Bicon Dental Implants
Friday, November 21st 2008 4:34PM EDT

All-Ceramic Crown: Extra-oral Cementation
This case demonstrates the ease of achieving aesthetic restorations particularly gingival aesthetics by using aluminum oxide sleeves and stealth shouldered abutments with an extra-oral cementation technique.
     


1. Radiograph revealing a 5.0mm x 8.0mm implant and a temporary abutment placed at the time of the immediately placed, one-stage surgical technique


2. Occlusal view of all-ceramic bicuspid and porcelain fused to metal molar crowns


3. Mirror view of all-ceramic crown revealing internal aspect of aluminum oxide sleeve on which alpha porcelain was directly added during the fabrication of the restoration


4. View of sulcus and implant well after removal of temporary abutment


5. Abutment and crown being initially inserted


6. Initial insertion of combined abutment and crown for confirmation of aesthetics and function


7. View of 4.0mm x 1.5mm shouldered abutment after the removal of the all-ceramic crown during the initial insertion


8. Metalic coupler being added to the 4.0mm x 1.5mm shouldered stealth abutment


9. Ceramic coupler being added to the internal aspect of the aluminum oxide sleeve


10. Bonding agent being added to both crown and abutment prior to their being extra-orally cemented


11. Polyceramic cement being applied to internal aspect of all-ceramic crown


12. Crown and abutment being extra-orally cemented


13. Extraneous cement being removed from abutment and crown


14. Mirror view of extra-orally cemented abutment and crown


15. Cemented abutment crown being inserted into implant


16. Abutment and crown being tapped for final seating after confirmation of appropriate orientation and interproximal and occlusal contacts


17. Bucal view all-ceramic bicuspid implant crown


18. Three year post insertion radiograph revealing level of crestal bone
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