THE JOURNAL OF THE ACADEMY OF CLINICAL DENTISTRY
Online ISSN : 1884-8230
Print ISSN : 1346-8111
ISSN-L : 1346-8111
CLINICAL REPORTS
A case of occlusal reconstruction with minimal tooth preparation
Masaki KOMORI
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2025 Volume 44 Issue 3 Pages 334-342

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Abstract
A male patient in his 50s with a chief complaint of esthetic disturbance underwent a full-maxillaryrestorative procedure using MI restoration and digital dentistry. This report aims to digest andshare treatment procedures and methods. The patient was treated with a complete jaw examinationto achieve an esthetic goal while preserving as much of the existing enamel and tooth structure aspossible. In the basic treatment, all enamel was preserved and re-evaluated, and the patient wastreated with an aligner orthodontic treatment as a pre-prosthetic treatment to improve the dentalaxis and minimize teeth cutting. After the end of the retention period, the patient was reevaluated. Aprinter model was extracted from the superposition of STL data from the intraoral scanner, DICOMdata from the CT, and facial photograph data. A mock-up was made for the patient and used forconsultation. A simulation of tooth cutting was performed on the mock-up, and after the provisionalrestoration was placed, restorative treatment was performed using an adhesive technique. While theformation of a conventional full crown results in a significant loss of tooth strength, an approach suchas this that preserves enamel may be effective for the long-term preservation and stability of teeth.In addition, the use of digital equipment for examination and diagnosis was helpful in referring toanatomical criteria and highly effective in providing consultation to the patient.
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© 2025 THE ACADEMY OF CLINICAL DENTISTRY
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