Maxillary Arch Reconstruction | Bicon Case Study Library

1.

First Visit: Pre-operative radiograph.

2.

Pre-operative clinical image.

3.

Pre-operative clinical image showing the removal of the patients failed prosthesis.

4.

Pre-operative clinical image showing the surgical site.

5.

View of extracted tooth.

6.

Pilot osteotomy being drilled with a 2.0mm Bicon pilot drill.

7.

Paralleling pins seated in pilot osteotomies indicating their position and trajectory.

8.

Osteotomy being enlarged with a blue 3.5mm hand reamer.

9.

Harvested bone within the flute of a blue 3.5mm latch reamer.

10.

Osteotomy being enlarged with a red 4.0mm hand reamer.

11.

Osteotomy being enlarged with a red 4.0mm hand reamer.

12.

Harvested bone within the flute of a silver 4.5mm hand reamer.

13.

Patients blood being collected from surgical site, which will be mixed with SynthoGraft™.

14.

SynthoGraft™ after being mixed with the patient's blood.

15.

A 4.5 mm x 8.0mm Integra-CP coated implant being inserted into the osteotomy.

16.

A 5.0 mm x 8.0mm Integra-CP coated implant being inserted into the osteotomy.

17.

A 5.0 mm x 8.0mm Integra-CP coated implant being inserted into the osteotomy.

18.

A 5.0 mm x 8.0mm Integra-CP coated implant being inserted into the osteotomy.

19.

View of seated implants with polyethylene healing plugs prior to the plugs being cut.

20.

Mixture of patient's blood and Synthograft™, Pure Phase Beta-Tricalcium Phosphate, being placed over the shoulder of the implants.

21.

Mixture of patient's blood and Synthograft™, Pure Phase Beta-Tricalcium Phosphate, being placed over the shoulder of the implants.

22.

A 2.5 x 12 x 4.0mm Transitional Implant being placed onto the Straight Stealth Latch Driver.

23.

A 2.5 x 12 x 4.0mm Transitional Implant after being placed onto the Straight Stealth Latch Driver.

24.

Transitional implant being placed.

25.

Transitional implant.

26.

Stealth Acrylic Sleeve being placed over the Transitional Implant.

27.

Stealth Acrylic Sleeve after being placed over the Transitional Implant.

28.

View of sutured surgical site and vaseline being placed over the sutures prior to making a vacupress temporary prosthesis.

29.

Transitional composite material being injected into vacuum formed template.

30.

Transitional composite material being added to the Stealth Acrylic Sleeve.

31.

Vacuum formed template seated over the Stealth Acrylic Sleeve.

32.

View of the transitional prosthesis after polishing.

33.

Post operative radiograph.

34.

Second Visit: Pre-operative radiograph.

35.

Pre-operative radiograph.

36.

Pre-operative clinical image.

37.

View of extracted tooth.

38.

Osteotomy being enlarged with an olive green 2.5mm latch reamer rotating at 50RPM without external irrigation.

39.

Osteotomy being enlarged with a teal 3.0mm latch reamer.

40.

Harvested bone within the flute of a blue 3.5mm latch reamer.

41.

Harvested bone within the flute of a red 4.0mm latch reamer.

42.

Harvested bone within the flute of a silver 4.5mm hand reamer attached to a straight handle.

43.

Harvested bone within the flute of a gold 5.0mm hand reamer attached to a straight handle.

44.

A 5.0mm x 8.0mm implant with a metal temporary abutment being inserted.

45.

Harvested bone being placed into the osteotomy with the implant.

46.

Implant being tapped into its final position with the abutment seating tip attached to the straight driver.

47.

Post-operative surgical site.

48.

Post-operative radiograph.

49.

Third Visit:Pre-operative radiograph.

50.

Pre-operative clinical image.

51.

Pilot hole being drilled with a 2.0mm Bicon pilot drill.

52.

Pilot hole being drilled with a 2.0mm Bicon pilot drill.

53.

Pilot hole being drilled with a 2.0mm Bicon pilot drill.

54.

Osteotomy being enlarged with an olive green 2.5mm latch reamer rotating at 50RPM without external irrigation.

55.

Osteotomy being enlarged with an olive green 2.5mm latch reamer rotating at 50RPM without external irrigation.

56.

Paralleling pins seated in pilot osteotomies indicating their position and trajectory.

57.

Paralleling pins seated in pilot osteotomies indicating their position and trajectory.

58.

Osteotomy being enlarged with a teal 3.0mm latch reamer.

59.

Osteotomy being enlarged with a blue 3.5mm hand reamer.

60.

Osteotomy being enlarged with a red 4.0mm hand reamer.

61.

Harvested bone within the flue of a red 4.0mm latch reamer.

62.

A 5.0 x 6.0mm implant with a metal temporary abutment being inserted.

63.

A 4.5 x 8.0mm implant with a 2.5mm well being inserted.

64.

View of seated implants with polyethylene healing plugs prior to their being cut.

65.

View of surgical site after the placement of SynthoGraft™ and resorbable collagen plugs.

66.

View of the transitional composite material after having been added to the Thin Wall Steath Sleeves.

67.

Vacuum formed template after hardening. Notice the Stealth Acrylic Sleeves in the posterior.

68.

Finished transitional prosthesis being seated over the abutments.

69.

Post-operative radiograph.

70.

Post-operative radiograph.

71.

Post-operative radiograph.

72.

Post-operative radiograph.

73.

Fourth Visit: Radiograph prior to uncovering.

74.

Radiograph prior to uncovering.

75.

Transitional prosthesis in place prior to its removal.

76.

Clinical site after the removal of the transitional prosthesis.

77.

Healing plug being removed with removal instrument.

78.

Healing plug being removed with removal instrument.

79.

Healing plug being removed with removal instrument.

80.

Healing plug being removed with removal instrument.

81.

View of guide pins seating in the implant wells.

82.

Stealth Acrylic Sleeve being placed over the stealth shouldered abutment.

83.

View of Stealth Acrylic Sleeves seated over the stealth shouldered abutments.

84.

A blue 2.5mm titanium impression post being seated into the well of the implant.

85.

A blue 2.5mm plastic sleeve being inserted onto the 2.5mm titanium impression post.

86.

A view of the clinical site with one posterior section of transitional prosthesis prior to taking the bite registration.

87.

Red acrylic being injected around Stealth Acrylic Sleeves.

88.

Red acrylic being injected around Stealth Acrylic Sleeves and impression posts for an occlusal registration.

89.

Clinical view showing red acrylyic occlusal registration.

90.

Transitional prosthesis being removed.

91.

Stealth Acrylic Sleeve being placed over the stealth shoulder abutment.

92.

Stealth Acrylic Sleeve being placed over the stealth shoulder abutment.

93.

Red acryic being placed over the Stealth Acrylic Sleeve for an occlusal registration of the posterior section.

94.

Clinical site of occlusal registration.

95.

Stealth shouldered abutment being removed from the implant well.

96.

A green 3.0mm two-piece titanium impression post with acrylic sleeve being seated into the implants well.

97.

A blue 2.5mm two-piece titanium impression post with acrylic sleeve being seated into the implants well.

98.

A blue 2.5mm two-piece titanium impression post with acrylic sleeve being seated into the implants well.

99.

A green 3.0mm two-piece titanium impression post with acrylic sleeve being seated into the implants well.

100.

View of clinical site with two-piece impression posts in place before the taking of a full arch implant level transfer impression.

101.

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

102.

View of the transfer impression with the impression sleeves in place.

103.

Fifth Visit: View of Integrated Abutment Crowns™ on the stone model.

104.

Right profile view of Integrated Abutment Crowns™ on the stone model.

105.

Left profile view of Integrated Abutment Crowns™ on the stone model.

106.

Occulusal view of Integrated Abutment Crowns™ on the stone model.

107.

View of Integrated Abutment Crowns™ on a mirror.

108.

View of transitional prosthesis.

109.

View after the removal of the transitional prosthesis.

110.

View after the removal of the stealth shouldered abutments.

111.

A cotton tipped application used to facilitate the cleaning of the implant well prior to seating the Integrated Abutment Crown™.

112.

Integrated Abutment Crown™ being inserted.

113.

A cotton tipped application used to facilitate the cleaning of the implant well prior to seating the Integrated Abutment Crown™.

114.

A cotton tipped application used to facilitate the cleaning of the implant well prior to seating the Integrated Abutment Crown™.

115.

Integrated Abutment Crown™ being inserted.

116.

Integrated Abutment Crown™ being inserted.

117.

Integrated Abutment Crown™ being inserted.

118.

Integrated Abutment Crown™ being inserted.

119.

Integrated Abutment Crown™ being inserted.

120.

Integrated Abutment Crown™ being inserted.

121.

View of twelve Integrated Abutment Crowns™ after being inserted.

122.

Yellow thermo-plastic seating jig being used to confirm proper orientation of Integrated Abutment Crowns™.

123.

Yellow thermoplastic custom seating jig which was formed in a crown alignment device is seated in a crown seating tip attached to a straight handle to facilitate directing the tapping forces in the long axis of the abutment post and implant well.

124.

Yellow thermoplastic custom seating jig which was formed in a crown alignment device is seated in a crown seating tip attached to a straight handle to facilitate directing the tapping forces in the long axis of the abutment post and implant well.

125.

Yellow thermoplastic custom seating jig which was formed in a crown alignment device is seated in a crown seating tip attached to a straight handle to facilitate directing the tapping forces in the long axis of the abutment post and implant well.

126.

Yellow thermoplastic custom seating jig which was formed in a crown alignment device is seated in a crown seating tip attached to a straight handle to facilitate directing the tapping forces in the long axis of the abutment post and implant well.

127.

Yellow thermoplastic custom seating jig which was formed in a crown alignment device is seated in a crown seating tip attached to a straight handle to facilitate directing the tapping forces in the long axis of the abutment post and implant well.

128.

Yellow thermoplastic custom seating jig which was formed in a crown alignment device is seated in a crown seating tip attached to a straight handle to facilitate directing the tapping forces in the long axis of the abutment post and implant well.