LABORATORY COMMUNICATION

PRESCRIPTION FOR SUCCESS

Stefan Ursu CDTAesthetic Dental Studio, Inc.

NYUCD International Aesthetic Program

Traditional Communication

Methods

QuickTime™ and aAVC Coding decompressor

are needed to see this picture.

In other words...,

“A3... but a bit darker”

Modern/ContemporaryCommunication

Types of Communication

•Photography & Video

•The Aesthetic Checklist

•Shade Selection

•Shade Matching Devices

•Facebows and Articulators

•The Prescription Form

•Direct Patient Contact

Photography

Traditional Photography

•Take Stills

•Hold on to the case for two more days while developing shots

•Delays with unusable pictures

•Slow and Costly

Vs...

Digital Photography

•Unlimited photos via the internet.

•Fast viewing and upload

•Free Developing!

ARMAMENTARIUM

• Digital SLR camera with memory card

• Micro/Macro lens with 1:1 ratio ability

• Ring or dual flash system

• Shade guides

• Retractors

• Occlusal mirrors

Digital SLR

(Single Lens Reflex)

Camera with memory card

Digital SLR Camera

CanonNikon

Macro/Micro Lens

Nikon Micro 105mm F2.8 VR

Sigma EX Macro 105mmF2.8

Canon 100mm Macro EF

Macro/Micro Lens

Flash Systems

Flash Systems

Nikon R1C1 with Commander Wireless Speedlight

Flash Systems

Canon Twin lite MT-24Ex Flash

Settings

Facial

Dento-Facial

Dental

F-StopW.

BalanceShutter Speed

Film Speed/ISO

5.6

22

32

125

125

125

200/100

200/100

200/100

Shade Guides

Shade Guides

Vita 3D-MasterVitapan Classical

Vitapan Classical

•Easy to use•The most

commonly used shades A1-D4

•Universally known/used as a standard

•Arranged Based on Hue Groups

Shade Guides

Vita 3D-Master

• Arranged By Value

• 29 Shades including 3

Bleached Shades + 52

Intermediate Shades

• Easy 3-step Shade

determination

Shade Guides

Instructions for Use

Step 1•Hold shade guide

at arm’s length

•Determine

lightness level

(value) of tooth

by scanning the

top shadetab in

each group

Step 2

•Determine color saturation (chroma) within the chosen group

•Determine the Hue yellowish (L) reddish (R)

Step 3

•Laboratory Pictures

Tips For Taking Shades

Tips For Taking Shades

1. Take shade prior to anesthesia and/or

preparation

2. Use natural light or daylight lamps

3. Go with your first decision

4. No bright colors

5. Take shade early in the day

Tips For Taking Shades•Try to sit down

•Have patient sit on normal chair (if

possible)

•Rest your camera elbow in your

midsection

•90 degrees or slightly higher

•Use pre-determined settings to focus

Retractors

Retractors

Occlusal Mirrors

Occlusal Mirrors

•Durable

•Autoclavable

•Helps educate

patient

•Increases case

acceptance

Video

• Real-Time Diagnostics

• Occlusal Schemes

• Parafunctional

Movements

• Ability to Choose Best

Shot

Video

QuickTime™ and aMotion JPEG OpenDML decompressor

are needed to see this picture.

Video

Tips For Taking Video

Tips For Taking Video

•Use plenty of ambient light

•Use a great camera stand

•Autofocus lens with Vibration Reduction (VR)

Shade Matching Devices

Daylight Lamp(5500 K)

Vita Easy-ShadeCompact

Vita Easy-ShadeCompact

Aesthetic Checklist

Aesthetic Checklist

•Chair-side system

•Simplifies treatment

plan

•Great case

documentation

Facebows & Articulators

Facebows & Articulators

-Why Use a facebow & Articulator?

Question:

Answer:

-To reduce chairside adjustments leading to expensive remakes and lost time.

• NOTAn Articulator

Rather..

A Model Holder

Facebows & Articulators

Facebows & Articulators

Why not?...

Facebows & Articulators

• Photos Courtesy of Peter Pizzi

Facebows & Articulators

Kois/Panadent

Facebows & Articulators

Artex

Facebows & Articulators

Denar D5AFully Adjustable

• A “Calibration “Key” should be used by both dentist

and lab.

*Reminder!

How to Use the Facebow

Prescription form

Aesthetic Diagnostic Wax-ups

Aesthetic Diagnostic Wax-ups

•Visualize final outcome

•Which teeth get full coverage or veneers

•Act as guide for final preparations

•Increase case acceptance

Preparation Aids

Preparation Aids

•Facial Reduction Guide (three-plane reduction)

Preparation Aids•Incisal

Reduction Guide (with palatal stop)

Preparation Aids

•Prep Suggested Model

- Compares lab-

prepared models with dentists’

preps

Pre-Operative Photos

Pre-Operative Photos

Pontic Design

Direct Patient Contact

Dentist

Patient

Technician

In Summary...

Types of Communication

•Photography & Video

•The Aesthetic Checklist

•Shade selection

•Shade Matching Devices

•Facebows and Articulators

•The Prescription Form

•Direct Patient Contact

Now

Now

Wake Up!!!

Thank You!

Stefan Ursu C.D.T.su7@nyu.edu

Aesthetic Dental Studio, Inc.NYUCD