Dr wants to do an upper roundhouse and open the bite. He wants to see if the patient can tolerate the open bite before anything irreversible is done by adding composite to the occlusal of posteriors. I need to make a delivery system to go over the diagnostic was up for the doc to be able to use flowable composite to take shape of the wax up in the patient's mouth.
I am not familiar with orthotics
I don't have that module in exo. This is a one time thing for me so far. I saw a webinar some time ago and the presenter used a clear hard shell probably light cured into which he injected clear impression material and squished that over the wax up. Of course I don't remember who gave the webinar.
You could always pack in heat cure clear if you don't want to buy the light cure for a one time use.
Yes, The teeth are worn down and he wants to open the bite and see if the patient can tolerate before prepping.
I have cold cure clear acrylic, so can use that. I thought a clear light cure sheet would be easier and faster.
... Never heard of that one before. Sounds more complex than what he's thinking. It would be, if you can find sheets anywhere. Do you have an Ivocap or Ivobase? I've got some clear Ivocap. I could send you some.
I am fixed only. I had some dentsply triad clear custom tray sheets but no more and I don't think they sell them any more. Thank you!
Dentsply went totally digital, they discontinued everything analog. GRRRR!
All he needs is a bite opening splint, like @bigj1972 said. He doesn't need to put any composite in it. Get the patient comfortable in the splint and go from there. Easy peasy!
www.speareducation.com Thank you for the article. This dentist will not jump in head first until he is sure of the outcome. I will investigate orthotics.What is he going to open the vertical to? Is just picking a random number?
At least they are thinking about a splint, instead or prepped already and telling you to open the bite.
You need to get the patient in an orthotic or some sort of splint therapy and have them wear it for an extended amount of time.
This could be a very troubling case for you to get involved with if they are not too familiar with VDO.
And by them just wanting to flow composite kind of seems like they don't really know what they're doing.
Taking the ‘Voodoo’ Out of Vertical Dimension of Occlusion - Spear Education
Learn the definition of VDO and specific criteria for evaluation, decision-making and action for a change of vertical to address excessive tooth wear.
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Promotek sells clearlike light cure material,Primo Splint, in ~1cm round cylinders for splints. Tends to be a touch less than clear but should work for your description of need. Great article above which needs to be understood for sure.
