Page 14 - DP Vol 19 No 2 HR_Neat
P. 14

Multidisciplinary  section






















           Fig 5: 2D DSD































           Fig 6: Printed Models                   Fig 7: Clinical Chairside Temporary  Fig 8: Anterior and Posterior PMMA
                                                                                       Milled Temps


                                                       milled lab made CAD CAM interim   anterior sextant (upper + Lower 3-3 total
                                                       PMMA crown with the same vertical. 1  12 units) while  maintaining posterior
                                                         The printed PMMA provisionals   vertical with the chairside temps. The
                                                       were printed in Next Dent 3D System.   anterior PMMA crowns were then
                                                       This system provides a Bio Compatible   fabricated and cemented with Tempo
                                                       resin that can be used as a long term   Cem (Non Eugenol Based Temporary
                                                       provisional, are aesthetic in nature   Cement) followed by grossly preparing
                                                       and has better strength compared to   posteriors and replacing the posterior
                                                       conventional provisionals. 2     chairside temporary crowns with Lab
                                                                                        made milled PMMA crowns. Hence
                                                       STAGE  iii: STAGED OCCLUSAL      replacing all teeth from chairside bisacryl
                                                       REHABiLiTATiON WiTH PMMA         temporary crowns (LUXATEMP, DMG)
           Fig 9: PMMA Milled Temps with Anterior      MiLLED TEMPORARiES               to lab milled digitally designed and
           disocclusion
                                                       Maintaining  the  raised  vertical  milled PMMA crowns (Precision Dental
                                                       dimension, all anterior teeth were   Studio, Mumbai) while maintaining the
                                                       anesthetized (Lignospan, 1:80,000) ADR   raised vertical and replicating them from
                                                       – No adverse reaction noted) and grossly   chairside to milled temps. The teeth were
                                                       prepped in 2 phases. Upper and lower   tested and marked for interferences in

           14  Dental Practice i March-April 2023 i Vol 19 No 2
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