scholarly journals Chairside Fabrication of an All-Ceramic Partial Crown Using a Zirconia-Reinforced Lithium Silicate Ceramic

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Sven Rinke ◽  
Anne-Kathrin Pabel ◽  
Matthias Rödiger ◽  
Dirk Ziebolz
Keyword(s):  
Computer Aided Design ◽  
Lithium Silicate ◽  
Computer Assisted ◽  
Model Free ◽  
All Ceramic ◽  
Alternative Material ◽  
Cad Cam ◽  
Aided Design ◽  
Partial Crown ◽  
Silicate Ceramic

The chairside fabrication of a monolithic partial crown using a zirconia-reinforced lithium silicate (ZLS) ceramic is described. The fully digitized model-free workflow in a dental practice is possible due to the use of a powder-free intraoral scanner and the computer-aided design/computer-assisted manufacturing (CAD/CAM) of the restorations. The innovative ZLS material offers a singular combination of fracture strength (>370 Mpa), optimum polishing characteristics, and excellent optical properties. Therefore, this ceramic is an interesting alternative material for monolithic restorations produced in a digital workflow.

scholarly journals Chairside CAD/CAM Materials: Current Trends of Clinical Uses

Biology ◽  
2021 ◽  
Vol 10 (11) ◽  
pp. 1170
Author(s):  
Giulio Marchesi ◽  
Alvise Camurri Piloni ◽  
Vanessa Nicolin ◽  
Gianluca Turco ◽  
Roberto Di Lenarda
Keyword(s):  
Clinical Outcome ◽  
Computer Aided Design ◽  
Fabrication Process ◽  
Computer Assisted ◽  
Current Trends ◽  
Computer Aided ◽  
Restorative Materials ◽  
Cad Cam ◽  
Aided Design

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.

Premolar Axial Wall Height Effect on CAD/CAM Crown Retention

2016 ◽  
Vol 41 (6) ◽  
pp. 666-671 ◽  
Author(s):  
C Gillette ◽  
R Buck ◽  
N DuVall ◽  
S Cushen ◽  
M Wajdowicz ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Lithium Disilicate ◽  
Resin Cement ◽  
Failure Resistance ◽  
All Ceramic ◽  
Computer Aided ◽  
Cad Cam ◽  
Ceramic Crowns ◽  
Aided Design ◽  
Post Hoc

SUMMARY Objective: To evaluate the significance of reduced axial wall height on retention of adhesively luted, all-ceramic, lithium disilicate premolar computer-aided design/computer-aided manufacturing (CAD/CAM) crowns based on preparations with a near ideal total occlusal convergence of 10°. Methods: Forty-eight recently extracted premolars were randomly divided into four groups (n=12). Each group received all-ceramic CAD/CAM crown preparations featuring axial wall heights of 0, 1, 2, and 3 mm, respectively, all with a 10° total occlusal convergence. Scanned preparations were fitted with lithium disilicate all-ceramic crowns that were luted with a self-etching resin cement. Specimens were tested to failure at a 45° angle to the tooth long axis with failure load converted to megapascals (MPa) based on the measured bonding surface area. Mean data were analyzed using analysis of variance/Tukey's post hoc test (α=0.05). Results: Lithium disilicate crowns adhesively luted on preparations with 0 axial wall height demonstrated significantly less failure resistance compared with the crowns luted on preparations with axial wall heights of 1 to 3 mm. There was no failure stress difference between preparations with 1 to 3 mm axial wall height. Conclusions: Under conditions of this study, adhesively luted lithium disilicate bicuspid crowns with a total occlusal convergence of 10° demonstrated similar failure resistance independent of axial wall height of 1 to 3 mm. This study provides some evidence that adhesion combined with an ideal total occlusal convergence may compensate for reduced axial wall height.

scholarly journals Computer-Assisted Mandibular Reconstruction using a Patient-Specific Reconstruction Plate Fabricated with Computer-Aided Design and Manufacturing Techniques

2014 ◽  
Vol 7 (2) ◽  
pp. 158-166 ◽  
Author(s):  
Frank Wilde ◽  
Carl-Peter Cornelius ◽  
Alexander Schramm
Keyword(s):  
Computer Aided Design ◽  
Mandibular Reconstruction ◽  
Patient Specific ◽  
Computer Assisted ◽  
Reconstruction Plate ◽  
Fibula Flap ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design ◽  
Five Axis

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.

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
Keyword(s):  
Clinical Outcomes ◽  
Computer Aided Design ◽  
Improve Patient Care ◽  
Computer Assisted ◽  
Complete Dentures ◽  
Dental Practitioners ◽  
Cad Cam ◽  
Promising Treatment ◽  
Edentulous Patients ◽  
Aided Design

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.

scholarly journals Composite vs Ceramic Computer-aided Design/Computer-assisted Manufacturing Crowns in Endodontically Treated Teeth: Analysis of Marginal Adaptation

2013 ◽  
Vol 38 (6) ◽  
pp. 663-673 ◽  
Author(s):  
A Ramírez-Sebastià ◽  
T Bortolotto ◽  
M Roig ◽  
I Krejci
Keyword(s):  
Computer Aided Design ◽  
Computer Assisted ◽  
Marginal Adaptation ◽  
Crown Group ◽  
Endodontically Treated Teeth ◽  
Full Coverage ◽  
Computer Aided ◽  
Cad Cam ◽  
Group 2 ◽  
Aided Design

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).

Robotics and the Automated Factory

1983 ◽  
Vol 27 (5) ◽  
pp. 391-391
Author(s):  
H. McIlvaine Parsons
Keyword(s):  
Human Factors ◽  
Computer Aided Design ◽  
Industrial Robots ◽  
Computer Assisted ◽  
Industrial Automation ◽  
Computer Aided ◽  
Cad Cam ◽  
Industrial Productivity ◽  
Aided Design ◽  
Hostile Environments

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).

scholarly journals Fabrication of Zirconia-Reinforced Lithium Silicate Ceramic Restorations Using a Complete Digital Workflow

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Sven Rinke ◽  
Matthias Rödiger ◽  
Dirk Ziebolz ◽  
Anne-Kathrin Schmidt
Keyword(s):  
Optical Properties ◽  
Lithium Silicate ◽  
Unique Combination ◽  
Fabrication Technology ◽  
Intraoral Scanner ◽  
Digital Workflow ◽  
All Ceramic ◽  
Cad Cam ◽  
Ceramic Restorations ◽  
Silicate Ceramic

This case report describes the fabrication of monolithic all-ceramic restorations using zirconia-reinforced lithium silicate (ZLS) ceramics. The use of powder-free intraoral scanner, generative fabrication technology of the working model, and CAD/CAM of the restorations in the dental laboratory allows a completely digitized workflow. The newly introduced ZLS ceramics offer a unique combination of fracture strength (>420 MPa), excellent optical properties, and optimum polishing characteristics, thus making them an interesting material option for monolithic restorations in the digital workflow.

scholarly journals Evaluation of the Milling Accuracy of Zirconia-Reinforced Lithium Silicate Crowns Fabricated Using the Dental Medical Device System: A Three-Dimensional Analysis

Materials ◽  
2020 ◽  
Vol 13 (20) ◽  
pp. 4680
Author(s):  
Seen-Young Kang ◽  
Ji-Min Yu ◽  
Jun-Seok Lee ◽  
Ki-Sook Park ◽  
Seung-Youl Lee
Keyword(s):  
Computer Aided Design ◽  
Three Dimensional ◽  
Lithium Disilicate ◽  
Digital Impression ◽  
Lithium Silicate ◽  
Design Data ◽  
Cad Cam ◽  
Scan Data ◽  
Level Of Significance ◽  
Aided Design

This study aimed to analyze the milling accuracy of lithium disilicate and zirconia-reinforced silicate crown fabricated using chairside computer-aided design/manufacturing (CAD/CAM) system. Mandibular left first premolar was selected for abutment. A master model was obtained for digital impression using an intraoral scanner, and crowns were designed using a CAD software design program. Amber Mill (AM), IPS e max CAD (IPS), and CELTRA DUO (CEL) were used in the CAD/CAM system, and a total 45 crowns (15 crowns each for AM, IPS, and CEL) was fabricated. Milling accuracy was analyzed with respect to trueness, measured by superimposing CAD design data and scan data through a three-dimensional program to compare the outer and inner surfaces and internal and external parts, thereby acquiring both quantitative and qualitative data. Data were analyzed using the non-parametric test and Kruskal–Wallis H test. In addition, the Mann–Whitney U test was used by applying the level of significance (0.05/3 = 0.016) adjusted by post-analysis Bonferroni correction. All the measured parts of the lithium disilicate and zirconia-reinforced silicate crowns showed statistically significant differences (p < 0.05). The lithium disilicate (AM and IPS) materials showed superior milling accuracy than the zirconia-reinforced lithium silicate (CEL) materials.

scholarly journals Effects of Khat on Surface Roughness and Color of Feldspathic and Zirconia Porcelain Materials under Simulated Oral Cavity Conditions

Medicina ◽  
2020 ◽  
Vol 56 (5) ◽  
pp. 234
Author(s):  
Mohammed M. Al Moaleem ◽  
Rashad AlSanosy ◽  
Nasser M. Al Ahmari ◽  
Mansoor Shariff ◽  
Abdulkhaliq A. Alshadidi ◽  
...  
Keyword(s):  
Surface Roughness ◽  
Computer Aided Design ◽  
Color Stability ◽  
Computer Assisted ◽  
Khat Chewing ◽  
Color Changes ◽  
Before And After ◽  
Cad Cam ◽  
Natural Teeth ◽  
Aided Design

Background and Objectives: Khat chewing is considered as a daily habit that is practiced by more than five million people globally. The effect of khat chewing on the surface roughness and the color stability of natural teeth and the material used in the fabrication of dental prosthesis remains unknown. This study was conducted to explore and compare the effect of khat homogenate (KH) on the surface roughness (Ra) and the average color changes (ΔE*) amongst natural teeth and selected shades from different porcelain types, namely, feldspathic metal ceramic (MC) VM13, computer-aided design/computer assisted manufacture (CAD/CAM) feldspathic (Vitablocs Mark II), and multilayer zirconia (Ceramill Zolid PS) porcelains. Materials and Methods: Seventy samples were prepared from natural teeth, feldspathic MC, CAD/CAM Vitablocs Mark II, and zirconia porcelain. The Ra values were measured using a profilometer and expressed in micrometers, whereas the ΔE* values were measured using VITA Easyshade® V spectrophotometer for all samples before and after frequent immersion and thermocycling in KH for 30 days. The surface topography was used to assess the materials surfaces (glazed or polished) after KH immersion by using a white light interferometry machine. Results: Results revealed that the Ra and the ΔE* values of the different types of tested porcelain were influenced by KH. The order of surface roughness values was glazed or polished MC > polished Zircon > polished Vitablocs Mark II > natural teeth. The lowest ΔE* values were recorded for glazed Vitablocs Mark II and MC, and the values could be arranged as polished zircon > natural teeth > glazed zircon > polished MC > polished Vitablocs Mark II. P values were significantly varied (<0.001) among all the tested groups, except the zircon group (>0.05) for both Ra and ΔE*. Conclusions: KH significantly affected both surface parameter and color of glazed or polished porcelain materials and natural teeth.

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