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.
SURGICAL: Extraction Immediate Placement
TOPICS: TRINIA®
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Extraction of maxillary right central incisor.
Extraction site.
Surgical guide in place.
2.0mm pilot osteotomy being prepared.
Four paralleling pins being used to confirm appropriate positioning of pilot osteotomies.
A violet 4.0mm latch reamer being used to prepare the final osteotomy.
Spoon excavator being used to remove harvested bone chips while confirming the integrity of the osteotomies' five walls.
A 4.0 x 6.0mm SHORT® Implant being inserted into the osteotomy with a 2.5mm implant inserter/retriever instrument.
A 4.0 x 6.0mm SHORT® Implant being inserted into the osteotomy with a 2.5mm seating tip attached to a straight-handled driver.
A 5T Bicon Universal Abutment being inserted into the 2.5mm well of the right central incisor implant.
Four seated Bicon Universal Abutments, at profiles of 4T in the lateral incisor implants, and 5T in the central incisor implants.
Two trimmed Bicon Universal Abutment acrylic sleeves being inserted onto a 5T abutment.
Four trimmed Bicon Universal Abutment temporization sleeves snapped onto four universal abutments.
Harvested bone prior to being placed around the implants and abutments.
The sutured site after harvested bone was placed over and around the implants and abutments.
Facial view of the winged Ceramage-veneered TRINIA™ transitional prosthesis on a stone model.
Palatal view of the transitional TRINIA™ prosthesis.
After confirmation of a passive fit over the trimmed acrylic sleeves, cement is being applied onto the TRINIA™ prosthesis.
Winged TRINIA™ stabilizing prosthesis is being inserted into acrylic sleeves and Vaseline-covered sutures.
Post-operative facial view.
Post-operative palatal view.
Post-operative smile.
Post-operative radiograph of four maxillary immediately placed and loaded 4.0 x 6.0mm SHORT® Implants with Bicon Universal Abutments and a stabilizing winged TRINIA™ transitional prosthesis.
Patient's smile.
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