Digital technology for fabrication of removable dental prosthesis with double crowns combining fiber-reinforced composite and zirconia

PATIENTS: This clinical report describes the process for fabricating a double-crown-retained removable dental prosthesis combining a fiber-reinforced composite and zirconia using digital technology. An 83-year-old woman presented with gingival swelling around the maxillary right premolar. The swollen tooth was the abutment tooth of a cross-arch fixed partial denture. An intraoral scanner (IOS) and computer-aided design/manufacturing as digital technology were used to plan treatment with a double-crown-retained removable dental prosthesis. A metal-free prosthesis using zirconia for the primary crown and fiberglass-reinforced composite resin for the secondary crown was planned, and the patient consented to the treatment plan. After autotransplantation of a tooth as one of the abutments, the IOS was used to obtain digital scans of the prepared surface of the abutment teeth, opposing dentition, and occlusal relationships. First, primary crowns were milled using zirconia. Next, the intraoral scanner obtained a pick-up impression of the primary crowns, and secondary crowns were designed and milled from the fiber-reinforced composite. After delivery, the patient expressed satisfaction with the functionality, esthetics, and fit of the double-crown-retained removable dental prosthesis.

DISCUSSION: Digital technology offers many advantages such as efficient fabrication of double crowns, reduced material costs, improved biocompatibility, and good aesthetics of metal-free materials.

CONCLUSIONS: This clinical report describes the application of digital technology for the fabrication of a double-crown-retained removable dental prosthesis combining a fiber-reinforced composite and zirconia, resulting in patient satisfaction.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:67

Enthalten in:

Journal of prosthodontic research - 67(2023), 3 vom: 31. Juli, Seite 487-492

Sprache:

Englisch

Beteiligte Personen:

Tasaka, Akinori [VerfasserIn]
Shimizu, Takahiro [VerfasserIn]
Ito, Kosei [VerfasserIn]
Wadachi, Juro [VerfasserIn]
Odaka, Kento [VerfasserIn]
Yamashita, Shuichiro [VerfasserIn]

Links:

Volltext

Themen:

12001-21-7
C6V6S92N3C
CAD-CAM
Case Reports
Dental Porcelain
Double crown
Fiber-reinforced composite
Intraoral scanner
Journal Article
S38N85C5G0
Zirconia
Zirconium
Zirconium oxide

Anmerkungen:

Date Completed 01.08.2023

Date Revised 01.08.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.2186/jpr.JPR_D_22_00064

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM345487877