A diagnostic wax-up is done to create a replica of a proposed treatment plan. We here at Stellenbosch Dental Lab have a long list of partnering dental practices that use the diagnostic wax-up technique as the foundation of the entire treatment plan. It is a physical representation of both aesthetic and functional aspect of the final result.  As the most accurate representation of the desired result, it minimises the chair time and improves the chances of getting all treatment aspects right early on.

Careful consideration to create an aesthetically pleasing outcome, and also incorporating all of the elements is required for establishing proper function. All too often, a case is deemed a failure for reasons that could have been avoided if a proper diagnostic wax-up had been performed in advance.

Diagnostic wax-up can also indicate right away that the proposed treatment is not functionally appropriate and has to be revised. Fortunately, you get to amend the treatment plan in advance and thus minimise the costs and chair time.

The model you get with a diagnostic wax-up can also be used to clearly present the final outcome to the patient. It is not uncommon for the patient to misunderstand their dentist and end up surprised by the end result. Resorting to a diagnostic wax-up technique enables you to keep the patient informed about the treatment plan and avoid any dissatisfaction. The replica can also be used to clearly explain why some other treatment methods are not possible and show first-hand why the approach you wish to take will be beneficial for their specific case.

Diagnostic wax-up dentistry has quickly grown in popularity due to the numerous benefits that come with this approach. Some of the greatest advantages include the fact that it is:

• A patient and laboratory communication tool
• A value-adding step for increased case acceptance
• A visual aid for determination of final aesthetics
• Useful for the creation of templates to ensure adequate tooth preparation for final restorations
• Perfect for quick fabrication of aesthetic provisional restorations

Considerations

Before conducting diagnostic wax-up, a dental practitioner has to do the following to minimise the chance of miscommunication and improve the end result:

• Demonstrate to the patient possible changes to shape and alignment of the teeth.
• Plan for soft tissue management.
• Provide predictable case outcomes.
• The blueprint for case planning.
• Manage patient expectations.