Two-Stage Placement of a 5.0 x 6.0mm Bicon SHORT® Implant for a Maxillary Left Second Premolar and its Restoration with an Integrated Abutment Crown™ (IAC)

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1.

Pre-operative radiograph.

2.

Initial incision being made.

3.

Flap being elevated.

4.

Granulation tissue being removed with a curette.

5.

Green 6.0mm Osteotome being tapped to mark the site of the intended osteotomy.

6.

Pilot Drill being rotated at 1100RPM with irrigation to initiate the osteotomy.

7.

Reflected view of a gold Paralleling Pin indicating the trajectory of the pilot osteotomy.

8.

Light yellow 2.5mm Latch Reamer being rotated at 50RPM without irrigation to widen the osteotomy.

9.

Teal 3.0mm Latch Reamer being rotated at 50RPM without irrigation to widen the osteotomy.

10.

Blue 3.5mm Latch Reamer being rotated at 50RPM without irrigation to widen the osteotomy.

11.

Bone collected in the flute of a magenta 4.0mm Latch Reamer.

12.

Gray 4.5mm Latch Reamer being rotated at 50RPM without irrigation to widen the osteotomy.

13.

Gold 5.0mm Hand Reamer attached to a Threaded Instrument Adapter being rotated at 50RPM without irrigation to widen the osteotomy to the diameter of the intended implant.

14.

Bone collected in the flute of the gold 5.0mm Hand Reamer.

15.

5.0 x 6.0mm Bicon SHORT® Implant with a 3.0mm well being removed from its sterile packaging with a green 3.0mm Inserter and Retriever instrument.

16.

Green 3.0mm Inserter and Retriever instrument being used to place the implant into its prepared osteotomy.

17.

First knob of the Inserter and Retriever instrument being unfastened to release the implant into its osteotomy.

18.

Green 3.0mm Seating Tip attached to a Threaded Straight Handle being used to gently tap and definitively seat the implant.

19.

Green 3.0mm Guide Pin seated in the well of the implant, indicating its trajectory.

20.

Black polyethylene healing plug being inserted into its implant with a probe.

21.

Harvested autogenous bone being placed over the implant.

22.

Cotton swab being used to compress the harvested autogenous bone over the implant.

23.

Flap being sutured.

24.

Reflected view of the sutured surgical site.

25.

Post-operative radiograph of the 5.0 x 6.0mm Bicon SHORT® Implant.

26.

Three-month postoperative radiograph of the 5.0 x 6.0mm Bicon SHORT® Implant prior to its being uncovered.

27.

Incision being made to uncover the implant.

28.

Scissors being used to open a flap.

29.

Curette being used to remove bone over the black healing plug.

30.

Healing Plug Removal Instrument being used to retrieve the black healing plug from the well of the implant.

31.

Magenta 4.0mm Sulcus Former attached to a Threaded Handle being rotated on a green 3.0mm Guide Pin to remove excess tissue and shape the implant's sulcus.

32.

Gold 5.0mm Sulcus Former attached to a Threaded Handle being rotated on a green 3.0mm Guide Pin to remove excess tissue and shape the implant's sulcus.

33.

Excess bone collected on the blade of the gold 5.0mm Sulcus Former.

34.

Green Impression Sleeve being seated onto its corresponding 3.0mm Impression Post for the making of a full arch implant-level transfer impression.

35.

Impression material being injected around the Impression Post and Sleeve.

36.

Green Impression Sleeve captured within a full arch implant-level transfer impression.

37.

5.0 x 6.0mm titanium Temporary Abutment being inserted into the implant.

38.

View Standard Seating Tip attached to a Threaded Handle being used to gently tap the Temporary Abutment into its implant.

39.

Post-insertion view of the seated Temporary Abutment.

40.

Post-insertion radiograph of the Temporary Abutment with its 5.0 x 6.0mm Bicon SHORT® Implant.

41.

Seven-month post-insertion view of the Temporary Abutment prior to its removal for the insertion of an Integrated Abutment Crown™ (IAC).

42.

Buccal view of the IAC immediately after its insertion.

43.

Post-insertion radiograph of the IAC with its 5.0 x 6.0mm Bicon SHORT® Implant.

44.

Three-month post-insertion buccal view of the IAC with papillae.

45.

Three-month post-insertion radiograph of the IAC with its 5.0 x 6.0mm Bicon SHORT® Implant.