A Comprehensive Digital Workflow for Enhancing Dental Restorations in Severe Structural Wear

Abdulrahman Alshabib; Jake Berger; Edgar Garcia; Carlos A. Jurado; Guilherme Cabral; Adriano Baldotto; Hilton Riquieri; Mohammed Alrabiah; Franciele Floriani

doi:10.3390/bioengineering13010077

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A Comprehensive Digital Workflow for Enhancing Dental Restorations in Severe Structural Wear

Journal article

Open access

Peer reviewed

A Comprehensive Digital Workflow for Enhancing Dental Restorations in Severe Structural Wear

Abdulrahman Alshabib, Jake Berger, Edgar Garcia, Carlos A. Jurado, Guilherme Cabral, Adriano Baldotto, Hilton Riquieri, Mohammed Alrabiah and Franciele Floriani

Bioengineering (Basel), Vol.13(1), 77

01/10/2026

DOI: 10.3390/bioengineering13010077

PMID: 41596008

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Abstract

Patients with severe structural tooth wear present significant restorative challenges, including compromised oral function and the loss of essential anatomical landmarks such as marginal ridges, incisal edges, cusps, occlusal planes, and vertical dimension of occlusion (VDO). Successful management requires meticulous diagnosis, comprehensive treatment planning, and careful selection of restorative materials with appropriate biomechanical properties. Digital technologies have become integral to this process, particularly for enhancing diagnostic accuracy, material selection, and tooth preparation design within a fully digital workflow. This clinical case report illustrates a complete digital approach, beginning with an initial intraoral scan merged with a digital wax-up STL file featuring varying translucency dimensions to guide tooth preparation. This workflow enabled precise planning of tooth reduction, accurate assessment of available interocclusal space, and determination of material thickness requirements prior to irreversible procedures. Additionally, the integration of digital visualization improved patient communication, treatment predictability, and interdisciplinary collaboration. Overall, this case highlights the value of CAD/CAM technology in supporting complex oral rehabilitation for patients with advanced tooth wear, demonstrating its capacity to enhance efficiency, precision, and outcome quality in full-mouth zirconia ceramic restorations.

digital workflow

dentistry

scanners

wear

Details

Title: Subtitle: A Comprehensive Digital Workflow for Enhancing Dental Restorations in Severe Structural Wear
Creators: Abdulrahman Alshabib - King Saud University
Jake Berger - Lake County
Edgar Garcia
Carlos A. Jurado - University of Tennessee Health Science Center
Guilherme Cabral - Arts Midwest
Adriano Baldotto - Arts Midwest
Hilton Riquieri - Arts Midwest
Mohammed Alrabiah - King Saud University
Franciele Floriani - University of Iowa
Resource Type: Journal article
Publication Details: Bioengineering (Basel), Vol.13(1), 77
DOI: 10.3390/bioengineering13010077
PMID: 41596008
NLM abbreviation: Bioengineering (Basel)
ISSN: 2306-5354
eISSN: 2306-5354
Publisher: MDPI
Grant note: King Saud University, Riyadh, Saudi Arabia: ORF-2025-1419
Authors would like to acknowledge the Ongoing Research Funding Program(ORF-2025-1419), King Saud University, Riyadh, Saudi Arabia
Language: English
Date published: 01/10/2026
Academic Unit: Prosthodontics
Record Identifier: 9985121498302771

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