Abstract
Digital dentistry has gained space in several dental specialties. It is possible to achieve excellent results with the digital workflow, which combines the efficiency of the restorative material with a greater marginal adaptation. This study aimed to report a clinical case through the digital workflow, with a faster and clinically acceptable prosthetic resolution. In this clinical case report, digital workflow allowed a faster and clinically acceptable prosthetic resolution. A 45-year-old female patient reported cementation failure of the prosthetic crown on tooth 14. As it was a vital tooth, the tooth received a total crown preparation. In the same clinical session, the patient's mouth was scanned then a capture software obtained a virtual model. After, the design software planned a digital "diagnostic wax-up", so a leucitic ceramic was chosen for the rehabilitation. The ceramic block was milled and receive stain and glaze, dispensing the prosthesis laboratory. Then, the adhesive cementation was performed with a dual-polymerized resin cement. The final crown had ideal adaptation, with no need for interproximal and occlusal adjustments, with an excellent marginal fit. Within the limitations of this study, this case report showed that the digital workflow allowed a favorable result in a shorter working time, which brought back function and aesthetics, without the need for interproximal and occlusal adjustments. Keywords Prosthodontics; Cosmetic dentistry; CAD-CAM.
Highlights
C urrently, the advent of digital dentistry has revolutionized the way of working with restorative dentistry [1,2]
The conventional workflow is a joint work between the dental office and the laboratory, with procedures based on several steps
It is known that the long-term restoration success depends on many factors, including the excellent marginal fit of prosthetic restoration to the tooth structure
Summary
C urrently, the advent of digital dentistry has revolutionized the way of working with restorative dentistry [1,2]. Its use can provide a mechanized and more standardized workflow, with less chance of technical failures and greater agility during clinical and laboratory procedures [1,3] Indirect restorative procedures, such as full ceramic crown rehabilitations, are commonly proposed treatments in the routine of dentists and prosthetic technicians. It is a great deal to skip laboratory steps and not depending on specific materials and manual techniques, such as the manipulation of impression materials and dental plasters, and the manual skill of the prosthetic technician These steps could add errors and distortions in the final result, being one of the main reasons for choosing a full digital workflow [1,4]. The Variolink N base light-curing paste (Ivoclar Vivadent) cemented the prosthetic piece over the surface tooth (figure 4a-b). The patient received follow-ups of seven days, thirty days, six months, and one year (figure 4cd)
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