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Full mouth rehab in the time of CAD-CAM
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<blockquote data-quote="TheLabGuy" data-source="post: 338248" data-attributes="member: 126"><p>I average two digital FMRs a week for over a year now. </p><p>Doc takes initial scans, jots down what he likes/dislikes, the patient likes/dislikes...then we do digital mockup. Once digital mockup is done, we usually have Doc TeamViewer in with us to make any changes and see the progress of case. This is usually done with a virtual articulator. If we are opening vdo, a separate leaf guage occlusal bit is captured/sent to us and incorporated into the virtual articulation. Then once Doc signs off, we can mill the temps, or print the mockup and do a putty matrix for chairside temp fabrication. Then prep away (and if your doing one arch at a time, always do lower arch first-helps in determine length of max. anteriors and envelope of function). Place temps and then biggest thing is you can let patient test drive temps for a week, come back and make any changes to temps needed...THEN scan the temps and send to lab. Scanning the temps makes it a slam dunk for lab. The last twenty FMRs had no adjustments needed whatsoever. That's our protocol for these big boys. Only other thing I would mention is that if you are opening the VDO signicantly (more than 6mm),I'd suggest transitional temps, spaced 6-8 weeks apart to you get desired vdo with patient on a Motrin/Tylenol regimen...to allow those muscles adapt to opening the vertical. Hope this helps.</p></blockquote><p></p>
[QUOTE="TheLabGuy, post: 338248, member: 126"] I average two digital FMRs a week for over a year now. Doc takes initial scans, jots down what he likes/dislikes, the patient likes/dislikes...then we do digital mockup. Once digital mockup is done, we usually have Doc TeamViewer in with us to make any changes and see the progress of case. This is usually done with a virtual articulator. If we are opening vdo, a separate leaf guage occlusal bit is captured/sent to us and incorporated into the virtual articulation. Then once Doc signs off, we can mill the temps, or print the mockup and do a putty matrix for chairside temp fabrication. Then prep away (and if your doing one arch at a time, always do lower arch first-helps in determine length of max. anteriors and envelope of function). Place temps and then biggest thing is you can let patient test drive temps for a week, come back and make any changes to temps needed...THEN scan the temps and send to lab. Scanning the temps makes it a slam dunk for lab. The last twenty FMRs had no adjustments needed whatsoever. That's our protocol for these big boys. Only other thing I would mention is that if you are opening the VDO signicantly (more than 6mm),I'd suggest transitional temps, spaced 6-8 weeks apart to you get desired vdo with patient on a Motrin/Tylenol regimen...to allow those muscles adapt to opening the vertical. Hope this helps. [/QUOTE]
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