Predictability with Full Mouth Rehabilitation

This information can be sent to Burbank Dental Lab to begin the functional wax-up. Along with providing the necessary data to mount models for evaluation, it is imperative that photographs be sent along as well.

These photos should include:

• A full-face photo
• A close-up photo of the full smile
• A close-up photo of the lips resting
• Photos with the shade selection information, including the shade tab

This data is then used to create a functional wax-up.

The wax-up will take into account the preliminary treatment data and incorporate this information into a mock-up. This is the step where the VDO should be evaluated, and a determination made as to whether the VDO is to be changed.

The wax-up is completed and sent back with the following:

• The wax-up
• A matrix of the wax-up that can be used to make temporaries chair-side or milled temporaries
• A preparation guide to help with the final prep design to ensure the best possible end result

The mockup should be shared with the patient, and the details of the plan discussed. Once treatment is agreed upon, tooth preparation can be completed. If there are any issues with the wax-up, these issues can be discussed with the laboratory, and corrections can be made.

Once the teeth are prepared, the final impressions, either conventional impressions or digital scans and bite records, should be taken. At this step, the case has been evaluated as to whether or not the bite can be opened and to what degree. It is important to prep the case in stages and carefully record the bites.