Keywords
Diseño asistido por computadora
Edentulismo
Manufactura asistida por computadora
Prótesis completa
How to Cite
Abstract
Introduction: Complete edentulism remains a prevalent issue among older adults, significantly impacting quality of life. Removable complete dentures continue to be a widely used rehabilitation option, and advances in digital dentistry have enabled the optimization of their fabrication through hybrid workflows. The aim of this study was to describe a clinical case of oral rehabilitation using complete dentures fabricated via a hybrid digital protocol and to evaluate the impact on the patient's quality of life.
Case Report: An 88-year-old male patient underwent rehabilitation using a hybrid workflow that integrated conventional functional impressions with digital design and manufacturing (CAD/CAM). Clinical and laboratory stages were documented. Oral health-related quality of life was assessed before and after treatment using the OHIP-EDENT-Sp questionnaire.
Results: The fabrication and delivery of the complete dentures were completed in four clinical sessions. The patient reported functional, aesthetic, and psychosocial improvements. The OHIP-EDENT-Sp score decreased from 46/76 to 8/76, demonstrating a significant reduction in the negative impact of oral health on quality of life, with the greatest improvements observed in physical disability, pain, and functional limitation.
Conclusions: Prosthetic rehabilitation using a hybrid digital workflow proves to be a clinically viable and efficient therapeutic alternative, allowing for a reduction in the number of clinical sessions and an improvement in perceived quality of life. These findings support the clinical value of the hybrid approach as a predictable, efficient, and patient-centered strategy, which is particularly relevant for older adults with functional limitations.
References
1. Ministerio de Salud de Chile. Guía de Práctica Clínica Salud Oral Integral: tratamiento y rehabilitación oral en personas adultas y personas mayores con edentulismo parcial o total. Santiago: Ministerio de Salud; 2018. https://diprece.minsal.cl/wp-content/uploads/2022/08/RE_GPC-Edentulismo_2018_-corregir-autores-03082022-v4.pdf
2. Carlsson GE, Omar R. The future of complete dentures in oral rehabilitation: a critical review. J Oral Rehabil. 2010;37(2):143-156. doi:10.1111/j.1365-2842.2009.02039.x.
3. Srinivasan M, Kamnoedboon P, McKenna G, Angst L, Schimmel M, et al. CAD-CAM removable complete dentures: a systematic review and meta-analysis of trueness of fit, biocompatibility, mechanical properties, surface characteristics, color stability, time-cost analysis, clinical and patient-reported outcomes. J Dent. 2021;113:103777. doi:10.1016/j.jdent.2021.103777.
4. El Osta N, Bessadet M, Drancourt N, Batisse C. Time efficiency and cost of fabricating removable complete dentures using digital, hybrid, and conventional workflows: a systematic review. J Prosthet Dent. 2025;133(5):1194-1208. doi:10.1016/j.prosdent.2024.10.008.
5. AlRumaih HS. Clinical applications of intraoral scanning in removable prosthodontics: a literature review. J Prosthodont. 2021;30(8):747-762. doi:10.1111/jopr.13395.
6. Veerasamy A, Ghuloum F, Lo Y, Jansen van Vuuren W. Digital removable denture workflows in dental education: a systematic review and curriculum development exploration. Eur J Dent Educ. 2026;30(2):547-560. doi:10.1111/eje.70001.
7. Atwood DA. Reduction of residual ridges: a major oral disease entity. J Prosthet Dent. 1971;26(3):266-279. doi:10.1016/0022-3913(71)90069-2.
8. Montero J, Macedo C, López-Valverde A, Bravo M. Validation of the oral health impact profile (OHIP-20sp) for Spanish edentulous patients. Med Oral Patol Oral Cir Bucal. 2012;17(3):e469-e476. doi:10.4317/medoral.17498.
9. Allen F, Locker D. A modified short version of the Oral Health Impact Profile for assessing health-related quality of life in edentulous adults. Int J Prosthodont. 2002;15(5):446-450.
10. Srinivasan M, Schimmel M, Naharro M, O'Neill C, McKenna G, et al. CAD/CAM milled removable complete dentures: time and cost estimation study. J Dent. 2019;80:75-79. doi:10.1016/j.jdent.2018.09.003.
11. Abdelnabi MH, Swelem AA. 3D-printed complete dentures: a review of clinical and patient-based outcomes. Cureus. 2024;16(9):e69698. doi:10.7759/cureus.69698.
12. Romo Ormazábal F, Jorquera Henríquez C, Irribarra Mengarelli R. Determinación de la dimensión vertical oclusal a través de la distancia clínica ángulo externo del ojo al surco tragus facial. Rev Dent Chile. 2009;100(3):26-33.
13. Kahya Karaca S, Akca K. Comparison of conventional and digital impression approaches for edentulous maxilla: clinical study. BMC Oral Health. 2024;24:1378. doi:10.1186/s12903-024-05151-3.
14. Villias A, Karkazis H, Yannikakis S, Theocharopoulos A, Sykaras N, et al. Current status of digital complete dentures technology. Prosthesis. 2021;3(3):229-244. doi:10.3390/prosthesis3030023.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2026 Applied Sciences in Dentistry