Steven Hernandez
This patient was unhappy with the appearance of her teeth; crowns on teeth #8,9 were too wide, multiple stained/failing class V resins, and wear facets.
A wax-up was ordered, patient viewed it, approved the design.
Teeth were prepared, wax of design was transferred to the teeth. Occlusion checked/adjusted.
Patient was seen while in temporaries to check function and esthetics. She requested changes as they appeared "too masculine." Incisal edges were rounded and embrasures opened to soften/feminize the teeth. Eight Empress restorations were milled and hand-polished; no glaze. Final photograph is three months post-delivery.
Take Aways:
1. Start with a wax up.
2. Use reduction guides to ensure that you remove enough tooth structure
3. Have the patient 'test drive' the provisionals; use this time to evaluate esthetics and function.
4. Once the patient is happy, simply copy what's there. All the guesswork is removed from it.
5. Don't be afraid of using CEREC for anterior cases. Take the Level 4A hands-on workshop & see what's possible.
