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Case Reports
. 2018 Aug 7;18(1):134.
doi: 10.1186/s12903-018-0597-0.

Fully digital workflow, integrating dental scan, smile design and CAD-CAM: case report

Miguel Stanley  1 , Ana Gomes Paz  2   3 , Inês Miguel  1 , Christian Coachman  4
Affiliations
Case Reports

Fully digital workflow, integrating dental scan, smile design and CAD-CAM: case report

Miguel Stanley et al. BMC Oral Health. .

Abstract

Background: This report is a presentation of a clinical case that follows a full digital workflow.

Case presentation: A 47-year old man presented with pain in the TMJ (temporomandibular joint) and whose aesthetic concern was having a chipped maxillary central incisor veneer. The concern was solved following a fully digital workflow: it was applied the digital smile design protocol, as well as CAD-CAM monolithic lithium disilicate ceramic veneers and crowns (following a minimal invasive preparation approach). The aim of this rehabilitation was to solve a loss of vertical dimension, subsequent aesthetics and temporomandibular joint disorders.

Conclusion: Thanks to the evolution of technology in dentistry, it is possible to do a full digital case and solve problems such as loss of vertical dimension successfully. Nevertheless, more clinical studies are needed to obtain consistent results about the digital work flow compared to the conventional technique in loss of vertical dimension cases.

Keywords: 3D printer; CAD-CAM; Digital planning; Digital smile design; Digital workflow; Intraoral scanner; Minimal preparation; Monolithic lithium disilicate ceramic.

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Conflict of interest statement

Ethics approval and consent to participate

Not applicable.

Consent for publication

Written informed consent was obtained from the patient for publication of this Case report and any accompanying images. The patient signed the consent to allow us to publish the case. A copy of the written consent is available for review by the Editor of this journal.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
a Pretreatment intraoral photo: Front view. b Pretreatment intraoral photo: Occlusal view upper jaw. c Pretreatment intraoral photo: Occlusal view lower jaw
Fig. 2
Fig. 2
Initial Panoramic (2015)
Fig. 3
Fig. 3
Initial digital intraoral scanner with Carestream® 3500; Rochester, NY, USA
Fig. 4
Fig. 4
Digital Smile Design Protocol: smile picture with the retractors
Fig. 5
Fig. 5
a Matrix for the motivational mock-up and digital models. b Motivational mock-up made with bisacryl (Structur VOCO, Germany)
Fig. 6
Fig. 6
a Motivational Mock-up. b Motivational Mock-up and digital intraoral scan
Fig. 7
Fig. 7
Two years later before treatment (2017)
Fig. 8
Fig. 8
Pretreatment intraoral scan with Carestream® 3600 Rochester, NY, USA
Fig. 9
Fig. 9
No preparation on the posterior teeth, minimal preparation on the anterior lower teeth, with the exception of 11, 12, 13, 21, 22, 23, that were already prepared
Fig. 10
Fig. 10
Digital scan of the abutment teeth preparation with Carestream® 3600; Rochester, NY, USA
Fig. 11
Fig. 11
DSD planning
Fig. 12
Fig. 12
Definitive veneers and crowns prepared digitally using prosthetic software (Ceramill® mind) and fabricated in a milling machine (Ceramill® Motion 2) with machinable lithium disilicate ceramic blocks (VITABLOCS® TriLuxe forte for Ceramill® Motion 2)
Fig. 13
Fig. 13
The crowns (11, 12, 13, 21, 22, 23) and veneers (14, 15, 16, 17, 24, 25, 26, 27, 31, 32, 33, 34, 35, 36, 37, 41, 42, 43, 44, 45, 46, 47) were adhesively luted to the abutments with a light polymerizing resin luting agent (Futurbond U and Bifix QM, VOCO, Germany)
Fig. 14
Fig. 14
The crowns (11, 12, 13, 21, 22, 23) and veneers (14, 15, 16, 17, 24, 25, 26, 27, 31, 32, 33, 34, 35, 36, 37, 41, 42, 43, 44, 45, 46, 47) were adhesively luted to the abutments with a light polymerizing resin luting agent (Futurbond U and Bifix QM, VOCO, Germany)
Fig. 15
Fig. 15
a and b Post-treatment intraoral photo. Front view. c Post-treatment intraoral photo. Occlusal view upper jaw. d Post-treatment intraoral photo. Occlusal view lower jaw
Fig. 16
Fig. 16
Final Panoramic
Fig. 17
Fig. 17
Occlusion confirmed using T-scan technology
See this image and copyright information in PMC

References

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