Bicon Dental Implants
Friday, November 21st 2008 7:17PM EDT

Short Implants / Full Arch / Immediate Stabilization and Function / Bicon Integrated Abutment Crowns™: Ten Restorations and Insertions
This case reveals the versatility of: placing an immediately stabilized implant after the failure of an implant to integrate, making an impression, recording occlusal relationships, fabricating transitional restorations, and inserting ten Bicon Integrated Abutment Crowns™.

     


1. Radiograph of nine integrated Bicon implants with 5.0mm wide shouldered abutments.


2. Three 5.0mm wide shouldered abutments, two of which have 5.0mm emergence cuffs snapped onto them prior to the placement of an immediately stabilized implant in the site of a previously placed implant which failed to integrate.



3. Reamer bur preparing osteotomy at 50RPM without water irrigation.


4. Prepared osteotomy site.


5. Depth gauge confirming appropriate depth of osteotomy.


6. Implant being inserted into osteotomy.


7. Emergence cuff being placed onto abutment prior to the
fabrication of a one-piece transitional restoration, which will stabilize the newly placed implant while it is being osseointegrated.


8. One-piece transitional restoration prior to its removal after the osseointegration of the central incisor implant. The abutments were only seated with finger pressure.


9. Ten shouldered abutments prior to their removal for the transfer impression of the ten implants.


10. Removal of a 5.0mm wide abutment.


11. View of ten implant wells prior to the insertion of transfer impression posts.


12. Seven white impression posts for 3.0mm diameter implant wells and three black impression posts for 2.0mm diameter implant wells.


13. Withdrawal impression being made of the impression posts.


14. Black 2.0mm implant analog being placed onto impression post prior to the pouring of a soft tissue model.


15. White 3.0mm implant analog being placed onto impression post.


16. Impression posts and acrylic being used to record occlusal relationship.


17. A 5.0mm x 8.0mm shouldered abutment being inserted prior to the re-insertion of the one-piece transitional restoration.


18. Abutments re-inserted with only finger pressure for the transitional restoration for the period of time necessary to fabricate the ten Bicon Integrated Abutment Crowns™.


19. Ten Bicon Integrated Abutment Crowns™ on soft tissue model.


20. Lingual-occlusal view of ten Bicon Integrated Abutment Crowns™.


21. Fabrication of a red acrylic occlusal jig used for aiding in the intra-oral orientation of the ten Bicon Integrated Abutment Crowns™.


22. A vacuum-formed template also used for aiding in the intra-oral orientation of the ten Bicon Integrated Abutment Crowns™.


23. Soft tissue model with three Bicon Integrated Abutment Crowns™ removed.


24. Mirror view of ten Bicon Integrated Abutment Crowns™.


25. Ten implant wells prior to the insertion of the Bicon Integrated Abutment Crowns™.


26. Insertion of the tenth Bicon Integrated Abutment Crown™ prior to their being seated.


27. Bicon Integrated Abutment Crown™ being tapped into place using a piece of a tongue depressor to dampen the seating force.


28. Occlusal view of ten Bicon Integrated Abutment Crowns™.


29. Post insertion radiograph revealing a 6.0mm x 5.7mm short implant.


30. Post insertion radiograph


31. Post insertion radiograph


32. Post insertion radiograph


33. Post insertion radiograph
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