RESTORATIVE DESIGN EDUCATION

Anterior CAD: Give Each Reference a Defined Role

An image or reference mesh may inform one design question without governing every other question. Labeling its role makes aesthetic feedback more precise and easier to review.

State what each reference is for

A reference may be an approved proposal, a record of an existing restoration, a training example or a general discussion image. Label its provenance and stage before asking the designer to follow it. Do not present a generic image as a patient-specific instruction.

Identify which question the reference supports: proposed form, relationship, visual comparison or another explicitly approved purpose. A file can be useful without being authoritative for every decision. If its role is unknown, the responsible team should clarify that role before affected work proceeds.

Build a reference-role index

Anterior reference index
EntryQuestion to answer
Reference identityWhich file or view is being discussed, and does disclosure have permission?
StageExisting, proposed, provisional, approved reference or other documented state?
Design questionWhich feature or relationship is it intended to inform?
AuthorityWho confirms that it governs this decision?
LimitWhat should not be inferred from this reference alone?

Keep the index with the case brief. A named reference is easier to revisit than “use the photo,” especially when several images or proposals have been exchanged.

Resolve conflicting references openly

If a new reference appears inconsistent with an earlier approved proposal, identify the disagreement and request the governing choice. Avoid averaging incompatible instructions or treating the latest attachment as automatically authoritative.

Illustrative clarification: “Reference A and proposal B appear to request different forms at the marked segment. Please confirm which governs this revision and whether B is superseded.” This frames a review question without supplying an aesthetic formula or a treatment decision.

Use a review view that answers the question

Return the current revision with the reference visible or clearly identified. Ask for feedback on the specific intended difference. A rendering can help compare form, but it is not proof of the final appearance, material behavior or a clinical result.

If the responsible team approves one aesthetic question, record that scope separately from other restorative and manufacturing questions. The same discipline applies to a public portfolio: describe what the CAD view actually shows and do not infer patient outcomes from it.

Prepared by Pristine Dental Design · October 6, 2026. Guidance for professional case communication and review. Actual prescriptions, manufacturer requirements and receiving-team approvals govern design and production.

Pre-op, wax-up and approved setup: record the authority

exocad distinguishes using an additional pre-op scan to guide tooth-model design from wax-up copy milling, where construction comes from scan data. That software distinction does not establish which clinical or aesthetic reference has been approved. The wiki does not establish applicability to every installed release.

For a chairside-to-lab aesthetic review, label the source, date, proposed role and responsible approver of each reference. An existing form may document an earlier condition; a wax-up may propose a change; an approved setup must identify exactly what and which revision was approved.

Hypothetical example: an earlier scan and a newer proposed setup disagree on anterior form. The designer records the conflict and asks which reference governs the current review. A chairside screenshot of the proposal is not silently promoted to manufacturing approval. Keep appearance feedback, design revision approval and production release as distinct decisions.

Original review worksheet
Record or decisionEvidence to record
Pre-op recordSource revision; historical condition or intended shape reference; alignment evidence.
Wax-up/proposed setupProposed changes; software input role; limitations; reviewer.
Approved setupExact revision; approved scope; exclusions; authority and approval record.
ConflictAffected design question; governing-reference request; held stage.

Download the blank review worksheet (CSV)

Louie validation required — unverified locally. Actual installed software behavior, record dependencies, acceptance and Pristine compatibility require authorized configuration-specific validation. Hypothetical examples do not authorize clinical decisions, mesh repair or manufacturing release.

Official sources checked October 6, 2026; installed-release applicability remains pending.

Continue with A Release Manifest for Dental CAD Deliveries; /learn/jaw-relationship-record-review/.