[an error occurred while processing this directive] EDT

Bone Grafting with SynthoGraft™, Two Stage Full Arch Placement of Nine Maxillary Implants, and their Restoration with Twelve Bicon Integrated Abutment Crowns™

This case demonstrates the use of Synthograft™, Pure Phase Beta-Tricalcium Phosphate, for bone grafting, two stage placement and restoration of nine implants, implant level transfer impression, occlusal registration, and insertion of nine Integrated Abutment Crowns™ including three two-unit Integrated Abutment Crowns™ for the intraoral fabrication of a four unit prosthesis and a three unit prosthesis.

Categories: Bicon Integrated Abutment Crowns™Full Arch

1. Pre-operative radiograph revealing severe bone loss.
2. Pre-operative facial view.
3. Pre-operative left profile view.
4. Pre-operative right profile view.
5. Post-operative radiograph after maxillary extractions.
6. Incision being made for grafting procedure with Synthograft™, Pure Phase Beta-Tricalcium Phosphate.
7. Small perforations being made in bone to enhance bleeding.
8. Mixture of patient’s blood and Synthograft™, Pure Phase Beta-Tricalcium Phosphate, being placed.
9. View of Synthograft™, Pure Phase Beta-Tricalcium Phosphate, in place.
10. View of Bicon collagen membrane and Synthograft™, Pure Phase Beta-Tricalcium Phosphate, in place.
11. Suture being placed.
12. Sutured site.
13. View of boney defect on the left maxillary ridge.
14. Incision being made for grafting procedure with Synthograft™, Pure Phase Beta-Tricalcium Phosphate.
15. Patient’s blood being collected from the operative site to be mixed with Synthograft™, Pure Phase Beta-Tricalcium Phosphate.
16. Mixture of patient’s blood and Synthograft™, Pure Phase Beta-Tricalcium Phosphate, being placed.
17. The graft material being packed with a cotton tip applicator.
18. Bicon collagen membrane being placed over the graft material.
19. View of Post-operative radiograph after the placement of nine maxillary implants.
20. Healing plug being removed with a healing plug removal instrument.
21. Healing plug removed with a healing plug removal instrument.
22. Green 3.0mm guide pins seated into the wells of the implants.
23. Green 3.0mm plastic impression post being inserted into the 3.0mm well of an integrated maxillary right central incisor implant for the making of an implant level transfer impression.
24. Green 3.0mm plastic impression post being inserted into the 3.0mm well of an integrated maxillary right central incisor implant for the making of an implant level transfer impression.
25. Green 3.0mm plastic impression post receiving its mandatory seating tap.
26. Impression material being injected around the impression posts for the making of a full arch implant level transfer impression.
27. View of occlusal bite registration rim with green 3.0mm plastic impression posts.
28. Facial view of maxillary occlusal bite registration rim with white speckled plaster.
29. Maxillary occlusal rim with white speckled plaster on the stone model.
30. Maxillary occlusal rim with white speckled plaster being seated.
31. View of seated maxillary occlusal rim.
32. Functionally-derived registration being made.
33. Note the reduction of white speckled plaster after the functionally-derived registration.
34. View of achieved vertical dimension for the maxillary Integrated Abutment Crowns™.
35. View of twelve maxillary Integrated Abutment Crowns™ and cantilever crowns.
36. Facial view of twelve maxillary Integrated Abutment Crowns™ on stone model.
37. Integrated Abutment Crowns™ on stone model with acrylic orientation jig.
38. Integrated Abutment Crowns™ on stone model with yellow thermoplastic seating jigs, which were fabricated on a crown alignment device to facilitate directing the seating forces in the long axis of the implant well and abutment post.
39. Occlusal view of Integrated Abutment Crowns™ on stone model.
40. View of full maxillary arch with trimmed white healing abutments and green plastic impression posts.
41. Trimmed white temporary abutment being removed.
42. Integrated Abutment Crown™ with cantilever being inserted which will be intraorally bonded to adjacent teeth.
43. Integrated Abutment Crown™ with distal cantilever being inserted.
44. An orientation jig being used to initially position the Integrated Abutment Crowns™.
45. Articulating paper being used to confirm interproximal contacts for the insertion of the Integrated Abutment Crown™.
46. Interproximal contact being adjusted with metal finishing strip.
47. Integrated Abutment Crown™ with cantilever being inserted.
48. Integrated Abutment Crown™ being inserted.
49. View of the Integrated Abutment Crown™ being modified with a pink acrylic polishing wheel.
50. Articulating paper being used to confirm interproximal contacts.
51. Red markings indicate excessive interproximal contact which must be adjusted to assure passive contact for the engagement of the locking taper connection. Interproximal contact being adjusted.
52. Integrated Abutment Crown™ being inserted.
53. White healing abutment in a straight handle is being used to tap the Integrated Abutment Crown™ into the well of the implant.
54. White healing abutment in a straight handle is being used to tap the Integrated Abutment Crown™ into the well of the implant.
55. Yellow thermoplastic custom seating jig, which was formed with a crown alignment device, in a crown seating tip attached to a straight handle, facilitates directing the tapping forces in the long axis of the abutment post and implant well.
56. Yellow thermoplastic custom seating jig, which was formed with a crown alignment device, in a crown seating tip attached to a straight handle, facilitates directing the tapping forces in the long axis of the abutment post and implant well.
57. Yellow thermoplastic custom seating jig, which was formed with a crown alignment device, in a crown seating tip attached to a straight handle, facilitates directing the tapping forces in the long axis of the abutment post and implant well.
58. Facial view immediately after the initial insertion of Integrated Abutment Crowns™.
59. Facial view immediately after the initial insertion of Integrated Abutment Crowns™.
60. Post insertion radiograph of Integrated Abutment Crowns™ including three two-unit Integrated Abutment Crowns™ for the intraoral fabrication of a four unit prosthesis and a three unit prosthesis.
Top of Page