Listing for Category: Telescopic Restorations

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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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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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Fabrication and Insertion of a Four-Implant Mandibular Full Arch TRINIA™ Telescopic Prosthesis with Two Lithium Disilicate Crowns to Resist Abrasion of Composite Denture Teeth Against Opposing Maxillary Porcelain Restorations

Posted on in Surgical, Telescopic Restorations

This case demonstrates the fabrication of a four-implant mandibular full arch TRINIA™ telescopic prosthesis, beginning with the making of an implant-level transfer impression and bite registration, followed by the laboratory fabrication of a soft tissue model with four Universal abutments prosthetic posts with two to three degrees of parallelism; a light-cured resin verification jig with milled retentive copings to confirm both a path of insertion and retentiveness of the intended TRINIA™ prosthesis; a light-cured resin seating jig to facilitate the orientation and initial seating of the four Universal abutments intra-orally; and two lithium disilicate molar crowns to preserve the patient’s vertical dimension of the occlusion, by resisting the abrasion of the composite denture teeth against the patient’s maxillary porcelain restorations. Finally, three red retentive copings and one metallic non-retentive coping, which were seated on the Universal abutments, were intra-orally cemented into the bores of the mandibular full arch TRINIA™ prosthesis to provide the patient with a functionally stable and aesthetic restoration.

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Restoration of Maxillary and Mandibular Full-Arch Telescopic TRINIA™ Prostheses

Posted on in Restorative, SHORT® Implants, Telescopic Restorations

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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Insertion of a Fixed Telescopic TRINIA™ CAD/CAM Prosthesis

Posted on in Fixed, Restorative, Telescopic Restorations

This case demonstrates the cementation of four telescopic copings into a full-arch maxillary TRINIA™ CAD/CAM prosthesis and its insertion onto four Bicon abutments. The telescopic copings, which are bonded to the prosthesis via Ceraresin® Bond (CRB) by Shofu, are used to realign the abutments to better fit the bores of the prosthesis for both comfort and effective use.

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Telescopic Restoration Technique

Posted on in Restorative, Telescopic Restorations

The telescopic or sleeve overdenture restoration is an excellent alternative to extensive cortical bone grafting, that is often necessary for the treatment of atrophic alveolar ridges. Although it is a removable prosthesis, the patient perceives that the overdenture has the stability of a fixed prosthesis. Three implants placed bilaterally is the ideal support for this prosthesis. Straight and angled solid core Bicon abutments with 360° of universal positioning not only facilitate the fabrication but also enhance the possibility for exceptional aesthetics with the telescopic restoration because the abutment itself can act as the primary crown. Although the positioning of the abutments in the following clinical case is not typical of a telescopic restoration, the depicted techniques are demonstrative.

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Five Unit Polyceramic to Metal Mandibular Telescopic Bridge

Posted on in Polyceramic Material Fused to Metal, Restorative, Telescopic Restorations

This case demonstrates the versatility of restoring two non-parallel implants with a telescopic polyceramic to metal bridge.

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Atrophic Maxillary Ridge

Posted on in Restorative, Telescopic Restorations

The telescopic restoration solves for many clinicians and patients the perplexing situation of restoring the atrophic maxilla; the ease with which it is done with Bicon implants is all made possible by the 360° of universal positioning of the Bicon abutment shaft and the absence of any type of abutment screw. The fact that the Bicon abutment can be milled to act as the primary crown not only reduces a clinician’s chairtime and costs but also enhances aesthetics, since a milled Bicon abutment is not as bulky as a primary casting cemented onto a screw retained implant abutment.