Gong Ning, Wang Lizhe, Xu Lei, Xu Zechun, Xu Zimeng, Tan Fei
Department of Prosthodontic, The Afliated Hospital of Qingdao University, Qingdao, China.
School of Stomatology, Qingdao University, Qingdao, China.
J Esthet Restor Dent. 2025 Jul;37(7):1667-1680. doi: 10.1111/jerd.13465. Epub 2025 Mar 24.
Occlusal reconstruction refers to the prosthodontic modification and restoration of the dental arch's occlusal configuration. Incorporation of digital technology enables precise acquisition of individualized mandibular movement patterns, facilitating the design of final restorations and effectively enhancing the clinical efficiency and treatment outcomes of occlusal reconstruction. This case report aims to demonstrate a digital workflow for occlusal rehabilitation in severe tooth wear patients, proving that digital technologies enhance treatment efficacy.
A 27-year-old female presented with severe full-arch tooth wear secondary to bruxism and a history of detachment of resin veneers on the maxillary and mandibular anterior teeth. This case utilized a digital protocol incorporating digital face bow, intraoral scanning, and CAD/CAM technology to determine the existing occlusal relationships, formulate treatment plans, fabricate provisional restorations, and produce definitive prostheses. One- and three-month follow-ups confirmed stable occlusal function and satisfactory esthetic outcomes.
This case report demonstrates that digital technologies improve diagnostic accuracy and treatment precision through integration of intraoral scanning with digital face bow recordings. The digital approach reduced potential errors from traditional methods and optimized clinical workflows.
The implementation of digital workflows in full-mouth occlusal reconstruction enhances treatment efficiency and improves clinical predictability of therapeutic outcomes.
咬合重建是指对牙弓咬合形态进行修复学上的修改和恢复。数字技术的应用能够精确获取个性化的下颌运动模式，有助于最终修复体的设计，并有效提高咬合重建的临床效率和治疗效果。本病例报告旨在展示重度牙齿磨损患者咬合修复的数字化工作流程，证明数字技术可提高治疗效果。
一名27岁女性因磨牙导致全牙弓重度牙齿磨损，上颌和下颌前牙曾有树脂贴面脱落史。本病例采用了包含数字面弓、口内扫描及CAD/CAM技术的数字化方案，以确定现有的咬合关系、制定治疗计划、制作临时修复体并制作最终修复体。1个月和3个月的随访证实咬合功能稳定且美学效果令人满意。
本病例报告表明，数字技术通过将口内扫描与数字面弓记录相结合，提高了诊断准确性和治疗精度。数字化方法减少了传统方法可能出现的误差，并优化了临床工作流程。
在全口咬合重建中实施数字化工作流程可提高治疗效率，并改善治疗结果的临床可预测性。
