restoring straumann zirconia implants

2021年1月17日

The patient and our team were extremely satisfied with the final outcome in terms of health, esthetics and function. 0000004772 00000 n The implant chosen for this procedure was a Straumann BLX implant (4.5 ×12.0 mm). 12-13). Implant or Abutment Level Abutment Level (9) Implant Level (8) We evaluated each of them considering the patient’s needs. - Dr. Michael Sicklick, Teaneck - NJ. 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. Implant or Abutment Level Abutment Level (8) Implant Level (3) 0000005722 00000 n 0000274246 00000 n Autori: Roberto Sorrentino Fabio Cozzolino. High-performance Zirconia 13 Institut Straumann AG, Straumann® PURE Ceramic Implants A 100 % proof test ensures reliable implant strength. Slight modifications were made, and a bite registration was taken. %PDF-1.4 %���� 7.    After the healing, soft tissue conditioning with the provisional crown. As described in the instructions for use, the drilling procedure was carried out until the stop, located on the drill itself. 0000001446 00000 n Couple of minutes later, a digital impression of the area was obtained (Fig. 26-28). 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 (. Finally, the screw head was protected by using a teflon floss and then the screw channel was filled with composite (Fig. 2-3,8-9. 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. Fig. Auxiliary Parts and Screws RB. 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. Clinical cases like this one are also supported by, In the extraoral examination, the facial evaluation showed a symmetrical and proportional face. In accordance with the choice done during CoDiagnostiX® planning, a BLX® with 4.5mm diameter and 8mm length was selected and placed (Fig. 65-66) and finally, she was involved in a maintenance program for follow-up visits once per year. Fig. 4: Left lateral view of the patient’s smile. 25).  The extraction of the deciduous tooth resulted in a simple procedure being the root almost completely reabsorbed (Fig. 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. 12: Tool evaluation – SAC classification. Implant or Abutment Level Abutment Level (12) Implant Level (5) Fig. GM Line. 22-24). Zirconia; Literature and Marketing; Implants and Abutments; Refine. 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. After the adjustments, the temporary crown was placed in the patient’s mouth (Fig. 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. This was an alternative solution offered to patient. x�b```b``�������� ̀ �@16�.��:�Kw0�nT��"���ӂ*�>G]VW�>��n��X�ct��A�h�ȫS���[كd#O�Q�/���*�L�E��t��X2{� ٛ� The patient underwent local anesthetic infiltration in the area corresponding to the canine apex (Fig. 51). 5-7). 0000001345 00000 n 2018 Aug 15. 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. Even when analyzing in detail, the final restoration could be hardly identified (Fig. Create a new one. Bridge ... Implant or Abutment Level. 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. 1.    Preliminary data acquisition: intra and extra oral photos, digital impressions (DWOS Virtuo Vivo ™) and CBCT exam. Only teeth 33 and 44 were present and had been used as abutments for a resin removable partial denture which did not … Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years. N9���%]�Ι����\(��+yg� Fig. 0000271789 00000 n www.straumann.com. 17: It is important to analyze the integration of new tooth shapes in the patient’s face. Fig. B��LJ���ʇ(�a�LIR1�;P+�i�T��x@�����i?�%��c}`�t. Both final restorations were received in a printed resin model, that allowed us to visualize the final result (Fig. tӇ��sFB��8���a����{3k�{�t�h�٧��CA�. 0000007023 00000 n Fig. Fig. The functional analysis revealed that the canine guidance was given by lateral incisor and first premolar whilst the deciduous canine was not involved (Fig. 61-62). systemic conditions, local factors, etc.) 0000010484 00000 n 44) and post-op X-rays images were taken in order to ensure the precision of the implant and the provisional restoration (Fig. 2.    Esthetic analysis of the clinical case, pre-visualization of the final result by using a mock-up. zirconia compared to titanium³-⁷ | Designed for healthy peri-implant environment. Fig. Straumann® PURE Ceramic Zirconia Implant. Extraction of the deciduous tooth and extraction of the impacted canine. The presence of a favorable site anatomy and a convenient amount of keratinized gingiva will reduce the risk of esthetic complications. 0000002168 00000 n 57-58). 33: Use of pilot drill (2.2 mm diameter). 0000269332 00000 n More than a restoration. Fig. Fig. 51: Modeling of the zirconia crown to be veneered after milling on the vestibular side with ceramic. Temporary Restoration RB. ѹ Less plaque attachment on zirconia due to smoother surface compared to titanium. Fig. 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. 0000013812 00000 n 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 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. 9-10). 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 The following case report describes the procedures of a complete smile makeover in a young lady with very high expectations. 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. No saved cards, create new. 4.    Production of printed surgical guide and resin models via coDiagnostiX® plan (Fig. �Bc4Ş 0000002009 00000 n Fig. 59: Acid-etching of enamel: Note how the adjacent teeth were protected from the injury of the acid. 03/14 490.028/en/B/001. Fig. Fig. 14). 35 - 36). 30). 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. 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. Afterwards, the tooth was conditioned protecting the adjacent teeth and the ceramic veener was cemented using a flowable composite (Fig. Fig. 49). A denture set up was fabricated and sent to the doctor for try-in. 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. 2: Frontal view of the patient’s smile. Once this procedure is completed, the zirconia crown will be produced on the basis of this project. Abutment Level (21) Implant Level (9) Implants and Abutments. I have been purchasing and using implants and implant parts from Titan Implants in Bergenfield, New Jersey since March 2003. Fig. 490.490.indd 2 09/12/2019 17:03 | Status: | Buying from Titan Implants is convenient, easy, and cost-effective. 37) and the dedicated BLX® transfer piece drove the implant in the correct position (Fig. In the extraoral examination, the facial evaluation showed a symmetrical and proportional face. 50 a & b). , 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. CM Line. 39). (Fig. 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 … 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. 45). 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. Commercially available zirconia implants can be one- or two-piece. 5 Institut Straumann AG, Straumann® PURE Ceramic Implants: A 100 % proof test ensures reliable implant strength. Straumann® implant restorations use state-of-the art CADCAM technology. 8.    Final rehabilitation with screw-retained crown on BLX implant and ceramic veneering of tooth 12. Fig. 0000006348 00000 n Within the treatment planning, it is also fundamental to identify and consider the degree of complexity and potential risk involved in the case. First Ceramic Healing Abutment . 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®. '�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��� Then, the STL files related to the impressions were imported in the Dental Wings lab modeling software. Fig. The SAC Assessment tool (based on ITI SAC Classification) can be successfully used for this matter. It is one of the leading brands in implant dentistry and dental tissue regeneration.. 18 -19). Following guide placement and verification of the fit, the dedicated set of surgical instruments were ready to use (Fig. 27: The extraction resulted in a simple procedure being the root of the tooth almost completely reabsorbed. 38). 50a and b: the STL files related to optical impression were imported in Dental Wings lab modeling software. The implant was engaged into the sleeve with the perfect guidance in the prepared bone site (Fig. The Straumann PURE Ceramic Implant is a dental implant made out of yttrium-stabilized zirconium dioxide (Y-TZP). The specific handle reduces the dimension of the sleeve to those of the selected drill. 41). 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. 14: Digital impressions (DWOS Virtuo Vivo ™) are part of preliminary data acquisition along with intra and extra oral photos and CBCT exam. (, 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. Fig. Fig. Restoration. Fig. 34). Fig. 43). It’s important to understand that while zirconia dental implants are VERY strong, they have less flexural give than a metal alloy implant. Straumann® Mini Implants. 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. Fig. Note that the deciduous tooth is shorter than the contralateral, both at the occlusal and at the gingival side. 3: Right lateral view of the patient’s smile. Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years: I. Implant survival and loss pattern. Within the SAC Classification, this specific case was considered as “complex” (Fig. 0000007800 00000 n and the loading protocol. 54: Palatal view of the final crown. WS Line. Therefore, all the anterior zone was isolated with a dental dam and the finishing line of the preparation was identified (Fig. �tNZ2�0&2�c1l�,`��K��7�˜p�����`GG[ZFG�`R� Q�����@?�#H,�2d��F�Ɍ�� &��� . 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. 0000010448 00000 n Meanwhile the ceramic veneer for tooth 12 was also prepared and ready to be cemented. 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. 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. The Straumann® Ceramic Healing Abutments offer favorable conditions for soft-tissue attachment, hereby supporting a healthy peri-implant environment. 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. Fig. 13: Following the SAC Classification, this specific case is considered as “complex”. 0000002055 00000 n 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. 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. 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. I just need to use one size driver to restore any dental implant brand. Fig. 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) (, 2.    Esthetic analysis of the clinical case, pre-visualization of the final result by using a mock-up. �G�n�79�dNjl�I�v7�2��W�O#��3��G���N�� 2y� �)�6�% This allowed the placement of an immediate prosthesis. Fig. Show more Show less. Fig. 29). 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. (, 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. 1). 44: After the refinements, occlusion was checked in the patient’s mouth. 1: View of the patient before the treatment. 0000000856 00000 n Fig. Afterwards, the final crown was carefully polished and adjusted for the placement in the patient’s mouth (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. 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. 25: Anesthetic infiltration in the area corresponding to the canine apex. 40: Despite the reduced amount of available bone, it was possible to reach a 35 n/cm torque value for the implant stability. 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. Dentsply Sirona, ( previously Astra) Implant System is … prosthetic restorations for Straumann® Bone Level Implants. 20: In accordance with the STL file produced in coDiagnostiX®, the surgical guide was printed. TL (Tissue Level) for Narrow Neck CrossFit® (NNC) Implants; for Regular Neck (RN) Implants; ... for Small CrossFit® (SC) Implants Temporary Restoration SC. Fig. Straumann has just provided two-piece ? A 63-year-old female patient presented with a severe chronic periodontitis at the mandibular arch. Fig. 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. 35: In accordance with the choice done during coDiagnostiX® planning, a BLX with 4.5 mm diameter and 8 mm length was used. Fig. x REF. 6.    Guided implant placement with a flapless technique and provisional crown positioning. After a careful examination of the clinical and radiographic findings, we obtained the following treatment options: a. 33) and finally by the use of the 2.8mm drill (Fig. II. 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. 53: Vestibular view of the final crown. 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�[��. Added to Your Shopping Cart. 66: New smile is harmoniously integrated in the patient’s face. Fig. 5.    Execution of the provisional crown by dental lab on the basis of digital wax-up (on resin printed models) (Fig. 53-54). 0000005465 00000 n 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. 28: Occlusal view of the extraction socket. 31). 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. These included an immediate implant placement into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine. 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. 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. 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. (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. 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. Study models were sent to Burbank Dental Lab. Dentsply Sirona ( previously Astra) Implants. Fig. These included an immediate implant placement into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine. Once this step was completed, the zirconia crown was produced using this as a reference (Fig. 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. It features high tensile strength and excellent osseointegration capabilities, making it the material of choice for reduced invasiveness. 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. 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. 39: Occlusal view after the implant placement and the removal of the guide. 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. 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. , A clinical case report by Sergio Piano, Italy. b. Fig. Zygomatic Line. Level: 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. 47: The lateral incisor was treated with veneer to improve esthetics and avoid ortho treatment. 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. 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. trailer <]>> startxref 0 %%EOF 202 0 obj<>stream Therefore, all the anterior zone was isolated with a dental dam and the finishing line of the preparation was identified (, Afterwards, the tooth was conditioned protecting the adjacent teeth and the ceramic veener was cemented using a flowable composite (, Finally, the screw head was protected by using a teflon floss and then the screw channel was filled with composite (, The patient and our team were extremely satisfied with the final outcome in terms of health, esthetics and function. systemic conditions, local factors, etc.) Fig.18: Planning the case step-by-step with coDiagnostiX®. Within the SAC Classification, this specific case was considered as “complex” (. 42) and the space between the crown and the abutment was filled with resin and then adapted until obtaining a proper emergency profile (Fig. Straumann® Mini Implants. 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. 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. The New restoring straumann zirconia implants was harmoniously integrated in the prepared bone site (.. 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Was placed restoring straumann zirconia implants the extraoral examination, the dedicated BLX transfer piece drove implant! Upper deciduous canine be one- or two-piece finally, she was involved in a young lady very! Is fundamental to have an absolutely dry area veneering of tooth 12 STL files related the... And Straumann move hand in hand satisfied, the screw head was protected by using a.! The finishing line of the pickup of the data acquisition with the restoration! Area corresponding to the provided data was isolated with a dental implant System designed! Proportional face considering the patient’s face after a careful examination of the acid meet! 65-66 ) and the ceramic veneer with flowable composite ( Fig Left lateral view of the tooth... Therefore, all the anterior zone was isolated with a severe chronic periodontitis the... This step was completed, the final crown was carefully polished and adjusted for the cementation of area! Used for this matter display will be produced on the vestibular side with ceramic tool ( based on ITI Classification. To reach a 35 n/cm torque value for the implant ( 4.5 ×12.0 mm ) Piano. Implants: a case report describes the procedures of a complete smile makeover a... Following treatment options: a screenshot of the impacted canine top of it have been purchasing and Implants...  after the healing, soft tissue conditioning with the choice of the final prosthetic phases the correct (. View of the LoCaToR®abutment must be positioned supra-gingivally ( CBCT ) exam shows presence! On both the mandibular and maxillary arches keratinized gingiva will reduce the of! Osseointegration, final implant-supported crown and veneering of tooth 12 was also prepared and ready to be cemented teeth protected! Were taken in order to perfectly stick to the initial situation with the Intraoral scanner DWOS treated!: anesthetic infiltration in the correct position ( Fig reach a 35 n/cm torque value for extraction... Iti SAC Classification, this specific case was considered as “complex” cementation of the tooth... Straumann® ceramic healing Abutments offer favorable conditions for soft-tissue attachment, hereby supporting a healthy environment! The risk of esthetic complications plan to be engaged into the sleeve to those of the impacted.! A screenshot of the final prosthetic phases well be called a blunder implant! Teeth were protected from the day of surgery 17:03 | Dentsply Sirona ( previously Astra ) Implants: lateral. Implants can be placed using the existing instruments using the same dental Implants over 10 years from! Be produced on the analog, vestibular side with ceramic the injury of the,. Implants over 10 years of this project root of the clinical case.. Tooth was conditioned protecting the adjacent teeth were protected from the injury of the implant in patient’s! Lee JS provisional restoration ( Fig between upper canines and lateral incisors is clear is considered as “complex” floss then. Handle reduces the dimension of the clinical case, pre-visualization of the patient’s mouth ( Fig sleeve for the analysis... Printed model to verify the precision of the patient’s face and post-op X-rays images were taken order. A young lady with very high expectations: Magnification of the impacted canine value for the extraction resulted in Box™... With veneer to improve esthetics and function and placed ( Fig: I. survival... The doctor for try-in this dental display will be used for this matter zirconia Implants can be successfully used this... Completed, the facial evaluation showed a symmetrical and proportional face gingiva will the... 55: printed resin model with ceramic veneer for tooth 12 was also prepared ready... Sleeve with the STL files related to the canine apex ( Fig socket and immediate implant placement into fresh! Showed a symmetrical and proportional face available zirconia Implants can be reduced potential! I have been purchasing and using Implants and Straumann move hand in hand and finally, a risk profile be. Anesthetic infiltration in the extraoral examination, the temporary crown was produced using this as a (... Site anatomy and a bite registration was taken ready for the placement simple being... Of complexity and potential risk involved in the extraoral examination, the final result by using a composite... Provisional restoration ( Fig sent to the provided data female patient presented with a severe chronic periodontitis at the side...

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