Restoration of Three Immediately Placed and Loaded 4.5 x 8.0mm Bicon SHORT® Implants and a Single One-Stage Placement in the Anterior Maxilla with a Twelve-Year Follow-Up
This treatment demonstrates the one-stage placement of one 4.5 x 8.0mm Bicon SHORT® Implant with a collagen membrane and the immediate placement and loading of three 4.5 x 8.0mm Bicon SHORT® Implants. Also shown is their initial restoration with four Integrated Abutment Crowns™ (IACs), as well as their subsequent restoration of new IACs with wider hemispherical bases eleven years later and an evaluation twelve years after the initial implant placements.
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Facial flap being elevated, revealing a bony defect.
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4.5 x 8.0mm Bicon SHORT® implant being placed with a Healing Plug Inserter.
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Collagen membrane being placed over the bony defect.
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Harvested autogenous bone being placed over the implant.
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View of harvested autogenous bone between the implant and membrane.
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Flap being closed over the implant.
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Alcohol being applied to the right canine adjacent to the extraction site in preparation for the bonding of a transitional prosthesis.
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Bonding agent being applied to the right canine adjacent to the extraction site.
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Oxygen barrier being applied to the right canine adjacent to the extraction site.
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Bonding agent being light-cured to the right canine adjacent to the extraction site.
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Depth gauge being used to determine the depth for selecting an abutment.
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Stealth Abutment being inserted into the well of the implant.
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Stealth Abutment being inserted into the well of the implant.
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Stealth Abutment being inserted into the well of the implant.
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Temporization Sleeve being seated onto its abutment.
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Vacupress being fitted over Stealth Abutments and their Temporization Sleeves.
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Composite material being applied to the Temporization Sleeves.
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Composite material being light-cured onto the Temporization Sleeves.
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Composite material being applied directly into the vacupress.
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Composite material being light-cured while the vacupress is seated over the Temporization Sleeves.
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Gray rubber wheel being used to polish the composite transitional prosthesis.
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Patient's smile with the transitional prosthesis on three immediately placed and loaded implants.
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Four-month facial view of the transitional prosthesis on three immediately placed and loaded implants.
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Four-month postoperative radiograph of four 4.5 x 8.0mm Bicon SHORT® implants.
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Transitional prosthesis being removed from the three Stealth Abutments.
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Healing Plug being removed from its implant.
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Green 3.0mm sulcus former being rotated on a Guide Pin to remove tissue while shaping the implant sulcus.
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Four green 3.0mm plastic Impression Posts seated in their implants for the making of an implant level transfer impression. Note the 2005 Impression Posts have changed and are now metal with acrylic sleeves.
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Impression material being injected around Plastic Impression Posts.
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Occlusal registration being recorded with red resin around four Impression Posts.
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Impression Posts attached with red resin being removed from their implants.
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Four Integrated Abutment Crowns™ (IACs) in a soft tissue stone model.
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View of four implant wells.
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IAC being cleaned with alcohol prior to being inserted into its implant.
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IAC being inserted into the well of its implant.
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IAC being inserted into the well of its implant.
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Customized thermoplastic resin seating jig being used to seat the IAC in the long axis of the implant.
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Customized thermoplastic resin seating jig being used to seat the IAC in the long axis of the implant.
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Facial view of four maxillary incisor IACs.
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Palatal view of blue ink markings of the occlusal contacts.
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One-day post-insertion facial view.
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One-day post-insertion right profile view.
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One-day post-insertion left profile view.
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Eight-year post-insertion radiograph of four maxillary incisor IACs and their Bicon SHORT® implants.
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Eleven-year post-insertion facial view of four maxillary incisor IACs.
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View of four eleven year-old implant sulci since the IACs were removed for the fabrication of new IACs with wider hemispherical bases.
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Four green 3.0mm titanium Impression Posts seated in their implants for the making of an implant level transfer impression.
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Four green acrylic Impression Sleeves seated on their Impression Posts.
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Impression material being injected around the Impression Posts and Sleeves.
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Four green acrylic Impression Sleeves captured within an implant-level transfer impression.
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Two Impression Sleeves being captured in occlusal registration material.
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Palatal view of four new IACs on a stone model. Note the wider hemispherical bases, which have been shown to enhance bone growth.
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Facial view of four new IACs on a stone model. Note the wider hemispherical bases, which have been shown to enhance bone growth.
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IAC being inserted into its implant.
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Thermoplastic resin orientation jig being used to position the IACs prior to being definitively seated.
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Customized thermoplastic resin seating jig being used to seat an individual IAC in the direction of the long axis of the implant.
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Post-insertion radiograph of new IACs with wider hemispherical bases eleven years after the placement of their Bicon SHORT® implants.
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Patient's smile one year after the fabrication of new IACs and twelve years after implant placement.
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One-year post-insertion facial view of four new IACs on twelve-year-old immediately placed and loaded implants.
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Twelve-year postoperative radiograph of four Bicon SHORT® implants and their one-year-old IACs with wider hemispherical bases.
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