Abstract
Objective: This article presents a technique report that aims to describe step-by-step the workflow for the creation of a four-dimensional (4D) virtual patient without the use of cone beam computed tomography (CBCT). Methods: A complete digital protocol using an intraoral scanner and an optical kinesiograph jaw tracking system (JTS) in combination with a single-shot facial scanner is presented. Results: This procedure avoids the use of CBCT to digitally position the maxilla of the patient in the correct 3D position in relation to the hinge axis and then into a semi-adjustable virtual articulator. Conclusions: This workflow was developed to overcome the limits of kinesiograph JTS in the construction of a 4D virtual patient. Future research is needed to assess applicability and effectiveness of the technique in specific rehabilitative cases, particularly in patients with altered occlusal vertical dimension. Clinical significance: The individual mandibular dynamics recorded may be integrated within digital design environments for illustrative and planning purposes.