Stage 3 | Prosthetic procedures Step 1 Impression-taking

1 Straumann SmartOneStage 3 | Prosthetic proceduresStep 1 Impression-taking2 Prosthetic proceduresStep 2 | Impression-takingOverviewStraumann SmartOneAssessment and treatment planningProsthetic proceduresAftercare and maintenance In clinic with patient Office / Lab workStep 1 | History and examinationSurgical proceduresStep 1 | Implant surgeryStep 1 | Review visitStep 3 | Consultation and consentStep 2 | Fabrication of the final prosthesisStep 2 | Treatment planningStep 1 | Impression-takingStep 2 | Post-operative review and suture removalStep 2 | Maintenance visit step 4 | Fabrication of the surgical drill templateStep 3 | Insertion of the final prosthesis7 10 days3 6 months (or as necessary)6 8 weeks2 weeksStep 1 | Patient's expectations, history and examination3 Prosthetic proceduresStep 2 | Impression-takingContentsStraumann SmartOneIntroduction 4 Learning objectives 41.

2 Assessment 52. Clinical examination 63. Treatment Impression-taking with the SP (RN) Implant open tray Impression-taking with the SP (RN) Implant closed tray Impression-taking with the BLT (RC) Implant open tray Impression-taking with the BLT (RC) Implant closed tray 33 Contents4 Prosthetic proceduresStep 2 | Impression-takingIntroductionStraumann SmartOneIntroductionFollowing the recommended healing phase (in Post-operative review and suture removal) after implant place ment, you must now see the patient to take the impression for the final restoration. Depending on the position of the restoration and the preference of the clinician, the im-pression may be taken with a closed- or open- tray method, using the respective impression components for the implant type.

3 The bite registration and color assessment should also be done during this step , to provide the required information for the dental lab technician to fabricate the final objectives Be able to decide whether a closed- or open- tray impression should be done. Understand how a tray is prepared for an open- tray impression. Understand how to position the selected impression compo-nents for the specific implant type (SP/BLT), and perform the open- or closed- tray impression. Be able to carry out a proper bite registration and color assessment. Understand how the impression is transferred to the lab to create the master fol-lows after a period of osseointegration of the to take impressions about 6-8 weeks after suture of the final prosthesis requires:- Impression with open- or closed-tray method - Bite registration- Color assessment- Clear lab prescription5 Prosthetic proceduresStep 2 | Impression-taking2.

4 AssessmentStraumann SmartOne1. Assessment Review the healing period after surgery with the patient (ask about comfort and oral function). The patient should not be experiencing any pain prior to taking the out impression- taking if your patient is proceduresStep 2 | Impression-taking1. Clinical examinationStraumann SmartOne2. Clinical examinationCheck for: Implant stability clinically by visual inspection and tactile sen-sation when removing the healing component or placing the screw-retained impression component. Healthy peri-implant soft tissuesTake impression(s) if the implant is stable and the site fully proceduresStep 2 | Impression-taking1. TreatmentStraumann SmartOne3.

5 Treatment Carry out Impression-taking with either the open- or closed-tray for the implant type SP or BLT. Perform a bite registration and color assessment for the required final restoration. Selection of impression techniqueOpen-tray impressionIndicated when the implant shoul-der is positioned very deeply (more than mm sub-gingival); and if the soft tissue condition does not allow accurate seating of the closed-tray impression components. In this case, the open-tray impression procedure is advantageous, because the Impression Post is screwed tightly and precisely into the implant, and displacement by the gingiva is avoided. You may do this with stock trays or custom-made impressionThere is no need to drill a hole in the impression tray.

6 The impression ma-terial picks up the Impression Cap, which is easily snapped into place and can be used in most cases. You may do this with stock trays or cus-tom-made trays. The preferred impression materials are polyvinyl siloxane and polyether rubber because of their stiffness and dimensional sta-bility, which ensures that the impression component is retained accurately in the at this visit:- Impression-taking - Bite registration- Color assessmentUse a stiff and dimen-sionally stable impression material. Do not use open-tray impres-sions:- if the implant shoulder is 3 mm or more sub- if the soft tissue condi-tion requires a screwed-in component for stabilit closed-tray impres-sions:- when convenient snap-on components are when you prefer not to drill a hole in the proceduresStep 2 | Impression-taking1.

7 TreatmentStraumann SmartOneThis table shows the overview of the Straumann products for the open- and closed-tray impression techniques for both SP (RN/WN) and BLT (NC/RC) Implants: Tissue LevelBone LevelSP ImplantBLT ImplantImpression componentsOpen-trayClosed-trayOpen-trayC losed-trayImplant shoulderRegular Neck (RN)Wide Neck (WN)Regular Neck (RN)Wide Neck (WN)Narrow CrossFit (NC)Regular CrossFit (RC)Narrow CrossFit (NC)Regular CrossFit (RC)Article (short) (long) (short) (long) (short) (long) ImplantBLT ImplantBite Registration AidsRegular Neck (RN) or Wide Neck (WN)Narrow CrossFit (NC)Regular CrossFit (RC)Article (short) (long) (short) (long) (short) (long)Product overview of open- and closed-tray impression components for SP (RN/WN) and BLT (NC/RC) Implants9 Prosthetic proceduresStep 2 | Impression-taking1.

8 TreatmentStraumann SmartOne Caution: Impression Posts and Bite Registration Aids are: Intended for single use only to ensure optimal fit and precise Impression-taking or bite registration for each patient. Provided non-sterile and require disinfection before use. Caution: Protect all components and the SCS Screwdriver against aspiration ( , use a throat pack or a thread).BLT Implants Section If you are working with BLT Implants, please click hereSP Implants Section If you are working with SP Implants, please click here- Disinfect impression components and bite registration aids before Protect them against Use the parts only proceduresStep 2 | Impression-takingOpen-tray impressions with SP (RN) Implants Straumann Impression-taking with the SP (RN) Implant open trayInstrument set-up for open-tray impressions with SP (RN) Implants:1.

9 X-ray holder and film 2. Light-bodied impression material dispenser3. Prophylaxis paste and cup4. Disposable saliva ejector and control pads5. Timer6. SCS Screwdrivers (long and short) 7. Slow-speed handpiece8. Cotton dispenser9. Aspirator and suction tips10. Shimstock (occlusal registration paper) and holder11. Dental probes and scalers12. Periodontal probe13. Dental mirrors14. Dental tweezers15. Cotton rolls, gauze and petroleum jelly16. Scissors1 7. Fluoride gel18. Dental floss19. Syringe with saline and blunt needle for irrigation20. Disposable lip and cheek retractor21. Stock impression trays22. RN synOcta Impression Post and RN/WN Bite Registration Aid23. Soft wax24. Straight handpiece and acrylic bur25.

10 Indelible pen26. Heavy-bodied impression material dispenserInstrument set-up for open-tray impressions with SP (RN) Implants 1234567891011121314151617182223242521201 92611 Prosthetic proceduresStep 2 | Impression-takingOpen-tray impressions with SP (RN) Implants Straumann SmartOneStep-by- step instructions for open-tray impressions with SP (RN) ImplantsPlease click here for a quick reference checklist for this procedure. Video: Open-tray Impression-taking with the Standard Plus (RN) Implant1. Unscrew the Healing Cap in a counterclockwise direction using the SCS Place the RN synOcta Impression Post onto the implant shoulder and hand-tighten the integral guide screw. In this image, the Impression Post with the long integral guide screw is used.