Aesthetic and functional rehabilitation of collapsed occlusal vertical dimension using an advanced digital workflow. 2023

Paul Zhivago, and Ilser Turkyilmaz, and Sarah Yun
Paul Zhivago Adjunct Associate Professor, Department of Prosthodontics, New York University College of Dentistry, New York, USA.

This report presents a clinical case that follows a comprehensive digital workflow to increase occlusal vertical dimension of a patient presenting with occlusal wear. A 56-year-old patient with aesthetic and functional problems presented to the authors' clinic. An intraoral scanner was used to obtain digital models of the patient's existing maxillary and mandibular arches. Advanced sculpting software and digital tooth libraries were used to design the patient's ideal smile. A three-dimensional (3D) printer was used to fabricate temporary restorations and resin casts. Full-mouth restoration was successfully completed with zirconia crowns using an advanced digital workflow.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D003442 Crowns A prosthetic restoration that reproduces the entire surface anatomy of the visible natural crown of a tooth. It may be partial (covering three or more surfaces of a tooth) or complete (covering all surfaces). It is made of gold or other metal, porcelain, or resin. Dental Crowns,Crown, Dental,Crowns, Dental,Dental Crown,Crown
D004955 Esthetics, Dental Skills, techniques, standards, and principles used to improve the art and symmetry of the teeth and face to improve the appearance as well as the function of the teeth, mouth, and face. (From Boucher's Clinical Dental Terminology, 4th ed, p108) Cosmetic Dentistry,Aesthetics, Dental,Dental Esthetic,Dental Esthetics,Esthetic, Dental,Cosmetic Dentistries,Dentistries, Cosmetic,Dentistry, Cosmetic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014716 Vertical Dimension The length of the face determined by the distance of separation of jaws. Occlusal vertical dimension (OVD or VDO) or contact vertical dimension is the lower face height with the teeth in centric occlusion. Rest vertical dimension (VDR) is the lower face height measured from a chin point to a point just below the nose, with the mandible in rest position. (From Jablonski, Dictionary of Dentistry, 1992, p250) Mandibular Rest Position,Rest Vertical Dimension,Vertical Dimension at Rest,Vertical Dimension of Occlusion,Dimension, Rest Vertical,Dimension, Vertical,Dimensions, Rest Vertical,Dimensions, Vertical,Mandibular Rest Positions,Occlusion Vertical Dimension,Occlusion Vertical Dimensions,Position, Mandibular Rest,Positions, Mandibular Rest,Rest Position, Mandibular,Rest Positions, Mandibular,Rest Vertical Dimensions,Vertical Dimension, Rest,Vertical Dimensions,Vertical Dimensions, Rest
D017076 Computer-Aided Design The use of computers for designing and/or manufacturing of anything, including drugs, surgical procedures, orthotics, and prosthetics. CAD-CAM,Computer-Aided Manufacturing,Computer-Assisted Design,Computer-Assisted Manufacturing,Computer Aided Design,Computer Aided Manufacturing,Computer Assisted Design,Computer Assisted Manufacturing,Computer-Aided Designs,Computer-Assisted Designs,Design, Computer-Aided,Design, Computer-Assisted,Designs, Computer-Aided,Designs, Computer-Assisted,Manufacturing, Computer-Aided,Manufacturing, Computer-Assisted
D017267 Dental Prosthesis Design The plan and delineation of dental prostheses in general or a specific dental prosthesis. It does not include DENTURE DESIGN. The framework usually consists of metal. Dental Prosthesis Designs,Design, Dental Prosthesis,Designs, Dental Prosthesis,Prosthesis Design, Dental,Prosthesis Designs, Dental
D057188 Workflow Description of pattern of recurrent functions or procedures frequently found in organizational processes, such as notification, decision, and action. Work Flow,Work Flows,Workflows

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