Individualized Approach in Oral Rehabilitation with Digital Workflow: VDO Restoration and Management of the Oral Aging Syndrome
DOI:
https://doi.org/10.5335/1h4z1n71Keywords:
reabilitação oral, dimensão vertical de oclusão, cerâmicas odontológicasAbstract
Objective: To report a clinical case of oral rehabilitation emphasizing the replacement of outdated restorations and the use of digital technologies in the planning and execution of the treatment.
Case description: A 55-year-old patient sought treatment due to dissatisfaction with metal-ceramic crowns that presented aesthetic and functional compromises. The planning involved the replacement of metal-ceramic crowns, resin, and amalgam restorations, along with the evaluation and visualization of new proportions for anterior teeth and the reestablishment of the vertical dimension of occlusion (VDO) using provisional restorations. After necessary adjustments, definitive restorations in lithium disilicate were fabricated through a fully digital workflow, utilizing intraoral scanning and CAD-CAM milling. The digital approach ensured greater precision and predictability in the final outcome. The patient expressed satisfaction with the results achieved.
Final considerations: Oral rehabilitation through integrated digital planning and the replacement of outdated restorations with modern materials such as lithium disilicate is an effective strategy for achieving predictable functional and aesthetic outcomes, while also enhancing patient comfort and confidence.
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References
Alkadi L. A comprehensive review of factors that influence the accuracy of intraoral scanners. Diagnostics (Basel).2023;13(21):3291.
Chochlidakis, K.M.; Papaspyridakos, P.; Geminiani, A.; Chen, C.-J.; Feng, I.J.; Ercoli, C. Digital versus conventional impressions for fixed prosthodontics: A systematic review and meta-analysis. J Prosthet Dent. 2016, 116 (2), 184-190.e12.
Hobkirk JA. Loss of the vertical dimension of occlusion and its management implications. Int J Prosthodont.2009;22(5):520-521.
Fayad MI. A literature review of vertical dimension in prosthodontics theory and practice - Part 1: Theoretical foundations. Cureus. 2024;16(6):e61903.
Adawi H, Nandalur Reddy K, Mattoo K, Najmi N, Arishi M, Ageeli A, Bahri A, Khateeb SU, Sainudeen S, Baba SM, Hamid M M, Shah SJ, Jeri SY. Effects of artificial aging of direct resin nano-hybrid composite on mean bond strength values for veneer ceramic samples. Med Sci Monit. 2024;30:e945243.
Gresnigt M, Özcan M, Muis M, Kalk W. Bonding of glass ceramic and indirect composite to non-aged and aged resin composite. J Adhes Dent. 2012;14(1):59-68.
Lindner S, Frasheri I, Hickel R, Crispin A, Kessler A. Retrospective clinical study on the performance and aesthetic outcome of pressed lithium disilicate restorations in posterior teeth up to 8.3 years. Clin Oral Investig. 2023 Oct 23;27(12):7383–7393.
Stojilković M, GuÅ¡ić I, Berić J, Prodanović D, Pecikozić N, Veljović T, Mirnić J, Äurić M. Evaluating the influence of dental aesthetics on psychosocial well-being and self-esteem among students of the University of Novi Sad, Serbia: a cross-sectional study. BMC Oral Health. 2024;24(1):277.
Natsumeda G, Miranda F, Massaro C, Lauris JR, Garib D. Aging changes in maxillary anterior teeth in untreated individuals: an observational longitudinal study. Prog Orthod. 2023 Aug 14;24(1):26.
Yoshimura N, Yonemitsu F, Sasaki K, Yamada Y. Robustness of the aging effect of smiling against vertical facial orientation. F1000Res. 2022 Apr 8;11:404.
Nordenram G, Davidson T, Gynther G, Helgesson G, Hultin M, Jemt T, Lekholm U, Nilner K, Norlund A, Rohlin M, Sunnegårdh-Grönberg K, Tranæus S. Qualitative studies of patients' perceptions of loss of teeth, the edentulous state and prosthetic rehabilitation: a systematic review with meta-synthesis. Acta Odontol Scand. 2013 May-Jul;71(3-4):937-51.
Al Hamad KQ. I see faces! A review on face perception and attractiveness with a prosthodontic peek at cognitive psychology. J Prosthodont. 2022;31(7):562-570.
Sancho-Puchades M, Fehmer V, Hämmerle C, et al: Advanced smile diagnostics using CAD/CAM mock-ups. Int J Esthet Dent 2015;10:374-391
D'Arcangelo C, De Angelis F, Vadini M, D'Amario M. Clinical evaluation on porcelain laminate veneers bonded with light-cured composite: results up to 7 years. Clin Oral Investig. 2012;16(4):1071-1079. doi:10.1007/s00784-011-0593-0.
Al-Dulaijan YA, Aljubran HM, Alrayes NM, Aldulaijan HA, AlSharief M, Aljofi FE, Ibrahim MS. Clinical outcomes of single full-coverage lithium disilicate restorations: A systematic review. Saudi Dent J. 2023;35(5):403-422.
Rossion B, Hanseeuw B, Dricot L: Defining face perception areas in the human brain: a large-scale factorial fMRI face localizer analysis. Brain Cogn 2012;79:138-157.
Koidou VP, Chatzopoulos GS, Rosenstiel SF: Quantification of facial and smile esthetics. J Prosthet Dent 2018;119:270-277
Lelyana N. Strategic Analysis in the Application of Digital Technology in Dental Practice. J Sustain Innov Health Pract. 2023;2(3).
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