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An Innovative 3D Printed Tooth Reduction Guide for Precise Dental Ceramic Veneers
Journal article   Open access   Peer reviewed

An Innovative 3D Printed Tooth Reduction Guide for Precise Dental Ceramic Veneers

Manuel Robles, Carlos A Jurado, Francisco X Azpiazu-Flores, Jose Villalobos-Tinoco, Kelvin I Afrashtehfar and Nicholas G Fischer
Journal of functional biomaterials, Vol.14(4), 216
04/12/2023
DOI: 10.3390/jfb14040216
PMCID: PMC10146615
PMID: 37103306
url
https://doi.org/10.3390/jfb14040216View
Published (Version of record) Open Access

Abstract

Tooth reduction guides allow clinicians to obtain the ideal space required for ceramic restorations. This case report describes a novel design (CAD) for an additive computer-aided manufactured (a-CAM) tooth reduction guide with channels that permitted access for the preparation and evaluation of the reduction with the same guide. The guide features innovative vertical and horizontal channels that permit comprehensive access for preparation and evaluation of the reduction with a periodontal probe, ensuring uniform tooth reduction and avoiding overpreparation. This approach was successfully applied to a female patient with non-carious lesions and white spot lesions, resulting in minimally invasive tooth preparations and hand-crafted laminate veneer restorations that met the patient's aesthetic demands while preserving tooth structure. Compared to traditional silicone reduction guides, this novel design offers greater flexibility, enabling clinicians to evaluate tooth reduction in all directions and providing a more comprehensive assessment. Overall, this 3D printed tooth reduction guide represents a significant advancement in dental restoration technology, offering clinicians a useful tool for achieving optimal outcomes with minimal tooth reduction. Future work is warranted to compare tooth reductions and preparation time for this guide to other 3D printed guides.
dental materials dental prosthesis design three-dimensional printing CAD-CAM computer-aided design permanent dental restoration dental porcelain dental veneers dental bonding dental esthetics prosthodontic tooth preparation

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