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Complete denture digital workflow: Combining basic principles with a CAD-CAM approach.

George Kouveliotis1, Theodoros Tasopoulos1, Ioannis Karoussis2

  • 1Private practice, Athens, Greece.

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Summary

This study presents a digital workflow for creating dentures, offering a comfortable and precise 3-visit method for edentulous patients. This digital approach enhances accuracy in fabricating implant-retained overdentures.

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Area of Science:

  • Dental Prosthetics
  • Digital Dentistry
  • Oral Implantology

Background:

  • Traditional impression techniques for complete dentures can be uncomfortable for edentulous patients.
  • Accurate registration of the occlusal relationship and vertical dimension of occlusion is crucial for denture success.

Purpose of the Study:

  • To describe a digital workflow for fabricating a complete maxillary denture opposing an implant-retained overdenture.
  • To present a predictable and accurate 3-visit technique for digital impressioning and articulation.

Main Methods:

  • Utilized wax rims on intraorally relined stock trays to register the occlusal relationship and vertical dimension.
  • Performed digital laboratory scanning of the relined tray and rim assemblies for virtual articulation.
  • Digitally designed, milled, and delivered the removable restorations.

Main Results:

  • The digital workflow provided accurate virtual articulation of edentulous ridges.
  • The technique successfully avoided discomfort associated with analog impression making.
  • Achieved a predictable and accurate fabrication of the complete maxillary denture.

Conclusions:

  • A digital workflow offers a viable, accurate, and patient-friendly alternative for fabricating complete dentures opposing implant-retained overdentures.
  • This 3-visit digital technique streamlines the process for both clinicians and dental laboratories.