CAD-CAM natural restorations-Reproducing nature using a digital workflow.

Segundo, ARTCS; Saraiva, S; deCastro, C; Sesma, N; Bohner, L; Andretti, FL; Coachman, C

Abstract

Objectives: Natural restorations combine digital workflow and shell technique to create CAD/CAM restorations with the form and texture of natural teeth. This case report describes an interdisciplinary digital workflow combined with CAD/CAM natural restorations to achieve the naturalness of an anterior rehabilitation. Clinical considerations: A 38-year-old patient attended to the office with esthetic issues. An interdisciplinary treatment plan was conducted, which included periodontal surgery to recreate the gingival contour, associated with bleaching and manufacturing CAD/CAM ceramic veneers to return an optimal teeth surface texture and shape. Conclusions: The design and manufacturing of CAD/CAM natural restorations using a digital workflow allowed a predictable result and overcame the limitations of conventional shell technique. Clinical significance: Conventional shell technique is used to create restorations with the form and texture of natural teeth. This article presents a combination of the conventional shell technique with a digital workflow, facilitating the design and manufacturing of CAD/CAM natural restorations. Keywords: computer-aided design; esthetics dental; minimally invasive dentistry; prosthodontics.