Listing for Category: Surgical

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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).

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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.

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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.

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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.

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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).

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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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Immediate Loading of Three Maxillary Implants with a Winged TRINIA® Transitional Prosthesis

Posted on in Immediate Placement, Surgical

This treatment demonstrates the technique of immediately loading two 4.0 x 6.0mm implants and one 5.0 x 5.0mm implant by using a winged TRINIA® transitional prosthesis and one existing 4.5 x 8.0mm implant.

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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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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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