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Philippe Chapelot: Use of the Straumann® BLT implant and Straumann® Novaloc® abutments for rehabilitation of an edentulous mandible

  In this case study, Straumann® BLT implants were successfully used to rehabilitate the patient’s mandible. The Novaloc® system proved to be highly retentive and comfortable for the patient, who referred to it several times as the treatment that changed his life. PRODUCT INFORMATION BY THE MANUFACTURER Straumann® Bone Level Tapered Implant Straumann® Novaloc® Retentive System Straumann® Bone Level Tapered Implant The Straumann® Bone Level Tapered Implant offers excellent primary stability in soft bone and fresh extraction sockets. The tapered form adequately compresses the underprepared osteotomy. It also allows you to effectively master limitations in your patient’s anatomy, such as facial undercuts, converging root tips, concave jaw structures or narrow atrophied ridges. Building on the clinically proven features of the Straumann® Bone Level Implant, the BLT introduces the powerful combination of Roxolid®, SLActive®, Bone Control Design™, CrossFit® connection, prosthetic diversity, plus a tapered implant body. More Straumann® Novaloc® Retentive System The Straumann® Novaloc® Retentive System for hybrid dentures offers an innovative carbon-based abutment coating (ADLC, amorphous diamond-like carbon) with excellent wear resistance, overcoming up to 60° implant divergence. Both a straight and a 15° angled abutment, available in various gingiva heights, cover a broad range of clinical implant situations. Together with its durable PEEK (Polyether ether ketone) matrices, the Novaloc® Retentive System provides a reliable connection that endures, resulting in low maintenance and high patient comfort. More PICTURE DOCUMENTATION Fig. 1 chapelot01 Fig. 2 chapelot02 Fig. 3 chapelot03 Fig. 4 chapelot04 Fig. 5 chapelot05 Fig. 6 chapelot06 Fig. 7 chapelot07 Fig. 8 chapelot08 Fig. 9 chapelot09 Fig. 10 chapelot10 Fig. 11 chapelot11 Fig. 12 chapelot12 Fig. 13 chapelot13 Fig. 14 chapelot14 Fig. 15 chapelot15 Fig. 16 chapelot16 Fig. 17 chapelot17 Fig. 18 chapelot18 Fig. 19 chapelot19 Fig. 20 chapelot20 Fig. 21 chapelot21 INITIAL SITUATION The patient, a 70-year-old man, was referred to our practice as his lower removable prosthesis was very mobile and he was no longer able to speak or eat properly (Fig. 1). The main reason for the increased mobility and lack of re-adaptation of the prosthesis was increased bone remodeling in the lower jaw, which ultimately led to an almost non-existent bone ridge (Figs. 2-3). The patient was mainly interested in having a stabilized, easy-to-clean solution that would restore his quality of life. Radiographs and clinical examination showed enough bone to place two implants. His medical history was compatible with the indications for implant surgery. The overall esthetic requirement was not high, and the smile line was favorable. TREATMENT PLANNING The patient was informed about the  two-stage approach of the procedure. We planned to place two Straumann® Bone Level Tapered (BLT) implants in regions 33 and 43, and use the Novaloc® abutments to retain the prosthesis in place. Application of Straumann® Emdogain® to facilitate tissue healing was also envisaged. The patient agreed to the treatment plan after discussion of all possible treatment alternatives and options. SURGICAL PROCEDURE The flap was raised, and the implant bed sites were prepared according to the manufacturer’s IFU. On completion of the preparation, two Straumann® RC BLT implants were inserted using the Loxim™ holder and torque wrench, with an insertion torque of 35 Ncm (Figs. 4-6). Healing abutments were manually fitted over the implants, followed by the flap closure with 4-0 Vicryl (Fig. 7-8). In order to achieve a better and faster healing process, Straumann® Emdogain® was placed over the soft tissue and the sutured areas (Figs. 9-11). Appropriate tissue healing was observed as early as 72 hours after the surgery (Figs. 12-14). Also, the patient reported very high quality of life aspects in the form of low post-operative pain and the absence of extensive swelling. Appropriate soft tissue contours around the implant were achieved by the emergence profile parts of the healing abutments (Figs. 14-16). PROSTHETIC PROCEDURE Eight weeks later, impressions were taken in silicone putty to produce the final removable prosthesis followed by occlusal registration (Figs. 17-18). At this stage the appropriately sized Novaloc® Retentive System was chosen, and the final occlusal scheme was mounted in wax and tested in the patient’s mouth to evaluate its function (prosthesis stability and patient’s ability to speak and chew, patient’s overall comfort). After confirming that the mounted teeth fulfilled all requirements, we sent them back to the dental laboratory for finishing. One week later we received the final work with the two pre-selected Novaloc® abutments. To help the patient get used to the new rehabilitation, we decided to place the Straumann® Novaloc® green retention insert (intermediate retention) (Figs. 19-21). FINAL RESULT At follow up, oral hygiene was good, with no signs of inflammation. The patient was extremely happy with the final outcome. Dr Philippe Chapelot Graduate of the University of Nantes, France. CES of Biomaterials 1992. Graduate in Implantology at the C.U.R.A.I.O LYON, France. Currently working in Switzerland, focusing on implantology and surgery. The post Philippe Chapelot: Use of the Straumann® BLT implant and Straumann® Novaloc® abutments for rehabilitation of an edentulous mandible appeared first on STARGET COM.

Efficient treatment protocols: the digital workflow – lectures from the Straumann corporate forum at the ITI World Symposium 2017

  Digitalization is impacting the world of dentistry immensely as it becomes one of the most innovative and fastest growing areas in the field. Completely new concepts are changing the way dental business is operated. This dynamic shift allows lab owners and dental practitioners to adapt their business model to better match patients’ ever increasing expectations. The lectures by Drs. German Gallucci, Tim Joda, Vincent Fehmer and Gary Finelle (chair: Prof. German Gallucci) were held at the Straumann Corporate Forum on May 4th 2017 during the ITI World Symposium 2017 in Basel, Switzerland. Opening by German O. Gallucci: Digital Approach to Implant Prosthodontics Dr. Tim Joda: Complete Digital Implant Workflow Vincent Fehmer: Complete Digital Implant Workflow Dr. Gary Finelle: Digital Workflow in the Esthetic Zone Closure by German O. Gallucci: Capabilities of Digital Technology Expanding your treatment options while increasing profitability and productivity New software and hardware advances are substantially changing the way dental restorations are carried out these days, and a digital workflow provides a competitive edge by expanding your treatment options while increasing profitability and productivity. Our mission, therefore, is to provide dental professionals with the most efficient and comprehensive solutions. Through its digital competence centers, as well as strategic collaborations based on the open standard philosophy and partnerships (i.e. Dental Wings®, Amann Girrbach®, 3 Shape, etkon® and Createch®), Straumann® has become the leading provider of dental digital technology worldwide, always offering its customers state-of-the-art solutions and comprehensive support. State-of-the-art dental equipment with digital technology and premium materials Nowadays, a trend can be observed in the dental field whereby standard implant prosthetics are substituted with individualized, digitally designed and manufactured components. Computer-aided design and manufacturing (CADCAM) for tooth- and implant-borne prosthetics seems to be more efficient than conventional methods. The Straumann® CARES® Digital Solutions represent a unique and valid offer for dental labs and dentists who wish to have easy access to dedicated dental digital excellence, comprehensive support for their individual workflow, followed by fast amortization, safe investments and a fairly free choice of vendors and equipment.The Straumann® CARES® Digital Solutions combine state-of-the-art dental equipment with digital technology and premium materials to provide a seamless, open and fully validated workflow for dental professionals. It represents a complete dental solution, from digital impression-taking by means of intra-oral scanning to the computerized production of prosthetics using state-of-the-art CAM processing.   Offering for dental labs For dental labs, Straumann provides an all-round solution complemented by our high-volume, high-precision centralized milling service. This include scanning, milling and 3D printing devices, accompanied by software for their efficient operation, as well as consumables and comprehensive service. Straumann offers different series of laboratory milling and grinding machines for in-house operation. They are designed to provide reliable and predictable precision when milling glass ceramic and hybrid materials for a wide variety of indications. Prosthetics can be milled or ground in wet or dry modes from different materials, including glass ceramic, zirconia, PMMA, cobalt chromium, sinter metal, wax, lithium disilicate, ceramics and resin nano ceramic. In addition to this, Straumann successfully manufactures the glass ceramic, n!ce™. Its key advantages are high translucency and flexural strength, short milling times and easy finishing. Offering for dental practices On the other hand, for dental practices Straumann provides a comprehensive portfolio of integrated solutions, including leading chairside scanning, milling and 3D printing technologies. Our offer combines interconnected software platforms, open and fully validated workflows together with a wide variety of materials – truly a benchmark in digital dentistry.Every product features state-of-the-art solutions for its efficient and successful use. For example, intraoral scanning, an emerging technology that will have a substantial impact on the future of dentistry, enables the dental practitioner to create a 3D image of the patient’s teeth, resulting in a highly efficient, precise process that is also more comfortable for the patients. Using our devices, customers can successfully design a wide range of restorations: from simple copings to complex full arch implant restorations. The post Efficient treatment protocols: the digital workflow – lectures from the Straumann corporate forum at the ITI World Symposium 2017 appeared first on STARGET COM.

International course: Immediate temporization through a full digital protocol, October 3-4 in Madrid, Spain

  Immediate loading is a differential factor for practices and, of course, patients. By attending the course at the Centro Clínico i2 Implantología in Madrid, Spain, you will learn how to use simple and reliable protocols in a full digital environment, and how to receive amazing results coming both from regular implant placement and guided surgery with Straumann® implants. You will learn how to choose the correct protocol when scanning with an intraoral scanner, how to use the full digital workflow in regular implant placement and immediate loading procedures and how to immediately load with the guided prosthetics flow in guided surgery, and, eventually, how to incorporate all this advances in your daily practice. Register now: The post International course: Immediate temporization through a full digital protocol, October 3-4 in Madrid, Spain appeared first on STARGET COM.

Wiebe Derksen: Application of the Straumann® BLT Ø 2,9 mm implant in the esthetic zone

  The restoration design described in this case report guarantees a biocompatible transmucosal zone and prevents cement excess. Bone remodeling is reduced thanks to the asymmetrical Variobase® abutment and this biocompatible restoration design (Fig. 19). The new implant diameter gives us clinicians the opportunity to provide our patients with clinically acceptable implant restorations even in confined spaces (Fig. 20). PRODUCT INFORMATION BY THE MANUFACTURER Straumann® Bone Level Tapered (BLT) Implant ⌀2.9 mm – “the SmallOne” The Straumann® Variobase® family Straumann® Bone Level Tapered (BLT) Implant ⌀2.9 mm – “the SmallOne” This new implant has been specifically engineered to address esthetic challenges in compromised situations such as narrow interdental spaces or reduced bone availability. The SmallOne possesses the outstanding mechanical strength of our Roxolid® material and the extensive healing potential of our SLActive® surface. This made it possible to engineer an implant with a diameter as narrow as 2.9 mm that is reliable without compromising on strength. New prosthetic components in a unique oval design address the esthetic challenges. They provide enough space for the surrounding soft tissue to achieve pleasing esthetic results in the anterior region. With the SmallOne you can treat your patients with confidence and offer an ideal treatment solution to increase patient acceptance. Learn more The Straumann® Variobase® family The Straumann® Variobase® prosthetic components provide dental laboratories with the flexibility to create customized prosthetic restorations with their chosen in-lab workflow of either pressing, casting or in-lab milling. In addition, Variobase® Abutments come with the benefit of the original Straumann connection and the unique Straumann engaging mechanism. Learn more PICTURE DOCUMENTATION Fig. 1 derksen01 Fig. 2 derksen02 Fig. 3 derksen03 Fig. 4 derksen04 Fig. 5 derksen05 Fig. 6 derksen06 Fig. 7 derksen07 Fig. 8 derksen08 Fig. 9 derksen09 Fig. 10 derksen10 Fig. 11 derksen11 Fig. 12 derksen12 Fig. 13 derksen13 Fig. 14 derksen14 Fig. 15 derksen15 Fig. 16 derksen16 Fig. 17 derksen17 Fig. 18 derksen18 Fig. 19 derksen19 Fig. 20 derksen20 Fig. 21 derksen21 INITIAL SITUATION A 21-year-old male patient presented with a missing tooth 31 after an earlier trauma. The clinical diastema was only 4.5mm, whereas 5.5mm of space was available at bone level (Figs. 1,2). TREATMENT PLANNING The CT image showed sufficient bone width for implant placement without prior bone augmentation (Fig. 3). However, since the anatomy of the underlying bone would direct the implant into a buccal angulation, a buccal screw access hole or cement-retained restoration was therefore inevitable. Figure 4 demonstrates the clinical situation directly before implant surgery. SURGICAL PROCEDURE After the administration of local anesthetics, a small midcrestal incision – without releasing incisions – was made. The osteotomy was prepared using the new 1.6mm needle drill and finished using the 2.2mm pilot drill (Figs. 5,6). Since the bone was soft, no profile drill or tap was employed. The osteotomy was created within the bony envelope, and the future implant site was surrounded by native bone, although a slight buccal contour change was discernible (Fig. 7). A Straumann® BLT SC 2.9mm/12mm SLActive® implant was selected and inserted in the correct buccal orientation (Figs. 8-10). Although the implant was surrounded by bone, due to the contour dip it was decided to augment the buccal contour (Fig. 11). In view of the shape of the lower incisors and the limited space, a special asymmetrical two-piece healing abutment was designed by the manufacturer and placed accordingly (Figs. 12,13). After abutment insertion the buccal contour was augmented using a slowly resorbing DBBM-graft (Fig. 14). Two single interrupted sutures (polypropylene 6-0) were used to close the surgical site. Directly after surgery a periapical radiograph was obtained to verify the implant position (Fig. 15). PROSTHETIC PROCEDURE Three months after implant placement the implant was well osseointegrated, and an open-tray conventional impression was taken (Fig. 16). Due to the buccal angulation of the implant it was decided to create a screw-retained zirconia coping luted on a 2mm Variobase® abutment with an adhesively cemented lithium disilicate veneer (Figs. 17,18). Wiebe D.C. Derksen Graduated Cum Laude in dentistry from the University of Groningen in 2010. In 2012 he started his PhD at ACTA (Academic Center of Dentistry Amsterdam) on digitization in implant dentistry. In 2015 he graduated from the ACTA 3-year “Oral Implantology and Implant Prosthodontics” postgraduate program. He is a co-author of the current 5th ITI Consensus Review on Computer Guided Surgery, the chairman of the Dutch Society of Young Implantologists, the editor of the Quality Practice dental journal, was awarded an ITI clinical research grant in 2013 and became an ITI Fellow in 2015. His current expertise and research interests focus on guided surgery, intra-oral scanning, abutment choices, CADCAM and chairside (implant) restorations. The post Wiebe Derksen: Application of the Straumann® BLT Ø 2,9 mm implant in the esthetic zone appeared first on STARGET COM.


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