SlideShare a Scribd company logo
1 of 73
www.indiandentalacademy.com
.
Frontal video image with the superimposed
cephalometric tracing.
www.indiandentalacademy.com
Fig. 2 Patient video
image.
www.indiandentalacademy.com
Fig. 4 Dental cast image
www.indiandentalacademy.com
Fig. 5 DigiGraph head holder.
www.indiandentalacademy.com
Fig. 6 Model board inserted in head holder.
www.indiandentalacademy.com
Fig. 7 Light box attached to head
holder.
www.indiandentalacademy.com
www.indiandentalacademy.com
Fig. 28 Progress intraoral records taken with DigiGraph.
www.indiandentalacademy.com
Fig. 8 DigiGraph monitor and
keyboard.
www.indiandentalacademy.com
Fig. 9 Sony video printer
www.indiandentalacademy.com
Fig. 10 Digitizing handpiece with removable tips.
www.indiandentalacademy.com
Fig. 11 DigiGraph Consultation Station.
www.indiandentalacademy.com
Fig. 12 Patient history screen.
www.indiandentalacademy.com
Fig. 13 DigiGraph main menu
www.indiandentalacademy.com
Fig. 14 Patient images in traditional grouping.www.indiandentalacademy.com
Fig. 15 Adjusting patient's position in head
www.indiandentalacademy.com
Fig. 16 Landmarks digitized directly from patient.
www.indiandentalacademy.com
Fig. 17 As each landmark is digitized, it is superimposed over video
image.
www.indiandentalacademy.com
,
Fig. 20 Video image (A) modified by dragging light pen across screen
to produce new image (B).
www.indiandentalacademy.com
Fig. 21 "Before and after" images produced
with "cut and paste" function.
www.indiandentalacademy.com
Fig. 22 Light pen used to draw over video image.www.indiandentalacademy.com
Fig. 28 Progress intraoral records taken with DigiGraph.
www.indiandentalacademy.com
Fig. 1 In severe overjet case, base must be thick enough to prevent fracture
due to extended lower anterior section and deep labial sulcus.
www.indiandentalacademy.com
Fig. 2 Solid line shows "Highlands trim"; dashed line shows
standard Angle trim.www.indiandentalacademy.com
Fig. 3 With "Highlands trim", surfaces are cut as close and
parallel to buccal segments as possible.
www.indiandentalacademy.com
Fig. 4 A. Occlusal, buccal, and frontal photographs of study
models with "Highlands trim". B. Photocopies of same
models. www.indiandentalacademy.com
Fig. 1 Typical photocopy of models as used in this
study. www.indiandentalacademy.com
Fig. 1 Clear plastic oral screen prepared for impression
taking by affixing adhesive tape to its free margins.
www.indiandentalacademy.com
Fig. 2 Impression taking with the oral screen in place.www.indiandentalacademy.com
Fig. 3 Poured model following removal of vestibular impression.
www.indiandentalacademy.com
Fig. 4 Forming the upper art base.www.indiandentalacademy.com
Fig. 5 Forming the lower art
www.indiandentalacademy.com
Fig. 6 The finished vestibular model.
www.indiandentalacademy.com
Fig. 1 Central groove cut into the backs of models.
www.indiandentalacademy.com
Fig. 2 Triangular file used to cut central orientation
groove.
www.indiandentalacademy.com
Fig. 5 Typical ideal normal Class I occlusogram.www.indiandentalacademy.com
Fig. 6 Patient #19. Bolton Analysis suggests that upper anteriors are
3.8mm too wide. However, models and occlusogram show an ideal
arrangement. www.indiandentalacademy.com
Fig. 7 Patient #14. Bolton Analysis suggests that lower anteriors
need 2.4mm of interproximal reduction. Models and
occlusogram reveal no such requirement.www.indiandentalacademy.com
Fig. 8 Occlusal mapping. A. Natural arch perimeter drawn on
occlusal map. B. Natural arch perimeter without map. C. Idealized
occlusal map drawn by lining up teeth on natural arch perimeter..)
www.indiandentalacademy.com
Fig. 9 Arch length discrepancy measured by
superimposing idealized arch form on the original.www.indiandentalacademy.com
Fig. 10 Class II division 2 case appears to have little overjet.
Occlusogram reveals 3mm of overjet.
www.indiandentalacademy.com
Fig. 11 Case with no tooth size discrepancy according to the Bolton
Ratios.
Occlusogram reveals obvious discrepancy.
www.indiandentalacademy.com
Fig. 14 Case with undetected tooth size discrepancy.
Occlusogram revealed 4mm of excess lower tooth mass.
www.indiandentalacademy.com
Fig. 15 Diagnostic occlusogram for case in Figure 14, with
one lower incisor removed.
www.indiandentalacademy.com
Fig. 16 Case in Figure 14, following treatment. Diagnostic
occlusogram suggested interproximal tooth reduction as the
treatment of choice.
www.indiandentalacademy.com
Angle guide, squaring tool,sand paper etc.
www.indiandentalacademy.com
Squaring tool used to trim
Excess base.
www.indiandentalacademy.com
mid palatal raphe as an reference plane for
the rest of the model trimming procedures
www.indiandentalacademy.com
Buccal segments trimmed at 65 degree angle
www.indiandentalacademy.com
Anterior segments trimmed at 25 degree angle
www.indiandentalacademy.com
Anterior segment begins at a point in the middle of the
canine.
The two ant segments meet at a point that is an extensionwww.indiandentalacademy.com
Posterior segments are trimmed at an angle of 115
degrees
www.indiandentalacademy.com
Trimming excess stone from the mandibular heel.
The wax bite registration should be in place when trimming
occluded Models.
www.indiandentalacademy.com
Squaring tool to trim the mand base so that it is parallel to the
Max base. Here the height of the mand (32 mm) should be maintained
www.indiandentalacademy.com
With the casts occluded, trim the back of the mand cast.
www.indiandentalacademy.com
Mand posterior segments are trimmed at an angle of 115 degrees
www.indiandentalacademy.com
Buccal segments are trimmed at an angle of 55 degrees.
The distance should be 5mm from buccal surfaces of the teeth
www.indiandentalacademy.com
Semicircular mark from canine to canine(midline).This indicates the
Anterior segment of lower basenot closer than 5mm from buccal
surfaces of the tooth.
www.indiandentalacademy.com
Gently carving for any excess tooth material in sulcus area
www.indiandentalacademy.com
Extra fine No 600 sandpaper to smooth sulcus area by hand.
www.indiandentalacademy.com
Fine sanding wheel to smooth out scrathes left by rough wheel
www.indiandentalacademy.com
Allow the models to dry for 24 hrs and label before soaping.They
Should be soaked for 20 min.Rinse off the excess soap & buff with
A soft cotton cloth.
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com

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Study models

  • 2. . Frontal video image with the superimposed cephalometric tracing. www.indiandentalacademy.com
  • 3. Fig. 2 Patient video image. www.indiandentalacademy.com
  • 4. Fig. 4 Dental cast image www.indiandentalacademy.com
  • 5. Fig. 5 DigiGraph head holder. www.indiandentalacademy.com
  • 6. Fig. 6 Model board inserted in head holder. www.indiandentalacademy.com
  • 7. Fig. 7 Light box attached to head holder. www.indiandentalacademy.com
  • 9. Fig. 28 Progress intraoral records taken with DigiGraph. www.indiandentalacademy.com
  • 10. Fig. 8 DigiGraph monitor and keyboard. www.indiandentalacademy.com
  • 11. Fig. 9 Sony video printer www.indiandentalacademy.com
  • 12. Fig. 10 Digitizing handpiece with removable tips. www.indiandentalacademy.com
  • 13. Fig. 11 DigiGraph Consultation Station. www.indiandentalacademy.com
  • 14. Fig. 12 Patient history screen. www.indiandentalacademy.com
  • 15. Fig. 13 DigiGraph main menu www.indiandentalacademy.com
  • 16. Fig. 14 Patient images in traditional grouping.www.indiandentalacademy.com
  • 17. Fig. 15 Adjusting patient's position in head www.indiandentalacademy.com
  • 18. Fig. 16 Landmarks digitized directly from patient. www.indiandentalacademy.com
  • 19. Fig. 17 As each landmark is digitized, it is superimposed over video image. www.indiandentalacademy.com
  • 20. , Fig. 20 Video image (A) modified by dragging light pen across screen to produce new image (B). www.indiandentalacademy.com
  • 21. Fig. 21 "Before and after" images produced with "cut and paste" function. www.indiandentalacademy.com
  • 22. Fig. 22 Light pen used to draw over video image.www.indiandentalacademy.com
  • 23. Fig. 28 Progress intraoral records taken with DigiGraph. www.indiandentalacademy.com
  • 24. Fig. 1 In severe overjet case, base must be thick enough to prevent fracture due to extended lower anterior section and deep labial sulcus. www.indiandentalacademy.com
  • 25. Fig. 2 Solid line shows "Highlands trim"; dashed line shows standard Angle trim.www.indiandentalacademy.com
  • 26. Fig. 3 With "Highlands trim", surfaces are cut as close and parallel to buccal segments as possible. www.indiandentalacademy.com
  • 27. Fig. 4 A. Occlusal, buccal, and frontal photographs of study models with "Highlands trim". B. Photocopies of same models. www.indiandentalacademy.com
  • 28. Fig. 1 Typical photocopy of models as used in this study. www.indiandentalacademy.com
  • 29. Fig. 1 Clear plastic oral screen prepared for impression taking by affixing adhesive tape to its free margins. www.indiandentalacademy.com
  • 30. Fig. 2 Impression taking with the oral screen in place.www.indiandentalacademy.com
  • 31. Fig. 3 Poured model following removal of vestibular impression. www.indiandentalacademy.com
  • 32. Fig. 4 Forming the upper art base.www.indiandentalacademy.com
  • 33. Fig. 5 Forming the lower art www.indiandentalacademy.com
  • 34. Fig. 6 The finished vestibular model. www.indiandentalacademy.com
  • 35. Fig. 1 Central groove cut into the backs of models. www.indiandentalacademy.com
  • 36. Fig. 2 Triangular file used to cut central orientation groove. www.indiandentalacademy.com
  • 37. Fig. 5 Typical ideal normal Class I occlusogram.www.indiandentalacademy.com
  • 38. Fig. 6 Patient #19. Bolton Analysis suggests that upper anteriors are 3.8mm too wide. However, models and occlusogram show an ideal arrangement. www.indiandentalacademy.com
  • 39. Fig. 7 Patient #14. Bolton Analysis suggests that lower anteriors need 2.4mm of interproximal reduction. Models and occlusogram reveal no such requirement.www.indiandentalacademy.com
  • 40. Fig. 8 Occlusal mapping. A. Natural arch perimeter drawn on occlusal map. B. Natural arch perimeter without map. C. Idealized occlusal map drawn by lining up teeth on natural arch perimeter..) www.indiandentalacademy.com
  • 41. Fig. 9 Arch length discrepancy measured by superimposing idealized arch form on the original.www.indiandentalacademy.com
  • 42. Fig. 10 Class II division 2 case appears to have little overjet. Occlusogram reveals 3mm of overjet. www.indiandentalacademy.com
  • 43. Fig. 11 Case with no tooth size discrepancy according to the Bolton Ratios. Occlusogram reveals obvious discrepancy. www.indiandentalacademy.com
  • 44. Fig. 14 Case with undetected tooth size discrepancy. Occlusogram revealed 4mm of excess lower tooth mass. www.indiandentalacademy.com
  • 45. Fig. 15 Diagnostic occlusogram for case in Figure 14, with one lower incisor removed. www.indiandentalacademy.com
  • 46. Fig. 16 Case in Figure 14, following treatment. Diagnostic occlusogram suggested interproximal tooth reduction as the treatment of choice. www.indiandentalacademy.com
  • 47. Angle guide, squaring tool,sand paper etc. www.indiandentalacademy.com
  • 48. Squaring tool used to trim Excess base. www.indiandentalacademy.com
  • 49. mid palatal raphe as an reference plane for the rest of the model trimming procedures www.indiandentalacademy.com
  • 50. Buccal segments trimmed at 65 degree angle www.indiandentalacademy.com
  • 51. Anterior segments trimmed at 25 degree angle www.indiandentalacademy.com
  • 52. Anterior segment begins at a point in the middle of the canine. The two ant segments meet at a point that is an extensionwww.indiandentalacademy.com
  • 53. Posterior segments are trimmed at an angle of 115 degrees www.indiandentalacademy.com
  • 54. Trimming excess stone from the mandibular heel. The wax bite registration should be in place when trimming occluded Models. www.indiandentalacademy.com
  • 55. Squaring tool to trim the mand base so that it is parallel to the Max base. Here the height of the mand (32 mm) should be maintained www.indiandentalacademy.com
  • 56. With the casts occluded, trim the back of the mand cast. www.indiandentalacademy.com
  • 57. Mand posterior segments are trimmed at an angle of 115 degrees www.indiandentalacademy.com
  • 58. Buccal segments are trimmed at an angle of 55 degrees. The distance should be 5mm from buccal surfaces of the teeth www.indiandentalacademy.com
  • 59. Semicircular mark from canine to canine(midline).This indicates the Anterior segment of lower basenot closer than 5mm from buccal surfaces of the tooth. www.indiandentalacademy.com
  • 60. Gently carving for any excess tooth material in sulcus area www.indiandentalacademy.com
  • 61. Extra fine No 600 sandpaper to smooth sulcus area by hand. www.indiandentalacademy.com
  • 62. Fine sanding wheel to smooth out scrathes left by rough wheel www.indiandentalacademy.com
  • 63. Allow the models to dry for 24 hrs and label before soaping.They Should be soaked for 20 min.Rinse off the excess soap & buff with A soft cotton cloth. www.indiandentalacademy.com