Extraction, Two Stage Placement and Restoration of Maxillary Left Central Incisor Implant with an Integrated Abutment Crown™

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1.

Pre-operative site.

2.

Pre-operative radiograph.

3.

Periotome being used to initiate the extraction.

4.

View of extracted maxillary left central incisor.

5.

Curette removing soft tissue remnants of periodontal ligament.

6.

Ten weeks post-extraction radiograph.

7.

Radiograph of the 4.5mm x 8.0mm HA coated implant placed using two stage surgical technique ten weeks after the extraction.

8.

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

9.

Incision being made for uncovering.

10.

View of implant well with trimmed polyethylene healing plug.

11.

The trimmed polyethylene healing plug being removed from the well of the implant with a healing plug remover.

12.

The trimmed polyethylene healing plug being removed from the well of the implant with a healing plug remover.

13.

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

14.

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

15.

Green 3.0mm impression post receiving its mandatory seating tap.

16.

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

17.

View of transitional prosthesis.

18.

Radiograph fourteen weeks after the implant placement.

19.

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

20.

Integrated Abutment Crown™ being inserted.

21.

Gingival height of contour being marked with a pencil for the adjustment of cervical area of the Integrated Abutment Crown™.

22.

Cervical area being adjusted for proper seating of the Integrated Abutment Crown™.

23.

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.

24.

View of seated Integrated Abutment Crown™ immediately after its insertion.

25.

Adjustment of incisal contacts.

26.

Post insertion radiograph of seated Integrated Abutment Crown™.

27.

View of seated Integrated Abutment Crown™ two weeks post-insertion.

28.

View of seated Integrated Abutment Crown™ four weeks post-insertion.

29.

Facial view sixteen months post insertion.

30.

Patient’s smile sixteen months post insertion.