Restoration of an Immediately Stabilized and Functioning Maxillatry Left First Bicuspid with an Integrated Abutment Crown™

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1.

Pre-operative radiograph of failed endodontically treated bicuspid.

2.

Pre-operative site.

3.

Pre-operative radiograph.

4.

After placement of a 4.5 x 11.0mm implant, a 5.0mm x 2.0mm shouldered abutment is seated with only finger pressure into the implant.

5.

Seated sleeve prior to its being incorporated into a transitional stabilizing prosthesis.

6.

Polyceramic material being added to acrylic sleeve to form a bonded strut between adjacent teeth.

7.

Light curing of polyceramic material that was applied over the acrylic sleeve.

8.

Polishing of bonded prosthesis with a carbide finishing bur.

9.

Polishing of bonded prosthesis with a soft white silicone disc.

10.

Polishing of bonded prosthesis with a nylon bristle brush.

11.

Initially polished stabilizing splint.

12.

View of implant well after the removal of the transitional prosthesis and the stealth abutment.

13.

White 3.0 mm plastic impression post being inserted into the 3.0 mm implant well.

14.

White 3.0mm Plastic Impression post receiving its mandatory seating tap.

15.

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

16.

Full arch implant level impression being taken.

17.

Crestal incision being made to accommodate a mesially wider healing abutment.

18.

Initial placement of white plastic healing abutment.

19.

Healing abutment being modified.

20.

Modified healing abutment being inserted into implant well.

21.

Healing abutment seated in implant well.

22.

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

23.

Integrated Abutment Crown™ on stone model.

24.

Integrated Abutment Crown™ on dental model with acrylic orientation jig.

25.

Mirror view of Integrated Abutment Crown™.

26.

White healing abutment prior to its removal for the insertion of the Integrated Abutment Crown™.

27.

White healing abutment being removed.

28.

View of implant well and soft tissue sulcus.

29.

Crestal relieving incision being made to facilitate the seating of the Integrated Abutment Crown™.

30.

Integrated Abutment Crown™ being inserted.

31.

Clear acrylic orientation jig being used to confirm positioning of Integrated Abutment Crown™.

32.

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.

33.

Facial view of seated Integrated Abutment Crown™ immediately after being inserted.

34.

Post-operative radiograph.

35.

Integrated Abutment Crown™ one week after insertion.

36.

Four months post insertion image.