6533b825fe1ef96bd1282008

RESEARCH PRODUCT

Digital protocol for creating a virtual gingiva adjacent to teeth with subgingival dental preparations.

Jorge Alonso Pérez-barqueroIgnazio LoiCésar ChustLucía Fernández-estevanCristina Rech-ortegaRubén Agustín-panadero

subject

OrthodonticsIntraoral scannerPeriodontal tissueCrownsComputer sciencemedicine.medical_treatment0206 medical engineeringGingiva030206 dentistry02 engineering and technology020601 biomedical engineeringProsthesis03 medical and health sciences0302 clinical medicineDental Prosthesis DesignDental Prosthesis DesignmedicineDentistry (miscellaneous)Gingival sulcusOral SurgeryToothAnterior teeth

description

Abstract Purpose This article describes a digital technique used to record gingival emergence profiles modeled for the prosthetic restoration of teeth prepared using biologically oriented preparation technique (BOPT). Materials and methods The description of the technique of intraoral recording, manipulation of digital files, and chairside protocol of prosthetic restorations is developed in the present manuscript on two anterior teeth treated with vertical and subgingival dental preparations for restoration with ceramic crowns. The manipulation of the digital files registered with an intraoral scanner with software that allows its alignment (best-fit) and the performance boolean of operation manages to create a virtual gingival emergency like the one it presents when it is adapted on the cervical part of the interim prosthesis. Conclusions The technique allows the dentist and laboratory technician to obtain a digital reproduction of the subgingival soft tissues around the prosthetic crown, unaffected by the collapse of the gingival sulcus when the provisional crown is removed, as well as an exact copy of the provisional restoration, making it possible to fabricate a definitive prosthesis that ensures precise anatomy, and so good compatibility with periodontal tissues.

10.1016/j.jpor.2019.10.006https://pubmed.ncbi.nlm.nih.gov/31787577