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KMID : 0362420190570040495
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Journal of Korean Academy of Prosthodontics
2019 Volume.57 No. 4 p.495 ~ p.505
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Computer-aided design and manufacturing-based full mouth rehabilitation for a patient with excessive attrition and restricted vertical dimension: A case report
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Cho Jun-Ho
Yoon Hyung-In
Yeo In-Seong
Han Jung-Suk
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Abstract
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This study reported the treatment of a patient with excessive worn dentition and limited maxillo-mandibular space for restoration, utilizing the computer-aided design and computer-aided manufacturing (CAD/CAM) technology. After the thorough examination of the patient’s occlusal vertical dimension (OVD), full mouth rehabilitation was planned with increase of the OVD. The patient was satisfied with the provisional restorations establishing the increased OVD. The horizontal and vertical data of the patient’s jaw relation that the provisional restorations contained were transferred to the definitive metal ceramic fixed prostheses by double scanning and three-dimensional printing. After the fixed restorations were cemented to the abutments, electronic surveying and three-dimensional printing were used to fabricate metal frameworks for the patient’s removable partial dentures. The mandibular definitive removable prostheses were delivered to the patient’s mouth and the full mouth rehabilitation procedures were completed. The digital technologies used for this case produced fixed and removable restorations satisfactory in masticatory, phonetic and aesthetic functions to both the patient and the dental clinician.
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KEYWORD
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Full mouth rehabilitation, Computer-aided design and computer-aided manufacturing (CAD/CAM), 3-D printing, Occlusal vertical dimension, tooth wear
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