Bicon Dental Implants
Friday, November 21st 2008 10:48AM EDT

Bicon Integrated Abutment Crowns™: Replacement of Ten Year Old All-Ceramic Maxillary Right Central Incisor Crown and a Porcelain Fused to Metal Maxillary Left Central Incisor Crown with Two Integrated Abutment Crowns™ in One Clinical Visit
This case demonstrates implant level transfer impression and the replacement of existing ten year old All-Ceramic crown on a maxillary right central incisor implant and porcelain fused to metal crown on a maxillary left central incisor implant with two Integrated Abutment Crowns™ in one clinical visit to enhance the aesthetic result.
     


1. Pre-operative radiograph.


2. Pre-operative site.


3. Pre-operative smile.


4. View of implant wells and soft tissue sulci after the removal of the prostheses.


5. Profile view of guide pins seated in the wells of the implants indicating their less than ideal trajectories.


6. A 2.0mm titanium impression post being seated into the well of integrated implant.


7. View of 2.0mm titanium impression posts seated in the wells of implants.


8. Profile view of 2.0mm titanium impression posts seated in the wells of implants indicating their less than ideal trajectories.


9. A red 2.0mm red plastic sleeve being inserted onto the 2.0mm titanium impression post.


10. A red 2.0mm red plastic sleeve being inserted onto the 2.0mm titanium impression post.


11. Profile view of 2.0mm red plastic sleeves inserted onto the 2.0mm titanium impression posts.


12. Facial view of 2.0mm red plastic sleeves inserted onto the 2.0mm titanium impression posts.


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


14. View of transitional abutment being removed for the insertion of Integrated Abutment Crowns™.


15. View of transitional abutment in the well of an implant prior to its removal for the insertion of Integrated Abutment Crowns™.


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


17. Integrated Abutment Crown™ being inserted.


18. Floss being used to confirm the fact that the interproximal contacts are passive and will not interfere with the engagement of the locking taper.


19. View of seated Integrated Abutment Crown™ immediately after its insertion.


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


21. Integrated Abutment Crown™ being inserted.


22. Abutment post receiving its mandatory alcohol wipe to remove any contaminants that would reduce the effectiveness of its locking taper engagement.


23. Blue markings indicate excessive interproximal contacts which must be adjusted to assure passive contact for the engagement of the locking taper connection.


24. Interproximal contacts being adjusted with pink silicone polishing wheel.


25. Note the extreme off-axis position of maxillary right central incisor Integrated Abutment Crown™.


26. 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.


27. Integrated Abutment Crowns™ immediately after insertion.


28. Right profile view.


29. Left profile view.


30. Facial view.


31. Post-operative radiograph.


32. Facial view five weeks post-insertion..
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