Dental Asia November/December 2021

User Report
retained abutments (SRAs) with a
torque of 35Ncm and pin fixation
of the temporary provisional (Figs.
13a-c). An optimal fit of the premanufactured
provisional restoration
with the prosthetic emergence
profiles of the implant restoration was
achieved.
Next, titanium copings were adjusted
in length to suit the contours of the
provisional and mounted on the
implant restoration. Subsequently,
the immediate provisional was
mounted, secured with anchoring
pins and fixed to the titanium copings
using flowable composite (Figs. 14ac).
Fig. 16a
TREATMENT OUTCOMES
Optimal functional and aesthetic
results were achieved thanks to
the digital pre-planning. There was
a satisfactory occlusal fit with the
maxillary complete denture, and no
adjustments were required (Figs.
15a-f). The patient showed optimal
immediate phonetic and functional
adaptation to the new provisional and
reported that he was pleased and
satisfied with the results (Figs. 16a-c).
Fig. 16b
DISCUSSION
The presented case illustrated
the conversion of a mandibular
conventional complete denture into
an implant-supported fixed fullarch
restoration using Straumann ®
Pro Arch and Straumann ® Smile in
a Box. Conversion of the existing
restoration included the delivery of
a new set of stable conventional
dentures after re-establishing the
maxillomandibular relationships
and occlusal vertical dimensions by
conventional laboratory workflows.
Smile in a Box facilitated quick and
easy access to a digital workflow,
with the associated advantages
of precise prosthetically driven
implant planning, guided flapless
implant placement and immediate
restoration 6,8 . The outsourced
workflow could be perfectly
Fig. 16c
Figs. 16a-c: Delivery of the immediate provisional on the day of surgery
integrated into the clinic’s existing of the virtual planning models
clinical and prosthetic setup.
based on the visualisations from
coDiagnostiX ® and CARES ® Visual
Key success criteria that contributed to provided by the team.
seamless integration of the outsourced
workflows and an optimal result for Efficient communication with the
the patient included appropriate
team also ensured that all other
and accurate data collection and critical factors related to immediate
communication with the Smile
implant placement and restoration
in a Box team. This allowed a
were appropriately addressed,
straightforward definition and approval without having to overcome the
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DENTAL ASIA NOVEMBER / DECEMBER 2021