RESUMEN
This case report describes preventive and restorative treatment planning for a 56-year-old female patient with severe, chronic, poorly controlled gastroesophageal reflux disease and resulting loss of vertical dimension of occlusion. First, the demineralization process was controlled through collaboration with the patient's physician, and measures were taken to restore adequate stimulated salivary flow. Then, for financial reasons, indirect laboratory-fabricated composite resin restorations were adhesively bonded to replace lost tooth structure and reestablish the patient's collapsed vertical dimension. Indirect-laboratory fabricated restorations can be a cost-effective alternative to direct composite resin or all-ceramic restorations for the treatment of chronic severe erosion, but there are no long-term clinical reports in the current literature to support or contraindicate the use of indirect composites for this type of clinical application. Therefore, careful, long-term follow-up evaluations are planned for this patient.
Asunto(s)
Resinas Acrílicas/uso terapéutico , Resinas Compuestas/uso terapéutico , Restauración Dental Permanente/métodos , Maloclusión/terapia , Poliuretanos/uso terapéutico , Erosión de los Dientes/terapia , Dimensión Vertical , Resinas Acrílicas/economía , Resinas Compuestas/economía , Análisis Costo-Beneficio , Restauración Dental Permanente/economía , Femenino , Reflujo Gastroesofágico/complicaciones , Humanos , Maloclusión/etiología , Persona de Mediana Edad , Poliuretanos/economía , Erosión de los Dientes/etiologíaRESUMEN
This clinical report demonstrated the use of an implant-supported fixed dental prosthesis fabricated with a contemporary digital approach. The digital diagnostic data acquisition was completed with a digital diagnostic impression with an intraoral scanner and cone-beam computed tomography with a prefabricated universal radiographic template to design a virtual prosthetically driven implant surgical plan. A surgical template fabricated with computer-aided design and computer-aided manufacturing (CAD/CAM) was used to perform computer-guided implant surgery. The definitive digital data were then used to design the definitive CAD/CAM-fabricated fixed dental prosthesis.