Bicon Dental Implants
Tuesday, March 9th 2010 9:20PM EDT

Bicon Integrated Abutment Crowns™: Extraction, Immediate Placement and Restoration of Maxillary Central Incisor Implant with Integrated Abutment Crown™
This case demonstrates the extraction, immediate placement, implant level transfer impression, temporization and restoration of maxillary central incisor implant with Integrated Abutment Crown™.
     
First Clinical Visit:    


1. Pre-operative radiograph.


2. Pre-operative smile.


3. Pre-operative site.


4. View of extracted tooth.


5. Curette removing soft tissue remnants.


6. Osteotomy being prepared with a 2.0mm pilot bur rotating at 1100RPM with external irrigation.


7. Osteotomy being prepared with a 2.0mm pilot bur rotating at 1100RPM with external irrigation.


8. Parallel pin confirming appropriate trajectory of the osteotomy.


9. Osteotomy being enlarged with an olive green 2.5mm latch reamer rotating at 50RPM without water irrigation.


10. Osteotomy being enlarged with a teal 3.0mm latch reamer rotating at 50 RPM without water irrigation.


11. Osteotomy being enlarged with a teal 3.0mm latch reamer rotating at 50 RPM without water irrigation.


12. Osteotomy being enlarged with a blue 3.5mm latch reamer rotating at 50 RPM without water irrigation.


13. Osteotomy being enlarged with a red 4.0mm latch reamer rotating at 50 RPM without water irrigation.


14. Osteotomy being enlarged with a silver 4.5mm latch reamer rotating at 50 RPM without water irrigation.


15. Osteotomy being enlarged with a gold 5.0mm latch reamer rotating at 50 RPM without water irrigation.


16. Harvested bone within the flute of gold 5.0mm latch reamer.


17. Curette removing residual bone while confirming the integrity of the five bony walls of the osteotomy.


18. A 4.5mm x 8.0mm HA coated implant being inserted with the black polyethylene healing plug.


19. View of seated implant with polyethylene healing plug.


20. View of the well of the seated implant.


21. An implant being tapped into place with implant seating tip attached to a straight handle.


22. Trimmed polyethylene healing plug being inserted into the seated implant.


23. Harvested bone being placed over implant.


24. View of Bicon Resorbable Collagen Plug being inserted.


25. Post-operative radiograph.


26. Sutured site.


27. Etchant being applied in preparation for the bonding of the transitional prosthesis.


28. Bonding material being applied. A piece of clear plastic strip is used to protect the sutures.


29. Light curing of bonding material.


30. Composite material being added to form a strut between adjacent teeth.


31. Light curing of composite material.


32. View of finished transitional prosthesis.


33. Post operative radiograph.
Second Clinical Visit: (Three months after previous visit)


34. View of bonded prosthesis prior to its removal.


35. Site after removal of transitional prosthesis.


36. Healing plug being removed with healing plug removal instrument.


37. Green 3.0mm plastic impression post being inserted into the 3.0mm well of an integrated implant for the making of an implant level transfer impression.


38. Green 3.0mm plastic impression post receiving its mandatory seating tap.


39. Impression material being injected around impression posts for the making of a full arch implant level transfer impression.


»  Click here for information about Bicon's new Two-Piece Impression Components and impression technique.
Third Clinical Visit: (Three months after previous visit)


40. Bonded transitional prosthesis prior to its removal for the insertion of the Integrated Abutment Crown™.


41. Transitional prosthesis being removed.


42. Well of implant being cleaned with alcohol on a cotton tipped applicator.


43. Integrated Abutment Crown™ being inserted.


44. View of Integrated Abutment Crown™ after initial insertion.


45. 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.


46. Post insertion radiograph.


47. Incisal contacts being adjusted with a pink silicone polishing wheel.


48. Facial view immediately after the definitive seating of the Integrated Abutment Crown™.


49. Right profile view.


50. View after insertion.
Fourth Clinical Visit: (Two weeks after previous visit)


51. View of Integrated Abutment Crown™ two week post insertion.


52. Right profile view two weeks post insertion.


53. View of patient’s smile two weeks post insertion.
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