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Accuracy and time efficiency of conventional and digital outlining of extensions of denture foundation on preliminary casts

  • Received : 2024.02.03
  • Accepted : 2024.05.27
  • Published : 2024.06.30

Abstract

PURPOSE. The purpose of this diagnostic study was to assess the accuracy and time efficiency of a digital method to draw the denture foundation extension outline on preliminary casts compared with the conventional technique. MATERIALS AND METHODS. A total of 28 preliminary edentulous casts with no anatomical landmarks were digitized using a laboratory scanner. The outlining of the entire basal seat of the denture was performed on preliminary casts and digitized. Casts with no extension outline were digitized and outlines were drawn using software (DWOS, Straumann). The accuracy of the extension outlined between both techniques was evaluated in the software (GOM Inspect; GOM GmbH) by file superimposition. Specificity and sensitivity tests were applied to measure accuracy. The paired t-test (95% CI) was used to compare the mean total area and the working time. RESULTS. The accuracy ranged from 0.57 to 0.92. The buccal and labial frenulum showed a lower value in the maxilla (0.57); while the area between the retromolar pad and buccal frenulum (0.64) showed a lower score in the mandible. The maxillary denture foundation and the working time for both arches were significantly longer for the digital method (P < .001). CONCLUSION. The denture foundation extension outline exhibited a sufficiently excellent accuracy for the digital method, except for the maxillary anterior region. However, the digital method required a longer working time.

Keywords

Acknowledgement

This study was financed in part by the Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior - Brasil (CAPES) - Finance Code 001, and Conselho Nacional de Desenvolvimento Cientifico e Tecnologico - CNPq (Proc. 433178/2018-3).

References

  1. Son SA, Kim JH, Seo DG, Park JK. Influence of different inlay configurations and distance from the adjacent tooth on the accuracy of an intraoral scan. J Prosthet Dent 2022;128:680-7. https://doi.org/10.1016/j.prosdent.2020.12.044
  2. John AV, Abraham G, Alias A. Two-visit CAD/CAM milled dentures in the rehabilitation of edentulous arches: A case series. J Indian Prosthodont Soc 2019;19:88-92. https://doi.org/10.4103/jips.jips_252_18
  3. Chau RCW, Hsung RT, McGrath C, Pow EHN, Lam WYH. Accuracy of artificial intelligence-designed single-molar dental prostheses: A feasibility study. J Prosthet Dent 2024;131:1111-7. https://doi.org/10.1016/j.prosdent.2022.12.004
  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 2021;30:113-24. https://doi.org/10.1111/jopr.13243
  5. Peng L, Chen L, Harris BT, Bhandari B, Morton D, Lin WS. Accuracy and reproducibility of virtual edentulous casts created by laboratory impression scan protocols. J Prosthet Dent 2018;120:389-95. https://doi.org/10.1016/j.prosdent.2017.11.024
  6. Marinello CP, Brugger R. Digital removable complete denture - an overview. Curr Oral Health Rep 2021;8:117-31. https://doi.org/10.1007/s40496-021-00299-1
  7. 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
  8. Peroz S, Peroz I, Beuer F, Sterzenbach G, von Stein-Lausnitz M. Digital versus conventional complete dentures: A randomized, controlled, blinded study. J Prosthet Dent 2022;128:956-63. https://doi.org/10.1016/j.prosdent.2021.02.004
  9. Deng K, Wang Y, Zhou Y, Sun Y. Comparison of treatment outcomes and time efficiency between a digital complete denture and conventional complete denture: A pilot study. J Am Dent Assoc 2023;154:32-42. https://doi.org/10.1016/j.adaj.2022.09.016
  10. Fang Y, Fang JH, Jeong SM, Choi BH. A technique for digital impression and bite registration for a single edentulous arch. J Prosthodont 2019;28:e519-23. https://doi.org/10.1111/jopr.12786
  11. Zarb GA, Hobkirk J, Eckert S, Jacob R. Prosthodontic treatment for the edentulous patient. 13th ed. St. Louis: Mosby/Elsevier; 2012. p. 53-93.
  12. Patzelt SB, Vonau S, Stampf S, Att W. Assessing the feasibility and accuracy of digitizing edentulous jaws. J Am Dent Assoc 2013;144:914-20. https://doi.org/10.14219/jada.archive.2013.0209
  13. Patel J, Jablonski RY, Morrow LA. Complete dentures: an update on clinical assessment and management: part 1. Br Dent J 2018;1-8.
  14. McCord JF, Grant AA. Technical aspects of complete denture construction. Br Dent J 2000;189:71-4. https://doi.org/10.1038/sj.bdj.4800686a
  15. Veeraiyan DN, Ramalingam K, Bhat V. Textbook of prosthodontic. 1st ed. Nova Delhi, India; Jaypee Brothers Medical Publishers Ltd; 2004. p. 45-68.
  16. Lynde TA, Unger JW. Preparation of the denture-bearing area-an essential component of successful complete-denture treatment. Quintessence Int 1995;26:689-95.
  17. Ozkan YK, Evren B, Kauffman A. Anatomical landmarks and aged-related changes in edentulous patients. In: Ozkan YK. Complete denture Prosthodontics. 1st ed. Schweiz; Springer/Cham; 2018. p. 3-48.
  18. Jamjoom FZ, Aldghim A, Aldibasi O, Yilmaz B. Impact of intraoral scanner, scanning strategy, and scanned arch on the scan accuracy of edentulous arches: An in vitro study. J Prosthet Dent 2024;131:1218-25. https://doi.org/10.1016/j.prosdent.2023.01.027
  19. Li W, Chen H, Wang Y, Xie Q, Sun Y. Digital determination and recording of edentulous maxillomandibular relationship using a jaw movement tracking system. J Prosthodont 2022;31:663-72. https://doi.org/10.1111/jopr.13529
  20. Hsu CY, Yang TC, Wang TM, Lin LD. Effects of fabrication techniques on denture base adaptation: An in vitro study. J Prosthet Dent 2020;124:740-7. https://doi.org/10.1016/j.prosdent.2020.02.012
  21. Schubert O, Edelhoff D, Erdelt KJ, Nold E, Guth JF. Accuracy of surface adaptation of complete denture bases fabricated using milling, material jetting, selective laser sintering, digital light processing, and conventional injection molding. Int J Comput Dent 2022;25:151-9.
  22. Yoshidome K, Torii M, Kawamura N, Shimpo H, Ohkubo C. Trueness and fitting accuracy of maxillary 3D printed complete dentures. J Prosthodont Res 2021;65:559-64. https://doi.org/10.2186/jpr.JPR_D_20_00240
  23. Deng K, Chen H, Wang Y, Zhou Y, Sun Y. Evaluation of a novel 3D-printed custom tray for the impressions of edentulous jaws. J Dent 2022;125:104279.
  24. Tamaki T, Tamaki ST. Outlining of denture foundation. Estomatologia Cultura 1969;3:127-34.
  25. Cohen JF, Korevaar DA, Altman DG, Bruns DE, Gatsonis CA, Hooft L, Irwig L, Levine D, Reitsma JB, de Vet HC, Bossuyt PM. STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. BMJ Open 2016;6:e012799.
  26. McGarry TJ, Nimmo A, Skiba JF, Ahlstrom RH, Smith CR, Koumjian JH. Classification system for complete edentulism. The American College of Prosthodontics. J Prosthodont 1999;8:27-39. https://doi.org/10.1111/j.1532-849X.1999.tb00005.x
  27. Ryu M, Nakamura M, Izumisawa T, Ishizaki K, Ueda T, Sakurai K. Morphological investigation of residual ridge in Japanese edentulous elderly for fabrication of edentulous stock tray. Bull Tokyo Dent Coll 2019;60:185-92. https://doi.org/10.2209/tdcpublication.2018-0066
  28. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33:159-74. https://doi.org/10.2307/2529310
  29. Simundic AM. Measures of diagnostic accuracy: basic definitions. EJIFCC 2009;19:203-11.
  30. Akobeng AK. Understanding diagnostic tests 3: Receiver operating characteristic curves. Acta Paediatr 2007;96:644-7. https://doi.org/10.1111/j.1651-2227.2006.00178.x
  31. Baratloo A, Hosseini M, Negida A, El Ashal G. Part 1: Simple definition and calculation of accuracy, sensitivity and specificity. Emerg (Tehran) 2015;3:48-9.
  32. Klein IE, Broner AS. Complete denture secondary impression technique to minimize distortion of ridge and border tissues. J Prosthet Dent 1985;54:660-4. https://doi.org/10.1016/0022-3913(85)90245-8
  33. McCord JF, Grant AA. Impression making. Br Dent J 2000;188:484-92. https://doi.org/10.1038/sj.bdj.4800516a
  34. Cristache CM, Totu EE, Iorgulescu G, Pantazi A, Dorobantu D, Nechifor AC, Isildak I, Burlibasa M, Nechifor G, Enachescu M. Eighteen months follow-up with patient-centered outcomes assessment of complete dentures manufactured using a hybrid nanocomposite and additive CAD/CAM protocol. J Clin Med 2020;9:324.
  35. Wang Y, Li Y, Liang S, Yuan F, Liu Y, Ye H, Zhou Y. The accuracy of intraoral scan in obtaining digital impressions of edentulous arches: a systematic review. J Evid Based Dent Pract 2024;24:101933.
  36. Park SY, Yun Y, Park C, Yun K. Integration of an intraoral scan and a conventional impression for fabricating complete dentures for a patient with flabby tissues. J Prosthet Dent 2023:S0022-3913(22)00757-0.