All you chem geniuses out there, correct me if I'm wrong, but here's my 2 second explanation:
Both trigonal pyramidal and tetrahedral are sp3 hybridized, but differ in the number of atoms attached to the central atom. For example, methane and ammonia are both sp3, but methane has 4 H atoms attached to the C, so it is tetrahedral, while ammonia has 3 H atoms attached to the N, so it is trigonal pyramidal.