#Full-Arch 25. Sep 2023

Immediate fixed rehabilitation of maxilla using Straumann® Pro Arch with four Straumann® BLX implants and Straumann® RevEX™ workflow for the manufacturing of the final restoration

Clinical case

Armand Bedrossian

Patient anamnesis A 50-year-old man presented to the authors’ clinic with a maxillary removable partial denture (RPD) and terminal dentition

Chief complaint

Unstable removable prosthesis that prevented the patient from eating or speaking well. Main request to improve esthetics of the restoration.

Oral examination

The clinical evaluation and radiological exams (OPG and CBCT) revealed moderate resorption in the maxilla and a severely reduced vertical dimension in the posterior region.

Treatment

Fixed immediate rehabilitation using four Straumann® BLX (posterior tilted) implants, due to limited posterior bone availability and further placement of the monolithic zirconia restoration.

Clinical and radiographic examination

The radiological exams (OPG) revealed moderate resorption in the mandible, narrow edentulous ridges and limited vertical bone availability in the posterior areas.

Provisional prosthesis

Delivery of provisional prosthesis

Straumann® RevEXTM workflow (6 months after the placement of the conversion prosthesis)

Digital impression

Fixed scans have been performed for the Straumann® RevEXTM workflow: four intraoral: opposing arch, soft tissue with screw-retained abutments in place, screwed temporary denture in place, bite registration and one extraoral scan of the temporary restoration with Straumann® RevEXTM  scanbodies in place.

Digital impression taking

Try in in of the prototype and verification jig

Final restoration

“The Straumann® RevEXTM scan bodies provides an alternative method to efficiently and precisely capture complete arch implant positions. Better yet, this extraoral technique overcomes the challenges of intraoral scanning making it a practical way for clinicians to stay in a digital workflow. “

To access the originally published article, please visit https://www.aegisdentalnetwork.com/cced/2023/07/the-reverse-scan-body-protocol-completing-the-digital-workflow 

Originally published in: Bedrossian AE, Papaspyridakos P, Bedrossian E, Gurrles C. The Reverse Scan Body Protocol: Completing the Digital Workflow. Compendium. 2023;44(7 Supplement):s1-s4. Copyright © 2023 to BroadcastMed LLC. All rights reserved. Used with permission of the publisher.

Learn more about The Straumann® RevEX™ here