Extraction and Placement of Immediately Functioning Maxillary Left Second Bicuspid Implant with Integrated Abutment Crown™

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1.

Extraction of the fractured teeth.

2.

Clinician‘s finger monitoring the buccal bone during the preparation of the pilot osteotomy at 1,100RPMs.

3.

Preparation of the osteotomy with a latch reamer at 50RPM.

4.

A 4.5mm x 8.0mm HA coated Implant being inserted with a seating tip threaded on a straight driver.

5.

Implant seating tip being removed from the implant.

6.

Etchant being applied to adjacent tooth surfaces.

7.

Bonding agent being applied to adjacent tooth surfaces.

8.

Light curing of bonding agent.

9.

Shoulder depth guage seated into the well of the implant to facilitate the selection of stealth abutment with an appropriate shoulder height.

10.

Shouldered stealth abutment being inserted into well of implant.

11.

White plastic stealth abutment being gently tapped into the implant well.

12.

Tall acrylic sleeve being placed onto white plastic 5.0mm stealth shouldered abutment.

13.

Plastic sleeve being trimmed.

14.

Polyceramic material being applied to the acrylic sleeve.

15.

Light curing of initial polyceramic material.

16.

Polyceramic material being inserted into vacuum formed template.

17.

Template being adapted to tooth.

18.

Light curing of newly applied material.

19.

Additional material being applied to a cervical void.

20.

Light curing of newly applied material.

21.

Transitional stabilizing prosthesis being contoured.

22.

Transitional stabilizing prosthesis being contoured.

23.

Transitional stabilizing prosthesis being polished.

24.

Finished transitional stabilizing prosthesis.

25.

Radiograph of transitional prosthesis and immediately functioning implant.

26.

View of sulcus and implant well after the removal of transitional stabilizing prosthesis.

27.

Tapping of white 3.0mm impression post into the well of the implant.

28.

Impression material being injected around white impression post for the making of an implant level transfer impression.

29.

Digital image is being taken of shade guides against a black metallic background to facilitate the fabrication of an aesthetic restoration.

30.

Integrated Abutment Crown™ on stone model.

31.

Mirror view of Integrated Abutment Crown™.

32.

Integrated Abutment Crown™ being inserted into the well of the implant.

33.

Blanching of soft tissues with the initial seating of the Integrated Abutment Crown™.

34.

Definitive seating of the restoration and engagement of its locking taper connection is being achieved by occlusal pressure on a cotton applicator.

35.

Gingivally aesthetic restorations after dissipation of the initial tissue blanching.

36.

Gingivally aesthetic restorations after dissipation of the initial tissue blanching.

37.

Post-operative radiograph of seated Integrated Abutment Crown™.

38.

One year post insertion image.