Uncovering of a 5.0 x 6.0mm Bicon SHORT® Implant

Welcome to the Bicon webcast. Today is Thursday, January twenty eight, twenty ten. Welcome all of you who are watching us. We have several hundred. We have fifty five countries and I think somewhere in the neighborhood of thirty states with us. Today, it will be the uncovering. This is a radiograph that was taken just now and as you see this is a five by six millimeter implant placed in, a location where an eight millimeter would have been easily placed. This implant was placed, roughly about a millimeter or so below the crest of the bone initially, but all of that bone and the wait has created a favorable environment and we have regeneration of, the bone over the shoulder of the implant. And this depth of implant is acceptable for the Bicon restorative techniques as it allows for our restoring it, with relative ease actually So, the plan is to uncover, this implant through a very conservative flap remove the black healing plug, then, take an implant level impression and just place a healing abutment, which is sort of the healing, component with any other type of system as the custom made abutment and crown, which are fused together in an integrated abutment crown restoration are being fabricated, the soft tissue will be taking its final shape as well and then it will be adapted to fit around the final restoration. You see that the crest is healed where that tooth had been extracted and the implant placed. So that gives us exactly the indication where we’re gonna make our flap. So when we make our incision, before I go into a punch type incision, I will make a trapdoor semilunar incision that will allow us to, feel any of that? Would allow us to close back over should we have to do any more work with the with the implant? And I can already see the black healing plug. Suction on the top. Yes. The same perforation that’s that exists inside the plug. We will use that as well to engage and then plug the, or remove the black healing plug with it. So you just thread it in, twist it clockwise, and simply remove the black healing plug. So we place this same guide pin that I just used minutes ago to verify location and position. Now we will do the same, except we can take it and move it. Try to move it, and you can see that this implant is solid. I can move the whole head, probably lift the head off the chair with it. So we know that this is pretty solid in there. Now that we know that it’s integrated, we’ll go ahead and cut the tag as if it were a punch, and just by carving out a total of a circle of that soft tissue in the center. Okay. Come out please. Okay. Good. So if we look again at the angulation and location, we have full expectation that a straight abutment would be adequate. We won’t modify anything in the bone at this point because we have full, thorough, unfettered access to it. K? We will now proceed to take a implant level impression. This is a titanium implant level impression post. You place it does that hurt? Okay. We place this by finger pressure. It has a plastic sleeve. K? It is very simple to the point that even I can do it. You know? So I place it in, and we, put the, green plastic sleeve over it. And now we’ll go ahead and take an implant level impression. When the tray is half filled, I get the signal, then we will use the light body. And that basically locks around the, green plastic sleeve, and then the, tray is transferred. We have a timer for four minutes. It’s a closed tray technique, and the key is that the impression pin stays in the implant and the sleeve that goes over the pin is left behind. That pin is placed by finger pressure, so it should come out by finger pressure as well, and it is reusable. It’s autoclavable and reusable. K. Now a healing abutment would be the best thing to place in this area, and we have this, type of, healing abutment that’s disposable. It has a high mesial and distal, curvature. This helps it support the papillae. When you have this kind of, mesial and distal pressure, you maintain the height of the papillae. It also can be tapped into place so that it is fully seated. And as you can see, that’s it. That’s that’s how simple it is to at least uncover an implant and and and place the healing abutment. Yes, the key however when using the, two part impression that is extremely unlikely to happen because the, impression post goes in by friction, which mimics the friction of the locking taper whereas the impression sleeve is a plastic which fits loosely over, you know, precisely, but loosely over the part of the impression post. Very simple because we don’t need an eight millimeter. A six millimeter works just fine I mean, there’s not much else to say if you feel comfortable using an eight millimeters more than six millimeters use that if you feel comfortable like we do with six millimeters this is pretty much what we place now we place eight millimeters when we need to have more stability because we’re engaging more of the apex but most of the time it’s six and five millimeter long implants When we are placing a non shouldered abutment for restoration with an abutment level impression, What you need to do, for those of you who are new to the implant system, what you need to do is create an imprint, in the bone that corresponds precisely to the shape of the undersurface of the implant of the Bicon abutment. And for that we use what’s called a sulcus reamer. The sulcus reamer actually removes enough bone, just enough bone, to allow the abutment to sit unfettered into the implant and when we tap them together, the two parts, the implant and the abutment, will come and get coupled together, to engage the locking taper. And so, in this case, because I am not selecting the final abutment size, we will let the lab do that for us and because I had unfettered access fully to the implant well, evidenced by the ease of placement of the guide pin and of the, subsequently of the, impression post placement I didn’t need to do any sulcus reaming as yet, okay? The question would have been if that, healing abutment did not sit in there, I may have done some, but it also did sit properly So what has happened in this case is the bone had enough room or allowed us enough room to seat all of what we needed to do in there to achieve it at this point Had we had any hindrances to that, we would have had to remove enough bone, but just enough bone to seat those parts Don’t be overzealous and just remove all of the bone around the area that you’ve worked so hard to recreate or to regenerate and lose it because that creates again a void that will be occupied hopefully by soft tissue but in the worst case scenario by oral bacteria and plaque etc. So just create as much room just to have it completely sealed and filled by the implant and abutment components. And again, once more, I want to thank you for your attention and we are out. Thank you all.