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

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<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.

2019 ◽  
Vol 44 (3) ◽  
pp. E145-E158
Author(s):  
C Moussally ◽  
H Fron-Chabouis ◽  
A Charrière ◽  
L Maladry ◽  
E Dursun

SUMMARY Background: This case report describes the complete full-mouth treatment of hypocalcified amelogenesis imperfecta (AI) by chairside computer-aided design and computer-aided manufacturing (CAD/CAM). Case summary: After several years of interrupted dental care, a 17-year-old female patient presented with pain and also esthetic and functional discomfort. With loss of enamel and dyschromia affecting all teeth, the diagnosis was hypocalcified AI. Affected tissues were eliminated, gingivectomy with laser was performed, an indented jig was used to record the centric relationship during optical impressions, and 28 full ceramic crowns were created by chairside CAD/CAM in four sessions. The patient reported rapid pain relief and an overall improvement of well-being. Conclusion: AI sequelae can be treated promptly and conservatively with chairside CAD/CAM, obtaining esthetic and functional results.


Materials ◽  
2021 ◽  
Vol 14 (6) ◽  
pp. 1401
Author(s):  
Doo-Bin Song ◽  
Man-So Han ◽  
Si-Chul Kim ◽  
Junyong Ahn ◽  
Yong-Woon Im ◽  
...  

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.


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.


2017 ◽  
Vol 11 (2) ◽  
pp. 112-116
Author(s):  
Alfred Gatt ◽  
Mark Grech ◽  
Nachiappan Chockalingam ◽  
Cynthia Formosa

Introduction. Chronic plantar heel pain (CPHP) is a significant, painful condition referring to a range of undifferentiated foot conditions that affect the heel of the foot. Method. Participants presenting with CPHP of more than 6 months’ duration were recruited on a first through the door basis. Computer-Aided Design and Computer-Aided Manufactured (CAD-CAM) orthoses were designed and constructed for each participant, then dispensed as per normal practice. Pre- and postintervention assessment of pain was performed at baseline and after 6 weeks of use, utilizing the pain subset of the Foot Function Index (FFI). Results. There was a significant reduction in the mean pain scores for all participants in all constructs of the FFI. Total FFI score was also significant ( P = .003). Conclusion. CAD-CAM orthoses have the potential to become a treatment modality of choice in CPHP since they have resulted in a significant improvement in heel pain after only 6 weeks’ use. Levels of Evidence: Therapeutic, Level IV: Prospective, comparative trial


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.


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