23 July 2025

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Contemporary Digital Dentistry for Complex Cases in the Anterior Maxilla

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Objectives

To demonstrate how contemporary digitally driven workflow can enhance outcomes for complex esthetic dental cases, focusing on three distinct clinical scenarios involving implant placement, esthetic crown lengthening, and tooth autotransplantation (ATT).

Overview

Three multidisciplinary clinical cases demonstrate our contemporary digital workflows, integrating diagnosis, treatment planning, patient communication, and guided execution. The first case involves replacing two anterior central incisors using digital planning, guided surgery, prefabricated customized healing abutments, and a digitally driven restorative process. The second case showcases an esthetic crown-lengthening procedure, where Multifunctional Anatomical Prototypes (MAPs) serve as both mock-up and surgical guides, enhancing patient communication on expected outcomes and ensuring precise tissue management to prevent soft tissue rebound. The final case features a tooth ATT, where virtual surgical planning and 3D-printed tooth replica and guides ensure predictability in the therapeutic outcome. These digitally enabled strategies underscore the predictability and customization achievable with contemporary dental technology.

Conclusions

Dental treatments in the esthetic zone require meticulous planning and precise execution to achieve controlled results that ensure patient satisfaction and long-term stability. Contemporary Digital Dentistry enhances predictability, creating a pathway that leads to success.

Authors: Ignacio Pedrinaci, Javier Calatrava, Manuel Toledano-Osorio, Na Zhao, Alejandro Lanis, Mariano Sanz

Source: https://onlinelibrary.wiley.com/