Occlusal Registration and Insertion of a Mandibular TRINIA® Telescopic Full-Arch Restoration with a 25mm Extension on Two Bicon SHORT® Implants

Click on an image to view it larger in a slideshow. Click arrow icons or use keyboard arrow to switch photos. To exit the slideshow, click the X in the upper-right or press ESC.

Click "Switch View" below to change to a layout optimized for printing the case.

Switch Thumb

1.

Preoperative radiograph.

2.

Preoperative clinical view.

3.

Temporary Abutment being removed from 2.0mm well of the implant.

4.

View of implant wells of two implants.

5.

Mandibular wax rim with stylus on gothic arch plate with two central teeth for aesthetic confirmation.

6.

Maxillary wax rim with gothic arch plate.

7.

Mandibular wax rim with impression post being inserted into well of implant for stability.

8.

Clinical view of wax rim confirming vertical dimension of occlusion (VDO).

9.

Profile view confirming support of mandibular lip.

10.

Vertical dimension of Occlusion being recorded.

11.

Maxillary wax rim being inserted.

12.

Bite registration material recorded position after use of gothic arch tracing.

13.

Resin seating jig on two Universal Abutments.

14.

Labial view of TRINIA® prosthesis.

15.

View of mandibular ridge with two Temporary Abutments.

16.

View of mandibular ridge with two implant wells.

17.

Cotton pliers being used to facilitate the removal of a 5.0mm Universal Abutment from an implant analog within a stone model.

18.

Vaseline being applied to bore of resin seating jig to facilitate its removal after the seating of the two Universal abutments.

19.

Angled Universal Abutment being seated into the Vaselined bore of seating jig.

20.

Vaseline being applied to bore of resin seating jig to facilitate its removal after the seating of the two Universal abutments.

21.

Angled Universal Abutment being seated into the Vaselined bore of seating jig.

22.

Two angled Universal Abutments being transported to their implants with a seating jig.

23.

Two angled Universal Abutments prior to being seated into the well of their implants.

24.

Resin seating jig being tapped to simultaneously seat the two Universal abutments.

25.

Abutment being tapped with a Seating Tip attached to a Threaded Straight Handle to achieve a definitive seating.

26.

Abutment being tapped with a Seating Tip attached to a Threaded Straight Handle to achieve a definitive seating.

27.

Resin seating jig being removed with a crown removal instrument.

28.

Resin seating jig being removed with a crown removal instrument.

29.

Abutment being tapped with a Seating Tip attached to aThreaded Straight Handle to achieve a definitive seating.

30.

Abutment being tapped with a Seating Tip attached to a Threaded Straight Handle to achieve a definitive seating.

31.

View of two appropriately seated Universal Abutments with their shoulders supra-gingivally.

32.

TRINIA® prosthesis being seated on abutments to assure a passive fit.

33.

View of seated prosthesis confirming occlusion and stable fit.

34.

Black markings of TRINIA® bore being relieved with finishing bur to assure a passive fit.

35.

Vaseline being applied to bore of Retentive Coping to facilitate its removal.

36.

Retentive Coping being placed onto Universal Abutment.

37.

Retentive Coping being gently tapped to assure its definitive seating.

38.

Retentive Coping being placed onto Universal Abutment.

39.

Retentive Coping being gently tapped to assure its definitive seating.

40.

Clinical view of two Retentive Copings gently tapped onto Angled Universal Abutments.

41.

TRINIA® prosthesis being seated onto Retentive Copings to confirm passive fit.

42.

View of prostheses confirming appropriate occlusion.

43.

Vaseline being applied to facilitate removal of extraneous cement.

44.

Resin cement being applied to bores of TRINIA® prosthesis.

45.

TRINIA® prosthesis being placed onto Retentive Copings.

46.

TRINIA® prosthesis seated onto the Retentive Copings.

47.

TRINIA® prosthesis being tapped to achieve even and definitive seating on the copings

48.

TRINIA® prosthesis being tapped to achieve even and definitive seating on the copings.

49.

Occlusal pressure being applied, since it is essential that the prosthesis be maximally seated during the cementation.

50.

Crown removal instrument being used to remove the TRINIA® prosthesis with two Retentive Copings.

51.

View of two Retentive Copings within the bores of the prosthesis.

52.

Telescopic prosthesis with a 24.58mm distal extension.

53.

Extraneous cement being removed from 5.0mm Universal Abutments.

54.

Cleaned TRINIA® telescopic prosthesis being inserted onto Universal Abutments.

55.

View of seated prosthesis.

56.

Periapical radiograph of seated TRINIA® telescopic prosthesis on two Bicon SHORT® implants.

57.

Post insertion panoramic radiograph.

58.

Patient's smile.