This case demonstrates the successful guided placement of a 5.0 x 6.0mm Bicon SHORT® Implant on a 67-year-old female and its restoration with a CEREC® chairside-designed e.max® abutment crown. A pre-op CEREC® designed crown integrated into an XG3D cone beam computed tomography (CBCT) was utilized for implant planning down the long axis of the CEREC® designed crown. The final design was emailed to SiCat for construction of a surgical guide with a Bicon Guided Sleeve. The guided surgery used the final desired intraoral position of the CEREC® abutment crown to determine the final position of the Bicon implant.
Guest Case by Dr. Chris Nix: Dr. Chris Nix graduated in 1978 from the University of Nebraska College of Dentistry and began private practice in 1981 by opening Southwest Nebraska Dental Center in McCook, Nebraska — a paperless office utilizing the latest dental technology, including Periolase and Diode Dental Lasers, CBCT Cone Beam X-Ray, three CEREC® restorative systems and integrated guided CBCT implant placement with CEREC® abutment restorations.
For many years Dr. Nix has been a Mentor with the Scottsdale Center for Dentistry where he instructs fellow dentists on digital CEREC® dental restorations. Dr. Nix teaches with the CEREC® Accept Programs around the country and is a Sirona/Patterson in-office trainer. Retiring from private practice in 2015, Dr. Nix is now pursuing his passion for teaching at the University of Nebraska Medical Center College of Dentistry.
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Pre-operative radiograph of a 67-year-old female patient.
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Pre-operative surgical site.
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CEREC® Chairside Design Integrated into XG3D CBCT for verification of correct CEREC® Design software stitch into the CBCT.
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Verification of correct CEREC® Design software stitch into the CBCT.
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CEREC® Chairside Design integrated into XG3D CBCT for implant planning of 5.0 x 6.0mm SHORT® Implant.
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Bicon 5.0 x 6.0mm SHORT® Implant placement planning through the long axis of the integrated CEREC® chairside abutment crown design.
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Bicon 5.0 x 6.0mm SHORT® Implant placement planning through the long axis of the integrated CEREC® chairside abutment crown design.
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CEREC® Integrated Implant planning for a 5.0 x 6.0mm SHORT® Implant.
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SiCat Surgical Guide in place.
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Guided Bicon Tissue Punch through SiCat surgical guide.
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Punched tissue after removal of SiCat surgical guide.
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Bicon guided Spade Drill through SiCat surgical guide.
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Bicon guided osteotomy utilizing Bicon Guided 5.0 x 6.0 Reamer.
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Harvested autogenous bone in the flutes of Bicon Guided 5.0 x 6.0 Reamer.
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Bicon 5.0 x 6.0mm SHORT® Implant being removed from its sterile packaging via its healing plug.
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Bicon 5.0 x 6.0mm SHORT® Implant being placed in the osteotomy.
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Post-operative radiograph.
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Panoramic radiograph of placed #14 Bicon 5.0 x 6.0mm SHORT® Implant. Note the #29 4.5 x 11.0mm Bicon implant restored with a Bicon Integrated Abutment Crown™ (IAC) 12 years ago.
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Seated #14 CEREC® designed e.max® abutment crown.
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Seated #14 Cerec designed e.max® abutment crown on Bicon 5.0 x 6.0mm SHORT® Implant.
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Guest Case by Dr. Chris Nix: Dr. Chris Nix graduated in 1978 from the University of Nebraska College of Dentistry and began private practice in 1981 by opening Southwest Nebraska Dental Center in McCook, Nebraska — a paperless office utilizing the latest dental technology, including Periolase and Diode Dental Lasers, CBCT Cone Beam X-Ray, three CEREC® restorative systems and integrated guided CBCT implant placement with CEREC® abutment restorations. 
