Straumann® Bone Level Prosthetic Procedures Basic …

1 Technical InformationStraumann Bone Level Prosthetic ProceduresBasic Information1. Straumann Bone Level Implant Straumann expertise applied at bone Level 32. General information CrossFit Connection Prosthetic options Abutment Overview Coding 103. Preoperative planning Wax-up/Set-up X-ray template with reference spheres Custom-made drill template 134. Soft tissue management Soft tissue management solutions Prefabricated healing abutment Overview consistent emergence profiles Customizable Healing Abutment Temporary Abutment regular CrossFit (RC) Polymer with titanium-alloy inlay Temporary abutment Titanium alloy (TAN) 305. Impression taking Options for impression taking Open-tray impression Closed-tray impression Bite registration 426. Restoration CrossFit Plan SET/Plan abutment Anatomic (and meso) Abutment Gold Abutment for crown Gold abutment for bridge Cementable abutment Straumann Screw-retained Abutments Abutment for bars LOCATOR Abutment 1267.

2 Aids and instruments SCS Screwdriver Polishing Aid Ratchet and Torque Control Device Assembling the Ratchet and the Torque Control Device Tightening an abutment to 35 Ncm 1478. About sterilization 1499. Important guidelines 150 ContentsPurpose of this guideThis guide describes the essential steps required for the fabrication and insertion of Prosthetic restorations for Straumann Bone Level detailed information regarding implantation and soft tissue management, please refer to the Basic information on the surgical Procedures Straumann Dental Implant System, , or the DVD Surgical and Prosthetic Procedures with the Straumann Bone Level Implant, : Procedures that apply for technicians in the dental lab are marked green. Procedures that apply for prosthodontists are marked grey: Lab procedure Prosthetic procedureNot all products shown are available in all markets. All products shown in this guide are for single use only if not indicated Straumann Bone Level Implant provides you with a solution for all bone Level treatments Straumann expertise and quality built in.

3 Its design is based on the latest technology and scientific know-how in implant dentistry. Moreover, it respects key biological principles, brings predictable esthetic results. 1. Straumann Bone Level Implant Straumann expertise applied at bone levelBone Control Design The unique Bone Control Design is based on key biological principles and thorough scientific research to support crestal bone preservation and stable soft tissue margins. It features the following strengths: Fast osseointegration with the SLActive surface technology Optimal transmission of forces into the bone through the biomechanical implant design Consideration of the biological distance with a horizontal distance of micro gap to bone Reduction of micro movements while controlling the micro gap through a conical connectionConsistent Emergence Profiles The Prosthetic components of the Straumann Bone Level Implant line are designed to facilitate highly esthetic restorations that perfectly mimic natural teeth.

4 These implant line components, designed to match the abutment profiles, allow you to easily attain esthetic results through soft tissue connectionThe Prosthetic connection is intuitive, self-guiding and easy to grasp. The CrossFit connection Provides a clear-cut insertion through the guidance by 4 grooves and the deep, conical connection. Ensures precision against rotation through orthogonal fit between implant and abutment. Gives Prosthetic flexibility with mechanical long-term stability through its conical Emergence Profiles Experience simplified soft tissue management from start to finishBone Control Design Optimize crestal bone preservation by adhering to biological principlesCrossFit connectionFeel the fit of the self-guiding connection42. General CrossFit ConnectionThe Straumann Bone Level Implant features an intuitive implant-abutment connection that is self-guiding and enables simple positioning.

5 It allows clear-cut insertion with all components and provides outstanding protection against rotation as well as long-term and simplicity: 4 groovesThe CrossFit connection features 4 grooves for the repositioning of Prosthetic configuration is characterized by: Simple implant alignment Clear-cut and guided component insertion Flexibility in the placement of angled Prosthetic components Optimal protection against rotation ensured by orthogonal implant-abutment fitInternal connection viewed from above, showing the 4 internal insertion, step 1. The abutment is placed on the 4 grooves in the insertion, step abutment is turned in until it is aligned with the 4 implant insertion, step abutment then falls into the final in place, showing the precise orthogonal fit between implant and and flexibility: Conical connectionThe CrossFit connection features a cone with improved mechanical properties, providing more flexibility for Prosthetic conical Prosthetic connection provides.

6 Reduced micro movements and minimized microgap Outstanding mechanical long-term stability and optimized stress distribution Exact implant-abutment fit Simplified impression taking even with divergently positioned implants6 Gold Abutment, for Prosthetic optionsSingle crownScrew retainedCement retainedAnatomic AbutmentGold Abutment, for crownMeso AbutmentStraumann CARES Ceramic AbutmentStraumann Variobase AbutmentStraumann Screw-retained AbutmentStraumann Screw-retained AbutmentStraumann CARES Ceramic AbutmentStraumann Variobase AbutmentBridgeScrew retainedCement retainedAnatomic AbutmentGold Abutment, for crownMeso AbutmentGold Abutment, for bridgeStraumann CARES Ceramic AbutmentStraumann CARES Titanium AbutmentStraumann Variobase AbutmentCementable AbutmentStraumann CARES Titanium AbutmentCementable Abutment7 LOCATOR AbutmentRemovable over denturesRetentive AnchorAbutment for Bars, GoldAbutment for Bars, TitaniumBarGold Abutment, for bridgeCustomized barAnatomic AbutmentMeso AbutmentGold Abutment, for crownTelescopeStraumann Screw-retained Abutment Overview*See information on sterilization conditions in chapter AbutmentMeso AbutmentGold Abutment, for crownGold Abutment, for bridgeStraumann CARES Ceramic AbutmentStraumann CARES Titanium AbutmentStraumann Variobase AbutmentCementable AbutmentStraumann Screw retained AbutmentAbutment for Bars, GoldAbutment for Bars.

7 TitaniumLOCATOR Abutment Single crownScrew-retained Cement-retained BridgeScrew-retained Cement-retained Removable overdenturesTelescope Retentive anchor Bar ImpressionImplant Level Abutment Level Material*TitaniumTitaniumCeramicor Ceramicor Zirconium dioxideTitaniumTitanium alloyTitaniumTitanium alloyCeramicor TitaniumTitanium )1)2) ) For further information regarding CARES implant-borne prosthetics, please see the Basic information on the Straumann CARES implant-borne Prosthetic Procedures , ) For further information regarding Variobase , please refer to the brochure Basic information on Straumann Variobase , AbutmentMeso AbutmentGold Abutment, for crownGold Abutment, for bridgeStraumann CARES Ceramic AbutmentStraumann CARES Titanium AbutmentStraumann Variobase AbutmentCementable AbutmentStraumann Screw retained AbutmentAbutment for Bars, GoldAbutment for Bars, TitaniumLOCATOR Abutment Single crownScrew-retained Cement-retained BridgeScrew-retained Cement-retained Removable overdenturesTelescope Retentive anchor Bar ImpressionImplant Level Abutment Level Material*TitaniumTitaniumCeramicor Ceramicor Zirconium dioxideTitaniumTitanium alloyTitaniumTitanium alloyCeramicor TitaniumTitanium )1)2)

8 CodingThe Straumann Bone Level Implant line has a simple and consistent color coding and laser markings for quick and precise identification of secondary parts, surgical instruments and auxiliaries. This concept simplifies the communication substantially between the individuals involved in the treatment following scheme illustrates the above mentioned color codings and laser markings:ConnectionImplant InstrumentsImplantClosure screwHealing abutmentImpression postImplant analogTemporary abutment, VITA CAD Temp AbutmentNarrow CrossFit (NC) mmRegular CrossFit (RC) mmLaser marked (NC/RC) Color coded Screw headScrew head11 ConnectionImplant InstrumentsImplantClosure screwHealing abutmentImpression postImplant analogTemporary abutment, VITA CAD Temp AbutmentNarrow CrossFit (NC) mmRegular CrossFit (RC) mmLaser marked (NC/RC) Color coded Screw headScrew head123.

9 Preoperative planningComprehensive pre-implantation diagnosis, evaluation and planning are prerequisites to ensure treatment success. The implant forms the apical extension of the restoration and is thus the planning basis for the surgical procedure aiming at a specific Prosthetic result. Wax up/Set upTo determine the topographical situation, axial orientation and the appropriate implants, making a wax-up/set up using the previously prepared study cast is recommended. Subsequently, the type of superstructure can be wax-up/set-up can later be used as the basis for a custom-made X-ray or drill template and for a temporary should always be loaded axially. Ideally, the long axis of the implant is aligned with the cusps of the opposing tooth. Extreme cusp formation should be avoided as this can lead to unphysiological X-ray reference sphere has a diameter of 5 mm. The image of the sphere on the X-ray provides the reference value for the magnification X ray template with reference spheresFor easier determination of bone availability, the use of an X-ray template with X-ray reference spheres is recommended.

10 First, mark the selected implant positions on the study cast. Then fix the X-ray reference spheres at the marked points and make the vacuum-formed template with the spheres. The subsequently taken X-ray or computer tomography (CT) gives information on bone availability, quality and mucosal thickness. Based on these properties the number of implants, the exact implant positions, diameters and lengths can be Custom made drill templateA custom-made drill template can facilitate planning and the preparation of the implant bed and enables precise use of the cutting instruments. The basis of planning when making this surgical template should be the desired Prosthetic sleeve with collarheight 10 mmoutside mminside pin for 16 mm for 16 mm, for 10 mm, for 16 mm, mmVacuum-formed template with integrated drill sleeve as drilling these components, a surgical drill template can be produced in the usual manner:14 Healing AbutmentPrefabricated healing abutment(titanium)chapter healing abutment (polymer)chapter Abutment(titanium alloy (TAN))chapter (PMMA with titanium alloy inlay)chapter Straumann Bone Level Implant line puts a strong emphasis on esthetic considerations.