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Case Reports
. 2018 Nov 19:2018:8456143.
doi: 10.1155/2018/8456143. eCollection 2018.

Use of Digital-Conventional Method for Managing a Patient with Severely Worn Dentition: A Clinical Report

Saied Nokar  1 , Amirreza Hendi  2 , Yasamin Babaee Hemmati  3 , Mehran Falahchai  2
Affiliations
Case Reports

Use of Digital-Conventional Method for Managing a Patient with Severely Worn Dentition: A Clinical Report

Saied Nokar et al. Case Rep Dent. .

Abstract

Severe forms of attrition are frequently found in patients with no or insufficient posterior occlusal support. Management of such patients using fixed or removable prostheses is a complex procedure and is still a challenge for clinicians. The present clinical report describes step by step full mouth rehabilitation of a patient with severely worn dentition using computer-aided design/computer-aided manufacturing- (CAD/CAM-) generated wax patterns, milled zirconia frameworks, and fabrication of removable partial denture (RPD) abutments using a digital-conventional method. The results were satisfactory during 18 months of follow-up.

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Figures

Figure 1
Figure 1
Preoperative images: (a) fontal view; (b, c) lateral views; and (d) opposing tooth facets in eccentric movement.
Figure 2
Figure 2
Preoperative radiograph.
Figure 3
Figure 3
(a, b) Diagnostic wax up in lateral views.
Figure 4
Figure 4
Mandibular restoration digital design: (a) occlusal view and (b) lateral view.
Figure 5
Figure 5
Establishment of mutually protected occlusion after mandibular restoration delivery: (a) right side and (b) left side.
Figure 6
Figure 6
Full contour design of maxillary restorations.
Figure 7
Figure 7
Maxillary temporary restorations.
Figure 8
Figure 8
Postoperative images: (a) intraoral view, (b) smile view, and (c) postoperative panoramic view.
See this image and copyright information in PMC

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