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Fig 5.1: Lucia Jig and centric relation Fig 5.2: Digital Functional design in exocad

Fig 6: Functional design Fig 7: Test drive smile

Fig 9.1: Preparations

Fig 8: Depth cutting burs

photographs and scans in CR to superimpose and create an ideal
smile in terms of functionality and aesthetics. The designs were
printed in-house, and a putty index was created to form a mold into
which Protemp 4 was injected and pressed against the teeth (additive
protocols) after spot etching. The patient’s occlusion was equilibrated,
and he was recalled after a week to assess the functionality of the
design.

MOVING TO DEFINITE PROSTHESIS
Since the patient did not report any TMJ pain, tenderness, muscle
soreness or difficulty in chewing, it was decided to proceed at the
increased vertical dimension and occlusion. We raised the bite by 3 Fig 9.2: Digital design for maxillary teeth
mm anteriorly to prevent aggressive preparations. It was decided to
do veneers for anteriors and table tops for posteriors with a buccal to ensure predictable bonding followed by digital scans and temporary
extension covering the large eroded areas. The maxillary teeth were veneers were fabricated again. The final emax monolithic restorations
prepared first, keeping the mandibular functional design intact. The once received were tried on and shown to the patient. After approval
buccal preparation was started with a 0.7 mm depth cutting bur and of shade and shape it was decided to bond the restorations with the
incisal reduction of 1.5 to 2 mm. All the preparation was kept in enamel usual emax bonding protocols.

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Dental Practice I November-December 2024 I Vol 20 No 5 35