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Laboratory Communication Tips For A Excellent Result

  • 1.  Laboratory Communication Tips For A Excellent Result

    Posted 13 days ago
    Edited by David Chan 13 days ago
    Dear fellow AACD colleagues,

    I would like to share with everyone some pearls for laboratory communication that can lead to a predictable and excellent esthetic outcome whether you are pursuing AACD Accreditation or providing the amazing cosmetic dentistry.

    The following case involves a 43 year old female who has wanted to correct the misalignment of her asymmetrical upper central incisors for most of her adult life with a long lasting and conservative option without having to go through orthodontics.
    The following photos and criteria list which I use are paramount for laboratory communication in order for a skilled ceramist to fabricate a restoration that will have a very predictable outcome in 95% of the time.
    Teeth #8 and #9 were treated with two ultra-thin feldspathic veneers that were bonded entirely to enamel.

    1. Diagnostic wax-up to serve as the blueprint to the final shape of the teeth. The diagnostic wax-up can be used to fabricate a bis-acryl mock-up over the natural teeth for very conservative preparation using depth cutting burs to prepare the teeth through the mock-up and also serve as the shape for the provisional restorations for the patient to evaluate.
    2. Shade communication with the laboratory using color, B/W and cross polarized photos for proper value as well as internal features to match the adjacent natural teeth.
    3. Stump shade of the preparations.
    4. A stone model of the provisional restoration with the primary, secondary and sometimes tertiary tooth anatomy that has been approved by the patient is sent to the lab with the case to give dimensional parameters for the ceramist.

    Armed with this information, my ceramist was able to provide a very nice result with a super happy patient.
    I hope these few simple steps in laboratory communication will help you with your future cases!
    Pre-op
    Pre-op
    Wax-up
    Color shade tab photo
    B/W shade tab photo to evaluate the value
    Conservative preparations through mock-up
    Stump shade
    Provisional veneers
    Cementation
    Cross polarized
    Happy patient
    Happy patient
    Happy patient


    ​​​

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    David Chan DMD, AAACD
    Northwest Smile Designs
    Ridgefield WA
    (360) 574-8888
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  • 2.  RE: Laboratory Communication Tips For A Excellent Result

    Posted 12 days ago
    Thanks for sharing! Great tips!

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    Marina Ambridge DDS
    The Smile Institute
    Peoria AZ
    (623) 937-1888
    www.tsi.dental
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  • 3.  RE: Laboratory Communication Tips For A Excellent Result

    Posted 12 days ago
    Beautiful case! What brand of stump shade tabs did you use?





  • 4.  RE: Laboratory Communication Tips For A Excellent Result

    Posted 10 days ago
    Looks like Ivoclar Vivadent Old Stumpf guide...

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    Kent Kohli CDT
    Utah Valley Dental Lab
    Lindon UT
    (801) 373-4750
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  • 5.  RE: Laboratory Communication Tips For A Excellent Result

    Posted 10 days ago
    Judy,
    Looks like the Ivoclar Vivadent older Stumpf guide to me...

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    Kent Kohli CDT
    Utah Valley Dental Lab
    Lindon UT
    (801) 373-4750
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  • 6.  RE: Laboratory Communication Tips For A Excellent Result

    Posted 11 days ago
    Beautiful work! Who was the ceramist on this case?

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    Shanthi Cariappa DDS
    Stonington Dental Associates
    Pawcatuck CT
    (401) 295-1992
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