Digital Approach Provides Predictability in Increasing the VDO in Erosive Wear: Clinical Technique and 9‐Year Follow‐Up.

Objective: This clinical case describes a digital workflow using face scans and CAD/CAM technology for a full‐mouth rehabilitation with increased vertical dimension of occlusion (VDO) with adhesive lithium disilicate restorations after 9 years. Clinical Considerations: A healthy, 46‐year‐old man dis...

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Publicado en:Journal of Esthetic & Restorative Dentistry Vol. 37; no. 3; pp. 771 - 782
Autores principales: Ibrahim, Fady, Plaster, Udo, Gierthmuehlen, Petra C.
Formato: case study pictorial tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2025
      vid: 37
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        185153452
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        10.1111/jerd.13354
        185153452
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        atl: Digital Approach Provides Predictability in Increasing the VDO in Erosive Wear: Clinical Technique and 9‐Year Follow‐Up.
      aug:
        au:
          Ibrahim, Fady
          Plaster, Udo
          Gierthmuehlen, Petra C.
        affil: Department of Prosthodontics, Medical Faculty and University Hospital Düsseldorf, Heinrich‐Heine‐University, Düsseldorf, Germany
      sug:
        subj:
          Dental Occlusion Physiology
          Tooth Erosion Diagnosis
          Technology, Dental Methods
          Digital Technology Utilization
          Computer-Aided Design Methods
          Prediction Models
          Middle Age
          Male
          Dental Restoration, Permanent
          Tooth Erosion Rehabilitation
          Lithium Compounds
          Workflow
          Minimally Invasive Procedures
          Quality Control (Technology)
          Dentists
          Long Term Care
          After Care
          Software
          Middle Aged: 45-64 years
          Male
      ab: Objective: This clinical case describes a digital workflow using face scans and CAD/CAM technology for a full‐mouth rehabilitation with increased vertical dimension of occlusion (VDO) with adhesive lithium disilicate restorations after 9 years. Clinical Considerations: A healthy, 46‐year‐old man displaying severe tooth wear, underwent an extensive full‐mouth rehabilitation involving an increase of the VDO through laminate veneers and adhesive partial coverage lithium disilicate restorations. Anatomical landmarks of the face and reference planes were captured using a digital face scanning system. The anatomical position of the maxilla was registered with a transfer device. Digital data sets of the intraoral situation combined with a facial scan enabled precise virtual planning, guiding minimally invasive preparations. Long‐term provisional restorations, milled from high‐performance polycarbonate, were used to test the novel VDO before the final lithium disilicate restorations were fabricated. This approach provided a time‐ and cost‐efficient treatment solution. No failures were observed at the 9‐year follow‐up. Conclusions: Utilizing face scans and design software enable a virtual visualization and comprehensive quality control for patients with dental wear, resulting in significant time savings and increased predictability for the dental technician, dentist and patient. Clinical Significance: The described digital workflow optimizes the planning and implementation of a comprehensive adhesive full‐arch rehabilitation with an increase of the VDO. The clinical long‐term follow up result of CAD/CAM assisted minimally invasive lithium disilicate restorations after 9 years demonstrates to clinicians a reliable treatment concept for patients with dental wear.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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