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24 STARGET 1 I 12 Straumann ® C areS ® digital S olutionS stability in the mouth of the patient before performing the Cone Beam CT scan (fig. 6). The CT showed a remarkable resorption on site 8 and confirmed the inclination of the implant placed in 12. Therefore, the implant to be placed immediately in position 8 was moved to 7 and a miniflap was raised. The implant in position 11 had to deal with the position on the other implant. The final treatment decided upon was a fixed implant supported Dental Technician Maurizio Camandona Teacher of post-graduate courses in dental implant technologies at the University of Milan. Author and co-Author of professional articles and reference books. Private practice in Lomazzo (Como)/Italy, specialized in implant prosthetics, ceramics and state-of-the-art technologies (CADCAM prosthesis on 3 implants in positions 7-11-12. The Straumann ® coDiagnostix software was used to plan the treatment (figs. 7, 8). The implant positions were defined in the software and the resulting template plan was sent to the lab. The implant in position 7 was planned to be a Roxolid ® implant with small diameter (Straumann ® Bone Level implant, NC Ø 3.3 mm, SLActive ® 12.0 mm); for the implant in 11, a Straumann ® Bone Level implant (RC Ø 4.1 mm, SLActive 12.0 mm) was chosen. etc.). Speaker at national congresses on the topics listed above. Fig. 9 Fig. 10 Fig. 11 Fig. 12
Straumann ® C areS ® digital S olutionS STARGET 1 I 12 25 It was possible to identify the implant in 12 as a CoreVent1 Ø 4.0 mm implant placed about 15 years ago and, after some research, some prosthetic component of the respective implant manufacturer was found that was compatible with the internal connection to this implant. After drilling the holes into the scan template according to the template plan, the lab provided the surgical guide (figs. 9 – 11). Surgical Procedure The two teeth were removed together with the granulation tissue around the root of tooth 8 under local anesthesia. The considerable resorption needed to be treated with regenerative material (bovine bone substitute material covered by a resorbable collagen membrane) to avoid major alteration of the contour. The surgical guide was placed on the remaining teeth and on the healing cap of the distal implant (fig. 12). The surgical procedure was performed according to the surgical plan. The implant in position 7 was positioned after raising a mini-flap and by using the extra-long drill (Ø 2.8 mm) through the Prof. Eugenio Romeo Graduation in Medicine and Surgery in 1984 at the University of Milan/Italy. Director of the Department of Implant Prosthetics at the University of Milan since 1992. Associate Professor since 2005. Author of various educational books and national and international publications. Chairman of the Advanced Oral Implantology course at the University of Milan. ITI fellow. Ø 2.8 mm sleeve (figs. 13, 14). Fig. 13 Fig. 14 Fig. 15 Fig. 16
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