Listing for Topics: TRINIA®

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Replacing an Implant-Retained Overdenture with Four Locator Abutments with a Handcrafted Polyceramic TRINIA® Telescopic Prosthesis on Four Universal Abutments with Four Milled Retentive Copings in Only Two Restorative Visits

Posted on in Overdentures, Porcelain Fused to Metal

This treatment demonstrates the clinical and laboratory aspects for the fabrication and insertion of a handcrafted polyceramic TRINIA® telescopic restoration on four unmodified Universal Abutments with four milled retentive copings to replace an implant-retained overdenture with four Locator Abutments for an eighty-four-year-old man, who was not satisfied with his Locator retained prosthesis. During the first clinical visit, after the clinical evaluation and consult, the patient’s four Locator abutments were removed and a full arch implant-level transfer impression was made along with a tooth shade and an initial occlusal registration, for the fabrication of a Gothic Arch plate and stylus. Subsequent to the fabrication of the Gothic Arch devices, a second occlusal registration was made and the patient’s existing Locator abutments were reinserted prior to reinserting his existing overdenture. During the second clinical visit, the Locator abutments were removed and four unmodified Universal Abutments were inserted using two light-cured resin orientation and seating jigs as sequenced according to the technician’s numerical markings on the master soft tissue model. Once the abutments were properly seated and the four milled retentive copings were passively fitted to the handcrafted polyceramic TRINIA® prosthesis, the copings were cemented with a resin cement into the bores of the TRINIA® framework, prior to delivering the new telescopic prosthesis to the patient.

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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 in Telescopic Restorations, Uncovering

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.

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Insertion of a Maxillary Full Arch TRINIA® Telescopic Prosthesis

Posted on in Telescopic Restorations

This treatment demonstrates the sequential use of a resin seating jig to facilitate the orientation and seating of four abutments for the insertion of a maxillary full arch TRINIA® telescopic prosthesis with two milled retentive copings and two custom cast chrome cobalt copings on four implants for a 59-year-old woman.

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Insertion of a Two-Unit TRINIA® Prosthesis to Replace an Ill-Fitting Prosthesis

Posted on in Porcelain Fused to Metal

This treatment demonstrates the insertion of a two-unit TRINIA® prosthesis for maxillary central incisor implants in a 71-year-old male, who presented with an ill-fitting, splinted Porcelain-Fused-to-Metal (PFM) prosthesis.

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Immediate Loading of Three Maxillary Implants with a Winged TRINIA® Transitional Prosthesis

Posted on in General, Immediate Placement, Surgical

This treatment demonstrates the technique of immediately loading two 4.0 x 6.0mm implants and one 5.0 x 5.0mm implant by using a winged TRINIA® transitional prosthesis and one existing 4.5 x 8.0mm implant.

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Insertion of a TRINIA® Telescopic Prosthesis

Posted on in Overdentures, Restorative

This treatment demonstrates the insertion of a TRINIA® telescopic restoration on five non-parallel implants for a 70-year-old woman, who previously had a four-implant-retained o-ring overdenture.

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Insertion and Relining of a Maxillary Telescopic TRINIA™ Prosthesis

Posted on in Restorative, Telescopic Restorations

This case demonstrates the insertion of a maxillary full arch telescopic restoration with two conventional telescopic copings with yellow retentive inserts and two milled titanium copings on four implants, one of which is badly positioned.

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Fabrication and Insertion of a Four-Implant Mandibular Full Arch TRINIA™ Telescopic Prosthesis with Two Lithium Disilicate Crowns to Resist Abrasion of Composite Denture Teeth Against Opposing Maxillary Porcelain Restorations

Posted on in Surgical, Telescopic Restorations

This case demonstrates the fabrication of a four-implant mandibular full arch TRINIA™ telescopic prosthesis, beginning with the making of an implant-level transfer impression and bite registration, followed by the laboratory fabrication of a soft tissue model with four Universal abutments prosthetic posts with two to three degrees of parallelism; a light-cured resin verification jig with milled retentive copings to confirm both a path of insertion and retentiveness of the intended TRINIA™ prosthesis; a light-cured resin seating jig to facilitate the orientation and initial seating of the four Universal abutments intra-orally; and two lithium disilicate molar crowns to preserve the patient’s vertical dimension of the occlusion, by resisting the abrasion of the composite denture teeth against the patient’s maxillary porcelain restorations. Finally, three red retentive copings and one metallic non-retentive coping, which were seated on the Universal abutments, were intra-orally cemented into the bores of the mandibular full arch TRINIA™ prosthesis to provide the patient with a functionally stable and aesthetic restoration.

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Placement and Immediate Load of Two Maxillary Central Incisor Implants

Posted on in Extraction, Immediate Placement, Surgical

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.

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Four Immediately Placed and Loaded Maxillary Incisors

Posted on in Extraction, Immediate Placement

This case demonstrates the use of a TRINIA™ transitional prosthesis and four Bicon Universal Abutments to stabilize four immediately placed 4.0 x 6.0mm SHORT® Implants after the extraction of four maxillary incisors.

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