Joda, Tim; Ferrari, Marco; Brägger, Urs (2016). A digital approach for one-step formation of the supra-implant emergence profile with an individualized CAD/CAM healing abutment. Journal of prosthodontic research, 60(3), pp. 220-223. Elsevier 10.1016/j.jpor.2016.01.005
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A digital approach for one-step formation of the supra-implant emergence profile with an individualized CAD CAM healing abutment.pdf - Published Version Available under License Creative Commons: Attribution-Noncommercial-No Derivative Works (CC-BY-NC-ND). Download (818kB) | Preview |
PURPOSE
This Technical Procedure describes a novel workflow for a one-step formation of the supra-implant emergence profile in the esthetic zone - the 'Digitally Flip Technique' (DFT).
METHODS
After implant placement, a post-operative intra-oral optical scan (IOS) was performed to capture the final three-dimensional implant position. Based on the superimposition of the digitally slice-wise DICOM-segmentation of the digitally flipped (mirrored) contra-lateral tooth and the STL-file of the IOS, an individualized healing abutment was CAD/CAM-fabricated out of PMMA-based restoration material in a fully digital workflow and seated at the stage of reopening surgery. One single treatment step was necessary for final modulation of the supra-implant mucosa architecture in order to mimic the morphological emergence profile of the contra-lateral tooth within a short-span time frame of four days after insertion of the individualized healing abutment.
CONCLUSIONS
The implant crown emergence profile could be shaped immediately after reopening according to the three-dimensional radiographic contour of the digitally flipped contra-lateral tooth. Estimating the emergence profile or time-consuming step-by-step conditioning of the mucosa through an additionally produced implant provisional was therefore avoided.
Item Type: |
Journal Article (Further Contribution) |
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Division/Institute: |
04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology 04 Faculty of Medicine > School of Dental Medicine 04 Faculty of Medicine > School of Dental Medicine > Department of Reconstructive Dentistry and Gerodontology |
UniBE Contributor: |
Joda, Tim, Brägger, Urs |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1883-1958 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Eveline Carmen Schuler |
Date Deposited: |
23 Jan 2017 09:14 |
Last Modified: |
05 Dec 2022 15:00 |
Publisher DOI: |
10.1016/j.jpor.2016.01.005 |
PubMed ID: |
26868927 |
Uncontrolled Keywords: |
CAD/CAM, Cone beam computed tomography (DICOM), Dental implant, Emergence Profile, Superimposition CAD/CAM |
BORIS DOI: |
10.7892/boris.91271 |
URI: |
https://boris.unibe.ch/id/eprint/91271 |
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