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Pioneering Chairside Digital Crowns in Qatar’s Primary Health Care Settings: A Single-Visit Monolithic Zirconia Restoration Case Report

DOI: 10.4236/ojst.2025.1512030, PP. 335-344

Keywords: CAD/CAM Dentistry, Chairside Crown, Zirconia Restoration, Prime Scan, Prime Mill, Speed Fire, Single-Visit Workflow, Digital Innovation

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Abstract:

Nowadays, advances in chairside digital workflows have transformed restorative dentistry by enabling the delivery of indirect restorations in a single visit. Monolithic zirconia crowns fabricated with computer-aided design/computer-aided manufacturing (CAD/CAM) systems demonstrate excellent survival rates and are increasingly used for posterior and premolar teeth following endodontic treatment. However, their implementation in public primary care settings remains underreported. This report describes the case of a 44-year-old male patient with controlled hypothyroidism requiring restoration of a root canal-treated maxillary first premolar. Using a fully digital workflow with CEREC Prime scan, Prime Mill, and Speed Fire furnace, a monolithic zirconia crown was designed, fabricated, and cemented in one visit. At one-, three- and six-month follow-up, the restoration exhibited excellent marginal adaptation, occlusion, and esthetics, with no reported complications. The patient expressed high satisfaction with the convenience of single-visit treatment. This case highlights the efficiency and predictability of chairside zirconia restorations for endodontically treated teeth and supports existing evidence that such digital workflows provide reliable and clinically successful outcomes. To the best of our knowledge, this represents one of the first documented chairside digital crown restoration in Primary health care settings in Qatar. The case demonstrates the feasibility of CAD/CAM adoption in government primary care and underscores its potential role in driving digital innovations within public oral health services in Qatar.

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