Extra-oral Cementation

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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