A digital protocol for the management of the restorative margin and the emergence profile of vertical prepared teeth

Int J Prosthodont. 2023 Nov 21;0(0):1-14. doi: 10.11607/ijp.8599. Online ahead of print.

Abstract

Purpose: To describe a digital workflow for the management of the emergence profile and restoration's finishing line on vertical prepared teeth, utilizing a digital data set.

Material & methods: The scan of the prepared teeth the day of the preparation, the scan of the provisional restoration placed on the preparation after soft tissue maturation and the scan of the provisional restoration outside of the oral cavity, are combined under a common data set, that can provide all the necessary information in order to design the final restoration.

Results: The presented digital technique can facilitate the implementation of the vertical preparation, as the desired finish line can be defined by the clinician and be transferred predictable to the dental lab. Current approach provides also, an alternative gingival management method, taken advantage of the displacement of soft tissue in the appointment of vertical preparation.

Conclusions: The positioning of the final finishing line on vertical prepared teeth, the management of the soft tissue and the fabrication of the final restoration, can be facilitated combining digital data sets, that have been obtained during a distinct phase of the treatment.