Two-Stage Placement of a 4.5 x 8.0mm Bicon SHORT® Implant for a Maxillary Right Central Incisor Five Months After Grafting a Large Buccal Defect with SynthoGraft™
This treatment demonstrates the two-stage placement of a 4.5 x 8.0mm Bicon SHORT® Implant for a maxillary right central incisor five months after grafting a large buccal defect and using SynthoGraft™, a Collagen Membrane, and a Collagen Plug. Also shown is the making of a full arch implant-level transfer impression and the subsequent restoration of the implant with an Integrated Abutment Crown™ (IAC).
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Pre-operative facial view prior to the extraction of the maxillary right central incisor.
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Curette being used to clean the tooth socket, which has no buccal plate.
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Patient's blood being collected for later use with SynthoGraft™.
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Trimmed Collagen Membrane being inserted into the socket to cover the buccal defect.
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5.0mm Bone Graft Syringe being used to place SynthoGraft™ mixed with the patient's blood into the socket while the Collagen Membrane is positioned over the buccal defect.
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SynthoGraft™ being compressed into the socket with a cotton swab while the Collagen Membrane is positioned over the buccal defect.
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View of compressed SynthoGraft™ filling the socket.
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Collagen Plug being placed over the SynthoGraft™.
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View of the sutured site.
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Post-operative radiograph revealing the the socket grafted with SynthoGraft™, a pure-phase beta-tricalcium phosphate.
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GluStitch surgical glue being injected onto the sutures prior to the insertion of a TRINIA® temporary prosthesis.
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CRB 1 bonding agent prior to being applied to the adjacent teeth.
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CRB 2 bonding agent prior to being applied to the adjacent teeth.
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CRB 2 bonding agent being applied to an adjacent tooth.
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Resin cement being applied to a wing of the TRINIA® temporary prosthesis.
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Winged TRINIA® temporary prosthesis being cemented onto the adjacent teeth with finger pressure.
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Reflected view of the winged TRINIA® temporary prosthesis.
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Facial view of the winged TRINIA® temporary prosthesis.
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Flap being elevated five months after the extraction and initial grafting with SynthoGraft™.
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Curette being used to remove scar tissue from the surgical site prior to the preparation of an osteotomy.
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2.0mm Pilot Drill being rotated at 1100RPM with irrigation to initiate the osteotomy.
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2.0mm gold Paralleling Pin indicating the trajectory of the pilot osteotomy.
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Light green 2.5mm Hand Reamer attached to a Threaded Instrument Adapter being rotated on a Handpiece at 50RPM without irrigation to widen the osteotomy.
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Light blue 3.0mm Hand Reamer attached to a Threaded Instrument Adapter being rotated on a Handpiece at 50RPM without irrigation to widen the osteotomy.
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Harvested bone collected in the flute of a blue 3.5mm Hand Reamer attached to a Threaded Instrument Adapter.
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Violet 4.0mm Hand Reamer attached to a Threaded Instrument Adapter being rotated on a Handpiece at 50RPM without irrigation to widen the osteotomy.
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Harvested bone collected on a Curette.
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Harvested bone collected in the flute of a gray 4.5mm Hand Reamer on a Threaded Straight Handle.
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Post-placement view of a 4.5 x 8.0mm Bicon SHORT® Implant.
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Cut polyethylene healing plug being inserted into its implant with a periodontal probe.
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View of the healing plug seated in its implant.
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Harvested autogenous bone being placed over the exposed buccal surface of the implant.
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SynthoGraft™ mixed with the patient's blood being placed over the autogenous bone.
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Trimmed Collagen Membrane being inserted between the flap and the graft material.
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Retention sutures being used to secure the membrane over the graft material.
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View of the surgical site after the flap was released from its retraction sutures.
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Tissue pickups being used to close the flap.
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Releasing incision being made to close the flap.
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View of the sutured site.
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Post-operative radiograph of a 4.5 x 8.0mm Bicon SHORT® Implant.
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Four-month post-operative radiograph of the 4.5 x 8.0mm Bicon SHORT® Implant prior to its uncovering.
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Incision being made to uncover the implant.
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Tissue being removed to reveal the healing plug.
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View of the uncovered healing plug.
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Retrieved healing plug on a Healing Plug Removal Instrument.
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Right profile view of a blue 2.5mm Guide Pin confirming the osseointegration and trajectory of the implant.
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Violet 4.0mm Sulcus Former attached to a Threaded Straight Handle being rotated on the Guide Pin to remove tissue and shape the implant's sulcus.
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Gold 5.0mm Sulcus Former attached to a Threaded Straight Handle being rotated on the Guide Pin to remove tissue and shape the implant's sulcus.
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Blue 2.5mm Impression Post seated in its implant for the making of a full arch implant-level transfer impression.
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Blue Impression Sleeve seated on its corresponding Post for the making of a full arch implant-level transfer impression.
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Impression material being injected around the Impression Post and Sleeve for the making of a full arch implant-level transfer impression.
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Blue Impression Sleeve captured within a full arch implant-level transfer impression.
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Titanium 5.0 x 6.5mm Temporary Abutment being inserted into its implant.
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Incisal view of the 5.0 x 6.5mm Temporary Abutment seated in its implant.
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Facial view of an Integrated Abutment Crown™ (IAC) seated in a blue 2.5mm Implant Analog in a stone model.
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IAC being inserted into its implant.
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Custom Hydroplastic Resin orientation jig being used to confirm the appropriate positioning of the IAC.
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Custom Hydroplastic Resin seating jig on a Crown Seating Tip attached to a Threaded Straight Handle being used to definitively tap the IAC in the long axis of the implant.
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Dental floss being used to confirm appropriate mesial contact.
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Dental floss being used to confirm appropriate distal contact.
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Reflected view of blue ink confirming appropriate incisal contacts.
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Post-insertion facial view of the maxillary right central incisor IAC.
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Post-insertion radiograph of the IAC with its 4.5 x 8.0mm Bicon SHORT® Implant.
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Patient's post-insertion smile.
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Two-month post-insertion facial view of the maxillary right central incisor IAC.
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Two-month post-insertion radiograph of the IAC with its 4.5 x 8.0mm Bicon SHORT® Implant.
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