Transcription

Straumann Cares Scan & shapeProcess guideFrom model or wax-up to customized abutment1

ContentsTITLEIntroduction2Page3From ModelsProcess OverviewPreparation of the Master ModelArticulator GuideOrder formAbutments for Meso BridgeImplant Placement Consideration445671112From wax-up abutmentsProcess OverviewPreparation of the Wax-upOrder Form131415Case ProcessingShipping ChecklistTurnaround TimeTerms and Conditions16161718

introductionStraumann now offers you a new customer service concept, to obtain our customized Straumann CARES Abutments, which are carefully prepared by our highly trained professionals based on your specifications. This conceptis designed to ensure the best possible fit of the final restorations.Our commitment is to provide you with excellent quality and service. Your convenience is our priority, from themoment you send in your master model until you receive your Straumann CARES Abutment. Our experienceddental technicians will carry out the computer-aided design of your Straumann CARES Abutment, according to themaster model and design information you provide. You will have the opportunity to check the design file of theabutment before giving us your approval to manufacture your order. Alternatively, you can also send in a waxed-upabutment and we will produce the abutment you require.This new customer service offers you Digital abutment solutions for your laboratory to provide more options for surgeons and prosthodontistsExcellence in dentistryAn interactive collaboration with youGuaranteed high quality of Straumann productsStraumann CARES Abutments are available for customized patient solutions Available in 2 different materials: titanium and zirconium dioxide*For cement-retained crowns and bridges via a mesostructureIn reduced form for direct veneering to form screw-retained crowns (zirconium dioxide abutments only)Characteristics Customized shape and emergence profileControl over cement gapOptimized path for prosthetic insertion due to flexible designStraumann precision fit between implant and abutment*Except WN (Wide Neck) platform3

from modelsprocess overview1. CUSTOMERCall our Straumann technical support team at 866/531 7365for the order form and to arrange the pickup service.2. orderThe package will be picked upby a courier. You will be given atracking number.Pack all items to be sent and theorder form into a shipping box.3. StraumannYour abutment is scanned anddesigned based on your requirements.Your abutment is manufactured.4. deliveryThe abutment and the model are delivered to you for fabricationof the final restoration.4

PREPARATION OF THE MASTER MODELPlease prepare a stone model with a new and genuine Straumann implant analog(s), along with a removable,stable silicone soft tissue mask. This will allow accuracy of your design for the customized abutment. Please ensurethat you have disinfected all materials prior to sending it to Straumann.NoteStraumann will not modify your model after it is received. To achieve an accurate design and fit, the model shouldshow the appropriate final gingival contour of the sulcus. Therefore, please ensure that the model has good softtissue information, no artifacts (such as holes or stone bubbles), and no impression material overlapping the implantshoulder. In some cases, we may need to use a scanning spray on your modelIf the model is not prepared appropriately, we will be unable to accept your order and will return the model to youat your cost. (ie. You will be invoiced for the return shipping of this model)5

Examples of model defectsImpression material around analogUndefined soft tissue contourPlaster around analogIf the model is not prepared appropriately, we will be unable to accept your order and will return the model to youat your cost. (ie. You will be invoiced for the return shipping of this model)Stone model of soft tissue If you provide a stone model of the soft tissue, please adjust thesulcus area accordingly if you wish to have soft tissue compression from the abutment. If you do not adjust the sulcus, we can only produce the abutment within the model parameters with no soft tissue support.The abutment will not touch the soft tissue.6

Diagnostic wax-upIf you are ordering abutments for three or more adjacent edentulous spaces, youshould provide a diagnostic wax-up to provide additional information about thebucco-lingual dimensions, occlusal height and offset width.You should construct the wax-up using our Straumann Wax-up sleeves.NoteBefore sending the models to Straumann, please verify that the models arearticulated in correct occlusion, and a bite registration is provided.7

ARTICULATOR GUIDEAll cases should be articulated and a bite registration should be provided in order to achieve an accurate and preciseresult for the patient.When you prepare your models for shipping, please use base plates of one of the following articulators:Artex: with magnetic platesDenar: with screw or magnetic platesIf you are sending in your models affixed to non-adjustable articulators such as Ceramco Vertex, Ray FosterApex or similar; please ensure that you have prepared the models in a way that they can be removed andrelocated easily (e.g. with the use of grooves/pins). The models must be separated from the articulator during ourscanning process.If the articulator you are using is not included in this list, please contact our technical support team at 866/531 7365.NotePlease ensure you have used the split-cast technique to construct the models with the baseplates. There is no needto send us your articulator. On the order form you should indicate which type of articulator you have used.For your convenience, we have created these actual dimensions in this illustration box. The entire model (mountedwith plaster on a baseplate if applicable) must fit within these actual dimensions.Dimensions of your model (including plaster and baseplates if applicable)8

order formWe will scan your model, and mill your customized Straumann CARES Abutment(s) according to the informationyou provide us in the order form, which must be filled in accurately.1. Customer detailsPlease write your unique Straumann customer number and your contact details. This will allow us to verify yourregistered details on our system, and ensure that we can get in touch with you if necessary.If this is the first time that you are using Straumann products and services, please contact us at 866/531 7365(technical support team).Please enter the Patient Initials or ID number in order that the abutment is identifiable. Do not include the patient’sfull name.2. Order creationPlease check ( ) where applicable and indicate which tooth needs to be replaced using the Universal Numbering System.For your reference, Straumann CARES Abutments are available with the following platforms and in the following materials:For Soft Tissue Level ImplantsFor Bone Level ImplantsTitaniumZirconium dioxideNNNNRNRNWN-NCNCRCRC9

We offer 2 types of abutments:1) Anatomical abutment – Made of zirconium dioxide only, for direct veneering to create a screw-retained restoration.2) Meso abutment – Made of titanium or zirconium dioxide, which should be used with a coping to create the finalcement-retained restoration.123. Design creationWith the Straumann CARES Visual software you can design abutments to optimally fit the soft tissue profile of thepatient. For every patient the healing situation may vary depending on the soft tissue management technique and thesize of the healing abutment used. Therefore, it is important to choose the appropriate emergence profile option inorder to create the abutment size needed to optimally support the final restoration.Details of the components of design are required:A) Margin positionMargin depths are measured from the gingival crest to the abutment margin. There are four options to choose from.Please indicate the option number on your order form for the preferred position.10

Option 1Gingival crest position – Abutment margins are placed at gingival crest levelOption 2Default position – Recommended for cement-retained final restorations, average subgingival depth of 1.5 mmfrom gingival crest circumferentiallyOption 3Anatomical position – For screw-retained abutments where direct veneering is possibleOption 4Free-form design position – Please provide further information for specific design parameters other than options1, 2 and 3. You may mark this on the model and describe on the order form (in the section “Additional comments”). In this case, we must obtain your approval before manufacturing.11

B) Emergence profileStraumann uses its proprietary technology to automatically generate an emergence profile which adapts to the sulcusinformation provided with your model. However, if you wish to apply some compression or relief of the soft tissue,you may indicate that this is required. By default, we will produce your Straumann CARES abutment with the best fitemergence profile. Please indicate the option number on your order form for the preferred position.Option 1 - Best Fit This design is based on the best emergence profile possibleto support the soft tissue by applying only light pressure. Temporary blanching of the soft tissue may occur at the timeof insertion. The size of the abutment is determined by the space createdby the healing/temporary abutment. There may be situations where it is not possible to create tissue support withthe abutment.Option 2 - Convex Profile Where moderate compression of the soft tissue is required,the abutment can be produced with a more convexemergence profile.Option 3 - Concave Profile This profile creates an abutment which does not touch thesoft tissue. If a stone model is provided with no gingival mask, this isthe recommended option.NoteAll Straumann CARES Abutment design images are static and therefore do not represent the dynamic relationshipof the actual soft tissue morphology with the abutment when it is placed.12

ABUTMENTS FOR MESO BRIDGEWhen Straumann CARES Abutments are planned for a final bridge restoration, the abutments must be designed inparallel. On the order form, you may indicate (by circling) which abutments require a single path of insertion so thatyou may construct the final bridge mesostructure.NoteAll Straumann CARES Abutment design images are static and therefore do not represent the dynamic relationship ofthe actual soft tissue morphology with the abutment when it is placed.13

IMPLANT PLACEMENT CONSIDERATIONSWhen an implant is placed in a non-ideal position, the choice of the margin position and emergence profile willdetermine the outcome of the final abutment.Example IWhen a Soft Tissue Level implant is placed in a high position where the junction between the neck and body of theimplant is above bone level, this might result in minimal soft tissue depth for the abutment. Therefore, if a subgingivalmargin position is selected, the total width of the abutment is also limited.If you choose a convex profile to create a wider abutment, the margin may be supragingival and exposed.Example IIIf an implant is placed off-center from the required position of the final restoration, we can produce an abutment tocompensate for the off-center placement. In such cases, we recommend that you choose Option 1 for the Best Fitemergence profile. In some cases, this may not be possible if the width of the required abutment is outside our manufacturing limits.14

from wax up abutmentsprocess overview1. CUSTOMERCall our Straumann technical support team at 866/531 7365for the order form and to arrange the pickup service.2. orderThe package will be picked upby a courier. You will be given atracking number.Pack your wax-up abutment andorder form into a shipping package.3. StraumannThe wax-up abutment is scanned.Your abutment is manufactured.4. deliveryThe abutment and the model are delivered to you for fabricationof the final restoration.15

PREPARATION OF THE WAX-UP ABUTMENTStep 1: Prepare a stone model with a soft tissue mask. Insert a wax-up sleeve into the master cast.The following wax-up sleeves are available:048.087 NN Wax-up sleeve048.088 RN Wax-up sleeve048.089WN Wax-up sleeve025.2903 NC Wax up sleeve025.4903 RC Wax-up sleeveStep 2: Use the wax-up sleeve to model the shape of the abutment.NoteUse a scannable wax if possible (e.g. Straumann CopyCAD wax), or we may have to apply scan spray to yourwax-up abutment. Please cut off the projecting part of the wax-up sleeve. Do not wax below the basal margin of thewax-up sleeve.16

order formWe will scan your model, and mill your customized Straumann CARES Abutment(s) according to the informationyou provide us in the order form, which must be filled in accurately.1. Customer detailsPlease write your unique Straumann customer number and your contact details. This will allow us to verify yourregistered details on our system, and ensure that we can get in touch with you if necessary.If this is the first time that you are using Straumann products and services, please contact us at 866/531 7365(technical support team).Please enter the Patient Initials or ID number in order that the abutment is identifiable. Do not include the patient’sfull name.2. Order creationPlease check ( ) where applicable and indicate which tooth needs to be replaced using the Universal Numbering System.For your reference, Straumann CARES Abutments are available with the following platforms and in the following materials:For Soft Tissue Level ImplantsFor Bone Level ImplantsTitaniumZirconium dioxideNNNNRNRNWN-NCNCRCRCYou do not need to fill in the DESIGN CREATION part of the order form as your design has already been incorporated inthe wax-up abutment which you have sent to us. Straumann will not alter this wax-up abutment in any way. The wax-upabutment will not be returned to you.17

Case processingFrom ModelsWe will send you the computer-aided design by attaching the screenshot(s) from our software by email within 24 hoursof receiving your model. Please confirm your approval by email before we proceed with milling your abutment. Delay inapproving the design may affect the turnaround time.If you have any concerns, please reply by email for further information or specify what changes you require so that anamended proposal can be sent to you.From Wax-Up AbutmentsWe will proceed immediately to mill the abutment you ordered. This follows the design you have sent us on the wax-upsleeve. We will not send you any further email for approval.Shipping ChecklistThis is a shipping checklist to help you ensure that your order is processed efficiently and accurately.From Models Signed order form with all required detailsArticulated master casts with genuine Straumann Implant analog(s)Model with soft tissue maskBite registration (recommended)Diagnostic wax matrix (if ordering three or more adjacent abutments)From wax up abutments 18Signed order form with all required detailsWaxed-up abutment, using genuine Straumann Wax-up sleevesModel with gingival mask (optional)

Shipping CycleDesign CyclePickup Cycleturnaround timesPickup from CustomerMondayTuesdayWednesdayThursdayFridayModel Received By n Proposal Sent to CustomerTuesdayWednesdayThursdayFridayMondayDesign Approved by tionWednesdayThursdayFridayMondayTuesdayShip Product to er Receives Final ProductFridayMondayTuesdayWednesdayThursdayAn example of turnaround times by 2-day Standard Shipping on pick-up and delivery.4 PM central cut-off time. If you choose to use our pick-up service, your shipment will be collected from you within 24 hours of your call. Please contact us by 12 PM Central Mon–Fri.For calls received on Friday, your order may be picked up on Monday.19

terms and conditionsThese General Terms and Conditions apply to the purchase of all Straumann Products; whether the order is placed by telephone, website,order form or other acceptable means as determined by Straumann.PLEASE READ THIS INFORMATION CAREFULLY PRIOR TO PLACING YOUR ORDER WITH STRAUMANN. BY CLICKING THE “I ACCEPT”BUTTON, YOU AGREE TO BE BOUND BY THESE TERMS AND CONDITIONS.The following terms and conditions shall apply to the use of this web site and the purchase of any Straumann Product and shall be considered an integral part of the contract of sale that the user of this website (“you” or “your”) forms with Straumann USA, LLC (“Straumann,”“we,” “us,” or “our”), upon placing an order through this web site.UNLESS OTHERWISE EXPRESSLY AGREED IN WRITING, ALL SALES ARE SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS:1. PricesAll prices published by us on this web site or quoted by our representatives may be changed at any time without notice. All prices will beas specified by us or, if no price has been specified or quoted, will be our price in effect at the time of delivery. All prices are subject toadjustment on account of specifications, quantities, shipment arrangements or other terms or conditions which are not part of our originalprice quotation. All software purchases are also subject to an End User License Agreement.2. TaxesAll prices are exclusive of all excise, sales, use, transfer and other taxes and duties imposed with respect to the products or their sale byany federal, state, municipal or other governmental authority, all of which taxes must be paid by the buyer (“you” or “your”).3. Terms of PaymentGenerally, payment terms are net thirty (30) days from date of invoice. However, we reserve the right to modify such terms dependingupon the nature of the transaction involved and the form of payment used to purchase products from Straumann (e.g., credit card). Wealso reserve the right, in our sole discretion, to require payment on a COD basis, to require full or partial payment in advance or torevoke any credit previously extended. If the products are delivered in installments, you will pay for each installment in accordance withthe terms specified above. Payment must be made for the products regardless of whether you have made, or plan to make, any inspectionof the products. To the extent permitted by applicable law, overdue payments may be subject to finance charges computed at a periodicrate of 1-1/2% per month (18% per year). Amounts owed by you with respect to which there is no dispute must be paid without setofffor any amounts which you may claim are owed by us and regardless of any other disagreements which may exist. Payment is considered made when payment is received by us at our principal offices or at such other address as we indicate to you. You shall also pay orreimburse us for all costs and expenses (including reasonable attorneys’ fees) incurred or paid by us in collecting amounts due from youor in enforcing your obligations hereunder.4. Packaging and ShipmentAll packaging and methods of shipment will be selected by you during the ordering process, but we will not assume any liability in connection with shipment nor constitute any carrier as our agent. We reserve the right to ship the products in any order and to make partialshipments. We reserve the right to stop delivery of products in transit and to withhold shipments in whole or in part if you fail to make anypayment to us when due or otherwise fail to perform your obligations hereunder. All shipping dates are approximate only.5. DeliveryWe will use reasonable efforts to meet requested delivery dates, but will not be liable for our failure to do so. We will not be liable forany loss or damage resulting from any delay in delivery or failure to deliver which is due to any cause beyond our control. If, as a resultof any cause beyond our control, any scheduled delivery is delayed for a period in excess of sixty (60) days, we may at our option, bywritten notice to you, cancel any and all scheduled or future deliveries without further liability or obligation of any kind. In the case ofcustomized CADCAM appliances, where design pre-approval is required; your failure to timely approve the design may delay delivery.6. Security InterestWe reserve and you grant to us a security interest in all products sold and all proceeds to secure the full payment and performance byyou of your obligations and liabilities to us. You acknowledge that these Terms and Conditions or copies of them may be filed with the20

appropriate authorities as a financing statement and you agree to execute and deliver such other documents as we may request in orderto evidence or perfect our security interest.7. SpecificationsAll products are subject to our standard tolerances for specifications. We reserve the right to make substitutions and modifications in thespecifications of any products, provided that such substitutions or modifications do not materially affect the performance of the productsor the purposes for which they can be used.8. Warranty Disclaimer; IndemnificationEXCEPT AS WE MAY OTHERWISE EXPRESSLY PROVIDE IN WRITING TO YOU, WE DISCLAIM ALL WARRANTIES, WHETHER EXPRESSOR IMPLIED, WRITTEN OR ORAL, WITH RESPECT TO THE PRODUCTS, INCLUDING ANY WARRANTY OF MERCHANTABILITY ORFITNESS FOR A PARTICULAR PURPOSE. OUR MAXIMUM LIABILITY ARISING OUT OF THE SALE OF THE PRODUCTS OR THEIR USE,WHETHER BASED UPON WARRANTY, CONTRACT, TORT OR OTHERWISE, SHALL NOT EXCEED THE ACTUAL PAYMENTS RECEIVEDBY US IN CONNECTION THEREWITH. IN NO EVENT SHALL WE BE LIABLE FOR SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES, INCLUDING, BUT NOT LIMITED TO, LOSS OF PROFITS, LOSS OF DATA OR LOSS OF USE DAMAGES, ARISING HEREUNDEROR FROM THE SALE OR USE OF THE PRODUCTS.You shall indemnify, defend and hold us harmless against all claims, liabilities, damages, expenses, judgments and losses (includingreasonable attorneys’ fees) arising from your use and/or misuse of the products. No sale of any product shall be construed as grantingto you any license or other proprietary or intellectual property right applicable to the products. You may not alter or remove, and shallabide by, any patent, trademark, copyright, trade secret, proprietary or other notices contained on or in the products.9. Product ReturnsAll product returns shall be at our sole discretion and consistent with Straumann USA, LLC’s returns policy as it exists at the time of theproposed return.10. Product ResaleThe resale, redistribution, trade, transfer or use other than pursuant to the Instructions for Use of Straumann products is prohibited. Ifyou have or are attempting to resell, redistribute, trade or transfer any Straumann product, we may at our sole discretion, exercise allavailable remedies including but not limited to discontinuing or canceling your account with us and demand immediate payment for alloutstanding balances.11. Straumann GuaranteeAll sales are subject to the terms and conditions of the Straumann Guarantee then current as of the date of purchase.12. Special Provisions for Customizable CADCAM ProstheticsScan OnlyStraumann will manufacture the customized abutment or other prosthetic device using only the design and dimensions of the wax-upmodel provided by you. When you send in a wax-up model you agree you have pre-approved the design and production of the prosthetic. STRAUMANN IS NOT RESPONSIBLE FOR DEFICIENCIES IN THE DESIGN OR FIT OF THE PROTHESIS. If you alter or rework thedental prosthetic received from Straumann any claims for defects shall be ineffective.Scan & ShapeStraumann will shape and manufacture the customized abutment or other prosthetic device using only the design parameters and dimensionsprovided by you on the Order Form. Straumann does not alter the parameters of the dimensions or contours provided by you. STRAUMANN IS NOT RESPONSIBLE FOR DEFICIENCIES IN THE DESIGN OR FIT OF THE PROTHESIS. If you alter or rework the dental prosthetic received from Straumann any claims for defects shall be ineffective.21

Straumann USAStraumann USA, LLC60 Minuteman RoadAndover, MA 01810Phone800/448 8168978/747 2500Fax978/747 2490www.straumannusa.comStraumann CanadaStraumann Canada Limited3115 Harvester Road, Suite 100Burlington, ON L7N 3N8Phone800/363 4024905/319 2900Fax905/319 2911www.straumann.ca Straumann USA, LLC 2012. All rights reserved.Straumann and/or other trademarks and logos from Straumann that are mentioned herein are the trademarks or registered trademarks of Straumann HoldingAG and/or its affiliates. All rights reserved.Straumann Products are CE markedInternational HeadquartersInstitut Straumann AGPeter Merian-Weg 12CH-4002 Basel, SwitzerlandPhone 41 (0)61 965 11 11Fax 41 (0)61 965 11 0111/11w w w. s t rau m an n u sa.c o m

straumann precision fit between implant and abutment *except Wn (Wide neck) platform. 4 FroM Models Process overvieW 1. cusToMer call our straumann technical support team at 866/531 7365 for the order form and to arrange the pickup service. 2. order The package will be picked up by a courier. You will be given a