Digital Mandibular Arch Restoration at an Increased Occlusal Vertical Dimension in One Visit

This case demonstrates how a fully digital technique was used to restore the mandibular arch to proper function and improved esthetics. The initial treatment plan to restore implants replacing the lower right molars had to be altered due to space limitations. A direct deprogrammer was utilized to determine the proper jaw relationship at an acceptable occlusal vertical dimension. A computer-aided design system was employed to digitally create and fabricate implant/abutment-supported cement-retained lithium-disilicate crowns, toothsupported lithium-disilicate crowns, and screw-retained hybrid abutment lithium-disilicate crowns in one visit.