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prosthodontics I
DENTAL TECHNOLOGY, JULY-SEPTEMBER 2025 21

Fig 3a: PMMA design for trial Fig 3b: PMMA trial verified intraorally Fig 4: Reduced design on the exocad software for
porcelain layering

Fig 6: Maxillary and mandibular arches showing Fig 7: Maxillary and mandibular Intraoral prosthesis
characterization loading

Fig 5: Reduced metal framework

also allowed real-time adjustments by the dental technician team. The metal Using exocad software, the prosthesis was digitally designed with careful
trial confirmed the fit and stability of the framework, which was then layered attention to the patient’s facial proportions. Tooth size, shape, and shade were
with Ceramco 3 porcelain. customized virtually to achieve harmony with the patient’s facial structure.
Phonetics were verified during the try-in stage, ensuring the restoration
4. Bisque Trial and Final Prosthesis Delivery supported clear pronunciation—crucial for a language professional. Final
The bisque trial allowed for final checks on occlusion, esthetics, and characterization of the prosthesis was performed to mimic natural teeth,
articulation before finishing and glazing. Phonetics were verified, and the enhancing esthetics without compromising the function. The fabrication
tooth size, shape, and colour were customized to suit the patient’s facial process was completed in collaboration with Toothworks Dental Lab,
structure. Characterization was carried out to ensure a natural appearance Nagpur, whose advanced digital infrastructure ensured a streamlined and
(Figures 6a and 6b). precise workflow.
Once all parameters were confirmed, the final prosthesis was fabricated This case serves as a benchmark for future prosthodontic treatments
using high-quality ceramic and delivered to the patient in a single lab visit where timely delivery, functional excellence, and phonetic precision are
(Figure 7). The fit was accurate, and most importantly, the patient could equally critical. n
speak clearly and confidently.

OUTCOME AND PATIENT RESPONSE
The patient reported an immediate improvement in the chewing ability and ABOUT THE AUTHORS
a complete return of phonetic clarity, allowing him to resume teaching duties
without speech-related discomfort. He appreciated the minimal number of
appointments and the comfort provided by the digital process. Pankaj Gupta, Director of Toothworks Dental Lab,
is a seasoned dental technician with 25 years of
DISCUSSION experience, including 20 years of owning and
This case illustrates the potential of fast-track digital workflows in managing his own dental lab in Central India -
prosthodontics, particularly for professionals whose careers rely heavily on Nagpur, Maharashtra. Specializing in full mouth
implants, particularly complex cases, he brings
speech. Traditional methods, though effective, often involve multiple visits, precision and innovation to every restoration.
physical impressions, and longer turnaround times. Under his leadership, Toothworks has become
At Toothworks Dental Lab in Nagpur, the integration of digital scanning, a trusted name in dental laboratory services,
CAD/CAM design, and in-lab trial stages allow for: renowned for high-quality work and exceptional
• Time-efficient treatment expertise. Email: toothworksdentallab@gmail.
• Enhanced precision in fit and function com
• Phonetic customization based on patient needs
Dr. Dhanashree Minase, is a skilled
CONCLUSION prosthodontist at Toothworks Dental Lab. With
The successful digital rehabilitation of a Sanskrit teacher demonstrates expertise in full mouth implants and smile
designing, she stays updated with the latest
how modern digital dentistry can efficiently restore both oral function and digital technologies. Her passion lies in crafting
precise speech, especially in vocally demanding professions. The treatment beautiful smiles and restoring confidence in her
was driven by a fully digital workflow that offered superior accuracy, patients with a focus on precision and aesthetics.
predictability, and speed.