Large DiscolorationsLarge Discolorations

Pre-embalmingPre-embalming

manipulation of discolored tissuemanipulation of discolored tissue

if no clearing: stainif no clearing: stain

EmbalmingEmbalming

high index (bleaching)high index (bleaching)

co-injection: encourage distributionco-injection: encourage distribution

warm water: encourage distributionwarm water: encourage distribution

Post-embalmingPost-embalming

Surface packSurface pack

Emollient on surrounding tissueEmollient on surrounding tissue

Cover surface pack with plasticCover surface pack with plastic

Leave overnightLeave overnight

Cosmetic TreatmentCosmetic Treatment

Clean the area (remove oils, emollient etc)Clean the area (remove oils, emollient etc) Apply cosmetic to surrounding areaApply cosmetic to surrounding area Lighter shade of opaque on discolorationLighter shade of opaque on discoloration ““feather” into surrounding tissuefeather” into surrounding tissue Continually clean the brushContinually clean the brush Shadows and highlightsShadows and highlights Reinstate warm colorReinstate warm color powderpowder

Tissue PreparationTissue Preparation

Prior to RestorationPrior to Restoration

Receive written permission if major Receive written permission if major restoration to be performed.restoration to be performed.

Tissue must be firm and dry.Tissue must be firm and dry. Embalming concerns:Embalming concerns:

Post-embalming concerns:Post-embalming concerns:

Large Cavity and Excision Large Cavity and Excision RestorationsRestorations

1) trim away dehydrated marginal tissue1) trim away dehydrated marginal tissue 2) undercut the margin2) undercut the margin 3) chemically dry the deep tissues3) chemically dry the deep tissues 4) apply liquid sealer to the deep tissues4) apply liquid sealer to the deep tissues 5) use a deep filler (wound filler) to fill the 5) use a deep filler (wound filler) to fill the

cavity to within ¼ “ from the surfacecavity to within ¼ “ from the surface

Large Cavity and Excision Large Cavity and Excision Restorations (cont’d)Restorations (cont’d)

6) suture the margin with basketweave6) suture the margin with basketweave 7) apply wax into the cross-stitches7) apply wax into the cross-stitches 8) apply additional wax to contour and 8) apply additional wax to contour and

taper wax over the margintaper wax over the margin 9) reproduction of pores and wrinkles9) reproduction of pores and wrinkles 10) cosmetize10) cosmetize

Tumor Excision and RestorationTumor Excision and Restoration

Tumor Excision Tumor Excision

Tumor ExcisionTumor Excision

Trim Marginal TissueTrim Marginal Tissue

Undercut the MarginUndercut the Margin

Chemical PreparationChemical Preparation

Liquid SealerLiquid Sealer

Seal the Deep TissuesSeal the Deep Tissues

Wound FillerWound Filler

Wound Filler ApplicationWound Filler Application

BasketweaveBasketweave

BasketweaveBasketweave

BasketweaveBasketweave

BasketweaveBasketweave

Wax into Cross-stitchesWax into Cross-stitches

Wax into Cross-stitchesWax into Cross-stitches

Surface Wax ApplicationSurface Wax Application

Taper Wax Over MarginTaper Wax Over Margin