Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

CAD/CAM Solutions for Minimally Invasive All-Ceramic Rehabilitation of Extended Erosive Lesions CAD/CAM Solutions for Minimally Invasive All-Ceramic Rehabilitation of Extended Erosive Lesions

Author(s):

Petra C. Guess Gierthmuehlen, DDS; Enrico Steger, MDT

Date Added:

9/16/2016


Summary:

Dental erosion is a global health problem that can lead to significant functional and esthetic impairments of the affected patients. Treatment of sever cases with augmented loss of the vertical dimension of occlusion (VDO) represents a challenge for both the dental team and the patient. CAD/CAM technology was used in the presented case to analyze the inter-occlusal space. Based on a virtual wax-up of the final restorations, CAD/CAM-fabricated preparation splints served as a guide and endured a most minimally invasive preparation design. Milled polymer provisional enabled the patient to visualize the final treatment outcome and served as a fracture-resistant temporary restoration to test the increased VDO. Monolithic lithium-disilicate ceramic, defect-oriented restorations with reduced ceramic thickness enabled a functional and reliable reconstruction of the severely compromised dentition. The case report documents a practical, digital approach and discusses the advantages related to treatment time, ease of treatment, and predictability.

Related Articles
Laser-Assisted Flapless Crown Lengthening: A Case Series

Laser-Assisted Flapless Crown Lengthening: A Case Series
In medicine, and to a lesser extent in dentistry, evolving technologies have served to expand the indications for minimally invasive procedures. In dentistry, lasers, although currently less integral to advances in minimally invasive procedures, are nevertheless evolving as potentially effective adjunctive tools within the therapeutic arena.

Author(s): Michael K. McGuire, DDS & E. Todd Scheyer, DDS, MS
View Article>>
CAD/CAM Anterior Esthetic Implant Restorations: The BellaTek Encode Healing Abutment and CAD-Block Ceramics

CAD/CAM Anterior Esthetic Implant Restorations: The BellaTek Encode Healing Abutment and CAD-Block Ceramics
Digital design software programs for teeth and implant restorations have evolved over the past 5 years. Using CBCT scans and digital preoperative scans, the clinician can properly plan the placement of implant fixtures. Various software programs and intraoral scanners offer analysis of proper implant position, angle of implant placement, and depth of tissue and occlusal clearance. The utilization of coded healing abutments (BellaTek®, Encode®, Biomet 3i) may also add to the precision of design and calibration of all tissue contacting points of the emerging abutment. This article will introduce and describe a current model for fabrication of ideal abutments, and fabrication of CAD/ CAM restorations for the anterior esthetic zone.

Author(s): Dean C. Vafiadis, DDS
View Article>>
Anterior Substructure Design Considerations for Lithium Disilicate Crowns

Anterior Substructure Design Considerations for Lithium Disilicate Crowns
Considering anterior substructure designs for lithium disilicate crowns, a hybrid substructure design that supports a cusp to fossa anterior guidance relationships can increase the strength of the ceramic system without having to compromise the esthetic integrity of the crown. Refractive index values increase when the substructure thickens. Increasing the thickness of the substructure results in a crown of higher value.

Author(s): John C Schwartz, DDS
View Article>>
Related Videos
Dr. Jacinthe Paquette on Restorative Materials Premium Member Content

Dr. Jacinthe Paquette on Restorative Materials
Dr. Paquettte discusses restorative materials & challenges women face in dentistry.

Presented By:: Ronald Goldstein, DDS;Jacinthe M. Paquette, DDS;Jacinthe M. Paquette, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Enhancing Esthetics with a Fixed Prosthesis Utilizing an Innovative Pontic Design and Periodontal Plastic Surgery Premium Member Content

Enhancing Esthetics with a Fixed Prosthesis Utilizing an Innovative Pontic Design and Periodontal Plastic Surgery
This video addresses how to reestablish or maintain papilla height and the facial gingival tissue between a single or multiple missing teeth adjacent to a natural tooth or an implant by using an innovative pontic design termed the E-pontic. The anatomical shape of the E-pontic will predictably support and maintain the facial gingival margin and interdental papillae over an acceptable alveolar ridge. The E-pontic design fulfills the prerequisites for maintaining a healthy periodontium and its ability to achieve a predictable long-term esthetic and functional result. The emergence profile of this pontic design that is similar to that of a natural tooth ensures that no palatal gap forms which could potentially cause phonetic problems. Trapping of food particles does not occur because of its unique adaptive design to the pontic recipient site.

Presented By:: Robert P. Korman, DDS, MAGD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Non Surgical Management of Anterior Open Bite Premium Member Content

Non Surgical Management of Anterior Open Bite
This video is an adjunct to the Non Surgical Management of PCR/DJD. It demonstrates the lab and model work to diagnose and treatment plan non surgical management of the Anterior Open Bite.

Presented By:: Brian C. Mills, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
The Use of Digital Technology for Patient Care Premium Member Content

The Use of Digital Technology for Patient Care
In this presentation, we will analyze different cases, highlighting the operational differences that they have developed over time, with the increasing knowledge of the new materials and the daily developing of the new software's. It is also described how traditional materials and techniques have been replaced with other innovative new technologies, and how the results obtaining with these are systematic and overlapping times better than traditional one.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Minimally Invasive Oral Rehabilitation... No More Crowns Please Premium Member Content

Minimally Invasive Oral Rehabilitation... No More Crowns Please
Many patients are in need of oral rehabilitation but cannot afford it, and we see them suffer and deteriorate feeling helpless. The traditional full mouth rehabilitation, is often excessive (it is extremely rare when a patient really needs a full mouth), and because is expensive, it is rarely accepted. Additionally most commonly crowns are used for rehabilitation, specially on patient with parafunctions. In this eye opening presentation, Dr. Ruiz demonstrates how adhesive dentistry breaks many of the rules we have been taught, as well as the importance of proper occlusal management.

Presented By:: Jose-Luis Ruiz, DDS, FAGD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Hot Topics in Adhesion and Etchable Dental Ceramics Premium Member Content

Hot Topics in Adhesion and Etchable Dental Ceramics
Esthetics and minimally invasive therapy are among the driving forces behind many successful restorative practices. Key among the tools clinicians require to deliver on patient expectations are etchable ceramic restorations and our ability to achieve a durable and long lasting bond when placing them. The technologies utilized, both ceramic and adhesive are constantly being upgraded.

Presented By:: Edward A. McLaren, DDS, MDC
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free







Contact Us | Privacy Policy | Terms of Use
©2021

Preferred Language: English Flag
Contact Us · Login · Register