Malocclusion
Conditions
Brief summary
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.
Detailed description
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.
Interventions
DEVICEFacially Driven, Fully Digital Full-Mouth Rehabilitation with Guided Implant Placement, TAD-Assisted Molar Intrusion, and Restorative Crowns/Veneers
Participants will receive full-mouth dental rehabilitation using advanced digital planning. Scans of the teeth, face, and jaw will guide treatment, which may include tooth movement with temporary devices, guided implant placement, and placement of custom veneers and crowns. This approach aims to restore bite function, improve smile esthetics, and ensure accurate, comfortable, and durable results.
Sponsors
Mansoura University
Menoufia University
Study design
Observational model
CASE_ONLY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
20 Years to 45 Years
Inclusion criteria
* 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.
Exclusion criteria
* 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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Implant Stability | 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. |
Countries
Egypt
Contacts
Primary ContactMohammed A. El-Sawy, PhD
Outcome results
None listed