A digital approach to robust and esthetic implant overdenture construction.

Abstract

Overdenture therapy is an important option for implant rehabilitation. However, numerous reports suggest that mechanical/technical complications and failures can limit therapeutic success. The goal of this report is to illustrate a digital approach to design and construction of a robust overdenture with high-esthetic value. Beginning with new denture design to establish esthetic parameters, 3D modeling of a metal framework and the denture teeth are completed in a connected manner. This enables connection of rapidly printed, prototype dentition that is attached directly to the framework without intervening wax or acrylic components. Following evaluation of the dentition and required adjustments, the final dentition is milled from resin and processed to the selective laser sintered framework. The advantages of the digital workflow include the control of dimensions and strength of the framework, the esthetic relationship of the framework to the dentition and the facilitation of esthetic try-in of the dentition. Enhancing a robust overdenture can be readily achieved using a digital workflow. The use of digital technology enables the clinical team to plan and produce prostheses with dimensions and contours that support long-term function and esthetics. The clinical chair time can be potentially reduced by use of digital design that facilitates try-in and reduces major errors by improved communication between the patient, dentist, and technician.