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      Use of Digital-Conventional Method for Managing a Patient with Severely Worn Dentition: A Clinical Report

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          Abstract

          Severe forms of attrition are frequently found in patients with no or insufficient posterior occlusal support. Management of such patients using fixed or removable prostheses is a complex procedure and is still a challenge for clinicians. The present clinical report describes step by step full mouth rehabilitation of a patient with severely worn dentition using computer-aided design/computer-aided manufacturing- (CAD/CAM-) generated wax patterns, milled zirconia frameworks, and fabrication of removable partial denture (RPD) abutments using a digital-conventional method. The results were satisfactory during 18 months of follow-up.

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          Advancements in CAD/CAM technology: Options for practical implementation.

          Tariq F Alghazzawi (2016)
          The purpose of this review is to present a comprehensive review of the current published literature investigating the various methods and techniques for scanning, designing, and fabrication of CAD/CAM generated restorations along with detailing the new classifications of CAD/CAM technology.
          Article 0 comments Cited 90 times – based on 0 reviews     Review now
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            Severe Tooth Wear: European Consensus Statement 
on Management Guidelines.

            Bas Loomans, Niek Johannes OPDAM, Thomas Attin … (2017)
            This paper presents European expert consensus guidelines on the management of severe tooth wear. It focuses on the definition of physiological vs pathological tooth wear and recommends diagnosis, prevention, counseling, and monitoring aimed at elucidating the etiology, nature, rate and means of controlling pathological tooth wear. Management decisions are multifactorial, depending principally on the severity and effects of the wear and the wishes of the patient. Restorative intervention is typically best delayed as long as possible. When such intervention is indicated and agreed upon with the patient, a conservative, minimally invasive approach is recommended, complemented by supportive preventive measures. Examples of adhesive, minimum-intervention management protocols are presented.
            Article 0 comments Cited 40 times – based on 0 reviews     Review now
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              A review of the shortened dental arch concept focusing on the work by the Käyser/Nijmegen group.

              G. Carlsson, T Kanno (2006)
              The aims of this paper were to review the literature on shortened dental arches with special focus on publications of the Käyser/Nijmegen group, and to evaluate the discussions on the shortened dental arch concept found in the literature. A MEDLINE (PubMed) search was conducted for articles in English published in the dental literature from 1966 to November 2005. The search revealed epidemiological, cross-sectional and longitudinal clinical studies as well as opinion papers, the majority of which were published by the Dutch group. The studies found in general no clinically significant differences between subjects with shortened dental arches of three to five occlusal units and complete dental arches regarding variables such as masticatory ability, signs and symptoms of temporomandibular disorders, migration of remaining teeth, periodontal support, and oral comfort. The findings from cross-sectional studies were corroborated longitudinally. No systematic clinical study with conflicting results was found. The shortened dental arch concept was accepted by a great majority of dentists but not widely practised. The studies reviewed showed that shortened dental arches comprising anterior and premolar teeth in general fulfil the requirements of a functional dentition. It may therefore be concluded that the concept deserves serious consideration in treatment planning for partially edentulous patients. However, with ongoing changes, e.g. in dental health and economy, the concept requires continuing research, evaluation and discussion. Patients' needs and demands vary much and should be individually assessed but the shortened dental arch concept deserves to be included in all treatment planning for partially edentulous patients.
              Article 0 comments Cited 36 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Mehran Falahchai:
                ORCID: http://orcid.org/0000-0001-9661-5509
                Journal
                Journal ID (nlm-ta): Case Rep Dent
                Journal ID (iso-abbrev): Case Rep Dent
                Journal ID (publisher-id): CRID
                Title: Case Reports in Dentistry
                Publisher: Hindawi
                ISSN (Print): 2090-6447
                ISSN (Electronic): 2090-6455
                Publication date Collection: 2018
                Publication date (Electronic): 19 November 2018
                Volume: 2018
                Electronic Location Identifier: 8456143
                Affiliations
                1Associate Professor, Dental Research Center, Department of Prosthodontics, Faculty of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
                2Assistant Professor, Dental Sciences Research Center, Department of Prosthodontics, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
                3Assistant Professor, Dental Sciences Research Center, Department of Orthodontics, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
                Author notes

                Academic Editor: Jamil Awad Shibli

                Author information
                http://orcid.org/0000-0002-9714-1445
                http://orcid.org/0000-0001-9661-5509
                Article
                DOI: 10.1155/2018/8456143
                PMC ID: 6276481
                SO-VID: cf79d65c-3625-44e0-881d-1312adc31678
                Copyright © Copyright © 2018 Saied Nokar et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 14 September 2018
                Date accepted : 17 October 2018
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Dentistry
                Data availability:
                ScienceOpen disciplines: Dentistry

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