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Updated: Feb 6, 2026
08:01
Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
Published on: August 24, 2018
9.5K
Fully digital workflow, integrating dental scan, smile design and CAD-CAM: case report
Miguel Stanley1, Ana Gomes Paz2,3, Inês Miguel1
1Private Practice at White Clinic, Rua Dr. António Loureiro Borges. Edif. 5, 1° Andar Arquiparque; 1495-131 Algés-, Lisbon, Portugal.
BMC Oral Health
|August 9, 2018
Summary
A full digital workflow successfully treated temporomandibular joint (TMJ) pain and aesthetic concerns by restoring vertical dimension with ceramic restorations. This case highlights the potential of digital dentistry for complex rehabilitations.
Area of Science:
- Dentistry
- Digital Odontology
- Prosthodontics
Background:
- Presents a clinical case report detailing a comprehensive digital workflow.
- Addresses a 47-year-old male patient with temporomandibular joint (TMJ) pain and aesthetic concerns related to a chipped maxillary central incisor veneer.
Observation:
- The patient's chief complaints included temporomandibular joint (TMJ) pain and a chipped maxillary central incisor veneer.
- A loss of vertical dimension was identified as a contributing factor to the patient's symptoms and aesthetic issues.
Findings:
- A fully digital workflow, incorporating Digital Smile Design (DSD) and CAD-CAM monolithic lithium disilicate ceramic restorations (veneers and crowns), was employed.
- The digital workflow facilitated a minimally invasive preparation approach.
- Successful rehabilitation addressed the loss of vertical dimension, improved aesthetics, and resolved temporomandibular joint (TMJ) disorders.
Implications:
- The evolution of dental technology enables comprehensive digital case management for successful rehabilitation.
- Further clinical studies are necessary to compare the efficacy of digital workflows versus conventional techniques for restoring vertical dimension.
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