Tooth preparation and Intraoral scanning for successful CAD/CAM restorations

성공적인 캐드캠 수복을 위한 치아형성과 구강스캔

  • Bae, Jin Woo (W Dental Clinic) ;
  • Son, Song Ae (Department of Conservative Dentistry, School of Dentistry, Pusan National University)
  • 배진우 (W 치과의원) ;
  • 손성애 (부산대학교 치의학전문대학원 치과보존학교실)
  • Published : 2019.06.30

Abstract

In recent years, with the introduction of various restorative materials, restorations using CAD/CAM equipment have been increasing in the esthetic dentistry. The critical steps in the fabrication of indirect restorations with CAD/CAM equipment are proper cavity preparation and making accurate impressions. The process of tooth preparation for CAD/CAM restoration should include a mechanical understanding of milling. In addition, during tooth preparation, the clinician should be familiar with additional equipment and techniques for obtaining the convenience. In order to obtain an accurate oral scan, the clinician should understand the limitations of the oral scan and be skilled at techniques for obtaining a successful image when making oral scans. This article focused clinical guidelines for the preparation of CAD/CAM restorations and introduced clinical methods for making successful impression of oral scans in narrow and deep tooth cavity areas.

Keywords

References

  1. Mangano F, Gandolfi A, Luongo G, Logozzo S. Intraoral scanners in dentistry: a review of the current literature. BMC Oral Health. 2017;17(1):149. https://doi.org/10.1186/s12903-017-0442-x
  2. Van Noort R. The future of dental devices is digital. Dent Mater. 2012 ;28(1):3-12. https://doi.org/10.1016/j.dental.2011.10.014
  3. Arnetzl GV, Arnetzl G. Design of preparations for all-ceramic inlay materials. Int J Comput Dent. 2006 Oct;9(4):289-98.
  4. CEREC 3D preparation guidelines. Sirona
  5. Keys W, Carson SJ. Rubber dam may increase the survival time of dental restorations. Evid Based Dent. 2017;18(1):19-20. https://doi.org/10.1038/sj.ebd.6401221
  6. Oyster DK. Rubber dam use. J Am Dent Assoc. 2016;147(5):316. https://doi.org/10.1016/j.adaj.2016.03.009
  7. Ntovas P, Doukoudakis S, Tzoutzas J, Lagouvardos P. Evidence provided for the use of oscillating instruments in restorative dentistry: A systematic review. Eur J Dent. 2017;11(2):268-273. https://doi.org/10.4103/ejd.ejd_232_16
  8. SonicLine-Sonic tips for a vast range of applications. - Komet Dent
  9. Nemes J, Csillag M, Fazekas A. Advancements in dental preparation technique (literature review). Fogorv Sz. 2002;95(3):99-104.
  10. Sola-Ruiz MF, Faus-Matoses I, Del Rio Highsmith J, Fons-Font A. Study of surface topography, roughness, and microleakage after dental preparation with different instrumentation. Int J Prosthodont. 2014;27(6):530-3. https://doi.org/10.11607/ijp.3932
  11. David Little. Handpieces and Burs: The cutting Edge. Dentsply Styls ATC.
  12. Yoshimasa Takeuchi, Hiroyasu Koizumi, Mika Furuchi, Yohei Sato, Chikahiro Ohkubo, Hideo Matsumura. Use of digital impression systems with intraoral scanners for fabricating restorations and fixed dental prostheses. Journal of Oral Science, 2018;60(1):1-7. https://doi.org/10.2334/josnusd.17-0444
  13. KimRyeo-Woon, JangGeun-Won, HeoYu-Ri, SonMee-Kyoung. Understanding and Application of Digital Impression in Dentistry. Korean Journal of Dental Materials. 2014;41(4):253-261. https://doi.org/10.14815/kjdm.2014.41.4.253