International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 1, Issue 2 | Research Article | Open Access
Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Aßmannshauser Str. 4-6, 14197 Berlin, Germany
*Correspondence to: Elisabeth PrauseFulltext PDF
Aims: There is a lack of immediate and non-invasive treatment options for complex prosthetic rehabilitation, including bite calibration. The present case report presents a complex prosthetic situation accompanied by multiple gnathological problems. The treatment was conducted using 3D-printed restorations and a complete digital workflow.
Methods: The patient was treated in small steps following an expectative concept. First, polycarbonate splints were used to stabilize the occlusion. The adjusted maxillo-mandibular relationship was transferred with the help of intraoral scans. Individual movements were also electronically recorded and transferred digitally. 3D-printed restorations were additively manufactured in the maxilla and after three months in the mandible.
Results: The patient’s gnathological problems could be eliminated. The patient was pain free and without functional impairments after the insertion of the 3D-printed restorations. Esthetic rehabilitation was achieved.
Conclusion: 3D-printed restorations can be a new treatment option for an initial treatment of gnathological problems. A step by step treatment offers the opportunity to evaluate each treatment step carefully. The digital workflow supports an accurate transmission of the maxilla-mandibular relationship and individual parameters for dynamic movements of the lower jaw. Splints can be avoided. Esthetic improvements can non-invasively be achieved.
CAD/CAM; 3D-printing; Additive manufacturing; TMJ disorders; Bite calibration
Elisabeth Prause, Robert Nicic, Ingrid Peroz, Jeremias Hey. 3D-Printed Restorations as a New Treatment Option after Failed Dental Reconstruction: A Case Report. Int Clinc Med Case Rep Jour. 2023;2(2):1-14.