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Utilizing Intraoral Scanning and Computer-Aided Design/Manufacturing for Creating a New Dental Crown to Match an Existing Removable Prosthesis: A Case Report

Received: 3 March 2024    Accepted: 18 March 2024    Published: 2 April 2024
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Abstract

This clinical report demonstrates the successful dental crown treatment for a 39-year-old female patient with a fractured posterior lower right second molar wearing a removable partial prosthesis and refusing to make a new one. The patient's preference for a new dental crown on her lower right second molar was respected, and an intraoral scanner (IOS) was employed to capture the fractured abutment's anatomy, which also serves as part of her removable denture. Following abutment preparation, a second IOS scan recorded the modified abutment. A temporary crown of the abutment was fabricated and secured to protect the prepared abutment. Comprehensive data, including an intraoral scan with an existing removable denture file, an intraoral scan without a removable denture, an intraoral scan of an unprepared abutment file, an intraoral scan of prepared abutment, and a digital photo of shade selection were transmitted to the dental laboratory. Utilizing computer-aided design/computer-aided manufacturing technology, a new dental crown compatible with the existing removable prosthesis was created. After fitting the new crown, occlusion, aesthetics, function, and attachment assessments were conducted to ensure optimal results. Subsequent follow-ups confirmed the patient's satisfaction with the functionality, aesthetics, and fit of her removable partial denture with the new dental crown.

Published in International Journal of Dental Medicine (Volume 10, Issue 1)
DOI 10.11648/j.ijdm.20241001.11
Page(s) 1-4
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Digital Dentistry, Dental Crown, CAD/CAM, Crown on Existing Removable Denture, Fix Prosthodontic

References
[1] Macpherson JR, Evans DB. Fabricating Crowns to Fit Existing Removable Partial Dentures: An Illustration of Two Techniques. Journal of Prosthodontics. 1993; 2(3): 199–205.
[2] Rosenstiel SF, Land MF, Walter RD. Contemporary Fixed Prosthodontics. 6. edition. Philadelphia: Elsevier; 2022.
[3] Haraguchi M, Towithelertkul C, Ali IE, Han X, Sumita YI. An indirect-direct technique with hot water for fabricating a cast metal crown under an existing removable partial denture. The Journal of Prosthetic Dentistry. 2022 Sep: S0022391322004917.
[4] Bereznicki T, Rai M. A Technique to Fabricate a New Crown to an Existing Removable Partial Denture. Primary Dental Journal. 2021; 10(1): 96–100.
[5] Kihara H, Hatakeyama W, Komine F, Takafuji K, Takahashi T, Yokota J, Oriso K, Kondo H. Accuracy and practicality of intraoral scanner in dentistry: A literature review. Journal of Prosthodontic Research. 2020; 64(2): 109–113.
[6] Duma SM, Ilie N. Adhesion to a CAD/CAM Composite: Causal Factors for a Reliable Long-Term Bond. Journal of Functional Biomaterials. 2022; 13(4): 217.
[7] Hosney S, Carranza MG, Geminiani A, Ercoli C, Papaspyridakos P, Chochlidakis K. A combined analog and digital workflow for retrofitting a monolithic ceramic crown to an existing removable partial denture. The Journal of Prosthetic Dentistry. 2021; 125(4): 585–587.
[8] Ibbetson R. A contemporary approach to the provision of tooth-supported fixed prostheses part 2: fixed bridges where the abutment teeth require minimal or no preparation. Dental Update. 2018; 45(2): 90–100.
[9] Alghazzawi TF. Advancements in CAD/CAM technology: Options for practical implementation. Journal of Prosthodontic Research. 2016; 60(2): 72–84.
[10] Baba K. Database-Driven Prosthodontics—Future of Digital Dentistry. Journal of Prosthodontic Research. 2021; 65(4): vi–vii.
[11] Fueki K, Inamochi Y, Wada J, Arai Y, Takaichi A, Murakami N, Ueno T, Wakabayashi N. A systematic review of digital removable partial dentures. Part I: Clinical evidence, digital impression, and maxillomandibular relationship record. Journal of Prosthodontic Research. 2022; 66(1): 40–52.
[12] Apinsathanon P, Bhattarai BP, Suphangul S, Wongsirichat N, Aimjirakul N. Penetration and Tensile Strength of Various Impression Materials of Vinylsiloxanether, Polyether, and Polyvinylsiloxane Impression Materials. European Journal of Dentistry. 2022; 16(02): 339–345.
[13] Ozawa D, Suzuki Y, Kawamura N, Ohkubo C. Fabrication of crown restoration retrofitting to existing clasps using CAD/CAM: Fitness accuracy and retentive force. Journal of Prosthodontic Research. 2015; 59(2): 136–143.
[14] Freire Y, Gonzalo E, Lopez-Suarez C, Pelaez J, Suarez MJ. Evaluation of the marginal fit of monolithic crowns fabricated by direct and indirect digitization. Journal of Prosthodontic Research. 2021; 65(3): 291–297.
[15] da Costa RFA, Figueiral MH, Sampaio-Fernandes M, Oliveira S, Campos JR. Flexible prosthesis in polyamide: Literature revision. Biodental Engineering V. 2019: 119–122.
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  • APA Style

    Apinsathanon, P. (2024). Utilizing Intraoral Scanning and Computer-Aided Design/Manufacturing for Creating a New Dental Crown to Match an Existing Removable Prosthesis: A Case Report . International Journal of Dental Medicine, 10(1), 1-4. https://doi.org/10.11648/j.ijdm.20241001.11

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    ACS Style

    Apinsathanon, P. Utilizing Intraoral Scanning and Computer-Aided Design/Manufacturing for Creating a New Dental Crown to Match an Existing Removable Prosthesis: A Case Report . Int. J. Dent. Med. 2024, 10(1), 1-4. doi: 10.11648/j.ijdm.20241001.11

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    AMA Style

    Apinsathanon P. Utilizing Intraoral Scanning and Computer-Aided Design/Manufacturing for Creating a New Dental Crown to Match an Existing Removable Prosthesis: A Case Report . Int J Dent Med. 2024;10(1):1-4. doi: 10.11648/j.ijdm.20241001.11

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  • @article{10.11648/j.ijdm.20241001.11,
      author = {Pongsakorn Apinsathanon},
      title = {Utilizing Intraoral Scanning and Computer-Aided Design/Manufacturing for Creating a New Dental Crown to Match an Existing Removable Prosthesis: A Case Report
    },
      journal = {International Journal of Dental Medicine},
      volume = {10},
      number = {1},
      pages = {1-4},
      doi = {10.11648/j.ijdm.20241001.11},
      url = {https://doi.org/10.11648/j.ijdm.20241001.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijdm.20241001.11},
      abstract = {This clinical report demonstrates the successful dental crown treatment for a 39-year-old female patient with a fractured posterior lower right second molar wearing a removable partial prosthesis and refusing to make a new one. The patient's preference for a new dental crown on her lower right second molar was respected, and an intraoral scanner (IOS) was employed to capture the fractured abutment's anatomy, which also serves as part of her removable denture. Following abutment preparation, a second IOS scan recorded the modified abutment. A temporary crown of the abutment was fabricated and secured to protect the prepared abutment. Comprehensive data, including an intraoral scan with an existing removable denture file, an intraoral scan without a removable denture, an intraoral scan of an unprepared abutment file, an intraoral scan of prepared abutment, and a digital photo of shade selection were transmitted to the dental laboratory. Utilizing computer-aided design/computer-aided manufacturing technology, a new dental crown compatible with the existing removable prosthesis was created. After fitting the new crown, occlusion, aesthetics, function, and attachment assessments were conducted to ensure optimal results. Subsequent follow-ups confirmed the patient's satisfaction with the functionality, aesthetics, and fit of her removable partial denture with the new dental crown.
    },
     year = {2024}
    }
    

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    AB  - This clinical report demonstrates the successful dental crown treatment for a 39-year-old female patient with a fractured posterior lower right second molar wearing a removable partial prosthesis and refusing to make a new one. The patient's preference for a new dental crown on her lower right second molar was respected, and an intraoral scanner (IOS) was employed to capture the fractured abutment's anatomy, which also serves as part of her removable denture. Following abutment preparation, a second IOS scan recorded the modified abutment. A temporary crown of the abutment was fabricated and secured to protect the prepared abutment. Comprehensive data, including an intraoral scan with an existing removable denture file, an intraoral scan without a removable denture, an intraoral scan of an unprepared abutment file, an intraoral scan of prepared abutment, and a digital photo of shade selection were transmitted to the dental laboratory. Utilizing computer-aided design/computer-aided manufacturing technology, a new dental crown compatible with the existing removable prosthesis was created. After fitting the new crown, occlusion, aesthetics, function, and attachment assessments were conducted to ensure optimal results. Subsequent follow-ups confirmed the patient's satisfaction with the functionality, aesthetics, and fit of her removable partial denture with the new dental crown.
    
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