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Brochure PlaneSystem® Udo Plaster Case 2

Brochure PlaneSystem® Udo Plaster Case 2
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Brochure PlaneSystem® Udo Plaster Case 2 - 1

Analysis, acquisition and transfer of referenceable individual patient information

Brochure PlaneSystem® Udo Plaster Case 2 - 2

WHEN IT COMES TO HEALING … ... only the best is good enough. For this reason, we decided to work with my long-time colleague, Udo Plaster, MDT, in the realm of patient and model analysis. His PlaneSystem® is a transfer method that respects and recognises the patient as a person. Whether we choose the digital or the traditional route in the preparation of dental restorations, the accurate and individual recording of patient data by the PlaneSystem® will pave the way for the pursuit of complete health. We have integrated the PlaneSystem® ideas and improvements.

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Brochure PlaneSystem® Udo Plaster Case 2 - 3

COMPLEX RESTORATION dental prosthesis. In addition to dental diagnostics, a dental technical analysis or physical diagnosis is carried out. The work steps based on this analysis also led to a high level of satisfaction and a relaxed smile for the patient whose case is presented on the following pages. The patient was provided with an implant-supported prosthesis in the edentulous mandible. In the Although the patient did not complain about functional problems, it was clearly visible that the the occlusal plane individually in order to be able to fabricate the dental restoration based on it....

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Brochure PlaneSystem® Udo Plaster Case 2 - 4

FIRST DENTAL TECHNICAL ANALYSIS The collection of information begins with a patient interview regarding the dental history; Orthodontic treatments Surgical interventions Tooth losses Existing denture Patient needs in connection with the new prosthesis DENTAL HISTORY The patient gradually lost his teeth over the last few decades. He was wearing different kinds of dental prostheses. He is currently wearing a supported restoration in the mandible. Now he ADAPTATION DENTAL PROSTHESIS Dental history of the patient as well as general adaptation phases and compensation phases.

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Brochure PlaneSystem® Udo Plaster Case 2 - 5

FACIAL ANALYSIS Preparation for photographs and 3D digitisation of the face with the Face Hunter facial scanner. The situation models shown on the face scan reveal the high vertical dimension. The alveolar ridge in the upper jaw is severely atrophied. The occlusal plane in the mandible drops dorsally. Each intervention into the stomatognathic system after completion of the growth (e. g. dental prosthesis, orthodontics) is compensated by the body elsewhere. For this, seven compensation points (Hergenröther, 2015)

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Brochure PlaneSystem® Udo Plaster Case 2 - 6

ANATOMIC LANDMARKS Landmarks (anatomic orientation points) are captured both on the face (facial landmarks) as well as on the model (cranial landmarks). ANATOMIC LANDMARKS The reference points are used as an orientation when dividing the dimensions. patient’s face. skull that can be reproduced at any time (even when the patient is edentulous). Seen from the sagittal view, these are the ala points (ala of the nose) at the right and left, the tragus (outer auditory canal) and the jaw angle.

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Brochure PlaneSystem® Udo Plaster Case 2 - 7

At the front, nasion and subnasal point are marked as anatomic landmarks. Division of the face into different planes. The most important point here is the stomion*. Tr N’ when articulating the “m-sound” and/or when the lips are in a relaxed position (without occlusal contact).

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Brochure PlaneSystem® Udo Plaster Case 2 - 8

To determine the centre of the skull, a template is inserted into the patient’s mouth and the centre of the skull is marked on the palate. Ala points, nasion, spina, raphe mediana – due to the natural asymmetry of a face, the lines never match exactly (see left picture). The image is captured in the Natural Head Position* (NHP). where the patient is in equilibrium and looks himself/herself in the eyes in the mirror. PROFILE ANALYSIS BY HOLDAWAY* Proﬁle line Nasion the Zirkonzahn.Scan software and displayed N together with the situation models (without image at the correct height (vertical...

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Brochure PlaneSystem® Udo Plaster Case 2 - 9

Analysis of the right and left half of the face How can the landmarks* now be transferred onto the model or how can the spaces on the toothless jaw be divided? (facial landmarks) and on the model (cranial landmarks) for dividing the dimensions (tooth position, tooth size).

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Brochure PlaneSystem® Udo Plaster Case 2 - 10

The landmarks are marked sagittally on the As a parallel line to the ala-tragus* line, a line plane (FP). * Ala-tragus line = connecting line from the ala nasi (ala of the nose) to the tragus (entrance of external auditory canal) Sto

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Brochure PlaneSystem® Udo Plaster Case 2 - 11

A vertical line is drawn from the marked point on the os zygomaticum to the functional plane. The intersection of this line with the Middle Zygomatic Bone ala-tragus plane indicates the position of the upper molar. DIVISION OF THE SPACES ON THE MODEL The information obtained is transferred to Middle the model. The midline and the hamulus points Zygomatic Bone (left, right) on the opalatinum are used as landmarks on the model. The previously determined position of the molars is marked dimensions as a reference point for the 23 +/- mm manufacture of the dental restoration.

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Brochure PlaneSystem® Udo Plaster Case 2 - 12

molars are displayed in their desired position. Up to this point we only work on the upper jaw Middle Zygomatic Bone without taking the lower jaw as a reference. In order to assign the lower jaw model to the upper jaw model, the bite height is required. For this purpose, the jaw angle is marked and Middle Zygomatic Bone Front 30 +/- mm 6er 23 +/- mm OS palatinum an orientation value is retrieved. Important information can also be obtained from the position of the upper molars. The molar is like a water level. If the angle opens towards the front like a fan, a lot of growth can be expected...

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Brochure PlaneSystem® Udo Plaster Case 2 - 13

The graph shows the presumed vertical dimension between the upper and lower jaw model, which has been determined from the available “jaw angle” information. The bite height is always worked out together with the patient (physically and muscularly). Vertical dimension PREVIEW TOOTH RESTORATION For a better illustration, the planned dental prosthesis is already shown on this picture. The vertical dimension must be strongly increased.

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Brochure PlaneSystem® Udo Plaster Case 2 - 14

How is the determined information now transferred in such a way that the tooth restoration can be manufactured? The aim is REFERENCED TRANSMISSION OF THE LOWER JAW ®

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