Listing for Topics: Impression

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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 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.

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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 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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Restoration of a Maxillary Left First Molar with an Abutment-Level Transfer Impression

Posted on in Integrated Abutment Crowns™, Restorative, Uncovering

This case demonstrates the process of fabricating an abutment-level transfer impression and a transitional crown with a 5L Universal Abutment after uncovering the implant in the area of the maxillary left first molar.

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Restoration of Two Maxillary Premolar SHORT® Implants with Integrated Abutment Crowns™

Posted on in Integrated Abutment Crowns™, Restorative

This case demonstrates the ease and simplicity of restorative visits with Bicon Dental Implants. In addition, this case also demonstrates the three primary ways to rotate a sulcus former and two ways to record an implant-level transfer impression.

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Extraction and Immediate Placement of a 3.0 x 8.0mm NARROW™ Implant for a Mandibular Central Incisor and its Restoration with an Integrated Abutment Crown™

Posted on in Extraction, Immediate Placement, Integrated Abutment Crowns™, Restorative, Surgical, Uncovering

This case demonstrates the insertion, restoration, and interdental papillae maturation of a 3.0 x 8.0mm NARROW™ Implant for a mandibular right central incisor over the course of a two-year period. This case also demonstrates the use of a hand reamer attached to a hand reamer extender.

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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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Two Stage Placement, Uncovering, and Restoration of a Mandibular Posterior Bicon SHORT® Implant

Posted on in SHORT® Implants, Two Stage, Uncovering

This case demonstrates the two-stage placement of a 4.5 x 6.0mm SHORT® Implant, its uncovering, implant-level transfer impression, and restoration for a mandibular right first molar.

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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.

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

Posted on in Uncovering

This case demonstrates the uncovering and restoration of a maxillary right central incisor 4.0 x 8.0mm Bicon implant with an abutment with a titanium base and extra-orally cemented zirconia sleeve which was restored with a lithium disilicate crown.

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