A patient presentation: Planning and executing a difficult case in a full digital workflow.

Abstract

In patients requiring extensive tooth replacement, including a change of VDO and/or a new orientation of the occlusal plane, a fully digital workflow still tends to be considered too much complex to be planned and performed. This clinical report describes a full mouth rehabilitation performed with a full digital approach. In a 50-year-old man with several missing teeth in the upper and lower arch, extensive decay on multiple teeth, severe attrition of the anterior teeth, treatment of the upper and lower arches was performed with dental implants, crowns and veneers. All prosthodontic therapy was realized with full monolithic ceramic materials (zirconia and lithium disilicate). The combination of digital information and monolithic materials enabled the clinician, the dental laboratory technician and the patient, to communicate effectively during treatment planning and to use the combination of digital workflow and monolithic materials to simplify the steps of treatment of a difficult case. The combination of full digital workflow with full monolithic restorations in a full mouth rehabilitation allows a simplification of every clinical and lab step in a typically complex treatment.