Bicon Dental Implants
Friday, November 21st 2008 3:56PM EDT

Immediate Stabilization and Function / Bicon Integrated Abutment Crowns™: Placement of Four Immediately Stabilized and Functioning Implants and their Restoration with Four Integrated Abutment Crowns™
This case demonstrates the immediate loading and temporization of four maxillary incisor implants and their restoration with Integrated Abutment Crowns™.

 

    


1. Pre-operative radiograph.


2. Pre-operative smile.


3. A 5.0mm x 6.0mm HA coated implant being inserted into the osteotomy with an implant seating tip threaded on a straight driver.


4. A 5.0mm x 6.0mm HA coated implant being inserted into the osteotomy with an implant seating tip threaded on a straight driver.


5. Post-operative radiograph of seated implants four months prior to the placement of the anterior implants.


6. Pre-operative site prior to the anterior implant placements four months after the initial two stage implant placements.


7. Four maxillary incisor implants placed for immediate placement and stabilization four months after the two stage placements of the posterior implants. Shoulder depth gauge and three polyethylene plugs seated in the wells of the immediately placed implants.


8. Modified acrylic sleeve on a 5.0mm x 2.0mm stealth abutment being inserted into the implant well with only finger pressure.


9. Tall acrylic sleeve snapped onto a shouldered abutment being modified.


10. Shouldered abutment with a modified tall acrylic sleeve being inserted.


11. Shouldered abutment with a modified tall acrylic sleeve being inserted.


12. Vacuum formed template seated over acrylic sleeves and abutments to confirm the appropriateness of their placement.


13. Maxillary right canine IAC being removed to provide stability for the transitional prosthesis.


14. View of implant well and soft tissue sulcus after the removal of the maxillary right canine Integrated Abutment Crown™.


15. Modified tall acrylic sleeve with a shouldered abutment being inserted.


16. Transitional composite material being added to vacuum formed template to form a transitional prosthesis.


17. Transitional composite material being added to acrylic sleeves to form an initial strut.


18. Additional polyceramic material in vacuum formed template being added to the hardened strut for aesthetic contouring.


19. Transitional composite prosthesis incorporating acrylic sleeves prior to being polished.


20. Polished transitional prosthesis initially being inserted.


21. Etchant being applied in preparation for the bonding of the transitional stabilizing prosthesis.


22. Bonding agent being applied.


23. Polyceramic material is being added to the adjacent natural tooth.


24. Cement is being applied to the temporary prosthesis.


25. Bonded polished stabilizing prosthesis.


26. Bonded stabilizing prosthesis prior to its being removed nine weeks after the insertion of the anterior implants.


27. View of transitional abutments and the well of maxillary left incisor implant which was re-covered with a cut polyethylene healing plug for further integration.


28. Stealth abutments being removed after removal of stabilization prosthesis.


29. Maxillary right canine Integrated Abutment Crowns™ being reinserted prior to the making of an implant level transfer impression.


30. Maxillary right canine Integrated Abutment Crowns™ being tapped with the yellow thermoplastic custom seating jig in a crown seating tip attached to a straight handle.


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


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


33. View of seated guide pins indicating implant trajectories.


34. 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.


35. 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.


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


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


38. Maxillary implant level transfer impression.


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


40. White plastic temporary abutment being inserted.


41. Tall acrylic sleeve being modified for occlusal clearance.


42. View of modified plastic temporary abutment and a modified acrylic sleeve being snapped onto an abutment.


43. Vacuum formed template seated over acrylic sleeves and abutments to confirm the appropriateness of their placement.


44. Transitional composite material being added to vacuum formed template to form a transitional prosthesis.


45. Transitional composite material being added to acrylic sleeves to form an initial strut.


46. Additional polyceramic material in vacuum formed template being added to the hardened strut for aesthetic contouring.


47. View of transitional stabilizing prosthesis.


48. Integrated Abutment Crowns™ on stone model.


49. Integrated Abutment Crowns™ on stone model with acrylic orientation jig.


50. Integrated Abutment Crowns™ on stone model with yellow thermoplastic seating jigs which were fabricated on a crown alignment device to facilitate directing the seating forces in the long axis of the implant well and abutment post.


51. View of transitional prosthesis being removed for the insertion of the Integrated Abutment Crowns™.


52. View of implant wells and soft tissue sulci.


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


54. Initial seating of Integrated Abutment Crown™.


55. Integrated Abutment Crown™ being adjusted.


56. Blanching of soft tissues with the initial seating of the Integrated Abutment Crown™.


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


58. Yellow thermoplastic custom seating jig, which was formed with a crown alignment device, seated 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.


59. Initial seating of Integrated Abutment Crown™.


60. A 6.5mm sulcus reamer being used to remove soft tissue and bone which might inhibit the complete seating of the Integrated Abutment Crown™.


61. Buccal aspect of abutment being reduced


62. Initial seating of Integrated Abutment Crown™.


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


64. View of seated Integrated Abutment Crowns™ immediately after their insertion.


65. Acrylic orientation jig being used to initially position the Integrated Abutment Crowns™.


66. Articulating paper being used to confirm passive interproximal contacts.


67. Buccal aspect of the Integrated Abutment Crown™ being polished


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


69. Integrated Abutment Crown™ being inserted.


70. Yellow thermoplastic custom seating jig, which was formed with a crown alignment device, seated 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.


71. Integrated Abutment Crown™ being inserted.


72. Yellow thermoplastic custom seating jig, which was formed with a crown alignment device, seated 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.


73. View of seated Integrated Abutment Crowns™ immediately after their insertion.


74. Right profile view of seated Integrated Abutment Crowns™ immediately after their insertion.


75. Left profile view of seated Integrated Abutment Crowns™ immediately after their insertion.


76. Post-operative radiograph.


77. Integrated Abutment Crowns™ three weeks after insertion.
Top of Page