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The Surprise Box: Milestones of Cosmetic Dentistry Protocol

Oral Health Journal - April 18, 2004 by Marek K. Bedynski R.D.T.

Checklist #2: Laboratory fabrication of diagnostic wax-up

  • Pour and trim base of the models
  • Articulate models using face bow registration
  • Design preparations that will best suite the porcelain to achieve desired outcome.
  • Make a duplicate of the prepared model.
  • Fabricate the diagnostic wax-up.
  • Create a silicone stent for fabrication of provisionals.
  • Fabricate a labial and lingual reduction matrixes.

The base of the models should be trimmed in such a fashion that after mounting on the articulator it is level with the horizon (Figs. 7 & 8).

Figure 2 Figure 3
Fig. 7 Fig. 8


Design of the preparations at this time can be a very helpful tool for the clinician to illustrate the best preparation design that will support the restorations.

When fabricating the diagnostic wax up it is essential at this time for the technician to know the patient's chief complaints and expectations of the treatment.

Reduction matrixes should be carefully used by the clinician to not only provide enough reduction, but to also make reduction uniform and suitable for application of special effects (Figs. 10 & 11).

Figure 10 Figure 11
Fig. 10 Fig. 11

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