Frequency of Technical Complications in Fixed Implant Prosthesis: The Effect of Prosthesis Screw Emergence Correction by Computer-Aided Design/Computer-Aided Manufacturing

2018 ◽  
Vol 44 (6) ◽  
pp. 427-431 ◽  
Author(s):  
Eduardo Anitua ◽  
Carlos Flores ◽  
Laura Piñas ◽  
Mohammad Hamdan Alkhraisat

Computer-aided design/computer-aided manufacturing (CAD-CAM) technology permits the angular correction of screw emergence into the prosthesis; however, there is lack of controlled clinical studies that assess the frequency of technical complications in angled screw channel restorations. This controlled clinical study was designed to assess technical incidences in angled screw channel restorations. Patients who underwent placement of implant prosthesis between November 2014 and December 2015 were screened. The patients were selected if they received a prosthesis with up to 30° correction of the prosthesis screw emergence and had at least 1 nonangulated prosthesis (screw retained). All prostheses were located completely/partially in the posterior region. The frequency of technical complications was the principal variable. A total of 52 patients with a mean age of 62 ± 10 years participated, with a total of 110 prostheses (55 in the test group and 55 in the control group). A total of 11 technical complications occurred (7 in the test group and 4 in the control group). These differences were not statistically significant. All prostheses in both groups survived the follow-up. The correction of the screw emergence into the prosthesis has not increased the risk of technical complications in CAD-CAM implant prostheses.

2018 ◽  
Vol 43 (5) ◽  
pp. 539-548 ◽  
Author(s):  
JP Andrade ◽  
D Stona ◽  
HR Bittencourt ◽  
GA Borges ◽  
LH Burnett ◽  
...  

SUMMARY The aim was to evaluate, in vitro, the influence of different computer-aided design/computer-aided manufacturing (CAD/CAM) materials (IPS e.max CAD, Vita Enamic, and Lava Ultimate) and thicknesses (0.6 mm and 1.5 mm) on the fracture resistance of occlusal veneers. Sixty human third molars were prepared to simulate advanced erosion of the occlusal surface, and the teeth were randomly divided into six experimental groups (n=10) according to the material and thickness used to build the veneers. Ten sound teeth formed the control group. The veneers were adhesively luted and submitted to mechanical cyclic loading (1 million cycles at 200-N load). The fracture resistance test was performed in a universal testing machine. The failures were classified as “reparable” and “irreparable.” According to two-way analysis of variance and the Tukey test, the interaction (material × thickness) was significant (p=0.013). The highest fracture resistance was obtained for IPS e.max CAD at a 1.5-mm thickness (4995 N) and was significantly higher compared to the other experimental groups (p<0.05). The lowest fracture resistance was obtained for Vita Enamic at 0.6 mm (2973 N), although this resistance was not significantly different from those for IPS e.max CAD at 0.6 mm (3067 N), Lava Ultimate at 0.6 mm (3384 N), Vita Enamic at 1.5 mm (3540 N), and Lava Ultimate at 1.5 mm (3584 N) (p>0.05). The experimental groups did not differ significantly from the sound teeth (3991 N) (p>0.05). The failures were predominantly repairable. The occlusal veneers of IPS e.max CAD, Vita Enamic, and Lava Ultimate, with thicknesses of 0.6 mm and 1.5 mm, obtained fracture resistances similar to those associated with sound teeth.


1988 ◽  
Vol 4 (04) ◽  
pp. 280-285
Author(s):  
R. V. Shields

Great emphasis has been attached to the achievement of productivity and producibility benefits through the application of computer-aided design and computer-aided manufacturing (CAD/CAM) technologies. To ensure the achievement of these benefits, it is important that the end user have appropriate software and be able to use it to his advantage. The proper procurement, customization, installation, training, and implementation of software can play a significant role in the effectiveness of CAD/CAM.


2019 ◽  
Vol 09 (02) ◽  
pp. 57-63
Author(s):  
Sushmita V. Palanisamy ◽  
Chethan Hegde

Abstract Background Contemporary dentistry is advancing toward computer-aided design/ computer-aided manufacturing (CAD/CAM) technology. But the budding dentists are unaware about the advancement. This survey aims at detecting the level of awareness among the undergraduate students and then correlating those results to modify the future curriculum. Objective The study aims (1) to assess the awareness among the dental undergraduate students and (2) to correlate the level of awareness among the third years, final years, and interns. Sample Selection Study sample consist of 300 students (third year students, final year students, and interns) of A. B. Shetty Memorial Institute of Dental Sciences, Mangalore, Karnataka, India. The information of the survey was collected with the help of a questionnaire. Results More than 70% of the students were aware about the basic functioning of CAD/CAM unit and approximately 74% of the students were unaware about the materials used to fabricate the prosthesis using CAD/CAM technology.


Author(s):  
Bryan T Harris ◽  
Chao-Chieh Yang ◽  
Dean Morton ◽  
Wei-Shao Lin

This clinical report describes a digital process of using a 3-dimensional (3D) virtual patient at an exaggerated smile view for the pre-treatment simulation of the prosthetic outcome. In addition, the virtual patient can be used to assist with the formulation of a prosthetically - driven surgical plan for static computer-aided implant surgery (s-CAIS) and the design of the computer-aided design and computer-aided manufacturing (CAD-CAM) prostheses.


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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