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Chinese Journal of Stomatological Research(Electronic Edition) ›› 2025, Vol. 19 ›› Issue (05): 316-322. doi: 10.3877/cma.j.issn.1674-1366.2025.05.005

• Case Analysis • Previous Articles    

Digital restoration of severe anterior bone defect: A clinical report

Shengjia Ye1, Wentao Qian2, Yun Yuan1, Xiayue Jin1, Jiarui Cui1, Hui Huang1,()   

  1. 1Department of Prosthodontics, Shanghai Ninth People′s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology, Shanghai 200011, China
    2Department of Oral Surgery, Shanghai Ninth People′s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology, Shanghai 200011, China
  • Received:2025-06-17 Online:2025-10-01 Published:2025-10-22
  • Contact: Hui Huang
  • Supported by:
    National Natural Science Foundation of China(82471008); Clinical Research Breakthrough Project in Stomatology of Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine(NCRC0202322)

Abstract:

Implant restoration in the aesthetic zone involves substantial clinical risks and challenges. With the application and development of digital technology, shifting the focus of treatment to the initial design phase to guide subsequent surgery, to reduce operational difficulty, to enhance the predictability of treatment outcomes, and ultimately to achieve precise restoration of aesthetics and function remains an ongoing exploration for clinicians. The organic integration of various digital tools has gradually made these objectives a reality. Digital design enables the integration of intraoral and facial scan images with electronic facebow and cone-beam computed tomography (CBCT) data, facilitating three-dimensional reconstruction and virtual patient modeling for restorative outcome prediction. The "start with the end" philosophy ensures precision throughout implant and prosthetic procedures. This case report demonstrates the application of digital workflows to restore smile aesthetics and function in a patient presenting with severe anterior bone defects and multiple missing teeth. A combination of digital technologies guided treatment planning, aesthetic simulation, and surgical-prosthetic execution, culminating in successful implant and crown rehabilitation. Six-month follow-up revealed optimal restorative outcomes, with significant improvements in anterior esthetics and occlusal function.

Key words: Digital technology, Virtual patients, Aesthetic prosthodontics, Implantology, Guided bone regeneration

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