Extraction and Placement of Immediately Functioning Maxillary Right Lateral Implant with Integrated Abutment Crown™

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1.

Pre-operative view of failed root canal treated tooth.

2.

Pre-operative radiograph.

3.

Extraction of maxillary lateral incisor with cracked root.

4.

Paralleling pin confirming appropriateness of the trajectory of the pilot osteotomy.

5.

Vacuum formed template placed over paralleling pin confirms further the appropriateness of the pilot osteotomy.

6.

A 5.0mm x 8.0mm HA coated Implant being inserted into osteotomy.

7.

View of the well of the seated implant.

8.

Etchant being applied in preparation for the bonding of the transitional stabilizing prosthesis.

9.

Bonding agent being applied.

10.

Insertion of a 5.0mm x 4.0mm stealth shouldered abutment with only finger pressure.

11.

Light curing of bonding agent.

12.

Tall acrylic sleeve snapped onto stealth abutment.

13.

Light curing of polyceramic material that was applied over the acrylic sleeve.

14.

Vacuum formed template being removed.

15.

View of transitional stabilizing prosthesis.

16.

Radiograph of immediately placed and functioning implant.

17.

View of transitional prosthesis prior to its removal eleven weeks after implant placement.

18.

View of transitional abutment after removal of splinted prosthesis.

19.

View of implant well and soft tissue sulcus.

20.

White 3.0mm impression post being inserted.

21.

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

22.

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

23.

Mirror image of Integrated Abutment Crown™.

24.

View of implant well and soft tissue sulcus prior to the insertion of the Integrated Abutment Crown™.

25.

Integrated Abutment Crown™ being inserted.

26.

Clear acrylic orientation jig being used to initially align the Integrated Abutment Crown™.

27.

White temporary abutment in a straight driver being used to definitively seat the Integrated Abutment Crown™ with six taps.

28.

Integrated Abutment Crown™ immediately after being definitively seated.

29.

Radiograph of seated Integrated Abutment Crown™.

30.

Patient’s smile after insertion of Integrated Abutment Crown™.

31.

Six months post-insertion photo of Bicon Integrated Abutment Crown™.