This case demonstrates the clinical and laboratory procedures for the fabrication of maxillary and mandibular full-arch telescopic TRINIA™ restorations, each using four Bicon SHORT® Implants and cast chrome cobalt copings with Si-tec TK-FRIC retentive attachments in only three clinical visits.
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FIRST CLINICAL VISIT: Eight color-coded metal impression posts.
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Four color-coded acrylic impression sleeves on metal impression posts.
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Full-arch implant-level transfer impression being made.
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Maxillary impression with four acrylic sleeves within.
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Green 3.0mm impression post attached to a 3.0mm implant analog.
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Assembled impression post and implant analog being inserted into the acrylic sleeve within the mandibular implant-level transfer impression.
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Maxillary impression being sprayed with a universal separator.
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Soft tissue moulage being applied around the implant analogs to simulate the mucosa.
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Dental stone being poured around the implant analogs and soft tissue moulage.
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Articulated models with bite registration material over impression posts.
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Articulated models with impression posts.
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Universal abutment being inserted into corresponding implant analog.
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Universal abutments being modified to achieve parallelism.
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Light-cured resin jig being fabricated to facilitate the insertion of parallel abutments into implant analogs within the model, and intraorally into the implants.
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Articulated model and light-cured resin jig with sequential markings to facilitate the insertion of the abutments.
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Articulated waxed teeth arrangement.
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Teeth arrangement in group function.
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SECOND CLINICAL VISIT: Light-cured resin jig being used to facilitate the sequencing and actual orientation and seating of the milled abutments.
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Four seated parallel abutments.
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Waxed teeth arrangments being confirmed intraorally.
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Intraoral confirmation of waxed teeth arrangements.
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Maxillary silicone mask of confirmed waxed teeth arrangements.
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Fabricated mandibular silicone mask of confirmed waxed teeth arrangement.
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Three types of wax are used to fabricate telescopic copings: soft wax by Yeti, medium violet wax by GC, and hard green wax by Renfert.
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Maxillary waxed telescopic copings.
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Waxed mandibular copings with retentive attachments.
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Ghero Si-tec TK-FRIC retentive attachment to wax coping.
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Invested maxillary waxed copings.
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Mandibular copings being invested.
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Chrome cobalt-casted telescopic copings with Ghero Si-tec TK-FRIC retentive attachments.
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Digital image of scanned telescopic copings adapted on abutments.
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Digital image of scanned light-cured resin bar over telescopic copings.
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Digital image of scanned bar.
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Digital image of scanned bar with copings.
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Designed digital bar with red connectors indicating attachments to the TRINIA™ disc.
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Substructure being milled from the TRINIA™ disc.
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Milled substructure within the TRINIA™ disc.
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TRINIA™ bar adapted over telescopic copings on a model.
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Position of teeth arrangement was established with previously fabricated silicone mask, and attached to TRINIA™ bar with wax.
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Teeth arrangement after wax was removed from cervical area around the Candulor teeth.
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Second silicone mask being fabricated to reflect new gingival contours.
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Wax was removed with a steam spray to clean TRINIA™ bar and Candulor teeth.
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Cyanoacrylate glue being used to attach the Candulor teeth to the violet-colored silicone mask.
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Pink TRINIA™ bar, Candulor teeth, and violet-colored silicone mask revealing minimal space for adding acrylic resin to bond the teeth to the bar.
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Shofu CRB 1 and CRB 2 being applied to bond the acrylic resin to the TRINIA™ bar.
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Acrylic resin used to bond the Candulor teeth to the TRINIA™ bar.
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THIRD CLINICAL VISIT: Vaseline being applied to the bore of a telescopic coping to facilitate its withdrawal from a mandibular milled abutment.
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Cast chrome cobalt telescopic coping being placed onto a mandibular milled abutment.
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Four seated cast chrome cobalt telescopic copings seated on parallel abutments.
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Resin cement being applied to the bores of the mandibular TRINIA™ prosthesis.
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Vaseline being applied to the bore of a maxillary telescopic coping to facilitate its withdrawal from a maxillary abutment.
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Cast chrome cobalt telescopic coping being placed onto a milled abutment.
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Resin cement being applied to the bores of the maxillary TRINIA™ prosthesis.
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Radiographic image of the mandibular implants and the telescopic TRINIA™ prosthesis.
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Clinical image of the two full-arch telescopic TRINIA™ prostheses.
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Patient's smile with two full-arch telescopic TRINIA prostheses.
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