Same Day Smile Makeover Using the Primescan by Sarah Jockin, DDS

This 74 year old patient presented with complaints of a failing bridge replacing #10 that her now retired dentist initially delivered over 25 years ago. He repaired it numerous times over the years but patient never felt that she could justify the larger expense of a more permanent prosthesis.

Medical history review and oral cancer screening proved noncontributory. Intraoral examination revealed an extensively restored dentition with existing posterior crowns and anterior resins, some of which exhibit recurrent decay. Missing tooth #10 is currently replaced with a direct resin bridge, which is loose due to deep recurrent decay on tooth #11. Patient desires to treat all decay with minimally invasive dentistry without changes in incisal length or midline. She would also like to achieve an age-appropriate pleasant smile.

Replacement options were discussed and patient desires a fixed solution. Due to lack of bone volume, she decided to have a porcelain bridge placed. Treatment was delivered in a single visit. After the patient was anesthetized with 5 ml of 2% Lidocaine 10^-5 epi via buccal infiltration, a pre-op impression was captured using the Primescan® for easy reference during restorative design. The teeth were prepared for crowns and then impressed with the Primescan again.

The restorations were designed and milled out of Emax LT using shade A2 to match the adjacent PFM restorations as well as her natural mandibular teeth as closely as possible.

All restorations were seated without need for adjustments. X-rays confirmed good marginal closure and the patient was very pleased with her new smile! This case demonstrates the seamless and highly accurate workflow that chairside CAD/CAM affords us today, enabling stress-free single day smile makeovers.

Primescan

Enjoy the scan.

Innovation requires commitment to ambition. Primescan sets new standards in dental technology, making scanning more accurate, faster and easier than ever.

Learn more