Creation of a 3-dimensional virtual dental patient for computer-guided surgery and CAD-CAM interim complete removable and fixed dental prostheses: A clinical report.
This clinical report proposes a digital workflow using 2-dimensional (2D) digital photographs, a 3D extraoral facial scan, and cone beam computed tomography (CBCT) volumetric data to create a 3D virtual patient with craniofacial hard tissue, remaining dentition (including surrounding intraoral soft tissue), and the realistic appearance of facial soft tissue at an exaggerated smile under static conditions. The 3D virtual patient was used to assist the virtual diagnostic tooth arrangement process, providing patient with a pleasing preoperative virtual smile design that harmonized with facial features. The 3D virtual patient was also used to gain patient's pretreatment approval (as a communication tool), design a prosthetically driven surgical plan for computer-guided implant surgery, and fabricate the computer-aided design and computer-aided manufacturing (CAD-CAM) interim prostheses.
Associate Professor, Advanced Education in Prosthodontics, Department of Oral Health and Rehabilitation, School of Dentistry, University of Louisville, Louisville, Ky.
Bryan T
BT
Harris
Assistant Professor, Department of Oral Health and Rehabilitation, School of Dentistry, University of Louisville, Louisville, Ky.
Daniel
D
Montero
Professor, Department of Oral Health and Rehabilitation, School of Dentistry, University of Louisville, Louisville, Ky.
Gerald T
GT
Grant
Professor, Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, Ind.
Dean
D
Morton
President, nSequence, Center for Advanced Dentistry, Reno, Nev.
Daniel R
DR
Llop
Associate Professor, Division of Prosthodontics, Department of Oral Health and Rehabilitation, University of Louisville School of Dentistry, Louisville, Ky. Electronic address: WeiShao.Lin@Louisville.edu.
Wei-Shao
WS
Lin
D017076:Computer-Aided Design; D054893:Cone-Beam Computed Tomography / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000379:methods*; D017266:Dental Prosthesis; D017267:Dental Prosthesis Design / Q000379:methods*; D019094:Dental Prosthesis, Implant-Supported / Q000379:methods*; D003833:Denture, Partial, Temporary; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008875:Middle Aged; D025321:Surgery, Computer-Assisted / Q000379:methods*