Extraction, Two Stage Placement, Grafting with Bicon Resorbable Collagen Membrane and Restoration of Maxillary right lateral Incisor Implant with an Integrated Abutment Crown™

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1.

First Visit: Pre-operative radiograph.

2.

Pre-operative site.

3.

Pre-operative site.

4.

Pre-operative smile.

5.

View of extracted crown.

6.

View of extracted root.

7.

Osteotomy being enlarged with a blue 3.5mm latch reamer rotating at 50RPM without water irrigation.

8.

Osteotomy being enlarged with a red 4.0mm hand reamer on a straight driver.

9.

Osteotomy being enlarged with a silver 4.5mm hand reamer on a straight driver.

10.

A 4.5mm x 6.0mm HA coated implant being inserted into the osteotomy with an implant-seating tip threaded on a straight driver.

11.

Implant seating tip attached to a straight handle being tapped to seat implant farther into the osteotomy.

12.

View of seated implant with polyethylene healing plug.

13.

Cut polyethylene healing plug being inserted into the well of the implant.

14.

View of bony defect.

15.

Patient’s blood being mixed with SynthoGraft™, Beta-Tricalcium Phosphate, in a dappen dish.

16.

Bicon resorbable membrane being placed.

17.

SynthoGraft™, Beta-Tricalcium Phosphate, filling defect to the width of the buccal cortical plate, and to the height of the interproximal bone.

18.

Bicon resorbable membrane in place covering the graft.

19.

Sutured site.

20.

Post operative radiograph.

21.

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

22.

Bonding material being applied.

23.

Light curing of bonding material.

24.

Composite material being added to form a strut between adjacent teeth.

25.

Light curing of composite material.

26.

Composite material being added.

27.

Light curing of composite material.

28.

Transitional prosthesis being trimmed.

29.

View of finished transitional prosthesis.

30.

Post operative radiograph.

31.

Second Visit: – five months after previous visit View of bonded prosthesis prior to its removal.

32.

Site after removal of transitional prosthesis.

33.

View of black polyethylene healing plug prior to its removal.

34.

View of black poHealing plug being removed with healing plug removal instrument.lyethylene healing plug prior to its removal.

35.

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

36.

Green 3.0mm plastic impression post receiving its mandatory seating tap.

37.

Impression material being injected around impression post for the making of a full arch implant level transfer impression.

38.

Third Visit: – three weeks after previous visit Well of implant being cleaned with alcohol on a cotton tipped applicator.

39.

Integrated Abutment Crown™ being inserted.

40.

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.

41.

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.

42.

Occlusal view immediately after the definitive seating of the Integrated Abutment Crown™.

43.

Incisal contacts being adjusted with a pink silicone polishing wheel.

44.

Post insertion radiograph.

45.

View of Integrated Abutment Crown™ ten months post insertion.

46.

Patient’s smile ten months post insertion.

47.

View of Integrated Abutment Crown™ fourteen months post insertion.

48.

Right profile view fourteen months post insertion.

49.

Left profile view fourteen months post insertion.

50.

View of patient’s smile fourteen months post insertion.