Fabrication of a Temporary Screw-Retained and a Permanent Telescopic Mandibular TRINIA® Prosthesis Supported by Three FDUA Transitional and Four Bicon SHORT® Implants Respectively for a Fifty-Nine-Year-Old Male Patient
This case demonstrates the placement and removal of three Fixed-Detachable Universal Abutment (FDUA) Transitional Implants and their successful one year of use supporting a full-arch temporary screw-retained TRINIA® prosthesis with significant bilateral distal extensions. Additionally, the placement, uncovering and prosthetic restoration using impression posts and sleeves with a conventional implant level transfer impression of four Bicon SHORT® Implants is shown. As well as the fabrication of the permanent telescopic TRINIA® prosthesis with four Universal Abutments and Retentive Copings
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Acrylic surgical guide to facilitate the mesiodistal positioning of seven implants to be within a proposed tooth.
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Occlusal view of temporary TRINIA® prosthesis with a significant opening to facilitate the cementation of the Final Copings within the confines of the prosthesis.
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Lingual view of temporary TRINIA® prosthesis.
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Facial view of temporary TRINIA® prosthesis.
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Preoperative clinical site.
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Clinical view of acrylic surgical guide.
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Clinical view of maxillary denture and temporary mandibular screw-retained TRINIA® prosthesis.
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Paralleling Pin in pilot osteotomy confirming appropriate placement through the opening in temporary prosthesis.
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Bicon SHORT® Implant being inserted into its osteotomy with its black polyethylene healing plug.
FDUA Transitional Implant being screwed into into its 2.0mm pilot osteotomy with a Transitional Implant Latch Driver.
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Radiograph of seated Bicon SHORT® Implant and Paralleling Pin confirming appropriateness of pilot osteotomy.
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Final Coping being transported to a Transitional Implant with a 5.0mm Hex Coping Screw attached to a Hex Screwdriver.
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Final Coping being fastened to FDUA Transitional Implant with a short Hex Screwdriver.
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Three FDUA Transitional Implants with Final Copings fastened with Hex Retention Screws.
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Temporary TRINIA® prosthesis with bores revealing three Final Copings fasten to FDUA Transitional Implants.
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Vaseline being applied into the bore of hex screw to prevent resin cement from blocking access of the Hex Screwdriver.
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Resin cement being applied to Final Copings prior to insertion of temporary prosthesis.
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Light curing of resin cement around coping within the temporary prosthesis.
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Hex Retention Screw being removed prior to removal of prosthesis with three copings attached.
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Occlusal view of prosthesis with three attached copings.
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View of three copings within TRINIA® temporary prosthesis.
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5.0mm Hex Coping Screw on a short Hex Screwdriver being inserted into Final Coping within prosthesis.
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Flowable composite being injected over cotton covering the Final Coping and screw.
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Patient's smile with temporary prosthesis fastened to three FDUA Transitional Implants.
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Radiograph of four Bicon SHORT® Implants and temporary prosthesis fastened to three FDUA Transitional Implants.
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Three FDUA Transitional Implants after removal of temporary prosthesis and one year after being placed to support temporary prosthesis with significant bilateral distal extensions.
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View of temporary prosthesis supported for one year on three FDUA Transitional Implants.
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Radiograph after one year in function of left distal extension of temporary prosthesis supported by three FDUA Transitional Implants.
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Radiograph after one year in function of right distal extension of temporary prosthesis supported by three FDUA Transitional Implants.
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Incision being made for the uncovering of the four Bicon SHORT® Implants.
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Scissors being used to open mucosal flap.
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Mucosal flap being reflected.
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Black polyethylene healing plug being removed from well of its implant.
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A green 3.0mm and a red 2.0mm Guide Pin in the wells of their implants.
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A 5.0mm Sulcus Former being rotated on a Guide Pin with a Threaded Knob to form an implant sulcus.
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Three FDUA Transitional Implants and four impression posts in the well of their implants.
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Two green 3.0mm and two red 2.0mm Impression Sleeves on their respective Impression Posts, prior to the making of a conventional full-arch implant-level impression.
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Impression material being injected around Impression Sleeve.
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Conventional impression with four Impression Sleeves within the material.
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Clinical image of two FDUA Transitional Implants and four temporary abutments after the making of the full-arch implant-level impression.
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Third FDUA Transitional Implant being removed with a Transitional Implant Latch Driver after successfully supporting a temporary prosthesis for one year.
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Four Retentive Copings within permanent TRINIA® prosthesis.
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Four straight Universal Abutments prior to the seating of Permanent TRINIA® prosthesis.
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TRINIA® prosthesis with four Retentive Copings being inserted onto four Universal Abutments.
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Patient's smile.
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Radiographic image of telescopic TRINIA® prosthesis with four Retentive Copings seated on four Universal Abutments.
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