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Full mouth rehab in the time of CAD-CAM
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<blockquote data-quote="CWilliams" data-source="post: 338239" data-attributes="member: 22723"><p>With one Dr I work with we blend the analog to the digital and it's been working well. It's comfortable for both parties to bridge "old and new."</p><p></p><p>1) We always start with a facebow and current diagnostic models- from there I hand wax a provisional sent for case presentation/ approval ( Dr. likes flat bite plane esk occlusion and I can wax that style way faster then trying to manipulate digital libraries, otherwise digital/ 3d print would be much easier).</p><p></p><p>2) Hand wax up-> scan to digital provisional and milled PMMA </p><p></p><p>3) Receive impression of final temps, and final impression (a) or final implant transfer impression (b)</p><p></p><p>4) (a) Create technique copings -> to be joined together in the mouth with addition of resin bite to make new verified master die model or (b) make verification jig for implants/ bite block</p><p></p><p>5) Scan everything into comp and get to work</p><p></p><p>6) Send back PMMA test run (for all on cases only)</p><p></p><p>7) Final for tryin </p><p></p><p>8) Final for insert</p><p></p><p>I would say step 3 is your make it or break it step. If I were handed final pours from another lab, I'd say no...</p><p></p><p>Just my two cents!</p></blockquote><p></p>
[QUOTE="CWilliams, post: 338239, member: 22723"] With one Dr I work with we blend the analog to the digital and it's been working well. It's comfortable for both parties to bridge "old and new." 1) We always start with a facebow and current diagnostic models- from there I hand wax a provisional sent for case presentation/ approval ( Dr. likes flat bite plane esk occlusion and I can wax that style way faster then trying to manipulate digital libraries, otherwise digital/ 3d print would be much easier). 2) Hand wax up-> scan to digital provisional and milled PMMA 3) Receive impression of final temps, and final impression (a) or final implant transfer impression (b) 4) (a) Create technique copings -> to be joined together in the mouth with addition of resin bite to make new verified master die model or (b) make verification jig for implants/ bite block 5) Scan everything into comp and get to work 6) Send back PMMA test run (for all on cases only) 7) Final for tryin 8) Final for insert I would say step 3 is your make it or break it step. If I were handed final pours from another lab, I'd say no... Just my two cents! [/QUOTE]
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