Then, the STL files related to the impressions were imported in the Dental Wings lab modeling software. The amount of keratinized gingiva will also allow to start the soft tissue conditioning around the canine at the time of the provisional crown placement. No saved cards, create new. 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. 42: After resin polimerization, the temporary crown was unscrewed. However, it is not only important to perform a careful decision-making process in order to define our clinical approach and workflow, but also to select the proper quality and design of materials for our treatments. 17: It is important to analyze the integration of new tooth shapes in the patient’s face. Dental implants and Straumann move hand in hand. 0000004772 00000 n This allowed the placement of an immediate prosthesis. Zirconium implants – Straumann® PureCeramic Implant 93 456 70 03 608 53 47 93 93 450 74 74. Fig. Straumann PURE Ceramic Implants can be placed using the existing instruments using the same Fig. Meanwhile the ceramic veneer for tooth 12 was also prepared and ready to be cemented. As described in the instructions for use, the drilling procedure was carried out until the stop, located on the drill itself. Looking for state-of-the-art products that meet the increasing demand for esthetic implant-borne restorations? 53-54). 2 Straumann® Ceramic Healing Abutments. 0000000856 00000 n Straumann® Mini Implants. 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. 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. She prescribed implant-supported monolithic zirconia restorations on both the mandibular and maxillary arches. 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. One study assessing Straumann ceramic implants in animals found a reduced pocket depth and higher soft tissue attachment compared to an ordinary titanium implant. Fig. These included an immediate implant placement into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine. 0000005465 00000 n 20: In accordance with the STL file produced in coDiagnostiX®, the surgical guide was printed. 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. Once this step was completed, the zirconia crown was produced using this as a reference (Fig. Fig. The Straumann® Ceramic Healing Abutments offer favorable conditions for soft-tissue attachment, hereby supporting a healthy peri-implant environment. J!�� S|��4�K��ZX6070>d��p��X��l�Q���2]A� Both final restorations were received in a printed resin model, that allowed us to visualize the final result (Fig. Being the patient really satisfied, the wax-up related to this dental display will be used for the computer analysis. The implant was virtually inserted into the model and the Variobase® was seated on top of it. 0000013812 00000 n Fig. 20-21). 2-3,8-9. 40). 4: Left lateral view of the patient’s smile. Slight modifications were made, and a bite registration was taken. Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years: I. Implant survival and loss pattern. Comparing the image related to the initial situation with the planned one, it is clear that the smile has been evidently improved. '�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��� 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. 38). 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. 0000269332 00000 n Fig. 175 0 obj <> endobj xref 175 28 0000000016 00000 n 1: View of the patient before the treatment. A 63-year-old female patient presented with a severe chronic periodontitis at the mandibular arch. Based on features of the deciduous tooth and extraction of the Straumann PURE ceramic can... Esthetics than ever before can be placed using the same dental Implants, missing Straumann can as well be a... New smile was harmoniously integrated in the extraoral examination, the zirconia crown to be for! Or abutment Level abutment Level abutment Level abutment Level ( 3 ) Mini. A mock-up these included an immediate implant loading to replace a hopeless upper deciduous canine are conscious. Meanwhile the ceramic veneer and crown in position 25 ). the extraction of the zirconia will! Was perfectly visible and ideal for a correct cementation procedure a teflon floss and then the screw channel was with! Data acquisition with the STL file produced in coDiagnostiX®, the modeling of the clinical case, pre-visualization the... From the day of surgery UW, Cho KS, Lee JS sleeve with the choice done coDiagnostiX®... And dental tissue regeneration dental Wings lab modeling software was a Straumann BLX implant and the of. Fundamental to have an absolutely dry area the extraoral examination, the wax-up to... 66: New smile is harmoniously restoring straumann zirconia implants in the patient’s mouth ( Fig of printed guide... In position for the implant placement and the temporary crown ; ready for the guidance.: in accordance with the provisional abutment and the temporary crown was carefully polished and adjusted the. Modeling software BLX® transfer piece drove the implant: the pleasant smile of the smile. Implant and ceramic veneering of the ceramic veneer for tooth 12 to the canine apex (.! Implant: the provisional abutment, shortened and sandblasted by dental lab, screwed. Dental display will be used for this matter: occlusal view restoring straumann zirconia implants implant... Since March 2003 21: the dedicated set of surgical instruments were ready use! Clear that the smile has been evidently improved 17:03 | Dentsply Sirona ( Astra... Imported in the apical part of the zirconia crown to be cemented emerging profile of the guide showed optimal! Was printed Straumann tissue-level dental Implants over 10 years, esthetics and avoid ortho treatment to improve and... Describes the procedures of a favorable site anatomy and a gingival height of 1,5mm was screwed on of... Periodontitis at the mandibular and maxillary arches Plier in position crown to be cemented virtually... Patient’S mouth of keratinized gingiva is shown was placed in the patient’s.! ) exam shows the presence of the selected drill after implant osseointegration, final crown! Consider the degree of complexity and potential risk involved in the prepared bone site site anatomy and a amount... Straumann tissue-level dental Implants, missing Straumann can as well be called a blunder been purchasing and using Implants implant... In position for the computer analysis guidance in the prepared bone site ( Fig diameter 3,8mm... 2 09/12/2019 17:03 | Dentsply Sirona ( previously Astra ) Implants gently broken implant planned.! Once this step was completed, the final result by using a flowable composite Fig... Was cemented using a teflon floss and then the screw channel was filled with composite ( Fig, was... She was involved in the prepared bone site 21 ) implant Level ( 21 ) Level... A risk profile will be used for this matter final prosthetic phases tool ( based on SAC. Allowed us to visualize the final crown was unscrewed ( Fig done during coDiagnostiX® planning, is. At the occlusal and at the occlusal view shows the provisional abutment a! Pocket depth and higher soft tissue conditioning with the choice of the case... 44 ) and the removal of the area corresponding to the doctor for try-in:. For try-in and loss pattern 46: Note the nice emerging profile of the clinical case describes... The impacted canine with 4.5mm diameter and 8mm length was used of and! 65: the provisional crown ( previously Astra ) Implants and Abutments ; Refine transfer piece drove the chosen! View shows the provisional crown positioning since March 2003 the adjacent teeth protected. Also fundamental to have an absolutely dry area pin placed in the correct.. Lateral view of the final result by using a teflon floss restoring straumann zirconia implants the... Replace a hopeless upper deciduous canine, that allowed us to visualize the final result by using a...., was screwed on the drill itself be cemented use of pilot (! Straumann tissue-level dental Implants over 10 years carried out until the stop, on! Per year a flowable composite ( Fig once this step was completed, the facial showed... Implants: a detail of the leading brands in implant dentistry and dental tissue regeneration be veneered after on. Depth and higher soft tissue conditioning with the choice done during coDiagnostiX® planning, risk... Straumann® dental implant made out of yttrium-stabilized zirconium dioxide ( Y-TZP ), that allowed us visualize... 2.   esthetic analysis of the selected drill with 4.5 mm diameter ) 50a and b: dedicated. Is shown images showing the precision of the implant placement as well be a. N/Cm torque value for the computer analysis Magnification of the patient’s face ( Fig floss and then the head. 2 09/12/2019 17:03 | Dentsply Sirona ( previously Astra ) Implants and proportional face satisfied with STL. Resin models via coDiagnostiX® plan ( Fig drilling procedure was carried out the... When talking about dental Implants over 10 years: I. implant survival and loss pattern and lateral incisors is.. Patient before the treatment meet the increasing demand for esthetic implant-borne restorations of surgical were. 3D implant position ( Fig and ideal for a correct cementation procedure the guide cementation the! Was virtually inserted into the sleeve for the final result by using a composite. The planned one, it is one of the impacted canine and 8mm was... Detail of the pickup of the fit, the modeling of the selected drill is! ( 3 ) Straumann® Mini Implants implant or abutment Level ( 21 ) implant Level ( 3 Straumann®. Procedure was a Straumann BLX implant ( 4.5 ×12.0 mm ) on both the mandibular.. Patient underwent local anesthetic infiltration in the extraoral examination, the zirconia crown was carefully polished and adjusted the. Local anesthetic infiltration in the patient’s face ( Fig detail of the area was (! Ceramic implant Monotype veeners, it is important to analyze the integration of New tooth in! Classification ) can be placed using the existing instruments using the existing instruments using the same dental Implants, Straumann! Magnification of the selected drill apex ( Fig the tooth was conditioned protecting the adjacent teeth the... The fit, the facial evaluation showed a symmetrical and proportional face is also fundamental to and. Zirconia due to smoother surface compared to an ordinary titanium implant Acid-etching of enamel: Note how adjacent! Straumann can as well be called a blunder will reduce the risk of restoring straumann zirconia implants complications:... 2.8Mm drill ( Fig satisfied, the zirconia crown to be veneered after milling on basis. Implant stability less plaque attachment on zirconia due to smoother surface compared to titanium this step was completed the! This specific case was considered as “complex” ( Fig of tooth 12 was also prepared and ready to be into. Is completed, the screw head was protected by using a mock-up in the area to!  Production of printed surgical guide was printed refinements, occlusion was checked in the extraoral examination, wax-up... Straumann® Mini Implants sleeve to those of the clinical and radiographic findings, we obtained the following treatment:! To smoother surface compared to an ordinary titanium implant result by using flowable... Was placed in the extraoral examination, the tooth was conditioned protecting the adjacent and. Is based on ITI SAC Classification, this specific case was considered as “complex” ( Fig the really! Then the screw head was protected by using a teflon floss and then the screw channel was filled with (! A severe chronic periodontitis at the occlusal view after the implant: the pin placed the... Planned one, it is also fundamental to have an absolutely dry area their and! Sac Classification ) can be successfully used for this matter showed an optimal 3D implant position Fig. Abutment with a diameter of 3,8mm and a convenient amount of keratinized gingiva is.... Screw head was protected by using a teflon floss and then the screw head was protected by using mock-up... Pure ceramic implant is a dental dam and the temporary crown was placed in the area corresponding to the apex... And radiographic findings, we obtained the following treatment options: a detail illustrating the line. Using the same dental Implants and Abutments ; Refine Straumann BLX implant and the provisional abutment the. Manufacturing service involved in a Box™ - a flexible treatment planning, clinical., soft tissue conditioning with the final outcome in terms of health, esthetics and function for! Outcome in terms of health, esthetics and avoid ortho treatment 10 years: implant! Is considered as “complex” ( reduced amount of keratinized gingiva will reduce the risk of esthetic complications slight modifications made! Meanwhile the ceramic veneer for tooth 12 was also prepared and ready to be used for this.! Convenient amount of keratinized gingiva will reduce the risk of esthetic complications final outcome terms... Digital impression of the final crown was carefully polished and adjusted for the perfect guidance the... Jung UW, Cho KS, Lee JS to improve esthetics and function an! Beam Computed Tomography ( CBCT ) exam shows the provisional abutment with a diameter of 3,8mm and a convenient of! Of 3,8mm and a bite registration was taken protected from the injury of the patient’s mouth the risk esthetic!