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

(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.

Prosthesis ◽  
2020 ◽  
Vol 2 (4) ◽  
pp. 325-332
Author(s):  
Kelly M. Suralik ◽  
Jie Sun ◽  
Chia-Yu Chen ◽  
Sang J. Lee

There has been an increase in utilizing 3D printers in dental restorations. The purpose of the study is to compare mechanical properties of 3D-printed prostheses to those of self-cured and/or computer-aided design-computer-aided manufacturing (CAD-CAM) restorations. A metal master typodont was prepared for the mandibular left sextant with implant analogs embedded at the first premolar and first molar positions with a missing second premolar. Three-unit provisional fixed dental prosthesis (FDP) was designed utilizing the 3Shape tooth library and forty-five uniform specimens were fabricated with different materials: self-cured poly(methyl methacrylate) (PMMA) (N = 15), milled PMMA CAD-CAM blocks (N = 15) and 3D-printed resin (N = 15). All specimens were tested using an Instron machine at a crosshead speed of 0.5 mm/min by an axial load on the occlusal surface of the second premolar pontic site. Statistical analysis was completed with Shapiro-Wilk, ANOVA and Tukey post-hoc tests. Mean fracture force was 300.61 N, 294.64 N and 408.49 N for self-cured PMMA, milled PMMA and 3D-printed resin, respectively. Mean force at FDP fracture of 3D-printed resin was significantly greater than the mean fracture force of either self-cured (p = 0.016, 95% CI [17.86, 197.91]) or milled (p = 0.010, 95% CI [23.83, 203.88]) PMMA.


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.


2019 ◽  
Vol 9 (12) ◽  
pp. 1745-1750
Author(s):  
Laila Al Deeb ◽  
Khold Al Ahdal ◽  
Ghaith Alotaibi ◽  
Abdullah Alshehri ◽  
Bader Alotaibi ◽  
...  

The aim was to investigate the marginal fit, internal adaptation and compressive strength of SLA provisionals (SLA) in comparison to CAD-CAM and conventional (CONV) interim fixed partial dentures (FPDs). Thirty interim FPDs were fabricated using CAD-CAM technology (CAD-CAM blocks Ceramill TEMP, PMMA), conventional molding technique (CONV) (TrimPlus, PMMA) and Stereolithography (SLA) method (Form 2, Formlabs, PMMA) (n = 10). Internal adaptation (occlusal, coronal, middle and cervical) and marginal integrity (inner and outer edge) was assessed using micro-computerized tomography (Micro-CT). The failure and compressive strength was assessed by application of a static load at a crosshead speed of 1 mm/min until fracture. Data was analysed using ANOVA and multiple comparisons test. The maximum and minimum marginal mis-fit was for CONV (283.3± 98.6 nm) and CAD-CAM (68.2± 18.1 m) groups. CAD-CAM (68.2± 18.1 m) and SLA (84.7± 27.5 m) provisionals showed comparable marginal mis-fit (p > 0.05). The mean failure load was significantly higher (p < 0.05) in CAD-CAM (687.86± 46.72 N), compared to SLA (534.8± 46.1 N) and CONV (492.7± 61.8 N) samples. Compressive strength for CAD-CAM (2.44± 0.27 MPa) samples was significantly higher (p < 0.05) than SLA (1.80± 0.15 MPa) and CONV (1.65± 0.20 MPa) groups. Marginal fit and internal adaptation of SLA printed FPDs was comparable to CAD-CAM interims. Compressive strength of the SLA interims FPDs can withstand intra-oral loads.


Author(s):  
Esti Davidovich ◽  
Shlomi Dagon ◽  
Israel Tamari ◽  
Michael Etinger ◽  
Eitan Mijiritsky

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.


2021 ◽  
Vol 26 (6) ◽  
Author(s):  
Taís de Morais Alves da CUNHA ◽  
Inessa da Silva BARBOSA ◽  
Karolinne Kaila PALMA

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.


2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
D G E Thiem ◽  
B Al-Nawas ◽  
P W Kämmerer

Abstract In recent years, alloplastic temporomandibular joint (TMJ) replacement has become a permissible procedure for the reconstruction of severely destroyed TMJs. The use of computer-aided design/computer-aided manufacturing (CAD/CAM) has extended the range of applications to complex anatomical situations. The aim of the treatment is to improve the usually restricted mouth opening and thus oral hygiene and nutrition, which leads to a regular improvement in the general quality of life. The following case report describes the bilateral replacement of ankylotically destroyed TMJs using patient-specific endoprostheses with simultaneous displacement of the maxilla. Innovative in the case described is the impression-free CAD/CAM planning, whereby the upper and lower prostheses were produced on the basis of 3D printed patient models.


2020 ◽  
Vol 9 (10) ◽  
pp. e2089108473
Author(s):  
Gustavo Augusto Seabra Barbosa ◽  
Erika Oliveira de Almeida ◽  
André Luiz Marinho Falcão Gondim ◽  
Euler Maciel Dantas ◽  
Karolina Pires Marcelino ◽  
...  

This dental technique note describes the manufacture of a new design of occlusal splint for protection of shear forces in anterior aesthetic restorations in patients with sleep bruxism, using the computer-aided design and computer-aided manufacturing (CAD/CAM) technique. Maxillary and mandibular arches were scanned and a Jig with polyvinyl siloxane material was made to maxillomandibular relationship record. For interocclusal device planning, the anterior limits must not cover the buccal surfaces of the anterior teeth, extending only on the incisal of these dental elements. The device is then virtually designed, and the CAD file of splint is sent to CAM milling process. The occlusal splint was tested for stability, insertion and removal, the distribution of occlusal contacts and care instructions were given to the patient. This device design avoids contact between splint and anterior aesthetic restorations during occlusal forces decreasing potential of failure, which increases the success rate of these previous aesthetic rehabilitations.


2021 ◽  
Vol 6 ◽  
pp. 247275122110470
Author(s):  
Ana Tache ◽  
Stijn E. F. Huys ◽  
Maurice Y. Mommaerts

Study Design: Technical note. Objective: Computer-aided design and computer-aided manufacturing (CADCAM) is commonly used in craniomaxillofacial (CMF) surgery because of its advantage in customizing medical devices. We used this technology to create individualized, resin-bonded 3-dimensionally printed titanium arch bars. Method: This article describes a patient specific, three-dimensionally (3D) printed, resin-bonded arch bar as an alternative to the classical intermaxillary fixation systems. Results: The ease of application and removal, as well as the protection of the periodontal and cheek tissues, and operator fingers, made this a comfortable technique for both the patient and practitioner. Conclusions: A patient-specific 3D-printed titanium arch bar can be useful in the arsenal of the maxillofacial surgeon.


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.


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