No abstract

ObjectivesNatural restorations combine digital workflow and shell technique to create CAD/CAM restorations with the form and texture of natural teeth. This case report describes an interdisciplinary digital workflow combined with CAD/CAM natural restorations to achieve the naturalness of an anterior rehabilitation. Clinical considerations: A 38‐year‐old patient attended to the office with esthetic issues. An interdisciplinary treatment plan was conducted, which included periodontal surgery to recreate the gingival contour, associated with bleaching and manufacturing CAD/CAM ceramic veneers to return an optimal teeth surface texture and shape.ConclusionsThe design and manufacturing of CAD/CAM natural restorations using a digital workflow allowed a predictable result and overcame the limitations of conventional shell technique.Clinical SignificanceConventional shell technique is used to create restorations with the form and texture of natural teeth. This article presents a combination of the conventional shell technique with a digital workflow, facilitating the design and manufacturing of CAD/CAM natural restorations.

This article presents a clinical case involving the integrated application of CAD/CAM and DSD. DSD – Digital Smile Design – assists in obtaining a treatment plan adjusted to the patient’s facial features, achieving the best aesthetic potential. The integration between DSD and CAD/CAM allows for greater fidelity in respect to the original plan. A patient received a rehabilitation with veneers milled out of leucite-reinforced feldspathic ceramics, using the CAD/CAM system and a DSD-obtained digital wax-up. This workf low simplifies design and fabrication, providing greater accuracy and predictability to the rehabilitation process. The digital planning and development of the mockup also makes clinical conditions more predictable. Making ceramic veneers using the CAD/CAM technique requires judicious adhesive cementation, and also an accurate practical and theoretical knowledge on the part of the professional.

No abstract

Os hábitos de vida modernos culminaram com o aumento na incidência da biocorrosão e na demanda por abordagens reabilitadoras estéticas minimamente invasivas. Do mesmo modo, o aprimoramento da Odontologia adesiva, materiais restauradores e sistemas Computer Aided Design and Computer Aided Manufacturing (CAD/CAM) permitiram resoluções estéticas com abordagens digitais eficazes e tempo clínico minimizado. Este trabalho tem como objetivo relatar uma reabilitação oral empregando laminados oclusais cerâmicos ultra finos posteriores para o restabelecimento da dimensão vertical, associados à abordagem sanduíche ântero-superior (laminados palatinos em compósito semi-diretos e laminados cerâmicos vestibulares) para a restauração da biocorrosão. A reabilitação foi realizada em CAD-CAM, utilizando a anatomia do banco de dados do software (biogenérico individual) para os elementos posteriores. Por outro lado, a anatomia anterior foi obtida pela cópia de dentes naturais através da integração entre o Digital Smile Design (DSD) e o sistema CAD-CAM (DSD-Natural Restoration). Portanto, o uso do sistema CAD-CAM no modo chairside conferiu agilidade ao procedimento reabilitador. Além disso, o DSD-Natural Restoration aprimorou a macro e microestética dos laminados cerâmicos.