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Full mouth rehab in the time of CAD-CAM
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<blockquote data-quote="CoolHandLuke" data-source="post: 338235" data-attributes="member: 4850"><p>to "start" digital take a pair of initial scans, and a new test bite (perhaps with pt in tens device, perhaps with one of those bite-on-popsicle-stick devices)</p><p></p><p>have the lab create digital mockup, printed model with test splint to use as a temp orthotic. </p><p></p><p>if instead you want to do impressions and do this waxup and first orthotic by hand, fine. to end the case once bite is established, lab would scan the models made, and have you scan the pt with orthotic on and off. lab would make permanent orthotic postive, print the model, make putty. you'd bond the permanent orthotic and wait till final prep time.</p><p></p><p>then its time for temp matrixes, prep, scan, chairside temp half arch, bite scan, temp other side, take two aspirin and let the lab do its job.</p><p></p><p>if the waxup was good, the lab is laughing because its only got to copy that, mill it, stain and glaze, done.</p><p></p><p>everyone wins.</p></blockquote><p></p>
[QUOTE="CoolHandLuke, post: 338235, member: 4850"] to "start" digital take a pair of initial scans, and a new test bite (perhaps with pt in tens device, perhaps with one of those bite-on-popsicle-stick devices) have the lab create digital mockup, printed model with test splint to use as a temp orthotic. if instead you want to do impressions and do this waxup and first orthotic by hand, fine. to end the case once bite is established, lab would scan the models made, and have you scan the pt with orthotic on and off. lab would make permanent orthotic postive, print the model, make putty. you'd bond the permanent orthotic and wait till final prep time. then its time for temp matrixes, prep, scan, chairside temp half arch, bite scan, temp other side, take two aspirin and let the lab do its job. if the waxup was good, the lab is laughing because its only got to copy that, mill it, stain and glaze, done. everyone wins. [/QUOTE]
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