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A patient presentation: Planning and executing a difficult case in a full digital workflow.

Carlo E Poggio¹, Roberto Bonfiglioli², Riccardo Dosoli³

¹Adjunct Assistant Professor, Eastman Institute of Oral Health, University of Rochester (NY) and Visiting Professor, Università degli Studi di Siena, Siena, Italy.

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|January 21, 2021

Summary

A full mouth rehabilitation using a complete digital workflow and monolithic restorations simplifies complex dental treatments. This approach enhances communication and streamlines procedures for extensive tooth replacement cases.

Keywords:

full digital workflow full mouth rehabilitation lithium disilicate metal free monolithic materials zirconia

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Area of Science:

Digital dentistry
Prosthodontics
Dental materials science

Background:

Full mouth rehabilitation is complex, especially with changes in Vertical Dimension of Occlusion (VDO) or occlusal plane orientation.
A fully digital workflow is often perceived as overly complicated for such extensive treatments.

Observation:

A 50-year-old male patient presented with missing teeth, extensive decay, and severe anterior attrition.
Treatment involved full mouth rehabilitation with dental implants, crowns, and veneers using monolithic ceramics (zirconia, lithium disilicate).

Findings:

The integrated digital workflow facilitated effective communication among the clinician, dental laboratory technician, and patient.
Utilizing digital technology and monolithic materials simplified the treatment process for a complex full mouth rehabilitation case.

Implications:

A fully digital workflow combined with monolithic restorations offers a simplified approach to complex full mouth rehabilitations.
This methodology streamlines both clinical and laboratory stages, improving efficiency in managing challenging dental cases.