Esthetic consideration is an important aspect for special needs patients who have deteriorated self-image with a loss of self-esteem and a lack of confidence in the eyes of others. In this situation, traditional protocol with wax-up and mock-up is difficult and not sufficient to validate the esthetic project because of major difficulties. Another technique is necessary to specify, simplify and take it into account with special needs patients. In this context, this paper presents a new system for final esthetic validation of fixed prosthetic restorations. This procedure uses resin coping carrying tooth wax with ideal form. This system is transferred directly in mouth for trial. It can be modified by the dentist until satisfaction by modeling the wax. After validation, it can offer a good way for the dental technician to reproduce exactly the project validated in mouth on final restoration. Final esthetic validation (FEV) technic is a good methodology to improve the esthetic approach for special needs patients. This procedure is safe, cheap, and ideal to be sure of the patient point of view.