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Journal of Prosthetic Dentistry
Dental Technique|Articles in Press

Fabrication of a CAD-CAM combination matrix for trial restorations: A dental technique

Published:December 19, 2022DOI:https://doi.org/10.1016/j.prosdent.2022.10.017

      Abstract

      The trial restoration increases outcome predictability in restorative treatments, enhances communication among specialists and patients, and guides tooth preparations. It should reproduce the planned design precisely because many decisions will be made based on the transferred design. Traditionally, a diagnostic waxing design is transferred to the mouth with a flexible silicone matrix. However, a rigid matrix would ensure an accurate transfer of the planned design by avoiding the deformation of the silicone index. A step-by-step technique for fabricating a computer-aided design and computer-aided manufactured (CAD-CAM) rigid matrix relined with polyvinyl siloxane material to fabricate a trial restoration is presented. The technique ensures accurate detail reproduction and dimensional stability, avoiding deformation and ensuring a predictable transfer of the planned design.
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      References

        • Dawood A.
        • Purkayastha S.
        • Patel S.
        • MacKillop F.
        • Tanner S.
        Microtechnologies in implant and restorative dentistry: a stroll through a digital dental landscape.
        Proc Inst Mech Eng H. 2010; 224: 789-796
        • Ting-Shu S.
        • Jian S.
        Intraoral digital impression technique: a review.
        J Prosthodont. 2015; 24: 313-321
        • Gürel G.
        Porcelain laminate veneers: minimal tooth preparation by design.
        Dent Clin North Am. 2007; 5: 419-431
        • Lanza M.D.S.
        • Vasconcellos W.A.
        • Miranda G.L.P.
        • Peixoto R.T.R.C.
        • Lanza L.D.
        Different bonding agents effect on adhesive bond strength: lithium disilicate glass ceramic.
        Rev Odontol UNESP. 2020; 49: e20200020
        • Marzola R.
        • Derbabian K.
        • Donovan T.E.
        • Arcidiacono A.
        The science of communicating the art of esthetic dentistry. Part I: patient-dentist-patient communication.
        J Esthet Dent. 2000; 12: 131-138
        • Simon H.
        • Magne P.
        Clinically based diagnostic wax-up for optimal esthetics: the diagnostic mock-up.
        J Calif Dent Assoc. 2008; 36: 355-362
        • Kois D.E.
        • Schmidt K.K.
        • Raigrodski A.J.
        Esthetic templates for complex restorative cases: rationale and management.
        J Esthet Restor Dent. 2008; 20: 239-248
        • Thomas M.S.
        • David K.
        Importance of anatomic mock-up for predictable esthetic smile design with ceramic veneers.
        J Interdiscip Dent. 2014; 4: 55
        • Farias-Neto A.
        • de Medeiros F.C.D.
        • Vilanova L.
        • Simonetti Chaves M.
        • Freire Batista de Araújo J.J.
        Tooth preparation for ceramic veneers: when less is more.
        Int J Esthet Dent. 2019; 14: 156-164
        • Gurel G.
        • Sesma N.
        • Calamita M.A.
        • Coachman C.
        • Morimoto S.
        Influence of enamel preservation on failure rates of porcelain laminate veneers.
        Int J Periodontics Restorative Dent. 2013; 33: 31-39
        • Heinsohn J.P.
        • Arteaga E.M.
        • Rivera G.J.
        • Stange V.B.
        Mock-up an old tool renewed.
        J Clin Res Dent. 2018; 1: 1-5
        • Small B.W.
        Provisional restorations for veneers.
        Gen Dent. 2008; 56: 608-610
        • Reyes A.
        • Turkyilmaz I.
        • Prihoda T.J.
        Accuracy of surgical guides made from conventional and a combination of digital scanning and rapid prototyping techniques.
        J Prosthet Dent. 2015; 113: 295-303
        • Revilla-León M.
        • Özcan M.
        Additive manufacturing technologies used for processing polymers: current status and potential application in prosthetic dentistry.
        J Prosthodont. 2019; 28: 146-158
        • Esquivel J.
        • Villarroel M.
        • Tran D.
        • Kee E.
        • Bruggers K.
        The utilization of snap-on provisionals for dental veneers: from an analog to a digital approach.
        J Esthet Restor Dent. 2020; 32: 161-170
        • Alanazi L.M.
        • Alkhashrami A.A.
        • Rayan Abdullah Albader D.
        • et al.
        Snap on smile: a systematic review.
        Saudi J Oral Dent Res. 2020; 5: 522-527
        • Naumovski B.
        • Kapushevska B.
        Dimensional stability and accuracy of silicone - based impression materials using different impression techniques - a literature review.
        Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2017; 38: 131-138
        • Gonçalves F.S.
        • Popoff D.A.
        • Castro C.D.
        • Silva G.C.
        • Magalhães C.S.
        • Moreira A.N.
        Dimensional stability of elastomeric impression materials: a critical review of the literature.
        Eur J Prosthodont Restor Dent. 2011; 19: 163-166
        • Donovan T.E.
        • Chee W.W.
        A review of contemporary impression materials and techniques.
        Dent Clin North Am. 2004; 48: 445-470
        • Pagac M.
        • Hajnys J.
        • Ma Q.P.
        • et al.
        A review of vat photopolymerization technology: materials, applications, challenges, and future trends of 3D printing.
        Polymers. 2021; 13: 598
        • Pant R.
        • Juszczyk A.S.
        • Clark R.K.
        • Radford D.R.
        Long-term dimensional stability and reproduction of surface detail of four polyvinyl siloxane duplicating materials.
        J Dent. 2008; 36: 456-461
        • Caponi L.
        • Raslan F.
        • Roig M.
        Fabrication of a facially generated tooth reduction guide for minimally invasive preparations: a dental technique.
        J Prosthet Dent. 2022; 127: 689-694