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    This article describes a technique for creating an esthetic mock-up using bis-acrylic material to communicate the anticipated results of veneer treatment to patients. The technique involves making a putty index of a diagnostic wax-up, creating a palatal window, lining the index with bis-acrylic material, and seating it in the patient's mouth to allow them to view and experience the proposed esthetic outcome. The mock-up can be easily removed with minimal risk of damage to the teeth. This method provides an effective way to demonstrate esthetic results to patients chairside using inexpensive materials in a short amount of time.

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    E JOD7B PDF

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    Saúl Haro
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    This article describes a technique for creating an esthetic mock-up using bis-acrylic material to communicate the anticipated results of veneer treatment to patients. The technique involves making a putty index of a diagnostic wax-up, creating a palatal window, lining the index with bis-acrylic material, and seating it in the patient's mouth to allow them to view and experience the proposed esthetic outcome. The mock-up can be easily removed with minimal risk of damage to the teeth. This method provides an effective way to demonstrate esthetic results to patients chairside using inexpensive materials in a short amount of time.

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    This article describes a technique for creating an esthetic mock-up using bis-acrylic material to communicate the anticipated results of veneer treatment to patients. The technique involves making a putty index of a diagnostic wax-up, creating a palatal window, lining the index with bis-acrylic material, and seating it in the patient's mouth to allow them to view and experience the proposed esthetic outcome. The mock-up can be easily removed with minimal risk of damage to the teeth. This method provides an effective way to demonstrate esthetic results to patients chairside using inexpensive materials in a short amount of time.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    51 views3 pages

    E JOD7B PDF

    Uploaded by

    Saúl Haro
    This article describes a technique for creating an esthetic mock-up using bis-acrylic material to communicate the anticipated results of veneer treatment to patients. The technique involves making a putty index of a diagnostic wax-up, creating a palatal window, lining the index with bis-acrylic material, and seating it in the patient's mouth to allow them to view and experience the proposed esthetic outcome. The mock-up can be easily removed with minimal risk of damage to the teeth. This method provides an effective way to demonstrate esthetic results to patients chairside using inexpensive materials in a short amount of time.

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    of 3

    C ase Report www.ejournalofdentistry.

    com

    EASY ESTHETIC MOCK-UP


    Ahmad Bunashi DDS Prosthodontist, Farwania Dental Specialty Center Ministry of Health, Kuwait.
    Correspondence: Ahmad Bunashi DDS Bayan 72053 State of Kuwait. Email: [email protected]

    ABSTRACT
    Comunicting anticipated results between dentist and patient is impairative for successful veneer treatment. This
    article describes a technique that allows for proper comunication of eshtetic result with ease .
    Keywords: Esthetics, Mock-up, Veneers, bis-acrylic material.

    Introduction: 4. Create a palatal window (Figs. 3 and 4):

    Veneers play a major role in esthetically improving teeth in a. Using #11 blade, cut and remove, from
    dentistry. They improve esthetics and are conservative in the putty index, the palatal side of the
    the same time, preserving tooth structure. This feature has teeth to be restored.
    made veneers a restoration of choice by many dentists when
    performing esthetic rehabilitation. However, in these cases, b. Extend the window to the adjacent tooth
    the challenge has always been meeting patient’s demands on each distal side.
    and esthetic expectations.1,2,3 Perception of esthetics varies
    c. Do not include the incisal edges in the
    from patient to doctor and miscommunication regarding
    window. Maintain incisal overlap with the
    anticipated result can be frustrating to both ending in a
    putty index.
    failure.4,5,6 Adequate communication is crucial.
    5. Trim both distal wing parts of the index so only
    Several techniques to overcome such a problem have been
    the imprint of teeth is kept. Remove all soft tissue
    suggested in the literature vi z before and after
    photographs,7 diagnostic wax setups,8,9,10 composite resin imprints to minimize interference when seated in
    mock-up,11,12 computer imaging simulation13 or acrylic resin the mouth.
    mock-up. This case report describes a technique were the 6. Trim the imprint of cervical soft tissue of the teeth
    outcome of the treatment can be communicated to the patient to be restored so that only about 1mm of cervical
    utilizing diagnostic wax setups and bis-acrylic material. soft tissue is kept.
    Technique: 7. Try the index in the patient’s mouth and verify
    seating.
    1. Obtain diagnostic model of the patient and mount
    models on an articulator (Fig.1). 8. Line the imprint of teeth with Bis-acrylic material
    and seat swiftly in the patients mouth (Fig. 5).
    2. Start and complete diagnostic wax up. Design
    patient’s smile based on preliminary information 9. Using a cotton roll, swipe away the excess material
    gathered at initial visit (Fig.2). quickly from the palatal side before material starts
    to harden (Fig. 6).
    3. Make a putty index duplicating the wax up:

    a. Extend the putty index few teeth distal to 10. Allow for setting of bis-acrylic and then remove
    teeth intended for restoration. the putty index.

    b. Extend the putty to capture few 11. Check for adaptation. Remove any over-flashes
    millimeters of the soft tissue. of material with composite polishing burs.

    c. Make the putty index thick enough to 12. Allow patient to view and try the Mock-up of
    allow for rigidity. anticipated final result (Fig.7).

    e-Journal of Dentistry Oct - Dec 2011 Vol 1 Issue 4 104


    Ahmad Bunashi www.ejournalofdentistry.com

    13. Remove the mock-up by chipping it away with a Also, it must be kept in mind that this technique is intended
    proper instrument. ( viz;excavators, or explorer) when facial veneers are the restoration planned for. Tooth
    modification is not intended or will be minimal if any.
    Discussion: Anticipated restoration is bonded over underlying
    unmodified tooth structure. The discussed mock-up
    A mock-up review of anticipated final restoration is an technique will not serve its purpose when correction of
    important tool of communication between the doctor and rotated teeth, mal-angled teeth or when considerable
    the patient. This technique allows for a Mock-up to be amount of tooth structure removal is needed. In such
    fabricated with great ease and short clinical time. This situation, the mock-up created using this technique may
    technique has several advantages: not convey an accurate representation of the anticipated
    1. Does not require sophisticated software or restoration. In such cases, tooth modification is completed
    digital imaging. and full coverage provisionals are more appropriate.

    2. Requires minimum chair time for setting of


    material and trimming

    3. Excellent immediate adaptation to tooth


    surface without the need for relines or
    adjustments.

    4. Patient can physically experience the


    anticipated results at hand.

    5. Patient’s remarks are more objective since


    patients are physically trying a mock-up of
    the anticipated restorations.

    6. Bis-acrylic mock-up can be removed with


    relative ease with minor risk of locking into
    teeth embrassures.

    The Bis-acrylate material has a great advantage over


    polymethy methacrylate (PMMC), a commonly used
    provisional restoration, because it sets initially in rubbery
    stage which allows ease of manipulation and less risk of
    locking into teeth embrasures.14,15 It is very brittle15 and can
    be easily chipped off the teeth with an excavator or any
    adequate instrument. It is also the experience of the author
    that this mock-up can be left clipped on patients’ teeth for
    a day. This allows patients to try them among friends and
    family making the trial experience more realistic and their
    feed back more objective. It is not recommended to keep
    them for more than a day due to possible hygiene problems.

    Disadvantages:

    One great shortcoming of this technique, it is only good


    for one time trial. Bis-acrylic brittleness will not allow the
    created mock-up to be removed and re-inserted again.
    Attempting to remove the mock-up will most likely cause it
    to break. Relative high cost of material is another
    disadvantage. Bis-acrylate material is more expensive in
    comparison to PMMC.

    105
    Easy Esthetic Mock-up www.ejournalofdentistry.com

    Conclusion:

    A method to communicate the anticipated esthetic result to


    a patient is very important. Several techiques have been
    discussed in the literature. The technique described in this
    article provides a method to communicate those anticipated
    results to patients with ease at the chair-side utilizing bis-
    acrylate material.
    REFERENCES
    1. Bush JB. Communication and patient education. Dent Assist 1968; 37(2):19-
    21.
    2. Christensen GJ. Informing patients about treatment alternatives. JADA
    1999;130:730-2.
    3. Goldstein RE, Lancaster JS. Survey of patient attitudes toward current esthetic
    procedures.J Prosthet Dent 1984;52:775-80.
    4. Fishman SR, Ortiz E Jr. Effective case presentation. Dent Clin North Am 1977;
    21:539-48
    5. Manji I. Getting Patient To Say Yes: Effective Case Presentations. J Can Dent
    Assoc 1992;58(8):619-20.
    6. Le vin RP. Case accept ance: 20 pitfalls. Compend Contin Educ Dent
    2002;23(8):690-2.
    7. Weisman G. Before and after: a step beyond with cosmetic imaging. Dent Prod
    Rep1996:10:99-102.
    8. Rudd KD. Making diagnoatic casts is not a waste of time. J Prosthet Dent
    1968;20(2):98-100.
    9. Johansen R, Dennis Y, Mullick S. Preview of appearance before extensive
    bonding. Gen Dent 1989;37(1):58-9.
    10. Magne P, Magne M, Belser U. The diagnostic template: a key element to the
    comprehensive esthetic treatment concept. lnt J Periodontics Restorative Dent
    1996;16:560-9.
    11. Morley J. The role of cosmetic dentistry in restoring a youthful appearance.
    JADA 1999;130:1166-72.
    12. Behle C. Placement of direct composite veneers utilizing a silicone buildup
    guide and intraoral mock-up. Pract periodontics Aesthet Dent 2000;12:259-66.
    13. Papasotiriou OS, Nathanson D, Goldstein RE. Computer imaging versus
    conventional esthetic consultation: a prospective clinical study. J Esthet Dent
    2000;12(2);72-7.
    14. Lui JL, Setcos JC, Phillips RW. Temporary Restorations: A Review. Oper Dent
    1986;11, 103-110.
    15. Christensen GJ. The fastest and best provisional restorations. J Am Dent Assoc
    2003;134(5);637-9.
    16. Elledge DA, Hart JK, Schorr BL. A provisional restoration technique for
    laminate veneer preparations. J prosth Dent 1989;62(2);139-42.
    17. Sheets CG, Ono Y, Taniguchi T. Esthetic Provisional Restorations for Procelain
    Veneers Preparations. J Esth Dent 1993;5(5);215-20.
    18. Campagni WV, Caponigro CV. Provisional Restorations. CDA J. 1988
    Apr;16(4):16-21.
    19. Rouse JS. Facial shell temporary veneers: reducing chances for
    misunderstanding. J Prosthet Dent. 1996 Dec;76(6):641-3.

    Source of Support : Nil, Conflict of Interest : Nil

    e-Journal of Dentistry Oct - Dec 2011 Vol 1 Issue 4 106

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