Guided Surgery and Two-Stage Technique for the Restoration of a 5.0 x 5.0mm Bicon SHORT® Implant for a Mandibular Right Second Molar with an Integrated Abutment Crown™ (IAC)

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1.

Pre-operative radiograph.

2.

Customized surgical guide to facilitate the guided surgery.

3.

Customized surgical guide positioned on the adjacent teeth.

4.

Tissue Punch being used to initiate the osteotomy.

5.

Circular piece of keratinized tissue being removed.

6.

Keratinized tissue being saved for later use.

7.

Spade drill being rotated in the customized surgical guide at 400RPM with external irrigation to prepare the osteotomy.

8.

5.0mm gold Guided Surgery Reamer being rotated in the surgical guide at 50RPM without irrigation to widen the osteotomy to the diameter of the intended implant.

9.

5.0mm gold Guided Surgery Reamer being rotated to its full depth.

10.

Autogenous bone collected in the flute of the Guided Surgery Reamer.

11.

5.0 x 5.0mm Bicon SHORT® Implant being removed from its sterile packaging with a Guided Surgery Implant Inserter.

12.

5.0 x 5.0mm Bicon SHORT® Implant being transported to its osteotomy with a Guided Surgery Implant Inserter.

13.

Guided Surgery Implant Inserter being used with the surgical guide to place the 5.0 x 5.0mm Bicon SHORT® Implant.

14.

Collected autogenous bone being placed over the seated implant.

15.

Reflected view of the saved keratinized tissue sutured over the implant.

16.

Post-operative radiograph of the 5.0 x 5.0mm Bicon SHORT® Implant.

17.

Three-month post-operative radiograph of the 5.0 x 5.0mm Bicon SHORT® Implant.

18.

Customized surgical guide being seated onto the adjacent teeth.

19.

Tissue Punch being used in the surgical guide to uncover the implant with a circular incision.

20.

Reflected view of the circular incision.

21.

Circular piece of keratinized tissue being removed.

22.

Reflected view of a black polyethylene healing plug in the well of the implant.

23.

Black polyethylene healing plug being removed from the well of the implant.

24.

Green 3.0mm Guide Pin seated in the well of the implant to confirm its osseointegration and trajectory.

25.

Green 3.0mm titanium Impression Post seated in the well of the implant for the making of a full arch implant-level transfer impression.

26.

Green Impression Sleeve seated on an Impression Post for the making of a full arch implant-level transfer impression.

27.

Impression material being injected around the Impression Post and Sleeve for the making of a full arch implant-level transfer impression.

28.

Green Impression Sleeve captured within a full arch implant-level transfer impression.

29.

White Healing Abutment being inserted into the well of the implant.

30.

White Healing Abutment being gently tapped into the well of the implant with a Large Seating Tip attached to a Threaded Offset Handle.

31.

Reflected view of the seated white Healing Abutment

32.

View of an Integrated Abutment Crown™ (IAC).

33.

Facial view of an IAC seated in a soft tissue stone model.

34.

Occlusal view of an IAC seated in a soft tissue stone model.

35.

White Healing Abutment being removed from the well of the implant.

36.

IAC being inserted into the well of the implant.

37.

IAC being seated with occlusal pressure from a cotton swab.

38.

Occluso-lingual side of the IAC being definitively tapped with a white Healing Abutment attached to a Threaded Offset Handle.

39.

Occluso-buccal side of the IAC being definitively tapped with a white Healing Abutment attached to a Threaded Offset Handle.

40.

View of the definitively seated IAC.

41.

Post-insertion radiograph of the IAC with its 5.0 x 5.0mm Bicon SHORT® Implant.