This treatment demonstrates the insertion of a TRINIA® telescopic restoration on five non-parallel implants for a 70-year-old woman, who previously had a four-implant-retained o-ring overdenture.
RESTORATIVE: Overdentures
TOPICS: TRINIA®
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Pre-operative radiograph of five non-parallel implants, four of which retained an overdenture for seven years.
Clinical view of four Brevis™ Abutments.
Two custom telescopic copings and two purple retentive and one metallic non-retentive milled copings on five Universal Abutments on stone model.
Facial view of completed TRINIA® telescopic prosthesis on stone master model.
Left lateral view of TRINIA® prosthesis with two red #1 numerals marked on stone model indicating the initial insertion sequence of two corresponding left abutments.
Right lateral view of prosthesis on stone model with two black #2 numerals, and one black #3 numeral with a corresponding black arrow, indicating the seating sequence of the corresponding abutments. The arrow indicates the need to loosely place an abutment into the implant well prior to engaging the resin seating jig.
Dividing a seating jig into two pieces and applying Vaseline into its bores often facilitates its use.
Two Universal Abutments loosely seated in the Vaseline-coated bores of a seating jig being transported to the wells of two non-parallel implants.
Initial seating of the abutments is being achieved by tapping on the seating jig itself.
The two right posterior abutments, which are second in sequencing, are being transported to their implants.
The initial seating of the two right posterior abutments is being achieved by tapping on the seating jig itself.
The initial definitive seating of the two right posterior abutments is being achieved by tapping directly on the abutments with a red insertion tip.
The final seating is being achieved by tapping directly on the abutment with an abutment seating tip attached to a straight driver.
The angled anterior abutment is being loosely placed into its implant well prior to engaging the seating, since it was not only labeled as the third in sequencing, but also by the arrow to be in need of engaging the implant well prior to engaging the seating jig.
The seating jig is being placed onto the third abutment to align the abutment prior to its seating.
The seating jig is being removed after the jig was tapped to definitively seat the angled abutment.
The angled abutment is being definitively seated by an insertion tip attached to a threaded driver.
Clinical view of two anterior custom telescopic copings and two purple retentive and one metallic non-retentive milled copings on five Universal Abutments.
TRINIA® prosthesis being seated onto five copings to confirm the fit.
Resin cement being applied to the bores of the TRINIA® prosthesis.
TRINIA® prosthesis being cemented to the five telescopic copings seated on the five Universal Abutments.
View of TRINIA® prosthesis with resin-cemented telescopic copings attached.
Vaseline having been applied to the bores of the copings and the undersurface of the prosthesis facilitates the removal of the prosthesis from the Universal Abutments, and the removal of extraneous cement from the TRINIA® prosthesis.
Patient's smile.
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