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Journal of Oral Science & Rehabilitation No. 4, 2017

D i g i t a l w a x p r o t o t y p e s : A c l i n i c a l r e p o r t Digital approach to the fabrication of a wax prototype for full-mouth rehabilitation of a worn dentition: A clinical report Christian Brenes,a Courtney S. Babb,a Sompop Bencharit,b Mario Romeroc & Roger Arced a Department of General Dentistry, Dental College of Georgia, Augusta University, Augusta, Ga., U.S. b Department of General Dentistry, Virginia Common- wealth University, Richmond, Va., U.S. c Department of Restorative Sciences, Dental College of Georgia, Augusta University, Augusta, Ga., U.S. d Department of Periodontics, Dental College of Georgia, Augusta University, Augusta, Ga., U.S. C o r r e s p o n d i n g a u t h o r : Dr. Christian Brenes Department of General Dentistry Dental College of Georgia Augusta University 1120 15th St Augusta, GA 30912 U.S. cbrenesvega@augusta.edu H o w t o c i t e t h i s a r t i c l e : Brenes C, Babb CS, Bencharit S, Romero M, Arce R. Digital approach to the fabrication of a wax prototype for full-mouth rehabilitation of a worn dentition: A clinical report. J Oral Science Rehabilitation. 2017 Dec;3(4):42–47. Abstract B a c k g r o u n d This article describes a technique of the creation of a virtual wax-up and design of a wax prototype used as a pattern for the fabrication of poste- rior metal–ceramic and anterior pressed lithium disilicate restorations for a patient with a severely worn dentition. M a t e r i a l s a n d m e t h o d s During the rehabilitation of a patient, computer-aided design (CAD) can be used as a tool to verify marginal adaptation, occlusion and contact points before pressing or fabricating the final restorations. The proto- types work as an esthetic try-in that can be modified easily if necessary. R e s u l t s After proper verification, there were no marginal discrepancies and no occlusal modification was required, nor were contact points adjusted during final delivery. After a 1-year follow-up, the patient reported no complications. C o n c l u s i o n Computer-aided design/computer-aided manufacturing has brought many advantages to restorative dentistry, including producing predict- able restorations in less time compared with traditional methods of fab- rication. In this comprehensive prosthodontic rehabilitation of a severely worn dentition, the virtual diagnostic wax-up and final restoration CAD took less than 60 min for each procedure. Additionally, the wax prototype is a multipurpose restorative tool, as it serves as both an esthetic and functional try-in device and as a wax pattern for the final restoration. K e y w o r d s CAD/CAM, wax prototype, smile design, digital design, lithium disilicate, virtual wax-up. 42 Volume 3 | Issue 4/2017 Journal of Oral Science & Rehabilitation

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