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Upper vs. Lower NG confusion
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<blockquote data-quote="Sda36" data-source="post: 337702" data-attributes="member: 17701"><p>Depending on skeletal relationship max/ mand may be just the best choice for treatment. Lets take a Pt with significant overjet, you really want a mandibular NG where the Pt feels they have a golf ball in front of their lower incisors? Its always a balance of everything in play for a given Pt. You need to see these cases articulated on a proper articulator Before choosing type. Having said that, mounted study models are part of Treatment Planning. Once you see what we see you may want to re- think your multiple requests. There are Very good designs from a whole bunch of great clinicians "Spear" etc. Real work begins with a facebow record, open bite records with a "Lucia Jig" and proceeds flawlessly from there. I'm really sick and tired of Docs who take 2 alginate impressions, Rx a bitesplint and do nothing more but to charge an ENORMOUS FEE for doing almost nothing at all. I know good Docs who will spend 2 hours or more chairside fine tuning these appliances. This is where designs meet the mat and are what is required. Otherwise an Rx to Wallgreens or Walmart would likely result in a more Pt friendly device. Enough said</p></blockquote><p></p>
[QUOTE="Sda36, post: 337702, member: 17701"] Depending on skeletal relationship max/ mand may be just the best choice for treatment. Lets take a Pt with significant overjet, you really want a mandibular NG where the Pt feels they have a golf ball in front of their lower incisors? Its always a balance of everything in play for a given Pt. You need to see these cases articulated on a proper articulator Before choosing type. Having said that, mounted study models are part of Treatment Planning. Once you see what we see you may want to re- think your multiple requests. There are Very good designs from a whole bunch of great clinicians "Spear" etc. Real work begins with a facebow record, open bite records with a "Lucia Jig" and proceeds flawlessly from there. I'm really sick and tired of Docs who take 2 alginate impressions, Rx a bitesplint and do nothing more but to charge an ENORMOUS FEE for doing almost nothing at all. I know good Docs who will spend 2 hours or more chairside fine tuning these appliances. This is where designs meet the mat and are what is required. Otherwise an Rx to Wallgreens or Walmart would likely result in a more Pt friendly device. Enough said [/QUOTE]
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Upper vs. Lower NG confusion
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