Interdisciplinary guided dentistry, digital quality control, and the “copy‐paste” concepts

Abstract

Objective The aim of this report is to present an interdisciplinary approach with novel concepts to virtually plan and achieve esthetics and function. Clinical Considerations Despite the advancements in the digital workflow applied to restorative dentistry, the final outcomes are commonly not similar to initial planning. To overcome this major limitation, three concepts are proposed: guided dentistry, digital quality control and “copy‐paste” dentistry. Guided dentistry consists of simulations in 3D software and also includes the manufacture of guides/appliances to assist dentists in all clinical steps. Digital quality control involves the use of intraoral scanners and 3D software to compare the real outcomes with the pre‐operative simulations after every procedure. “Copy‐paste” dentistry is a consequence of the previous two concepts. Using the capacity of the software to overlap files, the original project can be maintained and adapted to achieve results more comparable with the initial design. The proposed method associates facially driven treatment planning and periodontal and restorative procedures to perform the patient's dental rehabilitation. Conclusion Through a guided workflow and digital control of clinical steps, the final outcomes obtained were equivalent and closer to the initial design. Clinical Significance In interdisciplinary cases, the treatment plan needs to address individual requirements and to coordinate sequential clinical stages. It is challenging to meet these demands in a conventional process. The proposed concepts engage technological resources to orientate the procedures and to provide assessment in each step. This approach enables the development of a complete and accurate functional‐esthetic rehabilitation. Ultimately, the technique presented is reproducible and the results reflect the established plan.

The crown lengthening double guide and the digital Perio analysis

“…The use of a digitally designed double guide for crown lengthening has been successfully reported elsewhere. 1,[16][17][18][19][20][21] However, further studies should evaluate the accuracy of surgical guides for crown lengthening procedures and the influence of several factors such as scanner protocol and systems, guide errors or misfits, different resins, 3D printers, and software systems. 17,18 In addition, clinical trials are needed to validate and confirm the reliability and repeatability of this technique.…”

Computer aided design/computer aided manufacturing (CAD/CAM) technology in the undergraduate dental programs in the MENA region

“…In order to incorporate CAD/CAM technology in routine dental practice, the operator must be trained well in understanding and utilizing the digital workflow 14,15 . In order to fulfil the demand of current and future dentistry, undergraduate students need to be trained in CAD/CAM technology as a part of their undergraduate curriculum 16,17 …”

“…14,15 In order to fulfil the demand of current and future dentistry, undergraduate students need to be trained in CAD/CAM technology as a part of their undergraduate curriculum. 16,17 A study conducted by Zimmermann M, et al (2019) implemented CAD/CAM teaching in 4th-year clinical student following Miller's pyramid principle. The outcome of that study indicates that the CAD/CAM technology was highly greeted by the participants and the participants tended to favour this technology in their clinical application.…”

Tecnologias tridimensionais na aquisição de paciente virtual para planejamento digital: revisão sistemática

“…Ademais, a unificação dos registros digitais possibilita revelar dados anatômicos antes ausentes, convertendo os elementos orofaciais em um modelo virtual completo e reprodutível (Jayaratne et al, 2012;. Entretanto, é preciso explicitar que para a correta correlação dos arquivos, requer-se um operador capacitado e um adequado controle de qualidade (Lin et al, 2018;Coachman et al, 2021).…”

“…Atualmente, constata-se que há maior interesse em alcançar desfechos previsíveis, a fim de atender as demandas e expectativas do paciente (Tsirogiannis et al, 2016). Com o tempo, a percepção de estética foi transformada (Cattoni et al, 2016) e considera-se que o desenho do sorriso precisa ser guiado por referências faciais para proporcionar harmonia (Coachman et al, 2021). A análise dinâmica dentofacial, portanto, é indispensável e deve ser composta pelos dentes, ossos e face para que o resultado desejado seja alcançado (Coachman et al, 2017;Harris et al, 2017;Charavet et al, 2019).…”