Straumann® Mini Implants. b. 42) and the space between the crown and the abutment was filled with resin and then adapted until obtaining a proper emergency profile (Fig. Extraction of the deciduous tooth and extraction of the impacted canine. Bridge ... Implant or Abutment Level. 5 Institut Straumann AG, Straumann® PURE Ceramic Implants: A 100 % proof test ensures reliable implant strength. Create a new one. Fig. Within the SAC Classification, this specific case was considered as “complex” (Fig. 25: Anesthetic infiltration in the area corresponding to the canine apex. 0000016460 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. 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. 0000002168 00000 n The Straumann® Ceramic Healing Abutments offer favorable conditions for soft-tissue attachment, hereby supporting a healthy peri-implant environment. B��LJ���ʇ(�a�LIR1�;P+�i�T��x@�����i?�%��c}`�t. 54: Palatal view of the final crown. Fig. 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. 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. Commercially available zirconia implants can be one- or two-piece. Straumann® PURE Ceramic Zirconia Implant. 59-60). 0000271789 00000 n Fig. 63). - Dr. Michael Sicklick, Teaneck - NJ. 31: Printing of the surgical protocol. 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 (Fig. 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. 41). systemic conditions, local factors, etc.) Fig. Following guide placement and verification of the fit, the dedicated set of surgical instruments were ready to use (Fig. One system with one kit can be used for all indications and a unique portfolio of different materials and surfaces, including groundbreaking technologies such as Roxolid® and SLActive®. Within the treatment planning, it is also fundamental to identify and consider the degree of complexity and potential risk involved in the case. A denture set up was fabricated and sent to the doctor for try-in. Fig. WS Line. �Q����N��`�����PpW�4����r �-}_DЅJɎ!ըt���*��� � 47: The lateral incisor was treated with veneer to improve esthetics and avoid ortho treatment. 24: The occlusal view shows the provisional abutment and the temporary crown adapted on top of it. 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. Fig. More than a restoration. We can now : benefit from the virtues of zirconia implants in terms of biological and immune qualities with respect to peri-implant tissues; keep our prosthetic references with the use of prosthetic connection abutments. x�b```b``�������� ̀ �@16�.��:�Kw0�nT��"���ӂ*�>G]VW�>��n��X�ct��A�h�ȫS���[كd#O�Q�/���*�L�E��t��X2{� ٛ� When talking about dental implants, missing Straumann can as well be called a blunder. 28: Occlusal view of the extraction socket. Zygomatic Line. 1.    Preliminary data acquisition: intra and extra oral photos, digital impressions (DWOS Virtuo Vivo ™) and CBCT exam. 2 Straumann® Ceramic Healing Abutments. Prosthetic Solutions. 35: In accordance with the choice done during coDiagnostiX® planning, a BLX with 4.5 mm diameter and 8 mm length was used. 2-3,8-9. 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. Zirconia Dental Implants – 100% Metal-Free Implants Placed & Restored by Dr. Yuriy May The superior alternative to traditional, metal dental implants, are the newer, FDA approved, durable, beautiful, biocompatible, biomimetic ceramic, metal free zirconia dental implants otherwise known as … 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. 0000006912 00000 n 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. 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. 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. TL (Tissue Level) for Narrow Neck CrossFit® (NNC) Implants; for Regular Neck (RN) Implants; ... for Small CrossFit® (SC) Implants Temporary Restoration SC. 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. The specific handle reduces the dimension of the sleeve to those of the selected drill. Dental implants and Straumann move hand in hand. It drives the choice of the drills that must be strictly followed in order to perfectly stick to the implant planned positioning. 18 -19). 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. 50 a & b). 12-13). Fig. Implant or Abutment Level Abutment Level (9) Implant Level (8) It features high tensile strength and excellent osseointegration capabilities, making it the material of choice for reduced invasiveness. Fig. 0000007800 00000 n Kim S, Jung UW, Cho KS, Lee JS. 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. TL (Tissue Level) for Narrow Neck CrossFit® (NNC) Implants; for Regular Neck (RN) Implants; for Wide Neck (WN) Implants; for Straumann® Classic; BL / BLT. 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 … 0000022442 00000 n She also requested to have a temporary fixed rehabilitation during all the phases of the treatment and to improve the esthetics in the frontal area. 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. 20-21). Hand … Even when analyzing in detail, the final restoration could be hardly identified (Fig. Implant or Abutment Level Abutment Level (8) Implant Level (3) The Straumann PURE Ceramic Implant is based on features of the Straumann PURE Ceramic implant Monotype. 0000000856 00000 n 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. Show more Show less. 26-28). Fig. zirconia compared to titanium³-⁷ | Designed for healthy peri-implant environment. Temporary Restoration RB. �Bc4Ş After a proper healing period, tooth #12 was to be extracted, and after a socket preservation procedure and proper soft-tissue healing around a temporary prosthesis, a zirconia cantilevered fixed implant-supported bridge would replace these two teeth. 4: Left lateral view of the patient’s smile. 8.    Final rehabilitation with screw-retained crown on BLX implant and ceramic veneering of tooth 12. The SAC Assessment tool (based on ITI SAC Classification) can be successfully used for this matter. The new smile was harmoniously integrated in the patient’s face (Fig. These included an immediate implant placement into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine. Fig. 33) and finally by the use of the 2.8mm drill (Fig. Fig. 43). 8). |. 2.    Esthetic analysis of the clinical case, pre-visualization of the final result by using a mock-up. The presence of a favorable site anatomy and a convenient amount of keratinized gingiva will reduce the risk of esthetic complications. 15-17). Name * Description. Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years. Fig. The occlusal view after the implant placement and the removal of the guide showed an optimal 3D implant position (Fig. �G�n�79�dNjl�I�v7�2��W�O#��3��G���N�� 2y� �)�6�% 55: Printed resin model with ceramic veneer and crown in position. 9: Cone Beam Computed Tomography (CBCT) exam shows the presence of the impacted canine. 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. J!�� S|��4�K��ZX6070>d��p��X��l�Q���2]A� Fig. 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. 4.    Production of printed surgical guide and resin models via coDiagnostiX® plan (Fig. Fig. 0000013812 00000 n Both final restorations were received in a printed resin model, that allowed us to visualize the final result (Fig. 35 - 36). II. 14). Being the patient really satisfied, the wax-up related to this dental display will be used for the computer analysis. 46: Note the nice emerging profile of the temporary crown; ready for the final prosthetic phases. Straumann® implant restorations use state-of-the art CADCAM technology. (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. 37: The implant ready to be engaged into the sleeve for the perfect guidance in the prepared bone site. 5.    Execution of the provisional crown by dental lab on the basis of digital wax-up (on resin printed models) (Fig. 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. 43: Image of the crown once screwed on the analog, vestibular side. 3: Right lateral view of the patient’s smile. 36: A detail of the pickup of the implant: the pin placed in the apical part of the implant was gently broken. 38). 63: Frontal view of the final result. 52). 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. The following case report describes the procedures of a complete smile makeover in a young lady with very high expectations. 8: The functional analysis revealed that the canine guidance was given by lateral incisor and first premolar whilst the deciduous canine was not involved. 33: Use of pilot drill (2.2 mm diameter). 51: Modeling of the zirconia crown to be veneered after milling on the vestibular side with ceramic. Dentsply Sirona ( previously Astra) Implants. 22-24). 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. 45). The SAC Assessment tool (based on ITI SAC Classification) can be successfully used for this matter. 48). Fig. It’s important to understand that while zirconia dental implants are VERY strong, they have less flexural give than a metal alloy implant. 5-7). 0000005465 00000 n Digital Accessories RB. Following the resin polymerization, the temporary crown was unscrewed (Fig. Zirconium implants – Straumann® PureCeramic Implant 93 456 70 03 608 53 47 93 93 450 74 74. 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% (, In the intraoral examination, a good amount of keratinized gingiva was observed by the deciduous tooth and a good overall oral hygiene was presented (, The functional analysis revealed that the canine guidance was given by lateral incisor and first premolar whilst the deciduous canine was not involved (, The radiographic evaluation with a Cone Beam Computed Tomography (CBCT) showed the extremely reduced root of the deciduous canine, the presence of an impacted left upper permanent canine and a thick cortical bone and adequate trabecular bone in the deciduous tooth site, as well as the feasibility of placing there an implant (, We evaluated each of them considering the patient’s needs. 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. 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. 0000007023 00000 n Fig. Once this step was completed, the zirconia crown was produced using this as a reference (Fig. GM Line. , A clinical case report by Sergio Piano, Italy. 58: A detail illustrating the finishing line of the preparation: It was perfectly visible and ideal for a correct cementation procedure. 45: Post-op X-ray images showing the precision of the placement. 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. 1). 29). 03/14 490.028/en/B/001. 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. 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. 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. 175 0 obj <> endobj xref 175 28 0000000016 00000 n 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. Then, the STL files related to the impressions were imported in the Dental Wings lab modeling software. Fig. 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 (, It started by using the milling cutter bur in order to create 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 (, The implant was engaged into the sleeve with the perfect guidance in the prepared bone site (, 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 (, After the adjustments, the temporary crown was placed in the patient’s mouth (, 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 (, 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. Auxiliary Parts and Screws RB. Straumann® Ceramic Healing Abutments. Patient solutions. 14: Digital impressions (DWOS Virtuo Vivo ™) are part of preliminary data acquisition along with intra and extra oral photos and CBCT exam. As described in the instructions for use, the drilling procedure was carried out until the stop, located on the drill itself. Mandibular full-arch restoration with Straumann implant-supported metal mesostructures and zirconia-based prosthesis: a case report. This allowed the placement of an immediate prosthesis. … 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. 44: After the refinements, occlusion was checked in the patient’s mouth. Their well-proven zirconia material also helps surgeons and prosthodontists looking for less plaque attachment and enhanced soft tissue healing from the day of surgery. 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. N9���%]�Ι����\(��+yg� The implant chosen for this procedure was a Straumann BLX implant (4.5 ×12.0 mm). 65-66) and finally, she was involved in a maintenance program for follow-up visits once per year. 64). 39: Occlusal view after the implant placement and the removal of the guide. 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