Two Implants and Two Crowns in Two Patient Visits

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1.

First Patient Visit: Two carious bicuspids prior to being extracted.

2.

Two Bicon implants in the sockets of the extracted teeth.

3.

Abutment shoulder gauge being inserted into implant well.

4.

Inserted abutment shoulder gauge indicates that the shoulder of the 5.0mm x 2.0mm Bicon stealth shouldered abutment will be subgingival.

5.

5.0mm x 2.0mm Bicon stealth shouldered abutments seated into the implants.

6.

5.0mm x 10.0mm Bicon aluminum oxide sleeves seated on the shouldered abutments prior to their being used for a transfer impression.

7.

Transfer impression is being made by picking up the Bicon aluminum oxide sleeves in the impression material. Alternatively, a one or two-piece plastic sleeve could have been used for the transfer impression.

8.

Two-piece sleeve being inserted onto stealth shouldered abutment for the fabrication of two splinted transitional crowns.

9.

Seated two-piece plastic sleeves prior to their being incorporated into the splinted transitional crowns.

10.

Two splinted transitional crowns snapped onto the stealth shouldered abutments and bonded to the mandibular canine providing stability for the immediately placed and loaded implants.

11.

Soft tissue model with white polycarbonate abutment analogs.

12.

5.0mm x 10.0mm Bicon aluminum oxide sleeve prior to the direct application of All-ceram porcelain by Degussa-Ney.

13.

An efficient way of shaping or reducing a Bicon aluminum oxide sleeve is to use the diamond wheel of a model trimmer while the sleeve is being held on an abutment in an abutment prep holder.

14.

Completed all-ceramic crowns on a soft tissue model stone model.

15.

All-ceramic crowns on a mirror revealing the internal aspect of the Bicon aluminum oxide sleeves on which they were made.

16.

Second Patient Visit: Minimal cement being placed into all-ceramic crown prior to being inserted intra-orally onto the shouldered abutments

17.

Aesthetic all-ceramic crowns cemented at the patient’s second clinical visit on two immediately-loaded or stabilized Bicon implant.

18.

Four aesthetic all-ceramic crowns on Bicon shouldered abutments. The two posterior crowns were completed in the previous year.

19.

Radiograph of four all-ceramic crowns on immediately placed and loaded Bicon implants.