A Comprehensive Digital Workflow for Enhancing Dental Restorations in Severe Structural Wear.

Area of Science:

• Dentistry
• Restorative Dentistry
• Digital Dentistry

Background:

• Severe structural tooth wear presents significant restorative challenges, impacting oral function and anatomy.
• Management requires precise diagnosis, treatment planning, and appropriate material selection.
• Digital technologies are crucial for enhancing accuracy in diagnosis, material choice, and tooth preparation design.

Purpose of the Study:

• To illustrate a complete digital workflow for managing severe structural tooth wear.
• To demonstrate the application of CAD/CAM technology in complex oral rehabilitation.
• To highlight the benefits of digital visualization in patient communication and treatment predictability.

Main Methods:

• Utilized an intraoral scan merged with a digital wax-up STL file for guided tooth preparation.
• Employed digital visualization to plan tooth reduction and assess interocclusal space.
• Integrated CAD/CAM technology for full-mouth zirconia ceramic restorations.

Main Results:

• Achieved precise planning of tooth reduction and accurate assessment of material thickness requirements.
• Enhanced patient communication, treatment predictability, and interdisciplinary collaboration.
• Demonstrated improved efficiency and precision in complex oral rehabilitation.

Conclusions:

• A complete digital workflow is valuable for managing severe tooth wear.
• CAD/CAM technology enhances precision, efficiency, and outcomes in full-mouth zirconia restorations.
• Digital visualization improves treatment planning and patient engagement.