Implant-Level Impression and Insertion of a Full-Arch Maxillary Telescopic TRINIA® Prosthesis on Three Universal Abutments and Retentive Copings

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1.

Pre-operative panoramic radiograph of three Bicon SHORT® Implants.

2.

Patient's pre-operative smile.

3.

Facial view of patient's existing prostheses.

4.

Wax being used to increase the patient's vertical dimension of occlusion (VDO).

5.

View of the wax occlusal recording.

6.

Palatal view of an atrophic ridge with a Healing Abutment and a 5 Series Tall Profile Universal Abutment.

7.

Maxillary left posterior implant being uncovered.

8.

Bone over the implant and Healing Plug being removed.

9.

Retrieved Healing Plug on a Healing Plug Removal Instrument.

10.

5 Series Tall Profile Universal Abutment being removed from its implant with Abutment Removal Forceps.

11.

Healing Abutment being removed from its implant.

12.

One blue 2.5mm and two green 3.0mm Guide Pins seated in their implants to confirm their trajectory and osseointegration.

13.

Gold 5.0mm Sulcus Former on a Threaded Straight Handle being rotated on a Guide Pin to shape the implant's sulcus and remove excess tissue.

14.

Gold 5.0mm Sulcus Former on a Threaded Knob being rotated on a Guide Pin to shape the implant's sulcus and remove excess tissue.

15.

Gold 5.0mm Sulcus Former on a Threaded Knob being rotated on a Guide Pin to shape the implant's sulcus and remove excess tissue.

16.

One blue 2.5mm and two green 3.0mm Impression Posts seated in their implants for the making of a full-arch implant-level transfer impression.

17.

One blue and two green Impression Sleeves seated on their corresponding Impression Posts.

18.

Impression material being injected around the Impression Posts and Sleeves.

19.

One blue and two green Impression Sleeves captured within a full-arch implant-level transfer impression.

20.

View of the wax rim occlusal registration at an increased VDO.

21.

View of the occlusal registration with a wax rim and mandibular prosthesis.

22.

One blue 2.5mm and two green 3.0mm Implant Analogs seated in their corresponding Impression Sleeves with moulage for the fabrication of a soft tissue master model.

23.

One blue 2.5mm and two green 3.0mm Impression Posts seated in the soft tissue master model.

24.

Left profile view of a waxed teeth arrangement on the master model.

25.

Right profile view of a waxed teeth arrangement on the master model.

26.

Occlusal view of a waxed teeth arrangement on the master model.

27.

Patient's occlusal registration being recorded with the waxed teeth arrangement.

28.

Silicone mask of the waxed teeth arrangement to confirm adequate spacing for the Universal Abutments, Retentive Copings, and the necessary 2.0mm of thickness of TRINIA® material over the Retentive Copings for strength.

29.

Silicone mask being used to verify adequate spacing for milled CAD/CAM crowns.

30.

Palatal view of an atrophic ridge with a Healing Abutment, a 5 Series Tall Profile Universal Abutment, and a titanium Temporary Abutment.

31.

Facial view of an atrophic ridge with a Healing Abutment, a 5 Series Tall Profile Universal Abutment, and a titanium Temporary Abutment.

32.

Three Retentive Copings seated on their Universal Abutments in the soft tissue master model.

33.

Ridge-side view of a maxillary TRINIA® prosthesis with three bores into which the Retentive Copings will be cemented.

34.

Occlusal view of the maxillary TRINIA® prosthesis on the soft tissue master model.

35.

Facial view of the maxillary TRINIA® prosthesis on the soft tissue master model.

36.

Light-cured resin orientation and seating jig on three Universal Abutments in a stone model with numerical markings indicating the sequence to seat the abutments.

37.

Facial view of an atrophic ridge with three 5 Series Universal Abutments; one Extra-Tall Profile, one Standard Profile, and one Tall Profile.

38.

Palatal view of an atrophic ridge with three 5 Series Universal Abutments; one Extra-Tall Profile, one Standard Profile, and one Tall Profile.

39.

Ridge-side view of the maxillary telescopic TRINIA® prosthesis after the three Retentive Copings were cemented into its bores.

40.

Vaseline being injected into the Retentive Copings of the TRINIA® prosthesis to facilitate its insertion and removal from the Universal Abutments.

41.

Facial view of the maxillary telescopic TRINIA® prosthesis in occlusion.

42.

Left profile view of the maxillary telescopic TRINIA® prosthesis in occlusion.

43.

Right profile view of the maxillary telescopic TRINIA® prosthesis in occlusion.

44.

Occlusal view of the maxillary telescopic TRINIA® prosthesis.

45.

Facial view of the maxillary telescopic TRINIA® prosthesis.

46.

Patient's post-insertion smile.

47.

Post-insertion panoramic radiograph of the maxillary telescopic TRINIA® prosthesis with Retentive Copings on three 5 Series Universal Abutments and Bicon SHORT® Implants.