Objective: This technical report describes a fully digital workflow for the manufacturing of a functional removable esthetic device (FRED) that addresses multiple clinical scenarios before prosthetic rehabilitation. The proposed method integrates ad- vanced digital tools to achieve functional and esthetic outcomes while ensuring reversibility and patient comfort.
Clinical Considerations: The workflow includes intraoral and facial scanning, jaw motion tracking, and CAD/CAM technol- ogy to create a 4D virtual patient. This allows for a precise recording of the maxillomandibular relationship and facilitates the determination of the comfort position to establish a new occlusal vertical dimension (OVD). FRED is a custom-designed, remov- able, tooth-colored device manufactured to provide temporary functional support, esthetic preview, catering to different clinical scenarios, including tooth wear, occlusal trauma, and periodontal conditions.
Conclusions: This technique combines digital and traditional prosthetic principles into a patient-centered, adaptable workflow, allowing precise, non-invasive, and dynamic evaluation of OVD modifications. By integrating digital recording, facial scanning, and CAD/CAM fabrication, it enhances function, esthetics, and patient comfort.
Clinical Significance: This technique highlights the synergy of digital innovation and prosthetic principles, enhancing diag- nostic capabilities and treatment predictability. The patient-centered design supports functional stability and esthetic outcomes, making it a valuable tool in modern prosthetic dentistry.