Dentaltown September 2013 - (Page 56)
case presentation
feature
by Ara Nazarian, DDS, DICOI
“The diagnostic wax-up, when used properly, can provide valuable information
to the dentist, ceramist and patient in a three-dimensional manner.”
One of the most challenging aspects of cosmetic dentistry is
the ability to visualize the final result before the treatment is initiated. Often, teeth are prepared for cosmetic treatment without
a clear understanding of how an occlusal scheme will be corrected or a smile enhanced. Communication between the laboratory ceramist and the cosmetic dentist has always been the key
to obtaining a superior result in both aesthetic and functional
aspects of restorative dentistry. One essential yet overlooked part
of this communication is the role of the diagnostic wax-up.
The diagnostic wax-up, when used properly, can provide
valuable information to the dentist, ceramist and patient in a
three-dimensional manner. It might help dentists determine the
amount of reduction necessary to achieve the final result, keeping preparations as conservative as possible.
56
SEPTEMBER 2013 » dentaltown.com
Another important role of the diagnostic wax-up is in the
fabrication of provisional restorations. An impression of the
wax-up is taken with putty (Siltec, Ivoclar Vivadent) by the
dental lab. A bis-acrylic material is then placed in the putty and
on the prepared teeth by the dentist or assistant. In the mouth
the provisionals can be contoured and customized to the
patient’s facial features. Occlusion and phonetics can also be
evaluated, and when these – along with aesthetics – are deemed
satisfactory, an alginate impression can be made to communicate the proper size, shape, length and form.
Case Presentation
A woman in her early 40s presented to the practice dissatisfied with the appearance of her smile (Fig. 1). She commented
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Table of Contents for the Digital Edition of Dentaltown September 2013
Howard Speaks: Getting Poised for Growth
Professional Courtesy: Say Hello to Great Service
Second Opinion: Why Won’t My Practice Sell?
Advice Regarding #8 RCT and Large Apex
Patients Who Refuse Perio Treatment
Corporate Profile: Sesame Communications
Office Visit: Building Bridges in Dentistry
Enhancing a Smile with Cosmetic Dentistry in the New Economy
Top 10 Questions Dentists Ask When Buying or Selling a Practice
Women’s Time in Dentistry Has Come
The Benefit of Associate Agreements in Dental Practice Sales
Retirement Transition: “Mr.” Instead of “Dr.”, What Do I Do Now?
Paperless is NOT the New Black
Simple Safe Gingivectomy Around Implants Prior to Impression
Laser-Assisted Peri-Implantitis Procedure
In This Issue: Close Your Mouth
Perio Reports
Profile in Oral Health: Nose Breathing for Good Health, Fitness and Correct Craniofacial Development
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