This case demonstrates the sequencing of a maxillary ridge split placement of two maxillary anterior implants with Bicon Resorbable Collagen Plug, implant-level transfer impression, temporizations and restoration of two 4.5 x 8.0mm implants with Bicon Integrated Abutment Crowns™.
SURGICAL: Ridge Splits
RESTORATIVE: Integrated Abutment Crowns™
TOPICS: Crown Insertion
Click on an image to view it larger in a slideshow. Click arrow icons or use keyboard arrow to switch photos. To exit the slideshow, click the X in the upper-right or press ESC.
Click "Switch View" below to change to a layout optimized for printing the case.
First Visit: Ridge split and implant placement. Pre-operative radiograph.
Pre-operative site.
View of patient's smile.
View of incision.
Incision being enlarged and buccal mucoperiosteal flap is being retracted using a retraction suture.
Expanding Chisel being used to split the ridge.
Ridge being split by the use of successively larger chisels.
Ridge being split by the use of successively larger chisels.
Ridge being split by the use of successively larger chisels.
Ridge being split by the use of successively larger chisels.
Ridge being split by the use of successively larger chisels.
Ridge being split by the use of successively larger chisels.
Ridge being split by the use of successively larger chisels.
View of split ridge prior to the use of a pilot bur.
Osteotomy being prepared using the latch reamer extension with a 2.0mm pilot bur rotating at 1100RPM with external irrigation.
Osteotomy being prepared using the latch reamer extension with a 2.0mm pilot bur rotating at 1100RPM with external irrigation.
Two paralleling pins demonstrate position and trajectory of the osteotomies.
Osteotomy being enlarged with an olive green 2.5mm latch reamer rotating at 50RPM without external irrigation.
Osteotomy being enlarged with a teal 3.0mm hand reamer attached to a straight handle.
Osteotomy being enlarged with a blue 3.5mm hand reamer attached to a straight handle.
Harvested bone within the flute of a blue 3.5mm hand reamer attached to a straight handle.
Osteotomy being enlarged with a blue 3.5mm hand reamer attached to a straight handle without water irrigation.
Harvested bone being collected with a straight curette.
Osteotomy being enlarged with a red 4.0mm hand reamer attached to a straight handle.
Harvested bone within the flute of a red 4.0mm hand reamer.
Osteotomy being enlarged with a silver 4.5mm hand reamer attached to a straight handle.
Harvested bone within the flute of a silver 4.5mm hand reamer attached to a straight handle.
Osteotomy being enlarged with a silver 4.5mm hand reamer attached to a straight handle.
A 4.5 x 8.0mm implant being inserted into the osteotomy with the implant inserter/retriever attached to a straight handle.
A 4.5 x 8.0mm implant being inserted into the osteotomy with the implant inserter/retriever attached to a straight handle.
Implant being tapped into place with implant seating tip attached to a straight handle.
View of implant wells of seated implants.
Guide pins inserted into the well of the implants to confirm their position and trajectories.
Trimmed polyethylene healing plug being inserted into the seated implant.
Harvested bone being placed over the implant.
View of Bicon Resorbable Collagen Plug™ being inserted.
Sutured site.
Post-operative radiograph.
Second Visit: Five months after implant placement. View of bonded transitional prosthesis.
View of initial uncovering incision.
Healing plug being removed from the well of the implant with a healing plug removal instrument.
Healing plug being removed from the well of the implant with a healing plug removal instrument.
A 3.0mm titanium impression post being inserted into the well of the integrated implant.
A 3.0mm Titanium impression post being inserted into the well of the integrated implant.
A 3.0mm green plastic sleeve being seated onto the 3.0mm titanium impression post for the making of an implant level transfer impression.
A 3.0mm green plastic sleeve being seated onto the 3.0mm titanium impression post.
Impression material being injected for the making of a full arch implant level transfer impression.
Stealth abutment with a short acrylic sleeve being seated into the well of the implant.
View of two Stealth abutments with short acrylic sleeves seated into the well of the implants and occlusion being checked.
Integrity by Dentsply being added to acrylic sleeves for the making of transitional prosthesis.
View of transitional prosthesis.
Transitional prosthesis being polished with a pink silicone disc.
Incisal surfaces being polished.
View of transitional prosthesis.
Third Visit: One week after previous visit View of transitional prosthesis.
View of implants wells after removal of transitional prosthesis.
Integrated Abutment Crown™ post being cleaned with an alcohol gauze to remove any contaminants that might interfere the effectiveness of its locking taper engagement.
Integrated Abutment Crown™ being inserted.
View of Integrated Abutment Crown™ immediately after insertion.
Integrated Abutment Crown™ post being cleaned with an alcohol gauze to remove any contaminants that might interfere the effectiveness of its locking taper engagement.
Implant well being cleaned with alcohol on cotton tipped applicator.
Integrated Abutment Crown™ being inserted.
View of two Integrated Abutment Crowns™ immediately after insertion.
Floss being used to confirm that the interproximal contacts are passive and will not interfere with the engagement of the locking taper.
Floss being used to confirm that the interproximal contacts are passive and will not interfere with the engagement of the locking taper.
Inter-proximal contact being adjusted with a pink acrylic polishing wheel.
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.
Integrated Abutment Crown™ being re-inserted.
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.
View of Integrated Abutment Crowns™ after final insertion.
View of patient's smile after insertion of Integrated Abutment Crowns™.
Facial view of Integrated Abutment Crowns™ post-insertion.
Post-insertion radiograph.
Fourth Visit: Three weeks after insertion of Integrated Abutment Crowns™ Facial view of Integrated Abutment Crowns™ three weeks post-insertion.
Right profile view of Integrated Abutment Crowns™ three weeks post-insertion.
Left profile view of Integrated Abutment Crowns™ three weeks post-insertion.
Patient's smile three weeks post-insertion.
 |
Copyright © Bicon, LLC | Terms of Use | 501 Arborway Boston, MA 02130 USA support@bicon.com |
Tel: (800) 882-4266 (617) 524-4443 |
Fax: (800) 282-4266 (617) 524-0096 |