Publications by authors named "Howard P Fraiman"

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.

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While 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.

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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.

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