This case demonstrates the recording of a Gothic Arch occlusal registration and the insertion of a full-arch TRINIA® prosthesis utilizing three Fixed-Detachable Universal Abutments (FDUAs) with chairside shortened Hex Coping Screws opposing a mandibular telescopic TRINIA® restoration supported by three twenty-four-year-old Bicon NARROW® implants.
Additionally, note the complete compatibly and interchangeability of Bicon components manufactured over two decades ago as well as the healthy mucosa and bone levels around twenty-four-year-old implants.
This is a continuation of a previous case: VIEW CASE
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Preoperative radiograph with three Brevis Abutments on twenty-four-year-old 3.5 x 11.0mm Bicon NARROW® Implants.
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Radiograph with three Brevis Abutments and O-Ring Housings on twenty-four-year-old 3.5 x 11.0mm Bicon NARROW® Implants and three newly placed maxillary Bicon SHORT® Implants.
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Radiograph after replacement of three Brevis Abutments with Universal Abutments with Retentive Copings for a telescopic TRINIA® restoration and three newly placed maxillary Bicon SHORT® Implants.
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Gothic Arch plate on maxillary wax rim.
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Wax rim with two central incisors and Gothic Arch tracing plate.
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Gothic Arch drawn on tracing plate and stylus on mandibular plate.
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Patient's smile with arrangement of teeth on wax rim.
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Conventional occlusal registration of mandibular prosthesis and maxillary waxed teeth arrangement.
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Conventional occlusal registration of mandibular prosthesis and maxillary waxed teeth arrangement.
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Facial view of TRINIA® prosthesis on stone model.
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Occlusal view of TRINIA® prosthesis on stone model.
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Clinical view of two Temporary Abutments prior to the uncovering of third implant.
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Temporary Abutment being removed.
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Fixed-Detachable Universal Abutment (FDUA), Final Coping, and 5.0mm Hex Coping Screw.
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Fixed-Detachable Universal Abutment (FDUA) being inserted into well of implant.
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FDUA being tapped into well of implant.
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TRINIA® prosthesis being placed onto two FDUAs to initially confirm its passive seating.
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5.0mm Hex Coping Screw being inserted into anterior FDUA and Final Coping within TRINIA® prosthesis.
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5.0mm Hex Coping Screw being inserted into left posterior FDUA and Final Coping within TRINIA® prosthesis.
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5.0mm Hex Coping Screw being inserted into right posterior FDUA and Final Coping within TRINIA® prosthesis.
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Occlusal view of TRINIA® prosthesis with three Hex Coping Screws prior to their being shortened.
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Right posterior Hex Coping Screw being marked prior to being shortened.
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5.0mm Hex Coping Screw being shortened with a carbide bur so that, for aesthetic reasons, it will be slightly below the occlusal surface of the prosthesis.
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Hex Coping Screws can be shortened by 3.0mm so that it will be slightly below the occlusal height of the prosthesis.
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Shortened 5.0mm Hex Coping Screw with a periodontal probe.
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Anterior Hex Coping Screw being fastened to FDUA.
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Left posterior Hex Coping Screw being fastened to FDUA.
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Right posterior Hex Coping Screw being fastened to FDUA.
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Composite resin being applied over shortened anterior Hex Coping Screw.
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Composite resin being light cured.
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Composite resin being applied over shortened left posterior Hex Coping Screw.
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Radiographic image of a maxillary screw-retained prosthesis on three Bicon SHORT® Implants and a mandibular telescopic TRINIA® prosthesis on three twenty-four-year-old Bicon NARROW® Implants
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