scholarly journals Clinical outcomes and Complications of CAD-CAM Fabricated Complete Dentures; An update and review

2021 ◽  
Vol 38 (SI-2) ◽  
pp. 92-97
Author(s):  
Emir YÜZBAŞIOĞLU ◽  
Yeşim ÖLÇER US ◽  
Gökhan ÖZDEMİR ◽  
Berkman ALBAYRAK

For decades, conventional complete dentures (CD) have been a promising treatment for edentulous patients. The introduction of digital technology in CD fabrication streamlines and simplifies the treatment process and offers new and specific applications for the completely edentulous patients. Computer-aided design/computer-assisted manufactured (CAD/CAM) CD protocols can improve efficiency and offer specific applications in specific situations to improve patient care, satisfaction, and convenience. The aim of this review is to assess and evaluate the clinical outcomes and complication of CAD/CAM fabricated CD systems and to provide information about currently available systems for dental practitioners.

2021 ◽  
Vol 11 (13) ◽  
pp. 5786
Author(s):  
Hwa-Jung Lee ◽  
Jeongho Jeon ◽  
Hong Seok Moon ◽  
Kyung Chul Oh

This technical procedure demonstrates a 4-step completely digital workflow for the fabrication of complete dentures in edentulous patients. The digital scan data of the edentulous arches were obtained using an intraoral scanner, followed by the fabrication of modeless trial denture bases using additive manufacturing. Using the trial denture base and a wax rim assembly, the interarch relationship was recorded. This record was digitized using an intraoral scanner and reversed for each maxillary and mandibular section individually. The digital scan data directly obtained using the intraoral scanner were superimposed over the reversed data, establishing a proper interarch relationship. The artificial teeth were arranged virtually and try-in dentures were additively manufactured. Subsequently, the gingival and tooth sections were additively manufactured individually and characterized. Thus, fabrication of digital complete dentures can be accomplished using digital data characteristics. The workflow includes data acquisition using an intraoral scanner, data processing using reverse engineering and computer-aided design software programs, and additive manufacturing.


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):  
Aaina Dhanda ◽  
Tarun Kalra ◽  
Manjit Kumar ◽  
Ajay Bansal ◽  
Ruchi Sharma

AbstractDental implants are fixtures that constitute for the replacements of the root of a missing natural tooth. Dental implant therapy has been widely used for the restoration of partially and fully edentulous patients. The implant literature emphasizes the importance of a passively fitting prosthesis to prevent prosthodontic complications or even loss of fixture integration. Failure to achieve a passively fitting prosthesis and force tightening of superstructure may result in complications such as abutment, framework, and gold screw loosening or fracture. Various materials that can be used for making an implant impression are polyether, polyvinylsiloxane, condensation silicone, polysulfide, irreversible hydrocolloid material, and various others. There are various studies in relation to the accuracy of these impression materials out of which various scientists concluded different results with most studies stating polyether with the maximum amount of dimensional accuracy in comparison to other materials. An accurate implant impression plays a significant role and serves as a starting point in the process of producing good working casts. Thus, the accuracy of impression techniques becomes a significant issue in consideration of passive fit. Reproduction of intraoral relationship of implants through impression procedures is the first step in achieving accurate fit prosthesis. This transference is still complicated by the number, angulation, depth, and position of implants. The advent of computer-aided design/computer-assisted manufacturing technology improved the framework fabrication procedures and has increased the precision of fit of implant prosthesis.


2021 ◽  
Vol 11 (16) ◽  
pp. 7369
Author(s):  
Xing-Yu Piao ◽  
June-Sung Shim ◽  
Ji-Man Park

The digital manufacture of complete dentures would greatly simplify the workflow; however, the metal-reinforced complete dentures production method has not been well established. This article describes a technique of fabricating metal-reinforced complete dentures in a milling machine using the geometry guide, a negative impression of the occlusal surface of the metal-reinforced complete denture designed using the computer-aided design software. The geometry guide supports and stabilizes the artificial teeth and metal framework in the correct position in the surrounding resin. Fabrication of metal-reinforced dental prosthesis using the digital technique is possible with this method.


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).


1983 ◽  
Vol 27 (5) ◽  
pp. 391-391
Author(s):  
H. McIlvaine Parsons

Although automation in manufacturing is by no means novel, only recently have such manifestations as increasing use of robots and CAD/CAM (Computer-Aided Design/Computer-Assisted Manufacturing) involved human factors scientists/practitioners. This panel session suggests how these can contribute to industrial productivity by examining and recommending suitable divisions of labor between automation and workers and ways to improve interactions between them. For the most part these considerations have been sadly lacking in both technical and popular discussions about industrial robots. Five panelist will approach them from two perspectives: actual human factors experience in industrial automation, including robotics, and applicable experience in closely related areas, such as the use of teleoperators in hostile environments (nuclear and battlefield).


Prosthesis ◽  
2021 ◽  
Vol 3 (3) ◽  
pp. 229-244
Author(s):  
Aristeidis Villias ◽  
Hercules Karkazis ◽  
Stavros Yannikakis ◽  
Antonios Theocharopoulos ◽  
Nikitas Sykaras ◽  
...  

Fabrication of complete dentures (CDs) utilizing computer-aided design and computer-aided manufacturing (CAD/CAM) methods has attracted a lot of attention. The purpose of this paper was to summarize current knowledge about digital CDs and the relevant technology, and to present the application of the new technology in a dental geriatrics case. Initially, some of the challenges regarding digitization of the oral mucosa as a supporting surface of the CDs’ intaglio surface are listed. Next, a brief introduction of the CAD software capabilities regarding CDs is presented. The latest CAM additive and subtractive techniques for CDs are following. Subsequently, the consecutive steps for the construction of a digital CD as part of the prosthodontic treatment of a 90-year-old ambulative female patient are presented. Finally, some considerations about the digital workflow in CD manufacturing are discussed. In conclusion, the new digital technology has clear advantages; however, implementation requires careful planning. The digital workflow is applicable and versatile.


Author(s):  
Mohammed M. Al Moaleem ◽  
Omaima A. Al-layl ◽  
Manar A. Alhomood ◽  
Walaa A. Ageeli ◽  
Alzhouor A. Qsadi ◽  
...  

Background: The progress in the use of computer-aided design/computer aided manufacturing (CAD/CAM) to fabricat removable prosthodontic prostheses in dental clinics has been exponential. Commercially existing CAD/CAM denture techniques grow every year with increasing benefits to dentists and patients. Study Design: Systematic review. Aims: This review assessed and evaluated the different clinical production protocols of presently accessible CAD/CAM denture systems that offer decision support for dental practitioners. Methodology: Data   for the current object were collected by surveys from different companies manufacturing the Computer Engineering Complete Denture (CECDs). All related subjects published at the last 10 years were collected and included in this review. Techniques were arranged in alphabetical order, as follows. AvaDent Digital Dentures (Global Dental Science), Baltic Denture Creator System (Merz Dental GmbH), and Ceramill Full Denture System (Amann Girrbach AG) can manufacture denture fabrication in three visits, including a try-in step. DENTCA Digital Dentures (Whole You Nexteeth, Inc) can also perform this in three visits. The Wieland Digital Denture (Ivoclar Vivadent, Inc) can manufacture in four dental appointments. Recently developed VITA VIONIC Digital System (VITA Zahnfabrik, Bad Säckingen, Germany) can perform two-step CECD manufacturing. Results: Most of the systems involved subtractive manufacturing for the fabrication of their dentures and only closed systems. However, Baltic Denture System and VITA VIONIC material types are an open structure that allow users to choose among different handling protocols. It can be shared with several unclosed digital scanner, CAD software options, and milling machines. Conclusions: The six existing CECD fabrication systems offer many advantages. The decision on which technique to use may be contingent on the dentist’s prosthodontic expertise, patient output amount, and requirements concerning denture individualization.


Sign in / Sign up

Export Citation Format

Share Document