This treatment demonstrates the Bicon one-stage surgical technique with transmucosal Temporary Abutments for three congenitally missing lateral incisors in a 21-year-old man and their subsequent prosthetic restoration with three Integrated Abutment Crowns™(IACs).
SURGICAL: One Stage
RESTORATIVE: Integrated Abutment Crowns™
TOPICS: Congenitally Missing Laterals Impression
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Pre-operative radiograph.
Pre-operative radiograph.
Pre-operative radiograph.
Pre-operative smile.
Initial incision is being made.
Initial incision is being made.
2.0mm Pilot Drill rotating at 1100RPM is being used to prepare the initial osteotomy.
Gold Paralleling Pin seated in the pilot osteotomy indicating its trajectory.
2.0mm Pilot Drill rotating at 1100RPM is being used to prepare the initial osteotomy.
Gold Paralleling Pins seated in their pilot osteotomies indicating their trajectories.
Light blue 3.0mm Hand Reamer is being rotated on a Threaded Straight Handle to widen the osteotomy.
Bone is being collected in the flute of the Hand Reamer.
Blue 3.5mm Hand Reamer is being rotated on a Threaded Straight Handle to widen the osteotomy.
Bone is being collected in the flute of the Hand Reamer.
Angled Curette is being used to confirm the integrity of the osteotomy walls.
Violet 4.0mm Hand Reamer is being rotated on a Threaded Straight Handle to widen the osteotomy to the diameter of the intended implant.
Bone is being collected in the flute of the Hand Reamer.
4.0 x 6.0mm Bicon SHORT® Implant is being placed with a transmucosal titanium Temporary Abutment seated in its well.
View of the seated transmucosal Temporary Abutment immediately after implant placement.
Harvested bone is being placed around the transmucosal Temporary Abutment.
4.0 x 6.0mm Bicon SHORT® Implant is being placed with a transmucosal titanium Temporary Abutment seated in its well.
View of the seated transmucosal Temporary Abutment immediately after implant placement.
Harvested bone is being placed around the transmucosal Temporary Abutment.
Harvested bone is being packed around the transmucosal Temporary Abutment with a Cotton Tip Applicator.
Mucosa is being sutured around the transmucosal Temporary Abutment.
Mucosa is sutured around the transmucosal Temporary Abutment.
Mucosa is being sutured around the transmucosal Temporary Abutment.
Mucosa is sutured around the transmucosal Temporary Abutments.
Initial incision is being made.
Facial flap is being reflected.
2.0mm Pilot Drill rotating at 1100RPM is being used to prepare the initial osteotomy.
Gold Paralleling Pin seated in the pilot osteotomy indicating its trajectory.
Bone is being collected in the flute of a light green 2.5mm Hand Reamer.
3.5 x 8.0mm implant is being placed with a transmucosal titanium Temporary Abutment seated in its well.
View of the seated transmucosal Temporary Abutment immediately after implant placement.
Harvested bone is being placed around the transmucosal Temporary Abutment.
Mucosa is sutured around the transmucosal Temporary Abutment.
Transmucosal Temporary Abutment is being removed five months after implant placement.
Transmucosal Temporary Abutment is being removed five months after implant placement.
Blue 2.5mm Guide Pin is being inserted into the well of the implant to confirm its osseointegration.
View of two blue 2.5mm Guide Pins indicating the trajectories of the implants.
Violet 4.0mm Sulcus Former is being mounted onto a Guide Pin prior to rotating it to shape the implant sulcus.
Gold 5.0mm Sulcus Former is being mounted onto a Guide Pin prior to rotating it to shape the implant sulcus.
Blue 2.5mm titanium Impression Post is being inserted into the well of the implant for the making of an implant-level transfer impression.
View of two blue 2.5mm Impression Posts seated in their implants.
View of two blue acrylic Impression Sleeves seated on their Impression Posts.
Impression material is being injected around the Impression Posts and Sleeves.
Two blue acrylic sleeves captured within a full arch implant-level transfer impression prior to the insertion of an implant analog for the pouring of a master model.
Transmucosal Temporary Abutment is being removed five months after implant placement.
Violet 2.0mm Guide Pin is being inserted into the well of the implant to confirm its osseointegration.
View of violet 2.0mm Guide Pin indicating the trajectory of the implant.
Violet 4.0mm Sulcus Former is being rotated on the Guide Pin to shape the implant sulcus.
View of violet 2.0mm titanium Impression Post seated in its implant.
View of red acrylic Impression Sleeve seated on its violet Impression Post.
Impression material is being injected around the Impression Post and Sleeve.
Red acrylic sleeve captured within a full arch implant-level transfer impression prior to the insertion of an implant analog for the pouring of a master model.
View of transmucosal Temporary Abutments one month after the uncovering of the implants and the making of an implant-level transfer impression.
View of two maxillary lateral incisor Integrated Abutment Crowns™ (IACs) immediately after their insertion.
View of left mandibular lateral incisor IAC immediately after its insertion.
Post-insertion radiograph.
Post-insertion radiograph.
Post-insertion radiograph.
One-year post-insertion view of maxillary lateral incisor IACs.
One-year post-insertion view of left mandibular lateral incisor IAC.
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