Osorio-Vélez Laura S, Serna-Ceballos Juan D, Latorre Federico, Ardila Carlos M
Prosthodontics Postgraduate Program, Faculty of Dentistry, Universidad de Antioquia, Medellín, COL.
Biomedical Stomatology Research Group, Faculty of Dentistry, Universidad de Antioquia, Medellín, COL.
Cureus. 2024 Aug 29;16(8):e68137. doi: 10.7759/cureus.68137. eCollection 2024 Aug.
This clinical report presents a conservative approach to restoring aesthetic function in anterior maxillary teeth using digital dental technologies. A 40-year-old female patient sought treatment to enhance the aesthetics of her anterior maxillary teeth. The clinical examination revealed wear on the incisal surfaces and gingival asymmetry. Utilizing a digital workflow, intraoral and extraoral data were acquired through clinical photographs and an intraoral scanner. The patient's restorative needs were assessed using the 3Shape Smile Design system (3Shape, Copenhagen, Denmark). Minimal-thickness ceramic restorations were designed and fabricated using Computer-Aided Design-Computer-Aided Manufacturing (CAD-CAM) technologies. Lithium disilicate was selected for its strong mechanical properties and adhesive capabilities. The restorations were then placed using an adhesive cementation protocol under magnification. Digital technologies facilitated precise diagnosis, planning, and execution of the treatment. The ceramic restorations provided excellent aesthetic outcomes, aligning with the patient's expectations. The minimal thickness of the restorations ensured the preservation of natural tooth structure while maintaining structural integrity and adhesion performance. This case underscores the advantages of a digital workflow in achieving optimal restorative outcomes. The digital dental workflow demonstrated in this case report provides a reliable, efficient, and patient-centric approach to minimal thickness restorations, highlighting the potential for future advancements in restorative dentistry.
本临床报告介绍了一种使用数字牙科技术修复上颌前牙美学功能的保守方法。一名40岁女性患者寻求治疗以改善其上颌前牙的美观。临床检查发现切端磨损和牙龈不对称。采用数字工作流程,通过临床照片和口内扫描仪获取口内和口外数据。使用3Shape微笑设计系统(3Shape,丹麦哥本哈根)评估患者的修复需求。采用计算机辅助设计-计算机辅助制造(CAD-CAM)技术设计并制作了最小厚度的陶瓷修复体。选择二硅酸锂是因其具有强大的机械性能和粘结能力。然后在放大条件下使用粘结粘结方案放置修复体。数字技术有助于精确诊断、规划和实施治疗。陶瓷修复体提供了出色的美学效果,符合患者的期望。修复体的最小厚度确保了天然牙体结构的保留,同时保持了结构完整性和粘结性能。该病例强调了数字工作流程在实现最佳修复效果方面的优势。本病例报告中展示的数字牙科工作流程为最小厚度修复体提供了一种可靠、高效且以患者为中心的方法,突出了修复牙科未来发展的潜力。