Listing for Category: Restorative

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NEW! Replacing an Implant-Retained Overdenture with Four Locator Abutments with a Handcrafted Polyceramic TRINIA® Telescopic Prosthesis on Four Universal Abutments with Four Milled Retentive Copings in Only Two Restorative Visits

Posted on in Overdentures, Porcelain Fused to Metal

This treatment demonstrates the clinical and laboratory aspects for the fabrication and insertion of a handcrafted polyceramic TRINIA® telescopic restoration on four unmodified Universal Abutments with four milled retentive copings to replace an implant-retained overdenture with four Locator Abutments for an eighty-four-year-old man, who was not satisfied with his Locator retained prosthesis. During the first clinical visit, after the clinical evaluation and consult, the patient’s four Locator abutments were removed and a full arch implant-level transfer impression was made along with a tooth shade and an initial occlusal registration, for the fabrication of a Gothic Arch plate and stylus. Subsequent to the fabrication of the Gothic Arch devices, a second occlusal registration was made and the patient’s existing Locator abutments were reinserted prior to reinserting his existing overdenture. During the second clinical visit, the Locator abutments were removed and four unmodified Universal Abutments were inserted using two light-cured resin orientation and seating jigs as sequenced according to the technician’s numerical markings on the master soft tissue model. Once the abutments were properly seated and the four milled retentive copings were passively fitted to the handcrafted polyceramic TRINIA® prosthesis, the copings were cemented with a resin cement into the bores of the TRINIA® framework, prior to delivering the new telescopic prosthesis to the patient.

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NEW! Laboratory and Clinical Aspects of Fabricating and Inserting Four Universal Abutments for the Immediate Insertion of a Milled PMMA Telescopic Transitional Prosthesis and a Permanent Handcrafted Poly-ceramic Telescopic Prosthesis on a TRINIA® Framework with Three Milled Copings and One Custom Cast Chrome Cobalt Coping with an Interchangeable Retentive Attachment

Posted on in Telescopic Restorations, Uncovering

This treatment depicts the detailed aspects and nuances of the above-described prostheses in only three clinical restorative visits, which included:
During the first visit, the surgical uncovering of four implants, an implant-level transfer impression, the recording of an initial occlusal relationship, and choosing an aesthetic tooth shade.
During the second visit, the extraction of the four teeth, insertion of three unmodified and one modified Universal Abutment, which was unwisely modified to achieve an unnecessary aesthetic effect by using a custom cast chrome cobalt retentive coping, a second occlusal registration, and the insertion of a milled PMMA telescopic full arch transitional prosthesis, with gingiva-colored Ceramage material added for aesthetics, to confirm the appropriateness of the teeth arrangement as well as a transitional device for function while the extraction sites were healing and the permanent TRINIA® restoration was being fabricated. Alternatively, as a less expensive option, the PMMA prosthesis could have been affixed to the abutments without the telescopic copings.
During the third visit, the insertion of a handcrafted poly-ceramic telescopic restoration on a TRINIA® framework with three cemented milled retentive copings and one custom cast chrome cobalt coping with a yellow SiTec retentive attachment, as well as the intra-oral relining of the prosthesis with Ceramage.

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Insertion of a Maxillary Full Arch TRINIA® Telescopic Prosthesis

Posted on in Telescopic Restorations

This treatment demonstrates the sequential use of a resin seating jig to facilitate the orientation and seating of four abutments for the insertion of a maxillary full arch TRINIA® telescopic prosthesis with two milled retentive copings and two custom cast chrome cobalt copings on four implants for a 59-year-old woman.

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The Insertion of Two Contiguous Implants into a Mandibular Bone Void Using Sinus Lift Abutments with SynthoGraft®, and Their Subsequent Restoration with Two Integrated Abutment Crowns™

Posted on in Integrated Abutment Crowns™, SHORT® Implants

This treatment demonstrates the insertion of a 4.0 x 6.0mm implant and a 4.5 x 6.0mm implant into two contiguous mandibular osteotomies, which communicated with each other because of a bone void. After preparation of the implant osteotomies through the crest of cortical bone, the soft tissue content of the bone void was thoroughly removed from the bony walls of the defect with a spoon excavator prior to filling the defect with a putty-like consistency of the patient’s blood and SynthoGraft®, a pure-phase beta-tricalcium phosphate. A sinus lift abutment was used to prevent the implants from being displaced into the defect. Subsequently, the implants were restored with Universal Abutments and Integrated Abutment Crowns (IACs).

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Insertion of a Two-Unit TRINIA® Prosthesis to Replace an Ill-Fitting Prosthesis

Posted on in Porcelain Fused to Metal

This treatment demonstrates the insertion of a two-unit TRINIA® prosthesis for maxillary central incisor implants in a 71-year-old male, who presented with an ill-fitting, splinted Porcelain-Fused-to-Metal (PFM) prosthesis.

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Insertion of a TRINIA® Telescopic Prosthesis

Posted on in Overdentures, Restorative

This treatment demonstrates the insertion of a TRINIA® telescopic restoration on five non-parallel implants for a 70-year-old woman, who previously had a four-implant-retained o-ring overdenture.

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Guided Bone Regeneration Technique and Implant Placement in an atrophic mandibular first molar site

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

This treatment offers an alternative to ridge splitting procedures, demonstrating the molar implant placement and simultaneous guided bone regeneration of a 56-year-old woman’s atrophic left mandible. Because of the very thin and dense crestal bone, a high-speed drill was used to initiate the osteotomy prior to the successive use of latch and hand reamers, and the placement of a 4.5 x 6.0mm implant, which was covered with SynthoGraft™ within a collagen membrane pocket. The 5-year post-insertion clinical and radiographic images reveal a successful treatment with significant bone gain.

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Immediate Placement and Restoration of a Maxillary First Molar with an Extra-Orally Cemented E-Max Crown

Posted on in Extraction, Immediate Placement, Restorative, Surgical

This case demonstrates the extraction of a maxillary first molar and the immediate placement of a 6.0 x 6.0mm implant. Additionally, three different impression techniques are presented: implant-level transfer impression, abutment-level transfer impression, and digitally scanned impression flag. Furthermore, the extra-oral cementation of an E-max (lithium disilicate) crown is demonstrated.

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Insertion and Relining of a Maxillary Telescopic TRINIA™ Prosthesis

Posted on in Restorative, Telescopic Restorations

This case demonstrates the insertion of a maxillary full arch telescopic restoration with two conventional telescopic copings with yellow retentive inserts and two milled titanium copings on four implants, one of which is badly positioned.

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Extraction of a Maxillary Left First Premolar and its Replacement with a SHORT® 4.5 x 6.0mm Implant, and Grafting with LPRF, Collagen Membranes, and SynthoGraft™, a pure phase beta tricalcium phosphate

Posted on in Extraction, Integrated Abutment Crowns™

This case demonstrates the extraction of a maxillary left first premolar and its replacement with a SHORT® 4.5 x 6.0mm implant using SynthoGraft™, Leukocyte and Platelet Rich Fibrin (LPRF), and collagen membranes. The osteotomy was carefully prepared using latch and hand reamers in 0.5mm increments despite a buccal bone perforation.

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