Facially generated and cephalometric guided 3D digital design for complete mouth implant rehabilitation: A clinical report

Publication date: Available online 9 November 2016
Source:The Journal of Prosthetic Dentistry
Author(s): Christian Coachman, Marcelo Alexandre Calamita, Francis Gray Coachman, Robert Gray Coachman, Newton Sesma
Harmony among the teeth, lips, and facial components is the goal of prosthodontic treatment, whether performed by conventional or digital workflow methods. This clinical report describes a facial approach to planning computer-guided surgery and immediate computer-aided designed and computer-aided manufactured (CAD-CAM) interim complete-arch fixed dental prostheses on immediately placed dental implants with a digital workflow. A single clinical appointment for data collection included dentofacial documentation with photographs and videos. On these photographs, facial reference lines were drawn to create a smile frame. This digital smile design and sagittal cephalometric analysis were merged with 3-dimensional scanned casts and a cone beam computed tomographic file in virtual planning software, thus guiding virtual waxing and implant positioning. Computer-guided implant surgery and CAD-CAM interim dental prostheses allowed esthetic and functional rehabilitation in a predictable manner and integrated with the patient's face.



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