Intraoral Scanning with Rubber Dam Isolation in Place for Fabrication of a Chairside Computer-assisted Design and Computer-assisted Manufacture Ceramic Restoration

Abstract

Aim: The clinical report describes how chairside intraoral scanning can be performed while a rubber dam is in place prior to fabrication of a computer-assisted design and computer-assisted manufacture (CAD/CAM) ceramic restoration. Background: Recently, combining a chairside CAD/CAM system with rubber dam isolation in place could be used in order to both speed up the restorative process and avoid any contamination to abutment surface, which are the positive effects to patients and clinicians. Unfortunately, manufacturers do not provide guidance on how to make use of chairside CAD/CAM restorations while rubber dam isolation is in place. Case description: The chief complaint of necessitating a crown after endodontic therapy and the patient was digital restorative procedure in single visit. Intraoral scanning with rubber dam isolation in place was planned and successfully completed in order to fabricate a chairside CAD/ CAM ceramic crown. The software was able to interpose the scan of the prepped tooth with rubber dam isolation into a scan made without the rubber dam from which the tooth had been erased. Conclusion: Chairside CAD/CAM system can be used to scan, design, and fabricate crowns while rubber dam is kept intraorally. Initial scan without rubber dam is needed in order to interpose the second scan with rubber dam in place. Clinical significance: Combining the advantages of intraoral scanning and rubber dam isolation in place for the fabrication of a chairside CAD/ CAM ceramic crown in a single visit is feasible.