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QUARTER 2
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2016
(Continued from page 38)
RESTORATIVE PHASE
My patient returned three months later for the restorative phase
of treatment. The CEREC-Galileos integration was flawless, as
plan and execution had been precise. The resultant implant was
amenable to being restored with a screw-retained IPS e.max
hybrid abutment restoration. The screw access hole was planned
to fall within the occlusal surface of the future crown.
The gingival tissue looked beautifully contoured and ready
to proceed with the next phase of my digital workflow: optical
imaging of the gingival tissue mask with CEREC Omnicam tech-
nology (Fig. 9). Impressioning the appropriate Sirona TiBase
and scan body cap for a Straumann 4.8 mm Bone Level regular
connection implant followed (less than three minutes elapsed).
CEREC Omnicam imaged, designed, milled, stained, glazed and
crystallized is how the e.max hybrid abutment crown is manu-
factured as an in-office procedure. Of course, this is only possible
with an in-office milling unit. The crown was designed, milled
and tried in during the “blue phase” (un-crystallized) and fitted
on a TiBase. The fit was excellent, verified by radiograph. I like
to narrow the buccal lingual dimensions of the occlusal table, and
did so while in this blue phase. The occlusion and contacts were
checked and did not require any adjustments.
We dismissed the patient while we completed the necessary lab
procedures to complete our restoration. My assistant finished the
staining, glazing and crystallization prior to connecting the crown
to the TiBase with Ivoclar’s self-curing Multilink implant cement.
The patient was reseated later that day and the final e.max
hybrid abutment restoration was inserted with the manufactur-
er’s suggested torque value, 35 ncm. The screw access hole was
filled with Teflon tape and closed with Ivoclar’s Tetric EvoCeram
composite resin which blended in beautifully with the e.max
Lithium Disilicate crown (Fig. 10a-l, on pages 40-41, and Fig. 11).
Fig. 11: Final restoration in mirror view
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R A M I R E Z
CONCLUSION
How’s that for efficiency? A positive patient experience was the
result of a fully digital workflow. The process was completed from
start to finish in less than two hours. My experiences with these
restorations have been nothing short of spectacular.
Cost-effective, efficient, versatile, well-fitting; strong with
natural esthetics; economical with superior treatment outcomes
—finally we have gained full control of the restorative and surgical
phases of dental implants.
Control leads to success and longevity, which is our ultimate goal
when placing and restoring tooth replacements. Doing it differ-
ently and better with the CEREC-Galileos Integration has come to
define my dental practice. My practice has garnered a reputation
via these technologies and the uniquely personalized approach
I take with enhanced diagnostics and advanced treatments. This
approach has made complex cases routine and manageable.
For questions and more information, Dr. Ramirez can be reached at
“Cost-effective, efficient, versatile, well-fitting; strong with
natural esthetics; economical with superior treatment outcomes —
finally we have gained full control of the restorative
and surgical phases of dental implants.”
