Thank you Dr. Clark! Once I finish up some cases in process, I will share more stuff! Enjoy and let me know if there are other topics you would like for me to cover. -Derek
Great work Dr ! Can you please explain how did you use the clear celluloïde for the mandibular teeth at the prep and temp appointement of the maxillary teeth ? Thank you for your answer !
Thank you for your questions. I did this case many years ago but I believe I just used the mandibular clear matrix to bond in a composite mock up so the occlusion would be at the appropriate OVD when I prep and temped the maxillary arch.
Hi Dr Gatta, what sort of removal mouthguard did you use to test the increased vertical? Would a michigan type splint be enough at the new vertical, and do they need to be for both arches?
Hello Dr. Gatta, great presentation. I learned a lot from your videos. I have question about the final occlusion. How was the occlusion at MIP or CR on the left side after delivery (without implant) since there was no posterior teeth on upper left. Was it on all maxillary teeth or just posterior teeth on the right side and some occlusion on #11? Thank you Dr. Gatta
Thank you for your great question! Due to timing, we started the case before the implants went in. At first there was no occlusion on the left, until I delivered the implant bridge. At that preliminary stage, there was only occlusion on the right and #11. You are correct! I want the shimstock to be able to drag through for anterior occlusion and they really only engage heavy anterior forces in protrusion. I want them to have that freedom and not feel "lock in".
Doctor Gatta, Very good presentation and happy to see your video. I have deepbite problem and my dentist suggested FMR with lower backteeth 2mm and upper backteeth 2mm addition and onlays on these. For upper and lower front teeth, veneers. Is this the right treatment plan? Placing onlays and veneers without rct cause sensitivity issues? Mainly worried on sensitivity. Kindly guide. Thank you
Thank you for your questions. Without knowing all the details of your case, it is hard to say for certain. For deep bite cases, we usually want to provide more space and we can use orthodontics or open the bite using full mouth restorations. Onlays and veneers does sound like one way of achieving this. Orthodontics maybe another option to consider with your dentist.
@@derekgatta7239 Thanks a lot. When vertical space increment is tried, is it possible to get a position without TMJ or jaw pain. Why I am asking is that currently I am under this treatment with blue material for increasing height on back teeth but getting jaw pain. My dentist told its trail and error till a position without pain is achieved. Just want to know whether I am on right track of treatment while increasing The VD space.
This is a fantastic overview! I would be very interested to see the pictures of the delivery appointment. Also, maybe you could do a small walk-through of the delivery? Would you mind if I shared this video at impalntninja.com ? Keep up the great work man!
Sir i like your presentation., But i would like to ask you that why we do need to make temporary crown before making final crown? Is that making matrix or patients convenience??
Thank you for your question! The temporaries are for patient convenience and they also help me to test the change in vertical and esthetics. I want the temps to be as close to the finals as possible. I don't want big changes made between the temps and finals.
Thank you for your question. I usually make three temps per arch (2 posterior and an anterior). I'll prep a sextant and make temp while the mock up composite is still maintaining the vertical. Then I prep the remainder while the new temp is holding the vertical. Hope that provides some clarity, all the best!
@@derekgatta7239 With mock up composite, should I just hold the increased vdo with composite in the central fossa of the lowers (much like orthodontists)? Or we can make a device? In that case, what's the name of the device and the lab that would fabricate it, any recommendations?
Thank you for your question! You can use a Luca jig or leaf gauge to prevent the front teeth from touching and guiding the patient's jaw back into CR. While the anterior is held open about 2-3mm, I use a full arch PVS bite registration material, which can then be used to articulate the casts.
Thank you for your question. If a tooth or teeth are not symptomatic, I do not pursue RCT. In this case, I was able to gain space from crown lengthening. I will do elective RCT if I need it to retain a core, but did not need it in this case.
Thanks for the prompt reply. Can I share pics of impression of my teeth. If you can advise if I need rct before full mouth rehabilitation. If you can share your whats app no.
Dr Gatta glad to see you have a UA-cam channel!!! Ready to learn some great stuff from ya!! Thanks
-Dr. Clark
Thank you Dr. Clark! Once I finish up some cases in process, I will share more stuff! Enjoy and let me know if there are other topics you would like for me to cover.
-Derek
@Implant Ninja : absolutely, share away! I plan to deliver next week and will show before and after shots of the process.
Great work Dr ! Can you please explain how did you use the clear celluloïde for the mandibular teeth at the prep and temp appointement of the maxillary teeth ? Thank you for your answer !
Thank you for your questions. I did this case many years ago but I believe I just used the mandibular clear matrix to bond in a composite mock up so the occlusion would be at the appropriate OVD when I prep and temped the maxillary arch.
Hi Dr Gatta, what sort of removal mouthguard did you use to test the increased vertical? Would a michigan type splint be enough at the new vertical, and do they need to be for both arches?
Hello Dr. Gatta, great presentation. I learned a lot from your videos. I have question about the final occlusion. How was the occlusion at MIP or CR on the left side after delivery (without implant) since there was no posterior teeth on upper left. Was it on all maxillary teeth or just posterior teeth on the right side and some occlusion on #11?
Thank you Dr. Gatta
Thank you for your great question! Due to timing, we started the case before the implants went in. At first there was no occlusion on the left, until I delivered the implant bridge. At that preliminary stage, there was only occlusion on the right and #11. You are correct! I want the shimstock to be able to drag through for anterior occlusion and they really only engage heavy anterior forces in protrusion. I want them to have that freedom and not feel "lock in".
More such videos plz
Thank you. I have been posting more on tiktok and Instagram. I agree, I need to do better at posting!
Doctor Gatta, Very good presentation and happy to see your video. I have deepbite problem and my dentist suggested FMR with lower backteeth 2mm and upper backteeth 2mm addition and onlays on these. For upper and lower front teeth, veneers. Is this the right treatment plan? Placing onlays and veneers without rct cause sensitivity issues? Mainly worried on sensitivity. Kindly guide. Thank you
Thank you for your questions. Without knowing all the details of your case, it is hard to say for certain. For deep bite cases, we usually want to provide more space and we can use orthodontics or open the bite using full mouth restorations. Onlays and veneers does sound like one way of achieving this. Orthodontics maybe another option to consider with your dentist.
@@derekgatta7239 Thanks a lot. When vertical space increment is tried, is it possible to get a position without TMJ or jaw pain. Why I am asking is that currently I am under this treatment with blue material for increasing height on back teeth but getting jaw pain. My dentist told its trail and error till a position without pain is achieved. Just want to know whether I am on right track of treatment while increasing The VD space.
This is a fantastic overview! I would be very interested to see the pictures of the delivery appointment. Also, maybe you could do a small walk-through of the delivery? Would you mind if I shared this video at impalntninja.com ? Keep up the great work man!
Informative video about full mouth rehabilitation. Check out for more information 😃 👍 👍
ua-cam.com/video/-Evb9T_pIEg/v-deo.html
Sir i like your presentation., But i would like to ask you that why we do need to make temporary crown before making final crown?
Is that making matrix or patients convenience??
Thank you for your question! The temporaries are for patient convenience and they also help me to test the change in vertical and esthetics. I want the temps to be as close to the finals as possible. I don't want big changes made between the temps and finals.
@@derekgatta7239 thank you so much sir for your proper answer
Derek, what did you say about your second arch, when you prep the next day, how did you hold the VDO?
Thank you for your question. I usually make three temps per arch (2 posterior and an anterior). I'll prep a sextant and make temp while the mock up composite is still maintaining the vertical. Then I prep the remainder while the new temp is holding the vertical. Hope that provides some clarity, all the best!
@@derekgatta7239 With mock up composite, should I just hold the increased vdo with composite in the central fossa of the lowers (much like orthodontists)? Or we can make a device? In that case, what's the name of the device and the lab that would fabricate it, any recommendations?
can u show how you took bite registration at opened bite?
Thank you for your question! You can use a Luca jig or leaf gauge to prevent the front teeth from touching and guiding the patient's jaw back into CR. While the anterior is held open about 2-3mm, I use a full arch PVS bite registration material, which can then be used to articulate the casts.
What type of cement did you use for those restorations?
Thank you for your questions. At that time, I was bonding in my restorations using Ivoclar Multi-link resin cement.
Is rct A must before full mouth rehabilitation
Thank you for your question. If a tooth or teeth are not symptomatic, I do not pursue RCT. In this case, I was able to gain space from crown lengthening. I will do elective RCT if I need it to retain a core, but did not need it in this case.
Thanks for the prompt reply. Can I share pics of impression of my teeth. If you can advise if I need rct before full mouth rehabilitation. If you can share your whats app no.
@@vinayjoshi3684 just send to dgatta@gmail.com
Dr Gatta please write your Instagram and Facebook add.
Nice presentation tone on UA-cam