Two-Stage Implant Placement, Uncovering, and Implant Restorations with Integrated Abutment Crowns™

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1.

First Visit: Pre-opearative radiograph.

2.

Pre-operative site.

3.

Initial incision.

4.

Reflection of mucoperiosteal flap.

5.

Osteotomy being prepared with 2.0mm pilot bur rotating at 1100RPM with external water irrigation.

6.

Paralleling pins seated in pilot osteotomies indicating their position and trajectory.

7.

Osteotomy being enlarged with a teal 3.0mm latch reamer rotating at 50RPM without water irrigation.

8.

Osteotomy being enlarged with a blue 3.5mm latch reamer rotating at 50RPM without water irrigation.

9.

Osteotomy being enlarged with a red 4.0mm latch reamer rotating at 50RPM without water irrigation.

10.

Osteotomy being enlarged with red 4.0mm hand reamer attached to a straight handle.

11.

Harvested bone in the flute of a red 4.0mm latch reamer.

12.

Harvested bone in the flute of a silver 4.5mm hand reamer.

13.

Harvested bone in the flute of a gold 5.0mm hand reamer.

14.

Osteotomy being enlarged with a light blue 5.5mm hand reamer.

15.

Harvested bone in the flute of a light blue 5.5mm hand reamer.

16.

Harvested bone in the flute of a green 6.0mm hand reamer.

17.

Green 6.0mm sinus floor osteotome.

18.

Green 6.0mm sinus floor osteotome being used to gently fracture and apically displace the rectangular piece of bone.

19.

View of bone in a green 6.0mm sinus floor osteotome.

20.

Osteotome being used to elevate the sinus floor.

21.

Depth gauge seated in osteotomy to facilitate the selection of an implant with an appropriate length.

22.

A 6.0mm x 5.7mm implant being inserted into the osteotomy with an implant inserter/retriever.

23.

A 6.0mm x 5.7mm implant being inserted into the osteotomy with an implant inserter/retriever.

24.

Guide pins seated into the implant wells indicating their trajectory.

25.

Trimmed polyethylene healing plug being inserted into the seated implant.

26.

Harvested bone being collected on a periosteal elevator being placed into a silicon dappen dish.

27.

Harvested bone being placed over seated implants.

28.

Sutured site.

29.

Post-operative radiograph.

30.

Second Visit: Four months after initial visit View of site prior to the uncovering of the implants.

31.

Flap being reflected for the two-stage uncovering of the implants.

32.

Healing plug being removed with healing plug removal instrument.

33.

Green 3.0mm plastic impression post being inserted into the 3.0mm well of an integrated implant for the making of an implant-level transfer impression.

34.

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

35.

Impression material being injected around the impression post for the making of a full arch implant-level transfer impression.

36.

Green 3.0mm plastic impression post being modified for the making of an occlusal registration.

37.

Red acrylic resin being injected around the modified impression posts.

38.

Red acrylic resin on green impression posts for the recording of an occlusal registration.

39.

Temporary cement being injected on top of red acrylic for the making of an occlusal registration.

40.

View of occlusal registration.

41.

Placement of a white healing abutment into the implant well.

42.

Third Visit: Two months after previous visit White healing abutments prior to their removal for the insertion of the Integrated Abutment Crowns™.

43.

Integrated Abutment Crown™ being inserted.

44.

Integrated Abutment Crown™ being inserted.

45.

Plastic healing 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.

46.

Adjustment of the cervical area of an Integrated Abutment Crown™.

47.

Post-insertion radiograph of Integrated Abutment Crowns™.

48.

Four Visit: One month after previous visit View of Integrated Abutment Crowns™ one month after being inserted.

49.

Post-insertion radiograph of Integrated Abutment Crowns™ after eleven months.

50.

Integrated Abutment Crowns™ eleven months after being inserted.