The Journal of Advanced Prosthodontics

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지
DOI QR코드

DOI QR Code

Evaluation of functional suitable digital complete denture system based on 3D printing technology

  • Deng, Kehui (Center of Digital Dentistry, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry) ;
  • Chen, Hu (Center of Digital Dentistry, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry) ;
  • Wang, Yong (Center of Digital Dentistry, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry) ;
  • Zhou, Yongsheng (Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry) ;
  • Sun, Yuchun (Center of Digital Dentistry, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry)
  • Received : 2021.07.01
  • Accepted : 2021.12.10
  • Published : 2021.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE. To improve the clinical effects of complete denture use and simplify its clinical application, a digital complete denture restoration workflow (Functional Suitable Digital Complete Denture System, FSD) was proposed and preliminary clinical evaluation was done. MATERIALS AND METHODS. Forty edentulous patients were enrolled, of which half were treated by a prosthodontic chief physician, and the others were treated by a postgraduate student. Based on the primary impression and jaw relation obtained at the first visit, diagnostic denture was designed and printed to create a definitive impression, jaw relation, and esthetic confirmation at the second visit. A redesigned complete denture was printed as a mold to fabricate final denture that was delivered at the third visit. To evaluate accuracy of impression made by diagnostic denture, the final denture was used as a tray to make impression, and 3D comparison was used to analyze their difference. To evaluate the clinical effect of FSD, visual analogue scores (VAS) were determined by both dentists and patients. RESULTS. Two visits were reduced before denture delivery. The RMS values of 3D comparison between the impression made via diagnostic dentures and the final dentures were 0.165 ± 0.033 mm in the upper jaw and 0.139 ± 0.031 mm in the lower jaw. VAS ratings were between 8.5 and 9.6 in the chief physician group, while 7.7 and 9.5 in the student group; there was no statistical difference between the two groups. CONCLUSION. FSD can simplify the complete denture restoration process and reduce the number of visits. The accuracy of impressions made by diagnostic dentures was acceptable in clinic. The VASs of both dentists and patients were satisfied.

Keywords

Acknowledgement

This study was supported by the National Key R&D Program of China (2018YFB1106900); Beijing Training Project for the Leading Talents in S & T (Z191100006119022); PKU-Baidu Fund (2019BD021).

References

  1. Basker RM, Davenport JC, Thomason JM. Prosthetic treatment of the edentulous patient. 5th ed., Wiley-Blackwell, 2011. p. 130-219.
  2. Bidra AS, Taylor TD, Agar JR. Computer-aided technology for fabricating complete dentures: systematic review of historical background, current status, and future perspectives. J Prosthet Dent 2013;109:361-6. https://doi.org/10.1016/S0022-3913(13)60318-2
  3. Schweiger J, Stumbaum J, Edelhoff D, Guth JF. Systematics and concepts for the digital production of complete dentures: risks and opportunities. Int J Comput Dent 2018;21:41-56.
  4. Baba NZ, Goodacre BJ, Goodacre CJ, Muller F, Wagner S. CAD/CAM complete denture systems and physical properties: a review of the literature. J Prosthodont-Implant Esthetic Reconstr Dent 2021;30:113-24.
  5. Baba NZ, AlRumaih HS, Goodacre BJ, Goodacre CJ. Current techniques in CAD/CAM denture fabrication. Gen Dent 2016;64:23-8.
  6. Baba NZ. Materials and processes for CAD/CAM complete denture fabrication. Current Oral Health Rep 2016;3:203-8. https://doi.org/10.1007/s40496-016-0101-3
  7. Steinmassl PA, Klaunzer F, Steinmassl O, Dumfahrt H, Grunert I. Evaluation of currently available CAD/CAM denture systems. Int J Prosthodont 2017;30:116-22. https://doi.org/10.11607/ijp.5031
  8. Bonnet G, Batisse C, Bessadet M, Nicolas E, Veyrune JL. A new digital denture procedure: a first practitioners appraisal. BMC Oral Health 2017;17:155. https://doi.org/10.1186/s12903-017-0440-z
  9. Maragliano-Muniz P, Kukucka ED. Incorporating digital dentures into clinical practice: flexible workflows and improved clinical outcomes. J Prosthodont 2021;30:125-32. https://doi.org/10.1111/jopr.13277
  10. Felton DA, Cooper LF, Scurria MS. Predictable impression procedures for complete dentures. Dent Clin North Am 1996;40:39-51. https://doi.org/10.1016/S0011-8532(22)00161-6
  11. Rignon-Bret C, Mushegyan V, Naveau A. On comparing two different tray-holding techniques for edentulous maxillary impressions. Int J Prosthodont 2016;29:169-72. https://doi.org/10.11607/ijp.4347
  12. Jung S, Park C, Yang HS, Lim HP, Yun KD, Ying Z, Park SW. Comparison of different impression techniques for edentulous jaws using three-dimensional analysis. J Adv Prosthodont 2019;11:179-86. https://doi.org/10.4047/jap.2019.11.3.179
  13. Ishinabe S. Mucosal thickness of the denture foundation under occlusal force. J Japan Prosthodont Soc 1991;35:111-24. https://doi.org/10.2186/jjps.35.111
  14. Smith PB, Perry J, Elza W. Economic and clinical impact of digitally produced dentures. J Prosthodont 2021;30:108-12. https://doi.org/10.1111/jopr.13283
  15. Kattadiyil MT, Jekki R, Goodacre CJ, Baba NZ. Comparison of treatment outcomes in digital and conventional complete removable dental prosthesis fabrications in a predoctoral setting. J Prosthet Dent 2015; 114:818-25. https://doi.org/10.1016/j.prosdent.2015.08.001
  16. Srinivasan M, Schimmel M, Naharro M, O' Neill C, McKenna G, Muller F. CAD/CAM milled removable complete dentures: time and cost estimation study. J Dent 2019;80:75-9. https://doi.org/10.1016/j.jdent.2018.09.003
  17. Bidra AS, Farrell K, Burnham D, Dhingra A, Taylor TD, Kuo CL. Prospective cohort pilot study of 2-visit CAD/CAM monolithic complete dentures and implant-retained overdentures: Clinical and patient-centered outcomes. J Prosthet Dent 2016;115:578-86.e1. https://doi.org/10.1016/j.prosdent.2015.10.023
  18. Kattadiyil MT, Jekki R, Goodacre CJ, Baba NZ. Comparison of treatment outcomes in digital and conventional complete removable dental prosthesis fabrications in a predoctoral setting. J Prosthet Dent 2015;114:818-25. https://doi.org/10.1016/j.prosdent.2015.08.001
  19. Lo Russo L, Caradonna G, Troiano G, Salamini A, Guida L, Ciavarella D. Three-dimensional differences between intraoral scans and conventional impressions of edentulous jaws: A clinical study. J Prosthet Dent 2020;123:264-8. https://doi.org/10.1016/j.prosdent.2019.04.004
  20. Fang JH, An X, Jeong SM, Choi BH. Digital immediate denture: A clinical report. J Prosthet Dent 2018;119:698-701. https://doi.org/10.1016/j.prosdent.2017.06.004
  21. Goodacre BJ, Goodacre CJ, Baba NZ. Using intraoral scanning to capture complete denture impressions, tooth positions, and centric relation records. Int J Prosthodont 2018;31:377-81. https://doi.org/10.11607/ijp.5741
  22. Unkovskiy A, Wahl E, Zander AT, Huettig F, Spintzyk S. Intraoral scanning to fabricate complete dentures with functional borders: a proof-of-concept case report. BMC Oral Health 2019;19:46. https://doi.org/10.1186/s12903-019-0733-5
  23. Kanazawa M, Iwaki M, Arakida T, Minakuchi S. Digital impression and jaw relation record for the fabrication of CAD/CAM custom tray. J Prosthodont Res 2018;62:509-13. https://doi.org/10.1016/j.jpor.2018.02.001
  24. Dawood A, Marti Marti B, Sauret-Jackson V, Darwood A. 3D printing in dentistry. Br Dent J 2015;219:521-9. https://doi.org/10.1038/sj.bdj.2015.914
  25. Chen H, Yang X, Chen L, Wang Y, Sun Y. Application of FDM three-dimensional printing technology in the digital manufacture of custom edentulous mandible trays. Sci Rep 2016;6:19207. https://doi.org/10.1038/srep19207
  26. Kihara H, Sugawara S, Yokota J, Takafuji K, Fukazawa S, Tamada A, Hatakeyama W, Kondo H. Applications of three-dimensional printers in prosthetic dentistry. J Oral Sci 2021;63:212-6. https://doi.org/10.2334/josnusd.21-0072
  27. Wagner SA, Kreyer R. Digitally fabricated removable complete denture clinical workflows using additive manufacturing techniques. J Prosthodont 2021;30:133-8. https://doi.org/10.1111/jopr.13318
  28. Jovanovic M, Zivic M, Milosavljevic M. A potential application of materials based on a polymer and CAD/CAM composite resins in prosthetic dentistry. J Prosthodont Res 2021;65:137-47. https://doi.org/10.2186/jpr.JPOR_2019_404
  29. Parvizi A, Lindquist T, Schneider R, Williamson D, Boyer D, Dawson DV. Comparison of the dimensional accuracy of injection-molded denture base materials to that of conventional pressure-pack acrylic resin. J Prosthodont 2004;13:83-9. https://doi.org/10.1111/j.1532-849x.2004.04014.x
  30. Schweiger J, Edelhoff D, Guth JF. 3D printing in digital prosthetic dentistry: an overview of recent developments in additive manufacturing. J Clin Med 2021;10:2010. https://doi.org/10.3390/jcm10092010