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

Posted on February 15, 2022 in Fixed, SHORT® Implants, Sinus Lifts

This case demonstrates both the surgical and prosthetic treatments, which provided a seventy-five-year-old professional male patient (who travels frequently) with the comfort of having a fixed maxillary prosthesis throughout his three years of treatment. Initially, a single molar implant was placed with an internal sinus lift procedure, which after its integration provided stability for a fixed transitional prosthesis. Immediately following the extraction of two right premolar teeth and a left molar and their replacement with implants, a transitional prosthesis was inserted.

After the integration of the three additional implants, his remaining teeth were removed, and a second transitional TRINIA® prosthesis was inserted onto four Fixed-Detachable Universal Abutments (FDUAs), which provided aesthetics and comfortable functioning during the healing of a significant anterior bone grafting procedure utilizing SynthoGraft® with a titanium mesh membrane and osseointegration of two additional implants. Subsequent to the osseointegration of the newly placed implants and the removal of the failed left posterior implant, a digital abutment-level scan or impression was made for the fabrication of a permanent screw-retained TRINIA® prosthesis on five implants with FDUAs and Copings. A sixth implant abutment, which was too facially positioned is being initially used as a rest and will be replaced with an angled FDUA and retrofitted chairside with a Coping to a more palatal position after further maturation of the significant anterior bone graft.

An occlusal registration was made using conventional material between the mandibular teeth and the palate and alveolar ridge areas of the maxilla. Unfortunately, since the digital abutment-level full-arch intraoral scan was apparently not precisely accurate, an abutment-level conventional open tray impression was made. The screw-retained Impression Copings were joined with an injectable resin material to assure their relative positioning within the impression material. Using the new stone model, the FDUA Copings were repositioned in the TRINIA® prosthesis, which was subsequently successfully seated intraorally. Once the final TRINIA® prosthesis with five FDUA Copings was passively seated on the six implants, it was fastened in place with different standard lengths of retention screws, whose lengths were shortened so that they were slightly below the occlusal surface of the prosthesis. The spaces between the Vaseline-coated retention screws and the TRINIA bores were filled with an injectable resin, which facilitated the removal of the prosthesis for the removal of any extraneous resin cement prior to being refastened with retention screws, which were aesthetically covered with a composite resin.

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)

Posted on November 3, 2021 in Integrated Abutment Crowns™, SHORT® Implants, Sinus Lifts

This case radiographically demonstrates the extraction, implant placement of a 6.0 x 5.0mm Bicon SHORT® Implant with an internal sinus lift using SynthoGraft™, and restoration with an Integrated Abutment Crown™ (IAC) for a fourty-six-year-old male patient over twelve years. It is also an excellent radiographic example of Wolff’s Law of bone, which states that “bone will adapt to the loads under which it is placed …and become stronger” — form follows function!

Seven-Year Radiographic Follow Up of a 6.0 x 5.0mm Bicon SHORT® Implant Using a Sinus Lift Abutment and an Integrated Abutment Crown™ (IAC)

Posted on October 30, 2021 in Extraction, Integrated Abutment Crowns™, Sinus Lifts

This case radiographically demonstrates the extraction, implant placement of a 6.0 x 5.0mm Bicon SHORT® Implant with a Sinus Lift Abutment, and its restoration with a 20mm long Integrated Abutment Crown™ (IAC) in a sixty-nine-year-old male patient over 84 months. It is also an excellent radiographic example of Wolff’s Law of bone, which states that “bone will adapt to the loads under which it is placed …and become stronger” — form follows function!

Two Full-Arch TRINIA® Telescopic Restorations Featuring Seven Implant Placements and the Use of Both Retentive and Custom Cast Copings for a Seventy-Year-Old Patient in Five Clinical Visits

Posted on January 24, 2021 in Extraction, Fixed, Immediate Placement, Restorative, SHORT® Implants, Surgical, Telescopic Restorations, Two Stage, Uncovering

This case demonstrates the extraction of six teeth and the placement of four maxillary implants (two using sinus lift abutments and others using bone grafting procedures with SynthoGraft™ and Bicon Resorbable Collagen Membranes) and three mandibular implants, uncovering of implants and two conventional implant-level transfer impressions, two occlusal bite registrations, insertion of the mandibular TRINIA® restoration with three cemented Retentive Copings on Universal Abutments and the insertion of the maxillary TRINIA® restoration with four custom cast Sci-tec copings on modified Universal Abutments for a seventy-year-old female patient. The entire treatment was achieved in only five clinical visits during a seven-month period without fabricating any new transitional prostheses.

Immediate Loading Using Guided Surgery for Two Maxillary Incisor SHORT® Implants with Fixed-Detachable Universal Abutments and a Five-Unit TRINIA® Prosthesis

Posted on October 5, 2020 in Extraction, Immediate Placement, Immediate Stabilization and Function, SHORT® Implants, Surgical, Two Stage

This case demonstrates the extraction of three maxillary incisor teeth and, using guided surgery, the placement of two 4.5 x 8.0mm SHORT® Implants for immediate loading with a prefabricated five-unit TRINIA® prosthesis on three Fixed-Detachable Universal Abutments, one of which was inserted into a previously-integrated canine implant for a 70-year-old male patient.

Placement of Two 4.5 x 8.0mm Bicon SHORT® Implants and their Restoration with a Two-Unit and a Single Integrated Abutment Crown™ (IAC) for Two Congenitally Missing Maxillary Lateral Incisors and a Right Canine

Posted on February 6, 2020 in Integrated Abutment Crowns™, Restorative, SHORT® Implants, Uncovering

This treatment demonstrates the extraction of a deciduous maxillary right lateral incisor and its replacement with a 4.5 x 8.0mm Bicon SHORT® Implant adjacent to a congenitally missing canine, as well as bone grafting with SynthoGraft™ in the area of a congenitally missing maxillary left lateral incisor. The placement, six months later, of a 4.5 x 8.0mm Bicon SHORT® Implant in the area of the maxillary right lateral incisor is also shown, as well as the uncovering of the two implants, their full-arch implant-level transfer impression, and their restoration with a two-unit and a single Integrated Abutment Crown™ (IAC).

Two-Stage Placement of Two 4.5 x 6.0mm Bicon SHORT® Implants with Bone Grafting of Thin Ridges Using Collagen Membranes, SynthoGraft™, and Autogenous Bone

Posted on August 19, 2019 in SHORT® Implants

This treatment demonstrates the placement of two 4.5 x 6.0mm Bicon SHORT® Implants with Collagen Membranes, SynthoGraft™, and autogenous bone for the grafting of a right thin ridge with a dehiscence and a left thin ridge without a dehiscence.

Two-Stage Placement of a 4.5 x 8.0mm Bicon SHORT® Implant for a Maxillary Right Central Incisor Five Months After Grafting a Large Buccal Defect with SynthoGraft™

Posted on February 25, 2019 in Integrated Abutment Crowns™, Restorative, SHORT® Implants, Surgical, Two Stage

This treatment demonstrates the two-stage placement of a 4.5 x 8.0mm Bicon SHORT® Implant for a maxillary right central incisor five months after grafting a large buccal defect and using SynthoGraft™, a Collagen Membrane, and a Collagen Plug. Also shown is the making of a full arch implant-level transfer impression and the subsequent restoration of the implant with an Integrated Abutment Crown™ (IAC).

Two-Stage Placement of a 5.0 x 6.0mm Bicon SHORT® Implant with an Internal Sinus Lift Procedure using Guided Surgery for a Maxillary Right First Molar and its Restoration with an Integrated Abutment Crown™ (IAC)

Posted on January 10, 2019 in Integrated Abutment Crowns™, Restorative, SHORT® Implants, Surgical, Two Stage

This treatment demonstrates the two-stage placement of a 5.0 x 6.0mm Bicon SHORT® Implant with an internal sinus lift procedure using guided surgery for a maxillary right first molar and its restoration with an Integrated Abutment Crown™ (IAC). Guided surgery designed for a 5.0 x 5.0mm Bicon SHORT® Implant was used to minimize the risk of sinus perforation and expedite the placement of the 5.0 x 6.0mm Bicon SHORT® Implant with an internal sinus lift procedure. The osteotomy was deepened using incrementally longer Guided Surgery Reamers through the orifice of a 5.0mm Guide Ring until the length of the intended implant was achieved. The top of the Guide Ring is designed to be 12.0mm above the top of the implant when the implant is placed 2.0 to 3.0mm below the alveolar crest of bone.

Restoration of a Maxillary Left Second Premolar with a 4.5 x 5.0mm Bicon SHORT® Implant Using the Two-Stage Technique with SynthoGraft™ and a Collagen Membrane

Posted on November 26, 2018 in Integrated Abutment Crowns™, Restorative, SHORT® Implants, Surgical, Two Stage, Uncovering

This treatment demonstrates the restoration of a maxillary left second premolar with a 4.5 x 5.0mm Bicon SHORT® Implant using the two-stage technique with SynthoGraft™ and a Collagen Membrane, as well as the subsequent uncovering, full arch implant-level transfer impression, and insertion of an Integrated Abutment Crown™ (IAC).