This case demonstrates the replacement of a failed endodontically treated maxillary left first bicuspid with an immediately loaded and functioning implant and its restoration with an Integrated Abutment Crown™.
Categories: Bicon Integrated Abutment Crowns™Immediate Stabilization and Function
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1. | Pre-operative radiograph of failed endodontically treated bicuspid. |
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2. | Pre-operative site. |
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3. | Pre-operative radiograph. |
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4. | After placement of a 4.5 x 11.0mm implant, a 5.0mm x 2.0mm shouldered abutment is seated with only finger pressure into the implant. |
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5. | Seated sleeve prior to its being incorporated into a transitional stabilizing prosthesis. |
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6. | Polyceramic material being added to acrylic sleeve to form a bonded strut between adjacent teeth. |
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7. | Light curing of polyceramic material that was applied over the acrylic sleeve. |
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8. | Polishing of bonded prosthesis with a carbide finishing bur. |
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9. | Polishing of bonded prosthesis with a soft white silicone disc. |
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10. | Polishing of bonded prosthesis with a nylon bristle brush. |
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11. | Initially polished stabilizing splint. |
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12. | View of implant well after the removal of the transitional prosthesis and the stealth abutment. |
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13. | White 3.0 mm plastic impression post being inserted into the 3.0 mm implant well. |
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14. | White 3.0mm Plastic Impression post receiving its mandatory seating tap. |
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15. | Impression material being injected around impression post for the making of an implant level transfer impression. |
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16. | Full arch implant level impression being taken. |
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17. | Crestal incision being made to accommodate a mesially wider healing abutment. |
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18. | Initial placement of white plastic healing abutment. |
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19. | Healing abutment being modified. |
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20. | Modified healing abutment being inserted into implant well. |
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21. | Healing abutment seated in implant well. |
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22. | Digital image being taken of shade guide against a black metal background to facilitate the fabrication of an aesthetic Integrated Abutment Crown™. |
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23. | Integrated Abutment Crown™ on stone model. |
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24. | Integrated Abutment Crown™ on dental model with acrylic orientation jig. |
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25. | Mirror view of Integrated Abutment Crown™. |
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26. | White healing abutment prior to its removal for the insertion of the Integrated Abutment Crown™. |
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27. | White healing abutment being removed. |
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28. | View of implant well and soft tissue sulcus. |
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29. | Crestal relieving incision being made to facilitate the seating of the Integrated Abutment Crown™. |
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30. | Integrated Abutment Crown™ being inserted. |
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31. | Clear acrylic orientation jig being used to confirm positioning of Integrated Abutment Crown™. |
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32. | Plastic temporary abutment mounted on a straight driver to seat the Integrated Abutment Crown™ in the long axis of the abutment shaft and implant well to engage the locking taper. |
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33. | Facial view of seated Integrated Abutment Crown™ immediately after being inserted. |
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34. | Post-operative radiograph. |
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35. | Integrated Abutment Crown™ one week after insertion. |
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36. | Four months post insertion image. |