Bicon Dental Implants
Saturday, July 5th 2008 8:00PM EDT

Bicon Integrated Abutment Crown™: Replacement of Three Fifteen Year Old Porcelain Fused to Metal Crowns with Three Integrated Abutment Crowns™ in One Day along with the Laboratory Fabrication of the Three Integrated Abutment Crowns™
This case demonstrates the replacement of three fifteen year old porcelain fused to metal crowns with three Integrated Abutment Crowns™ in one day.
     


1. Radiograph showing fifteen year old porcelain fused to metal crown restorations. Note level of bone.


2. Patient’s smile.


3. Porcelain fused to metal crown restoration being removed.


4. Porcelain fused to metal crown restoration being removed.


5. View of implant wells after the removal of three fifteen year old porcelain fused to metal crown restorations.


6. A red 2.0mm titanium impression post being seated into the well of a fifteen year old integrated implant for the making of an implant level transfer impression.


7. A 2.0mm titanium impression post being seated into the well of a fifteen year old integrated implant for the making of an implant level transfer impression.


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


9. View of seated 2.0mm titanium impression posts with red 2.0mm plastic sleeves.


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


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


12. View of assembled 2.0mm titanium impression posts and titanium implant analogs seated in the impression with replication of the soft tissue.


13. Dental stone being poured into the transfer impression.


14. View of non-shouldered abutments in soft tissue model.


15. The gingival margin of the non-shouldered abutments being marked.


16. View of prepared non-shouldered abutments in soft tissue model.


17. View of prepared non-shouldered abutments with metal opaque layer seated in stone model.


18. View after opaque dentin has been applied.


19. View after the addition of cervical opaque dentin.


20. View after the addition of Ceramage body material.


21. Incisal material being added.


22. Integrated Abutment Crown™ being trimmed.


23. Interproximal contacts being checked with articulating paper.


24. View of Integrated Abutment Crowns™ on stone model.


25. View of marked unpolished Integrated Abutment Crowns™ being adjusted.


26. Integrated Abutment Crown™ being polished with pink silicone wheel.


27. Integrated Abutment Crown™ being polished with a nylon bristle brush.


28. Integrated Abutment Crown™ being polished with nylon soft bristle brush.


29. Integrated Abutment Crown™ being polished with nylon soft bristle brush.


30. Integrated Abutment Crown™ being polished with nylon soft bristle brush.


31. Final buffing of the Integrated Abutment Crown™ with a cloth wheel.


32. View of Integrated Abutment Crowns™ on stone model.


33. Yellow thermoplastic custom seating jig being fabricated on an Integrated Abutment Crown™ with a crown alignment device.


34. View of Integrated Abutment Crowns™ and three fifteen year old porcelain fused to metal crowns. Note the cervical margin of the porcelain fused to metal crowns.


35. View of Integrated Abutment Crowns™.


36. Patient’s smile without prostheses.


37. View of the soft tissue sulci and implant wells.


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


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


40. Integrated Abutment Crown™ being inserted.


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


42. Integrated Abutment Crown™ being inserted.


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


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


45. Integrated Abutment Crown™ being inserted.


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


47. Diamond finishing strip being used to lighten the interproximal contact area eliminating the possibility that the tight contact may prevent the engagement of the locking taper connection.


48. 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.


49. 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.


50. 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.


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


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


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


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


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


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


57. Articulating paper being used to confirm the contacts.


58. Blue markings indicate appropriate incisal contacts in all extreme excursions while the patient is clenching.


59. Facial view of Integrated Abutment Crowns™ immediately after insertion.


60. Right profile view of Integrated Abutment Crowns™ immediately after insertion.


61. Left profile view of Integrated Abutment Crowns™ immediately after insertion.


62. Post insertion radiograph.


63. One month post-insertion view of Integrated Abutment Crowns™.


64. One month post-insertion view of patient’s smile.
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