patients who have received piece-
meal dentistry over the course of many
decades are frequently left with a
disharmonious and unesthetic smile.
Even though it is the desire to improve
their cosmetics that often drives these
patients to seek treatment, a thor-
ough examination and diagnosis is still
needed to ensure the restorative designs
and materials chosen are a balance of
a three-part goal: arresting all disease
processes; preserving maximal sound
tooth structure; and providing high-
strength restorations.
As demonstrated with this case study,
meeting a patient’s cosmetic demands
with high-quality restorations that
provide functional longevity is a goal
that can be beautifully reached by the
CEREC doctor. The following will detail
the step-by-step process of diagnosis,
design, long-term provisionalization
and delivery of the final restorations
of a full-mouth cosmetic rehabilita-
tion completed using Sirona’s CEREC
Omnicam and Ivoclar’s CAD/CAM
restorative materials.
CASE STUDY
A Full-mouth Rehabilitation
Meeting Cosmetic Demands with CEREC Omnicam
C A S E S T U D Y
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B Y A L A N J U R I M , D . D . S .
rent smile, particularly the pres-
e of disharmonious gingival levels,
roper tooth angulations, unsightly
w-through of many metal margins
a multitude of old restorative mate-
s of varying shades (Fig. 1). A review
hese findings, along with those from
omprehensive dental examination
the patient’s radiographs, revealed
rrent decay, failing restorations and
etic challenges that would require
patient to have every tooth treated in
er to best address her cosmetic goals
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3
Fig. 1: Pre-operative diagnostic
photographic series
Fig. 2: Diagnostic wax-up
Fig. 3: Acrylic jigs in place to maintain
desired restorative vertical
dimension of occlusion
Fig. 4: Biocopy scan of patient’s
chairside provisional
Fig. 5: Maxillary CEREC Omnicam
full-arch digital impression
Fig. 6: Stitched Biocopy and
tooth scans