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™.
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Second Visit: Uncovering. Radiograph three months after the placement of four 4.0 x 8.0mm Integra-CP™ implants.
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Bonded transitional stabilizing prosthesis prior to its being removed.
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View of stealth shouldered abutments after the removal of the transitional stabilizing prosthesis.
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Removal of a stealth shouldered abutment.
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View of implant wells and soft tissue sulci.
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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.
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View of four blue 2.5mm impression posts and sleeves.
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Impression material being injected around the blue impression posts and sleeves for the making of a full arch implant-level transfer impression.
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Implant-level transfer impression with the impression sleeves within the impression material.
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Polyvinyl siloxane material being injected for the recording of an occlusal registration after placing four new impression sleeves onto the impression posts.
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Occlusal registration with the impression sleeves within the polyvinyl siloxane material.
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Integrated Abutment Crowns™ on stone model with yellow thermoplastic custom orientation jig.
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Integrated Abutment Crowns™ on stone model.
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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™.
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View of implant wells after removal of the transitional prosthesis.
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Well of implant being cleaned with a cotton-tipped applicator.
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Integrated Abutment Crown™ being inserted.
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Integrated Abutment Crown™ being inserted.
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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.
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Interproximal contacts being checked with articulating paper.
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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.
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Diamond finishing strip being used to lighten the interproximal contacts.
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Yellow thermoplastic custom orientation jig being used to confirm proper orientation of the Integrated Abutment Crowns™.
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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.
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Facial view immediately after the initial insertion of the Integrated Abutment Crowns™.
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Post-insertion radiographs.
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Post-insertion radiographs.
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Fourth Visit: Two weeks after the insertion of four Integrated Abutment Crowns™. Facial view of Integrated Abutment Crowns™ two weeks after insertion.
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