03/14 490.028/en/B/001. The specific handle reduces the dimension of the sleeve to those of the selected drill. Fig. 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. The SAC Assessment tool (based on ITI SAC Classification) can be successfully used for this matter. Level: 490.490.indd 2 09/12/2019 17:03 | 43). 0000007283 00000 n Buying from Titan Implants is convenient, easy, and cost-effective. 6.    Guided implant placement with a flapless technique and provisional crown positioning. 0000001345 00000 n Fig. 40: Despite the reduced amount of available bone, it was possible to reach a 35 n/cm torque value for the implant stability. Couple of minutes later, a digital impression of the area was obtained (Fig. 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. The implant was virtually inserted into the model and the Variobase® was seated on top of it. 51). 0000016460 00000 n 42: After resin polimerization, the temporary crown was unscrewed. Straumann® Ceramic Healing Abutments. The overall time of the treatment can be reduced. 15-17). She prescribed implant-supported monolithic zirconia restorations on both the mandibular and maxillary arches. x�b```b``�������� ̀ �@16�.��:�Kw0�nT��"���ӂ*�>G]VW�>��n��X�ct��A�h�ȫS���[كd#O�Q�/���*�L�E��t��X2{� ٛ� J!�� S|��4�K��ZX6070>d��p��X��l�Q���2]A� Afterwards, digital impressions using the Virtuo Vivo™ intraoral scanner were taken, and with this objective a dedicated scan body was screwed on top of BLX® implant and a retraction cord was placed around the tooth 12 in order to mark the line preparation (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 (Fig. Fig. The new smile was harmoniously integrated in the patient’s face (Fig. Then, the modeling of the zirconia crown to be veneered after milling on the vestibular side with ceramic was performed. trailer <]>> startxref 0 %%EOF 202 0 obj<>stream Fig. Fig. 53: Vestibular view of the final crown. The analysis of the smile presented the midline sagittal plane coincident with the medium line of smile, and the exposure of the upper incisors and canines was 90% (Fig. 2: Frontal view of the patient’s smile. Then, the STL files related to the impressions were imported in the Dental Wings lab modeling software. 20-21). Bridge ... Implant or Abutment Level. Fig. Fig. This allowed us to pre-visualize the final shape of the tooth and to then remove the correct amount of enamel and create the exact space for the ceramic veneer. When talking about dental implants, missing Straumann can as well be called a blunder. 0000001446 00000 n prosthetic restorations for Straumann® Bone Level Implants. 0000007800 00000 n Added to Your Shopping Cart. 21: The guide seated on the printed model to verify the precision of the procedure. - Dr. Michael Sicklick, Teaneck - NJ. tӇ��sFB��8���a����{3k�{�t�h�٧��CA�. Then, the temporary crown was placed into the transparent mask; and after having filled the crown with resin, it was brought in its position by means of the transparent mask for the connection with the provisional abutment. 33) and finally by the use of the 2.8mm drill (Fig. 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. Fig. Fig. 17: It is important to analyze the integration of new tooth shapes in the patient’s face. 56: Occlusal view of the crown on the model: note the exact positioning of the screw hole due to the precise implant placement with computer-guided surgery. The implant was engaged into the sleeve with the perfect guidance in the prepared bone site (Fig. 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. Fig. 52). For this, the tooth 12 was prepared using a silicon mask as a guide: first of all, the initial mock-up was recreated and then the silicon mask (made on top of it) was used to verify the thickness needed for the ceramic veneering (, Afterwards, digital impressions using the Virtuo Vivo™ intraoral scanner were taken, and with this objective a dedicated scan body was screwed on top of BLX® implant and a retraction cord was placed around the tooth 12 in order to mark the line preparation (, Then, the STL files related to the impressions were imported in the Dental Wings lab modeling software. Fig. 14). Dentsply Sirona, ( previously Astra) Implant System is … Clinical cases like this one are also supported by, In the extraoral examination, the facial evaluation showed a symmetrical and proportional face. Fig. Facility Line. Implant or Abutment Level Abutment Level (8) Implant Level (3) 0000005722 00000 n 32: After the guide placement, the milling cutter bur was used with the purpose of creating a flat surface for the precise work of the further drills. In accordance with the choice done during CoDiagnostiX® planning, a BLX® with 4.5mm diameter and 8mm length was selected and placed (Fig. 43: Image of the crown once screwed on the analog, vestibular side. Roxolid® Implants by Straumann are a high-performance alloy composed of 15 % zirconium and 85 % titanium, specifically designed by Straumann for use in implant dentistry. Dental implants and Straumann move hand in hand. Commercially available zirconia implants can be one- or two-piece. Name * Description. 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. Implant or Abutment Level Abutment Level (9) Implant Level (8) The patient and our team were extremely satisfied with the final outcome in terms of health, esthetics and function. 60: Cementation of the ceramic veneer with flowable composite. 48: Final digital impression: A dedicated scan body was screwed on top of BLX implant and a retraction cord was placed around the tooth 12 in order to highlight the finishing line preparation. 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. Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years: I. Implant survival and loss pattern. Finally, a risk profile will be created according to the provided data. The patient underwent local anesthetic infiltration in the area corresponding to the canine apex (Fig. The patient can be provided, as requested, with a non-invasive surgical approach allowing the presence of a fixed provisional crown along the whole therapy. A 63-year-old female patient presented with a severe chronic periodontitis at the mandibular arch. The final decision was to treat the patient with an immediate Straumann® BLX® ø4.5 mm SLActive® 8mm Roxolid® and an immediate prosthesis on position 23, using a computer-guided planning and surgery (coDiagnostiX®) with flapless technique. Fig. 0000010448 00000 n These included an immediate implant placement into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine. Once this procedure is completed, the zirconia crown will be produced on the basis of this project. Fig. 36: A detail of the pickup of the implant: the pin placed in the apical part of the implant was gently broken. �Bc4Ş 24: The occlusal view shows the provisional abutment and the temporary crown adapted on top of it. 1). 25: Anesthetic infiltration in the area corresponding to the canine apex. 5 Institut Straumann AG, Straumann® PURE Ceramic Implants: A 100 % proof test ensures reliable implant strength. 44) and post-op X-rays images were taken in order to ensure the precision of the implant and the provisional restoration (Fig. 12: Tool evaluation – SAC classification. 58: A detail illustrating the finishing line of the preparation: It was perfectly visible and ideal for a correct cementation procedure. The amount of keratinized gingiva will also allow to start the soft tissue conditioning around the canine at the time of the provisional crown placement. �Q����N��`�����PpW�4����r �-}_DЅJɎ!ըt���*��� � In challenging times like those we are living, it has become fundamental to apply efficient solutions that give our patients confidence and an excellent experience in our practice. 03/14 490.028/en/B/001. Fig. 50a and b: the STL files related to optical impression were imported in Dental Wings lab modeling software. 40). 0000006348 00000 n First Ceramic Healing Abutment . Finally, a risk profile will be created according to the provided data. Fig. Being the patient really satisfied, the wax-up related to this dental display will be used for the computer analysis. Fig. 2 Straumann® Ceramic Healing Abutments. It’s important to understand that while zirconia dental implants are VERY strong, they have less flexural give than a metal alloy implant. Fig. Following the resin polymerization, the temporary crown was unscrewed (Fig. Fig. The presence of a favorable site anatomy and a convenient amount of keratinized gingiva will reduce the risk of esthetic complications. ��@��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 0000001973 00000 n The main vision of the company is to restore patient’s oral esthetics and oral function with the help of safe, reliable and effective procedures. 10: CBCT showed a thick cortical bone and adequate trabecular bone in the deciduous tooth site, as well as the feasibility of placing there an implant. In the esthetic sector, the margin of prosthetic restoration is usually left below the gum and the cement used to cement the prosthesis may cause inflammation on soft tissues. Extraction of the deciduous tooth and extraction of the impacted canine. Fig. Fig. 64). Fig. full zirconia implants available in two parts. TL (Tissue Level) for Narrow Neck CrossFit® (NNC) Implants; for Regular Neck (RN) Implants; for Wide Neck (WN) Implants; for Straumann® Classic; BL / BLT. 26: Plier in position for the extraction procedure. 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. 5-7). 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. 0000006912 00000 n 45). Zirconium implants – Straumann® PureCeramic Implant 93 456 70 03 608 53 47 93 93 450 74 74. 0000022442 00000 n Fig. 41: The provisional abutment, shortened and sandblasted by dental lab, was screwed on top of the implant. A denture set up was fabricated and sent to the doctor for try-in. The first zirconia dental implants were a one-piece design which, although hygienic and good for soft tissue health, meant they could not heal underneath the gums. (, 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. Nowadays, patients are more conscious of their health and esthetics than ever before. The Straumann PURE Ceramic Implant is a dental implant made out of yttrium-stabilized zirconium dioxide (Y-TZP). Afterwards, the final crown was carefully polished and adjusted for the placement in the patient’s mouth (Fig. 54: Palatal view of the final crown. Fig. %PDF-1.4 %���� 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. lateral incisors is clear. Extraction of the deciduous tooth and orthodontic treatment for the repositioning of the impacted canine in the correct site and the re-alignment of the incisors to improve the smile appearance. Fig. �b�} ؄.zC��������(C �L� ���dEA��P+�Χ�{��U����@� �16�@�Cz6$$�-�����ȝi��� This was an alternative solution offered to patient. Implant or Abutment Level Abutment Level (12) Implant Level (5) The SAC Assessment tool (based on ITI SAC Classification) can be successfully used for this matter. Smile makeover at first stage! 29). 47). One study assessing Straumann ceramic implants in animals found a reduced pocket depth and higher soft tissue attachment compared to an ordinary titanium implant. (�J�2p�mҒ@� 22-24). zirconia compared to titanium³-⁷ | Designed for healthy peri-implant environment. 9-10). 49). 0000271789 00000 n 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. I just need to use one size driver to restore any dental implant brand. 35 - 36). In the intraoral examination, a good amount of keratinized gingiva was observed by the deciduous tooth and a good overall oral hygiene was presented (Fig. '�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��� Patient solutions. Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years. Slight modifications were made, and a bite registration was taken. 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. 34). 0000013812 00000 n Straumann recently developed the BLT ∅ 2.9 mm, which has the advantage of being fabricated with Roxolid – a metal alloy composed of 15% zirconium and 85% titanium that has higher tensile and fatique strengths than comparable titanium implants, and has excellent osseointegration and biocompatibility properties. 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. Both final restorations were received in a printed resin model, that allowed us to visualize the final result (Fig. N9���%]�Ι����\(��+yg� A healthy 30-year-old female patient presented at our dental clinic with the chief complaint of replacing the left upper deciduous canine with a conservative and predictable treatment approach. Fig. 1: View of the patient before the treatment. Fig. 25).  The extraction of the deciduous tooth resulted in a simple procedure being the root almost completely reabsorbed (Fig. Create a new one. One-piece zirconia implants with an integrated abutment and predetermined restorative margin have limitations due to their inability to allow for angle correction, require a high degree of surgical precision, and only accept a cementable restoration. Fig. systemic conditions, local factors, etc.) 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 (Fig. After the healing, implant positioning and replacement of the canine with an implant-supported crown, and veneering of the right lateral incisor in order to improve the smile appearance. 0000010484 00000 n Fig. Fig. 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. |. 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. �G�n�79�dNjl�I�v7�2��W�O#��3��G���N�� 2y� �)�6�% 51: Modeling of the zirconia crown to be veneered after milling on the vestibular side with ceramic. Temporary Restoration RB. b. 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. 41). This allowed the placement of an immediate prosthesis. 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