Wax-up, arrangement, mock-up
- A diagnostic tooth arrangement is an important guide to plan and manage patient treatment and expectations
- A proper wax up can significantly add to the value of a diagnostic arrangement as it better simulates both provisional and final prostheses
- Whenever possible, it is preferable and advisable to use a mock-up that involves intra-oral evaluation of a diagnostic tooth arrangement and wax-up
Diagnostic, treatment planning and patient communication tools
Treatment planning for the edentulous patient requires a diagnostic tooth arrangement which provides valuable information for pre-surgical planning (surgical guide fabrication), facilitates discussion regarding patient mediated concerns and expectations, and ensures optimal guidelines for the eventual prosthesis fabrication.
Tooth arrangement should take into account patient expectations, functional considerations and esthetic goals. A mismatch between these three elements at the diagnostic phase demands an altered treatment approach so as to provide a match with the patient expactations.
Wax-up and mock-up
Proper simulation of gingival morphology and palatal contours are valuable aids, that guide the dentist's choice in the selection of the best possible treatment plans to present to the patient.
The try-in of a diagnostic or provisional waxed-up teeth arrangement offers the patient early insight into a likely treatment outcome. It also permits crucial input into finalization of a treatment plan. Modifications of this provisional teeth arrangement may of course be necessary in order to achieve patient acceptance of a proposed treatment plan. This protocol can prevent a patient’s misperceptions of care and increase the probability of a satisfactory outcome. The inability to find a diagnostic teeth arrangement that pleases the patient should be a cause of concern as to whether treatment should proceed.
In addition, the try-in protocol can be used to recruit all of the acquired relevant information to guide the fabrication of either a surgical guide and/or a provisional or definitive prosthesis.