DSD and CAD/CAM integration in the planning and execution of an oral rehabilitation procedure

Abstract

This article presents a clinical case involving the integrated application of CAD/CAM and DSD. DSD – Digital Smile Design – assists in obtaining a treatment plan adjusted to the patient’s facial features, achieving the best aesthetic potential. The integration between DSD and CAD/CAM allows for greater fidelity in respect to the original plan. A patient received a rehabilitation with veneers milled out of leucite-reinforced feldspathic ceramics, using the CAD/CAM system and a DSD-obtained digital wax-up. This workf low simplifies design and fabrication, providing greater accuracy and predictability to the rehabilitation process. The digital planning and development of the mockup also makes clinical conditions more predictable. Making ceramic veneers using the CAD/CAM technique requires judicious adhesive cementation, and also an accurate practical and theoretical knowledge on the part of the professional.