This article describes the surgical and prosthodontic treatment of a patient with severe dysgnathia combined with amelogenesis imperfecta. To the authors' knowledge, this is the first treatment report to describe the application of intraoral scanning for a complete mouth reconstruction. After transposition osteotomy, the treatment included the simultaneous fabrication of antagonistic computer-aided design/computer-aided manufactured (CAD/CAM) long-term interim restorations for the maxilla and mandible and the establishment of a new centric relation position and adequate vertical dimension of occlusion. Particularly in complex situations, the major advantages of intraoral scanning can be identified as an extended magnification of the 3-dimensional digital data to control the preparation and impression at the dental office. However, the presented treatment revealed some deficiencies in the digital work flow that must be rectified. In combination with high-performance polymers, the CAD/CAM technology offers a wide range of new treatment options and simplifies the fabrication of long-term interim restorations. Although in the present treatment the esthetic and functional requirements of the patient were met, no published studies of this procedure have been based on intraoral scanning, and the approach has to be considered experimental.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.prosdent.2013.10.020DOI Listing

Publication Analysis

Top Keywords

intraoral scanning
16
complete mouth
8
transposition osteotomy
8
based intraoral
8
long-term interim
8
interim restorations
8
treatment
6
mouth rehabilitation
4
rehabilitation transposition
4
osteotomy based
4

Similar Publications

The success rate of infrazygomatic mini-implants placed with and without surgical guides: a historical control study.

BMC Oral Health

January 2025

State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Disease, Department of Orthodontics, School of Stomatology, the Fourth Military Medical University, No. 145, Changle West Road, Xincheng District, Xi'an, Shanxi, China.

Background: To improve the success rate of mini-implants, some surgical guides have been developed through digital technologies to achieve three-dimensional (3D) guided mini-implants insertion. However, there is no a surgical guide which can be applied for the insertion of infrazygomatic mini-implant. In this study, we introduced a two-trajectories surgical guide and investigated the success rate of infrazygomatic mini-implants under the guidance of the template.

View Article and Find Full Text PDF

To observe the stability of vertical dimension of occlusion (VDO) and mandibular position in full-mouth occlusal reconstruction subjects by means of digital occlusal analysis. Six subjects who had completed full-mouth occlusal reconstruction by intraoral functional generated path technique for more than three years in the Department of Prosthodontics, Peking University School and Hospital of Stomatology were enrolled for follow-up observation, all six patients were male, with an age of (53.6±8.

View Article and Find Full Text PDF

Computer-guided surgery is a new technology in the field of implant dentistry. The surgical guide is produced using cone-beam computed tomography along with the patient's intraoral scanning, with both documents integrated into software to produce the guide. It is important to note that surgery guided by tomography aims to achieve better diagnosis, planning, surgical precision, and prognosis.

View Article and Find Full Text PDF

Background: The lingula is an important landmark for conducting certain mandibular surgery procedures, such as sagittal split ramus osteotomy (SSRO) and intraoral vertical ramus osteotomy (IVRO). The purpose of this study was to investigate the location of the lingula in both horizontal and vertical planes among four different shapes of the mandibular ramus.

Methods: Ninety patients, 60 female and 30 male, underwent cone beam computed tomography scans to evaluate the measurements of the lingula tip (Li) in relation to the anterior border (AB), posterior border (PB), sigmoid notch (SN), and inferior border (IB) of the ramus.

View Article and Find Full Text PDF

A long-term successful implant-supported prosthesis requires the creation of a passively fitting framework, based on an accurate intraoral digital implant scan. According to dental literature, splinted implant scan bodies (ISBs) provide higher intraoral scanning accuracy than non-splinted techniques. This technique presents a structured approach for splinting multi-unit abutment scan bodies (MUASBs) using customized manufactured devices to facilitate the recording of definitive intraoral implant scans.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!