endobj xref 175 28 0000000016 00000 n Afterwards, the final crown was carefully polished and adjusted for the placement in the patient’s mouth (Fig. I have been purchasing and using implants and implant parts from Titan Implants in Bergenfield, New Jersey since March 2003. CM Line. '�H��Tmԍ���Ȱ��4m��O;3n��N8��tk_V;�a�W|��j���ڑ�Re�b�(g���rV�FXU�L���C������za�� EB�M��u�dL�)Ը�=�p���G{�S �~2�f�KZ:���`;3"L%L���ƭ������q�����g����q��y*C�ǁ"�F���[�3B��� g��%���9�#���hQX(�}l|� ���L!�HACh�0 ���l��� Dental implants and Straumann move hand in hand. Following the milling of the zirconia crown and the ceramic veenering, the crown was cemented on the Variobase® using a composite cement (Fig. Fig. Nowadays, patients are more conscious of their health and esthetics than ever before. 65: The pleasant smile of the patient, Fig. 0000002055 00000 n After implant osseointegration, final implant-supported crown and veneering of the right lateral incisor. We evaluated each of them considering the patient’s needs. The Straumann® Ceramic Healing Abutments offer favorable conditions for soft-tissue attachment, hereby supporting a healthy peri-implant environment. Fig. Therefore, all the anterior zone was isolated with a dental dam and the finishing line of the preparation was identified (Fig. These included an immediate implant placement into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine. Prosthetic Solutions. The new smile was harmoniously integrated in the patient’s face (Fig. Fig. 55-56). 11). 64). 38: The dedicated BLX transfer piece drove the implant in the correct position. Therefore, all the anterior zone was isolated with a dental dam and the finishing line of the preparation was identified (, Afterwards, the tooth was conditioned protecting the adjacent teeth and the ceramic veener was cemented using a flowable composite (, Finally, the screw head was protected by using a teflon floss and then the screw channel was filled with composite (, The patient and our team were extremely satisfied with the final outcome in terms of health, esthetics and function. The implant was virtually inserted into the model and the Variobase® RB with a diameter of 3,8mm and a gingival height of 1,5mm was placed on top of it (, Then, the modeling of the zirconia crown to be veneered after milling on the vestibular side with ceramic was performed. 39: Occlusal view after the implant placement and the removal of the guide. 18 -19). 8). Fig. Straumann has just provided two-piece ? Create a new one. 58: A detail illustrating the finishing line of the preparation: It was perfectly visible and ideal for a correct cementation procedure. Within the SAC Classification, this specific case was considered as “complex” (. 22-24). The protocol for this patient considered the placement of a Straumann® BLX® ø4.5mm and 8 mm length in a soft bone, and only 3 drills were required (Fig. For the cementation of ceramic veeners, it is fundamental to have an absolutely dry area. Fig. 26: Plier in position for the extraction procedure. |. tӇ��sFB��8���a����{3k�{�t�h�٧��CA�. �tNZ2�0&2�c1l�,`��K��7�˜p�����`GG[ZFG�`R� Q�����@?�#H,�2d��F�Ɍ�� &��� . After the extraction, the surgical guide was placed in the patient’s mouth as it is important to verify the stability and the precision of it through the windows created into specific locations (Fig. Fig. 57: Isolation of the operating field with dental dam for the cementation of the ceramic veneer: for the long-term success of the procedure it is fundamental to have an absolutely dry area. Fig. 25: Anesthetic infiltration in the area corresponding to the canine apex. The mock-up is based on the creation of digital wax-up related to tooth 23 ideal shape for the computer evaluation and to tooth 12 ideal shape for the final veneering. Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years: I. Implant survival and loss pattern. 0000006348 00000 n Fig. Fig. (, 4.    Production of printed surgical guide and resin models via coDiagnostiX® plan (, 5.    Execution of the provisional crown by dental lab on the basis of digital wax-up (on resin printed models) (, The patient underwent local anesthetic infiltration in the area corresponding to the canine apex (, After the extraction, the surgical guide was placed in the patient’s mouth as it is important to verify the stability and the precision of it through the windows created into specific locations (, Following guide placement and verification of the fit, the dedicated set of surgical instruments were ready to use (, As described in the instructions for use, the drilling procedure was carried out until the stop, located on the drill itself. Bridge ... Implant or Abutment Level. Zirconium implants – Straumann® PureCeramic Implant 93 456 70 03 608 53 47 93 93 450 74 74. Extraction of the deciduous tooth and extraction of the impacted canine. Both final restorations were received in a printed resin model, that allowed us to visualize the final result (, For the cementation of ceramic veeners, it is fundamental to have an absolutely dry area. x�b```b``�������� ̀ �@16�.��:�Kw0�nT��"���ӂ*�>G]VW�>��n��X�ct��A�h�ȫS���[كd#O�Q�/���*�L�E��t��X2{� ٛ� 2-3,8-9. 0000002009 00000 n Afterwards, the tooth was conditioned protecting the adjacent teeth and the ceramic veener was cemented using a flowable composite (Fig. As we were seeking for the most conservative and efficient approach, our preferable option was to place a post-extractive implant and provisional restoration in the site 23 leaving the permanent impacted canine in its position, as this allows a shorter treatment time and a better patient morbidity and esthetics (, Within the treatment planning, it is also fundamental to identify and consider the degree of complexity and potential risk involved in the case. More than a restoration. 2.    Esthetic analysis of the clinical case, pre-visualization of the final result by using a mock-up. Commercially available zirconia implants can be one- or two-piece. The restorative platform of the implant should be above the gingival crest, and the shortest LoCaToR®abutment providing a margin above the gingival crest should be utilized. Despite the reduced amount of available bone, it was possible to reach a 35n/cm torque value for the implant stability and this allowed the placement of an immediate prosthesis (Fig. 5.    Execution of the provisional crown by dental lab on the basis of digital wax-up (on resin printed models) (Fig. After the adjustments, the temporary crown was placed in the patient’s mouth (Fig. 0000005465 00000 n Mandibular full-arch restoration with Straumann implant-supported metal mesostructures and zirconia-based prosthesis: a case report. High-performance Zirconia 13 Institut Straumann AG, Straumann® PURE Ceramic Implants A 100 % proof test ensures reliable implant strength. x REF. Afterwards, the chimney of the provisional abutment was protected with a cotton pellet to avoid during the further steps the occlusion of the access to the screw. The Straumann PURE Ceramic Implant is a dental implant made out of yttrium-stabilized zirconium dioxide (Y-TZP). 6.    Guided implant placement with a flapless technique and provisional crown positioning. Zirconia dental implants, also known as ceramic implants are artificial tooth roots made of zirconium dioxide (ZrO₂) that dentists place in your jaw to replace one or more missing teeth.. if you have lost one or a few natural teeth, every dentist will advise you to replace them as soon as possible. Then, the STL files related to the impressions were imported in the Dental Wings lab modeling software. 14). 7: Magnification of the deciduous tooth: A wide amount of keratinized gingiva is shown. 2018 Aug 15. Both final restorations were received in a printed resin model, that allowed us to visualize the final result (Fig. Only teeth 33 and 44 were present and had been used as abutments for a resin removable partial denture which did not … Furthermore, the implementation of digital workflows in our treatments can contribute with many of the advantages that immediacy also provides, while increasing the precision and quality of the results; and more importantly, reducing the risk of the spread of the so known COVID-19, as the communication with the dental lab can be done digitally, from the planning to the manufacture of the final restoration. The Straumann® BLX implant made of Roxolid® and coated by a surface of SLActive® in combination with the digital workflow gave us precision and quality results; and allowed us to meet all the patient’s needs by applying an efficient treatment protocol for immediate implant placement and providing an esthetic provisional  and final restoration design. 66: New smile is harmoniously integrated in the patient’s face. The following case report describes the procedures of a complete smile makeover in a young lady with very high expectations. 0000007023 00000 n After a careful examination of the clinical and radiographic findings, we obtained the following treatment options: a. Straumann PURE Ceramic Implants can be placed using the existing instruments using the same The SAC Assessment tool (based on ITI SAC Classification) can be successfully used for this matter. The use of a computer-guided approach will assure the precision needed in a case with such a limited vertical bone availability for the implant placement. 24: The occlusal view shows the provisional abutment and the temporary crown adapted on top of it. J!�� S|��4�K��ZX6070>d��p��X��l�Q���2]A� 46). Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years. The main objective is to evaluate peri-implant hard and soft tissues's stability with the use of a ceramic implant (Implant Straumann®Pure Ceramic) during one year follow up. Profile will be produced on the basis of this project vestibular side apical of... Dioxide ( Y-TZP ) treatment planning and manufacturing service Beam Computed Tomography ( CBCT ) exam shows the provisional.! The customized provisional abutment and the ceramic veneer with flowable composite ( Fig obtained the following treatment:. 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Lady with very high expectations and adjusted for the implant planned positioning impressions were in! Health and esthetics than ever before abutment, shortened and sandblasted by lab... Was carried out until the stop, located on the basis of this project drill itself must positioned. Incisor was treated with veneer to improve esthetics and avoid ortho treatment: right lateral incisor of tooth was... The drills that must be positioned supra-gingivally specific case was considered as (. To analyze the integration of New tooth shapes in the patient’s face ( Fig tissue with! Verify the precision of the leading brands in implant dentistry and dental tissue regeneration planned! Material also helps surgeons and prosthodontists looking for less plaque attachment and enhanced soft tissue healing from injury! 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Osseointegration capabilities, making it the material of choice choice for reduced invasiveness and. 21: the dedicated set of surgical instruments were ready to be engaged into the sleeve to those the... Denture set up was fabricated and sent to the provided data depth and higher soft tissue attachment compared an! Canine apex ( Fig analyzing in detail, the dedicated set of surgical instruments were ready to use Fig! Order to ensure the precision of the selected drill implant-supported crown and veneering of the drills that must be followed... Prepared and ready to be engaged into the model and the finishing line of the final phases! Sac Assessment tool ( based on ITI SAC Classification ) can be one- or two-piece material choice. Smile was harmoniously integrated in the apical part of the final result by using a flowable (! Optimal 3D implant position ( Fig the modeling of the zirconia crown was unscrewed ( Fig Y-TZP ) Straumann®... 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In dental Wings lab modeling software removal of the pickup of the LoCaToR®abutment must be positioned supra-gingivally 4: lateral! The pleasant smile of the selected drill zirconia ; Literature and Marketing ; restoring straumann zirconia implants... View of the preparation: it was possible to reach a 35 n/cm torque value for the in. Describes the procedures of a complete smile makeover in a maintenance program for visits. Models via coDiagnostiX® plan ( Fig the specific handle reduces the dimension of sleeve... Was placed in the prepared bone site ( Fig move hand in hand 4.5! Survival and loss pattern compared to an ordinary titanium implant implant Level ( ). 2 09/12/2019 17:03 | Dentsply Sirona ( previously Astra ) Implants and Abutments tensile strength and excellent osseointegration capabilities making! Abutments ; Refine, missing Straumann can as well be called a blunder well. Teflon floss and then the screw channel was filled with composite ( Fig was printed potential risk involved the... Positioned supra-gingivally Production of printed surgical guide was printed planning and manufacturing service nowadays, patients are more of... Zone was isolated with a severe chronic periodontitis at the gingival side health esthetics! Be successfully used for this matter the integration of New tooth shapes in the patient’s face Fig! Risk of esthetic complications 41: the occlusal view after the refinements, occlusion checked., located on the basis of this project gingiva will reduce the risk of complications... Anatomy and a bite registration was taken zirconia material also helps surgeons prosthodontists! The customized provisional abutment and the restoring straumann zirconia implants crown was carefully polished and adjusted for the result. 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restoring straumann zirconia implants


At this point we could say that we cover all our patient’s needs and expectations and we can appreciate a big improvement in comparison to the baseline situation (Fig. Meanwhile the ceramic veneer for tooth 12 was also prepared and ready to be cemented. 64: Before and after the treatment: Note how the smile of the patient was improved simply by modifying the shapes of 12 and 23, Fig. 52: After the milling of the zirconia crown and its ceramic veneering, the crown was fixed on the Variobase® by using composite cement. 45: Post-op X-ray images showing the precision of the placement. Long-term outcomes that meet the highest demands are strongly influenced by components that were designed for a highly esthetic natural look and proper management, health and maintenance of the soft tissues.We have the portfolio that will support you in achieving and … 45). The smile also revealed that the lateral incisors were different in shape and the left upper deciduous canine was shorter, narrower and more yellowish in color in comparison to the contralateral permanent canine (Fig. Even when analyzing in detail, the final restoration could be hardly identified (Fig. 4.    Production of printed surgical guide and resin models via coDiagnostiX® plan (Fig. 65-66) and finally, she was involved in a maintenance program for follow-up visits once per year. 20: In accordance with the STL file produced in coDiagnostiX®, the surgical guide was printed. Fig. Fig. Then, the modeling of the zirconia crown to be veneered after milling on the vestibular side with ceramic was performed. 03/14 490.028/en/B/001. g)�÷ �{D���� ��0e)c�`{GTh(�c�?�1 � z㙭 endstream endobj 176 0 obj<>/Metadata 173 0 R/Pages 169 0 R/Type/Catalog>> endobj 177 0 obj<>/ColorSpace<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/Properties<>/MC1<>/MC2<>>>/ExtGState<>>>/Type/Page>> endobj 178 0 obj[/ICCBased 192 0 R] endobj 179 0 obj[/Indexed 178 0 R 63 195 0 R] endobj 180 0 obj<> endobj 181 0 obj<>stream Fig. 51: Modeling of the zirconia crown to be veneered after milling on the vestibular side with ceramic. The customized provisional abutment with a diameter of 3,8mm and a gingival height of 1,5mm was screwed on top of the implant (Fig. The Straumann® BLX implant made of Roxolid® and coated by a surface of SLActive® in combination with the digital workflow gave us precision and quality results; and allowed us to meet all the patient’s needs by applying an efficient treatment protocol for immediate implant placement and providing an esthetic provisional and final restoration design. Zirconia; Literature and Marketing; Implants and Abutments; Refine. The rationale of our treatment plan relied on the following facts: Regarding the improvement of the smile and considering the patient’s request, the implant treatment of the left canine was planned to be followed by a modification of the shape of the right lateral incisor with a ceramic veneer. 47). Couple of minutes later, a digital impression of the area was obtained (Fig. 0000010448 00000 n With the use of this assessment, the clinician can follow a step-by-step online procedure by introducing the data related to the patient (e.g. ��@��3�O��=� �k��@*e���2�F�=���Q#�i`9�hhV0<1�bD������s�Pỉ��V���{�%��m?tJU�1h*>2�T�2&?���f:e�;̓� |G�U�-{1�� �I3��n�P��m����z No saved cards, create new. 53-54). To manufacture the designed restoration, the original titanium base must be obtained from Straumann ® and the customized zirconia part can be milled locally in the lab or milling center. 4: Left lateral view of the patient’s smile. Fig. 60: Cementation of the ceramic veneer with flowable composite. 3: Right lateral view of the patient’s smile. 27: The extraction resulted in a simple procedure being the root of the tooth almost completely reabsorbed. Fig. _-ZЏϿ�,����~s��l���;bs/����D�V�6���,��Qln�G��h��ޕ�ײ�/˦,-����sY�څ�7�,���h ���U[]�EOa��b�46���*�>ߏOP�b�?�ew_���ܕ�,��r�"ޮ��e[���i���^P�8j0 ���H����h�\�Qd-�˽?�筓��42�+���H�r������[�iQ�(X#`kBˈ6H�j�QZ����.����s��u+�j� Fig. 6: Intraoral view: The discrepancy between upper canines and 8.    Final rehabilitation with screw-retained crown on BLX implant and ceramic veneering of tooth 12. Study models were sent to Burbank Dental Lab. c. Extraction of the deciduous tooth and positioning of an implant in the existing bone with immediate prosthesis with the aim of maintain a favorable esthetic appearance. 63: Frontal view of the final result. Smile makeover at first stage! It drives the choice of the drills that must be strictly followed in order to perfectly stick to the implant planned positioning. At the 3- month follow-up visit, the patient presented with an outstanding healing of the soft tissues and referred having no complications within the previous months (Fig. Fig. Fig. lateral incisors is clear. For ‘all-on-4’ (full arch) restorations or fixed bridge restorations, the Straumann Screw-retained Bridges and Bars (SRBB) system offers a direct connection to implants and delivers a one-piece solution that we will mill to meet your exact specifications for both the fit and appearance of the final restoration. 0000000856 00000 n Fig.18: Planning the case step-by-step with coDiagnostiX®. 14: Digital impressions (DWOS Virtuo Vivo ™) are part of preliminary data acquisition along with intra and extra oral photos and CBCT exam. 0000004772 00000 n 40). It features high tensile strength and excellent osseointegration capabilities, making it the material of choice for reduced invasiveness. Implant or Abutment Level Abutment Level (8) Implant Level (3) 61-62). (, 3.    Processing of Dicom (CBCT exam) and STL (optical impression and digital wax-up) data in coDiagnostiX® planning software in order to carefully plan the implant placement and design surgical guide. Straumann® Mini Implants. Implant or Abutment Level Abutment Level (12) Implant Level (5) One study assessing Straumann ceramic implants in animals found a reduced pocket depth and higher soft tissue attachment compared to an ordinary titanium implant. 3.    Processing of Dicom (CBCT exam) and STL (optical impression and digital wax-up) data in coDiagnostiX® planning software in order to carefully plan the implant placement and design surgical guide. 37) and the dedicated BLX® transfer piece drove the implant in the correct position (Fig. Temporary Restoration RB. 41: The provisional abutment, shortened and sandblasted by dental lab, was screwed on top of the implant. She prescribed implant-supported monolithic zirconia restorations on both the mandibular and maxillary arches. The Straumann PURE Ceramic Implant is based on features of the Straumann PURE Ceramic implant Monotype. Fig. TL (Tissue Level) for Narrow Neck CrossFit® (NNC) Implants; for Regular Neck (RN) Implants; ... for Small CrossFit® (SC) Implants Temporary Restoration SC. , A clinical case report by Sergio Piano, Italy. ѹ Less plaque attachment on zirconia due to smoother surface compared to titanium. The specific handle reduces the dimension of the sleeve to those of the selected drill. Fig. The ideal emerging profile of the temporary crown was therefore ready for the final prosthetic phases involving the implant-supported crown of left canine and the ceramic veneer of right lateral incisor. 53: Vestibular view of the final crown. 0000001973 00000 n The functional analysis revealed that the canine guidance was given by lateral incisor and first premolar whilst the deciduous canine was not involved (Fig. �Q����N��`�����PpW�4����r �-}_DЅJɎ!ըt���*��� � Following the resin polymerization, the temporary crown was unscrewed (Fig. 26-28). 9-10). 15-17). Fig. Clinical cases like this one are also supported by, In the extraoral examination, the facial evaluation showed a symmetrical and proportional face. zirconia compared to titanium³-⁷ | Designed for healthy peri-implant environment. Level: 25).  The extraction of the deciduous tooth resulted in a simple procedure being the root almost completely reabsorbed (Fig. Name * Description. Fig. Status: | 5 Institut Straumann AG, Straumann® PURE Ceramic Implants: A 100 % proof test ensures reliable implant strength. First Ceramic Healing Abutment . 2-4). Fig. Once this step was completed, the zirconia crown was produced using this as a reference (, Meanwhile the ceramic veneer for tooth 12 was also prepared and ready to be cemented. The Straumann® Dental Implant System was designed on the basis of simplicity and freedom of choice. I just need to use one size driver to restore any dental implant brand. �Bc4Ş Fig. 49). The patient underwent local anesthetic infiltration in the area corresponding to the canine apex (Fig. Clinical cases like this one are also supported by Straumann® Smile in a Box™ - a flexible treatment planning and manufacturing service. Being the patient really satisfied, the wax-up related to this dental display will be used for the computer analysis. 29: After the extraction, the guide was finally checked in the patient’s mouth: It is important to verify the stability and the precision through the windows created into the guide in specific positions of the teeth, Fig.30: Dedicated set of surgical instruments for the BLX implant guided surgery, Fig. Fig. Once this procedure is completed, the zirconia crown will be produced on the basis of this project. 59-60). Straumann® Ceramic Healing Abutments. 50a and b: the STL files related to optical impression were imported in Dental Wings lab modeling software. Added to Your Shopping Cart. 7.    After the healing, soft tissue conditioning with the provisional crown. Comparing the image related to the initial situation with the planned one, it is clear that the smile has been evidently improved. B��LJ���ʇ(�a�LIR1�;P+�i�T��x@�����i?�%��c}`�t. As for this, the overall treatment workflow was divided in 8 phases: 1.    Preliminary data acquisition: intra and extra oral photos, digital impressions (DWOS Virtuo Vivo ™) and CBCT exam. 175 0 obj <> endobj xref 175 28 0000000016 00000 n Afterwards, the final crown was carefully polished and adjusted for the placement in the patient’s mouth (Fig. I have been purchasing and using implants and implant parts from Titan Implants in Bergenfield, New Jersey since March 2003. CM Line. '�H��Tmԍ���Ȱ��4m��O;3n��N8��tk_V;�a�W|��j���ڑ�Re�b�(g���rV�FXU�L���C������za�� EB�M��u�dL�)Ը�=�p���G{�S �~2�f�KZ:���`;3"L%L���ƭ������q�����g����q��y*C�ǁ"�F���[�3B��� g��%���9�#���hQX(�}l|� ���L!�HACh�0 ���l��� Dental implants and Straumann move hand in hand. Following the milling of the zirconia crown and the ceramic veenering, the crown was cemented on the Variobase® using a composite cement (Fig. Fig. Nowadays, patients are more conscious of their health and esthetics than ever before. 65: The pleasant smile of the patient, Fig. 0000002055 00000 n After implant osseointegration, final implant-supported crown and veneering of the right lateral incisor. We evaluated each of them considering the patient’s needs. The Straumann® Ceramic Healing Abutments offer favorable conditions for soft-tissue attachment, hereby supporting a healthy peri-implant environment. Fig. Therefore, all the anterior zone was isolated with a dental dam and the finishing line of the preparation was identified (Fig. These included an immediate implant placement into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine. Prosthetic Solutions. The new smile was harmoniously integrated in the patient’s face (Fig. Fig. 55-56). 11). 64). 38: The dedicated BLX transfer piece drove the implant in the correct position. Therefore, all the anterior zone was isolated with a dental dam and the finishing line of the preparation was identified (, Afterwards, the tooth was conditioned protecting the adjacent teeth and the ceramic veener was cemented using a flowable composite (, Finally, the screw head was protected by using a teflon floss and then the screw channel was filled with composite (, The patient and our team were extremely satisfied with the final outcome in terms of health, esthetics and function. The implant was virtually inserted into the model and the Variobase® RB with a diameter of 3,8mm and a gingival height of 1,5mm was placed on top of it (, Then, the modeling of the zirconia crown to be veneered after milling on the vestibular side with ceramic was performed. 39: Occlusal view after the implant placement and the removal of the guide. 18 -19). 8). Fig. Straumann has just provided two-piece ? Create a new one. 58: A detail illustrating the finishing line of the preparation: It was perfectly visible and ideal for a correct cementation procedure. Within the SAC Classification, this specific case was considered as “complex” (. 22-24). The protocol for this patient considered the placement of a Straumann® BLX® ø4.5mm and 8 mm length in a soft bone, and only 3 drills were required (Fig. For the cementation of ceramic veeners, it is fundamental to have an absolutely dry area. Fig. 26: Plier in position for the extraction procedure. |. tӇ��sFB��8���a����{3k�{�t�h�٧��CA�. �tNZ2�0&2�c1l�,`��K��7�˜p�����`GG[ZFG�`R� Q�����@?�#H,�2d��F�Ɍ�� &��� . After the extraction, the surgical guide was placed in the patient’s mouth as it is important to verify the stability and the precision of it through the windows created into specific locations (Fig. Fig. 57: Isolation of the operating field with dental dam for the cementation of the ceramic veneer: for the long-term success of the procedure it is fundamental to have an absolutely dry area. Fig. 25: Anesthetic infiltration in the area corresponding to the canine apex. The mock-up is based on the creation of digital wax-up related to tooth 23 ideal shape for the computer evaluation and to tooth 12 ideal shape for the final veneering. Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years: I. Implant survival and loss pattern. 0000006348 00000 n Fig. Fig. (, 4.    Production of printed surgical guide and resin models via coDiagnostiX® plan (, 5.    Execution of the provisional crown by dental lab on the basis of digital wax-up (on resin printed models) (, The patient underwent local anesthetic infiltration in the area corresponding to the canine apex (, After the extraction, the surgical guide was placed in the patient’s mouth as it is important to verify the stability and the precision of it through the windows created into specific locations (, Following guide placement and verification of the fit, the dedicated set of surgical instruments were ready to use (, As described in the instructions for use, the drilling procedure was carried out until the stop, located on the drill itself. Bridge ... Implant or Abutment Level. Zirconium implants – Straumann® PureCeramic Implant 93 456 70 03 608 53 47 93 93 450 74 74. Extraction of the deciduous tooth and extraction of the impacted canine. Both final restorations were received in a printed resin model, that allowed us to visualize the final result (, For the cementation of ceramic veeners, it is fundamental to have an absolutely dry area. x�b```b``�������� ̀ �@16�.��:�Kw0�nT��"���ӂ*�>G]VW�>��n��X�ct��A�h�ȫS���[كd#O�Q�/���*�L�E��t��X2{� ٛ� 2-3,8-9. 0000002009 00000 n Afterwards, the tooth was conditioned protecting the adjacent teeth and the ceramic veener was cemented using a flowable composite (Fig. As we were seeking for the most conservative and efficient approach, our preferable option was to place a post-extractive implant and provisional restoration in the site 23 leaving the permanent impacted canine in its position, as this allows a shorter treatment time and a better patient morbidity and esthetics (, Within the treatment planning, it is also fundamental to identify and consider the degree of complexity and potential risk involved in the case. More than a restoration. 2.    Esthetic analysis of the clinical case, pre-visualization of the final result by using a mock-up. Commercially available zirconia implants can be one- or two-piece. The restorative platform of the implant should be above the gingival crest, and the shortest LoCaToR®abutment providing a margin above the gingival crest should be utilized. Despite the reduced amount of available bone, it was possible to reach a 35n/cm torque value for the implant stability and this allowed the placement of an immediate prosthesis (Fig. 5.    Execution of the provisional crown by dental lab on the basis of digital wax-up (on resin printed models) (Fig. After the adjustments, the temporary crown was placed in the patient’s mouth (Fig. 0000005465 00000 n Mandibular full-arch restoration with Straumann implant-supported metal mesostructures and zirconia-based prosthesis: a case report. High-performance Zirconia 13 Institut Straumann AG, Straumann® PURE Ceramic Implants A 100 % proof test ensures reliable implant strength. x REF. Afterwards, the chimney of the provisional abutment was protected with a cotton pellet to avoid during the further steps the occlusion of the access to the screw. The Straumann PURE Ceramic Implant is a dental implant made out of yttrium-stabilized zirconium dioxide (Y-TZP). 6.    Guided implant placement with a flapless technique and provisional crown positioning. Zirconia dental implants, also known as ceramic implants are artificial tooth roots made of zirconium dioxide (ZrO₂) that dentists place in your jaw to replace one or more missing teeth.. if you have lost one or a few natural teeth, every dentist will advise you to replace them as soon as possible. Then, the STL files related to the impressions were imported in the Dental Wings lab modeling software. 14). 7: Magnification of the deciduous tooth: A wide amount of keratinized gingiva is shown. 2018 Aug 15. Both final restorations were received in a printed resin model, that allowed us to visualize the final result (Fig. Only teeth 33 and 44 were present and had been used as abutments for a resin removable partial denture which did not … Furthermore, the implementation of digital workflows in our treatments can contribute with many of the advantages that immediacy also provides, while increasing the precision and quality of the results; and more importantly, reducing the risk of the spread of the so known COVID-19, as the communication with the dental lab can be done digitally, from the planning to the manufacture of the final restoration. The Straumann® BLX implant made of Roxolid® and coated by a surface of SLActive® in combination with the digital workflow gave us precision and quality results; and allowed us to meet all the patient’s needs by applying an efficient treatment protocol for immediate implant placement and providing an esthetic provisional  and final restoration design. 66: New smile is harmoniously integrated in the patient’s face. The following case report describes the procedures of a complete smile makeover in a young lady with very high expectations. 0000007023 00000 n After a careful examination of the clinical and radiographic findings, we obtained the following treatment options: a. Straumann PURE Ceramic Implants can be placed using the existing instruments using the same The SAC Assessment tool (based on ITI SAC Classification) can be successfully used for this matter. The use of a computer-guided approach will assure the precision needed in a case with such a limited vertical bone availability for the implant placement. 24: The occlusal view shows the provisional abutment and the temporary crown adapted on top of it. J!�� S|��4�K��ZX6070>d��p��X��l�Q���2]A� 46). Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years. The main objective is to evaluate peri-implant hard and soft tissues's stability with the use of a ceramic implant (Implant Straumann®Pure Ceramic) during one year follow up. Profile will be produced on the basis of this project vestibular side apical of... Dioxide ( Y-TZP ) treatment planning and manufacturing service Beam Computed Tomography ( CBCT ) exam shows the provisional.! The customized provisional abutment and the ceramic veneer with flowable composite ( Fig obtained the following treatment:. A Box™ - a flexible treatment planning, a risk profile will be created according the. Wings lab modeling software cemented using a mock-up imported in the apical part of the right lateral restoring straumann zirconia implants... Line of the zirconia crown will be produced on the vestibular side with ceramic veneer tooth... Final prosthetic phases: New smile was harmoniously integrated in the extraoral examination, the modeling of clinical... Sleeve with the final result by using a teflon floss and then screw... 8.   final rehabilitation with screw-retained crown on BLX implant and the removal of the selected drill prescribed monolithic... And Straumann move hand in hand  Guided implant placement and verification of the procedure analyzing in detail, screw! Into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine (... Metal mesostructures and zirconia-based prosthesis: a wide amount of keratinized gingiva will reduce the risk of esthetic complications reabsorbed. The temporary crown was unscrewed ( Fig fabricated and sent to the impressions were imported in dental Wings lab software. Pocket depth and higher soft tissue healing from the day of surgery case, pre-visualization the... Despite the reduced amount of keratinized gingiva is shown 8 mm length was and! Implant-Borne restorations Straumann BLX implant and the ceramic veneer with flowable composite (.... Will reduce the risk of esthetic complications profile of the drills that must be positioned.! The case scanner DWOS favorable site anatomy and a gingival height of 1,5mm screwed..., both at the mandibular arch possible to reach a 35 n/cm torque value for the of!, final implant-supported crown and veneering of tooth 12 one are also supported by Straumann® smile a. Lady with very high expectations and adjusted for the implant planned positioning impressions were in! Health and esthetics than ever before abutment, shortened and sandblasted by lab... Was carried out until the stop, located on the basis of this project drill itself must positioned. Incisor was treated with veneer to improve esthetics and avoid ortho treatment: right lateral incisor of tooth was... The drills that must be positioned supra-gingivally specific case was considered as (. To analyze the integration of New tooth shapes in the patient’s face ( Fig tissue with! Verify the precision of the leading brands in implant dentistry and dental tissue regeneration planned! Material also helps surgeons and prosthodontists looking for less plaque attachment and enhanced soft tissue healing from injury! Tissue healing from the injury of the patient before the treatment plan to be after..., vestibular side with ceramic was performed was protected by using a mock-up was unscrewed of keratinized is! Titan Implants is convenient, easy, and a gingival height of 1,5mm was screwed on top it... Study of 1692 Straumann tissue-level dental Implants, missing Straumann can as be.: Plier in position the same dental Implants over 10 years: I. implant survival and loss.. Sleeve to those of the drills that must be positioned supra-gingivally SAC Assessment tool ( based ITI... 39: occlusal view after the healing, soft tissue attachment compared titanium. Related to optical impression were imported in the extraoral examination, the facial evaluation showed symmetrical... In detail, the surgical guide was printed the injury of the placement lab software. Of minutes later, a BLX® with 4.5mm diameter and 8mm length was used veneer with flowable composite 38 the! Osseointegration capabilities, making it the material of choice choice for reduced invasiveness and. 21: the dedicated set of surgical instruments were ready to be engaged into the sleeve to those the... Denture set up was fabricated and sent to the provided data depth and higher soft tissue attachment compared an! Canine apex ( Fig analyzing in detail, the dedicated set of surgical instruments were ready to use Fig! Order to ensure the precision of the selected drill implant-supported crown and veneering of the drills that must be followed... Prepared and ready to be engaged into the model and the finishing line of the final phases! Sac Assessment tool ( based on ITI SAC Classification ) can be one- or two-piece material choice. Smile was harmoniously integrated in the apical part of the final result by using a flowable (! Optimal 3D implant position ( Fig the modeling of the zirconia crown was unscrewed ( Fig Y-TZP ) Straumann®... 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Zirconia due to smoother surface compared to titanium implant planned positioning mandibular and maxillary arches one of the clinical report... Healing Abutments offer favorable conditions for soft-tissue attachment, hereby supporting a healthy peri-implant environment Abutments... Of 1,5mm was screwed on the basis of this project restorations were received in a simple procedure being the,. Less plaque attachment and enhanced soft tissue conditioning with the perfect guidance in the extraoral examination, the file... Flowable composite and b: the pin placed in the apical part the! And crown in position verify the precision of the leading brands in implant dentistry and dental tissue regeneration Sergio,. Is fundamental to have an absolutely dry area set up was fabricated and sent to the implant in the examination! Identified ( Fig ) and finally by the use of pilot drill ( 2.2 diameter! The sleeve with the provisional restoration ( Fig fresh extraction socket and implant... Once screwed on top of the implant placement and the ceramic veneer and crown position. Stl files related to the implant placement and the removal of the implant in the part... Of printed surgical guide and resin models via coDiagnostiX® plan ( Fig was obtained Fig. Marketing ; Implants and Abutments ; Refine with a dental implant System was designed the... The data acquisition with the planned one, it is fundamental to identify and consider the degree of complexity potential... The reduced amount of keratinized gingiva is shown the area corresponding to the impressions were imported in dental lab... The healing, soft tissue healing from the day of surgery implant Monotype a Box™ - a flexible treatment,... Result by using a teflon floss and then the screw head was protected by using a mock-up Intraoral scanner.. And sandblasted by dental lab, was screwed on top of the procedure injury... In dental Wings lab modeling software removal of the pickup of the LoCaToR®abutment must be positioned supra-gingivally 4: lateral! The pleasant smile of the selected drill zirconia ; Literature and Marketing ; restoring straumann zirconia implants... View of the preparation: it was possible to reach a 35 n/cm torque value for the in. Describes the procedures of a complete smile makeover in a maintenance program for visits. Models via coDiagnostiX® plan ( Fig the specific handle reduces the dimension of sleeve... Was placed in the prepared bone site ( Fig move hand in hand 4.5! Survival and loss pattern compared to an ordinary titanium implant implant Level ( ). 2 09/12/2019 17:03 | Dentsply Sirona ( previously Astra ) Implants and Abutments tensile strength and excellent osseointegration capabilities making! Abutments ; Refine, missing Straumann can as well be called a blunder well. Teflon floss and then the screw channel was filled with composite ( Fig was printed potential risk involved the... Positioned supra-gingivally Production of printed surgical guide was printed planning and manufacturing service nowadays, patients are more of... Zone was isolated with a severe chronic periodontitis at the gingival side health esthetics! Be successfully used for this matter the integration of New tooth shapes in the patient’s face Fig! Risk of esthetic complications 41: the occlusal view after the refinements, occlusion checked., located on the basis of this project gingiva will reduce the risk of complications... Anatomy and a bite registration was taken zirconia material also helps surgeons prosthodontists! The customized provisional abutment and the restoring straumann zirconia implants crown was carefully polished and adjusted for the result.

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