Insertion and Restoration of a Mandibular Implant

Click on an image to view it larger. Click on the right half of the large image to view the next image, click on the left half to view the previous image. You may also use the left and right arrow keys on your keyboard to navigate through the images. Click the ESC key to exit the slideshow.

Click "Switch View" below to change to a layout optimized for printing the case.

Switch Thumb

1.

Pre-operative buccal view.

2.

Outline of tissue punch incision.

3.

Closer view of incision.

4.

View after elevation of tissue.

5.

Two handed drilling technique using reamer bur at 50RPM without water irrigation.

6.

A 6.0mm x 5.7mm HA coated implant and a plastic temporary abutment.

7.

Implant and temporary abutment being inserted into osteotomy site.

8.

Plastic transmucosal temporary abutment immediately after implant insertion.

9.

Occlusal view of 5.0mm x 2.0mm stealth shouldered abutment after it was inserted into the 3.0mm implant well.

10.

One-piece acrylic sleeve snapped onto stealth shouldered abutment with its flat surfaces corresponding to the anti-rotational flats on the abutment.

11.

Transfer impression being made with the withdrawal of the one-piece acrylic sleeve.

12.

A 5.0mm stealth shouldered abutment transfer die being inserted into the one piece acrylic sleeve in the impression.

13.

Soft tissue model material being injected around abutment transfer die.

14.

White polycarbonate transfer die in soft tissue model.

15.

White aluminum oxide sleeve on transfer die prior to having alpha porcelain applied directly to it for the fabrication of an all-ceramic crown.

16.

All-ceramic crown on model.

17.

8.0mm wide emergence cuff snapped onto abutment to maintain sulcus during the time necessary for fabrication of the permanent crown.

18.

Mirror view of all-ceramic crown revealing the internal aspect of the aluminum oxide sleeve on which the alpha porcelain was directly applied in fabricating the crown.

19.

Radiograph of all-ceramic implant restoration revealing need for adjustment of distal contact area to achieve complete seating of the all-ceramic crown.

20.

Polyceramic cement being applied for the intra-oral cementation of the all-ceramic crown.

21.

Occluso-buccal view of cemented all-ceramic crown.

22.

Mesio-buccal view of cemented all-ceramic crown.