Full Rehabilitation in an Open-Bite Case Using Lithium Disilicate and Custom Digital Design - Report - DentalSpire

Full Rehabilitation in an Open-Bite Case Using Lithium Disilicate and Custom Digital Design

  • By

  • Oleksandr Tierientiev

  • February 1, 2026

  • 12 min

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Clinical Report: Full Rehabilitation in an Open-Bite Case Using Lithium Disilicate

Overview

This report details a full-mouth rehabilitation of a 26-year-old female patient with an anterior open bite and mild chronic generalized periodontitis. Utilizing contemporary digital methods and lithium disilicate restorations, significant improvements in esthetics and function were achieved, with stable results after one year.

Background

Open bite conditions present complex challenges in dentistry, often requiring a multidisciplinary approach due to associated functional impairments and esthetic concerns. The integration of modern digital technologies enhances treatment predictability and control, allowing for tailored rehabilitation strategies. Lithium disilicate is favored for its strength and esthetic properties, making it a suitable choice for indirect restorations in such cases.

Data Highlights

No numerical data or trial data was provided in the source material.

Key Findings

  • A comprehensive rehabilitation approach was employed, integrating digital diagnostics and modeling.
  • The use of a Kois deprogrammer was crucial for establishing functional parameters and occlusal harmony.
  • Gingivectomy was performed to optimize gingival symmetry prior to tooth preparation.
  • Final clinical crown lengths were determined based on diagnostic wax-up and esthetic analysis.
  • Significant improvements in both esthetics and function were noted, remaining stable after one year of follow-up.

Clinical Implications

The case underscores the importance of a thorough diagnostic process in managing complex occlusal issues. Clinicians should consider the integration of digital technologies and multidisciplinary approaches to enhance treatment outcomes in patients with anterior open bites.

Conclusion

This case report highlights the effectiveness of lithium disilicate restorations and modern digital techniques in achieving successful rehabilitation outcomes for patients with anterior open bites. Continued advancements in these areas promise to further improve clinical practices.

References

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  4. inside dentistry — Same-Day Rehabilitation Using Patient-Guided Design
  5. compendium — A Transitional Full-Mouth Rehabilitation Using Injection-Molded Composite: A 6-Year Clinical Follow-up
  6. ADA News — Universal Simplicity Meets Comprehensive Esthetics: Two Clinical Cases Showcasing Modern Restorative Dentistry
  7. compendium — A 7-Year Follow-up: Managing Biomechanics, Function, and an Esthetic Disability
  8. Same-Day Rehabilitation Using Patient-Guided Design
  9. A Transitional Full-Mouth Rehabilitation Using Injection-Molded Composite: A 6-Year Clinical Follow-up
  10. Universal Simplicity Meets Comprehensive Esthetics: Two Clinical Cases Showcasing Modern Restorative Dentistry
  11. Correction of Anterior Open Bite Using Temporary Anchorage Devices: A Systematic Review and Meta-Analysis - PMC
  12. Survival and Complication Rates of Feldspathic, Leucite‐Reinforced, Lithium Disilicate and Zirconia Ceramic Laminate Veneers: A Systematic Review and Meta‐Analysis - PMC
  13. Guideline on treatment of stage I-III periodontitis - European Federation of Periodontology

Original Source(s)

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