The advancement of digital technologies, including 3-dimensional (3D) imaging and computer-aided design/computer-aided manufacturing (CAD/CAM), and material science has significantly transformed dentistry. Current CAD/CAM techniques incorporate both subtractive and additive (eg, 3D printing) manufacturing methods, with 3D printing offering such benefits as reduced material waste and the ability to produce complex geometries. Much research has focused on the development of hybrid materials that merge the esthetics and durability of ceramics with the high flexural strength, low abrasiveness, and intraoral repairability characteristics of resin composites.
View Article and Find Full Text PDFWhile surgical guides have allowed for more highly accurate immediate implant placement in the esthetic zone, only a few techniques have been described to predictably position an immediate implant provisional. Even fewer techniques have addressed repositioning a patient's extracted tooth for use as the interim implant restoration. This article describes a workflow for the fabrication of a dual-purpose surgical guide that allows for guidance of implant placement as well as repositioning of a decoronated tooth that will serve as a provisional.
View Article and Find Full Text PDFDigital dentistry has contributed to the evolution and simplification of dental implantology over the last decade. The incorporation of intraoral scanners, CBCT, 3D implant-planning software, and CAD/CAM systems makes prosthetically driven implantology a straightforward process. Such digital resources for treatment planning and execution, following evidence-based concepts, have the ability to improve the long-term esthetics and function of implant-supported restorations as well the long-term survival of dental implants.
View Article and Find Full Text PDFCompend Contin Educ Dent
December 2022
Background: This clinical report describes the use of digital technology for full-mouth rehabilitation using fixed implant-supported full-contour zirconia prostheses.
Case Presentation: A 61-year-old female patient presented with existing acrylic overdentures retained by mini implants; her chief concern was to improve esthetics and function through the use of fixed prostheses. Digital tools comprising CAD/CAM, 3D printing, guided implant surgery, and 2D smile design were utilized from the planning stage to final restorations combined with analog components in an efficient manner to address the patient's chief concern.
Int J Periodontics Restorative Dent
August 2021
A novel macro-hybrid implant design was introduced to afford high apical primary stability and more coronal space to preserve the circumferential extraction socket architecture. This study presents 1-year data from a prospective single-arm cohort study. The data was distilled based on the following criteria: (1) single-tooth immediate tooth replacement therapy (ITRT) in the maxillary anterior and premolar regions in intact (Type 1) extraction sockets that were (2) treated with the dual-zone grafting technique.
View Article and Find Full Text PDFCompend Contin Educ Dent
May 2017
Traditional methods of performing dental implant surgery and fabricating a definitive implant-supported prosthesis are being supplanted by digital techniques that provide greater precision and a more durable and esthetic restoration. In the present case, a 68-year-old woman presented a severely compromised dentition. She had received extensive restorative dentistry in the past and, due to recurrent caries and chronic periodontitis, was facing the loss of her maxillary teeth, as well as teeth in the lower left quadrant.
View Article and Find Full Text PDFPract Proced Aesthet Dent
April 2006
Following the exposure and restoration of two-piece dental implants, some change in the vertical level of the peri-implant crestal bone height has been reported. This change in crestal bone height has not, however, negatively impacted long-term implant success. This article describes how the concept of platform switching is incorporated into a new implant design as a means of reducing or eliminating the occurrence of crestal bone loss.
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