2thm8kr
Beanosavedmysociallife
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This patient has had some serious periodontal issues over the years. Almost all of the uppers extracted along with most of the lower posteriors. This will be a bar retained case upper and lower at the patient's option. You can see the sinus grafts in the pan below.
Numbers 27 and 28 are completely blown out. This old telescopic bridge is mobile and ready to give it up.
3d rendering shows the damage to the buccal cortical plate. Patient was appointed to remove this bridge and extract 21,22,27,28. The bridge and # 27 and 28 came out in the alginate for this dx/sx workup.
We had planned to do the upper first, but since the lower bridge is hanging on by #'s 21 & 22 we will need a solution for the patient quickly. Upper already has a flipper that establishes the patient's midline and incisal edge position so I will use that to make a virtual lower flipper so my acrylic lab will have template to make an immediate flipper that functions as best as possible with the upper. VDO is being preserved by the posteriors. They will go away when we are finished with the restorations.
Preop situ
Lower virtual extractions
Using the gingiva design feature in exo 6136 a digital dx is done on the extracted arch using the virtual articulator module for functional adjustments.
This waxup was sent out for printing this morning. After the acrylic lab is finished duplicating it I will transform it into a scan appliance by attaching radio opaque markers. I now have to wait for the acrylic lab to finish their part before moving forward with the plan for the lower. The upper flipper was scanned and sent out for printing. It will be used as a scan appliance for the upper sx plan.
Upper flipper scan................
Numbers 27 and 28 are completely blown out. This old telescopic bridge is mobile and ready to give it up.
3d rendering shows the damage to the buccal cortical plate. Patient was appointed to remove this bridge and extract 21,22,27,28. The bridge and # 27 and 28 came out in the alginate for this dx/sx workup.
We had planned to do the upper first, but since the lower bridge is hanging on by #'s 21 & 22 we will need a solution for the patient quickly. Upper already has a flipper that establishes the patient's midline and incisal edge position so I will use that to make a virtual lower flipper so my acrylic lab will have template to make an immediate flipper that functions as best as possible with the upper. VDO is being preserved by the posteriors. They will go away when we are finished with the restorations.
Preop situ
Lower virtual extractions
Using the gingiva design feature in exo 6136 a digital dx is done on the extracted arch using the virtual articulator module for functional adjustments.
This waxup was sent out for printing this morning. After the acrylic lab is finished duplicating it I will transform it into a scan appliance by attaching radio opaque markers. I now have to wait for the acrylic lab to finish their part before moving forward with the plan for the lower. The upper flipper was scanned and sent out for printing. It will be used as a scan appliance for the upper sx plan.
Upper flipper scan................
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