Category: Medit i500 V 2.1 preview

An exciting new feature in the Medit i500 v 2.1 is the ability to close holes in the model AND to create a base. For advanced users, this is not of great significance but for most new users, and particularly for labs new to digital, the option allows us to immediately send the case to a printer.

Most users like to fabricate the models and then restoration and verify the fit and the contacts after all the polishing and glazing is processed. There are lots choices for the height of the base and to make it hollow to save on the amount of resin it takes to fabricate the case.

Requests for adding support pins have already been submitted and are forthcoming.

Once the current dentition is digitized you can take it to any CAD software and design the case to your liking and fabricate temporary shells or even print/mill the model to make suck down stents or siltech matrix putties to adapt the new smile to the current dentition.

One of our favorite procedures to perform with digital dentistry are occlusal appliances where you open the vertical (for an occlusal guard for bruxism) or when you open the vertical and advance the jaw forward to create an airway passage for snoring and/or sleep appliances.

A method that is very simple that we use is to capture two buccal bites while the patient is biting on two cotton rolls on both sides. You place the cotton roll in such a manner so that the second molars and their clearance are clearly visible.

This allows you to asses the thickness you can achieve in the appliance and to assess the open bite in the anterior. It is very important to tell the patient you will be capturing the bite on both sides and that they should hold that position until you instruct them to otherwise. The cotton rolls give them the perfect tactile sensation to keep them in place without opening or closing their jaws. The best part of this is when the appliance is delivered, there is little to no adjustment to perform.

Link

Embed

Copy and paste this HTML code into your webpage to embed.

Imaging For an Occlusal Bruxism Guard

Video demonstratring how we capture the patient's left buccal bite in "Occlusion 1 Window

Video demonstratring how we capture the patient's left buccal bite in "Occlusion 2 Window"

Once the upper jaw and the lower jaw are imaged, the data is then transferred to CAD software, in this case exocad. You can see how we first edit the mesial contact of the first molar in anticipation of future dental work. We bulked out the area to accommodate any future dental work. The occlusal scheme is taken into consideration when designing the prosthesis which is then milled and delivered to the patient

Link

Embed

Copy and paste this HTML code into your webpage to embed.

Design in exocad Bite Splint Module

Digital Design and Milling of Occlusal Guard

5 Axis Milling of Ivoclar CAD-Splint Material

Appliance Milled Out of Puck With Aurum Doowon 5 Axis Machine

CT and IOS Scans Merged for Measurements

We take a CT scan on all new patient exams and there are quite a lot of diagnostic information you can gather from that data set by itself, or for orthodontic measurements. Here, we merged the data sets and reveal how you can pick up on matters like a deviated septum and a mucous retention cyst. You can also utilize these data sets to view the head of the condyle at maximum intercuspation or with the appliance in place. The appliance did not need a single adjustment neither on the occlusal surface, nor in the intaglio

Link

Embed

Copy and paste this HTML code into your webpage to embed.

No Adjustments At Delivery

Digitally Desgined and Milled Occlusal Guard

No Occlusal Adjustment To Milled Appliance

Checking Excursive Movements