Exocad / Artex / settings

[Sda36]

I think Im alone on this, but when I do larger cases, I like to equilibrate and check function on an old Hageman Balancer Junior.

I admit, I dont know what I dont know, so please educate me why its a flawed idea, if it is.

I remember the Vertex and FGP back in the late 70's

 

[Sda36]

I remember the Vertex and FGP back in the late 70's

Interested in your reply, as always!

 

[user name]

Articulator

The UTHealth School of Dentistry at Houston houses a large and comprehensive collection of articulators which you can access online.

dentistry.uth.edu

 

[Getoothachopper]

Well , thanks for answering ! Yet this is the first time I've been judged by asking a question , interesting !

"We do take teeth way too seriously ,huh"

 

[millennium]

I think Im alone on this, but when I do larger cases, I like to equilibrate and check function on an old Hageman Balancer Junior.

I admit, I dont know what I dont know, so please educate me why its a flawed idea, if it is.

You are not, When I do anterior medium to large cases I have to do an analog diagnostic wax up to "see" the design of the case and what to do. For larger cases I see the case on the screen but its not registering in my head the same way as an analog wax up does. I have been scanning for three years. I hope that will change. And I do equilibrate every case singles too.

 

[2thm8kr]

For larger cases I see the case on the screen but its not registering in my head the same way as an analog wax up does.

It can be tough at first. I had to do both. Once I got an Artex and the scan plate for my scanner things changed quickly. I could do an analog wax up and scan it so it was in the same position on both real and virtual articulators. This helped train myself to trust what I was seeing on the screen vs. reality. Then I just made up my mind that everything was going to be digital unless I couldn't figure out a workflow. 99.9% of my DX work is digital now and I don't mean digitizing an analog wax up.

 

[JMN]

training your brain to accept a flat fake shadowed representation instead of a true bi-optic depth inference is difficult. I like your path to that @2thm8kr

 

[millennium]

It can be tough at first. I had to do both. Once I got an Artex and the scan plate for my scanner things changed quickly. I could do an analog wax up and scan it so it was in the same position on both real and virtual articulators. This helped train myself to trust what I was seeing on the screen vs. reality. Then I just made up my mind that everything was going to be digital unless I couldn't figure out a workflow. 99.9% of my DX work is digital now and I don't mean digitizing an analog wax up.

I will keep plugging at it!

 

[2thm8kr]

training your brain to accept a flat fake shadowed representation instead of a true bi-optic depth inference is difficult. I like your path to that @2thm8kr

A LOT of back and forth.

 

[2thm8kr]

I will keep plugging at it!

I did DX wax ups for all anterior cases, even singles and made matrices to make sure my substructure was right for porcelain support. I also used the matrix for building the porcelain when we layered everything.
Now digital DX and on the rare occasion I need to layer, I print a model of the DX and make an analog matrix from that. I have thought about printing the matrix with flexible gingiva material, but what am I going to do with all this old lab putty? Lol

 

[millennium]

I did DX wax ups for all anterior cases, even singles and made matrices to make sure my substructure was right for porcelain support. I also used the matrix for building the porcelain when we layered everything.
Now digital DX and on the rare occasion I need to layer, I print a model of the DX and make an analog matrix from that. I have thought about printing the matrix with flexible gingiva material, but what am I going to do with all this old lab putty? Lol

I will buy it off of you for cheap

 

[Chalky]

No human has ever been recorded to have less than 25°, not even close.
If it misses at 20° it will miss at anything steeper. When I do digital work ups I am not always certain that the restoration will be fixed.
An old mentor of mine did dentures at 25°. @kcdt

Most of my patients are older than Methuselah, they have broken down dentition and some have had broken down. condylar capsules. I've had a lot of success at 20° for an average and I'll stay there until something dictates a change.

Also, if you use anything flatter than what the patient actually has using exo virtual articulator the protrusive and excursive movements in the software are dictated by the position of the teeth.

The process may change since we started using gothic arch tracers on all full arch/mouth restorations regardless if fixed or removable. @kcdt <--- thanks!

I work with Oral Medicine Specialists who specialise in Oral Facial Pain management and hence splint therapy... I routinely use 22 degrees based on a few reasons. this is my baseline 'average value', (it is essentially midway between 20 and 25 degrees). I have pretty good success with this. Dentition breaks down over time and in severe bruxers bones also can wear over time. Without facebow or transferable values we can only work on our own reasonable knowledge of application of average values. Thank you for your reply to this thread, as it kind of validates what I have been doing and the values I use!

 

[2thm8kr]

@Chalky
Thank you for replying with your experience