A Two Stage Placement of Maxillary Left Central Incisor Short Implant and its Restoration with an Integrated Abutment Crown™

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1.

Pre-operative radiograph.

2.

Pre-operative smile.

3.

Pre-operative site.

4.

Post-operative radiograph of a 5.0mm x 6.0mm HA coated short implant.

5.

View of Bicon's Resorbable Collagen Plug which was sutured in place to stabilize the clot after the two stage placement.

6.

Bonded transitional prosthesis prior to its being removed at the patient’s second clinical visit seven weeks after the implant placement.

7.

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

8.

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

9.

Healing plug remover being used to remove the cut polyethylene plug from the well of the implant

10.

View of 3.0mm guide pin being inserted into the implant well.

11.

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

12.

Green 3.0mm impression reamer being rotated on guide pin to remove any tissue which might inhibit the complete seating of an impression post.

13.

Green 3.0mm impression post being inserted into the well of an integrated implant for the making of an implant level transfer impression.

14.

Green 3.0mm impression post receiving its mandatory seating tap.

15.

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

16.

A 5.0mm x 2.0mm stealth transitional abutment being inserted.

17.

Short stealth acrylic sleeve being inserted to check for its appropriateness.

18.

Tall stealth acrylic sleeve, which was determined to be more appropriate since it allowed more room for the interdental papillae, is being inserted.

19.

Bonding agent being applied.

20.

Light curing of the bonding agent.

21.

Polyceramic material being added to the stealth acrylic sleeve to form a transitional prosthesis.

22.

Transitional prosthesis being light cured.

23.

Polishing of bonded prosthesis with a soft white silicone disc.

24.

Polishing of bonded prosthesis with a nylon bristle brush.

25.

Polished transitional prosthesis.

26.

Integrated Abutment Crown™ on stone model.

27.

View of Integrated Abutment Crown™.

28.

View of transitional prosthesis three weeks after the implant level transfer impression was taken.

29.

View of transitional abutment after the removal of transitional prosthesis.

30.

View of implant well and soft tissue sulcus.

31.

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

32.

Abutment post receiving its mandatory alcohol wipe to remove any contaminants that would reduce the effectiveness of its locking taper engagement.

33.

Integrated Abutment Crown™ being inserted.

34.

A clear acrylic orientation jig is being used to initially position the Integrated Abutment Crown™.

35.

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

36.

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

37.

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.

38.

Seated Integrated Abutment Crown™ immediately after insertion.

39.

Patient’s smile.

40.

Radiograph immediately after the insertion of Integrated Abutment Crown™.

41.

Radiograph six months after the insertion of Integrated Abutment Crown™.

42.

Right profile one year after the insertion of Integrated Abutment Crown™.

43.

Left profile one year after the insertion of Integrated Abutment Crown™.

44.

Facial view one year after the insertion of Integrated Abutment Crown™.

45.

Patient’s smile.

46.

Facial view three years after the insertion of Integrated Abutment Crown™.

47.

Left profile view three years after the insertion of Integrated Abutment Crown™.

48.

Patient's smile three years after the insertion of Integrated Abutment Crown™.

49.

Radiograph three years after the insertion of Integrated Abutment Crown™.