A Pet Peeve - Idealizing CEREC Virtual Waxup for Implant Planning - T-Bone Speaks

A Pet Peeve – Idealizing CEREC Virtual Waxup for Implant Planning

I wanted to go over a pet peeve of mine.  It is about our virtual wax ups with CEREC for implant planning.  Too often this is done carelessly.  While most of the time it won’t make a difference, slight differences can be important.  This becomes especially important when doing multiple teeth.

Let me share an example of the way I try to ‘perfect’ the virtual wax up.

Patient requires removal tooth #3 due to extensive decay

Patient requires removal tooth #3 due to extensive decay

Initial proposal

Initial proposal

Frontal view of initial proposal allowing you to see how the proposal is not ideal

Frontal view of initial proposal allowing you to see how the proposal is not ideal

First Step is to utilize the Position & Rotate tool

First Step is to utilize the Position & Rotate tool

Rotate and position the tooth back into position being sure to look from the frontal view

Rotate and position the tooth back into position being sure to look from the frontal view

Next utilize Scale tool to thin buccal-lingual dimension to more ideal final size for implant restoration

Next utilize Scale tool to thin buccal-lingual dimension to more ideal final size for implant restoration

Utilize Scale tool to adjust the mesial-distal dimension

Utilize Scale tool to adjust the mesial-distal dimension

Final move to align the central groove of proposal with adjacent teeth

Final move to align the central groove of proposal with adjacent teeth

Finalized proposal ready for integration with 3D CBCT for virtual implant planning

Finalized proposal ready for integration with 3D CBCT for virtual implant planning

 

This same principle is what I apply to all my CEREC proposals.

About the Author Tarun Agarwal

Dr. Tarun Agarwal represents the next generation of leadership for the dental profession. As a respected speaker, author and opinion leader, he is changing the way general dentists and their teams practice.

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  • Joshua D. Howard says:

    Thanks T-bone! Great tutorial.. Can’t plan the implant if you don’t start with an ideal crown proposal.

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