Using the Protocol "DSD" for aesthetic optimization of Edentulism bimaxilar rehabilitation with fixed prosthesis implant
Planning protocol "DSD" (Digital Smile Design) has been used very successfully in cases of partially dentate patients and toothed. This case report aims to describe a new use this tool for planning a total edentulous patient, rehabilitated with implant-supported fixed prostheses. Male patient, 67 years old, non-smoker, removable denture wearer in the maxilla, and partial rehabilitation with implants in the lower jaw , sought private clinic for treatment with implants in the jaw.
Clinical and radiographic examinations showed severe atrophy of the jaw rim at the level of basal bone, and severe extrusion and flaring of the remaining lower anterior teeth. The treatment plan included four zygomatic implants installation, remaining lower teeth extraction, posterior implants explant, four implants installation in interforaminal region, and rehabilitation with implant-supported fixed prostheses in immediate loading. After six months, it began planning for confection of the final prosthesis, using the DSD protocol.
The maxilla was rehabilitated by making a prosthesis with ceramic teeth, the jaw and teeth with acrylic. By using the DSD protocol, it was found that the traditional methods of rehabilitation planning for the edentulous, although established and proven effective, have limitations for achieving aesthetic excellence in the final result , because some of the implementation and evaluation parameters are subjective and imprecise . The DSD makes the process objective and systematic, therefore, an auxiliary tool that favors obtaining aesthetic excellence for total tooth loss.
Source: APCD Magazine
Image takes from: http://www.apcd.org.br/revistaestetica/