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Osteotomy being prepared with 2.0mm pilot bur rotating at 1100RPM with external irrigation.
4.
Parallel pins seated in pilot osteotomies indicating their trajectories.
5.
Osteotomy being enlarged with an olive green 2.5mm latch reamer rotating at 50RPM without water irrigation.
6.
Osteotomy being widened with a teal 3.0mm bone expander.
7.
Osteotomy being widened with a blue 3.5mm bone expander.
8.
Osteotomy being widened with a red 4.0mm bone expander.
9.
Osteotomy being enlarged with a red 4.0mm hand reamer.
10.
Osteotomy being enlarged with a silver 4.5mm hand reamer.
11.
Depth guage seated in the well of the implant facilitates the selection of an implant with an appropriate length.
12.
A 4.5 x 6.0mm HA coated implant being inserted into the osteotomy with an implant inserter/ retriever.
13.
A 4.5 x 6.0mm HA coated implant being inserted into the osteotomy with an implant inserter/ retriever.
14.
Implant seating tip attached to a straight handle being tapped to seat implant farther into the osteotomy.
15.
View of polyethylene healing plugs seated in the wells of the implants.
16.
Trimmed polyethylene healing plug being inserted into the seated maxillary left central incisor implant.
17.
Trimmed polyethylene healing plug being inserted into the seated maxillary right central incisor implant.
18.
Harvested bone being placed over implant.
19.
Sutured site.
20.
Post-operative radiograph.
21.
Etchant being applied in preparation for the bonding of the transitional prosthesis.
22.
Bonding primer agent being applied.
23.
Bonding agent being applied.
24.
Light curing of bonding agent.
25.
Polyceramic material being added to form a strut between two adjacent teeth.
26.
Light curing of polyceramic material.
27.
Polishing of bonded prosthesis with a pink silicone disc.
28.
Polishing of bonded prosthesis with a nylon bristle brush.
29.
View of finished transitional stabilizing prosthesis.
30.
Post operative radiograph.
31.
Second Clinical Visit: (Four months after previous visit) View after removal of transitional prosthesis prior to the uncovering of the implant and the making of a full arch implant level transfer impression.
32.
View of well of integrated implant and trimmed polyethylene healing plug.
33.
Trimmed polyethylene healing plug being removed.
34.
Healing plug being removed with a healing plug removal instrument.
35.
3.0mm guide pins seated in the wells of the implants.
36.
Green 3.0mm impression reamer being inserted onto guide pin to remove any tissue which might inhibit the complete seating of an impression post after the two stage uncovering of the two maxillary anterior central incisor short implants.
37.
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.
38.
Green 3.0mm plastic impression post receiving its mandatory seating tap.
39.
Impression material being injected around impression posts for the making of a full arch implant level transfer impression.
40.
View of finished transitional stabilizing prosthesis.
41.
Post operative radiograph.
42.
Third Clinical Visit: (Two months after previous visit) View of transitional prosthesis prior to its removal for the insertion of Integrated Abutment Crowns™.
43.
Transitional prosthesis being removed.
44.
Integrated Abutment Crown™ being inserted.
45.
Well of implant being cleaned with alcohol on a cotton tipped applicator.
46.
Integrated Abutment Crown™ being inserted.
47.
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.
48.
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.
49.
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.
50.
View of Integrated Abutment Crowns™ immediately after insertion.
51.
Post insertion radiograph.
52.
Fourth Clinical Visit: (Seven months after previous visit) View of Integrated Abutment Crowns™ 7 months post-insertion.
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