Introduction: Interdisciplinary Dental Care is a stoble of the education of the spear and the central philosophies of CDOC and, with the advances on CEEC technology, the delivery of a comprehensive treatment has never been easier. Now more than ever, patients expect efficient and predictable restorative solutions, and these expectations can be delivered routinely with some creativity. The following case is a demonstration of how thought ready to use with our CEEC technology to create a completely new smile for our deserving patient.
Case study: The patient presented severe previous wear that required indirect restorations; However, the supra segmental eruption resulting from the maxillary and mandibular incisors had reduced the space between arc, therefore, there was no adequate restorative space. (Fig. 1: Preoperative condition)
Figure 1
To better communicate the restorative challenges to the patient, the treatment planning templates generated by facially (FGTP) generated treatment planning templates (FGTP) where they overlap on the patient’s smile using the Keynote presentation software (Macintosh). (Fig. 2: FGTP templates)
Figure 2
Seeing the prospective smile design plan, it became evident that the intrusion of segmental orthodontics of the upper and lower incisors would be necessary to obtain the necessary restorative space to treat the anterior teeth. Then the orthodontist was referred to the patient and the orthodontic intrusion plan was final. The orthodontic supports were united, and the cables were previously determined to achieve the necessary intrusion as guided by the FGTP templates. After several months or active treatment and several additional months of stabilization, orthodontic movements were completed. (Fig. 3: Orthodontic progression)
Figure 3
Before eliminating the supports, the thought, the dentition was photographed with Priman and the CEREC software was used to design prepropiated previous over -processes to test occlusion and phonetics. (Fig. 4: Previous overlap design)
Figure 4
Next, the superposition restorations of Tetric Cad (Ivoclar) were frequent in the MCXL in the shadow A3 and then joined the jaw and mandibular incisors entrometer. (Fig. 5: Previous overlapping)
Figure 5
Once aesthetics, funThe patient approved the tion and phonetics, the orthodontic supports and the cable were finally eliminated, the CAD Tetric overlap dispositions were used as an image of biocopy for the design of the final restorations. (Fig. 6: Biocopy image)
Figure 6
Next, the United Overviews were used as a preparation guide for adequate reduction before the final preparations of refined sheet. (Fig. 7: Final preparations)
Figure 7
The initial restorative biocopy proposal was improved using software design tools to create an ideal previous form. The final sheet restorations for the teeth #7-10 and 23-26 were shown from Ivoclar E.Max Mt A3.5 and joined adhesively to create the change of final smile. (Fig. 8: Final smile after the operation)
Figure 8
Summary: Using a combination of traditional orthodontic techniques and progressive digital technology, a difficult restorative case was made, it became predicable and can be followed relatively directly to the use of spear FGTP concepts to predict overcoming in case it can be followed in the case of the clear path towards the final design of the smile.
