The greater the room for interpretation, the more likely clinician and patient expectations will not be met. It should not be arbitrarily done based on the technician’s interpretation of minimal clinical information. The laboratory’s responsibility is to establish the tooth position, alignment, inclination, morphology and occlusal scheme based on clinician directions. The instructions written on the prescription form should reflect the needs and expectations of the patient and the clinician. The clinician is responsible for accurately communicating on the laboratory prescription the desired outcome the technician is to create with the wax-up. Since a diagnostic wax-up is an outcome-based diagnostic tool, it should accurately represent the desired result of treatment. Facebow transfer Why you should do a diagnostic wax-up Guides, stents, templates and matrixes are made on the diagnostic wax-up, or a cast made from the wax-up, to aid in performing surgical and restorative procedures. ![]() I think of a wax-up as the foundation of the entire treatment plan, since it physically establishes the proposed outcome of esthetics and function. It is defined in the glossary of Prosthodontic Terms as “waxing of intended restorative contours on dental casts for evaluation and planning restorations a wax replica of a proposed treatment plan. How to successfully communicate the desires and expectations of the clinician and patient to the laboratory technician.What type of technique should be used (additive only or reductive stone followed by additive wax).When to complete the DWU (timing - 3 parts to this series).I will be providing my insights as to how this valuable diagnostic tool can be used in your practice to establish a clear visual representation of the desired patient outcome to facilitate treatment planning and communication. When talking to dentists, I am frequently asked about when or how to use diagnostic wax-ups (DWU), so I have decided to dedicate the next four articles to addressing multiple aspects of this topic. ![]() ![]() This provides an accurate chair side temporary acrylic restoration of the agreed diagnostic wax up whilst the final product is being constructed. Once the patient is satisfied, the third tool is a vacuum formed stent that replicates the diagnostic wax exactly. ![]() It allows the patient to have an accurate preview of how the finished restoration case will look and allows for discussion on alteration before the case is finalised whilst showing the patient, Dentist & Dental Technician what is realistically achievable for the smile make over. The laboratory will remove a desired amount of tooth structure from the preoperative model and will have the restoration waxed onto the prepped teeth with indications given from the prescribing dentists taken into account. The second tool is a diagnostic wax up that is made out of a white wax and is placed onto to the patients study models. (Click here to find out how to take a face bow) The first tool in Smile Make Over case is accurate Study Models cast in low expansion die stone that are anatomically articulated via the Denar System in conjuction with Denar Face bow readings. We have spent many years developing this service to provide the very best in cosmetic dentistry for our Smile Make Over cases by utilizing proven and predictable techniques to achieve the ultimate goal, complete patient satisfaction.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |