Two Stage Placement of Maxillary Right Central Incisor with a 5.0mm x 6.0mm Short Implant and its Restoration with an Integrated Abutment Crown™

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1.

First Clinical Visit: Pre-operative radiograph.

2.

Pre-operative site.

3.

Pre-operative smile.

4.

View of extracted tooth.

5.

Post-operative radiograph after extraction.

6.

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

7.

Osteotomy being enlarged with an olive green 2.5mm latch reamer rotating at 50RPM without water irrigation.

8.

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

9.

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

10.

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

11.

Harvested bone within the flute of silver 4.5mm latch reamer.

12.

Curette removing residual bone while confirming the integrity of the five bony walls of the osteotomy.

13.

Osteotomy being enlarged with a gold 5.0mm latch reamer rotating at 50RPM without water irrigation.

14.

A 5.0mm x 6.0mm implant being inserted into the osteotomy with an implant seating tip threaded on a straight driver.

15.

View of an implant seating tip threaded on a straight driver.

16.

Trimmed polyethylene healing plug being inserted into the seated implant.

17.

View of Bicon Resorbable Collagen Plug being inserted.

18.

Sutured site.

19.

Post-operative radiograph.

20.

Second Clinical Visit: (Four months after previous visit) Healing plug being removed with a healing plug removal instrument.

21.

View of Green 3.0mm plastic impression post seated into the 3.0mm well of an integrated implant for the making of an implant level transfer impression.

22.

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

23.

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

24.

Third Clinical Visit: (Two months after previous visit) View of transitional prosthesis prior to its removal.

25.

View of Integrated Abutment Crown™.

26.

Well of implant being cleaned with alcohol on a cotton tipped applicator.

27.

Integrated Abutment Crown™ being inserted.

28.

Height of buccal gingiva being marked intraorally to facilitate the modification of the cervical aspect of the Integrated Abutment Crown™.

29.

Cervical aspect of the Integrated Abutment Crown™ being modified with 7408 carbide finishing bur.

30.

Diamond finishing strip being used to lighten the interproximal contact area eliminating the possibility that the contact may prevent the engagement of the locking taper connection.

31.

Yellow thermoplastic custom seating jig, which was formed with a crown alignment device, in a crown seating tip attached to a straight handle facilitates directing the tapping forces in the long axis of the abutment post and implant well.

32.

Facial view immediately after the definitive seating of the Integrated Abutment Crown™.

33.

Post-operative radiograph.

34.

Right profile view two-weeks post insertion.

35.

Left profile view two-weeks post insertion.

36.

Facial view two-weeks post insertion.

37.

Patient's smile.

38.

Fourth Clinical Visit: (Six months after previous visit) Six month post-insertion radiograph.

39.

Six months post-insertion facial view of Integrated Abutment Crowns™.

40.

Right profile view six months post-insertion.

41.

Left profile view six months post-insertion.

42.

Patient’s smile six months post-insertion.