Bicon Dental Implants
Friday, November 21st 2008 3:18PM EDT

Bicon Integrated Abutment Crown™: Implant Level Transfer Impression and Restoration of a Maxillary Right Lateral Incisor Implant with an Integrated Abutment Crown™
This case demonstrates the implant level transfer impression and the insertion of an Integrated Abutment Crown™ (IAC) to restore a maxillary right lateral incisor implant.
     


1. Pre-operative radiograph.


2. Post-insertion radiograph.


3. View after removal of transitional stabilizing prosthesis four months after the implant placement.


4. Radiograph of integrated implant four months after the implant placement.


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


6. Healing plug remover instrument being inserted into the black polyethylene healing plug.


7. Healing plug after its removal from the well of the implant.


8. A 3.0mm guide pin being inserted into the well of the implant.


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


10. Guide pin being removed from well of implant.


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


12. Green plastic impression post receiving its mandatory seating tap.


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


14. Integrated Abutment Crown™ on stone model.


15. View of transitional abutment after removal of splinted prosthesis.


16. Transitional stealth abutment being removed for the insertion of the Integrated Abutment Crown™.


17. View of implant well after the removal of the transitional prosthesis and the stealth abutment.


18. View of Integrated Abutment Crown™.


19. Integrated Abutment Crown™ being inserted.


20. 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.


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


23. A 2.8mm cotton applicator with alcohol is being inserted to clean the well of the implant.


24. Cotton applicator being removed from the well of the implant.


25. Integrated Abutment Crown™ being inserted.


26. 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.


27. Blue markings indicate excessive contact on distal marginal ridge.


28. Premature contact is being polished with carbide finishing bur.


29. Mesiofacial view of gingivally aesthetic restoration immediately after being definitively seated.


30. Distofacial view of gingivally aesthetic restoration immediately after being definitively seated.


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


32. Mesiofacial view of gingivally aesthetic restoration three weeks after being inserted.


33. View of maxillary lateral incisor three weeks after being inserted.


34. Post-operative radiograph of seated Integrated Abutment Crown™ three weeks after being inserted.


35. View of maxillary lateral incisor three weeks after being inserted.
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