Great video, I am currently looking to bring my equilibrations to a digital platform. Did you take lessons to be able to work the exocad steps? If so then where? Did you use a digital facebow to bring the scanned teeth to a digital articulator? Did you scan an open bite in CR then close digitally? Do you have a lab finalize your wax ups before provisionalization? This digital work flow is very exciting. Keep up the great work.
Hey, I am just now seeing your questions, sorry for not being on top of follow up. I will start to check this area closer. Lessons? I am pretty much self taught as lessons were not available when I was starting out. I teach courses at my office and can do some one-on-one sessions by special arrangement. Facebow? I use a 95 to 100 mm arbitrary hinge axis in some cases but in the case of occlusal trial equilibration the best is to measure the hinge axis with a square. Still slightly arbitrary but so is the facebow. I do scan using an anterior bite stop in centric relation as close to first contact as possible then verify that the 1st point of contact matches the 1st point of contact recorded in the mouth. Lab finalization? Nope, I finalize my own. Much lower cost and 100% control and get what I want. I can 3D print models to allow segmental provisional restorations in a very controlled workflow. I offer courses at my office starting at my office, email me to arrange dates or times: drp@drpatedme.com
Hey, I am just now seeing your questions, sorry for not being on top of follow up. I will start to check this area closer. The trial equilibration is only to predict the feasibility of being able to accomplish the equilibration intraorally. The trial equilibration allows you to predict the beginning but the final equilibration has to be done in the mouth with the knowledge that you can get to an occlusion that satisfies the requirements for a stable occlusion, so the trial equilibration predicts the beginning and the end. Currently I cannot print say a reduction guide for the equilibration. Also realize that all semi adjustable articulators currently available have a straight-line condylar path and this works very well without the more complicated gnathological approaches or even jaw movement data collection. Because the patient disarticulates the posterior teeth much faster than the 25 to 30 degree condylar setting that I use, the intraoral equilibration is generally much easier in the mouth.
Great video, I am currently looking to bring my equilibrations to a digital platform. Did you take lessons to be able to work the exocad steps? If so then where? Did you use a digital facebow to bring the scanned teeth to a digital articulator? Did you scan an open bite in CR then close digitally? Do you have a lab finalize your wax ups before provisionalization?
This digital work flow is very exciting. Keep up the great work.
Hey, I am just now seeing your questions, sorry for not being on top of follow up. I will start to check this area closer.
Lessons? I am pretty much self taught as lessons were not available when I was starting out. I teach courses at my office and can do some one-on-one sessions by special arrangement.
Facebow? I use a 95 to 100 mm arbitrary hinge axis in some cases but in the case of occlusal trial equilibration the best is to measure the hinge axis with a square. Still slightly arbitrary but so is the facebow.
I do scan using an anterior bite stop in centric relation as close to first contact as possible then verify that the 1st point of contact matches the 1st point of contact recorded in the mouth.
Lab finalization? Nope, I finalize my own. Much lower cost and 100% control and get what I want. I can 3D print models to allow segmental provisional restorations in a very controlled workflow.
I offer courses at my office starting at my office, email me to arrange dates or times: drp@drpatedme.com
Fantastic video Dr. Pate! Thank you for sharing your video. Can I ask how you transfer your digital trial equilibration to the mouth?
Hey, I am just now seeing your questions, sorry for not being on top of follow up. I will start to check this area closer.
The trial equilibration is only to predict the feasibility of being able to accomplish the equilibration intraorally. The trial equilibration allows you to predict the beginning but the final equilibration has to be done in the mouth with the knowledge that you can get to an occlusion that satisfies the requirements for a stable occlusion, so the trial equilibration predicts the beginning and the end. Currently I cannot print say a reduction guide for the equilibration. Also realize that all semi adjustable articulators currently available have a straight-line condylar path and this works very well without the more complicated gnathological approaches or even jaw movement data collection. Because the patient disarticulates the posterior teeth much faster than the 25 to 30 degree condylar setting that I use, the intraoral equilibration is generally much easier in the mouth.