This case demonstrates the convenience, efficacies and cost effectiveness of treating a failed root canal treated tooth in only two patient visits.
SURGICAL: Immediate Placement
RESTORATIVE: Integrated Abutment Crowns™
TOPICS: Crown Insertion Impression
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Pre-operative radiograph of failed root canal treated canine.
View of carious canine root.
Latch reamer preparing osteotomy.
A 5.0mm x 11.0mm HA coated implant being inserted into osteotomy.
Final implant seating with the implant inserter/retriever instrument.
View of 3.0mm implant well.
Shoulder depth gauge indicating position of an intended abutment shoulder relative to gingival height.
Insertion of a 3.0mm white impression post into the 3.0mm implant well.
Seated impression post prior to the making of a transfer impression.
Impression material being injected around impression post.
One-piece acrylic sleeve and 5.0mm x 2.0mm shouldered abutment being inserted into the implant well for the fabrication of a bonded transitional crown.
Reinforcing fiber, Connect by Kerr, being adapted to vacuum-formed template for fabrication of transitional crown.
Adaptation of transitional crown.
Insertion of abutment and fiber reinforced resin crown with extensions for bonding.
Bonded transitional crown.
Implant analog seated on white 3.0mm impression post in transfer impression.
ÂSoft Tissue Moulage by Kerr being injected around impression post and analog.
White 3.0mm impression post in soft tissue model.
Implant analog in soft tissue model.
Non-shouldered abutment in soft tissue model prior to being modified for the application of polyceramic material.
Bicon Integrated Abutment Crown on soft tissue model.
Mirror view of Integrated Abutment CrownÂ.
View of 3.0mm implant well during the patientÂs second clinical visit.
Integrated Abutment Crown being inserted into implant well for confirmation of fit and aesthetics.
Mesial contact of crown being adjusted.
Integrated Abutment Crown being permanently seated into the implant well.
Palatal surface of polyceramic material being polished.
Labial view of finished Integrated Abutment Crown on patientÂs second visit.
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