Bicon Integrated Abutment Crowns™ / Immediate Stabilization

and Function: Restoration of an Immediately Stabilized and

Functioning Maxillary Left Central Incisor Implant with an
Integrated Abutment Crown™
This case demonstrates the immediate stabilization and functioning of a maxillary
left central incisor implant with its aesthetically challenging restoration with an
Integrated Abutment Crown™.
     
1. Preoperative radiograph.

2. Operative site immediately after the placement of a

5.0 mm x 8.0 mm HA coated implant.

3. Shouldered depth gauge indicating that an abutment

with a 4.0 mm shoulder height would be
appropriately positioned below the gingival crest.

4. Primer agent being applied.

 5. Bonding agent being applied.

6. Light curing of bonding agent.

7. A 5.0mm x 4.0mm shouldered abutment being

inserted with only finger pressure into the well of the
implant.

8. A 5.0mm x 4.0mm shouldered abutment seated with

only finger pressure into the well of the implant.

9. Short 5.0mm wide acrylic sleeve being inserted onto

the 5.0mm wide stealth abutment.

10. Wide acrylic sleeve snapped onto shouldered

abutment.

11. Vacuum formed template placed over acrylic sleeve

indicating the need to reduce its buccal profile.
12. Acrylic sleeve being modified.

13. Transitional stabilizing prosthesis bonded to adjacent

teeth.

14. Radiograph of integrated implant five weeks after

implant placement.

15. Bonded stabilizing prosthesis prior to its being

removed at the patient’s second clinical visit.

16. Shouldered abutment after removal of bonded

prosthesis.

17. Implant well and soft tissue sulcus after removal of

stealth abutment.
18. White 3.0 mm plastic impression post receiving its
mandatory seating tap.

19. Impression material being injected around seated

impression post.

20. Digital image being taken of shade guide against a

black metal background to facilitate the fabrication of
an aesthetic Integrated Abutment Crown™.

21. Transitional crown re-inserted after the making of an

implant level impression.

22. Integrated Abutment Crown™ on stone model.

23. Mirror view of Integrated Abutment Crown™.

24. Integrated Abutment Crown™ being inserted.

25. Floss being used to confirm the fact that the inter-
proximal contacts are passive and will not interfere
with the engagement of the locking taper.

26. Plastic temporary abutment mounted on a straight

driver to seat the Integrated Abutment Crown™ in
the long axis of the abutment shaft and implant well
to engage the locking taper.

27. Post-operative radiograph of seated Integrated

Abutment Crown™.

28. Left profile view of seated Integrated Abutment

Crown™.
29. Right profile view of seated Integrated Abutment
Crown™.

30. Fifteen months post operative radiograph.

31. Patient’s smile fifteen months post insertion.

32. Close-up of the patient’s smile.