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Bicon Case Study Library
Welcome to the Bicon Case Study Library. The latest Bicon clinical cases will be regularly posted here. There are currently 339 cases containing over 19021 clinical images. -
Recent Cases
- Gothic Arch Registration and Insertion of a Maxillary Fixed-Detachable TRINIA Prosthesis Supported by Three Bicon SHORT® Implants
- 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
- 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
- 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
- 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)
Categories
- Restorative (313)
- All-Ceramic Crowns (27)
- Bridges (12)
- Fixed (15)
- Fixed-Detachable (1)
- Integrated Abutment Crowns™ (218)
- Overdentures (17)
- Polyceramic Material Fused to Metal (15)
- Porcelain Fused to Metal (17)
- Telescopic Restorations (18)
- SHORT® Implants (108)
- Surgical (201)
- Extraction (76)
- Immediate Placement (57)
- Immediate Stabilization and Function (76)
- One Stage (6)
- Ridge Splits (16)
- Sinus Lifts (15)
- Two Stage (78)
- Uncovering (47)
- Restorative (313)
Topics
- Adolescent Patients (3)
- CAD/CAM (26)
- Congenitally Missing Laterals (22)
- Crestal Relieving Incision (41)
- Crown Insertion (172)
- FDUA (1)
- Guided Surgery (11)
- Impression (193)
- Long-Term (3)
- SynthoGraft™ (39)
- TRINIA® (56)
Archives
Listing for Tag: Laboratory fabrication
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Placement and Restoration of a 4.0 x 8.0mm Bicon SHORT® Implant for a Maxillary Left Central Incisor in a 17-Year-Old Female Adolescent
This treatment demonstrates the placement and restoration of a 4.0 x 8.0mm Bicon SHORT® Implant for a female adolescent’s maxillary left central incisor, including the full-arch implant-level transfer impression, laboratory fabrication, insertion, and intraoral modification of an Integrated Abutment Crown™ (IAC), and post-insertion labial frenectomy. |
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Guide for Digitally Fabricated Crowns
The fabrication of a digital crown for a Bicon implant begins by achieving a digital image of a virtual or tangible prosthetic model with a Bicon Implant Analog or Universal Abutment Transfer Die. The model can be achieved digitally by the preferred method of intraorally scanning a 2.0mm, 2.5 mm, or 3.0mm white Scan Post seated in the well of an implant. The following link provides a video with an explanation of the clinical techniques for intraoral scanning using a Scan Post, as well as making implant-level and abutment-level conventional transfer impressions: VIDEO » Immediate Placement and Restoration of a Maxillary First Molar with an Extra-Orally Cemented Lithium Disilicate Crown [1-9] Once the digital scan file has been secured and entered into either the 3Shape or exocad design software, the appropriate Universal Abutment file can be selected from the CAD software’s digital abutment library to commence the designing of the crown. [10-13] When designing, be cognizant of the minimum dimensions indicated by the intended material’s manufacturer, as well as their recommended post-milling treatment of their material. The designed STL file can then be sent to a milling machine for fabrication. [14-17] Commonly used materials for digital crowns are Hybrid Ceramics, such as Enamic by Vita, Shofu Block HC Hard by Shofu, IPS e.max (a lithium disilicate ceramic), and Zirconia. Although a crown may be fabricated without a physical model, it may be more practical for those unfamiliar with digital dentistry to have a physical model to facilitate their confirming or adjusting the crown’s interproximal and occlusal contacts. [18-19] Our preference is to use the Shofu Block HC Hard, since it can be readily modified chairside, either by reduction or addition, on the day of its insertion or any day, even years into the future. Additionally, it can withstand forces of shear, whereas the other materials do not provide for these clinical capabilities. The Shofu Block HC Hard is currently available in three shades (A2LT, A3.5LT, A4LT) and the following three sizes: Small (10.0mm x 12.0mm x 16.0mm), Medium (12.0mm x 14.0mm x 18.0mm), and Large (14.5mm x 14.5mm x 18.0mm). [20-28] Additionally, our preference is to bond and to extraorally cement a CAD/CAM crown to a modified or unmodified Universal Abutment with resin cement for insertion as a single unit. [29-39] After removing the extraneous resin cement from the Universal Abutment and removing the Temporary Abutment from the well of the implant, the Universal Abutment with the extraorally cemented CAD/CAM crown is placed into the well of the implant. Once the restoration is initially positioned, the patient may seat it by applying occlusal pressure with a cotton swab. Alternatively, the crown could be seated with a gentle tap. After confirming the appropriateness of the interproximal and occlusal contacts, a radiograph should be taken to complete the treatment. [40-45] Rather than intraoral scanning, an implant-level conventional transfer impression may be made with a titanium Impression Post and a plastic Impression Sleeve. [46-51] A third way to intraorally record an impression is to make an abutment-level conventional transfer impression, which utilizes a Universal Abutment and plastic Abutment-level Impression Sleeve. A fourth way is to scan the actual abutment intraorally. Subsequently, physical impressions can be poured into stone with a titanium Implant Analog or a Universal Abutment Transfer Die, or digitally scanned for the printing of an actual physical model. The poured or printed model with an Implant Analog or a Universal Abutment Transfer Die may be digitally scanned to achieve a digital image of the abutment and prosthetic model. The digital scanning of an actual abutment, preferably a modified or unmodified Universal Abutment, is less desirable but still a feasible option. The abutment should have the widest diameter to fill the mesiodistal edentulous space without encroaching upon the adjacent interdental papillae. |
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Laboratory Fabrication of a Full-Arch Maxillary Telescopic TRINIA® Prosthesis and its Insertion on a Demonstration Model
This demonstration provides detailed images and explanations of the laboratory fabrication of a custom full-arch maxillary anatomic teeth arrangement for a telescopic TRINIA® prosthesis on four Bicon SHORT® Implants using the polyceramic material, Ceramage, with the live staining sandwich technique and the simulated clinical insertion of the prosthesis on an acrylic demonstration model. |