AS Odontología Digital

Oral Rehabilitation

Comprehensive restoration of dental function and aesthetics

Oral rehabilitation isn't a single procedure, it's a clinical sequence. It resolves cases where chewing function, occlusion and aesthetics need coordinated reconstruction across several teeth or an entire arch. At AS Odontología Digital we handle it with a 100% digital workflow and a stable multidisciplinary team in Vitacura.

The starting point is an iTero 5D intraoral scan: five minutes per arch, no alginate. From that digital model we design each restoration in Exocad and fabricate the pieces in-clinic on the Primemill CAD/CAM mill. Lithium disilicate or monolithic zirconia depending on indication. The marginal fit a digital workflow delivers is something conventional physical-impression methods can't match.

Each plan is built in a clinical meeting between the specialists who will treat the case. Implants, prior orthodontics, periodontics and endodontics are discussed before any intervention starts. That internal coordination is what differentiates a well-planned rehabilitation from an improvised sequence with inter-clinic referrals.

The digital workflow is what makes the outcome predictable. The position of an implant is decided considering the future prosthesis, the space for a crown is calculated against the initial scan, provisionals are 3D-printed the same day. Every clinical decision is made on the same digital record shared across specialists.

The clinical indication includes multiple tooth loss, severe occlusal wear, failed older restorations, bite problems or post-traumatic reconstruction. The initial consultation defines whether the case requires comprehensive rehabilitation or sequential partial treatments.

Total time varies between two and twelve months depending on complexity. You wear functional aesthetic provisionals throughout the treatment period, which allows normal daily life while the definitive pieces are being fabricated. Intermediate checks verify occlusal adaptation before moving to each new phase.

The first consultation includes clinical exam, photography, iTero 5D scan, 3D models and CBCT when implants are in plan. From that information we present the complete clinical sequence before any intervention. Complex cases get discussed in an interdisciplinary meeting before your second visit.

Benefits

  • Complete initial diagnosis with iTero 5D, clinical photography and CBCT when indicated
  • Phased treatment plan discussed in interdisciplinary meeting before starting
  • In-clinic CAD/CAM fabrication on the Primemill mill: lithium disilicate or zirconia
  • Functional aesthetic provisionals throughout the treatment period
  • Straumann SLActive implants with immediate load when indicated
  • All-on-4 and All-on-6 protocols for full-arch rehabilitations
  • Clinical coordination across the specialists treating your case, no external referrals

Step-by-step protocol

Integrated plan with digital workflow, typically 3 to 6 months depending on case complexity

  1. Step 1 · 90 min

    Complete digital diagnosis

    Cone-beam tomography (CBCT), iTero 5D intraoral scan, clinical photography, occlusal and joint analysis. All case information lives in a single digital patient file.

  2. Step 2 · 120 min

    3D case planning

    Digital design of every restoration on the scan, definition of vertical dimension, occlusal plane, anterior guide. Simulation of the functional and aesthetic result before any tooth preparation.

  3. Step 3 · 60 min

    Preparatory phase

    When required: periodontal treatment, endodontics, prior orthodontics, or bone regeneration for implants. Provisionals maintain function and aesthetics during this phase.

  4. Step 4 · 90 min

    In-clinic CAD/CAM fabrication

    Exocad design on the patient scan. Milling on Primemill with e.max ceramic or zirconia, or 3D printing on Phrozen 8KS and Formlabs 4B for provisional or transitional pieces.

  5. Step 5 · 90 min

    Definitive placement and occlusal adjustment

    Adhesive cementation, occlusal adjustment with articulating paper and functional analysis. The rehabilitation is delivered only when function and aesthetics are verified.

  6. Step 6 · 30 min

    Follow-up and digital monitoring

    Follow-up at 1 week, 1 month, 6 months and annually. New scan at each visit, overlaid on the original to detect changes. Permanent digital archive of the case.

Our Approach

The protocol starts with a complete diagnosis: occlusal analysis, photographic record, iTero 5D scan, 3D models and CBCT when implants are in plan. We present the complete clinical sequence before any intervention starts. Complex cases get discussed in an interdisciplinary meeting between the specialists you'll see. The digital workflow is shared across the team, which avoids referrals between separate clinics and keeps a single clinical record for the entire case.

Clinical team

Treatment led by Dr. Pablo Atria

Dr. Pablo Atria is Director of the Advanced Clinical Fellowship in Operative and Digital Dentistry at NYU College of Dentistry. His clinical practice focuses on implantology with computer-guided surgery, CAD/CAM rehabilitation, and applications of the complete digital workflow in restorative dentistry.

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Frequently Asked Questions

How long does a full oral rehabilitation take?

Depending on complexity, oral rehabilitation can take between 2 and 12 months. Cases that include implants or bone regeneration require more time for biological integration. At your initial consultation, we will provide a detailed phased timeline.

What types of prostheses are used in rehabilitation?

We use crowns, bridges, inlays, onlays, and implant-supported prostheses made with high-strength and high-aesthetic ceramics such as lithium disilicate, monolithic zirconia, and feldspathic ceramic. The choice depends on the functional and aesthetic needs of each case.

Is it possible to rehabilitate an entire mouth?

Yes. We offer full-arch rehabilitations, including All-on-4 and All-on-6 protocols on implants, which allow restoring all the teeth in an arch with a minimal number of implants and immediate results.

Will my dental insurance cover part of the treatment?

Many dental insurance plans partially cover rehabilitation treatments. We help with the necessary documentation and offer payment plans so you can access the treatment you need.

What is the difference between oral rehabilitation and smile design?

Smile design primarily focuses on the aesthetics of visible teeth, while oral rehabilitation comprehensively addresses chewing function, occlusion, and the health of the entire mouth. The two treatments often complement each other for a complete result.

Will I have provisional teeth during treatment?

Yes. Throughout the rehabilitation process, you will have aesthetic and functional provisional prostheses that allow you to eat, speak, and smile normally while the definitive restorations are being fabricated.

What does a first consultation for oral rehabilitation include?

Complete clinical exam, professional photography, iTero 5D intraoral scan, 3D digital models, detailed occlusal analysis, and cone-beam tomography (CBCT) when indicated. You leave with a phased plan with a clear timeline and, in complex cases, a defined interdisciplinary sequence.

Is the oral rehabilitation process painful?

No. All procedures are performed under local anesthesia and, when needed, we offer conscious sedation. Most patients report a comfortable experience. Our team prioritizes your well-being at every appointment.

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