Saturday, November 18th 2017 4:13PM EST

Laboratory and Clinical Aspects of Fabricating and Inserting Four Universal Abutments for the Immediate Insertion of a Milled PMMA Telescopic Transitional Prosthesis and a Permanent Handcrafted Poly-ceramic Telescopic Prosthesis on a TRINIA® Framework with Three Milled Copings and One Custom Cast Chrome Cobalt Coping with an Interchangeable Retentive Attachment

Posted on by Bicon

This treatment depicts the detailed aspects and nuances of the above-described prostheses in only three clinical restorative visits, which included:
During the first visit, the surgical uncovering of four implants, an implant-level transfer impression, the recording of an initial occlusal relationship, and choosing an aesthetic tooth shade.
During the second visit, the extraction of the four teeth, insertion of three unmodified and one modified Universal Abutment, which was unwisely modified to achieve an unnecessary aesthetic effect by using a custom cast chrome cobalt retentive coping, a second occlusal registration, and the insertion of a milled PMMA telescopic full arch transitional prosthesis, with gingiva-colored Ceramage material added for aesthetics, to confirm the appropriateness of the teeth arrangement as well as a transitional device for function while the extraction sites were healing and the permanent TRINIA® restoration was being fabricated. Alternatively, as a less expensive option, the PMMA prosthesis could have been affixed to the abutments without the telescopic copings.
During the third visit, the insertion of a handcrafted poly-ceramic telescopic restoration on a TRINIA® framework with three cemented milled retentive copings and one custom cast chrome cobalt coping with a yellow SiTec retentive attachment, as well as the intra-oral relining of the prosthesis with Ceramage.

SURGICAL:
RESTORATIVE:
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