Gothic Arch Registration and Insertion of a Maxillary Fixed-Detachable TRINIA Prosthesis Supported by Three Bicon SHORT® Implants

Posted on March 1, 2022 in Fixed-Detachable, SHORT® Implants

This case demonstrates the recording of a Gothic Arch occlusal registration and the insertion of a full-arch TRINIA® prosthesis utilizing three Fixed-Detachable Universal Abutments (FDUAs) with chairside shortened Hex Coping Screws opposing a mandibular telescopic TRINIA® restoration supported by three twenty-four-year-old Bicon NARROW® implants.

Additionally, note the complete compatibly and interchangeability of Bicon components manufactured over two decades ago as well as the healthy mucosa and bone levels around twenty-four-year-old implants.

This is a continuation of a previous case: VIEW CASE

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

Posted on February 20, 2022 in Fixed, Restorative, SHORT® Implants

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.

This is a continuation of a previous case: VIEW CASE

Fabrication of a Temporary Screw-Retained and a Permanent Telescopic Mandibular TRINIA® Prosthesis Supported by Three FDUA Transitional and Four Bicon SHORT® Implants Respectively for a Fifty-Nine-Year-Old Male Patient

Posted on February 20, 2022 in Fixed, Restorative, SHORT® Implants

This case demonstrates the placement and removal of three Fixed-Detachable Universal Abutment (FDUA) Transitional Implants and their successful one year of use supporting a full-arch temporary screw-retained TRINIA® prosthesis with significant bilateral distal extensions. Additionally, the placement, uncovering and prosthetic restoration using impression posts and sleeves with a conventional implant level transfer impression of four Bicon SHORT® Implants is shown. As well as the fabrication of the permanent telescopic TRINIA® prosthesis with four Universal Abutments and Retentive Copings

Replacement of a Failed Full-Arch Maxillary PFM Prosthesis with a TRINIA® Full-Arch Prosthesis Supported on Six Bicon SHORT® Implants Using Fixed-Detachable Universal Abutments and Digital Prosthetic Techniques

Posted on February 15, 2022 in Fixed, SHORT® Implants, Sinus Lifts

This case demonstrates both the surgical and prosthetic treatments, which provided a seventy-five-year-old professional male patient (who travels frequently) with the comfort of having a fixed maxillary prosthesis throughout his three years of treatment. Initially, a single molar implant was placed with an internal sinus lift procedure, which after its integration provided stability for a fixed transitional prosthesis. Immediately following the extraction of two right premolar teeth and a left molar and their replacement with implants, a transitional prosthesis was inserted.

After the integration of the three additional implants, his remaining teeth were removed, and a second transitional TRINIA® prosthesis was inserted onto four Fixed-Detachable Universal Abutments (FDUAs), which provided aesthetics and comfortable functioning during the healing of a significant anterior bone grafting procedure utilizing SynthoGraft® with a titanium mesh membrane and osseointegration of two additional implants. Subsequent to the osseointegration of the newly placed implants and the removal of the failed left posterior implant, a digital abutment-level scan or impression was made for the fabrication of a permanent screw-retained TRINIA® prosthesis on five implants with FDUAs and Copings. A sixth implant abutment, which was too facially positioned is being initially used as a rest and will be replaced with an angled FDUA and retrofitted chairside with a Coping to a more palatal position after further maturation of the significant anterior bone graft.

An occlusal registration was made using conventional material between the mandibular teeth and the palate and alveolar ridge areas of the maxilla. Unfortunately, since the digital abutment-level full-arch intraoral scan was apparently not precisely accurate, an abutment-level conventional open tray impression was made. The screw-retained Impression Copings were joined with an injectable resin material to assure their relative positioning within the impression material. Using the new stone model, the FDUA Copings were repositioned in the TRINIA® prosthesis, which was subsequently successfully seated intraorally. Once the final TRINIA® prosthesis with five FDUA Copings was passively seated on the six implants, it was fastened in place with different standard lengths of retention screws, whose lengths were shortened so that they were slightly below the occlusal surface of the prosthesis. The spaces between the Vaseline-coated retention screws and the TRINIA bores were filled with an injectable resin, which facilitated the removal of the prosthesis for the removal of any extraneous resin cement prior to being refastened with retention screws, which were aesthetically covered with a composite resin.

Twelve-Year Radiographic Follow Up of a 6.0 x 5.0mm Bicon SHORT® Implant with an Internal Sinus Lift Using SynthoGraft™ and an Integrated Abutment Crown™ (IAC)

Posted on November 3, 2021 in Integrated Abutment Crowns™, SHORT® Implants, Sinus Lifts

This case radiographically demonstrates the extraction, implant placement of a 6.0 x 5.0mm Bicon SHORT® Implant with an internal sinus lift using SynthoGraft™, and restoration with an Integrated Abutment Crown™ (IAC) for a fourty-six-year-old male patient over twelve years. It is also an excellent radiographic example of Wolff’s Law of bone, which states that “bone will adapt to the loads under which it is placed …and become stronger” — form follows function!

One-Stage Immediate Placement of a Bicon SHORT® Implant Using a Scannable Temporary Abutment for the Restoration of a Mandibular Incisor in Only Two Clinical Visits

Posted on October 23, 2021 in Immediate Placement, Integrated Abutment Crowns™, One Stage, SHORT® Implants

This case demonstrates the extraction of a mandibular lower left central incisor, the one-stage immediate placement of a 3.5 x 8.0mm SHORT® Implant with a 4-Series Scannable Temporary Abutment with a 2.0mm post, digital impression scanning, temporization with a TRINIA® prosthesis, and the insertion of an Integrated Abutment Crown™ (IAC) for a 72-year-old male patient in only two clinical visits!

Three-Year Evaluation of a Full-Arch Maxillary TRINIA® Telescopic Restoration Supported by Only Three 4.0 x 6.0mm Bicon SHORT® Implants

Posted on July 26, 2021 in SHORT® Implants

This case demonstrates the successful use of only three 4.0 x 6.0mm Bicon SHORT® Implants using custom cast copings with Si-Tec inserts for the support of a full-arch TRINIA® telescopic restoration, which received a chairside reline with pink-colored Ceramage four months after its initial insertion for a seventy-six-year-old female patient.

Restoration of Two Maxillary Incisor SHORT® Implants with a Three-Unit TRINIA Bridge Using Scannable Temporary Abutments in Two Restorative Visits

Posted on July 4, 2021 in SHORT® Implants

This case demonstrates the use of two 5 Series Tall (5T) Scannable Temporary Abutments to digitally record an implant-level impression of two 4.0 x 8.0mm Bicon SHORT® Implants for the fabrication of a three-unit TRINIA® maxillary incisor bridge, and its insertion using a resin seating jig prior to being cemented in only two restorative visits.

Extraction of Five Mandibular Teeth, Placement of Four 4.5 x 6.0mm SHORT® Implants and Three 2.5 x 8.0mm Tall Profile (TP) Fixed-Detachable Transitional Implants, and Insertion of an Immediately Loaded Full-Arch Screw-Retained TRINIA® Prosthesis

Posted on June 20, 2021 in SHORT® Implants

This case demonstrates a protocol and nuances for extractions, intra-foraminal placements of four SHORT® Implants and three TP Fixed-Detachable Universal Abutment (FDUA) Transitional Implants, and immediate loading of the Transitional Implants with a full-arch TRINIA® prosthesis using a Gothic arch tracing technique, for the atrophic mandible of a sixty-six-year-old female patient in only three clinical visits.

Case continues here: VIEW CASE

Placement and Immediate Loading with a Mandibular Full-Arch TRINIA® Prosthesis of Four Fixed-Detachable Universal Abutment Transitional Implants

Posted on March 10, 2021 in Bridges, Fixed, Immediate Stabilization and Function, Restorative, SHORT® Implants, Surgical, Two Stage

This case demonstrates the placement of two 4.0 x 6.0mm and two 4.0 x 8.0mm Standard Profile Fixed-Detachable Universal Abutment Transitional Implants using guided surgery and their immediate loading with a mandibular full-arch screw-retained TRINIA® prosthesis with cemented copings within the bores of the TRINIA® prosthesis, subsequent to the placement of four Bicon SHORT® Implants also using guided surgery for their 2.0mm pilot osteotomies.