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Integrating hinge axis approximation and the virtual facial simulation of prosthetic outcomes for treatment with CAD-CAM immediate dentures: A clinical report of a patient with microstomia
Authors:Katelyn M. Kuric  Bryan T. Harris  Dean Morton  Bruno Azevedo  Wei-Shao Lin
Affiliation:1. Resident, Advanced Education in Prosthodontics, Department of Oral Health and Rehabilitation, School of Dentistry, University of Louisville, Louisville, Ky;2. Associate Professor and Director, Advanced Education in Prosthodontics, Department of Oral Health and Rehabilitation, School of Dentistry, University of Louisville, Louisville, Ky;3. Professor and Chair, Department of Prosthodontics, Indiana University School of Dentistry, Indianapolis, Ind;4. Assistant Professor, Oral & Maxillofacial Radiology, Department of Surgical & Hospital Dentistry, School of Dentistry, University of Louisville, Louisville, Ky;5. Associate Professor, Division of Prosthodontics, Department of Oral Health and Rehabilitation, University of Louisville School of Dentistry, Louisville, Ky
Abstract:This clinical report describes a digital workflow using extraoral digital photographs and volumetric datasets from cone beam computed tomography (CBCT) imaging to create a 3-dimensional (3D), virtual patient with photorealistic appearance. In a patient with microstomia, hinge axis approximation, diagnostic casts simulating postextraction alveolar ridge profile, and facial simulation of prosthetic treatment outcome were completed in a 3D, virtual environment. The approach facilitated the diagnosis, communication, and patient acceptance of the treatment of maxillary and mandibular computer-aided design and computer-aided manufacturing (CAD-CAM) of immediate dentures at increased occlusal vertical dimension.
Keywords:Corresponding author: Dr Wei-Shao Lin   University of Louisville   501 South Preston St   Louisville   KY 40292
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