxo-Mnur Rtonshp Phrynx Lp Lns Ero Mnt Formn Mnur Formn Show o tongu Styo Pross Symphyss Mnur Cn Extrn Oqu Rg Crv Vrtr Hyo Bon F Artry Noth Mxry Rtons Ins Dspy Dnt Mn Ous Pn Orntton Fow Mxry Rtons Ntur Dntton Ins g o ntr nsor n rton to th p n t rst Young womn 3 mm ow p n t rst Young mn 2 mm ow p n t rst M g 1.5 mm ow p n t rst Ery (>80) 0 mm ow to 2 mm ov p n t rst Ins Dspy t Rst Rst Atr Wx Austmnt Mxmum Sm Atr Wx Austmnt
6 Mxry Rtons Dnt Mn Mxry Rtons Dnt Mn Rst Atr Sm Atr Mxry Rtons Dnt Mn Mxry Rtons Ous Pn Orntton Front Pn Pr to ntrpupry n Fox Pn Mxry Rtons Ous Pn Orntton Mxry Rtons Ous Pn Orntton Sgtt Pn Pr to Cmpr s Ln Inror orr o th o th nos to th supror orr o th trgus o th r Frnort horzont pn Orntton to th xtrn utory mtus n ort Cphomtr nmr FHP CL OP
7 Mnur Rtons Vrt Dmnson Cntr Rton Vrt Dmnson Aust ous pn Pr to mxry rm Cn ssssmnt o vrt mnson Antom nmrs Physoog rst poston Pr-xtrton rors Exstng prosthss Esthts Phonts Swowng Avrg ous rm mnsons Vrt Dmnson Antom Lnmrs 2/3 up th hght o th rtromor p Vrt Dmnson Antom Lnmrs Lv wth th owr p t rst Vrt Dmnson Esthts Vrt Dmnson Phonts S F Ch M
8 Vrt Dmnson Swowng Vrt Dmnson Avrg Ous Rm Dmnsons Durng swowng Atr swowng Mxry 22 mm Mnur 18 mm Tooth Ston Antror Tooth Ston Antror Tooth Ston Antror tth r prmry st to stsy stht rqurmnts Postror tth r prmry st to stsy msttory rqurmnts/ ouson Antror Tooth Ston Gus Pr-xtrton rors Photos, gnost sts, o rogrphs Exstng nturs Ptnt s hrtrsts Ptnt s gnr, prsonty, g Arh sz n shp Ptnt s prrns Antror Tooth Ston Shp Squr, tprng, ovo Sz Lngth, wth, rumrn Sh
9 Antror Tooth Ston Shp Antror Tooth Ston Shp Dntogns onpt Gnr M rugg wth squr tth n o ntr nsors Fm pronoun urvturs, roun pont ngs Prsonty Vgorous or t mxry tr vrs mor n sz, orm, n poston Ag Young tpr, ovo, roun tth M somwhr twn young/o O squr, shrp ornrs Ovo Pronoun gngvo-ns urvtur whh tns to sprs ght n rt sotn pprn Squr Tprng Roun ontours whh tpr towrs th rv rg Mort gngvo-ns urvtur Cntr nsor s omnnt n gngvo-ns urvtur s mort Ors mxmum ght ton n rts o t 50 Antror Tooth Ston Sz Antror Tooth Ston Sz Wth o 6 ntrors on urv Avrg mm Wx rm & rur Commssur o ps rprsnts st sur o nn Antror Tooth Ston Sz Antror Tooth Ston Sz Mor rug o pt ponts to nn poston Exggrt Sm Lngth Hgh sm 11% Rvs tot ngth o mxry ntror tth n ontnuous n o gngv Avrg sm 69% Rvs % o mxry ntror tth n ntrproxm gngv ony Low sm 20% Dspys ss thn 75% o mxry ntror tth
10 Antror Tooth Ston Commr Prouts Sz & Shp Antror Tooth Ston Dtrmn th outn Compr orm o to vrt ns Squr tprng Dtrmn th sz o th mxry ntr Intor s proporton n rto o 16:1 Wth 9.25 mm Lngth 11 mm Sz & Shp Lngth Wth 56 Antror Tooth Ston Sz & Shp T ptur Insrt t nto progrm Antror Tooth Ston Portrt sh gu Sh 57 Antror Tooth Ston Am to hrmonz twn oor o th sn, hr, & ys Gus Compxon Hr oor Ey oor Ag Prsonty & tvty Ptnt srs N to ut ptnts Sh Antror Tooth Poston hs n tnttvy stsh urng th n rnmnt o th mxry ous rm Aqut p support Propr phonts
11 Antror Tooth Gnr Consrtons Antror tth r st prmry or sthts not unton Consrng rtng symmtry tr susson wth ptnt Eh tooth shou ppr s n nvu tooth Gngv 1/3 o mxry nsors prov p support Ins 1/3 o mxry nsors provs sthts Mxry ntror tth r st on th sm n 61 Mxry Antror Tooth Cntr L surs ush wth wx rm ontour Long xs sghty st to prpnur Ins g s t ous pn Ltr Long xs t n ng mor st thn ntr Ins g s sghty ov ous pn Cnn Long xs t mor st ng thn tr Crv s promnnt, ns g oos tu-n Ins g s t ous pn 62 Mxry Antror Tooth Mxry Antror Tooth L sur o th ntrs usuy 5-7mm ntror to ns pp Mxry Antror Tooth Gon Proporton Rto o 1.618:1 Proporton twn rgr prt n smr prt Wth o th ntr nsor s n th gon proporton to th wth o th tr nsor Mxry Antror Tooth Esthts o ntur tth Avo mpsh onvrgn o roots! 65 66
12 Mnur Antror Tooth Mnur Antror Tooth Tth r st ovr on Antror Tooth Antror Tooth 2-3 mm Ovrt 0 mm Ovrt Tooth Ston Postror Tooth Ston Gos o Compt Dntur Ouson Mnmz trum to th supportng struturs Prsrv rmnng struturs Enhn stty o th nturs Ftt sthts n sph Rstor mstton ny to rson v Drs tr ors to th rsu rgs Rght Worng Lt Worng
13 Gnr Conpts o Dntur Ouson Ous Sptrum Common Fturs Funton ntomy s th mn trmnnt o ntur tooth poston Smutnous, tr postror ontt n ntr rton Cntrzton o ntr ous ors ovr th mnur rsu rgs Bu-nguy Antror-postrory Cntr Rton Antom Bn ouson Lnguz Bn ouson Non-n ouson Non-ntom (Monopn) Bn ouson Non-n ouson Nutrontr Ous Sptrum Lnguz (ngu ontt) smntom nonntom (nng rmp) Postror Tooth Ston Crtr Rsor or y rgs Phys onton o th ptnt Ptnts who nh or rux Prvous ntur ouson Rg rtonshp Immt nturs Opposng rh ntom nonntom Postror Tooth Ston Intons Postror Tooth Ston Intons Antom Non-ntom Antom Non-ntom Goo rsu rgs W oornt ptnt Prvousy sussu wth ntom nturs Css I rg rtonshp Dntur opposs ntur ntton Whn Lnguz ouson s sr Poor rsu rgs Poor nuromusur ontro (Bruxrs, CP, t.) Prvousy sussu wth monopn nturs or svry worn ouson on prvous ntur Arh srpns Css II or III or ross-t Goo rsu rgs Poor rsu rgs Immt nturs Expt whn opposng ntur ntton Potnt poor oow-up
14 Postror Tooth Ston Intons Postror Tooth Ston Intons Antom Non-ntom Antom Non-ntom W oornt ptnt Poor nuromusur ontro (Bruxrs, CP, t.) Prvousy sussu wth ntom nturs Prvousy sussu wth monopn nturs or svry worn ouson on prvous ntur Postror Tooth Ston Intons Postror Tooth Ston Intons Antom Non-ntom Antom Non-ntom Css I rg rtonshp Arh srpns Css II or III or ross-t Dntur opposs ntur ntton Immt nturs Expt whn opposng ntur ntton Antom Ouson Lnguz Ouson Avntgs Dnt pont o postv ntruspton my vop Esthty smr to ntur ntton Tooth-to-tooth n usp-tousp n ouson n hv Mntns som shrng ty tr mort wr Dsvntgs Dut to st Lss pt to rh rton srpns Horzont or vopmnt u to usp nntons Hrmonous n ouson s ost wth ntur s sttng Rqurs rqunt oow-up n my rqur mor rqunt rns to mntn propr ouson Intons Hgh stht mns Svr mnur rg trophy Dsp supportng tssus Mouson Prvous sussu ntur wth nguz ouson Avntgs Goo sthts From o non-ntom tth Potnt or tr n Cntrzs vrt ors Mnmzs tppng ors Ftts ous pntrton (mortr n pst t)
15 Non-Antom Ouson Is Bn Nssry? Avntgs Ruton o horzont ors CR n vop s n r nst o pont From o movmnt Cn vop so ouson spt rh gnmnt srpns Esy pt to stutons pron to ntur s shtng Esy to st n ust tth Dsvntgs No vrt omponnt to n shrng urng mstton Ous ustmnt mprs ny unss spwys n uttng gs rstor Ptnts my ompn o o postv ntruspton poston Somwht sthty mt (on t oo ntur tth) Bous n Bn out Compt Dntur Ouson Invstgtors hv not shown on typ o ntur ouson to : Supror n unton Sr to or struturs Mor pt to ptnts Nuromusur ontro my th sng most sgnnt tor n th sussu mnputon o ompt nturs unr unton Tongu unton n ntur wrng xprn Postror Lnmrs Lnmrs or th o Postror Dntur Tth Crst o th rg Mnur postror tth r ntr ovr th rg M/tr Rtromor p M/tr Supror/nror 2/3 hght rtromor p 88 Postror Lnmrs Mnur Postror Tooth Thr nmrs us to trmn th pn o ouson: Rtromor p 2/3 hght rtromor p Ins g o th mnur ntr nsor 90
16 Mnur Postror Tooth Mnur Postror Tooth Horzont Pn Poun s trng Lngu spt o mnur tth shou poston wthn trng rt y rwng 2 ns rom th ms spt o th nn to h s o th rtromor p Horzont Pn Cntr groov o ntur tth ntr ovr th rst o th rg Mnur Postror Tooth Mnur Postror Tooth Sgtt Pn Bouhr Ous pn o mnur rh shou stsh t ⅔ hght o th rtromor p Tth r not st on th snng r o th mnur rg or th rtromor p Othrws th mnur ntur tns to sht orwr Sgtt Pn Long xs o th tth r prpnur to th ous pn Mrgn rgs o nt tth shou t th sm v Mnur Postror Tooth Mnur Postror Tooth Front Pn F vw Bu n ngu usps shou ontt th ous pn nyzr Front Pn Lngu vw Bu n ngu usps shou ontt th ous pn nyzr 95 96
17 Mxry Postror Tooth Mxry Postror Tooth Lngu usps shou st ovr ntr oss o mnur tth Tth shou st up to, ut not on top o, th turosty Tth shou not xtn yon th ntur s prphry on th Impnt Support Ovrnturs Convnton Dnturs Tooth oss nrss wth g th numr o ntuous pop w ontnu to nrs or svr s us o th nrs n mn g. Compt nturs hv n th trton stnr o r or ntuous ptnts or mor thn ntury. Compt ntur wrrs r usuy to wr n uppr ntur wthout proms, ut mny strugg wth th ompt owr ntur us thy r oos. Convnton nturs hv t or o 25% n 20% hwng ny o ntur tth. Ptnt Dmogrphs Dssts 7.7 % Morty Fuy Sts Sts 66.7 % 25.6 % Ptnt stston so pns upon xpttons n som ptnts my hv vry unrst xpttons. For ths rson t s mportnt to gu n ut th ptnt. Impnt Support Ovrnturs Ptnts r sgnnty mor sts wth 2-mpnt ovrnturs thn wth nw onvnton nturs rgrss o th typ o tthmnt systm us r,, mgnt, otor. Impnt ovrnturs nrs th t or to 60% o ntur tth. Ptnts n mpnt ovrnturs sgnnty mor st, thr ty to hw vrous oos r sgnnty sr, thy r mor omort n sp mor sy.
18 Impnt Support Ovrnturs Stus o svr poputons hv shown tht rtngs o quty o r sgnnty hghr or ptnts who rv 2-mpnt mnur ovrnturs opposng ompt mxry onvnton nturs thn or thos wth onvnton nturs. Pop who rv mnur 2-mpnt ovrnturs moy thr ts whh mprovs thr nutrton stt. Suh mprovmnts my hv strong postv mpt on gnr hth, prtury or snor uts who r vunr to mnutrton. 2-mpnt ovrntur r omng th rst ho o trtmnt or th ntuous mn. Ovrntur Atthmnts B tthmnts B n rur o-rngs n/or mt housngs Us to th tthmnt o ho Wr quy, not s rtntv Ovrntur Atthmnts Ovrntur Atthmnts Br Atthmnts 1-3 rs wth 1-3 ps Rtntv t rst, gt oos or r ovr tm. Hr to ust n x Not s popur nymor Lotor Lowst vrt hght o 3.17mm. S gnng Dur Up to 40 ng orrton Rtnton xty Ovrntur Atthmnts Fx Fu-rh Rstortons Cn so hv r wth otors st or tpp nto th rmwor. Usuy hv 3-4 otors norport. Frmwor n go (st) or ttnum (m). Frmwor must pssvy tth to th mpnts. Rturns th t-or o th ntuous to pproxmty 80% o ntur tth. Impnt support n rtn. Rturns th t-or o th ntuous pt os to ntur tth Must hv nough sp or rstorton, mnmum o 10mm. Frmwor n go (st), ttnum or zron (m). Prosthss n mt-rm, or mt-ry. Frmwor must pssv. Ptnt must to n unrnth rmwor Impnt support n rtn.
19 Extrn-hx n Intrn-hx Extrn-hx Impnts Mor ommon n th pst Goo or mutp unt rstortons Ry mor on th srw or rtnton o sng unt rstortons. Intrn-hx Impnts Mor ommon now Goo or sng tooth rstortons Cn us or mutp unt rstortons - mnt rtn or n sp utmnts. Ry mor on th onnton or rtnton o sng unt rstortons. Ovrntur Atthmnts M Impnts usuy p n poston o: 2 mpnts - 33, 43 4 mpnts - 32, 34, 42, 44 Mx Impnts usuy p n poston o: 4 mpnts - 13, 23, 16, 26 6 mpnts - 13, 23, 15, 25, 17, 27 Tssu support, mpnt rtn. Impnt Pmnt Impnt Pmnt Pr to h othr Prpnur to th ous pn Sm ous hght Equ stn rom th mn Cntr o th rg Bu- L Too r prt: Inrs nt- post rong 22 mm 17 mm On mpnt s mor st Prmry rotton pont or urum whn th ptnt ous postrory Inrs omptons Wr o th tthmnt Autmnt oosnng Crst on oss Impnt ur Prosthss rtur Surg Gus A nssty. Aows th nn to hv ontro ovr th prostht outom. Shou m/sgn y th DDS not th. Dupt th ntur or wx st-up n orthoont rsn Dr hos or pmnt Sot rom ormn to ormn, n t th ns g Pnorm Rogrph
20 Pnorm Rogrph Pnorm Rogrph Pnorm Rogrph Pnorm Rogrph Pnorm Rogrph Lotor Autmnts Dmtr o Lotor rtnton top 3.85 mm. Av n vrty o u hghts n or most mpnt typs n szs. 1.5 mm o th top shou suprgngv to to rtn th ovrntur. Rommn torqu s Nm. Hght mm hght mm Ø mm
21 Lotor Ston Lotor Autmnt Dvry St th orrt Lotor Autmnt s on th v o tssu nt whn usng th Autmnt Dpth Gug. Approprt utmnt hght ps th top 1.5 mm xtn ov th sot tssu. St th Lotor Autmnt usng th Lotor Autmnt Drvr, prt o th Cor Too. For n tghtnng, us th Torqu Wrnh Bt togthr wth Torqu Wrnh, or nsrt rvr nto th Autmnt Drvr. Th rommn stng torqu s Nm. Nxt stps M nw ntur strt to nsh Int mprsson Fn mprsson wth your ho o mpnt mprsson Wx Rm ustmnt Wx try-n Dvry Convrt n xstng ntur nto n ovrntur Wth rn mprsson (nrt pproh) Drt pup o Lotor housngs wth hrs rn. Impnt Imprssons Opn Try Imprsson Copng Lotor Pup Imprsson Copng Cos Try Imprsson Copng Fxtur Lv Imprsson Autmnt Lv mprsson Frmy tth th Lotor Autmnt P-ups to th Lotor Autmnts. Vry to nsur prt t. Th opngs shou hv st rton rtnton.
22 Convrtng ntur nto n ovrntur. Inty th postons o th Lotor Autmnts n th ntur s. Rv th ntur s to otn qut sp or th mprsson mtr n th Lotor Autmnt P-up. Convrtng ntur nto n ovrntur. M n mprsson usng n st mprsson mtr M rn n. Convrtng ntur nto n ovrntur. Frmy p th Lotor Autmnt Rp n th mprsson opngs, whh, nt, r thn rposton n th mprsson Convrtng ntur nto n ovrntur. Frt worng mo wth th Lotor Autmnt Rp n hgh-quty ston mtr. Compt th rnng n onvrt th xstng ntur nto Lotor tthmnt rtn ovrntur Convrtng ntur nto n ovrntur. Rp th prossng nsrt wth th rqur rtntv nsrt. Rmov th Lotor Insrt y usng th Insrt Rmov Too porton o th Lotor Cor Too. Prss nw Lotor Insrt ovr th Insrt Stng Too, n prss th Lotor Insrt nto th housng Convrtng ntur nto n ovrntur. Fv typs o Lotor Insrts r v to otn th rqur rtnton or th prosthss. Th nsrts om wth rnt rtntv hong or vs: Cr 5 Pouns Pn 3 Pouns Bu 1.5 Pouns Grn 3-4 Pouns* R 1.5 Pouns* (*or ng mpnts)
23 Drt Pup Drt Pup Choos, nsrt, n tghtn orrt Lotor utmnts P prossng rng n otor housng wth prossng nsrt on th utmnts. Inty poston n rv ntur s, rt vnt or xss ry. Appy ry n st ntur, ow or qut urng. Trm n posh, rmov prossng rng, n rp nsrt wth pproprt rtntv nsrt. Lotor Cor Too Lotor Cor Too Us Gp Loosn th Insrt Rmov Too u 3 turns ountr ows. You w s vs gp. To rmov n nsrt rom th ttnum mt housng; smpy nsrt th tp nto th nsrt ssmy n push strght n to th ottom o th nyon nsrt. Thn tt th too so tht th shrp g o th tp w gr ho o th nsrt n pu t out o th p. Insrt Rmov Too Insrt Stng Too Autmnt Drvr To sr th nsrt rom th nw tp on th Lotor Cor Too; pont th too own n wy rom you n tghtn th Insrt Rmov Too ows onto th Lotor Cor Too. Ths w tvt th rmov pn n sog th nsrt rom th tp n o th Insrt Rmov Too. Sprt th Insrt Rmov Too ston rom th Lotor Cor Too n us th Insrt Stng Too n o th rmnng two stons to p nw nsrt nto th mpty ttnum mt housng. 1. Loosn Insrt Rmov Too 2. Rmov th Insrt Gp
24 3. Dsr th Insrt 4. Rmov th Insrt Rmov Too 5. P Nw Insrt Qustons? Insrt Stng Too n
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