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E u r o S c i C o n C o n f e r e n c e o n
Dental & Dental
Hygiene
Dental & Dental Hygiene 2018
Journal of Dental and Craniofacial Research
ISSN 2576-392X
M a r c h 2 6 - 2 7 , 2 0 1 8
E d i n b u r g h , S c o t l a n d
Page 63
Tempocopy, a protocol to achieve complete
oral rehabilitations copying the provisional
prosthesis by means of CAD/CAM
Dirk Neefs
1,2
1
Vrije Universiteit Brussel, Belgium
2
University of Liege, Belgium
Introduction:
Amethod to achieve complete oral rehabilitation
with predictable success. Applicable to oral rehabilitations
with fixed prosthesis on teeth and/or implants. We use
the fixed provisional restorations to determine the centric
occlusion and dental morphology for an optimal functional
outcome on a periodontal, phonetic and aesthetic level.
Materials & Methodology:
We prepare every case of
rehabilitation in a classical way, using die cast models,
diagnostic wax up, CBCT scan, surgical guide and a
thermoplastic mold of our wax up in order to achieve
provisional methacrylate crowns made intra orally. In order to
deprogram the masticatory muscles and finding the centric
occlusion a Lucia Jig is then incorporated in the provisional
crowns. After a minimal time of ten minutes the centric
position is located. Adding methacrylate posterior occlusal
stability and lateral guidance is optimized. Esthetic and
phonetic adaptations are made. If there are neither subjective
nor objective problems the next weeks of follow up, we scan
our provisional bridge. This virtual bridge then will be positioned
on the virtual model and all the parameters controlled. Finally,
the technician makes the reduction on the virtual structure for
later ceramic covering and this design is send to the Zirconia
milling machine
Results:
Achieving the occlusion in centric relation, reestablishing
the TMJ (Temporomandibular Joint) in its physiological position
makes us realize full arch rehabilitations with a very good long
term prognosis.
Conclusion:
The Tempocopy protocol allows us to work with
much more predictability in aspects of occlusion, periodontics,
phonetics and aesthetics .
neefsdirk@gmail.comJ Den Craniofac Res 2018, Volume: 3
DOI: 10.21767/2576-392X-C1-003