This long-term case study demonstrates the restoration of a failed endodontically-treated canine with a single Bicon implant with eight-year, fourteen-year, and twenty-five-year post insertion follow-up evaluations. Although we have added new restorative options over the years and our implants have become much shorter, these techniques are still used today and showcase the simplicity of restoring a Bicon implant, as if it were a natural tooth. This case also exemplifies the long-term performance and excellent bone maintenance of Bicon over a twenty-five-year period.
Click on an image to view it larger in a slideshow. Click arrow icons or use keyboard arrow to switch photos. To exit the slideshow, click the X in the upper-right or press ESC.
Click "Switch View" below to change to a layout optimized for printing the case.
Pre-operative radiograph of a failed endodontically-treated canine.
2.
Probing the socket depth of the extracted canine.
3.
Bone graft placed over the implant prior to membrane placement.
4.
Edentulous ridge prior to second stage implant uncovering and abutment placement.
5.
Non-Shouldered abutment tapped into the well of the implant. The Bicon abutment is treated with conventional prosthetic techniques as though it were a post and core restoration.
6.
Buccal shoulder prepared intra-orally with a #1557 Great White carbide bur. Sharp carbides cut titanium effectively.
7.
Buccal shoulder prepared for porcelain margin. The remaining margins are knife or feather-edged. Healthy soft tissue usually negates the need for gingival retraction of margins.
8.
A conventional hydrocolloid impression for a stone die model. The same technique is used as if it were for a crown on a post and core restoration for a natural tooth.
9.
Stone die model for the fabrication of a porcelain-fused-to-metal (PFM) crown using conventional intra-oral and laboratory techniques as if it were for a crown on a post and core restoration for a natural tooth.
10.
The metal casting is checked for accuracy and occlusal registration prior to its being withdrawn in an impression for the fabrication of a soft tissue model as if it were for a crown on a post and core restoration for a natural tooth.
11.
Casting on a soft tissue model prior to the application of porcelain.
12.
The crown was cemented with a minimal amount of permanent cement placed only on the cervical margin as if it were for a crown on a post and core restoration for a natural tooth.
13.
Post-insertion radiograph of the 4.0 x 14mm Bicon Implant.
14.
8-year post-insertion clinical image.
15.
8-year post-insertion radiograph.
16.
14-year post-crown-insertion radiograph.
17.
25-year post-insertion clinical image of a PFM crown for a canine implant.
18.
25-year post-insertion radiograph of a PFM crown with its 4.0 x 14mm Bicon Implant.
Welcome to the Bicon Case Study Library. The latest Bicon clinical cases will be regularly posted here. There are currently 339 cases containing over 19021 clinical images.
