Digital Occlusal Reconstruction in Patients With Failed Veneer Restorations With Full Mouth Severely Worn Teeth.

Abstract

Objective: Occlusal reconstruction refers to the prosthodontic modification and restoration of the dental arch's occlusal configuration. Incorporation of digital technology enables precise acquisition of individualized mandibular movement patterns, facilitating the design of final restorations and effectively enhancing the clinical efficiency and treatment outcomes of occlusal reconstruction. This case report aims to demonstrate a digital workflow for occlusal rehabilitation in severe tooth wear patients, proving that digital technologies enhance treatment efficacy.

Clinical considerations: A 27-year-old female presented with severe full-arch tooth wear secondary to bruxism and a history of detachment of resin veneers on the maxillary and mandibular anterior teeth. This case utilized a digital protocol incorporating digital face bow, intraoral scanning, and CAD/CAM technology to determine the existing occlusal relationships, formulate treatment plans, fabricate provisional restorations, and produce definitive prostheses. One- and three-month follow-ups confirmed stable occlusal function and satisfactory esthetic outcomes.

Conclusion: This case report demonstrates that digital technologies improve diagnostic accuracy and treatment precision through integration of intraoral scanning with digital face bow recordings. The digital approach reduced potential errors from traditional methods and optimized clinical workflows.

Clinical significance: The implementation of digital workflows in full-mouth occlusal reconstruction enhances treatment efficiency and improves clinical predictability of therapeutic outcomes.