Kois JC, Kois DE, Zeitler JM, Martin J. Digital to analog facially generated interchangeable facebow transfer: capturing a standardized reference position. J Prosthodont. 2022; 31:13-22 https://doi.org/10.1111/jopr.13437
Tian K, Li Q, Wang X Reproducibility of natural head position in normal Chinese people. Am J Orthod Dentofacial Orthop. 2015; 148:503-510 https://doi.org/10.1016/j.ajodo.2015.05.017
Edwards D, Stone S, Bailey O, Tomson P. Preserving pulp vitality: part one – strategies for managing deep caries in permanent teeth. Br Dent J. 2021; 230:77-82 https://doi.org/10.1038/s41415-020-2590-7
Kois JC. Esthetic extraction site development: the biologic variables. Contemp Esthet Restor Pract. 1998; 2(1):10-18
Gurel G, Morimoto S, Calamita MA Clinical performance of porcelain laminate veneers: outcomes of the aesthetic pre-evaluative temporary (APT) technique. Int J Periodontics Restorative Dent. 2012; 32:625-635
Tan WL, Wong TL, Wong MC, Lang NP. A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans. Clin Oral Implants Res. 2012; 23:1-21 https://doi.org/10.1111/j.1600-0501.2011.02375.x
Patzelt SB, Vonau S, Stampf S, Att W. Assessing the feasibility and accuracy of digitizing edentulous jaws. J Am Dent Assoc. 2013; 144:914-920 https://doi.org/10.14219/jada.archive.2013.0209
Prata RA, de Oliveira VP, de Menezes FC Effect of ‘Try-in’ paste removal method on bond strength to lithium disilicate ceramic. J Dent. 2011; 39:863-870 https://doi.org/10.1016/j.jdent.2011.09.011
Cuevas-Suárez CE, de Oliveira da Rosa WL, Vitti RP Bonding strength of universal adhesives to indirect substrates: a meta-analysis of in vitro studies. J Prosthodont. 2020; 29:298-308 https://doi.org/10.1111/jopr.13147
Fekri LK, Abdelaziz MS. Digital duplication of maxillary complete denture: a dental technique. J Esthet Restor Dent. 2023; 35:1139-1143 https://doi.org/10.1111/jerd.13055
Ciocca L, Maltauro M, Cimini V Analysis of the trueness and precision of complete denture bases manufactured using digital and analog technologies. J Adv Prosthodont. 2023; 15:22-32 https://doi.org/10.4047/jap.2023.15.1.22
Tolstunov L. Combination syndrome: classification and case report. J Oral Implantol. 2007; 33:139-151
This case report discusses the combined use of digital and analogue workflows to restore a patient's collapsing dentition. With the ever-increasing use of digital dentistry, analogue techniques are often suppressed, however they still form an important part in fabricating soft tissue-borne prosthetics. In this case, an immediate analogue complete denture was constructed for the maxillary arch while the mandibular arch was temporized with digitally designed temporary restorations. After 6 months the mandibular arch was restored using a combination of ceramic crowns, bridges and veneers; the maxillary arch was definitively restored with a digitally designed, milled and stained prosthesis, using the reference denture technique. At an increased vertical dimension, a good outcome was observed, restoring function but more importantly confidence.
CPD/Clinical Relevance: This article illustrates the integration of digital and analogue workflows in managing a failed dentition, incorporating both fixed and removable prosthodontic approaches.
Article
Digital dentistry has created a paradigm shift within dentistry. With the ever-growing use and development of digital techniques, dentistry is continually changing. The use of analogue, digital and hybrid approaches are discussed for restoring a patient's collapsing dentition.
A 72-year-old female patient attended our practice for a second opinion regarding her teeth. She was unhappy, not only with the appearance, but also with multiple failing restorations. As she had been awaiting an appointment with her regular dentist at presentation, she had placed temporary fillings into her LL1 and LR2 teeth. She felt she was in a vicious cycle of only attending her existing office to have painful teeth extracted and wanted a more permanent solution, with the added boost of increased confidence in social situations. Medically she was fit, healthy and wanted a new lease of life (Figure 1).
On examination, multiple teeth of poor prognosis were found. The LL3 retained root was necrotic; however, the patient was currently in no pain. Caries and mobility were found and described (Table 1 and Figure 2).
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