Bicon Dental Implants
Sunday, March 14th 2010 9:23PM EDT

Short Implants / Bicon Integrated Abutment Crowns™ / Bridges: Extraction, Two-Stage Placements, Uncovering, Clinical Impression, and Restoration with Intraoral Bonding of a Mandibular Molar and Mandibular Bicuspid with a Bicon Integrated Abutment Crown™ and a Bicon Integrated Abutment Crown™ with a Cantilever
This case demonstrates the extraction of two mandibular teeth, two-stage implant placements, uncovering, full arch implant-level transfer impression, and their restorations with an Integrated Abutment Crown and an Integrated Abutment Crown with a cantilever.
     

First Visit


1. Pre-operative radiograph.


2. Pre-operative site.


3. View of extracted root.


4. Harvested bone in the flute of an olive green 2.5mm latch reamer.


5. Osteotomy being enlarged with a teal 3.0mm latch reamer rotating at 50RPM without water irrigation.


6. Harvested bone in the flute of a blue 3.5mm latch reamer.


7. Harvested bone in the flute of a red 4.0mm latch reamer.


8. Harvested bone in the flute of a silver 4.5mm latch reamer.


9. A 4.5mm x 6.0mm implant being inserted into the osteotomy with an implant inserter/retriever.


10. A 4.5mm x 6.0mm implant being inserted into the osteotomy with an implant inserter/retriever.


11. Cut polyethylene healing plug being inserted into the implant well during two-stage placement.


12. Cut polyethylene healing plug being inserted into the implant well during two-stage placement.


13. View of Bicon Resorbable Collagen Plug being inserted.


14. Post-operative radiograph.


15. Sutured site.

Second Visit: Three months after previous visit


16. View of operative site prior to the uncovering and the making of an implant level transfer impression.


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


18. Healing plug being removed.


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


20. Two green 3.0mm plastic impression posts seated in the 3.0mm wells of integrated implants for the making of an implant-level transfer impression.


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


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

Third Visit: Four weeks after previous visit


23. View of an Integrated Abutment Crown™ and a Integrated Abutment Crown with a cantilever.


24. View of modified green 3.0mm plastic impression posts which were used as transitional abutments.


25. Modified green 3.0mm plastic impression post being removed.


26. View of site prior to insertion of the Integrated Abutment Crowns™.


27. Integrated Abutment Crown™ with a cantilever being inserted which will be intraorally bonded to the adjacent Integrated Abutment Crown™.


28. Integrated Abutment Crown™ being modified.


29. Interproximal contacts being checked with articulating paper.


30. White healing abutment in a straight handle is being used to tap the Integrated Abutment Crown™ into the well of the implant.


31. White healing abutment in a straight handle is being used to tap the Integrated Abutment Crown™ into the well of the implant.


32. Radiograph indicates the need for modification of the mesial Integrated Abutment Crown™ to achieve its complete seating.


33. Gingival height of contour being marked with a pencil for the adjustment of cervical area of the Integrated Abutment Crown™.


34. Cervical area being adjusted for proper seating of the Integrated Abutment Crown™.


35. Integrated Abutment Crown™ with a cantilever being inserted.


36. Integrated Abutment Crown™ being inserted.


37. View of seated Integrated Abutment Crowns™.


38. White healing abutment in an offset driver is being used to tap the Integrated Abutment Crown™ into the well of the implant.


39. View of Integrated Abutment Crown™ being modified with a white silicone polishing wheel.


40. Well of implant being cleaned with cotton-tipped applicator.


41. Interproximal surface being roughened for intraoral bonding.


42. Modeling liquid being applied to the roughened interproximal surface for intraoral bonding.


43. Light curing of the modeling liquid for intraoral bonding.


44. Composite being added to interproximal surface for intraoral bonding.


45. A white healing abutment in a straight handle is being used to tap the Integrated Abutment Crown™ into the well of the implant.


46. Light curing of the intraorally-bonded Integrated Abutment Crown™.


47. Light curing of the added composite material.


48. Articulating paper being used to confirm contacts in all extreme excursions while the patient is clenching.


49. Adjustment of excessive occlusal contact.


51. View of Integrated Abutment Crown™ bridge immediately after its insertion and intraoral bonding.


52. View of Integrated Abutment Crowns™ three months post insertion.
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