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

Posted on February 24, 2018 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: http://bit.ly/2orgcxl

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

Posted on February 23, 2018 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).

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

Posted on December 27, 2017 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 December 13, 2017 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 December 11, 2017 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 December 11, 2017 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 October 30, 2017 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.

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 August 10, 2017 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.

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 July 24, 2017 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.

Insertion of a Maxillary Full Arch TRINIA® Telescopic Prosthesis

Posted on July 18, 2017 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.