Facially Driven Digital Workflow for Esthetic and Functional Full-mouth Rehabilitation
概览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 10
- 试验地点
- 1
- 主要终点
- Implant Stability
概览
简要总结
Participants with bite difficulties, smile dissatisfaction, and missing mandibular molars was rehabilitated using a fully digital, facially driven workflow. Integration of intraoral, facial, and CBCT data guided esthetic design, occlusion, and implant planning, resulting in precise alignment, functional occlusion, and esthetic restoration with veneers, zirconia crowns, TAD-assisted molar intrusion, and guided implants.
详细描述
This Prospective study describes the comprehensive digital management of patients presenting with anterior open bite, smile dissatisfaction, and missing mandibular molars. A 3D virtual patient model was created by integrating intraoral scans, facial scans, and CBCT imaging, enabling prosthetically driven planning for esthetic and functional outcomes. Treatment involved conservative anterior rehabilitation with lithium disilicate veneers, full-coverage monolithic zirconia crowns, TAD-assisted intrusion of extruded molars, and guided implant placement for missing mandibular molars. The fully digital, facially guided workflow allowed precise restoration positioning, occlusal harmony, and predictable functional and esthetic results, demonstrating the utility of integrated digital planning in complex full-mouth rehabilitation.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 20 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 20-45 years with partial or complete edentulism requiring full-mouth rehabilitation.
- •Patients with bite dysfunction, malocclusion, or esthetic concerns suitable for digital workflow treatment.
- •Adequate bone volume for implant placement or candidates for TAD-assisted tooth movement.
- •Willingness to undergo treatment using a fully digital, facially guided workflow and comply with follow-up visits.
- •Ability to provide informed consent.
排除标准
- •Systemic conditions contraindicating implant or surgical procedures (e.g., uncontrolled diabetes, immunosuppression).
- •Active oral infections or untreated periodontal disease.
- •Heavy smokers (\>10 cigarettes/day) or substance abuse.
- •History of head and neck radiation therapy or bisphosphonate use.
- •Pregnancy or breastfeeding.
- •Inability to comply with treatment or follow-up protocol.
结局指标
主要结局
Implant Stability
时间窗: 12 months post-treatment
Clinical assessment: Absence of implant mobility assessed manually and using opposing instrument pressure. Radiographic assessment: Periapical radiographs using the paralleling technique to evaluate peri-implant bone levels. Success criteria: No progressive peri-implant radiolucency and marginal bone loss ≤ 1.5 mm during the first year, in accordance with Albrektsson et al. success criteria.
次要结局
未报告次要终点
研究者
Mohammed El-Sawy
Clinical Professor and principle investigator
Menoufia University