The Orientation in Space of the Maxillary Arch: New and Old Devices in the Prosthetic Digital Workflow.

Abstract

Objective: In extensive prosthetic rehabilitations and in those involving the anterior area, a correct 3D spatial position is of fundamental importance for effective communication between the clinician and the dental technician. The aim of this article is to analyze the different methods used to position in space and/or in an articulator the maxillary arch in analog workflows highlighting shortcomings and difficulties in order to understand how to overcome them when employing digital workflows.

Overview: Traditional mechanical devices, such as anatomical, kinematic, esthetic and postural facebows, have clear indications, but also limitations, especially in cases of skeletal asymmetries. Modern digital tools, including photography, CBCT, facial scanners and jaw recording devices, are here critically analyzed to illustrate the advantages of working in a virtual space.

Conclusions: The adoption of digital tools in the prosthetic workflow represents a significant improvement compared to traditional techniques, as it reduces errors and artifacts of registration and transfer of the position of the maxillary arch in the articulator space. This contributes to more predictable esthetic and functional results, with a positive impact for clinicians and technicians, improving clinical-laboratory communication, operational efficiency and overall quality of work.

Clinical significance: The integration of digital tools into prosthetic workflows represents an important advancement in clinical practice since they reduce human error and facilitate communication between the clinician and the laboratory. When carrying out rehabilitations involving changes in esthetics or occlusal plane orientation, the proper and accurate positioning of the upper arch in space is particularly relevant.