Page 15 - DP Vol 19 No 2 HR_Neat

Fig 10: Anterior CAD Design File
centric and eccentric movements (Baush, 200
micron paper) to establish a new envelope
of function at a raised vertical dimension.
At all stages the facebow (ADLER) and bite
(VIRTUAL, IVOCAR) was recorded and
transferred to the lab for articulator mounting.
Following this the patient was left for 6 weeks
to adjust and test the new bite in function.
Periodic checks were made to investigate para
joint discomfort. All excursive movements
were checked periodically for interferences
and centric maximum intercuspation
equilibrated bilaterally to ensure the patient
was comfortable. All PMMA temporary teeth
were cemented with Non Eugenol Temporary
Cement (TempoCem, DMG) 1

STAGE iV(A): DEFiNiTiVE FULL
CONTOUR ANTERiOR ZiRCONiA
CROWNS
After 6 weeks the patient was checked for
comfort, function and ability to chew food.
The bite was double checked with 200 micron
Fig 11: Anterior Final Prosthesis on Model
(Bausch) for any interferences in centric and
eccentric motions.
The plan in phase 4 was to first change upper
and lower anterior sextant (upper + lower
canine to canine- 12units) from milled PMMA
to full contour zirconia while maintaining
established posterior vertical with the milled

Dental Practice i March-April 2023 i Vol 19 No 2 15