Bicon Dental Implants
Wednesday, August 27th 2008 7:12PM EDT

Short Implants / Bicon Integrated Abutment Crown™: One Stage Short Implant for a Mandibular First Molar Restoration
This case demonstrates the use of a 6.0mm wide by 5.7mm long implant to restore a missing mandibular first molar from the one stage surgical placement of the short implant to the implant level impression for and insertion of an Integrated Abutment Crown™ as well as the chair-side closure of an open inter-proximal contact.
     


1. Preoperative radiograph.


2. Parallel pin placed into pilot osteotomy.


3. Reamer preparing the osteotomy.


4. Short 6.0mm X 5.7mm implant being inserted.


5. Plastic temporary abutment being inserted into well of implant.


6. Temporary abutment inserted into well of implant.


7. Mucosa sutured around temporary abutment.


8. Radiograph of short implant immediately after insertion.


9. Temporary abutment prior to its removal three months after the insertion of the implant.


10. Implant well and soft tissue sulcus after removal of temporary abutment.


11. White 3.0mm impression post being inserted prior to its mandatory tapping into the well of the implant.


12. Impression material being injected around post for an implant level transfer impression.


13. Impression post being removed from implant well after the removal of impression .


14. Temporary abutment being re-inserted into the implant well.


15. Assembled implant analog and impression inserted in transfer impression.


16. Digital photo being taken of shade guide against a black background for transmission to a technician.


17. Second photo being taken of a complementary shade.


18. Lingual view of Integrated Abutment Crown™.


19. Occlusal view of Integrated Abutment Crown™.


20. Buccal view of Integrated Abutment Crown™ with blue seating jig.


21. Mirror view of Integrated Abutment Crown™.


22. Radiograph of short 6.0mm X 5.7mm implant three months after its placement.


23. Temporary abutment prior to its removal for the insertion of the Integrated Abutment Crown™.


24. Temporary abutment being removed.


25. View of implant well and soft tissue sulcus prior to the insertion of the Integrated Abutment Crown™.


26. Integrated Abutment Crown™ being inserted.


27. Occlusal view of Integrated Abutment Crown™ indicating an open inter-proximal contact.


28. Buccal view of Integrated Abutment Crown™.


29. Radiograph of short 6.0mm X 5.7mm implant and Integrated Abutment Crown™ indicating an open inter-proximal contact.


30. Occlusal contacts being recorded.


31. Occlusal contact indicated by red ink marking.


32. Roughening of inter-proximal surface with a fine diamond bur.


33. Cleaning of surface with 95% ethyl alcohol prior to the chair-side addition of a polyceramic material for establishing inter-proximal contact.


34. Ceramo coupler being added to cleaned surface.


35. Liquid modeling material being added to surface.


36. Polyceramic material being added to inter-proximal surface .


37. Integrated Abutment Crown™ with added material being inserted into implant well.


38. Excess material being removed.


39. Plasma light curing of added inter-proximal material after the abutment was seated into well of implant.


40. Final seating of Integrated Abutment Crown™ after the polishing of added inter-proximal material.


41. Buccal view after seating .


42. Buccal view of Integrated Abutment Crown™ in occlusal contact.


43. Occlusal view with red ink marking occlusal contacts.


44. Occlusal adjustments being made with fluted carbide bur.


45. Gingivally aesthetic view of Integrated Abutment Crown™.


46. Radiograph of short 6.0mm X 5.7mm Implant and Integrated Abutment Crown™ showing closed interproximal contact.
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