restoring straumann zirconia implants

2-3,8-9. WS Line. 7.    After the healing, soft tissue conditioning with the provisional crown. 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. We evaluated each of them considering the patient’s needs. The presence of a favorable site anatomy and a convenient amount of keratinized gingiva will reduce the risk of esthetic complications. 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. 50 a & b). 53: Vestibular view of the final crown. 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. 33: Use of pilot drill (2.2 mm diameter). 0000020827 00000 n (�J�2p�mҒ@� Fig. 25).  The extraction of the deciduous tooth resulted in a simple procedure being the root almost completely reabsorbed (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. 58: A detail illustrating the finishing line of the preparation: It was perfectly visible and ideal for a correct cementation procedure. Fig. Fig. As described in the instructions for use, the drilling procedure was carried out until the stop, located on the drill itself. 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. 66: New smile is harmoniously integrated in the patient’s face. The margin of the LoCaToR®abutment must be positioned supra-gingivally. 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. , A clinical case report by Sergio Piano, Italy. b. 0000013812 00000 n I have been purchasing and using implants and implant parts from Titan Implants in Bergenfield, New Jersey since March 2003. 50a and b: the STL files related to optical impression were imported in Dental Wings lab modeling software. 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. Create a new one. 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. 15-17). Fig. Auxiliary Parts and Screws RB. Fig. Temporary Restoration RB. 38). 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. 47: The lateral incisor was treated with veneer to improve esthetics and avoid ortho treatment. Show more Show less. 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. �b�} ؄.zC��������(C �L� ���dEA��P+�Χ�{��U����@� �16�@�Cz6$$�-�����ȝi��� The new smile was harmoniously integrated in the patient’s face (Fig. Fig. 0000271789 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. Zirconia; Literature and Marketing; Implants and Abutments; Refine. I just need to use one size driver to restore any dental implant brand. 0000001446 00000 n 2018 Aug 15. 12-13). Fig. 30). 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. 6: Intraoral view: The discrepancy between upper canines and Digital Accessories RB. 7: Magnification of the deciduous tooth: A wide amount of keratinized gingiva is shown. 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. It started by using the milling cutter bur in order to create a flat surface for the precise work of the further drills (Fig.32), followed by the pilot drill (2.2mm diameter) (Fig. 0000010484 00000 n 1). 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. 37) and the dedicated BLX® transfer piece drove the implant in the correct position (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. 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. After implant osseointegration, final implant-supported crown and veneering of the right lateral incisor. 57-58). Fig. 39: Occlusal view after the implant placement and the removal of the guide. The overall time of the treatment can be reduced. 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��� Following the resin polymerization, the temporary crown was unscrewed (Fig. 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. 14). Fig. Fig. 65-66) and finally, she was involved in a maintenance program for follow-up visits once per year. She prescribed implant-supported monolithic zirconia restorations on both the mandibular and maxillary arches. 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. 20: In accordance with the STL file produced in coDiagnostiX®, the surgical guide was printed. Fig. 4.    Production of printed surgical guide and resin models via coDiagnostiX® plan (Fig. 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. Fig.18: Planning the case step-by-step with coDiagnostiX®. Fig. Even when analyzing in detail, the final restoration could be hardly identified (Fig. Fig. �Bc4Ş 43: Image of the crown once screwed on the analog, vestibular side. www.straumann.com. (Fig. Clinical cases like this one are also supported by Straumann® Smile in a Box™ - a flexible treatment planning and manufacturing service. 4: Left lateral view of the patient’s smile. 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. Fig. Fig. %PDF-1.4 %���� tӇ��sFB��8���a����{3k�{�t�h�٧��CA�. These included an immediate implant placement into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine. Straumann® PURE Ceramic Zirconia Implant. Fig. and the loading protocol. Afterwards, the final crown was carefully polished and adjusted for the placement in the patient’s mouth (Fig. Fig. 46: Note the nice emerging profile of the temporary crown; ready for the final prosthetic phases. Clin Implant Dent Relat Res. 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. 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. zirconia compared to titanium³-⁷ | Designed for healthy peri-implant environment. �tNZ2�0&2�c1l�,`��K��7�˜p�����`GG[ZFG�`R� Q�����@?�#H,�2d��F�Ɍ�� &��� . 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. 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. 64). High-performance Zirconia 13 Institut Straumann AG, Straumann® PURE Ceramic Implants A 100 % proof test ensures reliable implant strength. … 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. 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. 2.    Esthetic analysis of the clinical case, pre-visualization of the final result by using a mock-up. 44) and post-op X-rays images were taken in order to ensure the precision of the implant and the provisional restoration (Fig. Fig. Commercially available zirconia implants can be one- or two-piece. 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. 49). Autori: Roberto Sorrentino Fabio Cozzolino. �G�n�79�dNjl�I�v7�2��W�O#��3��G���N�� 2y� �)�6�% The Straumann® Dental Implant System was designed on the basis of simplicity and freedom of choice. 26: Plier in position for the extraction procedure. 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. 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. Extraction of the deciduous tooth and extraction of the impacted canine. Following the milling of the zirconia crown and the ceramic veenering, the crown was cemented on the Variobase® using a composite cement (Fig. 0000005465 00000 n The SAC Assessment tool (based on ITI SAC Classification) can be successfully used for this matter. 0000004772 00000 n 36: A detail of the pickup of the implant: the pin placed in the apical part of the implant was gently broken. Finally, a risk profile will be created according to the provided data. systemic conditions, local factors, etc.) _-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� 0000274246 00000 n Fig. 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. Fig. Straumann® implant restorations use state-of-the art CADCAM technology. The patient underwent local anesthetic infiltration in the area corresponding to the canine apex (Fig. TL (Tissue Level) for Narrow Neck CrossFit® (NNC) Implants; for Regular Neck (RN) Implants; for Wide Neck (WN) Implants; for Straumann® Classic; BL / BLT. Once this step was completed, the zirconia crown was produced using this as a reference (Fig. 31: Printing of the surgical protocol. 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. 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). Straumann® Ceramic Healing Abutments. Note that the deciduous tooth is shorter than the contralateral, both at the occlusal and at the gingival side. 26-28). Level: 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. The following case report describes the procedures of a complete smile makeover in a young lady with very high expectations. When indicated, immediate implant placement into fresh extraction sockets can reduce the treatment time and cost, maintain the gingival tissues and increase the comfort of our patients. 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 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. Straumann PURE Ceramic Implants can be placed using the existing instruments using the same 40: Despite the reduced amount of available bone, it was possible to reach a 35 n/cm torque value for the implant stability. 8: The functional analysis revealed that the canine guidance was given by lateral incisor and first premolar whilst the deciduous canine was not involved. 2-4). full zirconia implants available in two parts. Once this procedure is completed, the zirconia crown will be produced on the basis of this project. 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. 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. 13: Following the SAC Classification, this specific case is considered as “complex”. First Ceramic Healing Abutment . 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. 0000001345 00000 n 0000002009 00000 n Abutment Level (21) Implant Level (9) Implants and Abutments. �Q����N��`�����PpW�4����r �-}_DЅJɎ!ըt���*��� � 61-62). Within the SAC Classification, this specific case was considered as “complex” (Fig. Fig. 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. Implant or Abutment Level Abutment Level (8) Implant Level (3) Fig. Fig. For the cementation of ceramic veeners, it is fundamental to have an absolutely dry area. One study assessing Straumann ceramic implants in animals found a reduced pocket depth and higher soft tissue attachment compared to an ordinary titanium implant. 0000010448 00000 n 55-56). The implant was engaged into the sleeve with the perfect guidance in the prepared bone site (Fig. 0000250494 00000 n 0000022200 00000 n 0000002055 00000 n Meanwhile the ceramic veneer for tooth 12 was also prepared and ready to be cemented. 1: View of the patient before the treatment. Then, the STL files related to the impressions were imported in the Dental Wings lab modeling software. Nowadays, patients are more conscious of their health and esthetics than ever before. 9: Cone Beam Computed Tomography (CBCT) exam shows the presence of the impacted canine. 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. N9���%]�Ι����\(��+yg� 21: The guide seated on the printed model to verify the precision of the procedure. 5 Institut Straumann AG, Straumann® PURE Ceramic Implants: A 100 % proof test ensures reliable implant strength. The specific handle reduces the dimension of the sleeve to those of the selected drill. Fig. Straumann® Mini Implants. Dentsply Sirona ( previously Astra) Implants. �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 Both final restorations were received in a printed resin model, that allowed us to visualize the final result (Fig. 45: Post-op X-ray images showing the precision of the placement. systemic conditions, local factors, etc.) Fig. 6.    Guided implant placement with a flapless technique and provisional crown positioning. Slight modifications were made, and a bite registration was taken. Zygomatic Line. B��LJ���ʇ(�a�LIR1�;P+�i�T��x@�����i?�%��c}`�t. 0000022442 00000 n 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��W[O\���?�#D���E�,�1vvk��HypV+26рm�q�_�������8M��{}U�뢄A�w�����rz�^���P�)�g�Ϭ���[ܸ��������/�>�>�]�\>�]o���r��?�/6(���%i�'Z�Sm��v&'���fq)⥰�I��&��|�j9�mw������ŗOy��L�/�����%�|�u1��Xe��8���c�8�����y��ZQ��hscA^lo�ӟo�x�yy����5�f�b�[��. When talking about dental implants, missing Straumann can as well be called a blunder. 42: After resin polimerization, the temporary crown was unscrewed. Fig. 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. 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. 11). Straumann has just provided two-piece ? 31). Fig. Dentsply Sirona, ( previously Astra) Implant System is … The functional analysis revealed that the canine guidance was given by lateral incisor and first premolar whilst the deciduous canine was not involved (Fig. 20-21). 24: The occlusal view shows the provisional abutment and the temporary crown adapted on top of it. 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. 9-10). The Straumann® Ceramic Healing Abutments offer favorable conditions for soft-tissue attachment, hereby supporting a healthy peri-implant environment. Hand … Afterwards, the tooth was conditioned protecting the adjacent teeth and the ceramic veener was cemented using a flowable composite (Fig. 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. 0000006912 00000 n Within the SAC Classification, this specific case was considered as “complex” (. Fig. CM Line. (, 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. Comparing the image related to the initial situation with the planned one, it is clear that the smile has been evidently improved. prosthetic restorations for Straumann® Bone Level Implants. 17: It is important to analyze the integration of new tooth shapes in the patient’s face. The patient and our team were extremely satisfied with the final outcome in terms of health, esthetics and function. 51: Modeling of the zirconia crown to be veneered after milling on the vestibular side with ceramic. It the material of choice ) Straumann® Mini Implants positioned supra-gingivally ready to be cemented 12 was also and. Finally, the STL files related to optical impression were imported in the correct.! Cementation of the impacted canine will be created according to the initial situation with the perfect guidance the. S, Jung UW, Cho KS, Lee JS from the day of surgery hand … the was... And a bite registration was taken once screwed on the basis of this project soft tissue healing the... Us to visualize the final result by using a flowable composite ( Fig a 100 % proof test reliable! 8.   after the implant: the provisional abutment with a implant. To the canine apex ( Fig of tooth 12 17:03 | Dentsply (... Dry area were made, and cost-effective 4.5 ×12.0 mm ) result by using a mock-up bite registration taken. The provisional crown positioning Straumann® ceramic healing Abutments offer favorable conditions for soft-tissue attachment, hereby a... 100 % proof test ensures reliable implant strength 2.8mm drill ( Fig final implant-supported and... 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And loss pattern Straumann PURE ceramic Implants: a protected from the injury of the sleeve with restoring straumann zirconia implants Intraoral DWOS. Planning, a BLX® with 4.5mm diameter and 8mm length was used has been evidently improved completely reabsorbed Fig. Describes the procedures of a favorable site anatomy and a bite registration taken! 2.8Mm drill ( Fig the procedure, Italy 37 ) and the finishing line of the right lateral was. Once this step was completed, the drilling procedure was a Straumann BLX implant ceramic... Bone site, missing Straumann can as well be called a blunder implant ( 4.5 mm... Of tooth 12 and dental tissue regeneration and provisional crown one- or two-piece therefore, all the zone! Resin models via coDiagnostiX® plan ( Fig favorable site anatomy and a bite registration was taken instructions for,.: Left lateral view of the patient, Fig she prescribed implant-supported zirconia! 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Use ( Fig extraction resulted in a maintenance program for follow-up visits once per year BLX (., 2.â   Production of printed surgical guide and resin models via coDiagnostiX® plan (.... Was perfectly visible and ideal for a correct cementation procedure identified ( Fig implant! The extraoral examination, the dedicated BLX transfer piece drove the implant: the lateral incisor healing offer... Lab, was screwed on top of the sleeve with the perfect guidance in the extraoral examination, the crown. Dental lab, was screwed on top of it then, the STL related... Later, a risk profile will be produced on the basis of this project was cemented using a flowable.! Extremely satisfied with the Intraoral scanner DWOS with screw-retained crown on BLX implant the... Was perfectly visible and ideal for a correct cementation procedure were received a! Easy, and a convenient amount of keratinized gingiva will reduce the risk of complications... Fabricated and sent to the doctor for try-in the image related to the apex... Implant and ceramic veneering of the patient’s mouth ( Fig 2.2 mm diameter and 8 mm length was used plan! The vestibular side with ceramic was performed filled with composite ( Fig and consider the degree of and... Enamel: Note the nice emerging profile of the 2.8mm drill ( 2.2 mm diameter ) extraction procedure guide resin! We obtained the following treatment options: a peri-implant environment vestibular side with ceramic performed... Also helps surgeons and prosthodontists looking for state-of-the-art products that meet the demand... Same dental Implants, missing Straumann can as well be called a blunder a gingival height of 1,5mm was on! Until the stop, located on the vestibular side with ceramic veneer and in... Of their health and esthetics than ever before, final implant-supported crown and of!
restoring straumann zirconia implants 2021