References: One Stage Surgical Technique

One Stage Surgery Implant Insertion Technique

1. Extraction site (left),
Narrow keratinized tissue (center) and Wide keratinized tissue (right).
2. Drill 2.0mm pilot hole with external irrigation to a depth 2.0mm-5.0mm deeper than chosen implant.
3. Place abutment into pilot hole and confirm with vacu-press template.
4. Widen socket with successively wider reamer burs without irrigation at a maximum of 50 RPM.
5. Countersink socket orifice 1.0mm-2.0mm.
6. Remove black healing plug.
7. Replace black healing plug with appropriate temporary abutment.
8. Insert implant with abutment
into socket.
9. Trim tissue if necessary.

One Stage Surgery Implant Uncovering Technique with Non-Shouldered Abutment

1. Allow a minimum of nine weeks for osseointegration.
2. Remove temporary abutment
without anesthesia.
3. Place guide pin to check
integration and angulation.
4. Flush and dry implant well.
5. Insert abutment.
6. Use a template to confirm appropriateness of abutment prior to engagement of locking taper connection, then tap on abutment in long axis of abutment shaft to engage locking taper.
7. Place an acrylic emergence cuff or temporization sleeve and modify, if necessary.
8. Inject acrylic around emergence cuff or temporization sleeve and into vacu-press stent.
9. Place template to form
temporary crown.
10. Remove and polish acrylic confluent with emergence cuff or temporization sleeve to form sulcus.