Fabrication of facially guided computer-aided design and computer-aided manufacturing complete dentures incorporating dynamic occlusion management with mandibular trackers: A dental technique.

A 3-visit, facially guided, computer-aided design and computer-aided manufacturing (CAD-CAM) workflow for complete dentures is presented. The technique integrated 3-dimensional (3D) facial scanning and dynamic mandibular tracking and is applicable for patients with or without existing dentures for single-arch or dual-arch prostheses. Relined, functionalized interim bases stabilize occlusion rims, intraoral scans capture surface geometry, jaw tracking records with intercuspal position and excursions define the intermaxillary relation and constrain occlusal morphology within the functional envelope, while facial scanning provides face-referenced esthetics. A milled-wax trial restoration allows rapid, reversible refinements before monolithic fabrication. The approach supports individualized occlusion, improves predictability, and may reduce postinsertion adjustments.