Begin with the end in mind." We hear that phrase all the time with regard to case planning and execution, and when Mark asked me to do a follow up on my technique for making a VPS impression, I immediately thought about how that "end" of my prep appointment is only the beginning for the Lab to make our true ending a success. Visualizing the outcomes we want as clinicians allows for a more predictable restorative process, which can be translated into a more predictable (and efficient) prep appointment. It is my opinion that most dental programs still teach prep design to a Board Exam standard, doing us as future practitioners a disservice. While mine is not a perfect system, my approach works well in my hands. The best part: it works with traditional impressions or intraoral scanning.
I am by no means a fast dentist, and I take a lot of time making my preps as ideal as possible, but patients care about speed and efficient appointments. Experimenting with your prep sequencing and design combined with utilizing intraoral scanners has the potential to drastically improve the quality of care we can deliver and our patients' understanding of that care. As with impressions, any questions are welcome. Happy prepping and scanning.
Brandon White, DDS
I want to express my sincere thanks to Dr. Brandon White for sharing his skill and knowledge in an efforts to help the southern Oregon dental community pursue excellence in dentistry.
Mark Hidde - CDT, Owner