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Dawson Quick Tip: Vinyl Impressions of Wax-Ups

So one of the things that I know that a lot of you are doing as good, complete dentists is actually doing afull contour wax-up, especially when we're doing an anterior case, a full arch reconstruction, or a full mouth reconstruction.

Something that's been very useful to us in helping to communicate with the patient and also be able to preview our results, is when we order the wax-up from the lab, we'll have the ceramist send us a vinyl impression of the wax-up.

 

We then have the patient in for about a 30-minute appointment, and we do an intraoral mock-up. We'll show you some photographs of some of those intraoral mock-ups, but we will also take a material like a Luxatemp or Protemp and fill the vinyl matrix with the tempering material, place it in the patient's mouth and let it sit for a few minutes, and then take it off.

This gives the patient the opportunity to preview what the results that we're proposing for their case is going to look like. And it gives us, the dentists, an opportunity to evaluate some things like phonetics and the smile design and the curve of the smile.

The benefits

So it's a great way to help the patient be able to see what their final results are going to be and actually help them to say yes to the case. It's great for us as the practitioner to be able to preview anything that we might want to alter before we even touch the first bur to the tooth.

And then another thing that's been helpful with the mock-up is when the patient actually has agreed to start their case and they come in for the prep day. Once they're anesthetized, we'll etch the teeth, and place the provisional material in the matrix again and seat that, and then we can prep through the mock-up material. This is a great way to help us be really conservative with our preparations, and we don't take any more off the tooth than is necessary just to get to that final result that we've already planned in advance.

How to Avoid Mistakes During Dental Treatment Planning

Dr. Angela Gribble Hedlund completed her undergraduate training at Baylor University in Waco, Texas, where she received her Bachelor of Science Degree. She received her DMD from the Medical College of Georgia School of Dentistry in Augusta Georgia, and has completed an ADA-accredited program in Advanced General Dentistry at Baylor College of Dentistry in Dallas, Texas. Dr. Hedlund practiced with Goldstein, Garber, & Salama for 16 years, and have recently opened a private practice in North Atlanta. She has practiced dentistry in Atlanta since 1994. Dr. Hedlund has also received extensive training in esthetic dentistry. She has received her certificate in the Postgraduate Program in Esthetic Dentistry from Baylor, as well as completing the Comprehensive Esthetic Restorative Continuum at the same institution. During her postgraduate studies at the Medical College of Georgia, she was awarded the Goldstein Esthetic Dentistry Award, presented yearly to a senior student who has shown exceptional interest and talent in the area of esthetic dentistry. She is an active member in the Georgia Academy of Cosmetic Dentistry and the American Academy of Cosmetic Dentistry where she is currently an accreditation candidate. Dr. Hedlund is an active contributor to organized dentistry. This began when she served as the first female president of an MCG dental class, and a representative to the American Student Dental Association executive council. She is currently a member of the American Academy of Cosmetic Dentistry, American Dental Association, Georgia Dental Association, the Hinman Dental Society, and the Academy of General Dentistry, where she has completed over 1,500 hours of continuing education in dental studies. She has received her Fellowship in the Academy of General Dentistry; this is an honor held by fewer than 2% of dentists in the country. In July 2006 she became one of the youngest women ever to receive Mastership in this Academy. Dr. Gribble also is on the dental advisory council for the Christian Medical Dental Assocation. Dr. Gribble has published articles in the Journal of Esthetic Dentistry and the Journal of the American Dental Association. She has served as a contributing editor to the Dental Study Club Journal, which contains reviews from leading clinicians on articles from over seventy-five international dental journals. She also lectures on the subjects of restorative and esthetic dentistry. Dr. Gribble paid for a large portion of her education and received lots of “smile practice” in the Miss America Scholarship programs. She was 2nd runner-up in Miss Augusta in 1991, and 2nd runner-up in Tennessee’s America Junior Miss Pageant in 1985. Dr. Angie Gribble Hedlund enjoys singing, scrapbooking, and is a master scuba diver. She is an active member of the Atlanta Women’s Medical Alliance and Bible Study Fellowship where she serves as the Substitute Teaching Leader for the Norcross Women’s class. She and her husband Richard are members of Roswell United Methodist Church. They volunteer regularly with the children’s program there with their 2 daughters Tori and Lexi.