DOI QR코드

DOI QR Code

Analysis of the trueness and precision of complete denture bases manufactured using digital and analog technologies

  • Leonardo Ciocca (Oral and Maxillo-Facial Prosthodontics, Section of Prosthodontics, Department of Biomedical and Neuromotor Science, Alma Mater Studiorum University of Bologna) ;
  • Mattia Maltauro (Department of Management and Engineering, University of Padova) ;
  • Valerio Cimini (Oral and Maxillo-Facial Prosthodontics, Section of Prosthodontics, Department of Biomedical and Neuromotor Science, Alma Mater Studiorum University of Bologna) ;
  • Lorenzo Breschi (Oral and Maxillo-Facial Prosthodontics, Section of Prosthodontics, Department of Biomedical and Neuromotor Science, Alma Mater Studiorum University of Bologna) ;
  • Angela Montanari (Department of Statistical Sciences, Alma Mater Studiorum University of Bologna) ;
  • Laura Anderlucci (Department of Statistical Sciences, Alma Mater Studiorum University of Bologna) ;
  • Roberto Meneghello (Department of Management and Engineering, University of Padova)
  • 투고 : 2022.10.24
  • 심사 : 2023.02.09
  • 발행 : 2023.02.28

초록

PURPOSE. Digital technology has enabled improvements in the fitting accuracy of denture bases via milling techniques. The aim of this study was to evaluate the trueness and precision of digital and analog techniques for manufacturing complete dentures (CDs). MATERIALS AND METHODS. Sixty identical CDs were manufactured using different production protocols. Digital and analog technologies were compared using the reference geometric approach, and the Δ-error values of eight areas of interest (AOI) were calculated. For each AOI, a precise number of measurement points was selected according to sensitivity analyses to compare the Δ-error of trueness and precision between the original model and manufactured prosthesis. Three types of statistical analysis were performed: to calculate the intergroup cumulative difference among the three protocols, the intergroup among the AOIs, and the intragroup difference among AOIs. RESULTS. There was a statistically significant difference between the dentures made using the oversize process and injection molding process (P < .001), but no significant difference between the other two manufacturing methods (P = .1227). There was also a statistically significant difference between the dentures made using the monolithic process and the other two processes for all AOIs (P = .0061), but there was no significant difference between the other two processes (P = 1). Within each group, significant differences among the AOIs were observed. CONCLUSION. The monolithic process yielded better results, in terms of accuracy (trueness and precision), than the other groups, although all three processes led to dentures with Δ-error values well within the clinical tolerance limit.

키워드

참고문헌

  1. Goodacre BJ, Goodacre CJ, Baba NZ, Kattadiyil MT. Comparison of denture base adaptation between CAD-CAM and conventional fabrication techniques. J Prosthet Dent 2016;116:249-56. https://doi.org/10.1016/j.prosdent.2016.02.017
  2. Kattadiyil MT, Goodacre CJ, Baba NZ. CAD/CAM complete dentures: a review of two commercial fabrication systems. J Calif Dent Assoc 2013;41:407-16. https://doi.org/10.1080/19424396.2013.12222317
  3. 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
  4. 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
  5. Nguyen JF, Ruse D, Phan AC, Sadoun MJ. High-temperature-pressure polymerized resin-infiltrated ceramic networks. J Dent Res 2014;93:62-7. https://doi.org/10.1177/0022034513511972
  6. Infante L, Yilmaz B, McGlumphy E, Finger I. Fabricating complete dentures with CAD/CAM technology. J Prosthet Dent 2014;111:351-5. https://doi.org/10.1016/j.prosdent.2013.10.014
  7. Murakami N, Wakabayashi N, Matsushima R, Kishida A, Igarashi Y. Effect of high-pressure polymerization on mechanical properties of PMMA denture base resin. J Mech Behav Biomed Mater 2013;20:98-104. https://doi.org/10.1016/j.jmbbm.2012.12.011
  8. Lung CY, Darvell BW. Minimization of the inevitable residual monomer in denture base acrylic. Dent Mater 2005;21:1119-28. https://doi.org/10.1016/j.dental.2005.03.003
  9. Antonopoulos AN. Dimensional and occlusal changes in fluid resin dentures. J Prosthet Dent 1978;39:605-15. https://doi.org/10.1016/S0022-3913(78)80068-7
  10. Grant AA, Atkinson HF. Comparison between dimensional accuracy of dentures produced with pour-type resin and with heat-processed materials. J Prosthet Dent 1971;26:296-301. https://doi.org/10.1016/0022-3913(71)90071-0
  11. Nogueira SS, Ogle RE, Davis EL. Comparison of accuracy between compression- and injection-molded complete dentures. J Prosthet Dent 1999;82:291-300. https://doi.org/10.1016/S0022-3913(99)70083-1
  12. 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
  13. Pereyra NM, Marano J, Subramanian G, Quek S, Leff D. Comparison of patient satisfaction in the fabrication of conventional dentures vs. dentca (CAD/CAM) dentures: a case report. J N J Dent Assoc 2015;86:26-33.
  14. Srinivasan M, Cantin Y, Mehl A, Gjengedal H, Muller F, Schimmel M. CAD/CAM milled removable complete dentures: an in vitro evaluation of trueness. Clin Oral Investig 2017;21:2007-19. https://doi.org/10.1007/s00784-016-1989-7
  15. Chen H, Wang H, Lv P, Wang Y, Sun Y. Quantitative evaluation of tissue surface adaption of cad-designed and 3D printed wax pattern of maxillary complete denture. Biomed Res Int 2015;2015:453968. https://doi.org/10.1155/2015/453968
  16. Inokoshi M, Kanazawa M, Minakuchi S. Evaluation of a complete denture trial method applying rapid prototyping. Dent Mater J 2012;31:40-6. https://doi.org/10.4012/dmj.2011-113
  17. Ciocca L, Maltauro M, Cimini V, Breschi L, Meneghello R. Outdoing best-fit approaches for the manufacturing accuracy evaluation of complete denture bases. Int J Interact Des Manuf 2022;1-9.
  18. Al-Fouzan AF, Al-Mejrad LA, Albarrag AM. Adherence of Candida to complete denture surfaces in vitro: A comparison of conventional and CAD/CAM complete dentures. J Adv Prosthodont 2017;9:402-8. https://doi.org/10.4047/jap.2017.9.5.402
  19. Srinivasan M, Gjengedal H, Cattani-Lorente M, Moussa M, Durual S, Schimmel M, Muller F. CAD/CAM milled complete removable dental prostheses: An in vitro evaluation of biocompatibility, mechanical properties, and surface roughness. Dent Mater J 2018;37: 526-33. https://doi.org/10.4012/dmj.2017-207
  20. Kalberer N, Mehl A, Schimmel M, Muller F, Srinivasan M. CAD-CAM milled versus rapidly prototyped (3D-printed) complete dentures: An in vitro evaluation of trueness. J Prosthet Dent 2019;121:637-43. https://doi.org/10.1016/j.prosdent.2018.09.001
  21. Lee S, Hong SJ, Paek J, Pae A, Kwon KR, Noh K. Comparing accuracy of denture bases fabricated by injection molding, CAD/CAM milling, and rapid prototyping method. J Adv Prosthodont 2019;11:55-64. https://doi.org/10.4047/jap.2019.11.1.55
  22. Yoon HI, Hwang HJ, Ohkubo C, Han JS, Park EJ. Evaluation of the trueness and tissue surface adaptation of CAD-CAM mandibular denture bases manufactured using digital light processing. J Prosthet Dent 2018;120:919-26. https://doi.org/10.1016/j.prosdent.2018.01.027
  23. Hwang HJ, Lee SJ, Park EJ, Yoon HI. Assessment of the trueness and tissue surface adaptation of CAD-CAM maxillary denture bases manufactured using digital light processing. J Prosthet Dent 2019;121:110-7. https://doi.org/10.1016/j.prosdent.2018.02.018
  24. Tasaka A, Matsunaga S, Odaka K, Ishizaki K, Ueda T, Abe S, Yoshinari M, Yamashita S, Sakurai K. Accuracy and retention of denture base fabricated by heat curing and additive manufacturing. J Prosthodont Res 2019;63:85-9. https://doi.org/10.1016/j.jpor.2018.08.007
  25. Steinmassl O, Dumfahrt H, Grunert I, Steinmassl PA. CAD/CAM produces dentures with improved fit. Clin Oral Investig 2018;22:2829-35. https://doi.org/10.1007/s00784-018-2369-2
  26. Cook RJ. Response of the oral mucosa to denture wearing. J Dent 1991;19:135-47. https://doi.org/10.1016/0300-5712(91)90001-F
  27. Dong J, Zhang FY, Wu GH, Zhang W, Yin J. Measurement of mucosal thickness in denture-bearing area of edentulous mandible. Chin Med J (Engl) 2015;128:342-7. https://doi.org/10.4103/0366-6999.150100
  28. Deng K, Chen H, Zhao Y, Zhou Y, Wang Y, Sun Y. Evaluation of adaptation of the polylactic acid pattern of maxillary complete dentures fabricated by fused deposition modelling technology: A pilot study. PLoS One 2018;13:e0201777. https://doi.org/10.1371/journal.pone.0201777