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.
SURGICAL: Immediate Placement
TOPICS: TRINIA®
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Pre-operative clinical view with nine-year-old 4.5 x 8.0mm implant and Integrated Abutment Crown™ (IAC).
Existing IAC being removed.
A 5T Universal Abutment seated in the well of the existing implant.
A 4.0 x 6.0mm implant being inserted into the osteotomy on an inserter-retriever instrument.
One 4T and three 5T Universal Abutments each seated in the well of their implants.
One 4T and three 5T Universal Abutments with temporization sleeves modified into rings to be cervical portion of transitional prosthesis.
Winged TRINIA® transitional prosthesis being cemented onto adjacent natural teeth.
Two-week post-operative facial view of winged TRINIA® transitional prosthesis.
Six-month post-operative facial view of winged TRINIA® transitional prosthesis.
Six-month post-operative palatal view of winged TRINIA® transitional prosthesis.
Facial view of two green 3.0mm and two blue 2.5mm guide pins in the well of each implant.
Palatal view of two green 3.0mm and two blue 2.5mm guide pins in the well of each implant.
A 5.0mm sulcus former being rotated on a 3.0mm guide pin.
A 5.0mm sulcus former being rotated on a 3.0mm guide pin.
A 5.0mm sulcus former being rotated on a 2.5mm guide pin.
A 4.0mm sulcus former being rotated on a 2.5mm guide pin.
Facial view of two green 3.0mm and two blue 2.5mm impression posts in the well of each implant.
Facial view of the bite with two green 3.0mm and two blue 2.5mm impression posts in the well of each implant.
Facial view of two green 3.0mm and two blue 2.5mm acrylic impression sleeves over posts in the well of each implant.
Vaseline being applied to the adjacent natural teeth to facilitate removal of the impression material.
Impression material being injected around the impression sleeves.
Occlusal registration material being applied to the impression sleeves.
Facial view of four prepared sulci.
Facial view of four prepared sulci.
Palatal view of one 4T and three 5T Universal Abutments.
Facial view of one 4T and three 5T Universal Abutments.
Winged TRINIA® transitional prosthesis being placed over one 4T and three 5T Universal Abutments.
Facial view of four IACs on a stone model. Note: the two bicuspid IACs have a TRINIA® substructure for extra durability.
Palatal view of four IACs on a stone model.
Blue ink marking the occlusal and incisal contacts of the IACs.
Facial view of the bite with the definitively seated IACs.
Patient's smile.
Post-insertion radiograph of two implants with bicuspid IACs with TRINIA® substructures.
Post-insertion radiograph of two implants with a canine IAC and a lateral incisor IAC.
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