Operative Dentistry & Biomaterials, Division of Comprehensive Oral Health, Adams School of Dentistry, University of North Carolina, Chapel Hill, North Carolina, USA.
Private Practice, São Paulo, Brazil.
J Esthet Restor Dent. 2023 Dec;35(8):1194-1204. doi: 10.1111/jerd.13073. Epub 2023 Jul 14.
To report a novel digital workflow to replace an anterior maxillary tooth lost due to trauma with an implant multilayer restoration by using the patient's extracted tooth as a final crown restoration using computer-aided design/computer-aided manufacturing (CAD/CAM) technology.
Instead of using the patient's natural tooth as an immediate provisional restoration to achieve predictable results in terms of esthetics and soft tissue structure, a novel digital strategy was performed to obtain a natural final crown restoration by using the patient's tooth associated with a lithium disilicate customized implant abutment.
The perspective of using this strategic approach for implant restorative dental treatments in patients with traumatic root fractures in the anterior region has great potential as it helps to maintain the emergence profile of the natural dentition and esthetics.
Optimal esthetic outcomes are challenging in implant dentistry regarding soft tissue structure and morphology factors. Using natural teeth from surgery to deliver the final restoration might be beneficial when an anterior tooth is lost due to trauma.
报告一种新的数字化工作流程，通过使用患者的已提取牙齿作为最终冠修复体，利用计算机辅助设计/计算机辅助制造（CAD/CAM）技术，为因外伤而缺失的上颌前牙进行种植体多层修复。
为了获得可预测的美观和软组织结构效果，避免使用患者天然牙作为即刻临时修复体，采用了一种新的数字化策略，通过使用与氧化锂硅酸二钙定制种植体基台相关的患者牙齿，获得自然的最终冠修复体。
在涉及前牙外伤性根折的患者的种植修复治疗中，采用这种策略方法具有很大的潜力，因为它有助于保持天然牙列的美观和美观。
在涉及软组织结构和形态因素的种植体牙科中，获得最佳的美观效果具有挑战性。当由于外伤而失去前牙时，使用手术中的天然牙齿来提供最终修复可能是有益的。
