Thank you very much for your very infomative video Dr Pate and also for the way you are dealing with occlusion! Can you please explain how you incorporated the wax up to the existing teeth? Thank you very much and keep posting your unique and excellent work!
Thank you for your reply! I have been a qualified Prosthodontist since 1994. I know exactly what to do the analogue way but digitaly I am in my infancy. So my question is when you superimpose the library tooth on the natural one, how you get rid of the wax portion that overlaps the cervical area of the natural tooth. In other words how you make an onlay type of wax up and how you make a printed model of the wax up. I think that a video of the wax up process from start to finish would be helpful for other people too! Also in exocad do you prescribe wax up or mock up?
In essence I can do one of 2 things. As long as the changes are reasonable and practical, I do not need to make it 100% perfect, but I can go in and adjust the cervical and embrasure areas to match the pre-op cervical and embrasure areas. I will make a video to explain this later today or very soon if not today.
Sure, you can easily make and print shells. Shells are often difficult to fit over your preps and require significant hollow grinding out the intaglio. During reline it can be difficult to maintain vertical dimension as well as horizontal cant or plane of the smile line/plane of occlusion. Printed shells have the added disadvantage of not being as strong going through the hollow grinding process. If I were to do shells and I have the luxury of a PMMA mill, I would prefer to have the shells milled in PMMA. I, like many others, prefer to work from sequential PVS models and make a few temps at time. I have tried shells so many times and without exception I prefer the sequential PVS matrix method.
Not sure I understand your question but I make sure the cervical emergence profile of the wax up teeth are aligned with the patients teeth. Is that what you are asking?
You manipulate each tooth to make the cervical areas match up. This is important because you cannot transpose the cervical areas. You also must make certain the changes you make are practical restoratively. You cannot overly reduce a tooth nor grossly distort a tooth. Additionally, I am always thinking about neutral zone, vertical dimension, envelop of function, anterior guidance, curve of Spee/Wilson, etc. There are usually compromises but they must be reasonable, practical and functionally realistic. When you put this all together properly, patients will tolerate the changes quite naturally. Are you a dentist or technician?
Nicely done Dwight.
Thanks JP
Thank you very much for your very infomative video Dr Pate and also for the way you are dealing with occlusion!
Can you please explain how you incorporated the wax up to the existing teeth?
Thank you very much and keep posting your unique and excellent work!
Thank you for your reply!
I have been a qualified Prosthodontist since 1994. I know exactly what to do the analogue way but digitaly I am in my infancy.
So my question is when you superimpose the library tooth on the natural one, how you get rid of the wax portion that overlaps the cervical area of the natural tooth. In other words how you make an onlay type of wax up and how you make a printed model of the wax up.
I think that a video of the wax up process from start to finish would be helpful for other people too!
Also in exocad do you prescribe wax up or mock up?
In essence I can do one of 2 things. As long as the changes are reasonable and practical, I do not need to make it 100% perfect, but I can go in and adjust the cervical and embrasure areas to match the pre-op cervical and embrasure areas. I will make a video to explain this later today or very soon if not today.
Perfect! Thank you once again @@dwightpate7629
Looking forward to the upcoming video! @@dwightpate7629
I did a follow up video for you: ruclips.net/video/S4zT84uK72w/видео.html
Thank you so much! I appriciated it! I will get back to you soon. @@dwightpate7629
Yes that's what I am asking, but I mean how you do it technically in exocad, as I have been training in the software for some months now.
Thank you!
Can't youjust do shell temps in exocad, then print then reline?
Sure, you can easily make and print shells. Shells are often difficult to fit over your preps and require significant hollow grinding out the intaglio. During reline it can be difficult to maintain vertical dimension as well as horizontal cant or plane of the smile line/plane of occlusion. Printed shells have the added disadvantage of not being as strong going through the hollow grinding process. If I were to do shells and I have the luxury of a PMMA mill, I would prefer to have the shells milled in PMMA. I, like many others, prefer to work from sequential PVS models and make a few temps at time. I have tried shells so many times and without exception I prefer the sequential PVS matrix method.
Exllent
Not sure I understand your question but I make sure the cervical emergence profile of the wax up teeth are aligned with the patients teeth. Is that what you are asking?
You manipulate each tooth to make the cervical areas match up. This is important because you cannot transpose the cervical areas. You also must make certain the changes you make are practical restoratively. You cannot overly reduce a tooth nor grossly distort a tooth. Additionally, I am always thinking about neutral zone, vertical dimension, envelop of function, anterior guidance, curve of Spee/Wilson, etc. There are usually compromises but they must be reasonable, practical and functionally realistic. When you put this all together properly, patients will tolerate the changes quite naturally. Are you a dentist or technician?
I see from your name you must be a dentist.