This case demonstrates the surgical placement and temporization of two maxillary lateral incisor implants, implant level transfer impression and their routine restoration with Bicon Integrated Abutment Crowns™.
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Osteotomy being enlarged with a teal 3.0mm latch reamer rotating at 50 RPM without water irrigation.
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Osteotomy being enlarged with a blue 3.5mm latch reamer rotating at 50 RPM without water irrigation.
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Osteotomy being enlarged with a red 4.0mm hand reamer.
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Osteotomy being prepared with a silver 4.5mm bone expander.
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A 4.5mm x 8.0mm HA coated implant being inserted into the osteotomy with an implant inserter/retriever.
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Osteotomy being prepared with 2.0mm pilot bur rotating at 1100RPM with external irrigation.
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Osteotomy being enlarged with a teal 3.0mm latch reamer rotating at 50 RPM without water irrigation.
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Osteotomy being enlarged with a blue 3.5mm hand reamer.
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Osteotomy being enlarged with a red 4.0mm hand reamer.
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A 4.0mm x 8.0mm HA coated implant being inserted into the osteotomy with an implant inserter/retriever.
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View of polyethylene healing plugs seated in the well of the implants.
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Post-operative radiograph.
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Post-operative radiograph.
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Etchant being applied in preparation for the bonding of the transitional prosthesis to adjacent teeth.
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Bonding material being applied.
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Light curing of bonding material.
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Transitional composite material in vacuum-formed template being formed around acrylic sleeve.
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View of finished transitional stabilizing prostheses.
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View of finished transitional stabilizing prostheses.
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Second clinical visit: View after removal of transitional prosthesis prior to the uncovering of the implant and the making of a full arch implant level transfer impression.
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Healing plug removed with a healing plug removal instrument.
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View of a red 2.0mm guide pin being seated into the well of the implant.
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Red 2.0mm impression reamer being inserted onto guide pin to remove any tissue which might inhibit the complete seating of an impression post.
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Healing plug being removed with a healing plug removal instrument.
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Red 2.0mm plastic impression post being inserted into the 2.0mm well of an integrated implant for the making of an implant level transfer impression.
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Green 3.0mm plastic impression post being inserted into the 3.0mm well of an integrated implant for the making of an implant level transfer impression.
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Red 2.0mm plastic impression post receiving its mandatory seating tap.
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Green 3.0mm plastic impression post receiving its mandatory seating tap.
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Impression material being injected around impression posts for the making of a full arch implant level transfer impression.
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Third clinical visit: Integrated Abutment Crowns™ on stone model.
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View of transitional prostheses prior to their removal for the insertion of Integrated Abutment Crowns™.
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Red 2.0mm plastic impression post which was used as a temporary abutment is being removed.
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Green 3.0mm plastic impression post which was used as a temporary abutment is being removed.
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Abutment post being cleaned with an alcohol wipe to remove any debris which might diminish the effectiveness of the locking taper connection.
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Well of implant being cleaned with alcohol on a cotton tipped applicator.
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Red 2.0mm impression reamer being inserted onto guide pin to remove any tissue which might inhibit the complete seating of an Integrated Abutment Crown™.
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Integrated Abutment Crown™ being inserted.
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Yellow thermoplastic custom seating jig, which was formed with a crown alignment device, in a crown seating tip attached to a straight handle facilitates directing the tapping forces in the long axis of the abutment post and implant well.
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Integrated Abutment Crown™ being inserted.
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Yellow thermoplastic custom seating jig, which was formed with a crown alignment device, in a crown seating tip attached to a straight handle facilitates directing the tapping forces in the long axis of the abutment post and implant well.
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Facial view immediately after the insertion of two Integrated Abutment Crowns™.
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Post operative radiograph after the insertion of an Integrated Abutment Crown™.
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Post operative radiograph after the insertion of an Integrated Abutment Crown™.
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Fourth clinical visit: Well of implant being cleaned after the patient presented with loose right Integrated Abutment Crown™ six weeks post insertion.
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Integrated Abutment Crown™ being inserted.
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View of right lateral incisor immediately after being retapped.
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Floss being used to confirm the fact that the interproximal contacts are passive and will not interfere with the engagement of the locking taper.
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Diamond finishing strip being used to lighten the interproximal contact area eliminating the possibility that the contact may prevent the engagement of the locking taper connection.
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View of Integrated Abutment Crowns™ immediately after being retapped.
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View of Integrated Abutment Crowns™ two months post insertion.
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