RESUMO
This article describes a 3D virtual diagnostic analysis for treatment planning an esthetically driven functional rehabilitation by using computer-aided design and computer-aided manufacturing (CAD-CAM) technology. In this protocol, a digitally planned diagnostic waxing (exocad DentalCAD) was used to visualize the proposed tooth position and the presence of areas without sufficient material thickness for the prospective additive restorations. This approach uses an additively manufactured clear resin guide to selectively reduce surfaces of a tooth erupted beyond the proposed occlusal plane. By using a 3D-printed occlusal reduction guide, the digital diagnostic waxing is accurately represented, tooth reduction controlled, and adequate occlusal clearance for the required restorative material thickness provided with a minimally invasive approach.
Assuntos
Desenho Assistido por Computador , Planejamento de Prótese Dentária , Materiais Dentários , Oclusão Dentária , Planejamento de Prótese Dentária/métodos , Estudos ProspectivosRESUMO
Guided tooth preparations allow clinicians to provide fixed dental prostheses for dentate patients in an efficient manner. One approach uses a digital preparation device technique where the preparation of a tooth needing a crown is guided by a device. Compared with conventional techniques, this method allows for accurate abutment preparation more efficiently and with improved quality. By controlling tooth preparation, this method preserves natural tooth structure and provides adequate clearance for the restorative material. To illustrate this technique, an adhesive minimally invasive fixed complete-mouth rehabilitation was provided by using a 3D-printed digital preparation device.