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Digital Dentistry


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and (b) overlapping dental scanning.Figure 7.17 Mesh clean‐up.Figure 7.18 Mesh clean‐up – stretched model.Figure 7.19 Mesh clean‐up – clipping slice.Figure 7.20 Mesh clean‐up – skull model with teeth model overlay.Figure 7.21 LeFort I osteotomy.Figure 7.22 Sagittal ramus osteotomy.Figure 7.23 Genioplasty.Figure 7.24 Orientation calibration by measurements from clinical analysis....Figure 7.25 Orientation calibration by 3D photography with laser beams.Figure 7.26 Oriented virtual skull.Figure 7.27 Example of location and definition of orbital point – right side...Figure 7.28 (a,b) Mandibular positioning based on the dental scanning file i...Figure 7.29 Correction of midline deviations and occlusal plane inclination ...Figure 7.30 Correction of maxillary rotations (yaw).Figure 7.31 Vertical and anteroposterior corrections.Figure 7.32 Correction of occlusal plane inclination (pitch).Figure 7.33 Correction of chin position.Figure 7.34 (a) Surgical splint contouring and (b) obtaining.Figure 7.35 Surgical guide with extensions for dental bone support, increasi...Figure 7.36 Preoperative and postoperative photographs and superimposition o...Figure 7.37 Preoperative and postoperative photographs and superimposition o...Figure 7.38 Bone‐supported surgical guide.Figure 7.39 Mucosa‐supported surgical guide.Figure 7.40 Implant‐supported surgical guide.Figure 7.41 Tooth‐supported surgical guide.Figure 7.42 Mucosa/bone‐supported surgical guide.Figure 7.43 Tooth/implant‐supported surgical guide.Figure 7.44 Tooth/mucosa‐supported surgical guide.Figure 7.45 Tooth/bone‐supported surgical guide.Figure 7.46 Guide supported by a base guide.Figure 7.47 CT scan of the patient showing a fracture of the maxilla involvi...Figure 7.48 Plate adjusted in accordance with a rapid prototyping model of t...Figure 7.49 Fracture reduction surgery.Figure 7.50 Postoperative CT showing reduction of the fracture.Figure 7.51 CT of a case with mandibular fracture.Figure 7.52 Axial view of the CT 3D reconstructed model.Figure 7.53 Rapid prototyping model of the case.Figure 7.54 Preoperative adjustment of the titanium plate.

      8 Chapter 8Figure 8.1 Dental operating microscope being used in a clinical setting.Figure 8.2 CBCT multiplanar reconstruction (Implant Studio software, 3Shape ...Figure 8.3 Confirmation of the alignment between CBCT DICOM and IOS STL file...Figure 8.4 Guided access planning.Figure 8.5 (a) Marking of points on the surface model. (b) Virtual surgical ...Figure 8.6 Printed surgical guide, perfectly fitted to the patient's model....Figure 8.7 Periapical radiograph showing successful access to the calcified ...

      9 Chapter 9Figure 9.1 Initial STL file imported to the software. (a) Frontal view. (b) ...Figure 9.2 Initial STL file imported to the software. (a) Occlusal view of t...Figure 9.3 Creation of an orthodontic virtual set‐up simulating the desired ...Figure 9.4 After checking and approving the final planning, orthodontic brac...Figure 9.5 Wire shape templates are created to be printed on paper. The fina...Figure 9.6 Models obtained by 3D printing machine for orthodontic bracket po...Figure 9.7 Double transfer tray for indirect orthodontic bracket bonding – f...Figure 9.8 Double transfer tray for indirect bracket bonding – second step: ...Figure 9.9 Enamel etching with phosphoric acid for orthodontic bracket bondi...Figure 9.10 The double transfer tray is fitted to the upper teeth and the ad...Figure 9.11 The double transfer tray is fitted to the lower teeth and the ad...Figure 9.12 The PEGT layer of the double transfer tray is removed.Figure 9.13 The EVA layer of the double transfer tray is then removed.Figure 9.14 Final clinical aspect: finalization of orthodontic bracket bondi...Figure 9.15 Initial facial aspect. (a) Frontal view. (b) Lateral view.Figure 9.16 Initial intraoral aspect. (a) Frontal view. (b) Lateral view, ri...Figure 9.17 Initial STL file imported to the software. (a) Frontal view. (b)...Figure 9.18 Creation of an orthodontic virtual setup simulating the desired ...Figure 9.19 Wire shape templates.Figure 9.20 After checking and approving the set‐up and the orthodontic brac...Figure 9.21 Double transfer tray for indirect bracket bonding. (a) Frontal v...Figure 9.22 Final intraoral aspect. (a) Frontal view. (b) Lateral view, righ...Figure 9.23 Comparison between the final result achieved and the virtual pla...Figure 9.24 (a) Initial lateral projection showing overjet and labially posi...Figure 9.25 Intraoral photographs of the case.Figure 9.26 Panoramic radiograph of the case.Figure 9.27 Initial maxillary and mandibular CBCT images showing mini‐implan...Figure 9.28 Image‐guided mini‐implant placement. (a) Digital design of a max...Figure 9.29 Image‐guided mini‐implant placement in the infrazygomatic crest....Figure 9.30 Application of elastic traction for en masse retraction.Figure 9.31 (a) CBCT 3D reconstruction showing final positions of the orthod...Figure 9.32 Initial STL files and photographs imported to Nemocast software ...Figure 9.33 Spatial orientation of the models.Figure 9.34 Mask creation: the teeth are removed from the photograph in orde...Figure 9.35 The superimposition process occurs by determining points on the ...Figure 9.36 Superimposition completed.Figure 9.37 Delimitation of the cut line of the model mesh.Figure 9.38 Extrusion and closure processes are performed on the model mesh ...Figure 9.39 First step of teeth segmentation: determination of mesiodistal, ...Figure 9.40 Second step of teeth segmentation: location and delimitation of ...Figure 9.41 Segmentation completed: the software is now able to identify tee...Figure 9.42 Teeth landmarks delimitation: identification of tooth surfaces a...Figure 9.43 Orthodontic virtual set‐up simulating the desired final occlusio...Figure 9.44 Virtual insertion of the attachments onto teeth surfaces.Figure 9.45 Staging: arrangement of the movements in a timeline. The movemen...Figure 9.46 First step of biomodel exportation: delimitation of the gingival...Figure 9.47 The biomodels are exported, creating a sequential series of biom...Figure 9.48 Thermoforming, cutting, and polishing of the clear aligners.Figure 9.49 Initial facial aspect. (a) Frontal view. (b) Lateral view.Figure 9.50 Initial intraoral aspect. (a) Frontal view. (b) Lateral view, ri...Figure 9.51 Initial STL files imported to the software. (a) Frontal view. (b...Figure 9.52 Virtual planning showing the desired dentomaxillofacial relation...Figure 9.53 Facial aspect virtually created with the initial dental conditio...Figure 9.54 Elastics and intercuspation for finishing of orthodontic treatme...Figure 9.55 Final intraoral aspect. (a) Frontal view. (b) Lateral view, righ...Figure 9.56 Final smile. (a) Frontal view. (b) Lateral view, right side. (c)...

      10 Chapter 10Figure 10.1 Screenshot of the Caries Detection Aid tool of the software (3Sh...Figure 10.2 3D‐printed resin model obtained from a CBCT scan and used for st...Figure 10.3 Digital assessment of a preparation performed by a student with ...

      11 Chapter 11Figure 11.1 Methods of obtaining images used for treatment planning.Figure 11.2 Maxillary intraoral scan superimposed to the facial scan. Note t...Figure 11.3 Digital waxing procedure for maxillary laminate veneers from fir...Figure 11.4 Final diagnostic digital wax patterns.Figure 11.5 Alignment of the CBCT scan (top left) with the other digital sca...Figure 11.6 Crown‐lengthening surgical guide design based on linear measurem...Figure 11.7 Digital design of the crown‐lengthening surgical guide superimpo...Figure 11.8 3D‐printed preparation guide used to orientate horizontal reduct...Figure 11.9 3D‐printed preparation guide used to orientate vertical reductio...Figure 11.10 Color selection and mock‐up try‐in.Figure 11.11 Final esthetic result with the CAD‐CAM ceramic laminate veneers...Figure 11.12 Final clinical intraoral view.Figure 11.13 Final intraoral comparison.Figure 11.14 Final facial comparison of the smile.Figure 11.15 Digital photographs following the Facial Design digital protoco...Figure 11.16 Digital photographs following the digital protocol Facial Desig...Figure 11.17 Face proportion analysis masks together with lateral cephalomet...Figure 11.18 Facial filler masks, botulinum toxin in an integrated full face...Figure 11.19 Step‐by‐step procedures of facial filling in the temple, malar ...Figure 11.20 Initial photographs of the teeth together with a mock‐up alread...Figure 11.21 Intraoral scanning generating an STL file after dental preparat...Figure 11.22 Models printed on a 3D printer die‐cast to try‐in the ceramic l...Figure 11.23 Patient's initial and final view in 22° and frontal view respec...Figure 11.24 Final result of the patient after facial restructuring treatmen...Figure 11.25 Initial facial and oral aspects – frontal views.Figure 11.26 A thin tissue phenotype was observed in the areas related to de...Figure 11.27 Occlusal intraoral view.Figure 11.28 Comparison between initial aspect and final result digitally pl...Figure 11.29 Digital wax‐up.Figure 11.30 Model printed.Figure 11.31 Teeth mock‐up with bis‐acryl resin.Figure 11.32 Gingival composite resinFigure 11.33 Final Intraoral mock‐up.Figure 11.34 Digital evaluation of implant positioning.Figure 11.35 Tomographic evaluation of implant positioning.Figure 11.36 Implant transfer.Figure 11.37 Dental preparation.Figure 11.38 Ti‐base and zirconia abutments and ceramic crowns.Figure 11.39 Free connective tissue graft removed from the hard palate.Figure 11.40 Immediate postoperative aspect.Figure 11.41 Cementation of ceramic crowns.Figure 11.42 Cementation done and