Three Mandibular Implants

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1.

Radiograph of preoperative site with failed root canal treated tooth.

2.

Buccal view of edentulous ridge and failed endodontically treated tooth.

3.

Reamer bur preparing osteotomy of extraction site.

4.

Insertion of a 5.0mm x 8.0mm HA coated implant using the implant inserter/retriever instrument.

5.

Implant inserter/retriever instrument prior to its being removed from the implant.

6.

Implant being seated by the tapping of an offset driver with an implant seating tip.

7.

Occlusal view of seated implants.

8.

Shoulder depth guage inserted into the well of the implant to indicate the appropriate shoulder height of the intended abutment.

9.

A 5.0mm x 4.0mm stealth shouldered abutment being inserted into a wide one-piece acrylic sleeve.

10.

Stealth shouldered abutment with one-piece acrylic sleeve being inserted with only finger pressure into the implant well.

11.

Another abutment and sleeve being inserted.

12.

Bucco-occlusal view of three wide one piece acrylic sleeves.

13.

“Temphase” composite resin by Kerr is being injected around sleeves uniting them into a single unit.

14.

After the initial resin around the sleeves has set and been appropriately trimmed, the occlusal aspect only of a vacuum-formed template is injected with the material.

15.

Vacuum-formed template with composite resin seated over the previously bonded one-piece acrylic sleeves.

16.

Interim stabilizing prosthesis being removed for polishing.

17.

Polished prosthesis being used to align the reseating of stealth shouldered abutment.

18.

Prosthesis being used to align second abutment.

19.

Distal surfaced of canine being etched for its bonding to the stabilizing prosthesis.

20.

Polyceramic cement is being applied to mesial surface of prosthesis.

21.

Polished prosthesis with distal abutment attached is being snapped onto seated abutments and bonded to canine tooth.

22.

Stabilizing prosthesis bonded to canine and snapped onto the shouldered abutments is shown in occlusion.

23.

Bonded stabilizing prosthesis ten weeks after its placement and just prior to its removal.

24.

Shouldered abutments after the initial removal of the stabilizing prosthesis.

25.

View of implant wells and sulci after the removal of the finger pressured seated abutments.

26.

Insertion of 3.0mm impression post.

27.

Third impression post being seated.

28.

Mandatory tapping for the seating of the impression post.

29.

Fully seated impression posts.

30.

Impression material being injected around impression posts.

31.

Impression post preventing the appropriate closure of the teeth.

32.

Height of post being reduced prior to its being used for an occlusal registration.

33.

Red acrylic resin added to white impression post for the recording of an occlusal registration.

34.

Insertion of a red plastic healing abutment.

35.

Third plastic healing abutment being inserted.

36.

Plastic healing abutments were used to slightly enlarge the sulci beyond what the interim stabilizing prosthesis had formed.

37.

View of three Integrated Abutment Crowns™ on soft tissue stone model.

38.

Pink light-cured plastic incisal alignment jig being fabricated on model.

39.

Mirror view of three Integrated Abutment Crowns™.

40.

Plastic healing abutments prior to their removal for the insertion of the Integrated Abutment Crowns™.

41.

Implant wells and sulci after the removal of the plastic healing abutments.

42.

First Integrated Abutment Crown™ being inserted.

43.

Pink plastic jig being used to align Integrated Abutment Crown™.

44.

Second Integrated Abutment Crown™ being inserted.

45.

Jig being used to align second Integrated Abutment Crown™.

46.

Third Integrated Abutment Crown™ being inserted.

47.

First Integrated Abutment Crown™ being tapped into implant well.

48.

Second Integrated Abutment Crown™ is being seated.

49.

Third Integrated Abutment Crown™ is being seated.

50.

Blue markings indicating occlusal contacts.

51.

Buccal view of Integrated Abutment Crowns™ revealing excellent gingival aesthetics.

52.

Buccal view of Integrated Abutment Crowns™ in occlusion.

53.

Radiograph of finished Integrated Abutment Crowns™.