Digital Full-Mouth Reconstruction Assisted by Facial and Intraoral Scanners: A Case Report and Technique Description

Abstract

This report describes a technique integrating facial and dental scanners for treatment planning and execution of a tooth-borne full-mouth reconstruction (FMR) with zirconia fixed prostheses. A partially edentulous female adult presented generalized worn dentition in the incisal and occlusal surfaces. The patient accepted the option for treatment with a fixed FMR solution using a fully digital workflow. An intraoral scan (IoS) for both arches and facial scans collected the initial clinical situation. A digital diagnostic wax-up was generated as part of the treatment plan, and the models were printed. The intervention included crown lengthening of the maxillary teeth aided by a printed guide, installing milled provisional restorations, and delivering permanent milled zirconia partial restorations, single crowns (SCs), and fixed dental prostheses (FDPs). The functional extraoral scanner permitted designing an FMR that created a harmonious dental, gingival, and facial relationship with the patient’s esthetic consent approval. IoS captured the initial clinical situation to design (CAD) and fabricate (CAM) the PMMA provisional and zirconia final partial restorations, SCs, and FDPs. Facial and intraoral scanners are technologies that can synergistically assist oral health providers in the diagnosis, planning, and execution of fixed FMR using an entirely digital workflow.