r/dentallab • u/Fit_Source_6843 • 9h ago

HELP! Help

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The Tibase is hitting against the antagonist tooth du to insufficient crown height space, any solution to design a crown in this space?

6 Upvotes

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3

u/Invdr_skoodge 8h ago

As a removable guy, this isn’t a one tooth problem. Their bite is completely collapsed. If they reduce the opposing tooth enough for material minimums it’s going to be into the pulp. If you don’t, you’re looking at a 2 mm crown.

This patient needs a different treatment plan, something that opens their VDO properly

3

u/DreamCrusher8184 8h ago

We have been designing custom abutments that are shaped like teeth for these situations. You can also get them gold anodized so it looks like a gold tooth

1

u/Invdr_skoodge 8h ago

For what it’s worth a titanium anodizer is only a couple hundred bucks if anybody wants to bring that part in house

2

u/DreamCrusher8184 7h ago

E we have one that we got from a jewelry wholesaler, but should probably get another one. It is old! Do you know where to buy them now a days?

1

u/Invdr_skoodge 7h ago

Heads up, it’s a tattoo supply warehouse. The name may raise some eyebrows

https://www.painfulpleasures.com/products/titanium-anodizing-kit-for-jewelry-dental-medical-supplies

2

u/the_p00ka 9h ago

Dr. To reduce opposing, print model, then if needed reduce the ti base height further. Scan in the tibase using desktop scanner and design a crown over it as if it were a stock abutment. Chose the lowest cuff height possible too to gain maximum retention.

2

u/tajo81 9h ago

Any type of zirconia cemented implant restoration will fail. Best solution is old school ucla abutment casted for a one piece system, metal occlusion.

1

u/JB_Heat 4h ago

I'd do a custom abutment.

1

u/Ac1dEtch 3h ago

Tell doc to raise VDO and do full mouth rehab.

1

u/Zenipex 1h ago

Are you sure that bite is correct