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how to use retentive impression Pings from Toman medical this video is part of the tome learning video series we start by removing debris from the screw head of the healing cap or gingiva former we do this with a sharp Explorer we align the driver with the long axis of the implant and we ply apical pressure as we loosen the gingiva former the screw carrying ability of the mono torque driver allows us to lift the gingiva former up out of the implant we then clean and dry the internal aspect of the screw channel with water and air we insert the retentive impression coping into the implant we verify that the impression coping is fully seated that there is no debris and that no tissue is trapped underneath the impression coping we place the impression screw into the retentive impression coping we verify that the coping is fully seated we then hand tighten we verify the tray size for the patients dentition we need to identify a hole that needs to be cut for access to the screw we double