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CAD/CAM – international magazine of digital dentistry No. 2, 2017

| industry report new smile with CEREC Ortho Fig. 5 Fig. 6a Fig. 6b Fig. 7 Fig. 5: Mock-up to assess the new aesthetics. Figs. 6a & b: Final situation. Fig. 7: The detailed image shows the attractive final result of the bite raising and subsequent prosthetic treatment. treatment, was transferred into the final restoration made from silicate ceramic. The mock-up gave the patient the opportunity to check the aesthetics and functioning for herself. The software provides the option of directly transferring the shape confirmed by the patient, i.e. the situation previously produced in plastic is recorded digitally and the shape can then be implemented one-to-one chairside (Figs. 6a & b). With the bite raising, the patient obtained a new smile as a result of a slight shift of the dental arches and preparation-free treatments. The unusual thing about this case was that a better result could be achieved through tooth movement for the anterior tooth restoration in connection with bite raising. It is an enormous advantage for us now to be able to digitise malocclusion correction. As an experi- enced CEREC user, it was initially unusual for me to be able to exchange the patient's data with the labora- tory (CA Digital) immediately from the computer, as a systematic digital workflow had not yet been inte- grated into the practice in all treatment areas. Now I also use this option for major prosthetic restorations that we cannot manufacture chairside and take ad- vantage of the speed. I scan in a case and I can then discuss the case directly with the laboratory, even when the patient is still sitting next to me in the treat- ment chair. If there are any deficits in the data set, I can rectify them immediately by carrying out a new scan, which is no problem for the patient and costs me only a small amount of time. I feel that this is a great advantage as I now receive direct feedback if I want, when otherwise the impression taking, transport, and transferring into plaster would take a great deal of time—not to mention the loss of precision. It is no longer necessary to schedule an additional session as a result of inaccuracies in the impression that only became apparent hours later. The patient, who cooperated very well, benefited in the case presented here primarily from the direct transfer of the new bite situation to the final resto- ration and also from the mock-up to check the an- ticipated outcome._ contact Dr Ariane Schmidt Dental practitioner Eichenstraße 22 45721 Haltern am See Germany 52 CAD/CAM 2 2017

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