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Sure, you can easily make and print shells. Shells are often difficult to fit over your preps and require significant hollow grinding out the intaglio. During reline it can be difficult to maintain vertical dimension as well as horizontal cant or plane of the smile line/plane of occlusion. Printed shells have the added disadvantage of not being as strong going through the hollow grinding process. If I were to do shells and I have the luxury of a PMMA mill, I would prefer to have the shells milled in PMMA. I, like many others, prefer to work from sequential PVS models and make a few temps at time. I have tried shells so many times and without exception I prefer the sequential PVS matrix method.

In essence I can do one of 2 things. As long as the changes are reasonable and practical, I do not need to make it 100% perfect, but I can go in and adjust the cervical and embrasure areas to match the pre-op cervical and embrasure areas. I will make a video to explain this later today or very soon if not today.

Perfect! Thank you once again ​@@dwightpate7629

Looking forward to the upcoming video! ​@@dwightpate7629

I did a follow up video for you: th-cam.com/video/S4zT84uK72w/w-d-xo.html

Thank you so much! I appriciated it! I will get back to you soon. ​@@dwightpate7629

Hey, sorry that you do not like my approach. I use the digital articulator the same way as I have used the analog articulator successfully for 30+ years. I realize the analog and digital articulators are a fairly basic representation of the actual 3D anatomy but it has worked well for many dentists, like myself, for many years. I suppose vartyculator is a typo maybe but for sure I do not know what that is? I think I have a pretty good understanding of TMJ biomechanics and anatomy although I admit, some may have much more knowledge than me and possibly you are in that group.

Hey, I am just now seeing your questions, sorry for not being on top of follow up. I will start to check this area closer. Lessons? I am pretty much self taught as lessons were not available when I was starting out. I teach courses at my office and can do some one-on-one sessions by special arrangement. Facebow? I use a 95 to 100 mm arbitrary hinge axis in some cases but in the case of occlusal trial equilibration the best is to measure the hinge axis with a square. Still slightly arbitrary but so is the facebow. I do scan using an anterior bite stop in centric relation as close to first contact as possible then verify that the 1st point of contact matches the 1st point of contact recorded in the mouth. Lab finalization? Nope, I finalize my own. Much lower cost and 100% control and get what I want. I can 3D print models to allow segmental provisional restorations in a very controlled workflow. I offer courses at my office starting at my office, email me to arrange dates or times: drp@drpatedme.com

Hey, I am just now seeing your questions, sorry for not being on top of follow up. I will start to check this area closer. With the current version, you do not need to do this because Blue Sky now has an option for BioHorizons complete guided kit using BioHorizons or Blue Sky sleeves. I cannot share the spread sheet here but if you still want it you can email me and I will share it with you: drp@drpatedmd.com

Hey, I am just now seeing your questions, sorry for not being on top of follow up. I will start to check this area closer. The trial equilibration is only to predict the feasibility of being able to accomplish the equilibration intraorally. The trial equilibration allows you to predict the beginning but the final equilibration has to be done in the mouth with the knowledge that you can get to an occlusion that satisfies the requirements for a stable occlusion, so the trial equilibration predicts the beginning and the end. Currently I cannot print say a reduction guide for the equilibration. Also realize that all semi adjustable articulators currently available have a straight-line condylar path and this works very well without the more complicated gnathological approaches or even jaw movement data collection. Because the patient disarticulates the posterior teeth much faster than the 25 to 30 degree condylar setting that I use, the intraoral equilibration is generally much easier in the mouth.

Hey, I am just now seeing your questions, sorry for not being on top of follow up. I will start to check this area closer. Blue Sky does not give you that information. There is a chart that we use comparing the drill length and the implant length to determine the stop position. I cannot paste that chart here but if you email me I will send it to you: drp@drpatedmd.com

Hey, I am just now seeing your questions, sorry for not being on top of follow up. I will start to check this area closer. Thank you, I appreciate the feed back.

Hey, I am just now seeing your questions, sorry for not being on top of follow up. I will start to check this area closer. With the current version, you do not need to do this because Blue Sky now has an option for BioHorizons complete guided kit using BioHorizons or Blue Sky sleeves. I cannot share the spread sheet here but if you still want it you can email me and I will share it with you: drp@drpatedmd.com

Hey, I am just now seeing your questions, sorry for not being on top of follow up. I will start to check this area closer. With the current version, you do not need to do this because Blue Sky now has an option for BioHorizons complete guided kit using BioHorizons or Blue Sky sleeves. I cannot share the spread sheet here but if you still want it you can email me and I will share it with you: drp@drpatedmd.com