Contemporary digital treatment of resorbed avulsed maxillary incisors: multidisciplinary approach

Introduction: Traumatic dental injuries, particularly avulsion of maxillary incisors, present significant clinical challenges. Long-term prognosis is often compromised by complications such as root resorption, requiring a strategic and multidisciplinary treatment approach. The integration of digital technologies enhances precision in diagnosis, planning, and rehabilitation.
Case description: A 17-year-old patient with a history of traumatic avulsion of a maxillary incisor underwent root canal treatment and replantation. After eight years, the tooth exhibited root resorption, necessitating the extraction of all maxillary incisors. In the same stage, bone augmentation was performed using a Straumann xenograft and membrane. Two dental implants were placed in a second-stage surgery.
Discussion: The integration of digital technologies, including intraoral scanners, CBCT, and CAD/CAM systems, played a key role in precise planning and implant positioning. The use of 3D printed temporary crowns facilitated optimal temporary restoration during healing, while the CAD/CAM-designed monolithic zirconia screw-retained bridge provided a durable prosthetic solution. This approach not only ensured unctional restoration but also addressed the esthetic needs of the patient.
Conclusion/clinical significance: Severe dental trauma requires a well-coordinated multidisciplinary and digital approach to achieve predictable outcomes. This case underscores the importance of digital tools in enhancing precision and efficiency across all treatment phases, ensuring optimal long-term results in prosthodontic rehabilitation.

Key Words: Digital dentistry, dental trauma, avulsion, bone augmentation, dental implants, intraoral scanner, CAD/CAM, prosthodontic rehabilitation, multidisciplinary approach.