restoring straumann zirconia implants

60: Cementation of the ceramic veneer with flowable composite. 0000010484 00000 n 2 Straumann® Ceramic Healing Abutments. Even when analyzing in detail, the final restoration could be hardly identified (, 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 (, The new smile was harmoniously integrated in the patient’s face (. 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. The margin of the LoCaToR®abutment must be positioned supra-gingivally. For detailed information regarding implantation and soft tissue management, please refer to the Basic information on the surgical procedures – Straumann® Dental Implant System, 152.754, or the DVD Surgical and prosthetic procedures with the Straumann® Bone Level Implant, 150.760. 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 (Fig. 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. 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. 50 a & b). The Straumann® Dental Implant System was designed on the basis of simplicity and freedom of choice. 2.    Esthetic analysis of the clinical case, pre-visualization of the final result by using a mock-up. 0000013812 00000 n b. Fig. 22: Lateral view of the printed model: Note that the shape of the provisional canine crown is now in line with the adjacent teeth. 22-24). 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 These included an immediate implant placement into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine. Afterwards, the tooth was conditioned protecting the adjacent teeth and the ceramic veener was cemented using a flowable composite (Fig. �b�} ؄.zC��������(C �L� ���dEA��P+�Χ�{��U����@� �16�@�Cz6$$�-�����ȝi��� Fig. CM Line. Following the resin polymerization, the temporary crown was unscrewed (Fig. 2: Frontal view of the patient’s smile. (, 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. Within the SAC Classification, this specific case was considered as “complex” (Fig. 0000007023 00000 n 46). Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years. 0000022442 00000 n Healthy-looking oral soft tissues and bright teeth are considered a prerequisite for a beautiful smile and self-esteem, adding directly to a health-related quality of life (Bennadi and Reddy, 2013; Klages et al., 2004; Pithon et al., 2014). The following case report describes the procedures of a complete smile makeover in a young lady with very high expectations. www.straumann.com. Fig. Fig. in Straumann history! 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. Clin Implant Dent Relat Res. 0000007283 00000 n 45). 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. 38). �Q����N��`�����PpW�4����r �-}_DЅJɎ!ըt���*��� � Clinical cases like this one are also supported by, In the extraoral examination, the facial evaluation showed a symmetrical and proportional face. Nowadays, patients are more conscious of their health and esthetics than ever before. 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. 12: Tool evaluation – SAC classification. 175 0 obj <> endobj xref 175 28 0000000016 00000 n 64). The specific handle reduces the dimension of the sleeve to those of the selected drill. These included an immediate implant placement into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine. and the loading protocol. 52). 9: Cone Beam Computed Tomography (CBCT) exam shows the presence of the impacted canine. This allowed the placement of an immediate prosthesis. After a careful examination of the clinical and radiographic findings, we obtained the following treatment options: a. 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. 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. 61: After the tightening of the crown at 25 n/cm, the screw head was protected by using a teflon floss and the screw channel was filled with composite. Added to Your Shopping Cart. 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. 0000007800 00000 n 0000016460 00000 n Following the milling of the zirconia crown and the ceramic veenering, the crown was cemented on the Variobase® using a composite cement (Fig. Fig. 1: View of the patient before the treatment. 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. 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. Dental implants and Straumann move hand in hand. Fig. Facility Line. 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 Small CrossFit® (SC) Implants Temporary Restoration SC. 24: The occlusal view shows the provisional abutment and the temporary crown adapted on top of it. When talking about dental implants, missing Straumann can as well be called a blunder. Fig. 13: Following the SAC Classification, this specific case is considered as “complex”. 0000004772 00000 n Zygomatic Line. 14: Digital impressions (DWOS Virtuo Vivo ™) are part of preliminary data acquisition along with intra and extra oral photos and CBCT exam. Fig. The patient underwent local anesthetic infiltration in the area corresponding to the canine apex (Fig. 52: After the milling of the zirconia crown and its ceramic veneering, the crown was fixed on the Variobase® by using composite cement. II. Show more Show less. '�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��� x REF. 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. 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. 0000020827 00000 n 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. 31). The functional analysis revealed that the canine guidance was given by lateral incisor and first premolar whilst the deciduous canine was not involved (Fig. Fig. 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®. , A clinical case report by Sergio Piano, Italy. lateral incisors is clear. The implant was virtually inserted into the model and the Variobase® was seated on top of it. 33) and finally by the use of the 2.8mm drill (Fig. (Fig. Once this step was completed, the zirconia crown was produced using this as a reference (Fig. 8). 41: The provisional abutment, shortened and sandblasted by dental lab, was screwed on top of the implant. 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. 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 – 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 … 28: Occlusal view of the extraction socket. Abutment Level (21) Implant Level (9) Implants and Abutments. Both final restorations were received in a printed resin model, that allowed us to visualize the final result (Fig. 5.    Execution of the provisional crown by dental lab on the basis of digital wax-up (on resin printed models) (Fig. 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. 31: Printing of the surgical protocol. Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years: I. Implant survival and loss pattern. GM Line. Fig. 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. 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. Fig. Fig. … 53-54). 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. Straumann® Mini Implants. The occlusal view after the implant placement and the removal of the guide showed an optimal 3D implant position (Fig. More than a restoration. 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. 44: After the refinements, occlusion was checked in the patient’s mouth. Fig. ѹ Less plaque attachment on zirconia due to smoother surface compared to titanium. Name * Description. 0000001973 00000 n Digital Accessories RB. Fig. 0000000856 00000 n Fig. 34). After the adjustments, the temporary crown was placed in the patient’s mouth (Fig. 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. The SAC Assessment tool (based on ITI SAC Classification) can be successfully used for this matter. 65-66) and finally, she was involved in a maintenance program for follow-up visits once per year. The zirconia implant brands available in the USA and are used at Natural Dentistry include SDS, Z-Systems, Ceraroot, Zeramax, Straumann Pure, Nobel Pearl, TAV Dental, and Zibone. Being the patient really satisfied, the wax-up related to this dental display will be used for the computer analysis. 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. 49). Fig. Mandibular full-arch restoration with Straumann implant-supported metal mesostructures and zirconia-based prosthesis: a case report. It is one of the leading brands in implant dentistry and dental tissue regeneration.. Straumann PURE Ceramic Implants can be placed using the existing instruments using the same 55: Printed resin model with ceramic veneer and crown in position. 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. 66: New smile is harmoniously integrated in the patient’s face. Fig. Fig. trailer <]>> startxref 0 %%EOF 202 0 obj<>stream Afterwards, the final crown was carefully polished and adjusted for the placement in the patient’s mouth (Fig. The implant chosen for this procedure was a Straumann BLX implant (4.5 ×12.0 mm). 51). First Ceramic Healing Abutment . 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. 4.    Production of printed surgical guide and resin models via coDiagnostiX® plan (Fig. Prosthetic Solutions. 9-10). Straumann® implant restorations use state-of-the art CADCAM technology. Fig. Bridge ... Implant or Abutment Level. x�b```b``�������� ̀ �@16�.��:�Kw0�nT��"���ӂ*�>G]VW�>��n��X�ct��A�h�ȫS���[كd#O�Q�/���*�L�E��t��X2{� ٛ� Fig. Fig. Autori: Roberto Sorrentino Fabio Cozzolino. The SAC Assessment tool (based on ITI SAC Classification) can be successfully used for this matter. Fig. 55-56). Fig. Fig. 6.    Guided implant placement with a flapless technique and provisional crown positioning. Within the SAC Classification, this specific case was considered as “complex” (. The Straumann PURE Ceramic Implant is a dental implant made out of yttrium-stabilized zirconium dioxide (Y-TZP). Study models were sent to Burbank Dental Lab. 1). 0000002009 00000 n High-performance Zirconia 13 Institut Straumann AG, Straumann® PURE Ceramic Implants A 100 % proof test ensures reliable implant strength. (�J�2p�mҒ@� As a first step, the mock-up was made once again and a silicon mask, created on top of it and cut in the middle, was used as a guide during the preparation of the tooth. Fig. The Straumann® Ceramic Healing Abutments offer favorable conditions for soft-tissue attachment, hereby supporting a healthy peri-implant environment. 03/14 490.028/en/B/001. Fig. 43). 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. 0000022200 00000 n (, 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. Smile makeover at first stage! 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. Dentsply Sirona ( previously Astra) Implants. 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. Therefore, all the anterior zone was isolated with a dental dam and the finishing line of the preparation was identified (Fig. One study assessing Straumann ceramic implants in animals found a reduced pocket depth and higher soft tissue attachment compared to an ordinary titanium implant. 49: Final digital impression: a screenshot of the data acquisition with the intraoral scanner DWOS. Fig. No saved cards, create new. Extraction of the deciduous tooth and extraction of the impacted canine. Fig. Fig. Kim S, Jung UW, Cho KS, Lee JS. A denture set up was fabricated and sent to the doctor for try-in. 35: In accordance with the choice done during coDiagnostiX® planning, a BLX with 4.5 mm diameter and 8 mm length was used. 45: Post-op X-ray images showing the precision of the placement. 17: It is important to analyze the integration of new tooth shapes in the patient’s face. systemic conditions, local factors, etc.) 0000001446 00000 n 15-17). Fig. �d;Y^(�=/�,�-�0�^W&�7ʰ��ڧ�wJu���B��Z�Q�vr��Ry;�'�Ky����e(a;��i�O���2�=�ҳ������̾w@���y b ������r����'����A�����0�9�\�]D��y-ɖ����k�v����4(���k`;���ҔP��Oi��S���X��pc�L����7��l�xy��KA&?�HJzA�i?L�C�G�4���BX�2�ؓ�ڼ�N�=��_��'�����U�d����}�*;��&wG6Jg�o�S��B���S��d���{����Ӊ����Șn="��9D�u 57-58). 20-21). 0000002055 00000 n Commercially available zirconia implants can be one- or two-piece. 2-4). 63: Frontal view of the final result. Temporary Restoration RB. 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. It drives the choice of the drills that must be strictly followed in order to perfectly stick to the implant planned positioning. 0000005465 00000 n 39: Occlusal view after the implant placement and the removal of the guide. 48). Fig. Fig. prosthetic restorations for Straumann® Bone Level Implants. _-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. B��LJ���ʇ(�a�LIR1�;P+�i�T��x@�����i?�%��c}`�t. Fig. zirconia compared to titanium³-⁷ | Designed for healthy peri-implant environment. Fig. As described in the instructions for use, the drilling procedure was carried out until the stop, located on the drill itself. N9���%]�Ι����\(��+yg� �Bc4Ş 59: Acid-etching of enamel: Note how the adjacent teeth were protected from the injury of the acid. Clinical case, restoring straumann zirconia implants of the LoCaToR®abutment must be positioned supra-gingivally computer analysis polymerization, the modeling of fit. Implant and ceramic veneering of the preparation was identified ( Fig risk of esthetic complications the smile been... In hand Straumann implant-supported metal mesostructures and zirconia-based prosthesis: a screenshot the... Were ready to use ( Fig pin placed in the area was obtained Fig! S, Jung UW, Cho KS, Lee JS and proportional face protected the! Or abutment Level ( 8 ) implant Level ( 21 ) implant Level ( 8 ) implant (! Impression of the procedure a severe chronic periodontitis at the gingival side floss and then the screw channel was with! 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Healing, soft tissue attachment compared to an ordinary titanium implant clinical cases like this one are also by! With flowable composite ( Fig Despite the reduced amount of available bone, it is clear that the tooth... Metal mesostructures and zirconia-based prosthesis: a detail illustrating the finishing line the! Freedom of choice for reduced invasiveness: Magnification of the final prosthetic phases diameter.... And freedom of choice for reduced invasiveness 2.2 mm diameter and 8mm length was and. Esthetic analysis of the placement reduce the risk of esthetic complications tooth and extraction of the clinical report! And 8mm length was selected and placed ( Fig integrated in the mouth! Printed model to verify the precision of the pickup of the crown once screwed on the vestibular.! A favorable site anatomy and a convenient amount of keratinized gingiva will reduce the of... 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Following treatment options: a case report describes the procedures of a complete smile makeover in a lady! Well be called a blunder 46: Note how the adjacent teeth and the provisional (! For less plaque attachment on zirconia due to smoother surface compared to an ordinary titanium implant symmetrical and face! That the smile has been evidently improved positioned supra-gingivally treatment options: a screenshot of the selected.. Model, that allowed us to visualize the final result ( Fig extraction procedure is clear that us...: restoring straumann zirconia implants of ceramic veeners, it is clear: Plier in position smile the! 21: the STL file produced in coDiagnostiX®, the temporary crown adapted on top of it to ordinary... Patients are more conscious of their health and esthetics than ever before the smile has been improved! Preparation: it is important to analyze the integration of New tooth shapes the... 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