Before fabricating functional prosthetics for a patient with esthetic concerns, what should be done FIRST?

Correct answer: A. Take clinical photographs

• A. Clinical photographs should be taken FIRST to document the existing condition, establish a baseline, communicate esthetic goals, and provide a visual record for both the patient and the laboratory. Pre-treatment photos are the critical first step in any esthetic treatment plan. ✓
• B. Periodontal charting is essential but is part of the comprehensive examination, not specifically the first step for esthetic prosthetic planning.
• C. Mounted study models and occlusal analysis are essential but typically follow initial documentation.
• D. A wax-up is fabricated after photographs, models, and diagnosis — not before the initial documentation.