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Restorative Dentistry 2016
October 20-21, 2016
Volume 4, Issue 5 J Interdiscipl Med Dent Sci
ISSN: 2376-032X JIMDS, an open access journal
conferenceseries .com
October 20-21, 2016 Houston, USA
International Conference on
Restorative Dentistry and Prosthodontics
J Interdiscipl Med Dent Sci 2016, 4:5(Suppl)
From planning to cementation
Ariel Merino
Private Dentist, Argentina
Patient planning is the first step of any restorative treatment. To get a better aesthetic visualization, better communication
with our interdisciplinary team and our patients is important and will in turn enhance our treatments to run more
effectively. Our planning is based on the information gathered and in the correct diagnosis and interpretation to develop a high
impact proposal for our patients. In this presentation we will show a review of clinical cases with minimally invasive restorative
treatments, documented with photography and videos, analyzing all important aesthetics and functional points. Information is
most important, which is why it is required to emphasize the analysis of the patient’s interview where manifesting their desires
and personal interpretations of his aesthetic for us to give our patients a leading role in this story. It is important to evaluate all
possible paths in restorative treatments whether these additives, subtractive or corrective is for them that hand seek planning
together with the triad patient, dental technician interdisciplinary team the best way forward.
Tempocopy, a protocol to achieve complete oral rehabilitations copying the provisional prosthesis
by means of CAD/CAM
Dirk Neefs1,2
1Vrije Universiteit Brussel, Belgium
2University of Liege, Belgium
Introduction & Aim: A method to achieve complete oral rehabilitation with predictable success. Applicable to oral
rehabilitations with fixed prosthesis on teeth and/or implants. We use the fixed provisional restorations to determine the
centric occlusion and dental morphology for an optimal functional outcome on a periodontal, phonetic and aesthetic level.
Materials & Methods: We prepare every case of rehabilitation in a classical way, using die cast models, diagnostic wax up,
CBCT scan, surgical guide and a thermoplastic mold of our wax up in order to achieve provisional methacrylate crowns made
intra orally. In order to deprogram the masticatory muscles and finding the centric occlusion a Lucia jig is then incorporated
in the provisional crowns. After a minimal time of 10 minutes the centric position is located. Adding methacrylate posterior
occlusal stability and lateral guidance is optimized. Esthetic and phonetic adaptations are made. If there are no subjective
and objective problems, then in the next weeks of follow up, we scan our provisional bridge. This virtual bridge then will be
positioned on the virtual model and all the parameters controlled. Finally the technician makes the reduction on the virtual
structure for later ceramic covering and this design is send to the Zirconia milling machine.
Results: Achieving the occlusion in centric relation, re-establishing the temporomandibular joint (TMJ) in its physiological
position makes us realize full arch rehabilitations with a very good long term prognosis.
Conclusion: The tempocopy protocol allows us to work with much more predictability in aspects of occlusion, periodontics,
phonetics and aesthetics.