Materials

CAD/CAM Wax for Diagnostic Wax-Up and Smile Design

2023-08-04

Before you cut a tooth, a wax-up is the argument for the treatment plan — and CAD makes that argument faster and reversible.

From scan to wax-up

  1. Scan the prepped or diagnostic cast (or IOS the mouth).
  2. Design the ideal shape digitally; export to a wax disc.
  3. Mill the wax-up; try it in, photograph, adjust virtually, re-mill.

Why milled wax beats hand wax

A milled wax-up is symmetric to 0.05 mm and reproducible — you can make three variants for the patient to compare in one visit. Iterate the file, not the hands.

Use a high-contrast wax disc so the margin reads clearly at the try-in.

From wax-up to approved smile

  1. Design the wax-up in the CAD shell; 2D photos alone miss the 3D lip line.
  2. Print or mill the wax and seat as a mock-up with tray adhesive — no cement.
  3. Photograph at rest and smile; adjust the wax while the patient watches.
  4. Once approved, scan the wax-up as the blueprint for the final restoration.
A diagnostic wax-up is the contract; everything after it just delivers it.

References & Further Reading

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