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Checklist for Cosmetic Cases | Shade Taking Hints | From Our Blog

Checklist for Cosmetic Cases

FIRST CONSULTATION APPOINTMENT

PRE-OP IMPRESSION, UPPER AND LOWER
PRE-OP STICK BITE
CENTRIC BITE
PATIENTS EXPECTATIONS LIST

SEND TO THE LAB FOR DIAGNOSTIC WAX UP

SECOND CONSULTATION APPOINTMENT

LOOKSEE AND PATIENT APPROVAL

SHADE TAKEN BEFORE INJECTION OR PREPPING BEGUN
PHOTOS, INCLUDE:

PRE-OP:
- PRE-OP NATURAL SMILE
- LATERAL TO SEE EMERGENCE PROFILE
- CLOSE UP OF TEETH, LIPS UNRETRACTED
  POST-OP
- PREPPED TEETH WITH SHADE TAB THAT BEST MATCHES PREPS
3. PREP IMPRESSION

4. NEW OPPOSING MODEL

5. STICK BITE

6. CENTRIC BITE

7. STUDY MODEL OF TEMPORARIES

8. FINAL SHADE SELECTION, WITH NOTES REGARDING INCISAL TRANSLUCENCY, OR COMPLETED PATIENT EXPECTATION WORKSHEET, OR MAKE AN APPOINTMENT FOR AN IN THE LAB CUSTOM SHADE (PREFERRED).

RECALL PATIENT TO DISCUSS AND EVALUATE THE TEMPORARIES

IF ANY CHANGES ARE MADE SEND TO THE LAB:

1. STUDY MODEL OF CHANGES MADE

2. NOTES REGARDING PATIENTS COMMENTS REGARDING TEMPS

AESTHETIC ARTS DENTAL LABORATORY
5790 MAGNOLIA AVE., SUITE 104
RIVERSIDE,CA., 92506
951-683-2703

Shade Taking Hints

1. THE RIGHT EYES. 50% of the male population are colorblind in some area of the color range. It would be good to have a female present to confirm the shade selection, as females are rarely colorblind.

2. THE FIRST THING. Take the shade before injection or prepping as the patients teeth will change as they dehydrate. If you miss taking the shade before prepping, have the patient return for shading after 24 hours. The teeth will have time to re hydrate and return to normal color.

3. PREP SHADE. If an all ceramic crown or veneer are to be placed, take a shade of the prepared teeth. Include this shade on the prescription. It is vital for the lab to make the right choice of materials to use.

4. LIGHT SOURCE. Turn the oral light off, don’t just point it away.

5. SHADE FRIENDLY AMBIENT COLORS. North mid day light is the ideal, but may not be practical. When possible take the shade in surrounding colors of blues, grays, or neutral white. The patient bib should be blue and cover any color influence from clothing.

6. CHAIR POSITION. Set the chair angle to position the patient at approximately 45 degrees, to make the best use of any natural light and your color corrected overhead florescent lighting.

7. NO SHADOWS. Have an assistant hold back the patients lips, with their hands or retractor, very close to the patients face, to avoid shadows on the teeth.

8. DISTANCE. The shade tab should be held, and the shade taken at arms length.

9. THE MOST IMPORTANT ELEMENT. Value, if the value is correct and the hue and chroma are not, the restoration will stand a better chance of blending in the mouth. Value runs from super bright( A0,B0), to high value (A1,B1), To warm (A2,3,3.5,4), to sunny (B2,3,4), to pearl (D2,3), to low value (C1,2,3,4).

10.HUE AND CHROMA.

Hues are:

Red/brown (A shades)
Yellow (B shades)
Gray (C shades)
Red/Brown with Gray (D shades)

Chroma is: The intensity or Saturation of color.

11.Refresh. Your eyes will tire, stop and focus your eyes on something med blue to refresh your color perception.