Chinese Journal of Stomatological Continuing Education ›› 2024, Vol. 27 ›› Issue (1): 63-72.DOI: 10.12337/zgkqjxjyzz.2024.01.008

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One Case of Digital Technology Assisted Occlusion Reconstruction in A Patient with Cleft Lip and Palate

Fan Yang1,#, Min Liu1,2,#, Modi Heng3,#, Qiao Wang3, Shimin Wang3, Xuenan Liu1, Yuan Zhu1, Feilong Wang1, Yunjiao He1, Man Li3, Yunsong Liu1,*   

  1. 1Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing, P.R. China;
    2Department of Oral Implantology, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, P.R. China;
    3Dental Laboratory, Peking University School and Hospital of Stomatology, Beijing, P.R. China
  • Online:2024-01-31 Published:2024-05-08
  • Contact: Yunsong Liu. Tel: 010-82195532. Email: liuyunsong@hsc.pku.edu.cn. Address: No. 22 Zhongguancun South Avenue, Haidian District, Beijing 100081, P.R. China. #These authors contribute equally to this manuscript.
  • Supported by:
    National Stomatology Center suitable technology promotion project National Science Foundation of China(No.2023NCSHTP04)

Abstract: Objective: To present a challenging case of occlusal reconstruction assisted by digital technology in a patient with cleft lip and palate under the guidance of six-stage principle. Diagnosis and treatment: The diagnosis and treatment plan were confirmed following a comprehensive examination. The vertical dimension was adjusted using a maxillary full dentition stable occlusal plate. First of all, polymethyl methacrylate prosthesis was fabricated for temporary repair. Then, the formal restorations were designed by replicating the surface morphology of the temporary prosthesis after physiological abrasion and adaptation, and then were made with monolithic zirconia. In the end, a removable partial denture was fabricated to achieve aesthetic and functional reconstruction. Results: After restoration, the patient demonstrated a satisfactory occlusal relationship, along with an improvement in the upper lip’s fullness. Upon one-year follow-up, the patient’s occlusal function and periodontal status remained stable. Conclusions: The application of the six-stage principle and digital technology facilitated the safe and personalized promotion of occlusal reconstruction in clinical setting.

Key words: occlusal reconstruction, computer aided design, computer aided manufacturing, polyetheretherketone, provisional restoration