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Facially Driven Digital Diagnostic Waxing: New Software Features to Simulate and Define Restorative Outcomes

  • Modern Production Laboratory Advances in Dental Technology (M Bergler and E Steger, Section Editors)
  • Published:
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Abstract

Purpose of Review

Computer-aided design (CAD) softwares minimize human designing errors, reduce time and cost, and serve as more powerful diagnostic and designing tools for treatment planning in restorative dentistry when compared with conventional diagnostic waxing techniques. The goal of this article was to review the features of the available dental and open-source CAD softwares for a facially driven digital diagnostic waxing elaboration.

Recent Findings

The literature review demonstrated that when digital technologies are selected, the fundamental concepts remain, but the protocol differs. When fabricating a facially driven diagnostic waxing, the digitized dentition obtained from either an intraoral scanner or digitized conventional stone cast can be merged with either two-dimensional (2D) photographs or three-dimensional (3D) extraoral facial scans of the patient at different positions. This superimposition procedure has been described in dental and open-source CAD softwares. Indeed, dental CAD softwares offer intuitive tools for dental professionals; however, the flexibility in creating virtual designs is more limited compared with open-source softwares.

Summary

Digital technologies serve as a more powerful diagnostic and design tool when compared with conventional procedures. The integration of different digital technologies has promoted the development of a 3D virtual patient, allowing clinicians and dental technicians to superimpose data on patients’ facial skeletons, extraoral soft tissue, and dentition. Both dental and open-source CAD softwares greatly improve the facially driven diagnostic waxing predictability because they incorporate the patient’s facial references.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or non-profit sectors.

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Authors and Affiliations

  1. Esthetic Dentistry Program, Complutense University of Madrid, Madrid, Spain

    Wenceslao Piedra-Cascón

  2. Revilla Research Center, Madrid, Spain

    Wenceslao Piedra-Cascón & Marta Revilla-León

  3. Dallas, TX, USA

    Vicent T. Hsu

  4. AEGD Program, College of Dentistry, Texas A&M University, 3302 Gaston Avenue, Room 713, Dallas, TX, USA

    Marta Revilla-León

  5. Graduate Prosthodontics, University of Washington, Seattle, WA, USA

    Marta Revilla-León

Authors
  1. Wenceslao Piedra-Cascón
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  2. Vicent T. Hsu
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Correspondence to Marta Revilla-León.

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Piedra-Cascón, W., Hsu, V.T. & Revilla-León, M. Facially Driven Digital Diagnostic Waxing: New Software Features to Simulate and Define Restorative Outcomes. Curr Oral Health Rep 6, 284–294 (2019). https://doi.org/10.1007/s40496-019-00233-6

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