Conference Presenters
"The 4D Digital Dentistry Workflow applied in the Neuromuscular Approach"
- Dr. Florin Constantinescu
- DDS, MSc Neur Orth
- Romania
Biography
2nd generation dentist, Professor at the Dental Sciences - Master of Implantology at the Jaume I University, Castellón de la Plana, Spain (2022), Member of International College of Cranio-Mandibular Orthopedics, Director of the Holistic Dental & Medical Institute in Bucharest, Romania since 2007. Graduated from the School of Dental Medicine (DMD) in 2007 and the Master in Endodontics (2009) at the "Carol Davila" University of Medicine and Pharmacy in Bucharest, Romania.
Graduated from the Master's Program in Dental Sciences of the Jaume I University, Castellón de la Plana, Spain with the specialization: Neuromuscular Orthodontics and Cranio-Mandibular Orthopedics (2021).
Author and co-author of articles published in peer-reviewed journals on dental prosthetics, oral implantology, minimally invasive therapy, and endodontics. Lecturer at national and international congresses, Clinical Researcher for various Research Projects on mandibular movements, Trainer and Lecturer for practical courses/workshops on dental materials, biomaterials and minimally invasive techniques, Editorial Book Reviewer for Stomatology Edu Journal, member of various national and international scientific associations (ICCMO, AIOP, SIDOC), Member of the Digitalization in Dentistry – E-Health – Artificial Intelligence Committee of ERO – FDI. He practices dentistry in Bucharest, Romania, starting from the principle of complex digital diagnosis, carefully evaluating temporomandibular disorders, and pursuing the goal of offering patients individualized oral rehabilitation.
Abstract
Recent developments in functional and digital dentistry have significantly transformed the diagnostic and therapeutic landscape. Cutting-edge technologies, such as intraoral and facial scanning, dynamic cone beam computed tomography (CBCT), and tracking of free mandibular movements, now enable dental professionals to gather highly detailed and accurate data about their patients. These innovations have elevated the precision of clinical assessments and treatment planning. By integrating a neuromuscular approach with 4D digital technology, practitioners can achieve superior levels of predictability, precision, and personalized care, tailoring treatments to align with the physiological parameters and unique preferences of each patient.
This approach is exemplified in the case of a 36-year-old female patient who sought care following orthognathic surgery. Her complaints included difficulties in mastication, dissatisfaction with dental aesthetics, recurrent debonding of an upper retainer, and the presence of carious lesions in posterior teeth. A comprehensive neuromuscular evaluation was conducted, incorporating surface electromyography (sEMG) of key muscles, digital recordings of free mandibular movements, and integration of intraoral and facial scans with full-head CBCT imaging. These data were processed in CAD software following a structured 4D evaluation protocol.
The treatment plan focused on mandibular deprogramming, dynamic functional analysis, occlusal stabilization via an orthotic appliance, and final prosthetic rehabilitation using minimally invasive crowns and veneers. This systematic approach aimed to optimize both functional and aesthetic outcomes. The patient provided consent for the proposed treatment plan and the use of clinical documentation for academic purposes.
Digital dentistry combined with neuromuscular principles offers a revolutionary approach for precise, personalized care, enhancing diagnostic accuracy and treatment outcomes.
Keywords
- 4D Digital Dentistry
- Neuromuscular Approach
- Intraoral and Faciak Scans
- Mandibular Movement Tracking
- CAD-CAM Technology
