This case demonstrates the two-stage placement, uncovering, implant-level transfer impression, and restoration of a congenitally missing right lateral incisor with a Bicon Integrated Abutment Crown™.
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First Visit: Implant placement. Pre-operative radiograph.
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Pre-operative site.
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Paralleling pin seated in the pilot osteotomy indicating trajectory.
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Osteotomy being enlarged with an olive green 2.5mm latch reamer rotating at 50RPM without irrigation.
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Harvested bone within the flute of an olive green 2.5mm hand reamer.
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Harvested bone within the flute of a teal 3.0mm hand reamer.
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Harvested bone within the flute of a blue 3.5mm hand reamer.
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Harvested bone within the flute of a red 4.0mm hand reamer.
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Curette being used to remove residual bone while confirming the integrity of the five bony walls of the osteotomy.
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A 4.0mm x 8.0mm Integra-CP coated implant with a 2.5mm well being inserted into the osteotomy.
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Straight handle with a seating tip attached is being tapped to seat implant farther into the osteotomy.
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View of the well of the seated implant.
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Cut polyethylene healing plug being inserted into the 2.5mm well of the implant.
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Harvested bone shown in a dappen dish.
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Harvested bone being placed over the shoulder of the implant.
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Surgical site after the application of the harvested bone.
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View of the sutured surgical site.
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Post operative radiograph.
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Second Visit: Four months after previous visit. View of surgical site prior to uncovering of the implant.
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Incision being made for removal of healing plug.
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View of bone covering the shoulder of the implant.
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Healing plug being removed with healing plug removal instrument.
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Impression material being injected around the blue impression sleeve for the making of a full arch implant level transfer impression.
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View of transfer impression with 2.5mm blue plastic sleeve.
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Healing abutment seated in implant well.
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Third Visit: Three months after previous visit. View of Integrated Abutment Crown™ on stone model.
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Site after removal of transitional prosthesis.
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Well of implant being cleaned with alcohol on a cotton-tipped applicator.
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Integrated Abutment Crown™ being inserted.
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Diamond finishing strip being used to lighten the interproximal contact area eliminating the possibility that the tight contact may prevent the engagement of the locking taper connection.
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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 straight handle is being used 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 Integrated Abutment Crown™.
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Post insertion radiograph of Integrated Abutment Crowns™.
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