Fluxo de trabalho digital em reabilitação oral: uma revisão narrativa da literatura

Abstract

Digital workflow is very present in Oral Rehabilitation. Technological advances in machines and systems allowed for changes in clinical procedures performed in a conventional way. Diagnosis and treatment planning based on digital methods facilitate communication among dentist, patient and the dental laboratory. In addition, in-office time could be reduced, prosthetic works are delivered faster, greater convenience and safety for professionals and patients. The aim of this study was to review the literature on digital workflow in Dentistry, emphasizing concepts related to the CAD/CAM system, advantages and disadvantages and applicability in oral rehabilitation. This narrative review was developed by the bibliographic survey in the PubMed and Google Scholar databases, using the terms “digital dentistry”, “digital workflow and dentistry” and “3D printing and dentistry”. Seventy-five articles were selected for convenience, all in English, from the last 20 years and available in full. The digital workflow provides greater predictability, ease of production and optimization of time in the work carried out by the professional. Through images generated by intraoral scanning or plaster model, the prosthetic structure is drawn on a computer (CAD) and components are manufactured by means of subtractive or additive manufacturing (CAM). The applicability of digital workflow in Oral Rehabilitation is related to surgical planning for the insertion of implants, virtual smile design providing greater aesthetic results, construction of fixed prostheses, occlusal devices, removable total and partial dentures. Digital methods benefit the professional's clinical practice; however, it is necessary that there is a reduction in the costs of technological devices and that more studies are focused on monitoring the cases that are attended by this new work approach so that its effectiveness can be assured.