Full Arch Wax Up

This video demonstrates a full arch diagnostic wax up using ExoCAD to determine if this treatment is feasible to establish the requirements for a stable occlusion. With this information I can do an intraoral mockup to show the patient how their new teeth will look in their mouth and formulate a treatment schedule that will show the timeline and payment schedule for completion of the case. When a patient can clearly understand the vision of the end product and can understand the pathway to get there, they are more fully equipped to commit to treatment.

[drgeorgegeladaris]

Thank you very much for your very infomative video Dr Pate and also for the way you are dealing with occlusion!
Can you please explain how you incorporated the wax up to the existing teeth?
Thank you very much and keep posting your unique and excellent work!

[drgeorgegeladaris]

Thank you for your reply!
I have been a qualified Prosthodontist since 1994. I know exactly what to do the analogue way but digitaly I am in my infancy.
So my question is when you superimpose the library tooth on the natural one, how you get rid of the wax portion that overlaps the cervical area of the natural tooth. In other words how you make an onlay type of wax up and how you make a printed model of the wax up.
I think that a video of the wax up process from start to finish would be helpful for other people too!
Also in exocad do you prescribe wax up or mock up?

[drgeorgegeladaris]

Yes that's what I am asking, but I mean how you do it technically in exocad, as I have been training in the software for some months now.
Thank you!

[edbroggi]

Can't youjust do shell temps in exocad, then print then reline?

[DwightPate]

You manipulate each tooth to make the cervical areas match up. This is important because you cannot transpose the cervical areas. You also must make certain the changes you make are practical restoratively. You cannot overly reduce a tooth nor grossly distort a tooth. Additionally, I am always thinking about neutral zone, vertical dimension, envelop of function, anterior guidance, curve of Spee/Wilson, etc. There are usually compromises but they must be reasonable, practical and functionally realistic. When you put this all together properly, patients will tolerate the changes quite naturally. Are you a dentist or technician?

[DwightPate]

Not sure I understand your question but I make sure the cervical emergence profile of the wax up teeth are aligned with the patients teeth. Is that what you are asking?

[DwightPate]

I see from your name you must be a dentist.