Mastering Minimally Invasive Esthetics A Step-by-Step Guide

Let’s Get Started! You are about to transform your patient’s smile by using ART (Additive-Reductive Template), a minimally invasive approach to Smile Design. With ART you and your patient will be able to preview the final restoration before the porcelain is fabricated. This step-by-step guide will assist you through the entire process, from the receipt of your ART design case, through the shipment of the final impression back to the DenMat Lab. 1. Unpack and Organize Upon receipt of your ART lab case, familiarize yourself with the contents of the box. Review all of the case items and separate them...

2. Design Review Review the case design as shown on the Waxed Model. If the case design calls for any changes to the patient’s existing dentition, these changes will be illustrated on the color-coded Strategic Prep Model. Because ART is a minimally invasive approach, in most cases, adjustments to existing dentition are generally limited to enamel only. The color-coded Strategic Prep Model will indicate all required Strategic Prep Model Indicates reduction to be made using the green templates shown on the Waxed Model. Indicates free-hand reduction/softening Indicates soft tissue contouring Indicates...

4. Contouring and Adjustments If applicable, use the green ART templates to contour or adjust the dentition. Ensure that you are utilizing the templates in the numbered sequential order, following the color-key illustrated for the Strategic Prep Model (see Step 2 Design Review). Strategic minimal reduction utilizing the green ART templates. Indicates required reduction that should be made using the green templates 5. Final Adjustments/Softening Adjustments made with the green ART templates will result in ledges, sharp corners, and angles on the teeth. As illustrated in orange on the color-coded...

6. Gingival Reshaping (if applicable) In some cases, gingival reshaping is required in order to achieve a symmetrical result. If needed, follow the colorcoded Strategic Prep Guide model and contour the soft tissue where applicable, using a soft tissue diode laser such as the NV® PRO3 or the SOL® laser by DenMat. A soft tissue laser will allow for immediate impressions to be taken because the tissue should demonstrate minimal to no tissue damage and no bleeding. Do not attempt to take impressions if the tissue is hemorrhaged and or bleeding, as this will create distortion. Pink Indicates required...

8. Trial Smile Review IMPORTANT! Before you remove the Trial Smile Now you have the opportunity for both you and your patient to review the Trial Smile in place. Patient approval and acceptance starts now! Most patients will love the design, leaving only your clinical review to complete the approval process. If any changes to the Trial Smile are striped burr. These changes could include length, anatomy or incisal edge adjustments. Once the new smile meets all esthetic expectations of your patient, continue to the clinical review steps below. Check all facial areas of the Trial Smile to insure...

10. Trial Smile Provisionalization (optional) produced, you can bond the provisionals in place by following these steps: Prepare Teeth Finish Trial Smile along interproximal with microbrush using the etching pattern shown and facial margins wrap and adjust high spots or length Gloss-N-Seal® and light cure A and B using micro sponge S bond enhancer; dry towards the incisal edge Phone: 800-872-8384 Email: [email protected] denmat.com Interproximal Fine Diamond (Mosquito) Football-Shaped Diamon

Shipping Check List Materials for Successful Smile Transformation Using ART GETTING STARTED LumiSmile® White Tooth Whitening Prior to Smile Design A full arch VPS impression of the prepared teeth Opposing Impression A full arch VPS impression of the opposing arch Study Model (Trial Smile in place) If you made any adjustments to the Trial Smile, you must include a study model of the adjusted Trial Smile by following Step 8 Full Arch VPS Impressions Please complete the case submission Lab Rx form ensuring that all information is provided Ultra-Bond® Plus Cementation Opaquer Lumineers® Starter Kit...