J Korean Dent Sci.  2024 Sep;17(3):121-137. 10.5856/JKDS.2024.17.3.121.

Application of Systematic Digital Diagnosis to Create Dental Virtual Patients with Dynamic Occlusion for Esthetic Restoration of Anterior Teeth: A Case Report

• Ham JM
• Choi YS
• Lee JH
• Ha SR

• KMID: 2560131
• DOI: http://doi.org/10.5856/JKDS.2024.17.3.121

Abstract

It is possible to design dental prosthesis in harmony with the patient’s face and functional pathway using virtual patient created by integrating 3D diagnostic data such as intraoral scan, facial scan and jaw motion data. Also, esthetic teeth-gingiva relationship can be obtained, and post-surgical gingival outline can be predicted by using CAD software designed 3D surgical template during gingivectomy procedure. In this case report, 3D diagnostic data was collected from patients in need of esthetic anterior restoration, integrated on CAD software and applied to virtual articulator. Treatment outcome was simulated by creating virtual patient with dynamic occlusion. Esthetic anterior fixed restoration was fabricated by applying 3D surgical template designed on CAD software to gingivectomy procedure. To make sure that anterior guidance was formed in harmony with the patient’s function pathway, occlusion was assessed following every step. The results were both functionally and esthetically satisfying.

Keyword

Dynamic occlusion; Esthetic restoration; Facial scan; Fixed prosthesis; Virtual patient