Clinically Based Diagnostic Wax-up for Optimal Esthetics: The Diagnostic Mock-up

Simon, Harel; Magne, Pascal

doi:10.1080/19424396.2008.12221500

Cited by 34 publications

(7 citation statements)

References 14 publications

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“…Specific tools, such as the diagnostic wax-up, may help improve the predictability of direct restorations. This technique consists of a dental diagnostic procedure in which planned restorations are developed in wax on a diagnostic cast to determine the necessary clinical procedures to achieve the desired clinical results [13]. It may assist in estimating the amount of restorative space available and how to manage it, and it can also help evaluate the occlusal scheme [13].…”

Section: Discussionmentioning

confidence: 99%

Direct Restorations for Anterior Esthetic Rehabilitation and Smile Symmetry Recovery: Two Case Reports

et al. 2021

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Esthetics is an increasing concern for patients, particularly in anterior teeth. The current approaches to manage the esthetic demands include options such as prosthodontic rehabilitation, orthodontic treatment, and direct restorations. Direct restorative procedures for anterior teeth have become a reliable alternative, since current composite materials can mimic teeth’s esthetics and function perfectly. This article describes two clinical cases of anterior esthetic rehabilitations where the direct reshaping of the four maxillary incisors was performed using the buccolingual layering technique with the help of a silicone index. In Case 1, a diastema closure was also performed, whereas in Case 2, the replacement of old restorations was also carried out. It was possible to achieve excellent final esthetic results in both cases, recovering the smile symmetry, and both patients were satisfied. The literature supports the use of direct restorations in the anterior region with very good long-term prognosis. It is a minimally invasive approach that is reversible, repairable, cost-effective, and when combined with layering techniques and adequate restorative materials, it is possible to achieve good esthetic and functional outcomes. However, regular maintenance appointments are mandatory, and all cases should be carefully planned to ensure predictable and long-lasting results.

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Section: Discussionmentioning

confidence: 99%

Direct Restorations for Anterior Esthetic Rehabilitation and Smile Symmetry Recovery: Two Case Reports

et al. 2021

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“…Em qualquer reabilitação estético protético, é primordial o planejamento correto e a fase de comunicação básica com o paciente. A melhor maneira de pré-visualização e mais utilizada como forma de esclarecimento com o paciente é o planejamento terapêutico, associado à criação de um ED e a técnica de mock-up 19,20,21 .…”

Section: Relato De Casounclassified

“…Além disso, associar o planejamento à criação de um mock-up é muito significativo para a compreensão do paciente em relação ao resultado esperado 23,24 . O contentamento do mesmo com o resultado final depende de diversos fatores que incluem a semelhança da reabilitação com o enceramento, a forma dos dentes, o tamanho e a cor dos novos elementos 19,20,25 .…”

Section: Relato De Casounclassified

Reanatomização De Incisivos Laterais Conóides E Fechamento De Diastema: Relato De Caso

Trindade Moreira,

Lima Viana,

Correia Pereira

et al. 2023

RECIMA21

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O objetivo foi relatar um caso clínico de reanatomização de incisivos laterais superiores conóides e diastema de interincisivos centrais superiores. Para a realização deste caso, optou-se por um tratamento minimamente invasivo através da técnica restauradora direta com auxílio do enceramento diagnóstico prévio. Paciente do sexo feminino, 18 anos de idade, compareceu ao Núcleo de Estudos em Odontologia de uma faculdade particular do interior da Bahia, queixando-se de insatisfação com o seu sorriso, pois os dentes 12 e 22 apresentavam-se conóides e diastema entre os elementos 11 e 21. Por intermédio do enceramento diagnóstico prévio dos dentes afetados, foi realizado o mock-up com auxílio de muralhas/guias e silicone de adição, com posterior restaurações provisórias com resina bisacrílica para a aprovação da paciente. Como tratamento definitivo, foi confeccionado restaurações em resina composta direta. A presença de incisivos laterais superiores conóides é relativamente alta na população em geral, podendo afetar a autoestima e a qualidade de vida dos pacientes. O enceramento diagnóstico e o mock-up tiveram papel fundamental no protocolo do caso clínico.

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“…A diagnostic wax‐up can enhance the predictability of the treatment by modeling the desired result in wax prior to treatment and to visualize the required procedures. It is critical to correlate the wax‐up to the patient to avoid a result that appears optimal on the casts but does not correspond to the patient's smile 6,7 . Hence to check for feasibility and to plan the treatment under the participation of the patient 8 …”

Section: Introductionmentioning

confidence: 99%

Orthodontic pretreatment with aligners for optimizing the result prior to fixed restorations in the esthetic zone

Happe

Blender

Luthardt

2023

J Esthet Restor Dent

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Objective To show the benefit of a minor orthodontic pretreatment prior to fixed restorations in the esthetic zone in challenging situations. Overview Esthetic rehabilitations in complex situations need careful treatment planning and comprehensive interdisciplinary approach. Minor orthodontic pretreatments may transfer complex situations into straight forward situations. Typical indications are space opening in order to provide space for a restoration with anatomic proportion or corrections of the tooth axis. Conclusion This article presents three clinical cases that show how decision making can be facilitated by a functional and esthetic wax‐up/mock‐up workflow and how orthodontic pretreatment can contribute to a more functional, less invasive, and more esthetic outcome of restorative treatments in the esthetic zone. Clinical Significance Some complex cases in restorative dentistry can be transformed to straight forward cases with the help of minor orthodontic tooth movements.

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Clinically Based Diagnostic Wax-up for Optimal Esthetics: The Diagnostic Mock-up

Cited by 34 publications

References 14 publications

Direct Restorations for Anterior Esthetic Rehabilitation and Smile Symmetry Recovery: Two Case Reports

Direct Restorations for Anterior Esthetic Rehabilitation and Smile Symmetry Recovery: Two Case Reports

Reanatomização De Incisivos Laterais Conóides E Fechamento De Diastema: Relato De Caso

Orthodontic pretreatment with aligners for optimizing the result prior to fixed restorations in the esthetic zone

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