Bicon Dental Implants
Sunday, March 14th 2010 4:47AM EDT

Full Arch / Short Implants / Bicon Integrated Abutment Crowns™: Two Stage Full Mouth Placement of Twenty-Four Implants and their Restoration with Integrated Abutment Crowns™ (Part Two)
This case demonstrates the two stage full mouth implant placement technique for twenty-four implants including 6.0 x 5.7mm and 5.0 x 6.0mm short implants as well as their restoration with twenty-one Integrated Abutment Crowns™ (IACs) and two intra-orally bonded two-unit cantilever Integrated Abutment Crowns™ (IACs).
Before
Before
Before

After

After

After



 

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



1.
 View of transitional prostheses prior to their removal for the insertion of Integrated Abutment Crowns™ twenty-six weeks after the initial implant placement.


2.
 Transitional prosthesis being removed for the insertion of the Integrated Abutment Crown™.


3.
 Transitional abutment being removed by lightly tapping on the handle of carbide-tipped forceps grasping the abutment.


4.
 View of mandibular implant wells and soft tissue sulci.


5.
 View of maxillary implant wells and soft tissue sulci.


6.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


7.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


8.
 Floss being used to confirm the fact that the interproximal contacts are passive and will not interfere with the engagement of the locking taper.


9.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


10.
 Unpolished two-unit cantilever Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


11.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


12.
 Floss being used to confirm the fact that the interproximal contacts are passive and will not interfere with the engagement of the locking taper.


13.
 Crestal relieving incision being made to facilitate the seating of the Integrated Abutment Crown™.


14.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


15.
 Markings indicate excessive interproximal contacts which must be adjusted to assure the engagement of the locking taper connection.


16.
 Adjustment of interproximal contact with white acrylic polishing wheel.


17.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


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


19.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


20.
 A gold 5.0mm sulcus reamer being used to remove soft tissue and bone which would inhibit the complete seating of the Integrated Abutment Crown™.


21.
 View of excess soft tissue and bone on guide pin.


22.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


23.
 Floss being used to confirm the fact that the interproximal contacts are passive and will not interfere with the engagement of the locking taper.


24.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


25.
 Adjustment of interproximal contact with white acrylic polishing wheel.


26.
 Unpolished two-unit cantilever Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


27.
 Crestal relieving incision being made to facilitate the seating of the Integrated Abutment Crown™.


28.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


29.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


30.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


31.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


32.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


33.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


34.
 Adjustment of interproximal contact with white acrylic polishing wheel.


35.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness. Note the angulation of the abutment post highlighting the flexibilty of the Bicon design.


36.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness. Note the angulation of the abutment post highlighting the flexibilty of the Bicon design.


37.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


38.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


39.
 Unpolished Integrated Abutment Crown™ being inserted to initially evaluate its appropriateness.


40.
 Adjustment of incisal contact with pink acrylic polishing wheel.


41.
 Adjustment of occlusal contact with pink acrylic polishing wheel.


42.
 Articulating paper being used to confirm incisal contacts in all extreme excursions while the patient is clenching.


43.
 Patient’s smile immediately after the initial insertion of unpolished Integrated Abutment Crowns™.


44.
 Right profile of the patient’s smile.


45.
 Left profile of the patient’s smile.


46.
 Facial view of the seated unpolished Integrated Abutment Crowns™.


47.
 Right side view of the seated unpolished Integrated Abutment Crowns™.


48.
 Left side view of the seated unpolished Integrated Abutment Crowns™.


49.
 Seated maxillary unpolished Integrated Abutment Crowns™.


50.
 Seated mandibular unpolished Integrated Abutment Crowns™.


51.
 Hydroplastic being softened in hot water for the fabrication of a custom seating jig.


52.
 Hydroplastic being molded over the IAC as the crown alignment device is being closed. Note how the custom seating jig will facilitate the directing of the seating forces in the long axis of the abutment post and implant well.


53.
 Crown alignment device placed in cold water to harden the Hydroplastic.


54.
 Newly formed seating jig on crown alignment device.


55.
 Integrated Abutment Crown™ being inserted.


56.
 Integrated Abutment Crown™ being inserted.


57.
 Abutment post being cleaned with alcohol wipe to remove any debris which would diminish the effectiveness of its locking taper connection.


58.
 Integrated Abutment Crown™ being inserted.


59.
 Integrated Abutment Crown™ being inserted.


60.
 Abutment post being cleaned with alcohol wipe to remove any debris which would diminish the effectiveness of its locking taper connection.


61.
 Integrated Abutment Crown™ being inserted.


62.
 Abutment post being cleaned with alcohol wipe to remove any debris which would diminish the effectiveness of its locking taper connection.


63.
 Integrated Abutment Crown™ being inserted.


64.
 Integrated Abutment Crown™ being inserted.


65.
 Integrated Abutment Crown™ being inserted.


66.
 Splinted two-unit Integrated Abutment Crown™ being inserted.


67.
 View of soft tissue sulci prior to the insertion of Integrated Abutment Crowns™.


68.
 An Integrated Abutment Crown™ and two-unit cantilever Integrated Abutment Crown™ prior to their being bonded intra-orally.


69.
 Integrated Abutment Crown™ being inserted.


70.
 Bonding material being applied to the mesial contact of the two-unit cantilever Integrated Abutment Crown™.


71.
 Two-unit cantilever Integrated Abutment Crown™ being inserted.


72.
 Bonding material being contoured.


73.
 Light curing of the bonding material.


74.
 White healing abutment in a straight handle is being used to tap the Integrated Abutment Crown™ into the well of the implant.


75.
 White healing abutment in a straight handle is being used to tap the Integrated Abutment Crown™ into the well of the implant.


76.
 White healing abutment in a straight handle is being used to tap the Integrated Abutment Crown™ into the well of the implant.


77.
 View of maxillary implant wells and soft tissue sulci.


78.
 Well of implant being cleaned with alcohol on a cotton tipped applicator.


79.
 Abutment post being cleaned with alcohol wipe to remove any debris which would diminish the effectiveness of its locking taper connection. Note the angulation of the abutment post highlighting the flexibilty of the Bicon design.


80.
 Integrated Abutment Crown™ being inserted.


81.
 Integrated Abutment Crown™ being inserted.


82.
 Floss being used to confirm the fact that the interproximal contacts are passive and will not interfere with the engagement of the locking taper.


83.
 Well of implant being cleaned with alcohol on a cotton tipped applicator.


84.
 Integrated Abutment Crown™ being inserted.


85.
 Abutment post being cleaned with alcohol wipe to remove any debris which would diminish the effectiveness of its locking taper connection.


86.
 Well of implant being cleaned with alcohol on a cotton tipped applicator.


87.
 Abutment post being cleaned with alcohol wipe to remove any debris which would diminish the effectiveness of the locking taper connection.


88.
 Integrated Abutment Crown™ being inserted.


89.
 Floss being used to confirm the fact that the interproximal contacts are passive and will not interfere with the engagement of the locking taper.


90.
 Well of implant being cleaned with alcohol on a cotton tipped applicator.


91.
 Abutment post being cleaned with alcohol wipe to remove any debris which would diminish the effectiveness of its locking taper connection.


92.
 Integrated Abutment Crown™ being inserted.


93.
 Well of implant being cleaned with alcohol on a cotton tipped applicator.


94.
 Abutment post being cleaned with alcohol wipe to remove any debris which would diminish the effectiveness of its locking taper connection.


95.
 Integrated Abutment Crown™ being inserted.


96.
 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.


97.
 Abutment post being cleaned with alcohol wipe to remove any debris which would diminish the effectiveness of its locking taper connection.


98.
 Integrated Abutment Crown™ being inserted.


99.
 Integrated Abutment Crown™ being inserted.


100.
 Well of implant being cleaned with alcohol on a cotton tipped applicator.


101.
 Integrated Abutment Crown™ being inserted.


102.
 Integrated Abutment Crown™ being inserted.


103.
 Integrated Abutment Crown™ being inserted.


104.
 Yellow thermoplastic custom seating jig which was formed with 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.


105.
 Yellow thermoplastic custom seating jig which was formed with 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.


106.
 Yellow thermoplastic custom seating jig which was formed with 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.


107.
 Yellow thermoplastic custom seating jig which was formed with 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.


108.
 Polishing strip being used to lighten the interproximal contact area eliminating the possibility that the contact may prevent the engagement of the locking taper connection.


109.
 Yellow thermoplastic custom seating jig which was formed with 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.


110.
 Yellow thermoplastic custom seating jig which was formed with 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.


111.
 Yellow thermoplastic custom seating jig which was formed with 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.


112.
 Articulating paper being used to confirm incisal contacts in all extreme excursions while the patient is clenching.


113.
 Adjustment of incisal contact with pink acrylic polishing wheel.


114.
 Adjustment of incisal contact with pink acrylic polishing wheel.


115.
 Markings indicate excessive contact on the right first bicuspid.


116.
 Adjustment of occlusal contact with pink acrylic polishing wheel.


117.
 Adjustment of occlusal contact with pink acrylic polishing wheel.


118.
 Facial view immediately after the insertion.


119.
 Facial view of the maxillary arch one week after the insertion.


120.
 Facial view of the mandibular arch one week after the insertion.


121.
 Right profile view.


122.
 Left profile view.


123.
 Facial view.


124.
 Right profile view of patient’s smile.


125.
 Left profile view of patient’s smile.


126.
 Patient’s smile.


127.
 Post-insertion radiograph.


128.
 Four-year post crown insertion radiograph.

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

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