Prótese total digital híbrida em uma clínica de alta demanda: relato de caso, desafios e perspectivas.

Abstract

Advances in digital technologies, such as CAD/CAM systems and 3D printing, have expanded the possibilities for complete denture fabrication, with potential for increased accuracy, predictability, and reduced clinical time, particularly in edentulous patients. This study aims to report a clinical case of maxillary complete denture rehabilitation using a hybrid workflow that integrates conventional and digital techniques. An edentulous patient was rehabilitated with a maxillary complete denture fabricated by 3D printing, using the patient’s pre-existing denture as an individual impression tray and as an esthetic and functional reference, thereby preserving previously established occlusal relationships. The protocol included scanning of the functionalized denture, fabrication of the denture by 3D printing, a clinical try-in for functional and esthetic adjustments, and final delivery after finishing and polishing, with the treatment completed within a total period of 14 days. The denture demonstrated clinically satisfactory retention, adequate adaptation, and favorable esthetics, in addition to a reduction in the number of clinical appointments, with a high level of patient satisfaction, particularly regarding denture stability and shortened treatment time. It can be concluded that the hybrid workflow proved to be efficient and clinically feasible; however, its predictability depends on professional experience and clinical–laboratory integration, making it, under current clinical conditions, a safer and predictable approach for complete denture fabrication.