Villalobos-Tinoco Jose, Jurado Carlos A, Rojas-Rueda Silvia, Fischer Nicholas G
Periodontics, National University of Rosario School of Dentistry, Rosario, ARG.
Prosthodontics, Woody L. Hunt School of Dental Medicine, El Paso, USA.
Cureus. 2022 Jul 28;14(7):e27402. doi: 10.7759/cureus.27402. eCollection 2022 Jul.
This report describes the importance of and outlines steps for additive wax-up and diagnostic mockup for anterior teeth as diagnostic and driving tools for non-prep and minimally invasive veneer preparations. A 35-year-old male presented to the clinic with the chief complaint of spaces between his front teeth. Diagnostic additive wax-up provided the possibility of offering minimally invasive preparations, and the use of a diagnostic intraoral mockup fulfilled the patient's esthetic demands for treatment approval. Veneer preparations over the diagnostic mockup were provided as they are minimally invasive. Ceramic veneers were hand-crafted following the previous diagnostic wax-up, and restorations were bonded under rubber dam isolation. Overall, additive wax-up provides information needed to know if minimally invasive veneer preparations are possible, and the diagnostic mockup displays a physical, tentative outcome for the patient's evaluation before irreversible tooth preparations. These simple, but effective, techniques can drive the diagnosis and prognosis of minimally invasive veneer restorations.
本报告阐述了前牙添加性蜡型制作和诊断性模型作为非预备性和微创贴面修复的诊断及引导工具的重要性,并概述了其步骤。一名35岁男性因主诉前牙间隙前来就诊。诊断性添加性蜡型制作提供了进行微创修复的可能性,使用诊断性口内模型满足了患者对治疗效果认可的美学需求。由于是微创操作,在诊断性模型上进行了贴面修复。根据之前的诊断性蜡型手工制作陶瓷贴面,并在橡皮障隔离下粘结修复体。总体而言,添加性蜡型制作提供了判断是否可行微创贴面修复所需的信息,而诊断性模型为患者在进行不可逆牙体预备前展示了一个实体的、初步的修复效果以供评估。这些简单但有效的技术能够推动微创贴面修复的诊断和预后。