scholarly journals Computer-Guided Bone Biopsy: A Technical Note with the Description of a Clinical Case

2021 ◽  
Vol 8 (12) ◽  
pp. 214
Author(s):  
Federica Altieri ◽  
Giovanna Iezzi ◽  
Valeria Luzzi ◽  
Gianni Di Giorgio ◽  
Antonella Polimeni ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Computer Aided Design ◽  
Bone Biopsy ◽  
Three Dimensional ◽  
Technical Note ◽  
Invasive Approach ◽  
Surgical Guide ◽  
Stl File ◽  
Computer Aided ◽  
Cad Cam

Aim: The aim of this technical note is to present a computer-aided design–computer-aided manufacturing (CAD–CAM) surgical guide to perform a computer-guided bone biopsy. Traditionally, to diagnose abnormal conditions affecting jawbone, a bone biopsy is performed with the use of a trephine bur. The positioning of the bur, during the biopsy, is based on the skill of the surgeon; therefore, an inaccurate placement of a trephine bur may occur. The use of a guide, however, can minimize this risk and achieve a better result. Materials and Methods: To determine the site and the extension of bone sampling, the stereolithography file (STL) file of cone–beam computed tomography (CBCT) images is acquired using a specific planning software and superimposed with the STL file of a dental cast; a virtual surgical guide is designed, using the same software that allows a 3D (three-dimensional) view of the guide from different perspectives and planes. The number and site of guide tubes are determined on the basis of the width and the extension of the sampling; thanks to a 3D printer, the surgical guide is manufactured. Results: The use of a customized surgical guide realized with CAD–CAM technology allows a precise and minimally invasive approach, with an accurate three-dimensional localization of the biopsy site. Conclusions: The high precision, great predictability, time-effectiveness and versatility of the present guide should encourage the clinician to use this minimally invasive surgical approach, but controlled clinical trials should be conducted to evaluate the advantages as well as any possible complications.

scholarly journals The accuracy of computer-aided design and manufacturing surgical-guide for infrazygomatic crest miniscrew placement

2021 ◽  
Vol 11 ◽  
pp. 48-55
Author(s):  
Prajak Jariyapongpaiboon ◽  
Jirawan Chartpitak ◽  
Jaturong Jitsaard
Keyword(s):  
Computer Aided Design ◽  
Three Dimensional ◽  
Surgical Guide ◽  
Surgical Guides ◽  
Computer Aided ◽  
Design And Manufacturing ◽  
Cad Cam ◽  
The Right ◽  
Aided Design ◽  
3D Software

Objectives: Infrazygomatic crest (IZC) surgical guides have been employed to prevent any avoidable complications during miniscrew insertion. The purpose of this study was to evaluate the accuracy of IZC miniscrew placement when using a surgical-guide developed by computer-aided design and manufacturing (CAD/CAM) techniques. Materials and Methods: Ten patients were scanned with cone-beam computed tomography for three-dimensional (3D) planning of IZC miniscrew placements. The upper arches were scanned separately, and virtual miniscrews were placed in the position planned by 3D software. The CAD/CAM surgical guides were designed and fabricated individually to enable accurate miniscrew placement. Subsequently, 20 self-drilling miniscrews were inserted at the right and left IZC areas using 5 CAD/CAM surgical guides (CS group, n = 10) and direct insertion (DI group, n = 10), respectively. Pre- and post-operative digital model images were compared, actual and planned miniscrew positions were superimposed and measured for 3D angular and distance deviations in the two groups. Comparisons between groups were made using the Kruskal–Wallis test. Results: In the CS group, the median coronal and sagittal angular deviations were 2.95 degrees (range 0.34–5.26 degrees) and 2.05 degrees (range 0.38–4.08 degrees), respectively, while the median coronal and apical deviations were 0.39 mm (range 0.24–0.51 mm) and 0.50 mm (range 0.16–0.66 mm). These deviations differed significantly from those of the DI group. Conclusion: The IZC CAD/CAM surgical guide has made it possible to control miniscrew placement with high precision.

A New Proposal for Three-Dimensional Positioning of the Chin Using a Single Computer-Aided Design/Computer-Aided Manufacturing Surgical Guide

2018 ◽  
Vol 29 (7) ◽  
pp. 1963-1964 ◽  
Author(s):  
Pedro Jorge Cavalcante Costa ◽  
Maurício Silva Demétrio ◽  
Pedro Thalles Bernardo Carvalho Nogueira ◽  
Larissa Raposo Rodrigues ◽  
Paulo Domingos Ribeiro Júnior
Keyword(s):  
Computer Aided Design ◽  
Three Dimensional ◽  
Computer Aided Manufacturing ◽  
Surgical Guide ◽  
Computer Aided ◽  
Aided Design

scholarly journals Monitoring Alveolar Ridge Remodelling Post-Extraction Using Sequential Intraoral Scanning over a Period of Four Months

2020 ◽  
Vol 17 (18) ◽  
pp. 6638
Author(s):  
Khaled E. Ahmed
Keyword(s):  
Computer Aided Design ◽  
Three Dimensional ◽  
Dimensional Changes ◽  
Intraoral Scanning ◽  
Computer Aided ◽  
Potential Applications ◽  
Cad Cam ◽  
Aided Design ◽  
2D And 3D

The potential applications of computer-aided design/computer-aided manufacturing (CAD/CAM) and intraoral scanning exceed the delivery of standard prosthodontic interventions. The aim of this study was to clinically present a developed assessment technique, that relies on the use of sequential intraoral scanning, three-dimensional superimposition, and 2D and 3D deviation analyses based on a standardised protocol, as an auxiliary tool in monitoring dimensional changes of residual ridge post-extraction with a follow-up period of four months.

scholarly journals VIRTUAL TECHNOLOGIES IN DENTISTRY

2020 ◽  
pp. 606-612
Author(s):  
S.V. KAZUMYAN ◽  
◽  
I.A. DEGTEV ◽  
V.V. BORISOV ◽  
K.A. ERSHOV
Keyword(s):  
Computer Aided Design ◽  
Three Dimensional ◽  
Interdisciplinary Treatment ◽  
Digital Dentistry ◽  
Dental Restorations ◽  
Technological Advances ◽  
Planning Approach ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design

The article represents the information that in the age of digital dentistry, virtual treatment planning is becoming an increasingly important element of dental practice. With new technological advances in computer-aided design and computer-aided manufacturing (CAD/CAM) of dental restorations, predictable interdisciplinary treatment using a reverse planning approach appears to be beneficial and feasible. It is noted that thanks to achievements in medical imaging and computer programming, 2D axial images can be processed into other reformatted representations (sagittal and coronal) and three-dimensional (3D) virtual models representing the patient’s anatomy. It is shown that telemedicine occupies a special place among modern technologies in dentistry, which is used both for remote consultation and for the successful treatment of patients. Keywords: Virtual assistants , virtual nurses, voice technologies, artificial intelligence, virtual reality, 3D printing, telemedicine.

Minimally invasive corticotomy in orthodontics using a three-dimensional printed CAD/CAM surgical guide

2016 ◽  
Vol 45 (9) ◽  
pp. 1059-1064 ◽  
Author(s):  
M. Cassetta ◽  
M. Giansanti ◽  
A. Di Mambro ◽  
S. Calasso ◽  
E. Barbato
Keyword(s):  
Minimally Invasive ◽  
Three Dimensional ◽  
Surgical Guide ◽  
Cad Cam

Comparison of Marginal Adaptation of Different Resin-Ceramic CAD/CAM Crowns: An In Vitro Study

2020 ◽  
pp. 232020682097597
Author(s):  
Ece Irem Oguz ◽  
Mehmet Ali Kılıçarslan ◽  
Merve Erdog˘ Özgür ◽  
Kaan Orhan ◽  
Sohaib Shujaat
Keyword(s):  
Analysis Of Variance ◽  
Computer Aided Design ◽  
Three Dimensional ◽  
In Vitro Study ◽  
Vitro Study ◽  
Marginal Adaptation ◽  
Computer Aided ◽  
Cad Cam ◽  
Marginal Discrepancy

Aim: To compare the marginal adaptation of crowns fabricated by using three different resin-ceramic computer-aided design/computer-aided manufacturing (CAD/CAM) materials. Materials and Methods: Crowns fabricated from three different resin-ceramic CAD/CAM blocks, applied on a typodont premolar (#14), were tested with regard to marginal adaptation, in this in vitro study. The typodont maxillary first premolar was prepared to serve as the master die and digitized with an intraoral scanner. The same virtual crown design was used to fabricate all specimens. Forty-eight crowns were fabricated from the same virtual crown design using three different CAD/CAM resin-ceramic blocks as follows ( n = 16): Lava Ultimate (LU), GC Cerasmart (GC), Vita Enamic (VE). Master die and crowns were scanned with a laboratory scanner and three-dimensional data were transferred into three-matic software. The software calculated the mean of the marginal discrepancy (MD) for each crown in negative and positive values, representing under and over estimation of the crown margin, respectively. A marginal discrepancy index (MDI) was obtained for each group using negative and positive MDs. All data were statistically analyzed using one-way analysis of variance and Tukey’s honest significance test ( α = 0.05). Results: The analysis of variance showed no statistical differences between materials regarding the negative and positive MDs ( P > .05). The MDI for LU was lower than GC and VE ( P < .05). Conclusion: The marginal adaptation of different resin-ceramic materials was different with regard to MDI values. Nevertheless, the MD values of all groups were within the clinically acceptable range.

scholarly journals Computer aided design and manufacturing of dental restorations - “computerized impression” technology

2006 ◽  
Vol 53 (1) ◽  
pp. 42-53 ◽  
Author(s):  
Aleksandar Todorovic ◽  
Vojkan Lazic
Keyword(s):  
Computer Aided Design ◽  
Dental Treatment ◽  
Three Dimensional ◽  
3D Measurement ◽  
Dental Restorations ◽  
Computer Aided ◽  
Cad Cam ◽  
Three Dimensional Models ◽  
Aided Design ◽  
Cam Systems

CAD/CAM technology (Computer Aided Design / Computer Aided Manufacturing) in the matter of fact helps in design and development of two-dimensional or three-dimensional models and their realization on numerical controlled machines. The key to direct or indirect CAD/CAM dental restorations is the measurement of dental preparation in the mouth or on the plaster die. The aim of this paper is to describe the possibilities and the way of function of different computer aided inspection (CAI) systems as a first part of CAD/CAM systems. Different researchers have presented several approaches of methods for three dimensional (3D) measurement. Today, for chairside dental treatment, only the optical method of measurement has lead to satisfactory results in practice. Laboratory CAD/CAM systems use mechanical and optical technologies for 3D measurement. Optical impression grows as a leader of CAI segment of almost every new CAD/CAM system. The most important properties of 3D scanners are: accuracy, volume and speed of measurement and ergonomy of instrument. .

Effects of Manufacturing and Finishing Techniques of Feldspathic Ceramics on Surface Topography, Biofilm Formation, and Cell Viability for Human Gingival Fibroblasts

2018 ◽  
Vol 43 (6) ◽  
pp. 593-601 ◽  
Author(s):  
LPC Contreras ◽  
AMO Dal Piva ◽  
FC Ribeiro ◽  
LC Anami ◽  
SEA Camargo ◽  
...  
Keyword(s):  
Biofilm Formation ◽  
Computer Aided Design ◽  
Three Dimensional ◽  
Human Gingival Fibroblasts ◽  
Cytotoxicity Test ◽  
Gingival Fibroblasts ◽  
Computer Aided ◽  
Cad Cam ◽  
Diphenyl Tetrazolium Bromide ◽  
Ceramic Restorations

SUMMARY Purpose: Feldspathic ceramic restorations can be obtained by different techniques (stratification or computer-aided design/computer-aided manufacturing [CAD/CAM] blocks) and finishing procedures (polishing or glaze application). This study evaluated the effects of techniques and finishing procedures on surface properties, biofilm formation, and viability of human gingival fibroblasts (FMM-1) in contact with these materials. Methods and Materials: Ceramic specimens were obtained through a stratification technique (Vita VM9) and from CAD/CAM blocks (Vita Blocs Mark II; both Vita Zahnfabrik) and their surfaces were finished by polishing (ceramisté diamond rubbers + polishing paste; “p” subgroups) or glaze spray application + sintering (“g” subgroups). Roughness (Ra and RSm parameters) and surface free energy (SFE) were measured. Early biofilm formation of Streptococcus mutans, Streptococcus sanguinis, and Candida albicans was evaluated by counting colony-forming units (CFU). MTT (3-[4.5-dimethyl-thiazol-2-yl-]-2.5-diphenyl tetrazolium bromide) cytotoxicity test evaluated cellular viability for the growth of FMM-1 after 24 hours and seven days of contact. Scanning electron microscopy (SEM) and three-dimensional optical profilometry were performed to qualitatively analyze the surface. Data were analyzed by analysis of variance, Tukey test, and t-test (all α=0.05). Results: Polished samples presented lower roughness (Ra, p=0.015; RSm, p=0.049) and higher SFE (p=0.00). Streptococci had higher CFU in all groups, but the CFU of C albicans was lower for polished samples. Biofilm formation was influenced by the interaction of all factors (p=0.018), and the materials showed no cytotoxicity to FMM-1 growth. Conclusions: Polishing resulted in the lowest values for surface roughness and higher SFE values. Polished ceramics showed less C albicans adherence while the adherence of Streptococci was greater than C albicans in all conditions.

Guided Implant Placement Using an Internally Cooling Surgical Template: A Technical Note

2020 ◽  
Vol 46 (5) ◽  
pp. 533-535
Author(s):  
Vasilios Alevizakos ◽  
Gergo Mitov ◽  
Constantin von See
Keyword(s):  
Computer Aided Design ◽  
Bone Cells ◽  
Technical Note ◽  
Surgical Guide ◽  
Point Of Entry ◽  
Cooling Pipe ◽  
External Cooling ◽  
Computer Aided ◽  
A New Technique ◽  
Implant Bed

Cooling irrigation during implant bed preparation is mandatory to avoid overheating. Due to the surgical guide design, external cooling systems do not reach the point of entry of the implant burr. Here, a new technique for irrigation during guided implant surgery for direct rinse of the burr is described. Using computer-aided design/computer-aided manufacturing additive technology, a pin of a cooling pipe was designed and implemented in a surgical guide template. The implant bed preparation was performed while the cooling pipe was connected to the surgical guide. During surgery, the irrigation solution was directly rinsing the burr at the point of entry through the irrigation channel. The use of a cooling surgical guide seems to improve the cooling of the bone during implant bed preparation. This might lead to less thermal effect of bone cells. However, systematic studies are needed to confirm the observations of the presented case report.

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