Bicon Dental Implants
Friday, November 21st 2008 4:01PM EDT

Bicon Integrated Abutment Crowns™ / Short Implants: Two Stage Placement of Two Maxillary Central Incisor Short Implants and their Restoration with Integrated Abutment Crowns™
This case demonstrates the sequencing of extraction site preparation with Bicon Resorbable Collagen Plug, implant placements, temporizations and restoration of two 5 x 6mm short implants with Bicon Integrated Abutment Crowns™.
     
First clinical visit:    


1. Pre-operative radiograph.


2. Pre-operative site.


3. Pre-operative smile.


4. Osteotomy being enlarged with a teal 3.0mm hand reamer.


5. Osteotomy being enlarged with a gold 5.0mm hand reamer.


6. Curette removing residual bone while confirming the integrity of the five bony walls of the osteotomy.


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


8. View of seated implant in the osteotomy.


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


10. Post-operative radiograph.


11. View of polyethylene healing plugs.


12. Trimmed polyethylene healing plug being inserted into the seated implant.


13. View of Bicon Resorbable Collagen Plug being inserted.


14. View of Bicon Resorbable Collagen Plug being inserted.


15. View of seated Bicon Resorbable Collagen Plugs before suturing of the surgical site.
Second clinical visit:    


16. Patient’s smile after removal of transitional prosthesis prior to the uncovering of the implant and the making of a full arch implant level transfer impression.


17. View after removal of transitional prosthesis prior to the uncovering of the implant and the making of a full arch implant level transfer impression.


18. Incision being made for the uncovering of the implants.


19. Healing plug being removed with a healing plug removal instrument.


20. View of green 3.0mm plastic impression post seated into the 3.0mm well of an integrated implant for the making of an implant level transfer impression and healing plug being removed with a healing plug removal instrument.


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


22. View of a green 3.0mm guide pin being seated in the well of the implant.


23. View of green 3.0mm impression reamer with the soft tissue which might have inhibited the complete seating of the impression post.


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


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


26. A 4.0mm x 3.5 mm stealth shouldered abutment being inserted into the implant well with only finger pressure.


27. Tall acrylic sleeves being seated onto the stealth abutments.


28. Tall acrylic sleeve being modified.


29. View of modified acrylic sleeves.


30. Transitional composite material, “Integrity” by Dentsply, being added to acrylic sleeves to form a bonded strut between adjacent sleeves.


31. Transitional composite material, “Integrity” by Dentsply, being added to vacuum formed template to form a transitional stabilizing prosthesis.


32. Transitional composite material in vacuum-formed template being formed around acrylic strut.


33. Transitional composite prosthesis being removed for polishing.


34. View of finished transitional stabilizing prosthesis.
Third clinical visit:    


35. Integrated Abutment Crowns™ on stone model.


36. View of Integrated Abutment Crowns™.


37. View of transitional prosthesis prior to its removal.


38. View of implant wells and soft tissue sulci.


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


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


41. Integrated Abutment Crown™ being inserted.


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


43. 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.


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


45. Integrated Abutment Crown™ being inserted.


46. Adjustment of interproximal contact since a too tight interproximal contact would prevent the engagement of the locking taper and possibly result in the subsequent loosening of the Integrated Abutment Crown™.


47. Facial view immediately after the initial insertion of two Integrated Abutment Crowns™.


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. 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.


51. 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.


52. Facial view immediately after the definitive seating of Integrated Abutment Crowns™.


53. Post-insertion radiograph of two 5.0 x 6.0mm short implants with Integrated Abutment Crowns™.


54. Left profile one week post insertion of Integrated Abutment Crowns™.


55. Facial view one-week after the insertion of Integrated Abutment Crowns™.
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