Maxillary Left First Bicuspid

This case demonstrates the placement, transitional stabilization, and implant level transfer impression of an immediately stabilized or loaded maxillary left first bicuspid implant as well as the insertion of an Integrated Abutment Crown™.

SURGICAL: Immediate Stabilization and Function
RESTORATIVE: Integrated Abutment Crowns™

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1.

Pre-operative radiograph.

2.

Buccal view of a recent extraction site.

3.

Initial mucosal flap of recent extraction site.

4.

A 2.0mm pilot bur initiating osteotomy.

5.

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

6.

Shouldered depth gauge seated in well of implant indicating that a 5.0mm x 4.0mm shouldered abutment will have a margin below the crest of the soft tissue.

7.

A short one piece acrylic sleeve is being seated onto a 5.0mm x 4.0mm shouldered abutment.

8.

Short one piece acrylic sleeve and abutment being inserted into well of implant.

9.

Reduced one piece acrylic sleeve and a piece of Kevlar® ribbon.

10.

Reduced one piece acrylic is being wrapped with a piece of Kevlar® ribbon for the bonding and stabilization of the transitional prosthesis.

11.

Composite transitional material being formed around acrylic sleeve and Kevlar® ribbon.

12.

Transitional crown splinted to adjacent teeth.

13.

Mucosa is sutured around transitional stabilization prosthesis.

14.

Radiograph of immediately stabilized or loaded implant.

15.

Occlusal view of 3.0mm implant well and soft tissue sulcus after the removal of the transitional stabilization prosthesis.

16.

White 3.0mm impression post being inserted into implant well.

17.

Impression post after having been tapped into the well of the implant.

18.

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

19.

Soft tissue material being injected around plastic impression post and metal implant analog. Use of a metal implant analog will require the titanium abutment to be tapped into the metal implant analog on the stone model.