The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 21 , ISSUE 12 ( December, 2020 ) > List of Articles


Integrating a Facially Driven Treatment Planning to the Digital Workflow for Rehabilitation of Edentulous Arches: A Case Report

Jesus Creagh, Lauren Bohner, Newton Sesma, Christian Coachman

Citation Information : Creagh J, Bohner L, Sesma N, Coachman C. Integrating a Facially Driven Treatment Planning to the Digital Workflow for Rehabilitation of Edentulous Arches: A Case Report. J Contemp Dent Pract 2020; 21 (12):1393-1397.

DOI: 10.5005/jp-journals-10024-2985

License: CC BY-NC 4.0

Published Online: 13-04-2021

Copyright Statement:  Copyright © 2020; The Author(s).


Aim and objective: This case report presents the integration of a digital facially driven prosthetic plan to the computer-assisted implant planning for rehabilitation of edentulous arches. Background: Diagnosis of edentulous arches is hampered by the lack of intraoral references. However, a digital facial profile analysis facilitates the treatment plan, taking into consideration the harmony among teeth, lips, and face to restore a pleasant smile. Case description: The first appointment consisted of digital documentation including intraoral scans, facial scans, and photographs. Based on these data, a smile frame was created to guide the digital wax-up. Cone-beam computed tomography (CBCT) scans were merged to facial and intraoral scans to perform the virtual surgical planning. Integration between facial, intraoral, and bone tissues were used as a reference to define implant position and prosthetic planning. The digital planning was integrated into the surgical procedure using stackable templates, and an immediate loading was performed. The interim prosthesis was manufactured based on the digital wax-up. With digital data, quality control could be performed to evaluate the esthetic outcome of the treatment. Conclusion: An esthetic and functional rehabilitation was possible using the respective digital workflow to define harmony between a smile and facial tissues. Clinical significance: A digital treatment implant planning can be conducted considering patient's individual needs to improve the esthetic outcome.

  1. Management of the edentulous patient. Clin Oral Implants Res 2000;11:108–125. DOI: 10.1034/j.1600-0501.2000.011S1108.x.
  2. Management of edentulous patients. Dent Clin North Am 2019;63(2):249–261. DOI: 10.1016/j.cden.2018.11.006.
  3. Facially generated and cephalometric guided 3D digital design for complete mouth implant rehabilitation: a clinical report. J Prosthet Dent 2017;117(5):577–586. DOI: 10.1016/j.prosdent.2016.09.005.
  4. Comparing the use of static versus dynamic images to evaluate a smile. J Prosthet Dent 2020;123(5):739–746. DOI: 10.1016/j.prosdent.2019.02.023.
  5. Integrating intraoral, perioral and facial scans into the design of digital dentures. J Prosthet Dent 2020;123(4):584–588. DOI: 10.1016/j.prosdent.2019.05.030.
  6. Chairside 3D digital design and trial restoration workflow. J Prosthet Dent 2020(5):In Press 10.1016/j.prosdent.2019.10.015.
  7. Creating a virtual patient for completely edentulous computer-aided implant surgery: a dental technique. J Prosthet Dent 2020. In Press 10.1016/j.prosdent.2020.02.026.
  8. Accuracy comparison of guided surgery for dental implants according to the tissue of support: a systematic review and meta-analysis. Clin Oral Implants Res 2017;28(5):602–612. DOI: 10.1111/clr.12841.
  9. Bilateral balanced occlusion compared to other occlusal schemes in complete dentures: a systematic review. J Oral Rehabil 2018;45(4):344–354. DOI: 10.1111/joor.12607.
  10. Facial aesthetic evaluation of rehabilitation effects in edentulous patients with varying degrees of residual ridge resorption by 3D stereophotogrammetry. J Oral Rehabil 2020(9):In Press 10.1111/joor.13035.
  11. Facially generated and additively manufactured baseplate and occlusion rim for treatment planning a complete-arch rehabilitation: a dental technique. J Prosthet Dent 2019;121(5):741–745. DOI: 10.1016/j.prosdent.2018.07.009.
  12. An easy transition from conventional to digital dentures for an edentulous patient: a case report. Gen Dent 2020;68:50–55.
  13. The complete digital workflow in fixed prosthodontics; a systematic review. BMC Oral Health 2017;17(1):124. DOI: 10.1186/s12903-017-0415-0.
  14. Digital worflow for computer-guided implant surgery in edentulous patients: a case report. J Oral Maxillofac Surg 2017;75(12):2541–2549. DOI: 10.1016/j.joms.2017.08.008.
  15. The virtual patient in dental medicine. Clin Oral Implants Res 2015;26(6):725–726. DOI: 10.1111/clr.12379.
  16. Group 5 ITI consensus report: digital technologies. Clin Oral Implants Res 2018;29(S16):436–442. DOI: 10.1111/clr.13309.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.