scholarly journals Digital Denture Fabrication: A Technical Note

2021 ◽  
Vol 11 (17) ◽  
pp. 8093
Author(s):  
Shavkat Dusmukhamedov ◽  
Chu-Nui Lee ◽  
Seung-Mi Jeong ◽  
Byung-Ho Choi

Fabricating a complete denture in a conventional manner may be complicated and difficult. The purpose of this article was to describe the benefits of a fully digital workflow and fabrication procedure of complete dentures based on digital impressions of edentulous jaws. The digital data for the workflow were acquired using an intraoral scanner and were then used to design the denture base and teeth. The resulting data were exported to a 3D printer or a milling machine for denture fabrication.

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.


Author(s):  
Alexander Schmidt ◽  
Leona Klussmann ◽  
Maximiliane A. Schlenz ◽  
Bernd Wöstmann

Abstract Objectives Due to the partly strongly differing results in the literature, the aim of the present study was to investigate a possible deformation of the mandible during mouth opening using an intraoral scanner (IOS) and a conventional impression for comparison with a reference aid. Materials and methods Four steel spheres were reversibly luted in the mandibular (n = 50) with a metallic reference aid at maximum mouth opening (MMO). Two digital impressions (Trios3), at MMO and at slightly mouth opening SMO and a conventional impression (Impregum), were taken as the measuring accuracy of the reference structure was already known. Difference between MMO-SMO for digital impressions and deviations between digital and conventional (SMO) were calculated. Furthermore, the angle between the normal vectors of two constructed planes was measured. Statistical analysis was performed with SPSS25. Results Deviations for linear distances ranged from −1 ± 3 μm up to 17 ± 78 μm (digital impressions, MMO-SMO), from 19 ± 16 μm up to 132 ± 90 μm (digital impressions, SMO), and from 28 ± 17 μm up to 60 ± 52 μm (conventional impressions, SMO). There were no significant differences for digital impressions (MMO-SMO), and there were significant differences between the conventional and digital impressions at SMO. Conclusions Based on the results of the present study, no mandibular deformation could be detected during mouth opening with regard to the digital impressions. The results were rather within the measuring tolerance of the intraoral scanner. Clinical relevance Based on the present study, no deformation of the mandibular during mouth opening could be observed at the level previously assumed. Therewith related, dental techniques related to a possible mandibular deformation therefore should be reconsidered.


Author(s):  
Jesús Peláez Rico ◽  
Jorge Cortés-Bretón Brinkmann ◽  
María Carrión Martín ◽  
Mabel Albanchez González ◽  
Celia Tobar Arribas ◽  
...  

The aim of this clinical report is to describe a maxillary full-arch implant supported restoration with immediate loading performed by means of an entirely digital workflow with photogrammetric system and intraoral scanning. A female patient with an edentulous maxillary arch attended the dental clinic seeking a maxillary fixed restoration. After treatment planning, six implants were placed using a surgical splint fabricated digitally by intraoral scanning of her previous removable prosthesis. Multi-unit abutments were fitted and two digital impressions were taken, one with a photogrammetric system for determining implant positions, and the other with an intraoral scanner for soft tissue registration. The acrylic resin structure of the immediate prosthesis was milled and placed within 8 hours of implant surgery. This provisional structure fitted correctly and provided adequate esthetics and function. Radiographic and clinical follow-up after 24 months observed adequate implant evolution.


2018 ◽  
Vol 6 (11) ◽  
pp. 2168-2172
Author(s):  
Shady M. El Naggar ◽  
Mohamed I. Seif El Nasr ◽  
Hassan M. Sakr ◽  
Sherihan M. Eissa ◽  
Asmaa N. Elboraey ◽  
...  

BACKGROUND: A gap still exists between in vitro and clinical studies concerning the biocompatibility of the material in the oral environment and their potential to cause immunological undesirable side effects. The uses of glass fibres to improve the mechanical properties of acrylic resin denture base polymers are well documented in vitro. AIM: The present study aimed to evaluate the effect of denture base reinforcement using light-cured E- glass fibres mesh on the level of salivary immunoglobulin A (S-IgA) in patients wearing complete dentures. MATERIAL AND METHODS: Fourteen completely edentulous patients, in need of complete dentures, participated in the study. The patients were divided into two groups (n = 7) according to the treatment protocol. In the first group, patients received conventional heat-cured acrylic resin dentures. In the second group, the mandibular dentures were reinforced using light cured resin impregnated E glass fibres mesh. In both groups, salivary samples were collected using passive drool technique. The level IgA was assessed by enzyme-linked immunosorbent assay (ELISA) technique at different time intervals. Statistical analysis was carried out using one-way ANOVA followed by Tukey`s post-hoc test and independent t-test. The significant level was set at P ≤ 0.05. RESULTS: Acrylic resin dentures and reinforced ones demonstrated an increase in the mean values of IgA level at the end of the follow-up intervals. And this increase was statistically significant (P ≤ 0.05). Although, the reinforced dentures revealed higher mean values, there was no statistically significant difference between the two groups (P > 0.05) CONCLUSIONS: Within the limitations of the present study, the following could be concluded: (1) the insertion of complete dentures induced changes in the level of IgA; and (2) denture base reinforcement using light cured resin impregnated E-glass fibres mesh had a similar effect to that of heat cured acrylic resin on the level of IgA.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Eneko Solaberrieta ◽  
Asier Garmendia ◽  
Aritza Brizuela ◽  
Jose Ramon Otegi ◽  
Guillermo Pradies ◽  
...  

The purpose of this study was to locate the 3D spatial position mandibular cast and determine its occlusal contacts in a novel way by using an intraoral scanner as part of the virtual occlusal record procedure. This study also analyzes the requirements in quantity and dimensions of the intraoral virtual occlusal record. The results showed that the best section combination consists of 2 lateral and frontal sections, the width of this section being that of 2 teeth (24 mm × 15 mm). This study concluded that this procedure was accurate enough to locate the mandibular cast on a virtual articulator. However, at least 2 sections of the virtual occlusal records were necessary, and the best results were obtained when the distance between these sections was maximum.


2021 ◽  
Vol 17 (2) ◽  
pp. 163-168
Author(s):  
Roman Rozov ◽  
Vladimir Trezubov ◽  
Olga Spitsyna ◽  
Yulia Bistrova

Impression taking procedure from prosthetic area in case of constructing implant supported prostheses is one of the most important steps in the process of patient rehabilitation especially in producing long span structures. Quality of the impression could affect the precision and passive fit of the prosthesis to the implants therefore the overall quality of the work. Obtaining digital impressions of edentulous jaws with a different number of implants using intraoral devices is still an unresolved problem in full. The ergonomics of the process of obtaining an impression is not easy due to the need to place both scan abutments in the oral cavity and manipulate the working part of the intraoral scanner around them. The accuracy of digital impressions obtained from edentulous jaws for obtaining full-arch implant supported prostheses does not exceed that when obtaining a classic impression, and according to a number of researchers, it is even lower. The aim of this study was to construct implant impression convertible trays with increased to the optimum levels of rigidity, with simple disassemble process and having an easy access to the adapters, and also to digitally compare the rigidity of the author’s impression trays. The method of assessment was digital technology of analysing structural resistance and inherent stresses and deformations using SolidWorks software. We performed analysis of the resistance of the structure to external loads. We have developed and created the customised copyrighted versions of the upper and lower impression trays made of rigid titanium alloy by 3D printing using DMLM technology on a Concept Laser device made of titanium Ti6-Al4-V. Modeling was carried out in the Mimics Medical 21 program (Materialize, Germany) along the contours on the data of cone-beam computed tomography. Performed digital tests reveal the underlying advantages of the designed by authors impression trays.


1985 ◽  
Vol 29 (2) ◽  
pp. 310-318 ◽  
Author(s):  
Tetsuya Habu ◽  
Akihiko Inanaga ◽  
Tetsuji Takeuchi ◽  
Naoaki Sawamura ◽  
Minoru Kawaguchi ◽  
...  

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