This case demonstrates the immediate placement and loading of two maxillary central incisor implants using a TRINIA™ and Ceramage transitional prosthesis and two Bicon Universal Abutments to stabilize two immediately placed 4.5 x 8.0mm implants.
SURGICAL: Extraction Immediate Placement
TOPICS: TRINIA®
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Initial use of a periotome facilitates the extraction.
Maxillary central incisor being extracted.
Spoon excavator being used to currette the bony socket.
2.0mm pilot drill being used to determine the position and depth of the osteotomy.
2.0mm pilot drill being used to deepen the osteotomy.
Confirmation of the trajectory of initial pilot osteotmies with gold colored paralleling pins.
A light green 2.5mm latch reamer widening the osteotomy.
Spoon excavator being used to harvest bone chips while also confirming the integrity of the osteotomy walls.
A violet 4.0mm latch reamer widening the osteotomy and harvesting bone.
Depth gauge being used to assure the osteotomy is not too shallow.
Insertion of a 4.5 x 8.0mm implant with the inserter/retriever instrument.
An incisal view of the two 4.5 x 8.0mm implants seated within their osteotomies.
Insertion of blue 2.5mm guide pins into the wells of the implants to confirm their trajectories.
Hole being drilled in stone model to for fabricating TRINIA™ stabilizing prosthesis.
Widening the hole.
Finalizing hole to allow implant analog to be placed within the stone model.
Occlusal view of the wells of the implant analogs seated within the stone model.
Facial view of the winged Ceramage-veneered TRINIA™ transitional prosthesis.
Palatal view of the transitional TRINIA™ prosthesis.
A 5T 10 degree Bicon Universal Abutment being inserted into the 2.5mm well of the right central incisor implant.
Two seated 5T 10 degree Bicon Universal Abutments.
A trimmed Bicon Universal Abutment acrylic sleeve inserted onto a 5T 10 degree abutment.
Additional modification of acrylic sleeve on a 5T 10 degree abutment.
A white fit-checker material being applied to the winged TRINIA™ stabilizing prosthesis and abutment sleeves to identify areas of impingement.
A black marker is used to indicate where the TRINIA™ prosthesis has to be modified in order for it to be seated onto the universal abutments.
Modifying the wings of the TRINIA™ stabilizing prosthesis in order to accommodate the patient's reclusion.
Application of resin cement to the bores and wings of the TRINIA™ stabilizing prosthesis.
Winged TRINIA™ stabilizing prosthesis being inserted onto acrylic sleeves with Vaseline covering the sutures.
Light-curing for bonding of the winged TRINIA™ stablizing prosthesis to the acrylic sleeves and adjacent teeth.
Polishing of the winged TRINIA™ stablizing prosthesis.
Post-operative smile.
Post-operative radiograph.
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