scholarly journals Ankylosis of the temporomandibular joint—impression free CAD/CAM based joint replacement using patient-specific implants

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
D G E Thiem ◽  
B Al-Nawas ◽  
P W Kämmerer
Keyword(s):  
Temporomandibular Joint ◽  
Computer Aided Design ◽  
Mouth Opening ◽  
Patient Specific ◽  
Patient Specific Implants ◽  
Computer Aided ◽  
Cad Cam ◽  
3D Printed ◽  
Aided Design

Abstract In recent years, alloplastic temporomandibular joint (TMJ) replacement has become a permissible procedure for the reconstruction of severely destroyed TMJs. The use of computer-aided design/computer-aided manufacturing (CAD/CAM) has extended the range of applications to complex anatomical situations. The aim of the treatment is to improve the usually restricted mouth opening and thus oral hygiene and nutrition, which leads to a regular improvement in the general quality of life. The following case report describes the bilateral replacement of ankylotically destroyed TMJs using patient-specific endoprostheses with simultaneous displacement of the maxilla. Innovative in the case described is the impression-free CAD/CAM planning, whereby the upper and lower prostheses were produced on the basis of 3D printed patient models.

scholarly journals Influence of Sequential CAD/CAM Milling on the Fitting Accuracy of Titanium Three-Unit Fixed Dental Prostheses

Materials ◽  
2021 ◽  
Vol 14 (6) ◽  
pp. 1401
Author(s):  
Doo-Bin Song ◽  
Man-So Han ◽  
Si-Chul Kim ◽  
Junyong Ahn ◽  
Yong-Woon Im ◽  
...  
Keyword(s):  
Titanium Alloy ◽  
Computer Aided Design ◽  
Dental Prostheses ◽  
Computer Aided ◽  
Cad Cam ◽  
Fixed Dental Prostheses ◽  
Gap Data ◽  
Aided Design ◽  
Fitting Accuracy

This study investigated the fitting accuracy of titanium alloy fixed dental prostheses (FDP) after sequential CAD/CAM (Computer Aided Design/Computer Aided Manufacturing) fabrication. A three-unit FDP model connecting mandibular second premolars and molars was prepared and scanned to fabricate titanium FDPs by CAD/CAM milling. A total of six FDPs were sequentially milled in one titanium alloy disk using a new set of burs every time (n = 4). The fitting accuracy of FDPs was mesiodistally evaluated by a silicone replica technique and the measurement was triplicated at four different locations: MO (marginal opening), MG (marginal gap), AG (axial gap), and OG (occlusal gap). Data were statistically analyzed using ANOVA and Tukey’s HSD test. The fitting accuracy of PMMA (polymethyl methacrylate) FDPs milled using the worn or new bur were evaluated by the same procedure (n = 6). The mean dimensions of titanium FDP for all measuring positions, except for AG, were significantly increased from the third milling. However, no difference was noted between the first FDP and the second FDP milled with the same set of burs. Severe edge chippings were observed in all milling burs. Detrimental effects of the worn burs on the fitting accuracy were demonstrated in the CAD/CAM-milled PMMA FDP. The results recommend proper changing frequency of cutting burs to achieve the quality of fit and predictable outcomes for dental CAD/CAM prostheses.

scholarly journals Accuracy Assessment of Molded, Patient-Specific Polymethylmethacrylate Craniofacial Implants Compared to Their 3D Printed Originals

2020 ◽  
Vol 9 (3) ◽  
pp. 832 ◽  
Author(s):  
Dave Chamo ◽  
Bilal Msallem ◽  
Neha Sharma ◽  
Soheila Aghlmandi ◽  
Christoph Kunz ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Accuracy Assessment ◽  
Three Dimensional ◽  
Production Costs ◽  
Patient Specific ◽  
Patient Specific Implants ◽  
3D Printed ◽  
Cost Efficient ◽  
Craniofacial Implants ◽  
Aided Design

The use of patient-specific implants (PSIs) in craniofacial surgery is often limited due to a lack of expertise and/or production costs. Therefore, a simple and cost-efficient template-based fabrication workflow has been developed to overcome these disadvantages. The aim of this study is to assess the accuracy of PSIs made from their original templates. For a representative cranial defect (CRD) and a temporo-orbital defect (TOD), ten PSIs were made from polymethylmethacrylate (PMMA) using computer-aided design (CAD) and three-dimensional (3D) printing technology. These customized implants were measured and compared with their original 3D printed templates. The implants for the CRD revealed a root mean square (RMS) value ranging from 1.128 to 0.469 mm with a median RMS (Q1 to Q3) of 0.574 (0.528 to 0.701) mm. Those for the TOD revealed an RMS value ranging from 1.079 to 0.630 mm with a median RMS (Q1 to Q3) of 0.843 (0.635 to 0.943) mm. This study demonstrates that a highly precise duplication of PSIs can be achieved using this template-molding workflow. Thus, virtually planned implants can be accurately transferred into haptic PSIs. This workflow appears to offer a sophisticated solution for craniofacial reconstruction and continues to prove itself in daily clinical practice.

scholarly journals Computer-Assisted Mandibular Reconstruction using a Patient-Specific Reconstruction Plate Fabricated with Computer-Aided Design and Manufacturing Techniques

2014 ◽  
Vol 7 (2) ◽  
pp. 158-166 ◽  
Author(s):  
Frank Wilde ◽  
Carl-Peter Cornelius ◽  
Alexander Schramm
Keyword(s):  
Computer Aided Design ◽  
Mandibular Reconstruction ◽  
Patient Specific ◽  
Computer Assisted ◽  
Reconstruction Plate ◽  
Fibula Flap ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design ◽  
Five Axis

We investigated the workflow of computer-assisted mandibular reconstruction that was performed with a patient-specific mandibular reconstruction plate fabricated with computer-aided design and computer-aided manufacturing (CAD/CAM) techniques and a fibula flap. We assessed the feasibility of this technique from virtual planning to the completion of surgery. Computed tomography (CT) scans of a cadaveric skull and fibula were obtained for the virtual simulation of mandibular resection and reconstruction using ProPlan CMF software (Materialise®/DePuy Synthes®). The virtual model of the reconstructed mandible provided the basis for the computer-aided design of a patient-specific reconstruction plate that was milled from titanium using a five-axis milling machine and CAM techniques. CAD/CAM techniques were used for producing resection guides for mandibular resection and cutting guides for harvesting a fibula flap. Mandibular reconstruction was simulated in a cadaveric wet laboratory. No problems were encountered during the procedure. The plate was fixed accurately to the residual bone without difficulty. The fibula segments were attached to the plate rapidly and reliably. The fusion of preoperative and postoperative CT datasets demonstrated high reconstruction precision. Computer-assisted mandibular reconstruction with CAD/CAM-fabricated patient-specific reconstruction plates appears to be a promising approach for mandibular reconstruction. Clinical trials are required to determine whether these promising results can be translated into successful practice and what further developments are needed.

Computer Aided Design of Implant Based Dental Restorations

2008 ◽  
Author(s):  
Ming C. Leu ◽  
Amit Gawate
Keyword(s):  
Computer Aided Design ◽  
Patient Specific ◽  
Facial Features ◽  
Cad Model ◽  
Dental Restorations ◽  
Computer Aided ◽  
Cad Cam ◽  
Scan Data ◽  
Aided Design ◽  
Cam Systems

Implant based dental restorations have many advantages over standard removable dentures because using implants can prevent the loss of jawbones, help restore facial features, and enable the patients to get firm bites. A critical step in this kind of restorations is the fabrication of the dental bar on which the denture sits. A dental bar is patient-specific because each patient’s jawbone is unique and the device needs to be conforming to the patient’s gingival surface. The design of a dental bar is crucial to the success of dental restorations. Traditionally, designing a dental bar is a lengthy and laborious process and requires high levels of craftsmanship. There have been attempts to develop CAD/CAM systems towards automating design and fabrication of dental restorations. However, currently available commercial CAD/CAM systems are only capable of making crowns, bridges, copings, onlays and veneers, and they are not capable of making dental restorations involving multiple teeth. The present paper describes a method for computer aided design of a dental bar used in implant based dental restorations. The method starts with a set of digital scan data representing the patient’s gingival surface and generates a CAD model of a dental bar that is ready for fabrication of a physical dental bar.

Marginal Integrity, Internal Adaptation and Compressive Strength of 3D Printed, Computer Aided Design and Computer Aided Manufacture and Conventional Interim Fixed Partial Dentures

2019 ◽  
Vol 9 (12) ◽  
pp. 1745-1750
Author(s):  
Laila Al Deeb ◽  
Khold Al Ahdal ◽  
Ghaith Alotaibi ◽  
Abdullah Alshehri ◽  
Bader Alotaibi ◽  
...  
Keyword(s):  
Compressive Strength ◽  
Computer Aided Design ◽  
Outer Edge ◽  
Marginal Fit ◽  
Marginal Integrity ◽  
Computer Aided ◽  
Cad Cam ◽  
3D Printed ◽  
Internal Adaptation ◽  
Aided Design

The aim was to investigate the marginal fit, internal adaptation and compressive strength of SLA provisionals (SLA) in comparison to CAD-CAM and conventional (CONV) interim fixed partial dentures (FPDs). Thirty interim FPDs were fabricated using CAD-CAM technology (CAD-CAM blocks Ceramill TEMP, PMMA), conventional molding technique (CONV) (TrimPlus, PMMA) and Stereolithography (SLA) method (Form 2, Formlabs, PMMA) (n = 10). Internal adaptation (occlusal, coronal, middle and cervical) and marginal integrity (inner and outer edge) was assessed using micro-computerized tomography (Micro-CT). The failure and compressive strength was assessed by application of a static load at a crosshead speed of 1 mm/min until fracture. Data was analysed using ANOVA and multiple comparisons test. The maximum and minimum marginal mis-fit was for CONV (283.3± 98.6 nm) and CAD-CAM (68.2± 18.1 m) groups. CAD-CAM (68.2± 18.1 m) and SLA (84.7± 27.5 m) provisionals showed comparable marginal mis-fit (p > 0.05). The mean failure load was significantly higher (p < 0.05) in CAD-CAM (687.86± 46.72 N), compared to SLA (534.8± 46.1 N) and CONV (492.7± 61.8 N) samples. Compressive strength for CAD-CAM (2.44± 0.27 MPa) samples was significantly higher (p < 0.05) than SLA (1.80± 0.15 MPa) and CONV (1.65± 0.20 MPa) groups. Marginal fit and internal adaptation of SLA printed FPDs was comparable to CAD-CAM interims. Compressive strength of the SLA interims FPDs can withstand intra-oral loads.

scholarly journals Effect of Fabrication Method on Fracture Strength of Provisional Implant-Supported Fixed Dental Prostheses

Prosthesis ◽  
2020 ◽  
Vol 2 (4) ◽  
pp. 325-332
Author(s):  
Kelly M. Suralik ◽  
Jie Sun ◽  
Chia-Yu Chen ◽  
Sang J. Lee
Keyword(s):  
Computer Aided Design ◽  
Fracture Force ◽  
Fixed Dental Prosthesis ◽  
Computer Aided ◽  
Cad Cam ◽  
3D Printers ◽  
Fixed Dental Prostheses ◽  
3D Printed ◽  
Aided Design ◽  
Post Hoc

There has been an increase in utilizing 3D printers in dental restorations. The purpose of the study is to compare mechanical properties of 3D-printed prostheses to those of self-cured and/or computer-aided design-computer-aided manufacturing (CAD-CAM) restorations. A metal master typodont was prepared for the mandibular left sextant with implant analogs embedded at the first premolar and first molar positions with a missing second premolar. Three-unit provisional fixed dental prosthesis (FDP) was designed utilizing the 3Shape tooth library and forty-five uniform specimens were fabricated with different materials: self-cured poly(methyl methacrylate) (PMMA) (N = 15), milled PMMA CAD-CAM blocks (N = 15) and 3D-printed resin (N = 15). All specimens were tested using an Instron machine at a crosshead speed of 0.5 mm/min by an axial load on the occlusal surface of the second premolar pontic site. Statistical analysis was completed with Shapiro-Wilk, ANOVA and Tukey post-hoc tests. Mean fracture force was 300.61 N, 294.64 N and 408.49 N for self-cured PMMA, milled PMMA and 3D-printed resin, respectively. Mean force at FDP fracture of 3D-printed resin was significantly greater than the mean fracture force of either self-cured (p = 0.016, 95% CI [17.86, 197.91]) or milled (p = 0.010, 95% CI [23.83, 203.88]) PMMA.

scholarly journals 3D Printing beyond Dentistry during COVID 19 Epidemic: A Technical Note for Producing Connectors to Breathing Devices

Prosthesis ◽  
2020 ◽  
Vol 2 (2) ◽  
pp. 46-52 ◽  
Author(s):  
Leonardo Cavallo ◽  
Antonia Marcianò ◽  
Marco Cicciù ◽  
Giacomo Oteri
Keyword(s):  
Computer Aided Design ◽  
Technical Note ◽  
Digital Workflow ◽  
Computer Aided ◽  
Cad Cam ◽  
3D Printers ◽  
3D Printed ◽  
Dental Professional ◽  
Respiratory Devices ◽  
Aided Design

(1) Background: To mitigate the shortage of respiratory devices during the Covid-19 epidemic, dental professional volunteers can contribute to create printed plastic valves, adapting the dental digital workflow and converting snorkeling masks in emergency CPAP (continuous positive airways pressure) devices. The objective of this report was to provide the specific settings to optimize printing with the 3D printers of the dental industry. (2) Methods: In order to provide comprehensive technical notes to volunteer dental professionals interested in printing Charlotte and Dave connectors to breathing devices, the entire digital workflow is reported. (3) Results: The present paper introduces an alternative use of the dental Computer Aided Design/Computer Aided Manufacturing (CAD/CAM) machinery, and reports on the fabrication of a 3D printed connection prototypes suitable for connection to face masks, thereby demonstrating the feasibility of this application. (4) Conclusions: This call for action was addressed to dentists and dental laboratories who are willing to making available their experience, facilities and machinery for the benefit of patients, even way beyond dentistry.

scholarly journals Compendium of current ceramic materials used for the CAD/CAM dentistry.

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Kristýna Hynková ◽  
Iva Voborná ◽  
Bernard Linke ◽  
Liran Levin
Keyword(s):  
Computer Aided Design ◽  
New Technologies ◽  
Ceramic Materials ◽  
Clinical Situation ◽  
Computer Aided ◽  
Cad Cam ◽  
Ceramic Blocks ◽  
Materials Used ◽  
Aided Design

Abstract Nowadays, patients require the highest quality of treatment, but generally prefer to spend as little time as possible in the dental chair. Therefore, there is significant benefit for using new technologies such as CAD/CAM (computer aided design/computer aided manufacturing), which provides both quality and speed. There is an increase in ceramic materials and ceramic blocks/discs available, with varying properties. This has resulted in some confusion and difficulty in making an informed decision about which material is best for a specific clinical situation. The objective of this review is to provide an overview and comparison of basic mechanical properties of currently used CAD/CAM ceramic materials based on a review of the currently available literature.

scholarly journals Standard vs computer-aided design/computer-aided manufacturing customized self-ligating systems using indirect bonding with both:

2020 ◽  
Vol 91 (1) ◽  
pp. 74-80
Author(s):  
Nastasia Jackers ◽  
Nathalie Maes ◽  
France Lambert ◽  
Adelin Albert ◽  
Carole Charavet
Keyword(s):  
Computer Aided Design ◽  
Comparative Trial ◽  
Fine Tuning ◽  
Computer Aided Manufacturing ◽  
Indirect Bonding ◽  
Patient Reported ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design

ABSTRACT Objective To compare treatment duration and quality between standard vs computer-aided design/computer-aided manufacturing (CAD/CAM) customized self-ligating systems using indirect bonding with both. Materials and Methods This comparative trial included 24 patients: 12 treated with a CAD/CAM custom indirect bonding self-ligating system (CAD/CAM) and 12 others treated with an indirect bonding self-ligating standard system (I-STD). For each group, overall orthodontic treatment (OT) time was calculated and included the time needed to place each arch as well as the duration of the alignment and fine-tuning phases. The quality of the final result was analyzed using the American Board of Orthodontics Cast-Radiograph Evaluation. Patient-reported outcome measures (PROMs) were also evaluated. Results Patient characteristics were similar between the 2 groups except for age, which was slightly lower in the I-SDT group. Overall OT time was increased by 26% in the I-STD group compared with the CAD/CAM group (497 ± 40 days vs 393 ± 55 days, P = 0.0002) due to a shorter fine-tuning phase in the latter group (P&lt;0.01). No difference was found between the groups for alignment phase. Quality of the final result was similar (I-STD, 25.7 ± 6.1; CAD/CAM, 21.6 ± 6.3) among the groups. Finally, no difference was found in the PROMs variables. Conclusions Despite a 26% longer OT time when compared with the CAD/CAM customized bracket system, the indirect bonding self-ligating bracket system demonstrated the same quality of treatment. PROMs demonstrated a high level of acceptance and satisfaction for both techniques.

scholarly journals ОСОБЛИВОСТІ ВПРОВАДЖЕННЯ СУЧАСНИХ КОМП’ЮТЕРНИХ ТЕХНОЛОГІЙ В КЛІНІКУ ОРТОПЕДИЧНОЇ СТОМАТОЛОГІЇ

2015 ◽  
Author(s):  
P. A. Hasiuk
Keyword(s):  
Machine Tool ◽  
Computer Aided Design ◽  
Automatic Machine ◽  
Computer Aided ◽  
Cad Cam ◽  
Technological Developments ◽  
Aided Design

The newest technological developments opened a way for the wideuse of hi-tech materials in stomatology. Guarantees making of dentoprosthetic constructions the method of the computer programmable milling maximal exactness and the greatest quality of implementation ofworks. Process of CAD-CAM (Computer Aided Design-Computer Aided Manufacture) contains for itself the receipt of weekend of data by means of digital by volume scan-out, transmission of them on a computer and treatment with the next making of construction on an automatic machine-tool that follows the same computer.

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