Listing for Topics: CAD/CAM

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Fabrication of a Maxillary Telescopic TRINIA® Prosthesis and a Mandibular TRINIA® Overdenture and the Subsequent Conversion of the Mandibular Brevis™ O-Ring Overdenture to a Telescopic Prosthesis After One Year in Function

Posted on in Overdentures, Restorative, SHORT® Implants, Telescopic Restorations

This treatment of a seventy-five-year-old woman, who was previously told by six clinicians that dental implants would be an impossible treatment option (despite the fact that one clinician augmented her right maxilla with graft material), clearly demonstrates the unmatched clinical capabilities of Bicon SHORT® Implants and TRINIA® metal-free CAD/CAM material. The surgical placement of two maxillary and two mandibular implants is also shown, as well as the initial prosthetic restoration of a maxillary telescopic prosthesis and a mandibular Brevis™ O-Ring-retained mandibular overdenture, and the clinical and laboratory techniques for modifying and converting the mandibular Brevis™ O-Ring overdenture to a full-arch telescopic TRINIA® prosthesis after one year in function.

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Clinical Techniques for Fabricating and Inserting Maxillary and Mandibular Telescopic TRINIA® Prostheses with Universal Abutment Copings on Bicon SHORT® Implants

Posted on in Overdentures, Restorative, SHORT® Implants

This treatment demonstrates the clinical techniques for fabricating and inserting maxillary and mandibular telescopic TRINIA® prostheses with Universal Abutment copings each supported by two 4.5 x 8.0mm and two 5.0 x 6.0mm Bicon SHORT® Implants for a sixty-eight-year-old male patient.

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Placement of Three 4.5 x 6.0mm Bicon SHORT® Implants, Grafting with SynthoGraft™ and Collagen Membranes, Insertion of Three CAD/CAM Integrated Abutment Crowns™ (IACs), and Papillae Improvement

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

This treatment demonstrates the placement of three maxillary 4.5 x 6.0mm Bicon SHORT® Implants using SynthoGraft™ and two collagen membranes to graft a significant bony defect. The uncovering of the implants and the making of an implant-level transfer impression, as well as the insertion of three CAD/CAM Integrated Abutment Crowns (IACs) are also shown. Note the dramatic improvement of the papillae over a short period of time.

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Replacement of 25-Year-Old Maxillary and Mandibular O-Ring Relined Overdentures with Telescopic TRINIA® Prostheses

Posted on in Overdentures, Restorative, Telescopic Restorations

This case demonstrates the clinical and laboratory techniques and procedures for the replacement of two twenty-five-year-old tissue-borne overdentures with a telescopic maxillary implant-borne prosthesis on four implants and a telescopic mandibular implant-borne prosthesis on only two implants with 24mm and 21mm cantilevers.

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Replacement of an O-ring Mandibular Overdenture with a Telescopic TRINIA®-HC Prosthesis Utilizing Gothic Arch Occlusal Registration Tracing

Posted on 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.

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Guided Placement and Restoration of a 5.0 x 6.0mm Bicon SHORT® Implant with a CEREC® e.max® CAD/CAM Crown

Posted on in SHORT® Implants

This case demonstrates the successful guided placement of a 5.0 x 6.0mm Bicon SHORT® Implant on a 67-year-old female and its restoration with a CEREC® chairside-designed e.max® abutment crown. A pre-op CEREC® designed crown integrated into an XG3D cone beam computed tomography (CBCT) was utilized for implant planning down the long axis of the CEREC® designed crown. The final design was emailed to SiCat for construction of a surgical guide with a Bicon Guided Sleeve. The guided surgery used the final desired intraoral position of the CEREC® abutment crown to determine the final position of the Bicon implant.

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Guided Placement and Restoration of a Missing Second Molar with a 5.0 x 6.0mm Bicon SHORT® Implant and a CEREC® e.max® CAD/CAM Crown

Posted on in SHORT® Implants

Radiographic and clinical images of this case demonstrate the successful guided placement of a 5.0 x 6.0mm Bicon SHORT® Implant on a 63-year-old female and restoration with a CEREC® chairside-designed e.max® abutment crown. The case utilized a pre-op CEREC® designed crown integrated into an XG3D cone beam computed tomography (CBCT) for implant planning down the long axis of the CEREC® designed crown. The final design was emailed to SiCat for construction of a surgical guide with a Bicon Guided Sleeve. This case illustrates guided surgery utilizing the final desired intraoral position of the CEREC® abutment crown to determine the final position of the Bicon implant.

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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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Two Stage Placement, Uncovering and Restoration of a Maxillary Left Central Incisor Using a Zirconia CAD/CAM Coping Cemented to an Abutment and e.max® Crown

Posted on in Surgical, Two Stage, Uncovering

This case demonstrates the extraction, two-stage placement of a 4.0 x 8.0mm implant with 2.5mm well, its uncovering, implant-level transfer impression, and restoration of a maxillary left central incisor using a zirconia CAD/CAM coping cemented to an abutment and e.max® crown.

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Restoration of a Maxillary Left Central Incisor with an e.max® CAD/CAM Crown

Posted on in Restorative, SHORT® Implants, Surgical, Two Stage, Uncovering

This case demonstrates the two-stage placement of a 4.5 x 8.0mm  SHORT® Implant, its uncovering, implant-level transfer impression, and restoration for a maxillary left central incisor with an abutment with a titanium base and extra-orally cemented Zirconia coping abutment which was restored with a lithium disilicate crown.