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Related Concept Videos

Assessment of the Mouth01:26

Assessment of the Mouth

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A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
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Precision of In Vivo Quantitative Tooth Wear Measurement Using Intra-Oral Scans
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Digital Protocol to Record Occlusal Analysis in Prosthodontics: A Pilot Study.

Emanuele Risciotti1, Nino Squadrito2, Daniele Montanari2

  • 1Private Practice, 20145 Milan, Italy.

Journal of Clinical Medicine
|April 9, 2024
PubMed
Summary

This pilot study shows a new digital workflow for dental restorations significantly improves accuracy. Meticulous verification and centric contact systems reduce the need for clinical occlusal adjustments.

Keywords:
CAD/CAMPatient Specific Motionintraoral scanningocclusal analysisprosthetic rehabilitation

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Area of Science:

  • Prosthodontics
  • Digital Dentistry
  • Biomaterials

Background:

  • Digital technologies offer precise occlusion replication, crucial for dental restoration stability.
  • Current CAD software often requires substantial occlusal adjustments.
  • Incorporating individual mandibular movements enhances functional integration of restorations.

Purpose of the Study:

  • To evaluate a novel, fully digital protocol for occlusal analysis in prosthodontics.
  • To assess the efficacy of patient-specific motion recording in digital workflows.
  • To determine the impact of digital protocols on occlusal refinement needs.

Main Methods:

  • A pilot study included patients requiring metal-free restorations.
  • Digital impressions and patient-specific motion (PSM) were utilized for occlusal analysis.
  • Restorations were designed using CAD software and milled from monolithic zirconia.

Main Results:

  • The fully digital workflow demonstrated high accuracy in 52 restorations across 37 patients.
  • Monolithic zirconia was the primary material used.
  • Minimal chairside occlusal adjustments were required (subtractive 17.3%, additive 7.7%).

Conclusions:

  • Meticulous verification measures are key to reducing occlusal refinements.
  • A centric contact system within the digital workflow enhances prosthetic restoration accuracy.
  • The evaluated digital protocol is effective for precise occlusal management in prosthodontics.