The telescopic restoration solves for many clinicians and patients the perplexing situation of restoring the atrophic maxilla; the ease with which it is done with Bicon implants is all made possible by the 360° of universal positioning of the Bicon abutment shaft and the absence of any type of abutment screw. The fact that the Bicon abutment can be milled to act as the primary crown not only reduces a clinician’s chairtime and costs but also enhances aesthetics, since a milled Bicon abutment is not as bulky as a primary casting cemented onto a screw retained implant abutment.
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Occlusal view of the wells of eight Bicon implants prior to the insertion of impression posts for the making of a transfer impression.
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Transfer impression with eight implant analogs seated on impression posts prior to pouring a stone model.
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Stone model with eight permanent abutment prior to their being milled with parallel tapers of two and three degrees.
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Milling machine.
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Model mounted on milling machine platform.
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Initial alignment of selected abutments prior to their being milled.
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Abutment being milled.
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Abutment being milled.
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Milled abutments.
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Wax preparation for one-piece casting.
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One-piece titanium casting.
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Eight milled abutments prior to the fabrication of an acrylic orientation jig or template.
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Orientaion jig covering milled abutments on stone model.
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Tissue side view of orientation jig.
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Occlusal view of implants prior to the insertion of milled abutments.
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Orientation of seated milled abutments being confirmed with acrylic jig.
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Properly aligned milled abutments prior to the insertion of one-piece casting for aesthetic evaluation.
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Cleaning of one-piece casting prior to its insertion intra-orally onto milled abutments.
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Aesthetics and occlusal relationships being confirmed intra-orally.
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One-piece telescopic prosthesis after application of polyceramic opaque material.
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Telescopic prosthesis with preliminary applications of the polyceramic material.
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Labial view of prosthesis.
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Labial view of prosthesis.
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Right lateral view of prosthesis.
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Left lateral view of prosthesis.
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Left labio-buccal view of prosthesis.
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Right bucco-labial view of prosthesis with wax gingival representation.
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Labial view of completed prosthesis.
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Occlusal view of completed prosthesis.
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Left lateral view of completed prosthesis.
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Tissue view of completed telescopic prosthesis.
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Labial view revealing the aesthetics of the polyceramic material.
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Implant wells prior to the insertion of of milled abutments.
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Abutment alingment being confirmed with acrylic jig.
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Eight seated milled Bicon abutments acting as primary crowns for the telescopic restoration. Since there are no cemented primary crowns, there are none of their inherent negatives: laboratory and chair time, laboratory cost, space requirements, and cementation variations.
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Intra-oral view of completed poly-ceramic telescopic restoration.
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Completed telescopic prosthesis with opposing dentition.
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Profile view demonstrating the lack of bony support.
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Profile view demonstrating the dramatic change in facial appearance that is possible without the need for cortical bone grafting.
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