Fluxo digital como solução para reabilitação implantosuportada em paciente com limitação de abertura bucal: relato de caso

Abstract

Digital dentistry has enabled restorative treatments with greater predictability, precision, and efficiency, especially in complex cases. This study reports a clinical case of implant-supported oral rehabilitation conducted entirely through a digital workflow in a patient with limited mouth opening resulting from facial trauma. Implant-supported crowns were fabricated for teeth 14, 17, 26, 36, 37, and 47. The clinical and laboratory steps comprised: abutment selection and placement, fabrication of provisional restorations, intraoral scanning with the TRIOS 3 scanner (3Shape), 3D printing of working models, CAD/CAM milling of zirconia crowns, crown tryin, and final placement. The patient's limited mouth opening rendered conventional impressiontaking unfeasible, making the digital workflow the alternative of choice. It is concluded that the digital workflow represents an effective and predictable alternative in cases with clinical restrictions of mouth opening, providing a satisfactory outcome, reduced patient discomfort, and optimized communication between the clinician and the dental laboratory.