A Pilot Study Study on The Accuracy of Digital Removable Partial Denture and The Comparison with The CAD Model: A Pilot Study

디지털 국소의치의 구강 내 적합도와 캐드 디자인 간의 비교연구

  • Park, Ji-Man (Department of Prosthodontics, School of Medicine, Ewha Womans University) ;
  • Hong, Yong-Shin (Department of Prosthodontics, School of Medicine, Ewha Womans University) ;
  • Park, Eun-Jin (Department of Prosthodontics, School of Medicine, Ewha Womans University) ;
  • Kim, Seong-Kyun (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Koak, Jai-Young (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Heo, Seong-Joo (Department of Prosthodontics, School of Dentistry, Seoul National University)
  • 박지만 (이화여자대학교 의학전문대학원 치과보철학교실) ;
  • 홍용신 (이화여자대학교 의학전문대학원 치과보철학교실) ;
  • 박은진 (이화여자대학교 의학전문대학원 치과보철학교실) ;
  • 김성균 (서울대학교 치의학대학원 치과보철학교실) ;
  • 곽재영 (서울대학교 치의학대학원 치과보철학교실) ;
  • 허성주 (서울대학교 치의학대학원 치과보철학교실)
  • Published : 2012.09.01

Abstract

Recently the CAD/CAM solution of fabricating removable partial denture (RPD) by applying haptic input device, with which operator can feel 3D object by tactile sensation, electronic surveying, and rapid prototyping was introduced. The purpose of this study is to analyze the reproducibility of digital solution by comparing gaps of planned CAD design and those of completed digital RPD which is actually put in the mouth. Gaps between RPD framework and abutment tooth was taken by replica technique and measured by stereoscopic microscope. The space between virtual RPD framework design and scanned model was also measured by image analysis tool and the two data were compared and analyzed. The average replica gap was $271{\mu}m$ and that of CAD gap was $166{\mu}m$. Digital RPD equipped with the suitable accuracy for the clinical application.

Keywords

References

  1. D. J. Fasbinder, "Clinical performance of chairside CAD/CAM restorations," J. Am. Dent. Assoc., 137, 22S-31S (2006).
  2. D. Eggbeer, R. Bibb, R. Williams, "The computer-aided design and rapid prototyping fabrication of removable partial denture frameworks," Proc. Inst. Mech. Eng. H., 219(3), 195-202 (2005).
  3. R. J. Williams, R. Bibb, T. Rafik, "A technique for fabricating patterns for removable partial denture frameworks using digitized casts and electronic surveying," J. Prosthet. Dent., 91(1), 85-88, (2004). https://doi.org/10.1016/j.prosdent.2003.10.002
  4. R. J. Williams, R. Bibb, D. Eggbeer, J. Collis, "Use of CAD/CAM technology to fabricate a removable partial denture framework," J. Prosthet. Dent., 96(2), 96-99 (2006). https://doi.org/10.1016/j.prosdent.2006.05.029
  5. R. J. Williams, R. Bibb, D. Eggbeer, "CAD/CAM in the Fabrication of Removable Partial Denture Frameworks: A Virtual Method of Surveying 3D Scanned Dental Casts," Quintessence J. Dent. Technol., 2, 268-276 (2004).
  6. M. F. Abbate, A. H. Tjan, W. M. Fox, "Comparison of the marginal fit of various ceramic crown systems," J. Prosthet. Dent., 61(5), 527-531 (1989). https://doi.org/10.1016/0022-3913(89)90270-9
  7. P. Tan, D. Gratton, A. Diaz-Arnold, D. Holmes, "An in vitro comparison of vertical marginal gaps of CAD/CAM titanium and conventional cast restorations," J. Prosthodont., 17(5), 378-383 (2008). https://doi.org/10.1111/j.1532-849X.2008.00302.x
  8. M. R. Baig, K. B. Tan, J. I. Nicholls, "Evaluation of the marginal fit of a zirconia ceramic computer-aided machined (CAM) crown system," J. Prosthet. Dent., 104(4), 216-227 (2010). https://doi.org/10.1016/S0022-3913(10)60128-X
  9. A. Ortorp, D. Jonsson, A. Mouhsen, P. Vult von Steyern, "The fit of cobalt-chromium three-unit fixed dental prostheses fabricated with four different techniques: a comparative in vitro study," Dent. Mater., 27(4), 356-363 (2011). https://doi.org/10.1016/j.dental.2010.11.015
  10. S. Reich, M. Wichmann, E. Nkenke, et al., "Clinical fit of allceramic three-unit fixed partial dentures, generated with three different CAD/CAM systems," Eur. J. Oral Sci., 113(2), 174-179 (2005). https://doi.org/10.1111/j.1600-0722.2004.00197.x
  11. A. Syrek, G. Reich, D. Ranftl, C. Klein, B. Cerny, J. Brodesser, "Clinical evaluation of all-ceramic crowns fabricated from intraoral digital impressions based on the principle of active wavefront sampling," J. Dent., 38(7), 553-559 (2010). https://doi.org/10.1016/j.jdent.2010.03.015
  12. M. R. Fenlon, A. S. Juszczyk, R. J. Hughes, J. D. Walter, M. Sherriff, "Accuracy of fit of cobalt-chromium removable partial denture frameworks on master casts," Eur. J. Prosthodont. Restor. Dent., 1(3), 127-130 (1993).
  13. D. Dunham, J. S. Brudvik, W. J. Morris, K. D. Plummer, S. M. Cameron, "A clinical investigation of the fit of removable partial dental prosthesis clasp assemblies," J. Prosthet. Dent., 95(4), 323-326 (2006). https://doi.org/10.1016/j.prosdent.2006.02.001
  14. V. Gowri, N. P. Patil, R. K Nadiger, S. S. Guttal, "Effect of anchorage on the accuracy of fit in removable partial denture framework," J. Prosthodont., 19(5), 387-390 (2010). https://doi.org/10.1111/j.1532-849X.2010.00594.x
  15. M. Augthun, M. Zyfuss, H. Spiekermann, "The influence of spruing technique on the development of tension in a cast partial framework," Int. J. Prosthodont., 7(1), 72-76 (1994).
  16. R. W. Rudd, K. D. Rudd, "A review of 243 errors possible during the fabrication of a removable partial denture," J. Prosthet. Dent., 86(3), 251-261 (2001). https://doi.org/10.1067/mpr.2001.118021
  17. D. N. Firtell, A. M. Muncheryan, A. J. Green, "Laboratory accuracy in casting removable partial denture frameworks," J. Prosthet. Dent., 54(6), 856-860 (1985). https://doi.org/10.1016/0022-3913(85)90488-3
  18. Y. Sun, P. Lu, Y. Wang, "Study on CAD & RP for removable complete denture," Computer Methods and Programs in Biomedicine, 93(3), 255-272 (2009).