Bicon Dental Implants
Friday, November 21st 2008 3:16PM EDT

Bicon Integrated Abutment Crowns™: Two Stage Replacement and Restoration of Non-Integrated Right Canine Implant (Part Two)
This case demonstrates the two stage replacement and restoration of the removed non-integrated right canine implant.

(NOTE: This is Part Two of a two-part case. Click here to view Part One.)
     


1. Radiograph of integrated implant twenty-four weeks after its placement.


2. Impression material being injected around the three green 3.0mm plastic impression posts for the making of a full arch implant level transfer impression.


3. The new canine and two original Integrated Abutment Crowns™ on stone model.


4. View of the new canine and two original Integrated Abutment Crowns™.


5. View of transitional prosthesis prior to its removal for the insertion of the Integrated Abutment Crowns™.


6. View of implant wells and soft tissue sulci.


7. Well of implant being cleaned with alcohol on a 2.8mm cotton tipped applicator.


8. Original Integrated Abutment Crown™ being inserted.


9. A clear acrylic orientation jig is being used to initially position the Integrated Abutment Crown™.


10. Floss being used to confirm the fact that the inter-proximal contacts are passive and will not interfere with the engagement of the locking taper.


11. Yellow thermoplastic custom seating jig which was formed in a crown alignment device is seated in a crown seating tip attached to a straight handle to facilitate directing the tapping forces in the long axis of the abutment post and implant well.


12. Abutment post being cleaned with alcohol wipe to remove any debris which would diminish the effectiveness of the locking taper connection.


13. A clear acrylic orientation jig is being used to initially position the new canine Integrated Abutment Crown™.


14. Floss being used to confirm the fact that the inter-proximal contacts are passive and will not interfere with the engagement of the locking taper.


15. Adjustment of interproximal contact since a too tight interproximal contact will prevent the engagement of the locking taper and possibly result in subsequent loosening of the Integrated Abutment Crown™.


16. Well of implant being cleaned with alcohol on a 2.8mm cotton tipped applicator.


17. Original Integrated Abutment Crown™ being inserted.


18. White healing abutment in a straight handle is being used to tap the Integrated Abutment Crown™ into the well of the implant.


19. New canine Integrated Abutment Crown™ being inserted.


20. A clear acrylic orientation jig is being used to initially position the Integrated Abutment Crown™.


21. Floss being used to confirm the fact that the inter-proximal contacts are passive and will not interfere with the engagement of the locking taper.


22. Floss being used to confirm the fact that the inter-proximal contacts are passive and will not interfere with the engagement of the locking taper.


23. Yellow thermoplastic custom seating jig which was formed in a crown alignment device is seated in a crown seating tip attached to a straight handle to facilitate directing the tapping forces in the long axis of the abutment post and implant well.


24. Post-insertion radiograph of Integrated Abutment Crowns™.


25. View of three newly seated Integrated Abutment Crowns™, along with others that were previously seated seven months before, immediately after their insertion.


26. Close-up view of seated Integrated Abutment Crowns™.


27. Blue markings indicate some excessive palatal contacts while patient was clenching in all extreme excursions.
28. Post-insertion radiograph of Integrated Abutment Crowns™.
29. View of full maxillary arch Integrated Abutment Crowns™.
30. Two-year post-operative view.

(NOTE: This is Part Two of a two-part case. Click here to view Part One.)
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