Digital intraoral impression for immediate provisional restoration of maxillary single implant: A case report

Yun-Jeong Chang; Hong-Jun Kim; Mi-Kyoung Song; Ji-Eun Moon; Hal-La Lee; Chan-Ik Park

doi:10.4047/jkap.2015.53.3.234

Journal List > J Korean Acad Prosthodont > v.53(3) > 1034831

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Chang, Kim, Song, Moon, Lee, and Park: Digital intraoral impression for immediate provisional restoration of maxillary single implant: A case report

Case Report

J Korean Acad Prosthodont 2015;53(3):234-243.

Published online: 9 February 2015

DOI: https://doi.org/10.4047/jkap.2015.53.3.234

Digital intraoral impression for immediate provisional restoration of maxillary single implant: A case report

Yun-Jeong Chang, Hong-Jun Kim, Mi-Kyoung Song, Ji-Eun Moon, Hal-La Lee, Chan-Ik Park^∗

Department of Prosthodontics, Sun Dental Hospital, Daejeon, Republic of Korea

^∗Corresponding Author: Chan-Ik Park Department of Prosthodontics, Sun Dental Hospital, 645 Daejong-ro (394-1, Jungchon-dong), Jung-gu, Daejeon 301-845, Republic of Korea +82 42 251 5000: e-mail, sjogren6323@gmail.com

Received 21 May 20523 June 2015 Accepted 25 June 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Developing of digital technique, it is possible to fabricate implant prostheses for edentulous area using intraoral 3-dimentional information throughout implant diagnosis and treatment process. It is being changed that from the method using CAD/CAM, producing prostheses by model scanning after conventional impression and model processing, to the method of fabricating implant provisional restorations and customized abutments by digital impression after connecting digital impression copings (scanbody) and implant fixtures without models. But, this digital method has not been actively used for implant prostheses not yet. Specially, it is short of intraoral digital impression cases for immediate provisional restorations of the maxillary anterior implants. The gingival contour impression of maxillary anterior area is very important for esthetic restorations. Accordingly, in this case report, the using a digital impression coping (scanbody) and digital impression by CEREC Omnicam (Sirona, Bensheim, Germany) or Trios (3shape, Copenhagen, Denmark) were introduced for immediate provisional restorations in 3 cases needed a single implant restoration in maxillary anterior area. The clinical results were satisfactory on the convenience and accuracy of digital impression technique and the good esthetics of final restorations.

Keywords: Digital impression coping, Digital impression, Intraoral scanner, Immediate implant placement

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Fig. 1.

(A) Initial intraoral view, (B) Initial periapical radiograph.

Fig. 2.

(A) Periapical radiograph of scanpost (RaphaBio, Seoul, Korea), (B) Scanbody (Sirona, Bensheim, Germany) adaptation for digital impression.

Fig. 3.

(A) Scanned scanbody (grey) and gingiva (pink) by CEREC Omnicam (Sirona, Bensheim, Germany), (B) Design of customized abutment by CEREC software (Sirona, Bensheim, Germany), (C) Zirconia upper abutment part (left) and Ti-base (right), (D) Completed customized zirconia abutment.

Fig. 4.

(A) Delivered customized zirconia abutment, (B) Temporary crown on the abutment.

Fig. 5.

(A) Final prosthesis with temporary cementation, (B) Final prosthesis at 3 month’ s check.

Fig. 6.

Initial periapical radiograph.

Fig. 7.

Scanbody (Dio, Busan, Korea) adaptation for digital impression.

Fig. 8.

(A) Scanned scanbody(black) and gingiva(pink) by Trios (3shape, Copenhagen, Denmark), (B) Digitally diagnostic waxup of final prosthesis by Trios (3shape, Copenhagen, Denmark), (C) Design of customized abutment by 3shape software (3shape, Copenhagen, Denmark), (D) Provisional abutment.

Fig. 9.

(A) Delivered provisional abutment and temporary crown, (B) After stich out, (C) Delivered customized zirconia abutment, (D) Temporary crown on the abutment.

Fig. 10.

(A), (B) Final prosthesis with temporary cementation.

Fig. 11.

Initial periapical radiograph.

Fig. 12.

Scanbody (Dio, Busan, Korea) adaptation for digital impression.

Fig. 13.

(A) Scanned scanbody and gingiva by Trios (3shape, Copenhagen, Denmark), (B), (C) Design of customized abutment by 3shape system (3shape, Copenhagen, Denmark).

Fig. 14.

(A) Delivered temporary titanium abutment, (B) Temporary crown on the abutment.

Fig. 15.

(A) Periapical radiograph of final screw type prosthesis, (B), (C) Final screw type prosthesis at 6 month’ s check.

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