This case demonstrates the uncovering of four maxillary anterior immediately placed, stabilized, and functioning implants, as well as implant-level transfer impression and restoration with four Integrated Abutment Crowns™.
SURGICAL: Immediate Placement
RESTORATIVE: Integrated Abutment Crowns™
TOPICS: Crown Insertion Impression
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Second Visit: Uncovering. Radiograph three months after the placement of four 4.0 x 8.0mm Integra-CP™ implants.
Bonded transitional stabilizing prosthesis prior to its being removed.
View of stealth shouldered abutments after the removal of the transitional stabilizing prosthesis.
Removal of a stealth shouldered abutment.
View of implant wells and soft tissue sulci.
Blue 2.5mm impression post and sleeve being inserted into the 2.5mm well of an integrated implant for the making of an implant level transfer impression.
View of four blue 2.5mm impression posts and sleeves.
Impression material being injected around the blue impression posts and sleeves for the making of a full arch implant-level transfer impression.
Implant-level transfer impression with the impression sleeves within the impression material.
Polyvinyl siloxane material being injected for the recording of an occlusal registration after placing four new impression sleeves onto the impression posts.
Occlusal registration with the impression sleeves within the polyvinyl siloxane material.
Integrated Abutment Crowns™ on stone model with yellow thermoplastic custom orientation jig.
Integrated Abutment Crowns™ on stone model.
Third Visit: Insertion of the four Integrated Abutment Crowns™. View of transitional prosthesis prior to its removal for the insertion of the Integrated Abutment Crowns™.
View of implant wells after removal of the transitional prosthesis.
Well of implant being cleaned with a cotton-tipped applicator.
Integrated Abutment Crown™ being inserted.
Integrated Abutment Crown™ being inserted.
Floss being used to confirm the fact that the interproximal contacts are passive and will not interfere with the engagement of the implant's locking taper.
Interproximal contacts being checked with articulating paper.
Acrylic polishing wheel being used to lighten the interproximal contact area to eliminate the possibility that the contact may prevent the engagement of the implant's locking taper connection.
Diamond finishing strip being used to lighten the interproximal contacts.
Yellow thermoplastic custom orientation jig being used to confirm proper orientation of the Integrated Abutment Crowns™.
Yellow thermoplastic custom seating jig, which was formed in a crown alignment device, is seated in a crown seating tip attached to a threaded straight handle to facilitate directing the tapping forces in the long axis of the abutment post and implant well.
Facial view immediately after the initial insertion of the Integrated Abutment Crowns™.
Post-insertion radiographs.
Post-insertion radiographs.
Fourth Visit: Two weeks after the insertion of four Integrated Abutment Crowns™. Facial view of Integrated Abutment Crowns™ two weeks after insertion.
Post-treatment smile.
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