A Pet Peeve – Idealizing CEREC Virtual Waxup for Implant Planning

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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.

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