- ⁃ Consent
- ⁃ Show pt wax-up (ask if they like)
- ⁃ Onboarding photos/ videos
- ⁃ Try stent & polish protruding teeth
- ⁃ Mock up in
- ⁃ Sit up: adjust width, length, protrusion
- ⁃ Sit up: assess gums (mental note)
- ⁃ Apply numbing cream around 11/21 & leave
- ⁃ 2 LA cartridges, angle needle & guide LA with mirror (place gauze in sulcus)
- ⁃ Depth gauge 0.3mm, draw with pencil
- ⁃ Prep 3 planes
- ⁃ Take temp off & floss
- ⁃ Check clearance with stent
- ⁃ Gum lift (10sec at a time max), sit patient up and reassess
- ⁃ After gum lift, bone sound, bone file/ curette
- ⁃ Mockup back in, Incisal reduction
- ⁃ Prep margins
- ⁃ Fat bur to eliminate undercuts
- ⁃ Ensure sufficient interproximal reduction
- ⁃ Smooth with soflex & white stone bur
- ⁃ Pack retraction cord
- ⁃ Take 2 imps – 2nd one without cord
- ⁃ Take shade photo
- ⁃ Retracted face photo & open photo
- ⁃ Vaseline on palatal & occlusal
- ⁃ Microprime & Place Teflon
- ⁃ ProTemp, remove Teflon while setting
- ⁃ Polish margins with flame bur
- ⁃ Clean off excess with scaler
- ⁃ Check bite, sit pt up and polish
- ⁃ Smile reveal in chair & big mirror
- ⁃ Post-op instructions
- ⁃ Whitening (if time permits)
