International Journal of Esthetic Dentistry (EN), 2/2025
Pages 200-218, Language: EnglishReuss, Jose Manuel / Reuss, Debora / Peláez Rico, Jesús / Suárez Garcia, María Jesús / Rodriguez-Vilaboa, Beatriz / Rodriguez-Vilaboa, DeboraTooth wear (TW) is a complex multifactorial clinical entity in which minimally invasive protocols should be considered the first choice of treatment to aid in the preservation of damaged tooth structure in the long term. Patients suffering from TW require a comprehensive evaluation and a detailed treatment plan with an occlusal enhancement focus that must be followed by all specialists involved in the therapy. The loss of tooth structure will eventually occur in all three dimensions of space and therefore the restoration will have to address these three aspects. Having a facially driven protocol, especially with the advent of facial scanning devices, brings the final outcome closer to the initial design and the patient’s expectations. It also helps to diminish the distortion that a complex multidisciplinary specialty-generated treatment might bring to the treatment schedule. The incorporation of facial scan technology into the workflow in complex multidisciplinary cases may enhance the communication process and interplay between the dentist and the dental laboratory technician as well as the decision-making within the clinical team.
Keywords: digital dentistry, facial scanning, prosthodontics, restorative dentistry, tooth wear
The International Journal of Prosthodontics, 3/2023
DOI: 10.11607/ijp.7622, PubMed ID (PMID): 37384631Pages 375-385, Language: EnglishReuss, Jose M / Reuss, Debora / Rutten, Luc / Rutten, Patrick / Mateo, Borja / Vilaboa, Beatriz R / Vilaboa, Debora RPatients with a facial malformation due to a cleft lip and palate (CLP) usually suffer from a reduced ability to function normally associated with a poor oral health–related quality of life. This condition often requires multiple significant surgical interventions, and the prosthetic restoration, when needed, is not always included in the initial treatment plan. In order to obtain the highest possible degree of functional, occlusal, and phonetic performance, as well as esthetics, a facially guided prosthodontic treatment sequence should be established. The case presented in this publication shows a multidisciplinary approach for reconstruction of a compromised maxilla with an implant-supported prosthesis via a minimally invasive, digitalized approach.