This case demonstrates the immediate placement, stabilization, and implant level impression transfer of two maxillary bicuspid implants as well as the extra-oral cementation of two all-ceramic crowns.
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Final reamer being removed from second bicuspid osteotomy.
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View of two prepared bicuspid osteotomies.
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Implant inserter / retriever instrument transporting a 5mm x 8.0mm HA coated implant into first bicuspid osteotomy.
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Implant being tapped into position with implant seating tip on straight driver.
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Shoulder depth gauge seated in implant well facilitating the selection of an abutment with an appropriate shoulder height relative to the soft tissue crest.
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A 5.0mm x 2.0mm shouldered abutment is being inserted into a tall one piece acrylic sleeve.
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Tall one piece acrylic sleeve and abutment being inserted into well of implant.
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Height of tall one piece acrylic sleeve being reduced.
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Tall one piece acrylic sleeve and a 4.0mm x 1.5mm abutment being inserted into well of second bicuspid implant.
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View of two one piece acrylic sleeves.
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Bonding agent being applied to one piece acrylic sleeves.
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Light curing of bonding agent.
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A strut of transitional composite material being formed between the two sleeves prior to their being incorporated into the transitional stabilization prosthesis.
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Removal of transitional stabilization prosthesis for polishing.
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Flowable composite material being added to voids in stabilization prosthesis.
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Acid etching of enamel for the bonding of stabilization prosthesis.
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Bonding agent being applied.
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Light curing of bonding agent.
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Bonded transitional stabilization prosthesis.
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Radiograph of a 4.0mm x 1.5mm and a 5.0mm x 2.0mm shouldered abutment supporting the bonded transitional stabilization prosthesis.
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Two implant sulci after the removal of the stabilization splint eleven weeks after the placement of the implants.
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Second white 3.0mm impression post being inserted into second bicuspid implant.
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Impression posts after having been tapped for definitive seating into their implant wells.
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Impression material being injected around white posts for the making of an implant level transfer impression.
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White impression posts in soft tissue model prior to being replaced with actual titanium shouldered abutments.
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Soft tissue model after the removal of the impression posts and prior to the insertion of two titanium shouldered abutments.
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Two all-ceramic crowns on soft tissue model.
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Mirror view of two all ceramic crowns revealing their aluminum oxide cores.
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Initial seating of first bicuspid all-ceramic crown confirming appropriateness of color and morphology.
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Removal of plastic temporary abutment which was maintaining the soft tissue sulcus after the removal of transitional prosthesis.
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Occlusal view of all-ceramic crown and 3.0mm implant well with soft tissue sulcus.
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Second bicuspid all-ceramic crown being inserted for confirmation seating.
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Metalic coupler being applied to 4.0mm wide shouldered abutment.
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Ceramo-coupler being applied to aluminum oxide core of all-ceramic crown.
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Bonding agent being applied to shouldered abutment.
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Bonding agent being applied to aluminum oxide sleeve.
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Cement being applied to shouldered abutment.
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Extraneous cement being removed from the extra-orally cemented all-ceramic crown with a cotton applicator.
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Extra-orally cemented all-ceramic crown being inserted into well of implant.
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Extra-orally cemented all-ceramic crown being tapped for definitive seating into the well of the implant.
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Two all-ceramic maxillary bicuspid crowns in occlusion.
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Radiograph of two extra-orally cemented all-ceramic crowns.
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