Section 1
Case Identification
Section 2
Material, Shade, and Tissue
Section 3
Global Design Intent
Standard Instruction: Fabricate this case as a highly anatomical, full-contour prosthesis with realistic cervical emergence, gingival architecture, and natural tooth form. The prosthesis should look like a mature natural dentition, not a flat monolithic bar with teeth set on top.
Section 4
Maxillary-Specific Instructions
Standard maxillary protocol includes: minimal palatal bulk, anterior lip support per diagnostic wax-up, highest gingival characterization canine-to-canine, and natural arch form without excessive lingual overextension.
Section 5
Mandibular-Specific Instructions
HIGH PRIORITY: The mandibular lingual polished surface must be designed to preserve tongue space, phonetics, swallowing comfort, and hygiene. Do not overbulk the lingual ridge under any circumstances.
| Region | Contour Character | Reference (mm) |
|---|---|---|
| Lingual frenum | Most convex / broad shelf | ~4.7 |
| Lateral incisor area | Convex shelf, full support | ~5.4 |
| First premolar area | Slightly convex, transitional | ~4.8 |
| First molar area | Flatter, reduced prominence | ~3.4 |
| Anterior retromolar pad | Flattest, minimal bulk | ~2.8 |
Adjust to cast anatomy, prosthetic space, tooth position, vertical dimension, and clinical verification. These are reference values, not rigid prescriptions.
Section 6
Functional Priorities
Design and evaluate this case against the following priorities in this order. The case must not be finalized with a bulky lower lingual contour even if the facial anatomy is highly developed.
1Phonetics / speech
2Tongue rest position
3Swallowing clearance
4Hygiene access
5Natural anatomical appearance
Section 7
Gingival Characterization
Standard protocol includes: natural marginal scallop, papillary rise and fall, root-form indication in canine/premolar regions, attached-tissue texture, natural zenith placement, controlled asymmetry. Avoid featureless denture-style tissue, exaggerated stippling, excessive bulk in non-esthetic zones.
Section 8
Occlusal Scheme
Section 9
Hygiene and Cleansability
Standard: accessible intaglio surface, cleansable cervical transitions at all implant emergence sites, no plaque-retentive architecture, smooth transitions for brush/floss/water flosser access.
Section 10
Clinical Verification Before Finalization
Required: Do not complete the case in final material without clinical confirmation of the following items at try-in.
✓
Phonetics: S, F, Th sounds, counting test✓
Tongue rest position and lingual comfort✓
Swallowing: no gagging, no posterior lingual obstruction✓
Lip support and facial profile✓
Incisal edge position and display✓
Posterior tooth position and neutral-zone compatibility✓
Hygiene access: patient can reach all surfaces✓
Patient approval of aestheticsSection 11
Doctor-Specific Instructions
Section 12
Lab Approval and Routing