CDOCS a SPEAR Company

Loving this new Digital Workflow

Thomas Monahan Thomas Monahan
6 years ago

So I have been working on this case for just over a month and delivered it today. Patient had CC of misaligned teeth and failing composites. Declined ortho, don't blame her she is 71. However, she was made aware of how much I was planning to "pull back" her teeth based on our waxup and how everything overalyed with CEREC. So again, here is how I used our technology and software to our advantage. 

I scanned the patient with the 4.5.2 software and exported the STL files. They were sent along with photos via dropbox to my lab with instructions on the case. 

We received the mockup back as an STL file and printed using Form Lab 2 printer.

I opened her case back up and then scanned the digital waxup and overalyed to show the patient at her consult. After she agreed with proceeded with the case.

We rough prepped the teeth and delivered the mockup to the mouth, using it as a reduction guide for the case. 

When I tried to deliver the bisacryl temps, I nor the patient liked the midline, it was slightly off. So I used the digital model and editted the design and milled out Lava Ultimate temps. This is how tissue presented after 2 weeks.

After approval of the provisionals, we printed her prepped arch and milled 4 vita mark 2 crowns. Here is the following lab process:

These were delivered today. So we will get the patient back in a week or two for finals. But really thrilled with the outcome. I didn't see the "junk" until after the photos thinking.

These types of cases have become very predictable in my office. From sending it digitally to the lab and visually seeing how much we are removing, to having a model ready for fine tuning the restorations, I think 3D printing is taking a big part of our digital dentistry arsenal.

Tom

 

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