COMMENTARY. Computer-Aided-Design/Computer-Assisted-Manufactured Adhesive Restoration of Molars with a Compromised Cusp: Effect of Fiber-Reinforced Immediate Dentin Sealing and Cusp Overlap on Fatigue Strength

2011 ◽  
Vol 24 (2) ◽  
pp. 147-147
Author(s):  
ANDRÉ V. RITTER
Biology ◽  
2021 ◽  
Vol 10 (11) ◽  
pp. 1170
Author(s):  
Giulio Marchesi ◽  
Alvise Camurri Piloni ◽  
Vanessa Nicolin ◽  
Gianluca Turco ◽  
Roberto Di Lenarda

Restorative materials are experiencing an extensive upgrade thanks to the use of chairside Computer-aided design/computer-assisted manufacturing (CAD/CAM) restorations. Therefore, due to the variety offered in the market, choosing the best material could be puzzling for the practitioner. The clinical outcome of the restoration is influenced mainly by the material and its handling than by the fabrication process (i.e., CAD/CAM). Information on the restorative materials performances can be difficult to gather and compare. The aim of this article is to provide an overview of chairside CAD/CAM materials, their classification, and clinically relevant aspects that enable the reader to select the most appropriate material for predictable success.


2014 ◽  
Vol 7 (2) ◽  
pp. 158-166 ◽  
Author(s):  
Frank Wilde ◽  
Carl-Peter Cornelius ◽  
Alexander Schramm

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.


Author(s):  
David Veisz ◽  
Essam Z. Namouz ◽  
Shraddha Joshi ◽  
Joshua D Summers

AbstractThis paper presents a preliminary comparison between the role of computer-aided design (CAD) and sketching in engineering through a case study of a senior design project and interviews with industry and academia. The design team consisted of four senior level mechanical engineering students each with less than 1 year of professional experience are observed while completing an industry sponsored mechanical engineering capstone design project across a 17 week semester. Factors investigated include what CAD tools are used, when in the design process they are implemented, the justification for their use from the students' perspectives, the actual knowledge gained from their use, the impact on the final designed artifact, and the contributions of any sketches generated. At each design step, comparisons are made between CAD and sketching. The students implemented CAD tools at the onset of the project, generally failing to realize gains in design efficiency or effectiveness in the early conceptual phases of the design process. As the design became more concrete, the team was able to recognize clear gains in both efficiency and effectiveness through the use of computer assisted design programs. This study is augmented by interviews with novice and experienced industry users and academic instructors to align the trends observed in the case study with industry practice and educational emphasis. A disconnect in the perceived capability of CAD tools was found between novice and experienced user groups. Opinions on the importance of sketching skills differed between novice educators and novice industry professionals, suggesting that there is a change of opinion as to the importance of sketching formed when recent graduates transition from academia to industry. The results suggest that there is a need to emphasize the importance of sketching and a deeper understanding as to the true utility of CAD tools at each stage of the design process.


2018 ◽  
Vol 31 (4) ◽  
pp. 397-398 ◽  
Author(s):  
Curt Martin ◽  
Ashley Harris ◽  
Nicholas DuVall ◽  
Michael Wajdowicz ◽  
Howard Roberts

2013 ◽  
Vol 38 (6) ◽  
pp. 663-673 ◽  
Author(s):  
A Ramírez-Sebastià ◽  
T Bortolotto ◽  
M Roig ◽  
I Krejci

SUMMARY Objectives To compare the marginal adaptation between ceramic and composite CEREC crowns in endodontically treated teeth restored with endocrowns or with a short or a long post. Methodology Forty-eight intact maxillary incisors were used. After endodontic treatment, the crowns were sectioned 2 mm coronally to the cemento-enamel junction, which provided a ferrule of 2 mm. The prepared teeth were divided randomly into six groups (n=8). Group 1 was restored with a large fiberglass post, composite core, and ceramic full-coverage computer-aided design/computer-assisted manufacturing (CAD-CAM) crown. Group 2 was restored with a short fiberglass post, composite core, and ceramic full-coverage CAD-CAM crown. Group 3 was restored with a large fiberglass post, composite core, and composite full-coverage CAD-CAM crown (LPCpr). Group 4 was restored with a short fiberglass post, composite core, and composite full-coverage CAD-CAM crown (SPCpr). Groups 5 and 6 were restored with ceramic and composite CEREC machined endocrowns, respectively (EndoCer and EndoCpr). The restored teeth were loaded thermomechanically in a computer-controlled chewing machine. Impressions of each restoration were made in a polyvinylsiloxane material before and after loading. Gold-coated epoxy replicas were prepared for scanning electron microscopy examination at 200× magnification. Results Loading had a statistically significant effect (p<0.05) on the percentage of “continuous margin” in all groups. The LPCpr, SPCpr, and EndoCpr groups showed the highest percentage of continuous margin initially and after loading. The effect of the different post lengths on marginal adaptation was not significant (p>0.05). Conclusion CAD-CAM crowns fabricated from millable composite resin blocks (Paradigm MZ100) offer a superior option to all-ceramic crowns (IPS Empress CAD).


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