System for diagnosis, planning and guided execution of dental preparations in fixed prostheses, comprising a computer
system, with respective hardware and
software components, as well as further dedicated peripherals, which implements a process characterized by the following steps: A)
preliminary diagnosis of the elements to be submitted to a prosthetic process : A.l) evaluate the dental element(s) and related prosthetic process, A.2) evaluate the bone support, including ratio of intraosseous and extraosseous dental portion, and distance and
divergence between teeth to be connected, and A.3) evaluate the internal structure, e.g. enamel,
dentin, pulp,
cement, material for reconstruction; B) planning of ideal dental preparation(s) : B.l) superimpose an ideal prosthetic project to an initial anatomical dental situation; B.2) define a final subgingival / juxtagingival / supragingival preparation; and B.3) starting from an ideal tooth volume, reduce the volume so as to simulate the ideal dental preparation, taking into due consideration: B.3.1) the extent of the reduction depending on the material that will be used to construct the crown, e.g.
metal-
ceramic, zirconia, zirconia-
ceramic, composite, disilicate
lithium,
ceramic, B.3.2)
insertion axis of the
prosthesis, where multiple dental elements should be parallelized in order to have a common
insertion axis, and B.3.3) inclination of the
prosthesis walls, which could be more or less retentive from a mechanical point of view; C) diagnosis of the ideal dental preparation(s) generated: C.l) evaluate the proximity to the pulp in the dental vital elements, including the need of
root canal therapy related to vital dental elements, C.2) evaluate the structural surface composition of an ideal
abutment, including percentage of enamel /
dentin / reconstruction material, in order to assess retention
adhesive of the substrate, C.3) evaluate, starting from the final preparation, the quantity of healthy dental tissue in terms of height - splint / cerclage effect, in order to define the
mechanical stability of the preparation; D) transfer the ideal dental preparation into the
oral cavity of a real patient according to two possible options: a) develop a tooth-supported transfer
mask with guide tracks for dedicated drills with