scholarly journals The Advantages of High-density Polymer CAD/CAM Interim Restorations in Oral Implantology

2017 ◽  
Vol 54 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Claudia Florina Andreescu ◽  
Doina Lucia Ghergic ◽  
Oana Botoaca ◽  
Horia Mihail Barbu ◽  
Ioan Sebastian Cernusca Mitariu ◽  
...  
Keyword(s):  
Flexural Strength ◽  
Polymethyl Methacrylate ◽  
Modulus Of Elasticity ◽  
Fracture Resistance ◽  
Computer Assisted ◽  
Computer Assisted Design ◽  
Long Time ◽  
Cad Cam ◽  
Oral Implantology

Fabrication of temporary restorations is an essential part in dentistry and especially in oral implantology. Polymethyl methacrylate is used for a long time as material for temporary restorations and many improvements has been done to increase its properties, especially fracture resistance. Crosslinking and computer-assisted design/computer-assisted machining permit fabrication of long-term temporary restorations with flexural strength high enough and good modulus of elasticity that do not fracture easily under functional loads.

Connector Architecture for Computer-Assisted Design and Manufacturing Systems

2004 ◽  
Vol 20 (04) ◽  
pp. 262-268
Author(s):  
Reinhard M. Staebler ◽  
Bryan J. Miller ◽  
Paul J. Rakow ◽  
Thomas Koch
Keyword(s):  
Data Exchange ◽  
Manufacturing Systems ◽  
Reference Model ◽  
Computer Assisted ◽  
Computer Assisted Design ◽  
Cad Cam ◽  
Flexible Integration ◽  
Business Objects ◽  
Negative Impacts ◽  
Cam Systems

Flexible integration concepts for computer-assisted design (CAD) and manufacturing (CAM) systems have been identified as a key to let shipyards select and implement best-in-class software components for their CAD and CAM operations. Current implementations are dominated by bilateral links based on proprietary data exchange formats and are too complex to upgrade parts of a CAD/CAM infrastructure without negative impacts on the other parts. This paper describes the ongoing development of a connector architecture for CAD and CAM systems in shipbuilding. The architecture decouples CAD and CAM systems on the basis of a flexible integration technology, utilizing XML data exchange, lightweight directory access protocol (LDAP), and message-based communication. An enterprise reference model describing all relevant shipbuilding business objects forms the basis for the integration. So-called adapters connect the various CAD and CAM systems to the architecture. An automatic nesting solution is presented as a sample business solution in the connector architecture environment.

scholarly journals Effect of Incisal Porcelain Veneering Thickness on the Fracture Resistance of CAD/CAM Zirconia All-Ceramic Anterior Crowns

2019 ◽  
Vol 2019 ◽  
pp. 1-12 ◽  
Author(s):  
Noha Badran ◽  
Sanaa Abdel Kader ◽  
Fayza Alabbassy
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
Mode Iii ◽  
Nickel Chromium ◽  
Significant Difference ◽  
All Ceramic ◽  
Metal Ceramic ◽  
Cad Cam ◽  
Ceramic Crown

Statement of Problem. In some clinical situations, the vertical length of either a prepared tooth or an implant abutment is short, while the occlusal clearance to be restored by a porcelain crown is large. Incisal thickness of the veneering porcelain should be considered to prevent mechanical failure of the crown. Purpose. The aim of this study is to evaluate the effect of two different incisal veneering porcelain thickness on the fracture resistance of the anterior all-ceramic CAD/CAM zirconia crown system as compared with the conventionally used metal ceramic crown system. Method. CAD/CAM zirconia all-ceramic and metal ceramic crowns were fabricated on the prepared dies with standardized dimensions and designs using standardized methods according to the manufacturer’s instructions. All crowns were then adhesively luted with resin-based cement (Multilink cement system), subjected to thermal cycling and cyclic loading, and were loaded until fracture using the universal testing machine to indicate the fracture resistance for each crown material in each veneering thickness. Results. Statistical analysis was carried out, and the results showed that the fracture resistance of the nickel-chromium metal ceramic group was significantly higher than that of the CAD/CAM zirconia all-ceramic group. Also, the fracture resistance of crowns with 1.5 mm incisal veneering thickness was significantly higher than those with 3 mm incisal veneering thickness in both groups. Furthermore, there was no significant difference in the fracture mode of the two groups where 50% of the total specimens demonstrated Mode II (veneer chipping), while 35% demonstrated Mode I (visible crack) and only 15% demonstrated Mode III (bulk fracture). Conclusion. High failure load values were demonstrated by the specimens in this study, which suggest sufficient strength of both incisal veneering thickness in both crown systems to withstand clinical applications; however, the fracture patterns still underline the requirement of a core design that support a consistent thickness of the veneering ceramic, and it is recommended to conduct long-term prospective clinical studies to confirm findings reported in the present study.

Secondary Repair of the Zygoma

2017 ◽  
Vol 33 (06) ◽  
pp. 571-580
Author(s):  
Susan Yanik ◽  
Sherard Tatum ◽  
Susannah Orzell
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Computer Assisted ◽  
Rare Entity ◽  
Functional Deficits ◽  
Computer Assisted Design ◽  
Cad Cam ◽  
Fixation Techniques ◽  
Virtual Mapping ◽  
Crucial Part

AbstractSecondary deformities of the zygoma are a rare entity, thanks to the adoption and refinement of open reduction and internal fixation techniques. These injuries are often difficult to treat due to the unique structural, functional, and aesthetic properties of the zygoma. Purely cosmetic defects can often be managed with implants; however, functional deficits generally require mobilization, correction, and subsequent fixation of the defect(s). Performing the necessary osteotomies to mobilize the zygoma is the most crucial part of the procedure, and had traditionally been executed without the use of computer aids. Planning for and performing this step was very difficult and frequently resulted in unsatisfactory outcomes. Recent advancements in virtual mapping and planning have obviated the need for guesswork and have resulted in improved functional and aesthetic outcomes following repositioning. This article will discuss the use of implants, osteotomies, and computer-assisted design/modeling (CAD/CAM) in addressing secondary deformities of the zygoma.

Accuracy Assessment of Immediate and Delayed Implant Placements Using CAD/CAM Surgical Guides

2016 ◽  
Vol 42 (5) ◽  
pp. 391-398 ◽  
Author(s):  
Fawaz Alzoubi ◽  
Nima Massoomi ◽  
Anders Nattestad
Keyword(s):  
Accuracy Assessment ◽  
Computer Assisted ◽  
Apical Position ◽  
Surgical Guides ◽  
Computer Assisted Design ◽  
Significant Difference ◽  
Cad Cam ◽  
Delayed Group ◽  
Immediate Implant ◽  
Delayed Implant Placement

The aim of this study is to assess the accuracy of immediately placed implants using Anatomage Invivo5 computer-assisted design/computer-assisted manufacturing (CAD/CAM) surgical guides and compare the accuracy to delayed implant placement protocol. Patients who had implants placed using Anatomage Invivo5 CAD/CAM surgical guides during the period of 2012–2015 were evaluated retrospectively. Patients who received immediate implant placements and/or delayed implant placements replacing 1–2 teeth were included in this study. Pre- and postsurgical images were superimposed to evaluate deviations at the crest, apex, and angle. A total of 40 implants placed in 29 patients were included in this study. The overall mean deviations measured at the crest, apex, and angle were 0.86 mm, 1.25 mm, and 3.79°, respectively. The means for the immediate group deviations were: crest = 0.85 mm, apex = 1.10, and angle = 3.49°. The means for the delayed group deviations were: crest = 0.88 mm, apex = 1.59, and angle = 4.29°. No statistically significant difference was found at the crest and angle; however, there was a statistically significant difference between the immediate and delayed group at the apex, with the immediate group presenting more accurate placements at the apical point than the delayed group. CAD/CAM surgical guides can be reliable tools to accurately place implants immediately and/or in a delayed fashion. No statistically significant differences were found between the delayed and the immediate group at the crest and angle, however apical position was more accurate in the immediate group.

scholarly journals A Comparative Study on the Mechanical Properties of a Polymer-Infiltrated Ceramic-Network Material Used for the Fabrication of Hybrid Abutment

Materials ◽  
2018 ◽  
Vol 11 (9) ◽  
pp. 1681 ◽  
Author(s):  
Salim Ongun ◽  
Sevcan Kurtulmus-Yilmaz ◽  
Gökçe Meriç ◽  
Mutahhar Ulusoy
Keyword(s):  
Flexural Strength ◽  
Bond Strength ◽  
Computer Aided Design ◽  
Fracture Resistance ◽  
Test Group ◽  
Cad Cam ◽  
Bonding Properties ◽  
Failure Loads ◽  
Aided Design ◽  
Microshear Bond Strength

Polymer-infiltrated ceramic-network (PICN) material is a new type of material used for the hybrid abutments of dental implants. This study aimed to compare flexural strength, bond strengths, and fracture-resistance values of PICN with lithium disilicate ceramic (LDS) and to evaluate the effect of thermocycling on the tested parameters. Twenty specimens were fabricated using computer-aided design and manufacturing (CAD-CAM) technology for each material according to three-point bending (n = 10), microshear bond strength (µSBS), and a fracture-resistance test (hybrid abutment, n = 10). All specimens of each test group were divided into two subgroups, thermocycled or nonthermocycled. Hybrid abutments were cemented on titanium insert bases and then fixed on implants to compare fracture resistance. Failure loads were recorded for each test and data were statistically analyzed. Thermocycling decreased bond strength to the resin luting agent and the fracture-resistance values of both materials (p < 0.001), whereas flexural-strength values were not affected. LDS ceramic showed significantly higher flexural strength, bond strength, and fracture-resistance values than PICN material (p < 0.001). Within the limitations of this study, LDS may be a preferable hybrid-abutment material to PICN in terms of mechanical and bonding properties.

scholarly journals Combining Intraoral and Face Scans for the Design and Fabrication of Computer-Assisted Design/Computer-Assisted Manufacturing (CAD/CAM) Polyether-Ether-Ketone (PEEK) Implant-Supported Bars for Maxillary Overdentures

Scanning ◽  
2019 ◽  
Vol 2019 ◽  
pp. 1-14 ◽  
Author(s):  
Francesco Mangano ◽  
Carlo Mangano ◽  
Bidzina Margiani ◽  
Oleg Admakin
Keyword(s):  
Soft Tissues ◽  
Previous Treatment ◽  
Digital Impression ◽  
Computer Assisted ◽  
Success Rates ◽  
Computer Assisted Design ◽  
Polyether Ether Ketone ◽  
Cad Cam ◽  
Passive Fit ◽  
Ether Ketone

Purpose. To present a digital method that combines intraoral and face scanning for the computer-assisted design/computer-assisted manufacturing (CAD/CAM) fabrication of implant-supported bars for maxillary overdentures. Methods. Over a 2-year period, all patients presenting to a private dental clinic with a removable complete denture in the maxilla, seeking rehabilitation with implants, were considered for inclusion in this study. Inclusion criteria were fully edentulous maxilla, functional problems with the preexisting denture, opposing dentition, and sufficient bone volume to insert four implants. Exclusion criteria were age<55 years, need for bone augmentation, uncompensated diabetes mellitus, immunocompromised status, radio- and/or chemotherapy, and previous treatment with oral and/or intravenous aminobisphosphonates. All patients were rehabilitated with a maxillary overdenture supported by a CAD/CAM polyether-ether-ketone (PEEK) implant-supported bar. The outcomes of the study were the passive fit/adaptation of the bar, the 1-year implant survival, and the success rates of the implant-supported overdentures. Results. 15 patients (6 males, 9 females; mean age 68.8±4.7 years) received 60 implants and were rehabilitated with a maxillary overdenture supported by a PEEK bar, designed and milled from an intraoral digital impression. The intraoral scans were integrated with face scans, in order to design each bar with all available patient data (soft tissues, prosthesis, implants, and face) in the correct spatial position. When testing the 3D-printed resin bar, 12 bars out of 15 (80%) had a perfect passive adaptation and fit; in contrast, 3 out of 15 (20%) did not have a sufficient passive fit or adaptation. No implants were lost, for a 1-year survival of 100% (60/60 surviving implants). However, some complications (two fixtures with peri-implantitis in the same patient and two repaired overdentures in two different patients) occurred. This determined a 1-year success rate of 80% for the implant-supported overdenture. Conclusions. In this study, the combination of intraoral and face scans allowed to successfully restore fully edentulous patients with maxillary overdentures supported by 4 implants and a CAD/CAM PEEK bar. Further studies are needed to confirm these outcomes.

scholarly journals Digital Dentistry: The future is now

2018 ◽  
Vol 25 (2) ◽  
pp. 8
Author(s):  
Edison Andrés Cruz
Keyword(s):  
Computer Assisted ◽  
Digital Dentistry ◽  
Computer Assisted Design ◽  
Design And Manufacturing ◽  
The Future ◽  
Cad Cam

La práctica clínica de la odontología avanzó desde los últimos 20 años, con la inmersión del CAD/CAM (Computer-assisted Design and Manufacturing), reduciendo tanto los pasos para la realización de una corona o prótesis, como mejorando la eficiencia, calidad del tratamiento y por consiguiente, la experiencia percibida por los pacientes. En Estados Unidos se estima que, el 15% de los consultorios practican Odontología Digital, es decir, hacen uso de tecnología CAD/CAM e impresión digital 3D. Además, para el año 2017, se estimó el uso de 19,000 unidades de CAD/CAM en las oficinas dentales de odontólogos americanos, mostrando que, los avances de la tecnología que veíamos muy lejanos, son una realidad, hoy (1,2). A pesar de estas cifras, las universidades han adoptado el entrenamiento en tecnología digital odontológica tímidamente, tal como lo han manifestado, según el entusiasmo por parte de docentes y estudiantes. Esto se ve reflejado en la  incipiente publicación de artículos científicos en ésta área. La odontología digital se ha desarrollado en varios campos dentro de la odontología. De hecho, se ha utilizado desde el diagnóstico, planificación del tratamiento, hasta el diseño y elaboración de prótesis y restauraciones. Dentro de las herramientas de la  odontología digital, se encuentra el escáner intraoral. Los escáneres han permitido capturar información detallada de las estructuras anatómicas dentales, óseas y tejidos blandos del paciente.

Study of Machinable Dental Glass Ceramics

2009 ◽  
Vol 620-622 ◽  
pp. 575-578 ◽  
Author(s):  
Xin Pei Ma ◽  
Guang Xin Li ◽  
Zhi Hao Jin ◽  
Ji Hua Chen ◽  
Mao Ju Yang ◽  
...  
Keyword(s):  
Glass Ceramics ◽  
Orthogonal Experimental Design ◽  
Computer Assisted ◽  
X Ray Diffraction ◽  
X Ray ◽  
Dental Restorations ◽  
Computer Assisted Design ◽  
All Ceramic ◽  
Cad Cam ◽  
Good Biocompatibility

Glass-ceramics are especially useful for the dental restorations because of their good biocompatibility, chemical stability, aesthetic, mechanical strength and wear resistance. The aim of this work was to obtain one mica glass-ceramic, which can be easily used for rapid machining into all-ceramic tooth with computer assisted design/computer assisted manufacture (CAD/CAM) devices. In the study, on the base of low melting machinable fluorosilicic mica glass ceramics, the effects of CeO2 and Fe2O3 in SiO2-B2O3-K2O-Na2O-Li2O-Al2O3-MgO-F system on color were studied. By orthogonal experimental design, the effects of crystallized parameters on the color, three point flexural strength and machinability of the glass ceramics were obtained, and the samples were analyzed by differential thermal analysis(DTA), X-ray diffraction (XRD) and scanning electron microscopy(SEM), respectively. Experimental results showed that the glass-ceramics with color close to the tooth can be obtained by adjusting the percentage of CeO2 and Fe2O3, and the glass-ceramics crystallized at 680°C for 2h have excellent mechanical properties and machinability.

scholarly journals Clinical Accuracy of 3D-Planned Maxillary Positioning Using CAD/CAM-Generated Splints in Combination With Temporary Mandibular Fixation in Bimaxillary Orthognathic Surgery

2020 ◽  
Vol 13 (4) ◽  
pp. 290-299
Author(s):  
S. Pietzka ◽  
F. Mascha ◽  
K. Winter ◽  
P. W. Kämmerer ◽  
A. Sakkas ◽  
...  
Keyword(s):  
Orthognathic Surgery ◽  
Sagittal Plane ◽  
Vertical Plane ◽  
Computer Assisted ◽  
3 Dimensional ◽  
Computer Assisted Design ◽  
Bimaxillary Orthognathic Surgery ◽  
Cad Cam ◽  
Clinical Accuracy ◽  
Bimaxillary Surgery

Study Design: The aim of this study was to evaluate the accuracy of 3-dimensional (3D)-planned maxillary positioning by using computer-assisted design (CAD)/computer-assisted manufacturing (CAM) splints combined with temporary mandibular fixation in bimaxillary orthognathic surgery. In orthognathic surgery, customized splints work sufficiently well to transfer preoperative planning into the operation site for transverse und sagittal positioning of the maxilla. The vertical positioning is more difficult due to the non-fixed mandibular reference. Therefore, the combined use of CAD/CAM splints and temporary mandibular fixation to the zygomatic region was applied for transferring the 3D-planned maxillary position into the operation site from 2012 until 2015 in our hospital. Objective: In addition to the general accuracy, the precision should therefore be checked especially in the vertical plane compared to axial and sagittal plane. Methods: In this retrospective study, we calculated the deviation of 5 occlusal landmarks of the maxilla in 35 consecutive patients by fusing preoperative 3D planning images and postoperative computed tomography scans after bimaxillary surgery. Results: The overall median deviation of maxillary positioning between plan and surgical result was 0.99 mm. The accuracy of left–right positioning was median 0.96 mm. Anterior–posterior positioning of the maxilla showed a median accuracy of 0.94 mm. Just slightly higher values were determined for the upward–downward positioning (median 1.06 mm). Conclusions: This demonstrates the predictability of maxillary positioning by using CAD/CAM splints in combination with temporary mandibular fixation in all 3 axes.

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