Placement and Restoration of Immediately Functioning Maxillary Central Incisor Implant and Subsequent Placement and Restoration of the Adjacent Central Incisor Implant with Integrated Abutment Crown™
This case demonstrates the surgical placement and restoration of an immediately functioning maxillary central incisor implant and its restoration with an Integrated Abutment Crown™ as well as the subsequent restoration of the adjacent central incisor with an immediately functioning implant and an Integrated Abutment Crown™ by using the initially placed implant to stabilize its transitional restoration.
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Etchant being applied in preparation for the bonding of the transitional stabilizing prosthesis.
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Bonding primer agent being applied.
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Bonding agent being applied.
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Light curing of bonding agent.
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Operative site.
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Operative site.
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Osteotomy being prepared with 2.0mm pilot bur rotating at 1100RPM with external irrigation.
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Osteotomy being enlarged with an olive green 2.5mm latch reamer bur rotating at 50RPM without water irrigation.
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Osteotomy being enlarged with a teal 3.0mm latch reamer bur rotating at 50RPM without water irrigation.
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Osteotomy being enlarged with a 4.0mm latch reamer bur rotating at 50RPM without water irrigation.
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A 4.0mm x 11.0mm HA coated implant being inserted into the osteotomy with the implant inserter/retriever device.
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View of well of seated implant.
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Post-insertion radiograph.
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Shouldered depth gauge indicating that an abutment with a 4.0mm shoulder height would be appropriately positioned below the gingival crest.
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Stealth shouldered abutment 5.0 mm wide with a shoulder height of 4.0mm is being inserted into the implant well with only finger pressure.
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Short acrylic sleeve snapped on to stealth abutment.
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Acrylic sleeve being adjusted for occlusal clearance.
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Transitional composite material being added to acrylic sleeve to form a transitional prosthesis.
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Transitional composite material being added to acrylic sleeve to form a transitional prosthesis.
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Light curing of additional material.
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Prosthesis prior to final polishing.
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Polishing of transitional stabilizing prosthesis with a carbide finishing bur.
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Polishing of bonded prosthesis with a soft white silicone disc.
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Polishing with nylon bristle brush and water spray.
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Polishing of bonded prosthesis with a soft white bristle brush.
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Initially polished stabilizing splint.
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Radiograph of immediately placed and functioning implant at the completion of the first clinical visit.
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View of transitional prosthesis prior to its removal thirteen weeks after implant placement.
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Facial view after the removal of transitional prosthesis.
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Black 2.0mm plastic impression post being inserted into the 2.0mm well of an integrated implant for the making of an implant level transfer impression.
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Impression post being tapped into place to assure its proper seating.
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Impression material being injected around impression post for the making of a full arch implant level transfer impression.
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Integrated Abutment Crown™ on stone model.
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Mirror view of Integrated Abutment Crown™.
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Pre-operative smile.
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View of implant well after the removal of the transitional prosthesis and the stealth abutment.
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Integrated Abutment Crown™ being inserted.
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Radiograph two months after the insertion of the Integrated Abutment Crown™ and two weeks after the extraction of the right central incisor.
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View of seated implant with polyethylene healing plug.
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Shouldered depth gauge indicating that an abutment with a 3.5mm shoulder height would be appropriately positioned below the gingival crest.
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Stealth shouldered abutment 4.0mm wide with a shoulder height of 3.5mm is being inserted into the implant well with only finger pressure.
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Short acrylic sleeve being snapped on to stealth abutment.
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Integrated Abutment Crown™ is being removed so that its implant may be used with a two unit transitional prosthesis to stabilize the right central incisor implant.
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Occlusal view of acrylic sleeve, implant well and soft tissue sulcus.
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Stealth shouldered abutment 5.0mm wide with a shoulder height of 2.0mm is being inserted into the implant well with only finger pressure.
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Polyceramic material being added to acrylic sleeves to form a bonded strut between adjacent teeth.
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Light curing of polyceramic material that was applied over the acrylic sleeve.
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Polyceramic material is being added to the labial aspect of the vacuum formed template.
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Transitional stabilizing prosthesis being light cured.
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Polishing of transitional stabilizing prosthesis with a carbide finishing bur.
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Polishing of bonded prosthesis with a soft white silicone disc.
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Polishing with nylon bristle brush and water spray.
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View of transitional stabilizing prosthesis.
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Radiograph of transitional stabilizing prosthesis for the right central incisor implant utilizing the left central incisor implant for its stability.
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Bonded stabilizing prosthesis prior to its being removed at the patient’s second clinical visit.
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View of the original left central incisor Integrated Abutment Crown™ after being reinserted into the well of its implant.
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Black incisal marking of Integrated Abutment Crown™ against a black background facilitates determination of an appropriately aesthetic length.
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Digital image being taken of shade guide against a black metal background to facilitate the fabrication of an aesthetic Integrated Abutment Crown™.
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Red 2.0mm metal impression post being inserted into the 2.0mm well of an integrated implant for the making of an implant level transfer impression.
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Red metal impression post receiving its mandatory seating tap.
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Impression material being injected around impression posts for the making of a full arch implant level transfer impression.
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Mirror view of reshaped Integrated Abutment Crown™.
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Reshaped Integrated Abutment Crown™ on stone model.
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Custom seating jig for facilitating the application of the engagement of the locking taper by directing the seating forces in the long axis of the implant well and abutment shaft.
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Mirror view of Integrated Abutment Crown™.
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View of transitional prosthesis prior to its removal for the insertion of the Integrated Abutment Crowns™.
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View of transitional abutments after removal of splinted prosthesis.
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View of implant wells and soft tissue sulci.
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Integrated Abutment Crown™ being inserted.
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Initial seating of Integrated Abutment Crown™.
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Reshaped Integrated Abutment Crown™ being inserted.
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Floss being used to confirm the fact that the inter-proximal contacts are passive and will not interfere with the engagement of the locking taper.
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Custom seating jig on a straight driver facilitating the application of the engagement of the locking taper by directing the seating forces in the long axis of the implant well and abutment shaft.
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Post-insertion radiograph of Integrated Abutment Crowns™.
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Facial view of seated Integrated Abutment Crowns™ immediately after being inserted.
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