CAD–CAM natural restorations—Reproducing nature using a digital workflow

Author:

Segundo Ângelo Raphael Toste Coelho1,Saraiva Sérgio2,de Castro Carla3,Sesma Newton4ORCID,Bohner Lauren5ORCID,Andretti Fabio Luiz6,Coachman Christian7

Affiliation:

1. Digital Smile Design (DSD) Lab, Madrid, Spain Rio de Janeiro Brazil

2. Private Practice Sobral Brazil

3. Private Practice São Paulo Brazil

4. Department of Prosthodontics University of São Paulo (USP) São Paulo Brazil

5. Department of Cranio and Maxillofacial Surgery Hospital University Münster Münster Germany

6. Department of Prosthodontics Tufts University School of Dental Medicine Boston Massachusetts USA

7. Department of Preventive and Restorative Sciences University of Pennsylvania School of Dental Medicine Philadelphia Pennsylvania USA

Abstract

AbstractObjectivesNatural restorations combine digital workflow and shell technique to create CAD/CAM restorations with the form and texture of natural teeth. This case report describes an interdisciplinary digital workflow combined with CAD/CAM natural restorations to achieve the naturalness of an anterior rehabilitation. Clinical considerations: A 38‐year‐old patient attended to the office with esthetic issues. An interdisciplinary treatment plan was conducted, which included periodontal surgery to recreate the gingival contour, associated with bleaching and manufacturing CAD/CAM ceramic veneers to return an optimal teeth surface texture and shape.ConclusionsThe design and manufacturing of CAD/CAM natural restorations using a digital workflow allowed a predictable result and overcame the limitations of conventional shell technique.Clinical SignificanceConventional shell technique is used to create restorations with the form and texture of natural teeth. This article presents a combination of the conventional shell technique with a digital workflow, facilitating the design and manufacturing of CAD/CAM natural restorations.

Publisher

Wiley

Subject

General Dentistry

Reference13 articles.

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2. Improving aesthetics in CAD/CAM dentistry‐anatomic shell technique (AST);Kano P;Cosmet Dent,2013

3. An approach to biomimetics: The natural CAD/CAM restoration: A clinical report

4. Ceramic laminate veneers: clinical procedures with a multidisciplinary approach;Veneziani M;Int J Esthet Dent,2017

5. CAD/CAM: a whole new world of precision and excellence;Kano P;Quintessence Dent Technol,2015

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