Uncovering of Four Bicon SHORT® Implants with the Subsequent Removal of Three FDUA Transitional Implants and the Fabrication and Insertion of a Screw-Retained Mandibular Full-Arch TRINIA® Prosthesis
This case demonstrates the uncovering of four Bicon SHORT® Implants with the subsequent removal of three Fixed-Detachable Universal Abutment (FDUA) Transitional Implants after six months of their successfully supporting a transitional TRINIA® prosthesis for a sixty-three-year-old female patient. The final Fixed-Detachable Universal Abutments were inserted using Titanium Transfer Copings for a conventional open tray abutment-level full-arch transfer impression. Additionally, the permanent TRINIA® prosthesis was secured using Hex Coping Screws of which two were shortened so that they would be positioned slightly below the occlusal aspect of the prosthesis to provide an aesthetic appearance.
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Initial radiograph prior to the placement of seven mandibular implants.
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Preoperative radiograph of three FDUA Transitional Implants and four Bicon SHORT® Implants.
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Clinical view of screw-retained transitional prosthesis.
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Three FDUA Transitional Implants after the unfastening of the Hex Coping Screws and removal of the transitional TRINIA® prosthesis.
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Four 3.0mm Guide Pins in the wells of uncovered Bicon SHORT® Implants. Note the three FDUA Transitional Implants, six months after their placement.
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Fixed-Detachable Universal Abutment (FDUA) being inserted into 3.0mm well of an uncovered Bicon SHORT® Implant.
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Hex Retention Screw being inserted into threaded bore of FDUA.
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Three Final Copings within transitional TRINIA® prosthesis with four bores to rest on FDUAs of Bicon SHORT® Implants.
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View of three FDUA Transitional Implants and four FDUAs prior to making an abutment-level transfer impression.
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Transfer Coping being fastened to FDUA.
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Transfer Coping being inserted onto FDUA.
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Four Transfer Copings prior to being attached together and prior to the making of an abutment-level transfer impression and three FDUA Transitional Implants.
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Resin cement being applied to Transfer Copings to assure their relative position during the making of a conventional open tray abutment-level transfer impression.
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Four Transfer Copings attached with resin cement for the making of a conventional impression.
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Attached Transfer Copings within a blue open impression tray.
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Open tray impression prior to the unfastening of the four Transfer Copings.
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Four attached Transfer Copings within conventional impression material.
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Four attached Transfer Copings attached with red resin prior their being used to confirm their accurate positioning.
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Waxed arrangement of teeth prior to being used to confirm its appropriateness.
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Confirmation jig with Transfer Copings. The jig was not accurate; therefore, it was sectioned.
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FDUA Transitional Implant prior to being removed with a Transitional Implant Latch Driver.
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FDUA Transitional Implant being removed with a Transitional Implant Latch Driver.
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First FDUA Transitional Implant being removed with a carbide tipped forceps six months after its placement.
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Bonded red resin jig around the four repositioned Transfer Copings.
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Newly repositioned Transfer Copings within conventional impression material.
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Permanent TRINIA® prosthesis on stone model.
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Permanent TRINIA® prosthesis with four bores for the chairside attachment of four Final Copings.
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Third FDUA Transitional Implant being removed with a Transitional Implant Latch Driver.
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Third FDUA Transitional Implant being removed with a Transitional Implant Latch Driver.
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Third FDUA Transitional Implant being removed with a Transitional Implant Latch Driver.
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Third FDUA Transitional Implant being removed with a carbide tipped forceps seven months after its placement.
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View of four FDUAs and site of recently removed FDUA Transitional Implant seven months after its placement.
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Permanent TRINIA® prosthesis being inserted onto four FDUAs.
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Permanent TRINIA® prosthesis seated on four FDUAs.
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First Final Coping being seated onto FDUA.
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Second Final Coping being seated onto FDUA.
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Four FDUAs attached with three 5.0mm Hex Coping Screws and one 10.0mm Hex Coping Screw.
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TRINIA® prosthesis being seated onto copings to confirm a path of insertion and a passive seating.
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Vaseline being applied to the shaft of the screws to facilitate their removal after the resin cementing of the Four FDUAs.
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Resin cement being applied to the bores of the TRINIA® prosthesis.
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TRINIA® prosthesis being inserted onto copings for their cementation to the prosthesis.
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TRINIA® prosthesis being firmly seated onto copings for their cementation to the prosthesis.
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Resin cement in the bores of prosthesis being light cured, while the Hex Screwdrivers prevent cement from filling the hex bores of the screws.
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Four Final Copings cemented within TRINIA® prosthesis, prior to the removal of extraneous cement.
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TRINIA® prosthesis being fastened to a FDUA with a 10.0mm Hex Coping Screw.
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Hex Coping Screws can be shortened by 3.0mm so that it will be slightly below the occlusal height of the prosthesis.
48.
Hex Coping Screw being shortened to be slightly below the occlusal height of the prosthesis.
49.
Hex Coping Screw being shortened to be slightly below the occlusal height of the prosthesis.
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