Garcia Edgar, Tung Ting Wei, Jaramillo Stephanie, Gutierrez Alberto, Alvear Julio, Tinajero Maurício
Prosthodontics, Universidad de Especialidades Espiritu Santo, Guayaquil, ECU.
Prosthodontics, University of Specialties Holy Spirit, Guayaquil, ECU.
Cureus. 2024 Jul 19;16(7):e64941. doi: 10.7759/cureus.64941. eCollection 2024 Jul.
The advent of digital workflows has revolutionized oral rehabilitation, offering excellent prosthesis and restoration adaptation while reducing work time. This case report aims to describe a full-arch rehabilitation protocol using mucosa-supported prostheses through a digital workflow. The technique begins with scanning the upper jaw and taking an impression of the lower jaw, followed by scanning to create a digital cast. Next, border molding and the final impression of both arches are performed using a closed-mouth technique, during which the patient is guided to perform lateral and protrusive movements. Subsequently, intraoral scanning of the occlusion and both impressions is conducted, leading to the design of the final dentures with the established occlusion. Finally, the dentures are printed in Formlabs resin specifically designed for dentures. The digital workflow facilitates the manufacturing of mucosa-supported full-arch prostheses effectively. This method allows for the adjustment of the vertical dimension of occlusion, ensures excellent adaptation of the prosthesis to the soft tissues, and provides aesthetic satisfaction for the patient. Additionally, it reduces the number of sessions required to install the definitive prosthesis.
数字工作流程的出现彻底改变了口腔修复领域，在减少工作时间的同时，提供了出色的假体和修复体适配性。本病例报告旨在描述一种通过数字工作流程使用黏膜支持式假体进行全牙弓修复的方案。该技术首先对上颌进行扫描并取下颌印模，然后进行扫描以创建数字模型。接下来，使用闭口技术对上下颌进行边缘整塑和最终印模，在此过程中引导患者进行侧向和前伸运动。随后，对咬合情况和两个印模进行口内扫描，从而根据既定的咬合关系设计最终假牙。最后，使用专门为假牙设计的Formlabs树脂打印假牙。数字工作流程有效地促进了黏膜支持式全牙弓假体的制造。这种方法可以调整咬合垂直距离，确保假体与软组织的出色适配性，并为患者提供美学上的满意度。此外，它还减少了安装最终假体所需的就诊次数。
