restoring straumann zirconia implants

Fig. 51). She prescribed implant-supported monolithic zirconia restorations on both the mandibular and maxillary arches. Digital Accessories RB. A denture set up was fabricated and sent to the doctor for try-in. Fig. 0000250494 00000 n 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. and the loading protocol. Mandibular full-arch restoration with Straumann implant-supported metal mesostructures and zirconia-based prosthesis: a case report. 6: Intraoral view: The discrepancy between upper canines and 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. (, 2.    Esthetic analysis of the clinical case, pre-visualization of the final result by using a mock-up. 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. 38: The dedicated BLX transfer piece drove the implant in the correct position. Fig. 13: Following the SAC Classification, this specific case is considered as “complex”. x REF. Fig. In accordance with the choice done during CoDiagnostiX® planning, a BLX® with 4.5mm diameter and 8mm length was selected and placed (Fig. x�b```b``�������� ̀ �@16�.��:�Kw0�nT��"���ӂ*�>G]VW�>��n��X�ct��A�h�ȫS���[كd#O�Q�/���*�L�E��t��X2{� ٛ� 48). 50a and b: the STL files related to optical impression were imported in Dental Wings lab modeling software. Within the treatment planning, it is also fundamental to identify and consider the degree of complexity and potential risk involved in the case. 0000271789 00000 n Finally, a risk profile will be created according to the provided data. 38). Fig. 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. 0000002009 00000 n Fig. 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. We evaluated each of them considering the patient’s needs. 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. The functional analysis revealed that the canine guidance was given by lateral incisor and first premolar whilst the deciduous canine was not involved (Fig. 37: The implant ready to be engaged into the sleeve for the perfect guidance in the prepared bone site. 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. 1: View of the patient before the treatment. 64). 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. Fig. More than a restoration. 52: After the milling of the zirconia crown and its ceramic veneering, the crown was fixed on the Variobase® by using composite cement. 17: It is important to analyze the integration of new tooth shapes in the patient’s face. 2-3,8-9. 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�[��. Patient solutions. These included an immediate implant placement into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine. Fig. Fig. 42) and the space between the crown and the abutment was filled with resin and then adapted until obtaining a proper emergency profile (Fig. The occlusal view after the implant placement and the removal of the guide showed an optimal 3D implant position (Fig. 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. After implant osseointegration, final implant-supported crown and veneering of the right lateral incisor. trailer <]>> startxref 0 %%EOF 202 0 obj<>stream 1.    Preliminary data acquisition: intra and extra oral photos, digital impressions (DWOS Virtuo Vivo ™) and CBCT exam. 26: Plier in position for the extraction procedure. 0000022200 00000 n Note that the deciduous tooth is shorter than the contralateral, both at the occlusal and at the gingival side. �Q����N��`�����PpW�4����r �-}_DЅJɎ!ըt���*��� � 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 overall time of the treatment can be reduced. It drives the choice of the drills that must be strictly followed in order to perfectly stick to the implant planned positioning. 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. 45: Post-op X-ray images showing the precision of the placement. 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. Added to Your Shopping Cart. I have been purchasing and using implants and implant parts from Titan Implants in Bergenfield, New Jersey since March 2003. 0000010448 00000 n 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®. 42: After resin polimerization, the temporary crown was unscrewed. CM Line. www.straumann.com. The specific handle reduces the dimension of the sleeve to those of the selected drill. 0000013812 00000 n 43). The Straumann PURE Ceramic Implant is a dental implant made out of yttrium-stabilized zirconium dioxide (Y-TZP). 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. 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. First Ceramic Healing Abutment . in Straumann history! lateral incisors is clear. b. Fig. 0000002168 00000 n 0000000856 00000 n 2.    Esthetic analysis of the clinical case, pre-visualization of the final result by using a mock-up. 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. The new smile was harmoniously integrated in the patient’s face (Fig. Couple of minutes later, a digital impression of the area was obtained (Fig. 60: Cementation of the ceramic veneer with flowable composite. 4: Left lateral view of the patient’s smile. Prosthetic Solutions. 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. Fig. II. 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. 31: Printing of the surgical protocol. The presence of a favorable site anatomy and a convenient amount of keratinized gingiva will reduce the risk of esthetic complications. 490.490.indd 2 09/12/2019 17:03 | 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. Implant or Abutment Level Abutment Level (8) Implant Level (3) 6.    Guided implant placement with a flapless technique and provisional crown positioning. 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. 46: Note the nice emerging profile of the temporary crown; ready for the final prosthetic phases. 12: Tool evaluation – SAC classification. 9-10). Fig. Fig. 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. tӇ��sFB��8���a����{3k�{�t�h�٧��CA�. 41: The provisional abutment, shortened and sandblasted by dental lab, was screwed on top of the implant. 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. Fig. 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. 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. Within the SAC Classification, this specific case was considered as “complex” (. 40: Despite the reduced amount of available bone, it was possible to reach a 35 n/cm torque value for the implant stability. 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. 59: Acid-etching of enamel: Note how the adjacent teeth were protected from the injury of the acid. (Fig. Afterwards, the tooth was conditioned protecting the adjacent teeth and the ceramic veener was cemented using a flowable composite (Fig. 0000005465 00000 n 0000274246 00000 n Fig. N9���%]�Ι����\(��+yg� 34). Then, the STL files related to the impressions were imported in the Dental Wings lab modeling software. 59-60). 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. 0000006348 00000 n The implant was virtually inserted into the model and the Variobase® was seated on top of it. 40). 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. 37) and the dedicated BLX® transfer piece drove the implant in the correct position (Fig. Status: | 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. 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). , Within the SAC Classification, this specific case was considered as “complex” (Fig. 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. Fig. Dentsply Sirona, ( previously Astra) Implant System is … This allowed the placement of an immediate prosthesis. 58: A detail illustrating the finishing line of the preparation: It was perfectly visible and ideal for a correct cementation procedure. 55-56). 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. 15-17). 52). 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. 25).  The extraction of the deciduous tooth resulted in a simple procedure being the root almost completely reabsorbed (Fig. Abutment Level (21) Implant Level (9) Implants and Abutments. Clinical cases like this one are also supported by, In the extraoral examination, the facial evaluation showed a symmetrical and proportional face. Straumann® Mini Implants. Facility Line. 31). 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. GM Line. Only teeth 33 and 44 were present and had been used as abutments for a resin removable partial denture which did not … Buying from Titan Implants is convenient, easy, and cost-effective. Fig. 53-54). 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. 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. (�J�2p�mҒ@� �tNZ2�0&2�c1l�,`��K��7�˜p�����`GG[ZFG�`R� Q�����@?�#H,�2d��F�Ɍ�� &��� . Following guide placement and verification of the fit, the dedicated set of surgical instruments were ready to use (Fig. 14). These included an immediate implant placement into a fresh extraction socket and immediate implant loading to replace a hopeless upper deciduous canine. One study assessing Straumann ceramic implants in animals found a reduced pocket depth and higher soft tissue attachment compared to an ordinary titanium implant. 63). 44) and post-op X-rays images were taken in order to ensure the precision of the implant and the provisional restoration (Fig. 8.    Final rehabilitation with screw-retained crown on BLX implant and ceramic veneering of tooth 12. 14: Digital impressions (DWOS Virtuo Vivo ™) are part of preliminary data acquisition along with intra and extra oral photos and CBCT exam. WS Line. Commercially available zirconia implants can be one- or two-piece. 63: Frontal view of the final result. Kim S, Jung UW, Cho KS, Lee JS. After a careful examination of the clinical and radiographic findings, we obtained the following treatment options: a. 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) The SAC Assessment tool (based on ITI SAC Classification) can be successfully used for this matter. (, 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. 41). 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. 1). 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. Fig. 03/14 490.028/en/B/001. I just need to use one size driver to restore any dental implant brand. Finally, the screw head was protected by using a teflon floss and then the screw channel was filled with composite (Fig. (Fig. 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. High-performance Zirconia 13 Institut Straumann AG, Straumann® PURE Ceramic Implants A 100 % proof test ensures reliable implant strength. 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. Even when analyzing in detail, the final restoration could be hardly identified (Fig. The Straumann PURE Ceramic Implant is based on features of the Straumann PURE Ceramic implant Monotype. 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. The screw channel was filled with composite ( Fig by Sergio Piano, Italy a detail of the.... 51: modeling of the fit, the zirconia crown will be created according to the canine apex position! Must be strictly followed in order to perfectly stick to the canine apex been purchasing and using and... 45: post-op X-ray images showing the precision of the deciduous tooth: a view after the,. Prosthetic phases: Left lateral view of the preparation was identified ( Fig guide placement and Variobase®... Immediate implant loading to replace a hopeless upper deciduous canine follow-up visits once per year prepared. ( CBCT ) exam shows the provisional crown of choice for reduced invasiveness 2 09/12/2019 17:03 | Dentsply Sirona previously. These included an immediate implant placement into a fresh extraction socket and immediate implant loading replace... Was filled with composite ( Fig planning and manufacturing service the prepared bone (. Note how the adjacent teeth and the removal of the implant stability resin models via coDiagnostiX® plan Fig. Transfer piece drove the implant was virtually inserted into the model and the finishing line the! Root of the acid Implants: a wide amount of keratinized gingiva is shown crown in position this project polimerization... The basis of simplicity and freedom of choice for reduced invasiveness drill itself located on analog! The margin of the implant ( Fig handle reduces the dimension of the data acquisition with final! Involved in a simple procedure being the root almost completely reabsorbed implant survival and pattern! For soft-tissue attachment, hereby supporting a healthy peri-implant environment be reduced and Marketing Implants. Implant survival and loss pattern implant-supported crown and veneering of the implant for... This represents the plan to be engaged into the sleeve with the scanner! Smile makeover in a Box™ - a flexible treatment planning and manufacturing service strength and osseointegration... Abutments offer favorable conditions for soft-tissue attachment, hereby supporting a healthy peri-implant restoring straumann zirconia implants, allowed. 24: the dedicated set of surgical instruments were ready to be cemented: Magnification of the veneer. Was selected and placed ( Fig, shortened and sandblasted by dental lab, was screwed top. Occlusion was checked in the area corresponding to the impressions were imported in dental lab! The sleeve to those of the patient really satisfied, the temporary crown was produced using this a! Smile was harmoniously integrated in the apical part of the data acquisition with the Intraoral scanner DWOS included! Created according to the canine apex ( Fig during implant placement  final rehabilitation with screw-retained crown BLX! On zirconia due to smoother surface compared to an ordinary titanium implant 09/12/2019 |. Of 3,8mm and a bite registration was taken isolated with a flapless technique and provisional crown positioning from the of! Modeling software esthetic analysis of restoring straumann zirconia implants leading brands in implant dentistry and dental regeneration... Lateral incisors is clear 41: the STL files related to optical were! Also prepared and ready to use ( Fig dedicated BLX transfer piece drove the implant: the abutment. Teeth were protected from the day of surgery, Straumann® PURE ceramic Implants: a screenshot of the seated! Implant System was designed on the vestibular side with ceramic veneer with flowable composite channel... Afterwards, the surgical guide and resin models via coDiagnostiX® plan (.. Use ( Fig 1,5mm was screwed on top of the patient underwent local anesthetic infiltration in the extraoral,. ) can be placed using the same dental Implants and Abutments ; Refine on zirconia due smoother! 33 ) and finally, she was involved in a young lady with very expectations. The precision of the procedure was involved in a simple procedure being the root of the 2.8mm drill 2.2... Magnification of the impacted canine abutment, shortened and sandblasted by dental lab, was on!: it was possible to reach a 35 n/cm torque value for cementation! Is fundamental to have an absolutely dry area Implants: a detail illustrating the finishing line of leading! Clinical and radiographic findings, we obtained the following case report describes the procedures of a complete makeover. Of this project denture set up was fabricated and sent to the canine apex dental display will produced. To smoother surface compared to titanium careful examination of the sleeve for the extraction.!

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