Dentaltown August 2018 - 31
In the case of an 80-year-old patient who presented with caries on five of his maxillary
anterior teeth (Figs. 1-5), digital dentistry eliminated previous difficulties with indirect
restorative dentistry and simplified the overall process.
Fig. 1: Preoperative retracted frontal view of
the patient's maxillary and mandibular teeth in
occlusion.
Fig. 2: Preoperative retracted frontal view
of the patient's maxillary arch.
Figs. 3-5: Preoperative radiographs revealing caries on teeth #6 through #10.
Consultation appointment
Intraoral scanners eliminate the need for physical impressions and help minimize the
disadvantages associated with conventional impressions such as material costs, remakes,
inaccuracies, storage and manual handling.2 They also relieve patients of the discomfort
and time typically required for taking traditional impressions. Then, when combined with
CAD technology, the intraoral scans can be used to create a digital diagnostic wax-up,
which serves as a virtual tool for treatment planning and patient understanding.
In this case, the patient was less concerned with aesthetics, but he understood the
necessity of treatment based on the extent of his caries. Upon seeing the proposed treatment
plan, he accepted the recommendation for full-coverage restorations.
Fig. 6: A preoperative scan was taken with an
intraoral scanner (Trios 3Shape).
Figs. 7 and 8: While the patient was in the chair, the treatment was designed to illustrate what his
restorations would look like. The blue color indicates the original tooth position and white indicates what
would change. The patient accepted the treatment plan.
dentaltown.com \\ AUGUST 2018
31
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