Restoration of an Immediately Stabilized and Functioning Maxillary Left Central Incisor Implant with an Integrated Abutment Crown™

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1.

Preoperative radiograph.

2.

Operative site immediately after the placement of a 5.0 mm x 8.0 mm HA coated implant.

3.

Shouldered depth gauge indicating that an abutment with a 4.0 mm shoulder height would be appropriately positioned below the gingival crest.

4.

Primer agent being applied.

5.

Bonding agent being applied.

6.

Light curing of bonding agent.

7.

A 5.0mm x 4.0mm shouldered abutment being inserted with only finger pressure into the well of the implant.

8.

A 5.0mm x 4.0mm shouldered abutment seated with only finger pressure into the well of the implant.

9.

Short 5.0mm wide acrylic sleeve being inserted onto the 5.0mm wide stealth abutment.

10.

Wide acrylic sleeve snapped onto shouldered abutment.

11.

Vacuum formed template placed over acrylic sleeve indicating the need to reduce its buccal profile.

12.

Acrylic sleeve being modified.

13.

Transitional stabilizing prosthesis bonded to adjacent teeth.

14.

Radiograph of integrated implant five weeks after implant placement.

15.

Bonded stabilizing prosthesis prior to its being removed at the patient’s second clinical visit.

16.

Shouldered abutment after removal of bonded prosthesis.

17.

Implant well and soft tissue sulcus after removal of stealth abutment.

18.

White 3.0 mm plastic impression post receiving its mandatory seating tap.

19.

Impression material being injected around seated impression post.

20.

Digital image being taken of shade guide against a black metal background to facilitate the fabrication of an aesthetic Integrated Abutment Crown™.

21.

Transitional crown re-inserted after the making of an implant level impression.

22.

Integrated Abutment Crown™ on stone model.

23.

Mirror view of Integrated Abutment Crown™.

24.

Integrated Abutment Crown™ being inserted.

25.

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.

26.

Plastic temporary abutment mounted on a straight driver to seat the Integrated Abutment Crown™ in the long axis of the abutment shaft and implant well to engage the locking taper.

27.

Post-operative radiograph of seated Integrated Abutment Crown™.

28.

Left profile view of seated Integrated Abutment Crown™.

29.

Right profile view of seated Integrated Abutment Crown™.

30.

Fifteen months post operative radiograph.

31.

Patient’s smile fifteen months post insertion.

32.

Close-up of the patient’s smile.

33.

Radiograph Four-year post-insertion.

34.

Patient's smile four-year post-insertion.

35.

Left profile smile four-year post-insertion.

36.

Right profile smile four-year post-insertion.

37.

Close-up view four-year post-insertion.

38.

Radiograph five-year post-insertion.

39.

Patient’s smile five-year post-insertion.