Coachman Christian, Bohner Lauren, Jreige Camila Sales, Sesma Newton, Calamita Marcelo
Department of Preventive and Restorative Sciences, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
DSD Founder, Madrid, Spain.
J Esthet Restor Dent. 2021 Oct;33(7):982-991. doi: 10.1111/jerd.12736. Epub 2021 Apr 26.
The aim of this report is to present an interdisciplinary approach with novel concepts to virtually plan and achieve esthetics and function.
Despite the advancements in the digital workflow applied to restorative dentistry, the final outcomes are commonly not similar to initial planning. To overcome this major limitation, three concepts are proposed: guided dentistry, digital quality control and "copy-paste" dentistry. Guided dentistry consists of simulations in 3D software and also includes the manufacture of guides/appliances to assist dentists in all clinical steps. Digital quality control involves the use of intraoral scanners and 3D software to compare the real outcomes with the pre-operative simulations after every procedure. "Copy-paste" dentistry is a consequence of the previous two concepts. Using the capacity of the software to overlap files, the original project can be maintained and adapted to achieve results more comparable with the initial design. The proposed method associates facially driven treatment planning and periodontal and restorative procedures to perform the patient's dental rehabilitation.
Through a guided workflow and digital control of clinical steps, the final outcomes obtained were equivalent and closer to the initial design.
In interdisciplinary cases, the treatment plan needs to address individual requirements and to coordinate sequential clinical stages. It is challenging to meet these demands in a conventional process. The proposed concepts engage technological resources to orientate the procedures and to provide assessment in each step. This approach enables the development of a complete and accurate functional-esthetic rehabilitation. Ultimately, the technique presented is reproducible and the results reflect the established plan.
本报告旨在提出一种跨学科方法，运用新颖概念进行虚拟规划，以实现美学与功能目标。
尽管应用于修复牙科的数字工作流程取得了进展，但最终结果通常与初始规划不一致。为克服这一主要局限，提出了三个概念：引导式牙科、数字质量控制和“复制粘贴”牙科。引导式牙科包括在三维软件中进行模拟，还包括制作引导装置/器械，以协助牙医完成所有临床步骤。数字质量控制涉及使用口腔内扫描仪和三维软件，在每个程序后将实际结果与术前模拟进行比较。“复制粘贴”牙科是前两个概念的产物。利用软件重叠文件的功能，可以保留原始项目并进行调整，以使结果更接近初始设计。所提出的方法将面部驱动的治疗计划与牙周及修复程序相结合，以实现患者的牙齿修复。
通过引导式工作流程和临床步骤的数字控制，最终获得的结果与初始设计相当且更接近。
在跨学科病例中，治疗计划需要满足个体需求并协调连续的临床阶段。在传统流程中满足这些需求具有挑战性。所提出的概念利用技术资源来指导程序并在每个步骤提供评估。这种方法能够实现完整且准确的功能美学修复。最终，所呈现的技术具有可重复性，结果反映既定计划。
