scholarly journals Maxillary Ridge Augmentation with Custom-Made CAD/CAM Scaffolds. A 1-Year Prospective Study on 10 Patients

2014 ◽  
Vol 40 (5) ◽  
pp. 561-569 ◽  
Author(s):  
Francesco Mangano ◽  
Aldo Macchi ◽  
Jamil Awad Shibli ◽  
Giuseppe Luongo ◽  
Giovanna Iezzi ◽  
...  

Several procedures have been proposed to achieve maxillary ridge augmentation. These require bone replacement materials to be manually cut, shaped, and formed at the time of implantation, resulting in an expensive and time-consuming process. In the present study, we describe a technique for the design and fabrication of custom-made scaffolds for maxillary ridge augmentation, using three-dimensional computerized tomography (3D CT) and computer-aided design/computer-aided manufacturing (CAD/CAM). CT images of the atrophic maxillary ridge of 10 patients were acquired and modified into 3D reconstruction models. These models were transferred as stereolithographic files to a CAD program, where a virtual 3D reconstruction of the alveolar ridge was generated, producing anatomically shaped, custom-made scaffolds. CAM software generated a set of tool-paths for manufacture by a computer-numerical-control milling machine into the exact shape of the reconstruction, starting from porous hydroxyapatite blocks. The custom-made scaffolds were of satisfactory size, shape, and appearance; they matched the defect area, suited the surgeon's requirements, and were easily implanted during surgery. This helped reduce the time for surgery and contributed to the good healing of the defects.

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Francesco Guido Mangano ◽  
Piero Antonio Zecca ◽  
Ric van Noort ◽  
Samvel Apresyan ◽  
Giovanna Iezzi ◽  
...  

This report documents the clinical, radiographic, and histologic outcome of a custom-made computer-aided-design/computer-aided-manufactured (CAD/CAM) scaffold used for the alveolar ridge augmentation of a severely atrophic anterior mandible. Computed tomographic (CT) images of an atrophic anterior mandible were acquired and modified into a 3-dimensional (3D) reconstruction model; this was transferred to a CAD program, where a custom-made scaffold was designed. CAM software generated a set of tool-paths for the manufacture of the scaffold on a computer-numerical-control milling machine into the exact shape of the 3D design. A custom-made scaffold was milled from a synthetic micromacroporous biphasic calcium phosphate (BCP) block. The scaffold closely matched the shape of the defect: this helped to reduce the time for the surgery and contributed to good healing. One year later, newly formed and well-integrated bone was clinically available, and two implants (AnyRidge, MegaGen, Gyeongbuk, South Korea) were placed. The histologic samples retrieved from the implant sites revealed compact mature bone undergoing remodelling, marrow spaces, and newly formed trabecular bone surrounded by residual BCP particles. This study demonstrates that custom-made scaffolds can be fabricated by combining CT scans and CAD/CAM techniques. Further studies on a larger sample of patients are needed to confirm these results.


Materials ◽  
2021 ◽  
Vol 14 (14) ◽  
pp. 3819
Author(s):  
Ting-Hsun Lan ◽  
Yu-Feng Chen ◽  
Yen-Yun Wang ◽  
Mitch M. C. Chou

The computer-aided design/computer-aided manufacturing (CAD/CAM) fabrication technique has become one of the hottest topics in the dental field. This technology can be applied to fixed partial dentures, removable dentures, and implant prostheses. This study aimed to evaluate the feasibility of NaCaPO4-blended zirconia as a new CAD/CAM material. Eleven different proportional samples of zirconia and NaCaPO4 (xZyN) were prepared and characterized by X-ray diffractometry (XRD) and Vickers microhardness, and the milling property of these new samples was tested via a digital optical microscope. After calcination at 950 °C for 4 h, XRD results showed that the intensity of tetragonal ZrO2 gradually decreased with an increase in the content of NaCaPO4. Furthermore, with the increase in NaCaPO4 content, the sintering became more obvious, which improved the densification of the sintered body and reduced its porosity. Specimens went through milling by a computer numerical control (CNC) machine, and the marginal integrity revealed that being sintered at 1350 °C was better than being sintered at 950 °C. Moreover, 7Z3N showed better marginal fit than that of 6Z4N among thirty-six samples when sintered at 1350 °C (p < 0.05). The milling test results revealed that 7Z3N could be a new CAD/CAM material for dental restoration use in the future.


2017 ◽  
Vol 9 (7) ◽  
pp. 168781401771038 ◽  
Author(s):  
Isad Saric ◽  
Adil Muminovic ◽  
Mirsad Colic ◽  
Senad Rahimic

This article presents architecture of integrated intelligent computer-aided design system for designing mechanical power-transmitting mechanisms (IICADkmps). The system has been developed in C# program environment with the aim of automatising the design process. This article presents a modern, automated approach to design. Developed kmps modules for calculation of geometrical and design characteristics of mechanical power-transmitting mechanisms are described. Three-dimensional geometrical parameter modelling of mechanical power-transmitting mechanisms was performed in the computer-aided design/computer-aided manufacturing/computer-aided engineering system CATIA V5. The connection between kmps calculation modules and CATIA V5 modelling system was established through initial three-dimensional models – templates. The outputs from the developed IICADkmps system generated final three-dimensional virtual models of mechanical power-transmitting mechanisms. Testing of the developed IICADkmps system was performed on friction, belt, cogged (spur and bevel gears) and chain transmitting mechanisms. Also, connection of the developed IICADkmps system with a device for rapid prototyping and computer numerical control machines was made for the purpose of additional testing and verification of practical use. Physical prototypes of designed characteristic elements of mechanical power-transmitting mechanisms were manufactured. The selected test three-dimensional virtual prototypes, obtained as an output from the developed IICADkmps system, were manufactured on the device for rapid prototyping (three-dimensional colour printer Spectrum Z510) and computer numerical control machines. Finally, at the end of the article, conclusions and suggested possible directions of further research, based on theoretical and practical research results, are presented.


Author(s):  
Khaled E. Ahmed

The potential applications of computer-aided design/computer-aided manufacturing (CAD/CAM) and intraoral scanning exceed the delivery of standard prosthodontic interventions. The aim of this study was to clinically present a developed assessment technique, that relies on the use of sequential intraoral scanning, three-dimensional superimposition, and 2D and 3D deviation analyses based on a standardised protocol, as an auxiliary tool in monitoring dimensional changes of residual ridge post-extraction with a follow-up period of four months.


2020 ◽  
pp. 606-612
Author(s):  
S.V. KAZUMYAN ◽  
◽  
I.A. DEGTEV ◽  
V.V. BORISOV ◽  
K.A. ERSHOV

The article represents the information that in the age of digital dentistry, virtual treatment planning is becoming an increasingly important element of dental practice. With new technological advances in computer-aided design and computer-aided manufacturing (CAD/CAM) of dental restorations, predictable interdisciplinary treatment using a reverse planning approach appears to be beneficial and feasible. It is noted that thanks to achievements in medical imaging and computer programming, 2D axial images can be processed into other reformatted representations (sagittal and coronal) and three-dimensional (3D) virtual models representing the patient’s anatomy. It is shown that telemedicine occupies a special place among modern technologies in dentistry, which is used both for remote consultation and for the successful treatment of patients. Keywords: Virtual assistants , virtual nurses, voice technologies, artificial intelligence, virtual reality, 3D printing, telemedicine.


2021 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Berend Denkena ◽  
Marcel Wichmann ◽  
Klaas Maximilian Heide ◽  
René Räker

The automated process chain of an unmanned production system is a distinct challenge in the technical state of the art. In particular, accurate and fast raw-part recognition is a current problem in small-batch production. This publication proposes a method for automatic optical raw-part detection to generate a digital blank shadow, which is applied for adapted CAD/CAM (computer-aided design/computer-aided manufacturing) planning. Thereby, a laser-triangulation sensor is integrated into the machine tool. For an automatic raw-part detection and a workpiece origin definition, a dedicated algorithm for creating a digital blank shadow is introduced. The algorithm generates adaptive scan paths, merges laser lines and machine axis data, filters interference signals, and identifies part edges and surfaces according to a point cloud. Furthermore, a dedicated software system is introduced to investigate the created approach. This method is integrated into a CAD/CAM system, with customized software libraries for communication with the CNC (computer numerical control) machine. The results of this study show that the applied method can identify the positions, dimensions, and shapes of different raw parts autonomously, with deviations less than 1 mm, in 2.5 min. Moreover, the measurement and process data can be transferred without errors to different hardware and software systems. It was found that the proposed approach can be applied for rough raw-part detection, and in combination with a touch probe for accurate detection.


Author(s):  
Anthony Hotchkiss

Abstract At SUNY College at Buffalo, a new course, TEC302, CAD/CAM, computer-aided-design and computer-aided-manufacturing was added to the Industrial Technology (IT) undergraduate curriculum in the fall of 1994. At that time, the technology department had been using the AutoCAD system for design/drafting, and SmartCAM for demonstrating computer-aided-manufacturing. SmartCAM is a sophisticated product that takes a great deal of training to use, does not work directly in AutoCAD, and with only four licenses, was not available to all the students. For these reasons, the author developed a CAM program, VAL-CAM, that works inside AutoCAD, and has most of the aspects of a more sophisticated CAM program, yet is simpler to use, is available to all students, and automatically generates CNC (computer-numerical-control) code suitable for driving the departments’ vertical milling machining center. This paper discusses the development of VAL-CAM, which is written in the AutoLISP language for compatibility with AutoCAD. The dialogue control language (DCL) of AutoCAD was also used for part of the user interface for VALCAM. The algorithms, flow diagrams, pseudo code and actual LISP code for some of the more interesting parts of the program are presented. VAL-CAM is under continuous development, and later sections of the program will be discussed in future papers.


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