Removal of a Traumatically Fractured Maxillary Left Central Incisor and the Immediate Loading of a 4.0 x 6.0mm Bicon SHORT® Implant with a Universal Abutment for a Nineteen-Year-Old Female Patient

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1.

Pre-operative radiograph.

2.

Pre-operative facial view.

3.

Fractured maxillary left central incisor being removed.

4.

View of the fractured maxillary left central incisor.

5.

Spoon Curette being used to scrape and assess the socket's bone.

6.

Degranulation Bur being used to remove soft tissue from the walls of the socket.

7.

Periodontal Probe being used to measure the distance from the gingival crest to the opposing tooth to facilitate the selection of an appropriately sized abutment.

8.

2.0mm Standard Pilot Drill being rotated at 1,100 RPM with irrigation to initiate the osteotomy.

9.

Gold Paralleling Pin seated in the pilot osteotomy to indicate the position of the intended implant.

10.

Light yellow 2.5mm Hand Reamer attached to a Threaded Straight Handle being inserted to widen the pilot osteotomy.

11.

Teal 3.0mm Hand Reamer attached to a Threaded Straight Handle being rotated to widen the osteotomy.

12.

Autogenous bone collected in the flute of a Blue 3.5mm Hand Reamer to be used as a graft over the implant.

13.

Magenta 4.0mm Hand Reamer attached to a Threaded Straight Handle being rotated to widen the osteotomy to its final diameter.

14.

Autogenous bone collected on a Spoon Curette to be used as a graft over the implant.

15.

Sterile packaging of a 4.0 x 6.0mm Bicon SHORT® Implant and its Healing Plug Inserter being cut open.

16.

Temporization Sleeve attached to a 5 Series Tall Profile Universal Abutment being used to transport the abutment to the implant.

17.

5 Series Tall Profile Universal Abutment being inserted into the 4.0 x 6.0mm Bicon SHORT® Implant, while it remains in its sterile packaging.

18.

Facial gingiva being elevated to reveal the prepared osteotomy.

19.

Temporization Sleeve being used to transport the 5 Series Tall Profile Universal Abutment and the 4.0 x 6.0mm Bicon SHORT® Implant.

20.

4.0 x 6.0mm Bicon SHORT® Implant being placed into the prepared osteotomy with its 5 Series Tall Profile Universal Abutment and Temporization Sleeve to evaluate their positioning.

21.

4.0 x 6.0mm Bicon SHORT® Implant being removed from the prepared osteotomy with its 5 Series Tall Profile Universal Abutment and Temporization Sleeve, after being evaluated after temporization.

22.

4.0 x 6.0mm Bicon SHORT® Implant being mounted onto a blue 2.5mm Inserter and Retriever instrument.

23.

4.0 x 6.0mm Bicon SHORT¨ Implant being placed into the prepared osteotomy with a blue 2.5mm Inserter and Retriever instrument.

24.

View of the seated implant.

25.

Temporization Sleeve being used to transport the 5 Series Tall Profile Universal Abutment to its implant.

26.

5 Series Tall Profile Universal Abutment inserted into its implant with the Temporization Sleeve ideally positioned relative to the gingival margin.

27.

Modified Temporization Sleeve being evaluated for occlusal clearance.

28.

Harvested autogenous bone being collected from a Dappen Dish.

29.

Harvested autogenous bone placed facially around the implant.

30.

Harvested autogenous bone being placed palatally around the implant.

31.

Surgical site being sutured.

32.

Surgical site being sutured.

33.

Bonding agent being applied to the adjacent tooth for the fabrication of a temporary crown and stabilization of the implant.

34.

Bonding agent being applied to the adjacent tooth for the fabrication of a temporary crown and stabilization of the implant.

35.

Bonding agent being light-cured.

36.

Composite material being applied to the Temporization Sleeve for the fabrication of a temporary crown and stabilization of the implant.

37.

Facial view of the stabilizing temporary crown.

38.

Post-operative radiograph of the immediately loaded 4.0 x 6.0mm Bicon SHORT® Implant with its 5 Series Tall Profile Universal Abutment and its stabilizing temporary crown.