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CAD/CAM – international magazine of digital dentistry No. 3, 2017

| case report full mouth reconstruction Using CAD/CAM for a combination approach to full mouth reconstruction Author: Dr Ara Nazarian, USA Fig. 1 Fig. 2 Fig. 3 Fig. 1: Retracted preoperative view. Fig. 2: Acquiring a CBCT scan with the CS 8100 3D (Carestream). Fig. 3: Tooth-Borne Surgical guide by 3DDX. Introduction Now more than ever, it behoves dentists and laboratories to work together as part of an inter- disciplinary and collaborative team to coordinate treatment, select ideal restorative material(s), and plan cases, particularly those involving full-mouth reconstructions.1, 2 Fortunately, a number of digi- tally based technologies can be incorporated into the treatment thorough diagnostic and treatment planning processes,3 as well as used for fabricating various components of treatments. When used in combination with a systematic and collaborative plan for preparing and executing treatment, these tools can enable the team to achieve success when restoring a patient’s smile to proper form, function, and health. Simultaneously, other advances in technology and material science have provided dentists and laboratories with restorative zirconia options that can be cost-effective and aesthetic alternatives when full-mouth rehabilitations are needed.4, 5 In fact, computer-aided design/computer-assisted manu facturing (CAD/CAM) make it possible for laboratories to collaborate with dentists to de- liver monolithic zirconia restorations with individ- ual characterisations that demonstrate high flex- ural strength and excellent long-term stability (e.g. Zenostar, Wieland, Ivoclar Vivadent).6-8 Fig. 4: Guided Surgery Kit from OCO Biomedical. Fig. 5: Engage dental implant depict- ing the thread pattern and auger tip. 20 CAD/CAM 3 2017 Fig. 4 Fig. 5

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