60: Cementation of the ceramic veneer with flowable composite. Fig. 38). 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. �tNZ2�0&2�c1l�,`��K��7�˜p�����`GG[ZFG�`R� Q�����@?�#H,�2d��F�Ɍ�� &��� . Fig. Meanwhile the ceramic veneer for tooth 12 was also prepared and ready to be cemented. prosthetic restorations for Straumann® Bone Level Implants. 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. The implant was engaged into the sleeve with the perfect guidance in the prepared bone site (Fig. 6: Intraoral view: The discrepancy between upper canines and 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. 0000250494 00000 n 0000271789 00000 n 490.490.indd 2 09/12/2019 17:03 | 57-58). 5.    Execution of the provisional crown by dental lab on the basis of digital wax-up (on resin printed models) (Fig. … Fig. Fig. More than a restoration. 20: In accordance with the STL file produced in coDiagnostiX®, the surgical guide was printed. 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 �G�n�79�dNjl�I�v7�2��W�O#��3��G���N�� 2y� �)�6�% 7.    After the healing, soft tissue conditioning with the provisional crown. Fig. Zirconium implants – Straumann® PureCeramic Implant 93 456 70 03 608 53 47 93 93 450 74 74. Fig. Facility Line. Mandibular full-arch restoration with Straumann implant-supported metal mesostructures and zirconia-based prosthesis: a case report. Fig. 53-54). 41: The provisional abutment, shortened and sandblasted by dental lab, was screwed on top of the implant. The margin of the LoCaToR®abutment must be positioned supra-gingivally. 45: Post-op X-ray images showing the precision of the placement. (�J�2p�mҒ@� Afterwards, the final crown was carefully polished and adjusted for the placement in the patient’s mouth (Fig. ��@��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 Fig. zirconia compared to titanium³-⁷ | Designed for healthy peri-implant environment. 36: A detail of the pickup of the implant: the pin placed in the apical part of the implant was gently broken. Fig. 44: After the refinements, occlusion was checked in the patient’s mouth. Fig. 49). Fig. Fig. Fig. Zygomatic Line. 14: Digital impressions (DWOS Virtuo Vivo ™) are part of preliminary data acquisition along with intra and extra oral photos and CBCT exam. 24: The occlusal view shows the provisional abutment and the temporary crown adapted on top of it. The following case report describes the procedures of a complete smile makeover in a young lady with very high expectations. 8). 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. 0000016460 00000 n 6.    Guided implant placement with a flapless technique and provisional crown positioning. 0000022200 00000 n Zirconia; Literature and Marketing; Implants and Abutments; Refine. Fig. 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. 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. (Fig. Dental implants and Straumann move hand in hand. Fig. These included an immediate implant placement into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine. A denture set up was fabricated and sent to the doctor for try-in. 51: Modeling of the zirconia crown to be veneered after milling on the vestibular side with ceramic. High-performance Zirconia 13 Institut Straumann AG, Straumann® PURE Ceramic Implants A 100 % proof test ensures reliable implant strength. 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. Comparing the image related to the initial situation with the planned one, it is clear that the smile has been evidently improved. 26-28). Fig. Straumann® implant restorations use state-of-the art CADCAM technology. 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. 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® Ceramic Healing Abutments offer favorable conditions for soft-tissue attachment, hereby supporting a healthy peri-implant environment. 11). The presence of a favorable site anatomy and a convenient amount of keratinized gingiva will reduce the risk of esthetic complications. 3: Right lateral view of the patient’s smile. It’s important to understand that while zirconia dental implants are VERY strong, they have less flexural give than a metal alloy implant. 0000007800 00000 n 2-3,8-9. 43: Image of the crown once screwed on the analog, vestibular side. 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. 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. These included an immediate implant placement into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine. 0000007023 00000 n Straumann® PURE Ceramic Zirconia Implant. 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. 65: The pleasant smile of the patient, Fig. Status: | Clinical cases like this one are also supported by Straumann® Smile in a Box™ - a flexible treatment planning and manufacturing service. 55-56). 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. 66: New smile is harmoniously integrated in the patient’s face. 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 Straumann® Ceramic Healing Abutments. 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. 0000237637 00000 n in Straumann history! 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. I have been purchasing and using implants and implant parts from Titan Implants in Bergenfield, New Jersey since March 2003. Prosthetic Solutions. '�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��� lateral incisors is clear. 52: After the milling of the zirconia crown and its ceramic veneering, the crown was fixed on the Variobase® by using composite cement. Fig. 25).  The extraction of the deciduous tooth resulted in a simple procedure being the root almost completely reabsorbed (Fig. 0000000856 00000 n Within the SAC Classification, this specific case was considered as “complex” (Fig. Fig. 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. Custom CAD Abutment / Crown Package Straumann® CARES® Titanium Abutment with Crown (Cement or Screw-Retained) Straumann® CARES® Zirconia Abutment with Crown Straumann® Variobase® Abutment with Crown (Cement or Screw-Retained) Fig. 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. Temporary Restoration RB. The use of BLX® implant, thanks to its specific design and surface, will guarantee an optimal stability needed for the immediate implant placement and provisional prosthesis despite the reduced length of the implant site. 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