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Full Digital Workflow in the Esthetic Dental Restoration
Suchada Kongkiatkamon1, Dinesh Rokaya2
1Bangkok Hospital Dental Center, Bangkok Hospital, Bangkok 10310, Thailand.
Case Reports in Dentistry
|June 28, 2022
Summary
This case report details a fully digital workflow for dental restoration, including immediate implants and zirconia crowns. The advanced digital techniques ensured precise surgical guides and high-quality prosthetics, resulting in excellent patient satisfaction.
Area of Science:
- Dentistry
- Digital Dentistry
- Restorative Dentistry
Background:
- A patient presented with a fractured maxillary central incisor requiring comprehensive esthetic restoration.
- The treatment plan involved an immediate dental implant, esthetic crown lengthening, and new zirconia crowns for multiple anterior teeth.
Observation:
- A fully digital workflow was employed, starting with digital impressions using a PRIMESCAN scanner.
- Surgical and crown lengthening guides were designed using specialized software (Galileos, Inlab) and fabricated with milling machines and 3D printing.
- Provisional and final zirconia crowns were designed and milled using advanced CAD/CAM technology.
Findings:
- The digital workflow facilitated the creation of precise surgical guides for accurate implant placement.
- The use of digital smile design (DSD) ensured predictable esthetic outcomes.
- The fabrication of custom zirconia crowns and abutments (Ti-base with zirconia coping) resulted in a highly esthetic and functional restoration.
Implications:
- This case demonstrates the efficacy of a fully digital workflow in achieving predictable and satisfactory esthetic dental restorations.
- The integration of digital impression, guided surgery, and CAD/CAM prosthetics offers a streamlined and precise approach to complex dental cases.
- The successful outcome highlights the potential of digital dentistry to enhance patient experience and treatment results in esthetic rehabilitation.
