Creation of a 3-dimensional virtual dental patient for computer-guided surgery and CAD-CAM interim complete removable and fixed dental prostheses: A clinical report

2017 ◽  
Vol 117 (2) ◽  
pp. 197-204 ◽  
Author(s):  
Bryan T. Harris ◽  
Daniel Montero ◽  
Gerald T. Grant ◽  
Dean Morton ◽  
Daniel R. Llop ◽  
...  
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.


2020 ◽  
Vol 10 (21) ◽  
pp. 7735
Author(s):  
Hai Yen Mai ◽  
Jae-Min Seo ◽  
Jae-Kwang Jung ◽  
Du-Hyeong Lee

Occlusal contact loss occasionally occurs following the placement of implant-supported fixed dental prostheses in the posterior region. This complication is caused by the change in the vertical dimension of occlusion after the recovery of mastication. The change is probably related to the prosthesis sinking phenomenon and previous mandibular dislocation. The use of interim prostheses could help re-establish the vertical dimension of occlusion. The definitive prostheses can then be accurately fabricated using digital techniques in the newly established vertical dimension. In this case report, we introduce a protocol incorporating a computer-aided design and computer-aided manufacturing (CAD-CAM) interim prosthesis and digital techniques to minimize the occurrence of unexpected initial occlusal changes in the prosthetic treatment of implant-supported prostheses in the posterior region.


2020 ◽  
pp. 105566562096470
Author(s):  
Tine Malgaj ◽  
Alja Plut ◽  
Andreja Eberlinc ◽  
Martina Drevenšek ◽  
Peter Jevnikar

Missing lateral incisors are the most frequent dental disorder associated with cleft alveolus. When orthodontic closure of the edentulous space is not possible, more aggressive prosthodontic treatments are required. Contemporary resin-bonded fixed dental prostheses (RBFDPs) represent a promising, time-efficient alternative treatment with fewer biological complications. This clinical report proposes a modified approach to the esthetic rehabilitation of a patient with a complete unilateral cleft lip and palate on the left side and an incomplete cleft lip and alveolar cleft on the right side. Digital diagnostics, treatment planning, and clinical procedures involved in the fabrication of facially bonded RBFDPs are presented. This modified technique enables the concurrent replacement of lateral incisors and correction of the malformed central incisors as well as increasing the retention of the restorations.


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Davide Augusti ◽  
Gabriele Augusti ◽  
Andrea Borgonovo ◽  
Massimo Amato ◽  
Dino Re

Different indirect restorations to replace a single missing tooth in the posterior region are available in dentistry: traditional full-coverage fixed dental prostheses (FDPs), implant-supported crowns (ISC), and inlay-retained FDPs (IRFDP). Resin bonded FDPs represent a minimally invasive procedure; preexisting fillings can minimize tooth structure removal and give retention to the IRFDP, transforming it into an ultraconservative option. New high strength zirconia ceramics, with their stiffness and high mechanical properties, could be considered a right choice for an IRFDP rehabilitation. The case report presented describes an IRFDP treatment using a CAD/CAM monolithic zirconia IRFDP; clinical and laboratory steps are illustrated, according to the most recent scientific protocols. Adhesive procedures are focused on the Y-TZP and tooth substrate conditioning methods. Nice esthetic and functional integration of indirect restoration at two-year follow-up confirmed the success of this conservative approach.


2018 ◽  
Vol 55 (3) ◽  
pp. 361-363
Author(s):  
Daniel Alexandru Pop ◽  
R. Malaescu ◽  
Liviu Marsavina ◽  
Tiberiu Hosszu ◽  
Raul Rotar ◽  
...  

The aim of this in vitro study is to compare the load-to-fracture performance of polymethyl methacrylates (PMMA) provisional restorations manufactured with a traditional laboratory technique in comparison to a computer-assisted design and computer-assisted manufacturing (CAD-CAM) technique. Five interim three-unit fixed dental prostheses were fabricated with the conventional indirect technique, on a standard typodont. The same model was scanned with an intraoral scanner and the digital design of identical fixed dental prostheses was made. Then other five interim three-unit fixed dental prostheses were milled from PMMA CAD/CAM blocks with an in office milling machine. All specimens were tested for flexural strength in a universal testing machine, and the maximum load to fracture was measured. For the conventional provisional restorations, the load to fracture was 121.16 � 24.6, in comparison to CAD/CAM interim restorations, for which the load to fracture was 728.88 � 228.7. Within the limitations of this study, one can conclude that CAD/CAM provisional restorations present a higher fracture load than the conventional manufactured interim restorations.


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):  
Bader Alghamdi ◽  
Abdulrahman Alahmadi ◽  
Fahad Alamri ◽  
Mohamed Elmoafy ◽  
Salah Yousief ◽  
...  

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