61-62). 0000002168 00000 n In accordance with the choice done during CoDiagnostiX® planning, a BLX® with 4.5mm diameter and 8mm length was selected and placed (Fig. 66: New smile is harmoniously integrated in the patient’s face. 35: In accordance with the choice done during coDiagnostiX® planning, a BLX with 4.5 mm diameter and 8 mm length was used. 17: It is important to analyze the integration of new tooth shapes in the patient’s face. 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. 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. Level: 6: Intraoral view: The discrepancy between upper canines and More than a restoration. 63: Frontal view of the final result. Fig. (Fig. 39). 1.    Preliminary data acquisition: intra and extra oral photos, digital impressions (DWOS Virtuo Vivo ™) and CBCT exam. Fig. 4.    Production of printed surgical guide and resin models via coDiagnostiX® plan (Fig. 45: Post-op X-ray images showing the precision of the placement. 2-3,8-9. 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. … Clinical cases like this one are also supported by, In the extraoral examination, the facial evaluation showed a symmetrical and proportional face. 0000005722 00000 n 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. Within the SAC Classification, this specific case was considered as “complex” (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. 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. Once this step was completed, the zirconia crown was produced using this as a reference (Fig. Implant or Abutment Level Abutment Level (12) Implant Level (5) �Bc4Ş Fig. 0000007023 00000 n 0000271789 00000 n 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. 0000237637 00000 n - Dr. Michael Sicklick, Teaneck - NJ. 8: The functional analysis revealed that the canine guidance was given by lateral incisor and first premolar whilst the deciduous canine was not involved. , 59-60). It drives the choice of the drills that must be strictly followed in order to perfectly stick to the implant planned positioning. 7: Magnification of the deciduous tooth: A wide amount of keratinized gingiva is shown. 52). 44) and post-op X-rays images were taken in order to ensure the precision of the implant and the provisional restoration (Fig. Fig. 0000006912 00000 n Then, the STL files related to the impressions were imported in the Dental Wings lab modeling software. Fig. 63). 0000010484 00000 n For the cementation of ceramic veeners, it is fundamental to have an absolutely dry area. 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. Fig. 7.    After the healing, soft tissue conditioning with the provisional crown. It features high tensile strength and excellent osseointegration capabilities, making it the material of choice for reduced invasiveness. Status: | 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. 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. 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. Straumann® PURE Ceramic Zirconia Implant. Added to Your Shopping Cart. 38). (, 2.    Esthetic analysis of the clinical case, pre-visualization of the final result by using a mock-up. 03/14 490.028/en/B/001. 13: Following the SAC Classification, this specific case is considered as “complex”. Fig.18: Planning the case step-by-step with coDiagnostiX®. 50 a & b). Fig. 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. Fig. 8.    Final rehabilitation with screw-retained crown on BLX implant and ceramic veneering of tooth 12. Facility Line. GM Line. Fig. x REF. 0000010448 00000 n 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. 40). Name * Description. Nowadays, patients are more conscious of their health and esthetics than ever before. 22: Lateral view of the printed model: Note that the shape of the provisional canine crown is now in line with the adjacent teeth. Fig. This represents the plan to be used during implant placement. 49). 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. 21: The guide seated on the printed model to verify the precision of the procedure. trailer <]>> startxref 0 %%EOF 202 0 obj<>stream (�J�2p�mҒ@� 36: A detail of the pickup of the implant: the pin placed in the apical part of the implant was gently broken. 46: Note the nice emerging profile of the temporary crown; ready for the final prosthetic phases. 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