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CAD-CAM natural restorations-Reproducing nature using a digital workflow
Ângelo Raphael Toste Coelho Segundo1, Sérgio Saraiva2, Carla de Castro3
1Digital Smile Design (DSD) Lab, Madrid, Spain, Rio de Janeiro, Brazil.
Objectives:
Natural restorations combine digital workflow and shell technique to create CAD/CAM restorations with the form and texture of natural teeth. This case report describes an interdisciplinary digital workflow combined with CAD/CAM natural restorations to achieve the naturalness of an anterior rehabilitation.
Clinical Considerations:
A 38-year-old patient attended to the office with esthetic issues. An interdisciplinary treatment plan was conducted, which included periodontal surgery to recreate the gingival contour, associated with bleaching and manufacturing CAD/CAM ceramic veneers to return an optimal teeth surface texture and shape.
Conclusions:
The design and manufacturing of CAD/CAM natural restorations using a digital workflow allowed a predictable result and overcame the limitations of conventional shell technique.
Clinical Significance:
Conventional shell technique is used to create restorations with the form and texture of natural teeth. This article presents a combination of the conventional shell technique with a digital workflow, facilitating the design and manufacturing of CAD/CAM natural restorations.

