1. Large Discolorations

2. Pre-embalming  manipulation of discolored tissue  if no clearing: stain

3. Embalming  high index (bleaching)  co-injection: encourage distribution  warm water: encourage distribution

4. Post-embalming  Surface pack  Emollient on surrounding tissue  Cover surface pack with plastic  Leave overnight

5. Cosmetic Treatment  Clean the area (remove oils, emollient etc)  Apply cosmetic to surrounding area  Lighter shade of opaque on discoloration  “feather” into surrounding tissue  Continually clean the brush  Shadows and highlights  Reinstate warm color  powder

6. Tissue Preparation

7. Prior to Restoration  Receive written permission if major restoration to be performed.  Tissue must be firm and dry.  Embalming concerns:  Post-embalming concerns:

8. Large Cavity and Excision Restorations  1) trim away dehydrated marginal tissue  2) undercut the margin  3) chemically dry the deep tissues  4) apply liquid sealer to the deep tissues  5) use a deep filler (wound filler) to fill the cavity to within ¼ “ from the surface

9. Large Cavity and Excision Restorations (cont’d)  6) suture the margin with basketweave  7) apply wax into the cross-stitches  8) apply additional wax to contour and taper wax over the margin  9) reproduction of pores and wrinkles  10) cosmetize

10. Tumor Excision and Restoration

11. Tumor Excision

13. Trim Marginal Tissue

14. Undercut the Margin

15. Chemical Preparation

16. Liquid Sealer

17. Seal the Deep Tissues

18. Wound Filler

19. Wound Filler Application

20. Basketweave

21. Basketweave

22. Basketweave

23. Basketweave

24. Wax into Cross-stitches

26. Surface Wax Application

27. Taper Wax Over Margin