The following case report describes the procedures of a complete smile makeover in a young lady with very high expectations. 22: Lateral view of the printed model: Note that the shape of the provisional canine crown is now in line with the adjacent teeth. 4.    Production of printed surgical guide and resin models via coDiagnostiX® plan (Fig. 37: The implant ready to be engaged into the sleeve for the perfect guidance in the prepared bone site. The implant was virtually inserted into the model and the Variobase® was seated on top of it. 1.    Preliminary data acquisition: intra and extra oral photos, digital impressions (DWOS Virtuo Vivo â¢) and CBCT exam. 7: Magnification of the deciduous tooth: A wide amount of keratinized gingiva is shown. More than a restoration. and the loading protocol. Facility Line. 8). �G�n�79�dNjl�I�v7�2��W�O#��3��G���N�� 2y� �)�6�% The Straumann PURE Ceramic Implant is based on features of the Straumann PURE Ceramic implant Monotype. 38: The dedicated BLX transfer piece drove the implant in the correct position. 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. 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. Fig. 55-56). 49). trailer <]>> startxref 0 %%EOF 202 0 obj<>stream %PDF-1.4 %���� Fig. After the adjustments, the temporary crown was placed in the patientâs mouth (Fig. 54: Palatal view of the final crown. Fig. 0000001973 00000 n - Dr. Michael Sicklick, Teaneck - NJ. 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. 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 … 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. The patient underwent local anesthetic infiltration in the area corresponding to the canine apex (Fig. 0000007800 00000 n Abutment Level (21) Implant Level (9) Implants and Abutments. The SAC Assessment tool (based on ITI SAC Classification) can be successfully used for this matter. 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��� Nowadays, patients are more conscious of their health and esthetics than ever before. 55: Printed resin model with ceramic veneer and crown in position. After a careful examination of the clinical and radiographic findings, we obtained the following treatment options: a. x�b```b``�������� ̀ �@16�.��:�Kw0�nT��"���ӂ*�>G]VW�>��n��X�ct��A�h�ȫS���[كd#O�Q�/���*�L�E��t��X2{� ٛ� 5 Institut Straumann AG, Straumann® PURE Ceramic Implants: A 100 % proof test ensures reliable implant strength. 33) and finally by the use of the 2.8mm drill (Fig. 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. After implant osseointegration, final implant-supported crown and veneering of the right lateral incisor. This represents the plan to be used during implant placement. Clinical cases like this one are also supported by Straumann® Smile in a Box⢠- a flexible treatment planning and manufacturing service. Fig. WS Line. 41). First Ceramic Healing Abutment . 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 (Fig. I just need to use one size driver to restore any dental implant brand. �b�} .zC��������(C �L� ���dEA��P+�Χ�{��U����@� �16�@�Cz6$$�-�����ȝi��� Retrospective radiographic observational study of 1692 Straumann tissue-level dental implants over 10 years: I. Implant survival and loss pattern. Fig. 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. Finally, the screw head was protected by using a teflon floss and then the screw channel was filled with composite (Fig. 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. (�J�2p�mҒ@� Furthermore, the implementation of digital workflows in our treatments can contribute with many of the advantages that immediacy also provides, while increasing the precision and quality of the results; and more importantly, reducing the risk of the spread of the so known COVID-19, as the communication with the dental lab can be done digitally, from the planning to the manufacture of the final restoration. It’s important to understand that while zirconia dental implants are VERY strong, they have less flexural give than a metal alloy implant. Fig. 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. 0000002055 00000 n 0000022200 00000 n 26: Plier in position for the extraction procedure. … 6: Intraoral view: The discrepancy between upper canines and Fig. The specific handle reduces the dimension of the sleeve to those of the selected drill. Dental implants and Straumann move hand in hand. Fig. Afterwards, the final crown was carefully polished and adjusted for the placement in the patientâs mouth (Fig. Fig. 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. Level: 18 -19). Fig. It is one of the leading brands in implant dentistry and dental tissue regeneration.. The patient and our team were extremely satisfied with the final outcome in terms of health, esthetics and function. 0000022442 00000 n It drives the choice of the drills that must be strictly followed in order to perfectly stick to the implant planned positioning. 0000006912 00000 n Status: | 53-54). 43: Image of the crown once screwed on the analog, vestibular side. 34). Fig. Finally, a risk profile will be created according to the provided data. 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. Smile makeover at first stage! Then, the temporary crown was placed into the transparent mask; and after having filled the crown with resin, it was brought in its position by means of the transparent mask for the connection with the provisional abutment. 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) , A clinical case report by Sergio Piano, Italy. 44: After the refinements, occlusion was checked in the patientâs mouth. Digital Accessories RB. 58: A detail illustrating the finishing line of the preparation: It was perfectly visible and ideal for a correct cementation procedure. 5.    Execution of the provisional crown by dental lab on the basis of digital wax-up (on resin printed models) (Fig. The following case report describes the procedures of a complete smile makeover in a young lady with very high expectations. 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. 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). Fig. Added to Your Shopping Cart. Comparing the image related to the initial situation with the planned one, it is clear that the smile has been evidently improved. 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 patientâs needs by applying an efficient treatment protocol for immediate implant placement and providing an esthetic provisional and final restoration design. 52). Fig. B��LJ���ʇ(�a�LIR1�;P+�i�T��x@�����i?�%��c}`�t. 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. Of their health restoring straumann zirconia implants esthetics than ever before: Note the nice emerging profile of the deciduous is. PatientâS face a young lady with very high expectations 44 ) and finally, a BLX® 4.5mm... A detail of the clinical case, pre-visualization of the implant ( ×12.0! 4.   esthetic analysis of the clinical case, pre-visualization of the clinical case, of... 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