Implant-Level Impression, Laboratory Fabrication, and Insertion of a Full-Arch Maxillary Telescopic TRINIA® Prosthesis on Three Universal Abutments and Retentive Copings in Only Two Restorative Visits

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1.

First Restorative Visit. Pre-extraction panoramic radiograph of six maxillary non-restorable teeth with one 5.0 x 6.0mm and two three- year-old 4.0 x 6.0mm Bicon SHORT® Implants.

2.

Pre-extraction facial view of six maxillary non-restorable teeth prior to the removal of the three-year-old Integrated Abutment Crowns™ (IACs).

3.

Occlusal registration being recorded with occlusal registration material around three Impression Posts and Sleeves.

4.

One green 3.0mm and one blue 2.5mm Impression Sleeve captured in the occlusal registration material.

5.

Palatal view of one green 3.0mm and two blue 2.5mm Impression Sleeves seated on their corresponding Impression Posts.

6.

Impression material being injected around the teeth, and Impression Posts and Sleeves.

7.

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

8.

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

9.

Left profile view of two 5 Series Extra-Tall Profile Universal Abutments seated in the soft tissue master model.

10.

Partial waxed teeth arrangement on the master model.

11.

View of a full-arch waxed teeth arrangement after the teeth to be extracted were removed from the model.

12.

Silicone mask of the waxed teeth arrangement for confirming adequate positioning of the Universal Abutments, and spacing for the application of TRINIA®, and polyceramic materials with 2.0mm of occlusal thickness of TRINIA® over retentive copings for strength.

13.

Two 5 Series Extra-Tall Profile Universal Abutments, with 0.5 degrees of divergence amongst them, seated in an Implant Analog within a stone model with numerals 1 indicating that the abutments should be seated first.

14.

One 5 Series Tall Profile Universal Abutment seated in an Implant Analog within a stone with a numeral 2 indicating that the abutment should be seated second.

15.

Light-cured resin orientation and seating jig marked with red ink on the buccal to facilitate the initial positioning of the first- sequenced 5 Series Extra-Tall Profile Universal Abutments.

16.

Light-cured resin orientation and seating jig marked with red ink on the buccal to facilitate the initial positioning of the second- sequenced 5 Series Tall Profile Universal Abutment.

17.

Occlusal view of the light- cured resin orientation and seating jig, which will be used with Vaseline to transport and seat the loosely held abutments into the wells of their implants. The abutments should have 0.5 degrees of divergence among them for retention.

18.

Polyurethane disc, which will be used to mill a test- substructure to facilitate evaluating the appropriateness of the digital design.

19.

Digitally designed polyurethane test-substructure, which will be used to visually confirm the appropriateness of its design, and if necessary, will be modified prior to being scanned for the fabrication of a TRINIA® substructure.

20.

Scan of the waxed teeth arrangement.

21.

Scan of three retentive copings seated on the selected 5 Series Universal Abutments.

22.

Digital design of the teeth arrangement.

23.

Digital design of a TRINIA® substructure.

24.

Roland milling machine with milling burs, which are rotated at 16,000RPM, and 25,000RPM respectively.

25.

Milled TRINIA® substructure prior to being removed from its 98 x 15mm TRINIA® disc.

26.

Eight polyceramic crowns milled from hybrid ceramic blocks, prior to being cemented to the TRINIA® substructure.

27.

Four milled polyceramic crowns after being cemented onto the TRINIA® substructure.

28.

Facial view after the application of polyceramic material to the milled crowns to enhance their aesthetic appearance.

29.

Right profile view of the finished prosthesis and a 5 Series Tall Profile Universal Abutment.

30.

Left profile view of the finished prosthesis and two 5 Series Extra-Tall Profile Universal Abutments.

31.

Second Restorative Visit. Occlusal view of the finished telescopic TRINIA® prosthesis.

32.

Two blue 2.5mm Guide Pins seated in their respective implants prior to being used with a Sulcus Former for the preparation of the implants' sulci for the insertion of the 5 Series Tall and Extra-Tall Profile Universal Abutments.

33.

Gold 5 Series Sulcus Former being rotated on a blue 2.5mm Guide Pin to remove any excess bone and soft tissue while shaping the implant's sulcus.

34.

Post-extraction view of the maxillary arch.

35.

Three retentive copings prior to two of them being reduced for occlusal clearance, and their cementation into the bores of the TRINIA® prosthesis.

36.

Facial view of the telescopic TRINIA® prosthesis after the cementation of three retentive copings into the bores of the prosthesis with resin cement.

37.

Ridge-side view of the telescopic TRINIA® prosthesis after it was relined chairside with gingival polyceramic material to fill the space created by the removal of teeth.

38.

Facial view of the chairside relined telescopic TRINIA® prosthesis.

39.

Patient's smile while still anesthetized with local anesthesia.

40.

Post-insertion radiograph of the telescopic TRINIA® prosthesis with a 5 Series Tall Profile Universal Abutment in a 5.0 x 6.0mm Bicon SHORT® Implant.

41.

Post-insertion radiograph of the telescopic TRINIA® prosthesis with two 5 Series Extra-Tall Profile Universal Abutments in two 4.0 x 6.0mm Bicon SHORT® Implants.

42.

Post-insertion panoramic radiograph of the telescopic TRINIA® prosthesis with cemented milled crowns and three 5 Series Universal Abutments on three Bicon SHORT® Implants.