Bicon Dental Implants
Friday, November 21st 2008 2:35PM EDT

Bicon Integrated Abutment Crowns™: Two Stage Uncovering of Maxillary Left Lateral Incisor Implant and its Restoration with an Integrated Abutment Crown™
This case demonstrates the restoration of a two stage immediately placed implant for a failed endodontically treated maxillary left lateral incisor with an Integrated Abutment Crown™.
     


1. Pre-operative radiograph of a failed endodontically treated maxillary left lateral incisor.


2. Post-insertion radiograph.


3. Radiograph of integrating implant one week after implant placement revealing bonded transitional prosthesis.


4. Pre-operative smile after removal of transitional bonded prosthesis.


5. Healing plug removal instrument being used to remove the black polyethylene plug from well of the implant.


6. Black polyethylene healing plug being removed from implant well.


7. A 3.0mm guide pin being inserted into well of implant to assess any implant mobility prior to the making of an implant level transfer impression.


8. Green 3.0mm impression reamer being inserted onto guide pin to remove any tissue which might inhibit the complete seating of an impression post.


9. 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.


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


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


12. Digital image being taken of shade guide against a black plastic background to facilitate the fabrication of an aesthetic Integrated Abutment Crown™.


13. Integrated Abutment Crown™ on stone model.


14. View of Integrated Abutment Crown™.


15. View of transitional prosthesis prior to its removal for the insertion of the Integrated Abutment Crown™.


16. Transitional prosthesis is being removed prior to the insertion of the Integrated Abutment Crown™.


17. View of implant well and soft tissue sulcus.


18. Integrated Abutment Crown™ being inserted initially to evaluate its appropriateness.


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


20. Facial view of seated Integrated Abutment Crown™ immediately after being inserted.


21. A maxillary extraction forceps with gauze is being used to remove the Integrated Abutment Crown™ for an adjustment.


22. Integrated Abutment Crown™ after having been removed from implant.


23. Inter-proximal contact being reduced with a carbide bur.


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


25. Cotton tipped applicator being removed from implant well.


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


27. Palatal oblique incisions are being made to facilitate the seating of the Integrated Abutment Crown™.


28. Integrated Abutment Crown™ being inserted.


29. 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.


30. 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.


31. Articulating paper being used to confirm incisal contacts in all extreme excursions while the patient is clenching.


32. Post-insertion radiograph of Integrated Abutment Crown™.


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


34. Radiograph of integrated implant two weeks after implant placement.


35. Facial view of Integrated Abutment Crown™ four weeks after its insertion.
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