Removal of Two Nine-Year-Old Integrated Abutment Crowns™ (IACs) and the Insertion of a Six-Unit TRINIA® Cemented Prosthesis With Mesial and Distal Extensions for a Seventy-Eight-Year-Old Patient

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1.

Pre-operative clinical view.

2.

Pre-operative radiograph of nine-year-old Integrated Abutment Crowns™ (IACs).

3.

Clinical view after the extraction of two incisors.

4.

Integrated Abutment Crown™ (IAC) being removed.

5.

Integrated Abutment Crown™ (IAC) being removed.

6.

Six-unit TRINIA® bridge on two modified Universal Abutments.

7.

Black markings in bores of six-unit TRINIA® bridge indicating non-passive fit and the need for minor modification.

8.

Cotton pliers being used to remove modified Universal Abutments from Implant Analogs.

9.

First modified Universal Abutment being loosely inserted into bore of six-unit TRINIA® bridge.

10.

Second modified Universal Abutment being loosely inserted into bore of six-unit TRINIA® bridge.

11.

Loosely-seated abutments being transported to their implant wells.

12.

Bridge being used to orient and initially seat the abutments.

13.

Bridge being tapped with a white healing abutment in a Threaded Straight Handle to simultaneously seat the abutments.

14.

Crown removal instrument being used to remove the six-unit TRINIA® bridge from the abutments.

15.

Six-unit TRINIA® bridge being removed from the abutments.

16.

Abutment Seating Tip in a Threaded Straight Handle being tapped to definitively seat the abutments.

17.

View of seated six-unit TRINIA® bridge.

18.

Post-operative radiograph.