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Digital-assisted multidisciplinary treatment for complex occlusal rehabilitation: an 18-month follow-up case report

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Title: Digital-assisted multidisciplinary treatment for complex occlusal rehabilitation: an 18-month follow-up case report
Authors: Anna Qiu, Lixia Xu, Yuan Zhang, Kailun Chen, Sheng Fang, Ying Zhang, Liangjun Zhong, Rui He
Source: BMC Oral Health, Vol 24, Iss 1, Pp 1-8 (2024)
Publisher Information: BMC, 2024.
Publication Year: 2024
Collection: LCC:Dentistry
Subject Terms: Occlusal rehabilitation, Dentition defect, Multidisciplinary treatments, Digital technology, Dental occlusion, Dentistry, RK1-715
More Details: Abstract Background This case report highlights the importance of standardized and fully digital sequential treatment in complex occlusal rehabilitation cases. To fully resolve the patient’s dental needs, such cases often require multidisciplinary interventions including periodontal therapy, endodontic treatment, anterior esthetics, implant restoration, and prosthetic rehabilitation. A fully digital workflow (including facial scanners, intraoral scanners, jaw motion tracking systems, virtual articulators, and computer-aided design software) streamlined the complex treatment, enhancing workflow simplicity, efficiency, visibility, and precision. Case presentation The patient presented with decreased chewing efficiency of the upper and lower prostheses, along with unsatisfactory esthetic appearance of the anterior teeth. After physical examination and radiological assessment, this complex occlusal rehabilitation case required periodontal therapy, anterior esthetic enhancement, implant restoration, and fixed prosthetic rehabilitation. Therefore, a fully digital workflow was adopted. Full-crown prostheses were placed on teeth 13, 23, and 34; a fixed bridge encompassed positions 32 to 42, and single implant crowns were placed on teeth 35 and 36. Implant-supported fixed bridges were constructed for teeth 12 to 22 and 44 to 46, anchored by implants at teeth 12, 22, 44, and 46. All definitive prostheses were fabricated from zirconia ceramics, chosen for their durability and esthetic characteristics. Finally, restorations with satisfactory esthetic and functional characteristics were seated, preserving the tooth and its supporting structures. During treatment and follow-up, the T-scan occlusal analysis system was utilized to continuously monitor and guide the adjustment of occlusal distribution across the patient’s dental arches. After 18 months, the patient remains satisfied with the definitive restorations. Conclusions This report is intended to help dentists understand and implement standardized and fully digital workflows during the management of complex occlusal rehabilitation cases; it may also facilitate harmonious integration of esthetic and functional characteristics.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1472-6831
Relation: https://doaj.org/toc/1472-6831
DOI: 10.1186/s12903-024-04574-2
Access URL: https://doaj.org/article/3f5b46f4e9004054b353c00d06cefe41
Accession Number: edsdoj.3f5b46f4e9004054b353c00d06cefe41
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  Data: Digital-assisted multidisciplinary treatment for complex occlusal rehabilitation: an 18-month follow-up case report
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  Data: <searchLink fieldCode="AR" term="%22Anna+Qiu%22">Anna Qiu</searchLink><br /><searchLink fieldCode="AR" term="%22Lixia+Xu%22">Lixia Xu</searchLink><br /><searchLink fieldCode="AR" term="%22Yuan+Zhang%22">Yuan Zhang</searchLink><br /><searchLink fieldCode="AR" term="%22Kailun+Chen%22">Kailun Chen</searchLink><br /><searchLink fieldCode="AR" term="%22Sheng+Fang%22">Sheng Fang</searchLink><br /><searchLink fieldCode="AR" term="%22Ying+Zhang%22">Ying Zhang</searchLink><br /><searchLink fieldCode="AR" term="%22Liangjun+Zhong%22">Liangjun Zhong</searchLink><br /><searchLink fieldCode="AR" term="%22Rui+He%22">Rui He</searchLink>
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  Data: BMC Oral Health, Vol 24, Iss 1, Pp 1-8 (2024)
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  Data: Abstract Background This case report highlights the importance of standardized and fully digital sequential treatment in complex occlusal rehabilitation cases. To fully resolve the patient’s dental needs, such cases often require multidisciplinary interventions including periodontal therapy, endodontic treatment, anterior esthetics, implant restoration, and prosthetic rehabilitation. A fully digital workflow (including facial scanners, intraoral scanners, jaw motion tracking systems, virtual articulators, and computer-aided design software) streamlined the complex treatment, enhancing workflow simplicity, efficiency, visibility, and precision. Case presentation The patient presented with decreased chewing efficiency of the upper and lower prostheses, along with unsatisfactory esthetic appearance of the anterior teeth. After physical examination and radiological assessment, this complex occlusal rehabilitation case required periodontal therapy, anterior esthetic enhancement, implant restoration, and fixed prosthetic rehabilitation. Therefore, a fully digital workflow was adopted. Full-crown prostheses were placed on teeth 13, 23, and 34; a fixed bridge encompassed positions 32 to 42, and single implant crowns were placed on teeth 35 and 36. Implant-supported fixed bridges were constructed for teeth 12 to 22 and 44 to 46, anchored by implants at teeth 12, 22, 44, and 46. All definitive prostheses were fabricated from zirconia ceramics, chosen for their durability and esthetic characteristics. Finally, restorations with satisfactory esthetic and functional characteristics were seated, preserving the tooth and its supporting structures. During treatment and follow-up, the T-scan occlusal analysis system was utilized to continuously monitor and guide the adjustment of occlusal distribution across the patient’s dental arches. After 18 months, the patient remains satisfied with the definitive restorations. Conclusions This report is intended to help dentists understand and implement standardized and fully digital workflows during the management of complex occlusal rehabilitation cases; it may also facilitate harmonious integration of esthetic and functional characteristics.
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