Replacing Three 25-Year-Old O-Ring Abutments with Three Universal Abutments for the Fabrication of a Mandibular TRINIA® Telescopic Full-Arch Prosthesis for a Seventy-Three-Year-Old Patient

Posted on January 13, 2021 in Overdentures, Restorative, Telescopic Restorations

This case demonstrates the removal of three 25-year-old O-Ring Abutments, implant-level impression technique, gothic arch tracing, placement of three Universal Abutments, cementation of retentive copings, and the insertion of a TRINIA® telescopic full-arch prosthesis on three mandibular implants for a seventy-three-year-old female patient.

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.

Replacement of an Eighteen-Year-Old O-Ring-Retained Mandibular Overdenture with a Telescopic TRINIA® Prosthesis with Custom Cast Copings in Three Clinical Visits

Posted on January 23, 2019 in Overdentures, Telescopic Restorations

This treatment demonstrates the use of Gothic Arch tracing to record the patient’s centric occlusal relation, as well as the clinical techniques for the insertion of a mandibular telescopic TRINIA® prosthesis with custom cast chrome cobalt copings.

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 September 13, 2018 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.

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

Posted on September 4, 2018 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.

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

Posted on March 9, 2018 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.

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

Posted on October 30, 2017 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.

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 August 10, 2017 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.

Insertion of a TRINIA® Telescopic Prosthesis

Posted on May 15, 2017 in Overdentures, Restorative

This treatment demonstrates the insertion of a TRINIA® telescopic restoration on five non-parallel implants for a 70-year-old woman, who previously had a four-implant-retained o-ring overdenture.

Bar Overdenture Restoration with Four Bicon Implants

Posted on February 14, 2012 in Overdentures, Restorative, SHORT® Implants, Surgical, Uncovering

This case demonstrates a bar overdenture restoration with the use of four 4.0 x 5.0mm with 2.5mm well Bicon implants.

Two Implant-Retained Mandibular Overdenture

Posted on December 23, 2008 in Overdentures, Restorative, Surgical, Uncovering

This case demonstrates the placement of two implants and bone grafting with Synthograft™, uncovering of the implants, and insertion of two locator abutments with their metal housing caps integrated into the denture.