DSD AND FUNCTIONAL OCCLUSION
Understanding how to safely open the OVD in worn dentition cases is a must. We see these type of cases more and more.
The Digital workflow can facilitate tremendously these treatments.
1.Learn how to identify functional issues on the first appointment. Make the right questions on the questionary and interpret the answers. Practice functional clinical exam. Know when to raise the red flag and refer to a Functional expert to avoid trouble.
2. Perform a functional analysis based on a facially driven smile design project. Determine the convenient OVD to be conservative on the posterior area, obtain proper overbite/overjet and protrusive angle.
3. Create the strategy and control the technique to obtain a healthy, reproducible mandible position (CR) to provide muscular and TMJ comfort.
4. Utilize I.O.S. to register this position and translate it to the Virtual Articulator.
5. Translate the digital project into minimally invasive Bonded Transitional Restorations to test drive function and Esthetics before getting into irreversible procedures.
6. After achieving functional stability, good phonetics and esthetic approval, use the transitional restorations to guide conservative preps and translate the transitional restorations into final ones using full digital protocols and monolithic CAD/CAM Restorations. Above all, use a pragmatic approach to make complex become simple and serve better our clients.