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Dentistry: Case Report Euro Dentistry 2017
September 20-21, 2017
Page 17
Notes:
25th Euro Dentistry Congress
September 20-21, 2017 Dublin, Ireland
Dirk Neefs, Dentistry: Case Report
Tempocopy, a protocol to achieve complete oral rehabilitations copying the provisional prosthesis by
means of CAD/CAM
Introduction: A method 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 &Methods: We prepare every case of rehabilitation in 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, re-establishing the TMJ 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.
Biography
Dirk Neefs graduated as a Dentist in 1987 at Brussels University and has specialization in Oral Rehabilitations with dental implants at Liege University in 1992. He has his
dental office in Antwerp, Belgium and Oviedo and Gijon, Spain. He has presented lectures in Belgium, France and Spain.
Dirk Neefs
Vrije Universiteit Brussel, Belgium