1. Limited Flap Technique
2. Subcortical positioning of 0.5 to 1mm
3. Routing cutter
4. Test abutment
5. Using FRP in Ponchos
6. Sutures - quilting stitches
7. Final radio
Délai d'ostéoingréation de 4 mois.
Preoperative X-ray
iPhysio® Profile Designers are selected using iPhysio® test abutments
Six iPhysio® Profile Designer Healing
Trans-screwed final denture insertion - May 2018
Postoperative situation - May 2018
Follow-up X-ray 3 years after insertion of definitive prostheses - March 2021
Results 3 years - March 2021
Posterior insertion of an iBone S implant
Setting up an iPhysio® Profile Designer
Radio control for iPhysio® Profile Designer insertion
Soft tissue healing
iPhysio® gingival cradle
Placement of the definitive prosthesis
Extraction/Implantation immédiate et réalisation d'une provisoire avec le Profile Designer iphysio®
This case study illustrates all the steps involved in creating a prosthetic restoration using the iphysio protocol on ETK Naturactis implants.
The patient was 66 years old, in good general health, a non-smoker and in need of implant-prosthetic rehabilitation of tooth 46.
The treatment plan was as follows:
1. iPhysio® Profile Designer (shape C - height 1) screwed in position 46
2. Profile Designer iPhysio® CT scan with Trios 3Shape intraoral scanner
3. Positioning of the iPhysio® replica from the library using a point on the iPhysio® CT scan.
4. Customized abutment design retaining the gingival anatomical profile of the iPhysio® Profile Designer and crown design
5. iPhysio® Profile Designer removed. The anatomical profile of the prosthetic cradle can be seen.
6. Screwing a custom abutment into the mouth
7. Final result after crown cementation
More than aesthetics in the strict sense, the aim is to achieve the best possible integration of the prosthetic restoration into the patient's biological and anatomical context. This involves transferring not only the spatial position of the implant, but also the volume of the newly created sulcus. Virtually all physico-chemical impressions are CT scanned in the laboratory. As a result, the consistency of the digital workflow is an additional argument in favor of the use of intra-oral optical impressions for single- and small-unit implant prosthetics.
However, until now, the scanning bodies used for intra-oral impressions were identical to those used in the laboratory on plaster models derived from physico-chemical impressions, and therefore totally unsuited to the constraints of intra-oral optical impressions and emergence profile transfer. This paper presents an original digital solution for transferring the implant position and the newly created emergence profile using the iPhysio® system developed by LYRA ETK.
