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Immediate Stabilization and Function / Short Implants / All-Ceramic Crowns: Two Implants and Two Crowns in Two Patient Visits |
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First Patient Visit |
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1. | Two carious bicuspids prior to being extracted. |
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2. | Two Bicon implants in the sockets of the extracted teeth. |
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3. | Abutment shoulder gauge being inserted into implant well. |
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4. | Inserted abutment shoulder gauge indicates that the shoulder of the 5.0mm x 2.0mm Bicon stealth shouldered abutment will be subgingival. |
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5. | 5.0mm x 2.0mm Bicon stealth shouldered abutments seated into the implants. |
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6. | 5.0mm x 10.0mm Bicon aluminum oxide sleeves seated on the shouldered abutments prior to their being used for a transfer impression. |
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7. | Transfer impression is being made by picking up the Bicon aluminum oxide sleeves in the impression material. Alternatively, a one or two-piece plastic sleeve could have been used for the transfer impression. |
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8. | Two-piece sleeve being inserted onto stealth shouldered abutment for the fabrication of two splinted transitional crowns. |
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9. | Seated two-piece plastic sleeves prior to their being incorporated into the splinted transitional crowns. |
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10. | Two splinted transitional crowns snapped onto the stealth shouldered abutments and bonded to the mandibular canine providing stability for the immediately placed and loaded implants. |
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11. | Soft tissue model with white polycarbonate abutment analogs. |
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12. | 5.0mm x 10.0mm Bicon aluminum oxide sleeve prior to the direct application of All-ceram porcelain by Degussa-Ney. |
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13. | An efficient way of shaping or reducing a Bicon aluminum oxide sleeve is to use the diamond wheel of a model trimmer while the sleeve is being held on an abutment in an abutment prep holder. |
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14. | Completed all-ceramic crowns on a soft tissue model stone model. |
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15. | All-ceramic crowns on a mirror revealing the internal aspect of the Bicon aluminum oxide sleeves on which they were made. |
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Second Patient Visit |
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16. | Minimal cement being placed into all-ceramic crown prior to being inserted intra-orally onto the shouldered abutments |
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17. | Aesthetic all-ceramic crowns cemented at the patients second clinical visit on two immediately-loaded or stabilized Bicon implant. |
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18. | Four aesthetic all-ceramic crowns on Bicon shouldered abutments. The two posterior crowns were completed in the previous year. |
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19. | Radiograph of four all-ceramic crowns on immediately placed and loaded Bicon implants. |
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