Mandibular Right Canine

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1.

Failed root canal treated tooth prior to being extracted.

2.

Removal of the failed root canal treated tooth.

3.

Paralleling pin confirming pilot hole of osteotomy.

4.

Insertion of 5.0mm x 8.0mm implant into osteotomy site.

5.

Seated implant prior to removal of black polyethylene healing plug handle.

6.

Shoulder depth guage seated into implant well to ascertain appropriate abutment shoulder height relative to crest of gingival.

7.

Vacuum-formed template clearance being confirmed over shouldered abutment.

8.

Short one-piece acrylic sleeve positioned on shouldered abutment which was seated into implant well with only finger pressure.

9.

Composite temporization material, “Integrity” by Dentsply, being injected around one-piece acrylic sleeve prior to final anatomical contours being formed by vacuum-formed template.

10.

Transitional prosthetic splint being removed for polishing.

11.

A 5.0mm x 4.0mm shouldered abutment is being inserted into polished prosthesis to facilitate the orientation of the abutment into the well of the implant.

12.

Shouldered abutment seated with only finger pressure into implant.

13.

Cement being applied to transitional crown for splinting and stabilization to adjacent teeth.

14.

Transitional crown being inserted onto shouldered abutment.

15.

Final seating of transitional prosthetic splint.

16.

Light curing of the bonding cement.

17.

View of implant well and soft tissue sulcus ten weeks after placement of implant.

18.

A white 3.0mm impression post being inserted into implant well.

19.

Inserted impression post.

20.

Impression post being tapped into implant well to assure proper axial seating.

21.

Impression material being injected around impression post.

22.

Implant analog being placed onto impression post.

23.

Implant analog and impression post being seated as a unit into full arch impression.

24.

Bicon Integrated Abutment Crown™ on stone model.

25.

Mirror view of Bicon Integrated Abutment Crown™.

26.

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

27.

Initial insertion of Integrated Abutment Crown™.

28.

Inserted Bicon Integrated Abutment Crown™ revealing open mesial contact.

29.

Blue incisal jig facilitating orientation of Bicon Integrated Abutment Crown™.

30.

Mesial surface of Bicon Integrated Abutment Crown™ being roughened for the intra-oral addition of polyceramic material to close open contact area.

31.

View of open contact.

32.

Surface being cleaned with 95% ethyl alcohol.

33.

Ceramo-coupler being applied to surface prior to adding coating of modeling liquid.

34.

Polyceramic material being added to contact area.

35.

Light curing of polyceramic material.

36.

Initial trimming and polishing with HF-TI-Nitrite coated carbide bur.

37.

Further polishing with a pink silicone mounted polishing wheel.

38.

Edentulous space with mesial relieving incision.

39.

Bicon Integrated Abutment Crown™ being inserted.

40.

Initial seating of Bicon Integrated Abutment Crown™ facilitated by blue incisal jig.

41.

Blue mark indicating Bicon Integrated Abutment Crown™ in hyper-occlusion.

42.

Adjustment of premature contact with #7404 carbide bur.

43.

Polishing with pink silicone mounted polishing wheel.

44.

Further polishing with gray nylon bristle brush.

45.

Final polishing with bristle brush and paste.

46.

Integrated Abutment Crown™ in occlusion revealing the compatible aesthetics of IAC and porcelain fused to metal crowns.

47.

Close view of gingival aesthetics around the Integrated Abutment Crown™.

48.

Post-operative radiograph.