Ten Restorations and Insertions

This case reveals the versatility of placing an immediately stabilized implant after the failure of an implant to integrate, making an impression, recording occlusal relationships, fabricating transitional restorations, and inserting ten Bicon Integrated Abutment Crowns™.

SURGICAL: Immediate Stabilization and Function
RESTORATIVE: Integrated Abutment Crowns™
TOPICS: Impression
TAGS: Occlusal Registration

Show Case Short Link

Click on an image to view it larger. Click on the right half of the large image to view the next image, click on the left half to view the previous image. You may also use the left and right arrow keys on your keyboard to navigate through the images. Click the ESC key to exit the slideshow.

Click "Switch View" below to change to a layout optimized for printing the case.

Switch Thumb

1.

Radiograph of nine integrated Bicon implants with 5.0mm wide shouldered abutments.

2.

Three 5.0mm wide shouldered abutments, two of which have 5.0mm emergence cuffs snapped onto them prior to the placement of an immediately stabilized implant in the site of a previously placed implant which failed to integrate.

3.

Reamer bur preparing osteotomy at 50RPM without water irrigation.

4.

Prepared osteotomy site.

5.

Depth gauge confirming appropriate depth of osteotomy.

6.

Implant being inserted into osteotomy.

7.

Emergence cuff being placed onto abutment prior to the fabrication of a one-piece transitional restoration, which will stabilize the newly placed implant while it is being osseointegrated.

8.

One-piece transitional restoration prior to its removal after the osseointegration of the central incisor implant. The abutments were only seated with finger pressure.

9.

Ten shouldered abutments prior to their removal for the transfer impression of the ten implants.

10.

Removal of a 5.0mm wide abutment.

11.

View of ten implant wells prior to the insertion of transfer impression posts.

12.

Seven white impression posts for 3.0mm diameter implant wells and three black impression posts for 2.0mm diameter implant wells.

13.

Withdrawal impression being made of the impression posts.

14.

Black 2.0mm implant analog being placed onto impression post prior to the pouring of a soft tissue model.

15.

White 3.0mm implant analog being placed onto impression post.

16.

Impression posts and acrylic being used to record occlusal relationship.

17.

A 5.0mm x 8.0mm shouldered abutment being inserted prior to the re-insertion of the one-piece transitional restoration.

18.

Abutments re-inserted with only finger pressure for the transitional restoration for the period of time necessary to fabricate the ten Bicon Integrated Abutment Crowns™.