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

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

This article presents a clinical case of a comprehensive full-mouth rehabilitation in a 26-yearold female patient with an anterior open bite and accompanying mild chronic generalized periodontitis.

  • By

  • Oleksandr Tierientiev

  • February 1, 2026

  • 12 min

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

At a Glance

CategoryDetail
ConditionAnterior open bite with mild chronic generalized periodontitis
Key MechanismsUtilization of digital methods for diagnosis, modeling, and restoration fabrication; use of lithium disilicate for restorations
Target Population26-year-old female patient
Care SettingDental clinic specializing in comprehensive rehabilitation

Key Highlights

  • Significant improvements in esthetics and function after full-mouth rehabilitation
  • Integration of digital technologies for precise treatment planning
  • Use of Kois deprogrammer to establish functional parameters
  • Gingivectomy performed to optimize gingival line for prosthetics
  • Stable results observed after 1 year of follow-up

Guideline-Based Recommendations

Diagnosis

  • Accurate diagnosis of occlusal issues using panoramic radiographs and clinical examination
  • Functional, structural, and esthetic assessments are critical

Management

  • Multidisciplinary approach for complex occlusal pathologies
  • Utilization of CAD software for modeling and restoration fabrication

Monitoring & Follow-up

  • Regular evaluations of occlusal interferences and functional disharmony
  • Assessment of gingival health and restoration adaptation

Risks

  • Potential for microfractures and chipping in final restorations if preparation is not optimal
  • Risk of functional disharmony if occlusal discrepancies are not addressed

Patient & Prescribing Data

Individuals with anterior open bite and periodontal issues

Use of lithium disilicate for esthetic restorations and the importance of digital design in treatment planning

Clinical Best Practices

  • Employ digital wax-ups and guides for surgical and restorative accuracy
  • Maintain minimal enamel loss during tooth preparation
  • Use silicone indices for precise control of tissue reduction

References

Original Source(s)

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

  • by Oleksandr Tierientiev

  • February 1, 2026

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