A Restoration of a 4.5mm x 8.0mm Maxillary Right Lateral Incisor Implant with an Integrated Abutment Crown™ and the Subsequent Treatments of Open Interproximal Contact and Bony Dehiscence

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1.

Pre-operative radiograph.

2.

Post-operative radiograph of seated implant.

3.

Integrated Abutment Crown™ on stone model.

4.

View of Integrated Abutment Crown™.

5.

Patient’s smile prior to the insertion of the Integrated Abutment Crown™.

6.

View prior to insertion of an Integrated Abutment Crown™.

7.

Integrated Abutment Crown™ being inserted.

8.

Radiograph of seated Integrated Abutment Crown™.  Note the open mesial interproximal contact.

9.

Seated Integrated Abutment Crown™ eight weeks post insertion prior to its removal for closure of open mesial interproximal contact.

10.

Surface being roughened for addition of new composite material.

11.

Surface being cleaned with 95% ethyl alcohol.

12.

Bonding material being applied.

13.

Light curing of bonding material.

14.

Composite material being added to mesial surface.

15.

Integrated Abutment Crown™ being inserted with additional composite material.

16.

Light curing of additional composite material.

17.

Integrated Abutment Crown™ being removed for polishing.

18.

View of implant well and soft tissue sulcus.

19.

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

20.

Seated Integrated Abutment Crown™ with closed interproximal contact.

21.

Seated Integrated Abutment Crown™ in occlusion.

22.

View of sinus tract three months after initial seating of the Integrated Abutment Crown™.

23.

View of implant.

24.

Emdogain™, an enamel derivative, will be used to enhance the bone graft.

25.

PrefGel EDTA Suspension used to clean the metallic surface.

26.

Emdogain™ being applied.

27.

SynthoGraft™ being placed which should have been saturated with patient’s blood prior to its placement.

28.

Bicon resorbable collagen membrane in place over SynthoGraft™.

29.

Sutured post surgical site.

30.

Post-operative radiograph.

31.

One-week post-operative view.

32.

Five-week post-operative view.

33.

Eighteen-week post-operative view.

34.

Eighteen-week post-operative radiograph.

35.

Ten-month post-operative view.

36.

Right side profile ten months post insertion.

37.

Left side profile ten months post insertion.

38.

Post-operative radiograph ten months post insertion.