Bicon Dental Implants
Monday, September 8th 2008 4:21AM EDT

Bicon Integrated Abutment Crowns™: Extraction Site Preparation with Bicon Resorbable Collagen Membrane, Placement, Temporization and Restoration of Three Maxillary Anterior Implants with Integrated Abutment Crowns™
This case demonstrates the sequencing of extraction site preparation with Bicon Resorbable Collagen Membrane, implant placements, temporizations and restoration of three maxillary anterior implants with three Integrated Abutment Crowns™.

     


1. Pre-operative site.


2. Pre-operative radiograph.


3. Pre-operative radiograph.


4. Lateral incisor prior to its extraction.


5. Extraction of fractured tooth.


6. View of cracked root.


7. Bicon Resorbable Collagen Membrane being inserted into extraction socket.


8. Bicon Resorbable Collagen Membrane in extraction socket.


9. Allograft being injected into socket.


10. Socket filled with allograft.


11. Vaseline being applied to the sutured extraction socket.


12. Patient’s removable prosthesis in vacuumed formed template.


13. Prosthesis being prepared for bonding of additional tooth.


14. Prosthesis being prepared for bonding of additional tooth.


15. Prosthesis being prepared for bonding of additional tooth.


16. Template being used to form additional tooth.


17. Template being used to form additional tooth.


18. View of lateral incisor tooth on removable prosthesis.


19. Patient’s smile prior to the extraction of the right maxillary central incisor and its immediate replacement with a two stage implant and the uncovering of the previously placed right lateral and left central implants.


20. Pre-operative site.


21. Post operative site of two red healing abutments seated in the well of an uncovered implant.


22. Post insertion radiograph revealing two recently uncovered and one recently placed implants three months after placement.


23. View of red plastic healing abutment prior to their removal for the fabrication of a fixed transitional prosthesis.


24. Healing abutment being removed.


25. View of implant wells and soft tissue sulci.


26. Shoulder depth gauge seated in the well of the implant facilitates the selection of a stealth abutment with an appropriate shoulder height.


27. Shoulder depth gauge seated in the well of the implant facilitates the selection of a stealth abutment with an appropriate shoulder height.


28. Stealth shouldered abutment 5.0mm wide with a shoulder height of 2.0 mm is being inserted into the implant well with only finger pressure.


29. Stealth shouldered abutment 5.0mm wide with a shoulder height of 2.0 mm is being inserted into the implant well with only finger pressure.


30. Short acrylic sleeve being snapped onto a 5.0mm x 2.0mm shouldered abutment.


31. Short acrylic sleeves snapped onto 5.0mm shouldered abutments.


32. Acrylic sleeve being modified to prevent encroachment of the interdental papillae.


33. Short acrylic sleeve on 5.0mm x 2.0mm shouldered abutment being inserted into well of implant.


34. Vacuum formed template being inserted.


35. Template confirming appropriateness of acrylic sleeves.


36. Acrylic sleeve being modified.


37. Bonding agent being applied to sleeve.


38. Transitional composite material being added to acrylic sleeves to form a transitional prosthesis.


39. Transitional composite material being added to acrylic sleeves to form a transitional prosthesis.


40. Transitional composite material being added to acrylic sleeves to form a transitional prosthesis.


41. Transitional composite material being light cured.


42. Template confirming appropriateness of strut.


43. Transitional composite material being injected into template.


44. Template being used to form transitional prosthesis.


45. Transitional prosthesis being removed for polishing.


46. Transitional prosthesis snapped onto non-shouldered abutments.


47. Patient’s smile.


48. Transitional prosthesis being removed.


49. Black healing plug being removed from well of implant.


50. A 3.0mm white plastic impression post being inserted into well of implant.


51. A 3.0mm white plastic impression post receiving its mandatory seating tap.


52. A 3.0mm white plastic impression post receiving its mandatory seating tap.


53. Impression material being injected around impression posts for the making of an implant level transfer impression.


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


55. Initial placement of white plastic healing abutment.


56. Healing abutment being modified.


57. Transitional prosthesis being reinserted.


58. View of seated transitional prosthesis.


59. Integrated Abutment Crowns™ on stone model.


60. Integrated Abutment Crowns™ on stone model.


61. Integrated Abutment Crowns™ on stone model.


62. Mirror view of Integrated Abutment Crowns™.


63. Transitional prosthesis prior to its removal for insertion of Integrated Abutment Crowns™.


64. View of transitional abutments after removal of splinted prosthesis.


65. View of implant wells and soft tissue sulci.


66. Integrated Abutment Crown™ being inserted.


67. Clear acrylic orientation jig being used to facilitate the positioning of Integrated Abutment Crown™.


68. White healing abutment in straight handle being used to engage the abutment locking taper connection.


69. Integrated Abutment Crown™ being inserted.


70. Clear acrylic orientation jig being used to facilitate the positioning of Integrated Abutment Crown™.


71. Adjustment of interproximal contact. A too tight interproximal contact will prevent the engagement of the locking taper and possibly result in subsequent loosening of the Integrated Abutment Crown™.


72. Adjustment of interproximal contact.


73. White healing abutment in straight handle being used to engage the abutment locking taper connection.


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


75. Sulcus reamer being used to remove tissue interference for the seating of the Integrated Abutment Crown™.


76. Adjustment of interproximal contact. A too tight interproximal contact will prevent the engagement of the locking taper and possibly result in subsequent loosening of the Integrated Abutment Crown™.


77. White healing abutment in straight handle being used to engage the abutment locking taper connection.


78. Post-insertion radiograph of Integrated Abutment Crowns™.


79. Patient’s smile two weeks after insertion of Integrated Abutment Crowns™.


80. Facial view two weeks after insertion of Integrated Abutment Crowns™.


81. Occlusal view two weeks after insertion.


82. Radiograph two weeks after insertion of Integrated Abutment Crowns™.
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