Stavropol, Stavropol, Russian Federation
employee
Stavropol, Stavropol, Russian Federation
employee
Stavropol, Stavropol, Russian Federation
Stavropol, Stavropol, Russian Federation
Stavropol, Stavropol, Russian Federation
Rostov-on-Don, Rostov-on-Don, Russian Federation
Rostov-on-Don, Rostov-on-Don, Russian Federation
UDC 616.31
Background. The introduction of advanced innovative diagnostic methods and artificial intelligence tools into dental practice enables the creation of digital and virtual models of clinical situations, as well as the planning of the scope, sequence, and type of dental rehabilitation for a patient. Objective. Optimization of standardized diagnostic algorithms and dental rehabilitation planning, based on the combined use of modern software, 3D-technologies, and classical treatment methods. Materials and Methods. We present a clinical case of treatment planning for the comprehensive dental rehabilitation of a 42-year-old female patient, V. The diagnosis and specialists' conclusions following a physical examination and cone-beam computed tomography (CBCT) of the temporomandibular joint were: Anomalies of tooth position 1.4, 1.3, 1.1, 2.1, 2.3, 2.4, 3.3, 3.4, 4.3, 4.4 (K07.3). Painful temporomandibular joint (TMJ) dysfunction K07.60, K07.61 – clicking jaw according to ICD-10. A team of dental specialists—an orthodontist, a surgeon, and a prosthodontist—decided to create a comprehensive rehabilitation plan for the patient. For this purpose, 3D-scanning of the dental arches and smile design planning were performed using specialized software and patient photographs (SmileCloud software). Orthodontic treatment was planned using specialized software (Maestro 3D) for fixed edgewise technique and/or removable aligners. After analyzing the diagnostic findings, a staged comprehensive rehabilitation plan was developed. Results. Upon completion of the surgical, orthodontic, and prosthetic stages of comprehensive rehabilitation, bodily movement of the teeth in the upper and lower jaws was achieved. Prosthetic rehabilitation was performed with single crowns supported by dental implants placed in the interdental spaces. Pain dysfunction, crunching and clicking in the TMJ, when opening and closing the mouth, was completely eliminated. Conclusion. This clinical case demonstrates the necessity for dental specialists to be proficient in modern diagnostic and treatment methods to achieve the planned outcome.
3D-Technologies, comprehensive rehabilitation, computed tomography, orthodontic treatment, smile design, intraoral scanning
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