scholarly journals Customized 3D-Printed Titanium Mesh Developed to Regenerate a Complex Bone Defect in the Aesthetic Zone: A Case Report Approached with a Fully Digital Workflow

Materials ◽  
2020 ◽  
Vol 13 (17) ◽  
pp. 3874 ◽  
Author(s):  
Marco Tallarico ◽  
Chang-Joo Park ◽  
Aurea Immacolata Lumbau ◽  
Marco Annucci ◽  
Edoardo Baldoni ◽  
...  
Keyword(s):  
Female Patient ◽  
Computer Aided Design ◽  
Digital Technologies ◽  
Titanium Mesh ◽  
Digital Workflow ◽  
Anterior Maxilla ◽  
Ridge Augmentation ◽  
Implant Placement ◽  
Computer Aided ◽  
Cad Cam

Alveolar-ridge augmentation, anterior aesthetics, and digital technologies are probably the most popular topics in the dental-implant field. The aim of this report is to present a clinical case of severe atrophy of the anterior maxilla in a younger female patient, treated with a titanium membrane customized with computer-aided design/computer-aided manufacturing (CAD/CAM), simultaneous guided implant placement, and a fully digital workflow. A young female patient with a history of maxillary trauma was treated and followed-up for 1 year after implant placement. A narrow implant was inserted in a prosthetically driven position with the aid of computer-guided surgery. In the same surgical section, a customized implantable titanium mesh was applied. The scaffold was designed according to the contralateral maxillary outline in order to recreate a favorable maxillary bone volume. Finally, highly aesthetic, CAD/CAM, metal-free restorations were delivered using novel digital technologies.

scholarly journals Soft Tissue Evaluation of an Immediate Esthetic Zone Single Implant with a Stereolithographic Guide Using 3D Reconstruction and a CAD/CAM Customized Titanium Anatomic Abutment

2020 ◽  
Vol 10 (5) ◽  
pp. 1678
Author(s):  
Tae-Heung Kim ◽  
You-Kyoung Oh ◽  
Chang-Mo Jeong ◽  
Edward Chengchuan Ko ◽  
George K. Sándor ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Computer Aided Design ◽  
Anterior Maxilla ◽  
Implant Placement ◽  
Significant Difference ◽  
Computer Aided ◽  
Cad Cam ◽  
One Year ◽  
Single Implant

The replacement of an unrestorable tooth with a single implant-supported prosthesis is a treatment with predictable and successful outcomes. The anterior maxilla region is a complicated site for such treatment, due to its esthetic, functional, and physiological sensitivity. The purpose of this study was to evaluate the changes in the soft tissue following an immediate implant procedure using guided surgery in combination with a computer-aided design and computer-aided manufacturing (CAD/CAM) customized titanium anatomic abutment in the esthetic zone. A total of 13 patients who had been treated with an immediate post-extraction implant placement and an immediate provisional restoration were included in the study. The changes in the soft tissue dimension, interdental papilla, and esthetic score were evaluated with a follow-up of at least one year. There was no significant change in the midfacial mucosal status when compared to the pre-treatment situation. The recession of the mesial papillary height was 0.32 mm and the distal papillary height was 0.10 mm. The mean horizontal change in the labial mucosa was 0.32 ± 0.83 mm. There was no significant difference between the mesial papilla index and the distal papilla index. The pink esthetic score value prior to treatment was 11.16, and at one-year follow-up, 10.25. Within the limitations of this study, the immediate post-extraction implant placement procedure with a stereolithographic guide and a provisionalization with a CAD/CAM customized titanium anatomic abutment may be a treatment option with predictable outcomes for the replacement of teeth in the esthetic zone.

scholarly journals Localized ridge augmentation in the anterior maxilla using titanium mesh, an alloplast, and a nano-bone graft: a case report

2018 ◽  
Vol 46 (5) ◽  
pp. 2001-2007 ◽  
Author(s):  
Adel S Alagl ◽  
Marwa Madi
Keyword(s):  
Bone Graft ◽  
Relevant Literature ◽  
Alveolar Ridge ◽  
Titanium Mesh ◽  
Anterior Maxilla ◽  
Ridge Augmentation ◽  
Implant Placement ◽  
Maxillary Region ◽  
Radiographic Presentation

Alveolar ridge deficiency is considered a major limitation for successful implant placement, as well as for the long-term success rate, especially in the anterior maxillary region. Various approaches have been developed to increase bone volume. Among those approaches, inlay and onlay grafts, alveolar ridge distraction, and guided bone regeneration have been suggested. The use of titanium mesh is a reliable method for ridge augmentation. We describe a patient who presented with a localized, combined, horizontal and vertical ridge defect in the anterior maxilla. The patient was treated using titanium mesh and alloplast material mixed with a nano-bone graft to treat the localized ridge deformity for future implant installation. The clinical and radiographic presentation, as well as relevant literature, are presented.

scholarly journals Current Status of Digital Complete Dentures Technology

Prosthesis ◽  
2021 ◽  
Vol 3 (3) ◽  
pp. 229-244
Author(s):  
Aristeidis Villias ◽  
Hercules Karkazis ◽  
Stavros Yannikakis ◽  
Antonios Theocharopoulos ◽  
Nikitas Sykaras ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Current Knowledge ◽  
New Technology ◽  
Current Status ◽  
Complete Dentures ◽  
Supporting Surface ◽  
Digital Workflow ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design

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.

scholarly journals 3D Printing beyond Dentistry during COVID 19 Epidemic: A Technical Note for Producing Connectors to Breathing Devices

Prosthesis ◽  
2020 ◽  
Vol 2 (2) ◽  
pp. 46-52 ◽  
Author(s):  
Leonardo Cavallo ◽  
Antonia Marcianò ◽  
Marco Cicciù ◽  
Giacomo Oteri
Keyword(s):  
Computer Aided Design ◽  
Technical Note ◽  
Digital Workflow ◽  
Computer Aided ◽  
Cad Cam ◽  
3D Printers ◽  
3D Printed ◽  
Dental Professional ◽  
Respiratory Devices ◽  
Aided Design

(1) Background: To mitigate the shortage of respiratory devices during the Covid-19 epidemic, dental professional volunteers can contribute to create printed plastic valves, adapting the dental digital workflow and converting snorkeling masks in emergency CPAP (continuous positive airways pressure) devices. The objective of this report was to provide the specific settings to optimize printing with the 3D printers of the dental industry. (2) Methods: In order to provide comprehensive technical notes to volunteer dental professionals interested in printing Charlotte and Dave connectors to breathing devices, the entire digital workflow is reported. (3) Results: The present paper introduces an alternative use of the dental Computer Aided Design/Computer Aided Manufacturing (CAD/CAM) machinery, and reports on the fabrication of a 3D printed connection prototypes suitable for connection to face masks, thereby demonstrating the feasibility of this application. (4) Conclusions: This call for action was addressed to dentists and dental laboratories who are willing to making available their experience, facilities and machinery for the benefit of patients, even way beyond dentistry.

scholarly journals Prosthetically CAD-CAM–Guided Bone Augmentation of Atrophic Jaws Using Customized Titanium Mesh: Preliminary Results of an Open Prospective Study

2018 ◽  
Vol 44 (2) ◽  
pp. 131-137 ◽  
Author(s):  
Leonardo Ciocca ◽  
Giuseppe Lizio ◽  
Paolo Baldissara ◽  
Alessandro Sambuco ◽  
Roberto Scotti ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Bone Volume ◽  
Mesh Exposure ◽  
Bovine Bone ◽  
Bone Augmentation ◽  
Titanium Mesh ◽  
Implant Position ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design

This study evaluated the outcomes of computer-aided design–computer-aided machining (CAD-CAM)–customized titanium mesh used for prosthetically guided bone augmentation related to the occlusion-driven implant position, to the vertical bone volume gain of the mandible and maxilla, and to complications, such as mesh exposure. Nine patients scheduled for bone augmentation of atrophic sites were treated with custom titanium mesh and particulate bone grafts with autologous bone and anorganic bovine bone in a 1:1 ratio prior to implant surgery. The bone volume needed to augment was virtually projected based on implant position, width, and length, and the mesh design was programmed for the necessary retaining screws. After 6 to 8 months, bone augmentations of 1.72 to 4.1 mm (mean: 3.83 mm) for the mandibular arch and 2.14 to 6.88 mm (mean: 3.95 mm) for the maxilla were registered on cone-beam computerized tomography. Mesh premature (within 4 to 6 weeks) exposure was observed in 3 cases and delayed (after 4 to 6 weeks) in 3 other cases. One titanium mesh was removed before the programmed time but in all augmented sites was possible implant insertion. No complication occurred during prosthetic follow-up. Using CAD-CAM technology for prosthetically guided bone augmentation showed important postoperative morbidity of mesh exposure (66%). Because of this high prevalence of mesh exposure and the potential infection that could affect the expected bone augmentation, this study suggests a cautious approach to this procedure when designing the titanium mesh, to avoid flap tension that may cause mucosal rupture.

scholarly journals An Innovative Treatment Approach Using Digital Workflow and CAD-CAM Part 2: The Restoration of Molar Incisor Hypomineralization in Children

2020 ◽  
Vol 17 (5) ◽  
pp. 1499 ◽  
Author(s):  
Esti Davidovich ◽  
Shlomi Dagon ◽  
Israel Tamari ◽  
Michael Etinger ◽  
Eitan Mijiritsky
Keyword(s):  
Computer Aided Design ◽  
Treatment Approach ◽  
Young Patients ◽  
Digital Workflow ◽  
Tooth Structure ◽  
Innovative Treatment ◽  
Molar Incisor Hypomineralization ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design

Until recently, the treatment for molar incisor hypomineralization (MIH) mainly included interim restorations such as resin restorations and stainless-steel crowns. These require replacement after adolescence. The use of intraoral scanners (IOS) has opened a new venue for restoring MIH teeth, by reducing the challenge of dealing with uncooperative children’s behavior and enabling tooth structure preservation and long-lasting restoration. We present an innovative treatment approach for children with MIH, using a digital workflow with IOS and CAD-CAM (computer-aided design and computer-aided manufacturing) fabrication of the restoration. The overall protocol involves a thorough diagnostic phase throughout treatment planning, which takes into consideration the child’s behavior and the parent’s cooperation and compliance. Initial preparation consists of inhalation sedation if needed, an effective local anesthesia, and the use of a rubber dam. Removal of all areas of enamel and dentin porosity is essential, and the tooth/teeth must be appropriately prepared to accommodate inlays or onlays for molars and labial veneers for incisors. IOS impressions are taken, including scanning of the prepared tooth and its antagonist, scanning of the bite, and CAD-CAM preparation of the restoration. Next is restoration, cementation, and follow up. Digital workflow provides definitive restorations in young patients due to the high accuracy of the scanning.

scholarly journals Orthodontic digital workflow: devices and clinical applications

2021 ◽  
Vol 26 (6) ◽  
Author(s):  
Taís de Morais Alves da CUNHA ◽  
Inessa da Silva BARBOSA ◽  
Karolinne Kaila PALMA
Keyword(s):  
Digital Technology ◽  
Computer Aided Design ◽  
Treatment Time ◽  
Clinical Applications ◽  
Digital Workflow ◽  
Fixed Appliance ◽  
Computer Aided ◽  
Cad Cam ◽  
Manufacturing Applications ◽  
Aided Design

ABSTRACT Introduction: The digital technology has contributed to improve and simplify diagnosis, treatment planning and execution in Orthodontics. Among CAD/CAM system (Computer-Aided Design / Computer-Aided Manufacturing) applications in Orthodontics, we highlight the installation and removal of fixed appliance, clear aligners, customized appliances, and retainers fabricated in digital environment. This approach has several advantages for practitioner and patient, as it enhances appliances precision, directly interferes in treatment time and predictability. Even with all the benefits arising from the digital workflow, few orthodontists have adopted this technique in their clinical practice, most due to high cost and lack of technical preparation for proper execution. Objectives: Thus, given the importance of digital technology to improve specialty performance and the still incipient incorporation of digital flow in Orthodontics, the purpose of this article is to describe the available resources and clinical applications of the CAD/CAM technology in Orthodontics.

scholarly journals Properties of CAD/CAM 3D Printing Dental Materials and Their Clinical Applications in Orthodontics: Where Are We Now?

2022 ◽  
Vol 12 (2) ◽  
pp. 551
Author(s):  
Andrea Scribante ◽  
Simone Gallo ◽  
Maurizio Pascadopoli ◽  
Pietro Canzi ◽  
Stefania Marconi ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
New Technology ◽  
Dental Materials ◽  
Digital Technologies ◽  
Clinical Applications ◽  
Digital Data ◽  
Advantages And Disadvantages ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design

In the last years, both medicine and dentistry have come across a revolution represented by the introduction of more and more digital technologies for both diagnostic and therapeutic purposes. Additive manufacturing is a relatively new technology consisting of a computer-aided design and computer-aided manufacturing (CAD/CAM) workflow, which allows the substitution of many materials with digital data. This process requires three fundamental steps represented by the digitalization of an item through a scanner, the editing of the data acquired using a software, and the manufacturing technology to transform the digital data into a final product, respectively. This narrative review aims to discuss the recent introduction in dentistry of the abovementioned digital workflow. The main advantages and disadvantages of the process will be discussed, along with a brief description of the possible applications on orthodontics.

scholarly journals Maxillary Ridge Augmentation with Custom-Made CAD/CAM Scaffolds. A 1-Year Prospective Study on 10 Patients

2014 ◽  
Vol 40 (5) ◽  
pp. 561-569 ◽  
Author(s):  
Francesco Mangano ◽  
Aldo Macchi ◽  
Jamil Awad Shibli ◽  
Giuseppe Luongo ◽  
Giovanna Iezzi ◽  
...  
Keyword(s):  
3D Reconstruction ◽  
Computer Aided Design ◽  
Three Dimensional ◽  
Numerical Control ◽  
Porous Hydroxyapatite ◽  
Ridge Augmentation ◽  
Custom Made ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design

Several procedures have been proposed to achieve maxillary ridge augmentation. These require bone replacement materials to be manually cut, shaped, and formed at the time of implantation, resulting in an expensive and time-consuming process. In the present study, we describe a technique for the design and fabrication of custom-made scaffolds for maxillary ridge augmentation, using three-dimensional computerized tomography (3D CT) and computer-aided design/computer-aided manufacturing (CAD/CAM). CT images of the atrophic maxillary ridge of 10 patients were acquired and modified into 3D reconstruction models. These models were transferred as stereolithographic files to a CAD program, where a virtual 3D reconstruction of the alveolar ridge was generated, producing anatomically shaped, custom-made scaffolds. CAM software generated a set of tool-paths for manufacture by a computer-numerical-control milling machine into the exact shape of the reconstruction, starting from porous hydroxyapatite blocks. The custom-made scaffolds were of satisfactory size, shape, and appearance; they matched the defect area, suited the surgeon's requirements, and were easily implanted during surgery. This helped reduce the time for surgery and contributed to the good healing of the defects.

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