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Restoration of a Maxillary Left Second Premolar with a 4.5 x 5.0mm Bicon SHORT® Implant Using the Two-Stage Technique with SynthoGraft™ and a Collagen Membrane

Posted on November 26, 2018 by Bicon

This treatment demonstrates the restoration of a maxillary left second premolar with a 4.5 x 5.0mm Bicon SHORT® Implant using the two-stage technique with SynthoGraft™ and a Collagen Membrane, as well as the subsequent uncovering, full arch implant-level transfer impression, and insertion of an Integrated Abutment Crown™ (IAC).

SURGICAL: Two Stage Uncovering
RESTORATIVE: Integrated Abutment Crowns™
TOPICS: SynthoGraft™
TAGS: Bicon Resorbable Collagen Membrane

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1.

Pre-operative radiograph.

2.

Two-month post-extraction radiograph.

3.

Gold 5.0mm Hand Reamer being manually rotated to widen the osteotomy to the diameter of the intended implant.

4.

View of the prepared osteotomy with a facial bone defect.

5.

SynthoGraft™ being placed with a Bone Graft Syringe into the prepared osteotomy.

6.

4.5 x 5.0mm Bicon SHORT® Implant being placed with a green 3.0mm Implant Inserter/Retriever.

7.

View of the seated implant with SynthoGraft™ in the site of the bone defect.

8.

Black polyethylene healing plug being inserted into the well of the implant.

9.

View of the healing plug seated in the well of the implant.

10.

Cotton swab being used to compress the SynthoGraft™ over the bone defect.

11.

Collagen Membrane being placed over the SynthoGraft™ and implant.

12.

View of the Collagen Membrane placed over the SynthoGraft™ and implant.

13.

View of the sutured site.

14.

Post-operative radiograph of the 4.5 x 5.0mm Bicon SHORT® Implant.

15.

Incision at the time of the implant's uncovering.

16.

View of the implant with its healing plug.

17.

Healing plug removed from its implant on an endodontic file.

18.

Green 3.0mm Guide Pin being inserted into the implant.

19.

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

20.

Gold 5.0mm Sulcus Former being rotated around the Guide Pin to remove tissue and shape the implant's sulcus.

21.

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

22.

Green Impression Sleeve seated on its corresponding 3.0mm Impression Post for the making of a full arch implant-level transfer impression.

23.

Impression material being injected around the Impression Post and Sleeve.

24.

Titanium Temporary Abutment being inserted into the implant.

25.

Sutured site around the Temporary Abutment seated in the implant.

26.

View of the Temporary Abutment prior to its removal.

27.

Integrated Abutment Crown™ (IAC) being inserted into its implant.

28.

Mesial contact being checked with dental floss.

29.

Distal contact being checked with dental floss.

30.

Cotton swab being used to apply occlusal pressure to definitively seat the IAC.

31.

Healing Abutment attached to a Threaded Handle being used with a Mallet to definitively tap the IAC in the long axis of the implant.

32.

Post-insertion view of the IAC in occlusion.

33.

Post-insertion radiograph of the IAC with its 4.5 x 5.0mm Bicon SHORT® Implant.

34.

One-year post-insertion view of the IAC.

35.

One-year post-insertion radiograph of the IAC with its 4.5 x 5.0mm Bicon SHORT® Implant.

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Restoration of a Maxillary Left Second Premolar with a 4.5 x 5.0mm Bicon SHORT® Implant Using the Two-Stage Technique with SynthoGraft™ and a Collagen Membrane

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