Two-Stage Placement of Three 4.5mm x 6.0mm Short Implants and their Restoration with Bicon Integrated Abutment Crowns™

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.

First Visit Pre-operative radiograph.

2.

An elevator is being used to gently luxate the tooth.

3.

View of extracted root.

4.

View of extracted root.

5.

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

6.

Paralleling pins seated in pilot osteotomies indicating their trajectories. Note retraction suture.

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 3.0 mm 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 blue 3.5mm latch reamer rotating at 50RPM without water irrigation.

11.

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

12.

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

13.

Osteotomy being enlarged with a gold 5.0mm hand reamer.

14.

Curette being used to remove residual bone while confirming the integrity of the five bony walls of the osteotomy.

15.

A 4.5mm x 6.0mm implant being inserted with a black polyethylene healing plug.

16.

A 4.5mm x 6.0mm implant being inserted with a black polyethylene healing plug.

17.

Harvested bone being placed over the implant.

18.

A 4.5mm x 6.0mm implant being inserted with a black polyethylene healing plug.

19.

View of seated implants with polyethylene healing plugs.

20.

Trimmed polyethylene healing plug being inserted into the seated implant.

21.

Trimmed polyethylene healing plug being inserted into the seated implant.

22.

Harvested bone being placed over the implant.

23.

View of Bicon Resorbable Collagen Plug being inserted.

24.

Sutured site.

25.

Post-operative radiograph.

26.

Post-operative radiograph.

27.

Second Visit: Four months after previous visit View of operative site prior to the two-stage uncovering and the making of an implant-level transfer impression on the patient’s second clinical visit.

28.

Polyethylene healing plug being removed with a healing plug removal instrument.

29.

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.

30.

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

31.

View of three seated 3.0mm plastic impression posts.

32.

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

33.

Third Visit: Two weeks after previous visit View of three modified green 3.0mm plastic impression posts acting as healing abutments.

34.

Integrated Abutment Crown™ being inserted.

35.

Integrated Abutment Crown™ being inserted.

36.

Floss is being used to confirm the fact that the interproximal contacts are passive and will not interfere with the engagement of the locking taper.

37.

Integrated Abutment Crown™ being inserted.

38.

Cotton-tipped applicator being used to seat the Integrated Abutment Crown™.

39.

White healing abutment in a straight handle is being used to tap the Integrated Abutment Crown™ into the well of the implant.

40.

White healing abutment in a straight handle is being used to tap the Integrated Abutment Crown™ into the well of the implant.

41.

White healing abutment in a straight handle is being used to tap the Integrated Abutment Crown™ into the well of the implant.

42.

Articulating paper being used to confirm appropriate occlusal contacts in all extreme excursions while the patient is clenching.

43.

Integrated Abutment Crown™ being adjusted.

44.

Surface being roughened to intraorally modify the contour of an Integrated Abutment Crown™ with additional material.

45.

Modeling liquid being applied to the roughened surface.

46.

Light curing of the bonded material.

47.

Composite material being added.

48.

Light curing of the composite material.

49.

Composite material being added.

50.

Light curing of the composite material.

51.

Integrated Abutment Crown™ being polished with a pink silicone disc.

52.

View of Integrated Abutment Crowns™ immediately after insertion

53.

Post-insertion radiograph.

54.

View of Integrated Abutment Crowns™ six months post insertion.