This case demonstrates the extraction, bone grafting with SynthoGraft™, two-stage placement of a 4.5 x 8.0mm Bicon implant, and its restoration with a polyceramic veneered gold crown.
SURGICAL: Extraction Two Stage Uncovering
TOPICS: Impression SynthoGraft™
TAGS: Extra-Oral Cementation
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.
First Visit: Extraction. Pre-operative radiograph.
Pre-operative clinical image prior to extraction of fractured tooth #9 with buccal fistula with exudate.
Extracted tooth.
Perio probe being used to demonstrate bony defect.
Blood being collected from surgical site to be mixed with SynthoGraft™, Pure Phase Beta-Tricalcium Phosphate.
Mixture of patient’s blood and SynthoGraft™ being injected into the extraction site with a bone graft syringe.
Bicon resorbable collagen plug being placed over the SynthoGraft™ bone graft.
Second Visit: Three months after the extraction and SynthoGraft™ bone graft. Placement of a 4.5 x 8.0mm Bicon implant with a 3.0mm well. Pre-Operative Radiograph.
Surgical site prior to removal of the temporary prosthesis.
Temporary prosthesis being removed.
Operative site prior to implant placement.
Retracting the flap.
Osteotomy being prepared with 2.0mm pilot bur rotating at 1100 RPM with external irrigation.
Osteotomy being enlarged with an olive green 2.5mm hand reamer.
Harvested bone in the flute of a teal 3.0mm hand reamer.
Harvested bone in the flute of a magenta 4.0mm hand reamer.
Harvested bone in the flute of a grey 4.5mm hand reamer.
Curette being used to remove residual bone while confirming the integrity of the five bony walls of the osteotomy.
Osteotomy prior to placement of the implant.
A 4.5 x 8.0mm Bicon implant with a 3.0mm well, inserted into the osteotomy.
Implant being seated fully with a 3.0mm seating tip.
Seated implant within its osteotomy.
Cut polyethylene healing plug being inserted into the 3.0mm well of the implant with a perio probe.
Harvested bone being placed over the shoulder of the implant.
Surgical site after the placement of the bone over the shoulder of the implant.
Sutured surgical site.
Etchant being applied to adjacent teeth for the rebonding of the transitional prosthesis.
Primer being applied to adjacent teeth.
Modeling liquid being applied to the previously used crown.
Bonding agent being light cured.
Composite material being added.
Third Visit: Uncovering three months after implant placement. Radiograph three months after placement of a 4.5 x 8.0mm Bicon implant.
Temporary prosthesis prior to the uncovering of the implant.
Temporary prosthesis being removed.
Site prior to uncovering.
Uncovered implant.
Green 3.0mm guide pin showing the position of the integrated 4.5 x 8.0mm Bicon implant.
A gold 5.0mm sulcus reamer being used to remove any tissue above the implant prior to insertion of an abutment.
A 5.0 x 6.5mm 0° abutment, with a 4.5mm post seated in the implant well prior to the making of a direct abutment level impression.
Impression material being injected around the abutment for the making of a full arch direct abutment level impression.
Full arch impression with removed 5.0 x 6.5mm 0° abutment inserted into it prior the attachment of an implant analog and the pouring of a stone model.
Fourth Visit: Insertion of the polyceramic veneered gold crown. Well of the implant being cleaned with alcohol on a cotton-tipped applicator.
Extra-orally cemented crown and abutment being inserted into the well of the implant.
Inserted extra-orally cemented polyceramic veneered gold crown.
Polyceramic veneered gold crown being definitively seated with a healing abutment attached to a threaded straight handle.
Diamond finishing strip being used to lighten the interproximal contact.
Facial view immediately after the insertion.
Post insertion radiograph.
Fifth Visit: Two years after the insertion of the polyceramic veneered gold crown. Facial view of the polyceramic veneered gold crown.
Two year post insertion radiograph.
 |
Copyright © Bicon, LLC | Terms of Use | 501 Arborway Boston, MA 02130 USA support@bicon.com |
Tel: (800) 882-4266 (617) 524-4443 |
Fax: (800) 282-4266 (617) 524-0096 |