scholarly journals Fabrication of Metal-Reinforced Complete Dentures Using the CAD-CAM Technique

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.

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.


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.


2016 ◽  
Vol 22 (3) ◽  
pp. 539-543 ◽  
Author(s):  
Fusong Yuan ◽  
Peijun lv ◽  
Pengfei Wang ◽  
Yuguang Wang ◽  
Yong Wang ◽  
...  

Purpose The use of removable complete dentures is a selectable restorative procedure for edentulous patients. To improve the fabrication quality and efficiency of removable complete dentures, this paper aims to introduce a new method to fabricate customized wax complete dentures with additive manufacturing. This process uses complementary digital technologies, and allows faster and better manufacture of complete dentures. Design/methodology/approach In the study, a dental scanner was used to obtain surface data from edentulous casts and rims made by the dentist. A parameterized three-dimensional graphic database of artificial teeth was pre-established. Specialized computer-aided design software was used to set up the artificial dentition and design the esthetic gingiva and base plate. A selective laser sintering machine was used to transfer the data from stereolithography files into a wax base plate with location holes for each artificial tooth. Findings Under this method, a set of wax base plates with 28 location holes available for the placement of the artificial teeth were designed and fabricated within 6 h. The try-in wax dentures fitted the patient’s mouth well, besides occlusion relationships. Then, the occlusion relationships can be adjusted manually to achieve a balanced centric occlusion. Originality/value This method can be used to design and fabricate wax try-in removable complete dentures semi-automatically and rapidly; however, the algorithm for the occlusion contact design needs to be improved.


2014 ◽  
Vol 40 (6) ◽  
pp. 722-728 ◽  
Author(s):  
Avinash S. Bidra

Recently, computer-aided technology has become commercially available in the United States for fabrication of complete dentures. Manufacturers offering this technology require exclusive clinical and laboratory protocols that sharply contrast with the traditional paradigms of complete denture therapy. These protocols allow fabrication of complete dentures in only 2 clinical appointments. Currently, there are no clinical reports in the scientific literature describing the use of this technology for overdentures. This article describes the successful use of computer aided design-computer aided machining (CAD-CAM) technology for prosthodontic phase of fabrication of a mandibular implant-retained overdenture in only 2 clinical appointments. A discussion of the techniques, rationale, indications, advantages, and disadvantages of using CAD-CAM technology for complete dentures and overdentures are described in this article.


2017 ◽  
Vol 5 (6) ◽  
pp. 785-789 ◽  
Author(s):  
Nadica Janeva ◽  
Gordana Kovacevska ◽  
Edvard Janev

The introduction of computer-aided design/computer-aided manufacturing (CAD/CAM) technology into complete denture (CD) fabrication ushered in a new era in removable prosthodontics. Commercially available CAD/CAM denture systems are expected to improve upon the disadvantages associated with conventional fabrication. The purpose of this report is to present the workflow involved in fabricating a CD with a traditional clinical recording method and CAD/CAM technology and to summarize the advantages to the dental practitioner and the patient.


Author(s):  
A. N. Bozhko

Computer-aided design of assembly processes (Computer aided assembly planning, CAAP) of complex products is an important and urgent problem of state-of-the-art information technologies. Intensive research on CAAP has been underway since the 1980s. Meanwhile, specialized design systems were created to provide synthesis of assembly plans and product decompositions into assembly units. Such systems as ASPE, RAPID, XAP / 1, FLAPS, Archimedes, PRELEIDES, HAP, etc. can be given, as an example. These experimental developments did not get widespread use in industry, since they are based on the models of products with limited adequacy and require an expert’s active involvement in preparing initial information. The design tools for the state-of-the-art full-featured CAD/CAM systems (Siemens NX, Dassault CATIA and PTC Creo Elements / Pro), which are designed to provide CAAP, mainly take into account the geometric constraints that the design imposes on design solutions. These systems often synthesize technologically incorrect assembly sequences in which known technological heuristics are violated, for example orderliness in accuracy, consistency with the system of dimension chains, etc.An AssemBL software application package has been developed for a structured analysis of products and a synthesis of assembly plans and decompositions. The AssemBL uses a hyper-graph model of a product that correctly describes coherent and sequential assembly operations and processes. In terms of the hyper-graph model, an assembly operation is described as shrinkage of edge, an assembly plan is a sequence of shrinkages that converts a hyper-graph into the point, and a decomposition of product into assembly units is a hyper-graph partition into sub-graphs.The AssemBL solves the problem of minimizing the number of direct checks for geometric solvability when assembling complex products. This task is posed as a plus-sum two-person game of bicoloured brushing of an ordered set. In the paradigm of this model, the brushing operation is to check a certain structured fragment for solvability by collision detection methods. A rational brushing strategy minimizes the number of such checks.The package is integrated into the Siemens NX 10.0 computer-aided design system. This solution allowed us to combine specialized AssemBL tools with a developed toolkit of one of the most powerful and popular integrated CAD/CAM /CAE systems.


Materials ◽  
2021 ◽  
Vol 14 (14) ◽  
pp. 3819
Author(s):  
Ting-Hsun Lan ◽  
Yu-Feng Chen ◽  
Yen-Yun Wang ◽  
Mitch M. C. Chou

The computer-aided design/computer-aided manufacturing (CAD/CAM) fabrication technique has become one of the hottest topics in the dental field. This technology can be applied to fixed partial dentures, removable dentures, and implant prostheses. This study aimed to evaluate the feasibility of NaCaPO4-blended zirconia as a new CAD/CAM material. Eleven different proportional samples of zirconia and NaCaPO4 (xZyN) were prepared and characterized by X-ray diffractometry (XRD) and Vickers microhardness, and the milling property of these new samples was tested via a digital optical microscope. After calcination at 950 °C for 4 h, XRD results showed that the intensity of tetragonal ZrO2 gradually decreased with an increase in the content of NaCaPO4. Furthermore, with the increase in NaCaPO4 content, the sintering became more obvious, which improved the densification of the sintered body and reduced its porosity. Specimens went through milling by a computer numerical control (CNC) machine, and the marginal integrity revealed that being sintered at 1350 °C was better than being sintered at 950 °C. Moreover, 7Z3N showed better marginal fit than that of 6Z4N among thirty-six samples when sintered at 1350 °C (p < 0.05). The milling test results revealed that 7Z3N could be a new CAD/CAM material for dental restoration use in the future.


Materials ◽  
2021 ◽  
Vol 14 (8) ◽  
pp. 1986
Author(s):  
Andreas Koenig ◽  
Julius Schmidtke ◽  
Leonie Schmohl ◽  
Sibylle Schneider-Feyrer ◽  
Martin Rosentritt ◽  
...  

The performance of dental resin-based composites (RBCs) heavily depends on the characteristic properties of the individual filler fraction. As specific information regarding the properties of the filler fraction is often missing, the current study aims to characterize the filler fractions of several contemporary computer-aided design/computer-aided manufacturing (CAD/CAM) RBCs from a material science point of view. The filler fractions of seven commercially available CAD/CAM RBCs featuring different translucency variants were analysed using Scanning Electron Microscopy (SEM) with Energy Dispersive X-ray Spectroscopy (EDS), Micro-X-ray Computed Tomography (µXCT), Thermogravimetric Analysis (TG) and X-ray Diffractometry (XRD). All CAD/CAM RBCs investigated included midifill hybrid type filler fractions, and the size of the individual particles was clearly larger than the individual specifications of the manufacturer. The fillers in Shofu Block HC featured a sphericity of ≈0.8, while it was <0.7 in all other RBCs. All RBCs featured only X-ray amorphous phases. However, in Lava Ultimate, zircon crystals with low crystallinity were detected. In some CAD/CAM RBCs, inhomogeneities (X-ray opaque fillers or pores) with a size <80 µm were identified, but the effects were minor in relation to the total volume (<0.01 vol.%). The characteristic parameters of the filler fraction in RBCs are essential for the interpretation of the individual material’s mechanical and optical properties.


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.


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