![]() Indirect mock-ups are generally more common but require more work and involve the dental laboratory-produced diagnostic wax-up. Direct composite mock-ups require variable chair time depending upon the number of teeth involved and the detail required to achieve the desired result. These mock-ups may provide instant feedback from the patient and help motivate the patient toward treatment. Adding tooth length or additive tooth contours may be easily performed by the dentist and then visualized by the patient. ![]() Direct mock-ups are fabricated by direct application of composite resin intraorally on the patient's teeth. Direct and indirect mock-ups may be utilized. Patient approval and treatment follow-through are more likely to occur following the use of the diagnostic mock-up. The common tool to achieve this transfer of diagnostic information is through an intraoral mock-up. Most patients prefer to visualize, ahead of time, what the restorative changes will look like within their face and smile. The mock-upĪs much as the dentist is able to interpret the changes made within the wax-up, it is very difficult for patients to perceive what effect these alterations will have intraorally. The final wax-up provides the restorative dentist the opportunity to now see the expected outcome in 3D. The photos and FGTP templates are very helpful to aid in the waxing and contouring process. The diagnostic wax-up is a 3D rendering, generally created from 2D information. This is an important point and this article will emphasize why, and more importantly, how the diagnostic wax-up changes are incorporated into the patient's treatment process. It is important the restorative clinician realizes, and knows, which type of diagnostic wax-up was created by the technician. Or the wax-up could be reductive, then additive, as in a case with proclined teeth that require a more palatal or lingual positioning to achieve improved esthetics and function. The wax-up could be additive only, as in the case of retroclined or short teeth. This information is transferred and incorporated into the wax-up.Īlthough the diagnostic wax-up is representative of the desired outcome, the preexisting tooth positions will affect what tooth contour changes will be necessary to achieve this result. Information for the treatment planning process is ideally forwarded to the technician through photographs, patient history, and FGTP templates. This wax-up provides the visible reference as to what changes may be necessary to achieve the desired result.ĭiagnostic wax-ups are typically produced by the dental laboratory technician. ![]() Typically, the diagnostic wax-up is used as a blueprint of the expected outcome. Using the concepts and processes of Facially Generated Treatment Planning, we can be more predictable regarding esthetic tooth position, functional contours, and management of structural integrity and biological health. ![]() The key to restoration success is to plan the cases comprehensively and develop a vision for the desired outcome. With proper planning and preparation design, a restorative dentist can also achieve outcomes at this high level of success. Studies indicate the 15-20-year survival success rate of ceramic veneers as high 94-95%. Our primary goal is to create an outcome that is not only esthetic but is both predictable and conservative with a treatment process designed to achieve a long-lasting restoration. The objective is to mimic nature with the beauty and contours of natural tooth structure. Esthetic restorative dentistry is at the heart of all restorative practices.
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