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Adis posted an update
I’m starting to plan this case for a full arch fixed mandibular implant prosthesis. She has great bone between the mental foramen once reduction is complete.
She has a severe deep bite and bites into the incisive papilla with the lower incisors. She usually postures forward and when you tell her to bite she’s on the incisal edges.
How do you guys establish the occlusal plane and VDO in a case like this before you commented implant planning?
Can and Jedediah3 Comments-
It is best to achieve their VDO and VDR ideally before you start if it is not already established through full or partial dentures depending on the situation. You can use radiographic markers as CBCT is taken to help better plan those cases if needed.
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If she doesn’t have a mand RPD, would you use mand. record base with wax rims to get an acceptable VDO?
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Only if you need to. If you have some type of occlusal stop or reference, then you should be good. If not, you could approximate the patients VDR and then typically VDO is 3 to 5 mm less than that. I usually do VDO approximately 3 mm less than VDR.
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