Saturday, March 24th 2018 10:04AM EDT

Latest Cases


NEW! Replacement of 25-Year-Old Maxillary and Mandibular O-Ring Relined Overdentures with Telescopic TRINIA® Prostheses

Posted on in Overdentures, Restorative, Telescopic Restorations

This case demonstrates the clinical and laboratory techniques and procedures for the replacement of two twenty-five-year-old tissue-borne overdentures with a telescopic maxillary implant-borne prosthesis on four implants and a telescopic mandibular implant-borne prosthesis on only two implants with 24mm and 21mm cantilevers.


NEW! Nine-Year Follow-Up and CBCT Imaging of 24 Bicon SHORT® Implants and Integrated Abutment Crowns™ (IACs)

Posted on in Integrated Abutment Crowns™, Restorative, SHORT® Implants

This case demonstrates the nine-year follow-up, cone beam computed tomography (CBCT) imaging, and intraoral polishing of twenty-four Bicon SHORT® Implants and their individual Integrated Abutment Crowns™ (IACs). The documentation of the surgical and restorative treatments can be found at the following link:


NEW! One-Stage Surgical Placement of Two Maxillary and One Mandibular Congenitally Missing Lateral Incisors with SHORT® Implants

Posted on in Integrated Abutment Crowns™, One Stage, Restorative, SHORT® Implants, Surgical

This treatment demonstrates the Bicon one-stage surgical technique with transmucosal Temporary Abutments for three congenitally missing lateral incisors in a 21-year-old man and their subsequent prosthetic restoration with three Integrated Abutment Crowns™(IACs).


Insertion and Adjustment of an Eight-Unit Maxillary Telescopic TRINIA® Prosthesis on Four SHORT® Implants

Posted on in SHORT® Implants

This treatment demonstrates the clinical techniques for the fabrication and insertion of an eight-unit maxillary telescopic TRINIA® prosthesis on three custom cast chrome cobalt telescopic copings and one milled retentive coping, and the subsequent removal (three weeks later) of excessive polyceramic material from around the margins to eliminate irritation to the soft tissues under the prosthesis. This treatment also demonstrates the clinical compromises to healthy soft tissues caused by trying to achieve unnecessary gingival aesthetics rather than accepting supragingival titanium abutment margins.


Implant Placement and Restoration of a Six-Unit Cemented TRINIA® Prosthesis in Only Two Clinical Visits

Posted on in Extraction, Immediate Placement, SHORT® Implants

This treatment demonstrates the extraction of a maxillary lateral incisor and the immediate placement of a 4.0 x 6.0-mm implant with a 2.5-mm well for a 91-year-old man. An implant-level transfer impression was made for an existing integrated molar implant and the immediately placed incisor implant. The existing molar implant, with a 3.0-mm well, was used to provide support for a temporary prosthesis during the four months of healing. The permanent TRINIA® prosthesis with six units of handcrafted polyceramic teeth was cemented at the time of the implant’s uncovering during the patient’s second clinical visit.


Replacement of a Failed Screw-Retained Prosthesis with a Telescopic TRIO-TRINIA® Prosthesis with Milled Hybrid Polyceramic Teeth

Posted on in Restorative, SHORT® Implants, Surgical, Telescopic Restorations, Uncovering

This treatment for an 83-year-old woman, who presented with a failed maxillary prosthesis supported by five screw-retained IMZ implants, demonstrates the clinical capabilities of a telescopic TRINIA® prosthesis supported by only three Bicon SHORT® Implants: two 4.5 x 6.0-mm implants with a 3.0-mm well, and one 4.0 x 6.0-mm implant with a 2.5-mm well. The laboratory techniques and procedures of this treatment are also presented. After five months of healing, the implants were uncovered and a telescopic TRIO-TRINIA® prosthesis was fabricated with milled hybrid polyceramic teeth.


Immediate Load of Three Maxillary Incisor 4.5 x 8.0mm Implants

Posted on in Immediate Placement, Integrated Abutment Crowns™, Restorative, Surgical

This treatment demonstrates the extraction of teeth #8, 9, and 10, and the subsequent placement and immediate loading of three 4.5 x 8.0mm implants with 2.5mm wells, the preparation of the osteotomy with latch reamers rotating at 50RPM, as well as the fabrication of a temporary stabilizing prosthesis with polyacrylate material and a vacupress former.


Anterior Placement of Two 3.0 x 6.0mm SHORT® Implants with Mandibular Central Incisor Integrated Abutment Crowns™

Posted on in Integrated Abutment Crowns™, Restorative, SHORT® Implants, Uncovering

This treatment demonstrates the placement of two 3.0 x 6.0mm SHORT® Implants with 2.0mm wells and the insertion of two mandibular central incisor Integrated Abutment Crowns™ (IACs).


Placement of Two 4.0 x 6.0mm SHORT® Implants in the areas of Congenitally Missing Maxillary Lateral Incisors with Grafting Procedures

Posted on in Integrated Abutment Crowns™, Restorative, SHORT® Implants

This treatment demonstrates the placement of two 4.0 x 6.0mm SHORT® Implants for the replacement of congenitally missing maxillary lateral incisors using harvested autogenous bone, SynthoGraft™ (a pure phase beta-tricalcium phosphate), collagen membranes, and leukocyte platelet-rich fibrin (LPRF) membranes.


Replacement of an O-ring Mandibular Overdenture with a Telescopic TRINIA®-HC Prosthesis Utilizing Gothic Arch Occlusal Registration Tracing

Posted on in Overdentures

This case demonstrates the clinical and laboratory procedures and techniques to replace a 10-year-old O-Ring mandibular overdenture on three O-Ring Abutments with a telescopic prosthesis of TRINIA® and Shofu disc HC, CAD/CAM material, with three milled retentive copings on Universal Abutments in two clinical visits for a 75-year-old woman.

During the first clinical visit, the three O-Ring Abutments were removed from their implants, and three 2.0mm impression posts and corresponding acrylic sleeves were inserted for the making of a full arch implant-level transfer impression. An initial centric occlusal registration was recorded using modified acrylic impression sleeves at the patient’s existing vertical dimension of occlusion with the bite registration material, Capture. While the patient waited, the impressions were poured and the stone models articulated for the fabrication of a maxillary stylus and mandibular tracing plate to facilitate the registration of the patient’s centric relation utilizing the Gothic arch occlusal registration tracing. After recording the patient’s centric relation, the O-Ring Abutments were re-inserted, and the occlusal registration was sent to the dental technician for the fabrication of a telescopic TRINIA® substructure to which three separately milled teeth arrangements of Shofu disc HC material were bonded.

During the second clinical visit, the O-Ring Abutments were removed, and three Universal Abutments were inserted into the implants utilizing a light-cured resin orientation/seating jig, prior to the cementation of three milled retentive copings into the bores of the TRINIA®-HC prosthesis.

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