Gingival epitheses: forgotten craft or technology with a future? – Case report of a epithesis fabricated with CAD/CAM

Authors

  • Christian R. Hatz Klinik für Zahnerhaltung und Präventivzahnmedizin, Bereich für Parodontologie und peri-implantäre Erkrankungen, Zentrum für Zahnmedizin, Universität Zürich, Zürich, Schweiz
  • Elias Bühler Bühler Dental Aesthetik GmbH, Zürich, Schweiz
  • Patrick R. Schmidlin Klinik für Zahnerhaltung und Präventivzahnmedizin, Bereich für Parodontologie und peri-implantäre Erkrankungen, Zentrum für Zahnmedizin, Universität Zürich, Zürich, Schweiz

DOI:

https://doi.org/10.61872/sdj-2023-01-02

PMID:

36606467

Keywords:

Parodontitis, Rezession, Scaling, Ästhetik, Epithese

Abstract

The case in this report presents an alternative, partially CAD/CAM-based fabrication of a gingival epithesis in a 48-years-old female patient. The patient suffered from a periodontits stage III, grade C. After a non-surgical periodontal treatment with adjunctive systemic antibiotics, the patient developed severe circumferential gingival recessions on the upper frontal teeth. Due to social discomfort and esthetic concerns, the indication for a gingival epithesis was made. After taking a conventional impression from the upper jaw, the cast model was scanned and the gingival epithesis was designed virtually at the laboratory. The epithesis was then milled from a block of high performance polymer. Minor adjustments of surface details were added manually. The result was a esthetically sufficient and by the patient well-accepted treatment modality. Further research is necessary to prove the feasibility of a full digital workflow and the long-term stability of CAD/CAM-based gingival epitheses.

Downloads

Published

2023-01-09

How to Cite

Hatz, C. R., Bühler, E., & Schmidlin, P. R. (2023). Gingivaepithesen: Vergessenes Hand­ werk oder Technik mit Zukunft dank CAD/CAM?. SWISS DENTAL JOURNAL SSO – Science and Clinical Topics, 133(1), 23-28. https://doi.org/10.61872/sdj-2023-01-02

How to Cite

Hatz, C. R., Bühler, E., & Schmidlin, P. R. (2023). Gingivaepithesen: Vergessenes Hand­ werk oder Technik mit Zukunft dank CAD/CAM?. SWISS DENTAL JOURNAL SSO – Science and Clinical Topics, 133(1), 23-28. https://doi.org/10.61872/sdj-2023-01-02