Occlusal Surface Reconstruction with Chairside Ceramic Onlay Using CEREC Biogeneric Design Mode: Case Report

Article Preview

Abstract:

The occlusal design of dental restorations should stay in harmonic relation to the remaining dentition. In CAD/CAM dentistry, the occlusion is generated by the CAD software based on standard morphologies from the dental database. An automated adaptation process of this standard morphology to an individual clinical situation is difficult and leading to manual adaptation of the proposal with design tools. The new biogeneric software of the chairside CAD/CAD system (CEREC) automatically collects optic measurement of the preparation side including mesial and distal neighbor teeth and antagonist teeth to design a restoration with a patient specific occlusal morphology. This clinical report demonstrated a case, which was treated with ceramic onlay designed and milled with CEREC system used in biogeneric design mode. Digital impression of the preparation was taken with the intraoral camera. Buccal scan,technique was used for taking the occlusal record. Preparation and antagonist images were automatically correlated by software and a virtual articulator was created. After trimming the virtual model, preparation margins were outlined with the automatic margin finder option of the software and then the insertion axis of the restoration was determined. The biogeneric restoration proposal was then automatically seated to the virtual model and desired changes were performed with the design tools of the software. The restoration was milled from feldspathic ceramic block.

You might also be interested in these eBooks

Info:

Periodical:

Key Engineering Materials (Volumes 493-494)

Pages:

594-598

Citation:

Online since:

October 2011

Export:

Price:

Permissions CCC:

Permissions PLS:

Сopyright:

© 2012 Trans Tech Publications Ltd. All Rights Reserved

Share:

Citation:

[1] M. Dunn, Biogeneric and user-friendly: the Cerec 3D software upgrade V3. 00. Int J Comput Dent. 2007 Jan; 10(1): 109-17.

Google Scholar

[2] J. Richter, A. Mehl, Evaluation for the fully automatic inlay reconstruction by means of the biogeneric tooth model. Int J Comput Dent. 2006 Apr; 9(2): 101-11.

Google Scholar

[3] J.W. Robbins, Esthetic gingival recontouring—a plea for honesty. Quintessence Int. 2000; 31(8): 553-556.

Google Scholar

[4] T. Otto , S. De Nisco , Computer-aided direct ceramic restorations: a 10-year prospective clinical study of Cerec CAD/CAM inlays and onlays. Int J Prosthodont. 2002 Mar-Apr; 15(2): 122-8.

Google Scholar

[5] A. Posselt, T. Kerschbaum, Longevity of 2328 chairside CEREC inlays and onlays. Int J Comput Dent 2003; 6: 231-48.

Google Scholar

[6] T. Mıyazakı, A review of dental CAD/CAM: current status and future perspectives from 20 years of experience Dental Materials Journal 2009; 28(1): 44-56.

DOI: 10.4012/dmj.28.44

Google Scholar

[7] W. Mörmann, I. Krejci, Clinical and SEM evaluation of CEREC inlays after 5 years in situ, in: W.H. Mo¨rmann (Ed. ), International Symposium on Computer Restorations, Quintessence Publishing Co, Berlin, 1991, p.25.

Google Scholar

[8] B.P. Isenberg, M.E. Essig ,K.F. Leinfelder, Three year clinical evaluation of CAD-CAM restorations, J. Esthet. Dent. 4 (5) (1992) 173–176.

DOI: 10.1111/j.1708-8240.1992.tb00690.x

Google Scholar

[9] U. Pallesen, Clinical evaluation of CAD/CAM ceramic restorations: 6 year report, in: W.H. Mo¨rmann (Ed. ), CAD/CIM in Aesthetic Dentistry, Quintessence Publishing Co, Chicago, 1996, p.241.

Google Scholar

[10] G. Sjögren , M. Molin, J. Dijken, M. Bergman , Ceramic inlays (CEREC) cemented with either a dual-cured or a chemically cured composite resin luting agent, Acta Odontol. Scand. 53 (1997) 325–337.

DOI: 10.3109/00016359509005995

Google Scholar

[11] M.B. Blatz, Long-term clinical success of all-ceramic posterior restorations.  Quintessence Int. 2002; 33: 415-426.

Google Scholar

[12] F.J. Burke, G.J. Fleming, D. Nathanson , et al. Are adhesive technologies needed to support ceramics? An assessment of the current evidence. J Adhes Dent. 2002; 4: 7-22.

Google Scholar

[13] M.B. Blatz, A. Sadan , M. Kern, Resin-ceramic bonding: a review of the literature. J Prosthet Dent. 2003; 89: 268-274.

DOI: 10.1067/mpr.2003.50

Google Scholar

[14] M.J. Noack , J.F. Roulet . Tooth-colored inlays. Curr Opin Dent. 1991; 1: 172-178.

Google Scholar

[15] D. Dietschi ,M. Maeder , J.M. Meyer , et al. In vitro resistance to fracture of porcelain inlays bonded to tooth. Quintessence Int. 1990; 21: 823-831.

Google Scholar