Dr. Galip Gürel, Istanbul revisited

Backwards planning

  • explore the patient expectations*
  • documentation(pix from aside lateral also)
  • better: vid s 55HD gives plenty of pix and you choose the best out of it.
  •  *“never start any procedure before drawing the final result.“
  • = visualization with direct composits (flowable) better than talking!  then don‘ t show it in the mirror but take pix select the suitables and show these.

Procedure (gurel works in teamwork with international specialists.. Skype dropbox.. keynote digital scans etc.)

  • find the questionable teeth
  • find the problems to be resolved (methods & timing)

Pat. discussion:

  • problem list
  • current conditions
  • consequences if no treatment
  • benefits of treatment 
  • ask patient understanding 
  • finances to be set..

i.e (wonderful example of complexxx case) 

  • move the malpositioned teeth before placing the implants,  place ideal temporary crowns on the teeth and move then with ortho to the right position… extract the orthodontic moved teeth … place implants …put crowns and bridges…in zirkonia



  • same idea: before prepping make a mockup to explore expectations then wax-up . 
  • Next appointment: put splint in place – positive echo by the patient: start prep over acrylic splint (minimalizing material loss) make impression
  • etc.

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