Comprehensive oral rehabilitation using digital and analog workflows in a patient with generalized loss of tooth structure: a case report
DOI:
https://doi.org/10.20453/reh.v35i4.6407Keywords:
oral rehabilitation, prostheses and implants, vertical dimension, digital workflow, CAD-CAMAbstract
The sequence of a comprehensive oral rehabilitation is described in a patient with generalized loss of tooth structure, highlighting the importance of restoring stomatognathic system function through a multidisciplinary approach. The patient was a 57-year-old woman diagnosed with occlusal disharmony, generalized attrition due to parafunction, mild dental crowding, defective restorations, carious lesions, and partial mandibular edentulism. Treatment was performed in two phases: initially, an esthetic mini-JIG was used, and occlusion was stabilized by increasing the vertical dimension using stamped composite resins restorations. In the second phase, veneers, vonlays, and implant-supported crowns were placed in the maxilla, along with a removable partial denture in the mandible, followed by delivery of a protective occlusal splint. The combination of analog and digital techniques allowed for the restoration of both function and esthetics.
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References
Okeson JP. Tratamiento de oclusión y afecciones temporomandibulares. 8.a ed. Barcelona: Elsevier; 2020.
Loza-Fernández DA. Oclusión. Vol. 2. Lima: Savia, 2015.
Alonso AA, Albertini JS, Bechelli AH. Oclusión y diagnóstico en rehabilitación oral. Buenos Aires: Panamericana; 2003.
Altamiro F. The Esthetic JIG: An original dental appliance for esthetic occlusal vertical dimension rehabilitation. J Cosmet Dent [Internet]. 2019; 34(4): 28-40. Disponible en: https://go.digitalsmiledesign.com/hubfs/DSD%20Articles/Articles%20by%20others/Artigo%20publicado.pdf
Suganna M, Kausher H, Tarek Ahmed S, Sultan Alharbi H, Faraj Alsubaie B, Ds A, et al. Contemporary evidence of CAD-CAM in dentistry: a systematic review. Cureus [Internet]. 2022; 14(11): e31687. Disponible en: https://doi.org/10.7759/cureus.31687
Mistry G, Rathod A, Singh S, Kini A, Mehta K, Mistry R. Digital versus traditional workflows for fabrication of implant-supported rehabilitation: a systematic review. Bioinformation [Internet]. 2024; 20(9): 1075-1085. Disponible en: https://doi.org/10.6026/9732063002001075
Zavolski A, Granville F, Pomini MC, Oliveira FB, Pinheiro LO, Runnacles P, et al. Transitional era: from analogical to digital workflow in oral rehabilitation: a case report. Rev Gaúch Odontol [Internet]. 2021; 69: e20210032. Disponible en: https://doi.org/10.1590/1981-86372021003220200045
Ayres G, Parize H, Mendonça LM, Kubata BR, Tirapelli C. Is the digital workflow more efficient for manufacturing partial-coverage restorations? A systematic review. J Prosthet Dent [Internet]. 2025; 133(6): 1438-1447. Disponible en: https://doi.org/10.1016/j.prosdent.2023.08.005
McLaren EA, Figueira J, Goldstein RE. Vonlays: a conservative esthetic alternative to full-coverage crowns. Compend Contin Educ Dent [Internet]. 2015; 36(4): 282-289. Disponible en: https://edmclaren.com/store/1/Articles/vonlays.pdf
Siadat H, Alikhasi M, Beyabanaki E. Interim prosthesis options for dental implants. J Prosthodont [Internet]. 2017; 26(4): 331-338. Disponible en: https://doi.org/10.1111/jopr.12421
Vieira SN, Lourenço MF, Pereira RC, França EC, Vilaça ÊL, Silveira RR, et al. Conventional and digital impressions for fabrication of complete implant-supported bars: a comparative in vitro study. Materials [Internet]. 2023; 16(11): 4176. Disponible en: https://doi.org/10.3390/ma16114176
Kumar D, Hazra R, Srivastava A, Khattak A, Kalia D. Occlusal forms and philosophies in full mouth rehabilitation: a literature review. IP Ann Prosthodont Restor Dent [Internet]. 2021; 7(2): 79-83. Disponible en: https://doi.org/10.18231/j.aprd.2021.016
Ávila S, García R, Portelles N. El flujo digital en las especialidades en la odontología. Cont Cient [Internet]. 2025; 5(1): 38-49. Disponible en: https://doi.org/10.48204/2710-7825.6927
Uno M, Ishigami H. Replacement of unesthetic posterior metal crowns with monolithic zirconia crowns: a case report. Open J Stomatol [Internet]. 2023; 13(10): 334-341. Disponible en: https://doi.org/10.4236/ojst.2023.1310027
Alresheedi B. Digitally guided workflow for the esthetic and prosthetic oral rehabilitation of a patient with excessive gingival display: a case report. Clin Cosmet Investig Den [Internet]. 2022; 14: 281-287. Disponible en: https://doi.org/10.2147/CCIDE.S381639
Smith Z. From analog to digital: transforming traditional prosthodontic techniques with digital workflows. J Dent Care [Internet]. 2024; 1(2): 79-85. Disponible en: https://www.researchcorridor.org/index.php/jdc/article/view/201/192
Guachetá L, Stevens CD, Tamayo JA, Murgueitio R. Comparison of marginal and internal fit of pressed lithium disilicate veneers fabricated via a manual waxing technique versus a 3D printed technique. J Esthet Restor Dent [Internet]. 2022; 34(4): 715-720. Disponible en: https://doi.org/10.1111/jerd.12675
El-Naggar HA, Elkhodary N, Hashem A, Kheiralla L. Evaluation of marginal integrity of lithium disilicate vonlays versus celtra duo vonlays restoring premolars (in vitro study). Adv Dent J [Internet]. 2023; 5(2): 276-285. Disponible en: https://doi.org/10.21608/adjc.2023.171938.1194
Hasaneen FA, Elbahrawy E, Elsharkawy SM. Marginal adaptation and fracture resistance of vonlays restoring premolars using different ceramic materials: an in-vitro study. Egypt Dent J [Internet]. 2024; 70(4): 3477-3492. Disponible en: https://doi.org/10.21608/edj.2024.298574.3089
Sarafidou K, Vasileiadi G, Louvrou M, Moldovani E, Koidis P, Kokoti M, et al. Screwmentable implant-supported prostheses: a systematic review. J Prosthet Dent [Internet]. 2023; 130(1): 35-47. Disponible en: https://doi.org/10.1016/j.prosdent.2021.08.027
Di Fiore A, Stellini E, Monaco C, Yilmaz B. Clinical outcome of monolithic zirconia on bonded or mechanically retained prefabricated titanium-base: a 4-year retrospective study. J Dent [Internet]. 2024; 150: 105350. Disponible en: https://doi.org/10.1016/j.jdent.2024.105350
Chrcanovic B, Kisch J, Albrektsson T, Wennerberg A. Bruxism and dental implant treatment complications: a retrospective comparative study of 98 bruxer patients and a matched group. Clin Oral Implants Res [Internet]. 2017; 28(7): e1-e9. Disponible en: https://doi.org/10.1111/clr.12844
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Copyright (c) 2025 Liz Karina Altamirano Condori , Otto Paul Loechle-Verde, Mary Fukuhara-Nakama, Hanz Olivera Chacón

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