Digital Treatment Planning - Extraction & Ortho

One of my mentors on campus likes to say is good to know where you are going before you start, especially with complicated cases. This patient lost posterior teeth years ago and subsequent occlusal trauma caused her upper anteriors to flare forward horizontally and become mobile. She's already lost #8. Her treatment plan involves #7-10 implant bridge, ext #25, lower arch limited ortho, and posterior RPD.  For this case, I digitally extracted #25 in Meshmixer and did a digital waxup for the ortho in Blue Sky Plan. Then I 3D printed the result on my Robox. Now that I have this model, I can mount it to oppose her existing upper teeth and determine a reasonable estimate for the position of her final #8-10 bridge.  Digital workup, preemptively planning orthodontic movement is not the future but the present in dentistry today.