title: Full-mouth rehabilitation with monolithic CAD/CAM-fabricated hybrid and all-ceramic materials: A case report and 3-year follow up.
abstract: Esthetic full-mouth rehabilitation represents a great challenge for clinicians and dental technicians. Computer-aided design/ computer-assisted manufacture (CAD/CAM) technology and novel ceramic materials in combination with adhesive cementation provide a reliable, predictable, and economic workflow. Polychromatic feldspathic CAD/CAM ceramics that are specifically designed for anterior indications result in superior esthetics, whereas novel CAD/CAM hybrid ceramics provide sufficient fracture resistance and adsorption of the occlusal load in posterior areas. Screw-retained monolithic CAD/CAM lithium disilicate crowns (ie, hybrid abutment crowns) represent a reliable and time- and cost-efficient prosthetic implant solution. This case report details a CAD/CAM approach to the full-arch rehabilitation of a 65-year-old patient with toothand implant-supported restorations and provides an overview of the applied CAD/CAM materials and the utilized chairside intraoral scanner. The esthetics, functional occlusion, and gingival and peri-implant tissues remained stable over a follow-up period of 3 years. No signs of fractures within the restorations were observed.
authors.forename: Christian F
authors.initials: CF
authors.lastname: Selz
authors.forename: Alexander
authors.initials: A
authors.lastname: Vuck
authors.forename: Petra C
authors.initials: PC
authors.lastname: Guess
mesh_terms: D000368:Aged; D000538:Aluminum Silicates; D002516:Ceramics; D017076:Computer-Aided Design; D003442:Crowns; D003776:Dental Porcelain; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D003793:Dental Restoration, Permanent / Q000379:methods*; D004955:Esthetics, Dental; D006801:Humans; D009065:Mouth Rehabilitation / Q000379:methods*; D017680:Potassium Compounds; D019279:Resin Cements
chemical_list: D000538:Aluminum Silicates; D017680:Potassium Compounds; D019279:Resin Cements; C493120:lithia disilicate; D003776:Dental Porcelain; C016447:feldspar; C095998:Adhesive cement