• The Journal of the Korean dental association
• /
• v.54 no.2
• /
• pp.108-122
• /
• 2016

Prosthetic-driven implant placement is a concept considering the dental implant restoration first based on the final form of that prosthesis to be restored. The latest development of the imaging technology and digital dentistry was able to be obtained the high quality images of CBCT with low radiation exposure and it has also enabled the process to reconstruct the intraoral state in three dimensions due to the development of the intraoral, model and impression scanner. Computer-guided implant placement simulations and template production was able to be more widely used in this context. In this narrative review, the features and the types of implant surgical guides will be introduced. It will also be described the diagnosis and treatment plan using computerguided implant software to reduce the number of visit and to increase the accuracy of the implant surgery through the top-down approach based on the shape and location of the final prosthesis.

• Journal of Technologic Dentistry
• /
• v.43 no.4
• /
• pp.153-159
• /
• 2021

Purpose: The purpose of this study was to assess the fitness of anterior and posterior interim crowns fabricated by three different additive manufacturing technologies. Methods: The working model was digitized, and single crowns (maxillary right central incisor and maxillary right first molar) were designed using computer-aided design software (DentalCad 2.2; exocad). On each abutment, interim crowns (n=60) were fabricated using three types of additive manufacturing technologies. Then, the abutment appearance and internal scan data of the interim crown was obtained using an intraoral scanner. The fitness of the interim crowns were evaluated by using the superimposition of the three-dimensional scan data (Geomagic Control X; 3D Systems). The one-way analysis of variance and Tukey posterior test were used to compare the results among groups (α=0.05). Results: A significant difference was found in the fitness of the interim crowns according to the type of additive manufacturing technology (p<0.05). The posterior interim crown showed smaller root mean square value than the anterior interim crown. Conclusion: Since the fitness of the posterior interim crown produced by three types of additive manufacturing technology were all within clinically acceptable range (<120 ㎛), it can be sufficiently used for the fabrication of interim crowns.

• Journal of Technologic Dentistry
• /
• v.34 no.2
• /
• pp.121-128
• /
• 2012

Purpose: The aim of this study was to determine the reliability and accuracy of measurements in digital models(CEREC$^{(R)}$ AC) compared to stone models. Methods: A master model(500B-1, Nissin Dental Product, Japan) with the prepared upper full arch tooth was used. Conventional impression and then stone model(n=10) were produced from this master model, and on the other hands, digital impressions were made with the CEREC$^{(R)}$ AC intra-oral scanner(n=10). One examiner measured two times the intercanine, intermolar distance, dental arch length. The stone model were measured using a digital caliper. The t-student test for paired samples and intraclass correlation coefficient(ICC) were used for statistical analysis. Results: The measurement of two methods showed very good reliability. At the intra-examiner reliability of measurement, ICC at the stone and CEREC$^{(R)}$ AC model were 0.81 and 0.94. The mean difference between measurements made directly on the stone models and those made on the CEREC$^{(R)}$ AC model was 0.20~0.28mm, and was statistically significant(P=0.001). Conclusion: These in vitro studies show that accuracy of the digital impression is similar to that of the conventional impression. These results will have to be confirmed in further clinical studies.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.35 no.2
• /
• pp.55-63
• /
• 2019

The aim of this article was to review various methods used to evaluate the accuracy of digital dental models. When evaluating the accuracy of digital models, the errors can be reduced by educating examiners and using artificial landmarks. The accuracy evaluation methods of digital dental models are divided into linear measurement, 2-dimensional cross-sectional analysis, and 3-dimensional best fit measurement. As the technology of scanners develops, many studies have been conducted to compare the accuracy of digital impression and conventional impression. According to improvement of scan technologies and development of 3-dimensional model analysis software, the ability to evaluate the accuracy of digital models is becoming more efficient. In this article, we describe the methods for evaluating the accuracy of a digital model and investigate effective accuracy analysis methods for each situation.

• Journal of Korean society of Dental Hygiene
• /
• v.22 no.6
• /
• pp.467-475
• /
• 2022

Objectives: This study aimed to understand the definitions, types, and principles of computer-aided design/computer-aided manufacturing (CAD/CAM) and scanners due to the introduction of digital workflows. Methods: This study was based on information from the government's law and articles published in academic journals. Results: CAD/CAM is a technology that measures the shape three-dimensionally, saves it as data, designs it into the desired shape, and processes the product. Scanners, which are classified as intraoral and extraoral scanners, measure teeth and the intraoral environment three-dimensionally and convert them into three-dimensional (3D). A 3D printer is a machine that creates a 3D object by layering materials based on a 3D drawing. It can be classified into four types according to the method: extrusion, powder bonding, lamination, and photopolymerization methods. The most used 3D printer methods in dentistry are stereolithograhpy and digital light processing, and they are widely used in prosthetic, surgical, and orthodontic fields. Conclusions: As the dental system is digitized, it is expected that the government will classify the dental hygienist scope of work and the universities will reflect the curriculum; it is necessary to develop excellent dental hygienists, diversify the educational pathways, and establish policies to meet the needs of the increasing number of patients.

• Journal of Technologic Dentistry
• /
• v.34 no.2
• /
• pp.105-111
• /
• 2012

Purpose: The purpose this study was to evaluate the marginal fitness of metal copings fabricated using rapid prototyping method and to compare the fitness with copings by conventional method. Then clinical availability of fixed dental prostheses (FDPs) fabricated using rapid prototyping method shall be confirmed based on marginal fitness. Methods: Ten same cases of3 unit FDPs epoxy models (abutment teeth 14 and 16) were manufactured. Each of ten epoxy models were scanned by 3shape D-700 scanner to be designed by experienced technician, and photopolymer 3 unit FDPs were fabricated using rapid prototyping methodand fabricated using Lost wax technique (LW) with same models. Marginal fitness of 3 unit FDPs were measured by silicone replica technique. T-test of independent sample for statistical analysis was executed with SPSS 12.0K for Windows. (${\alpha}$=.05) Results: Significantly higher mean (SD) marginal fitness (P<.000) were observed in the RP group $(95.9(18.0){\mu}m$ compared to the conventionally LW group $(80.1(13.8){\mu}m$. Conclusion: Marginal fitness of LW group showed excellent rather than RP group. However marginal fitness of 3 unit FDPs fabricated by RP method did not get out of clinical allowance value range significantly to allow clinical application.

• The Journal of Advanced Prosthodontics
• /
• v.10 no.5
• /
• pp.335-339
• /
• 2018

PURPOSE. The purpose of the present study was to compare scanning trueness and precision between an abutment impression and a stone model according to dental computer-aided design/computer-aided manufacturing (CAD/CAM) evaluation standards. MATERIALS AND METHODS. To evaluate trueness, the abutment impression and stone model were scanned to obtain the first 3-dimensional (3-D) stereolithography (STL) file. Next, the abutment impression or stone model was removed from the scanner and re-fixed on the table; scanning was then repeated so that 11 files were obtained for each scan type. To evaluate precision, the abutment impression or stone model was scanned to obtain the first 3-D STL file. Without moving it, scanning was performed 10 more times, so that 11 files were obtained for each scan type. By superimposing the first scanned STL file onto the other STL files one by one, 10 color-difference maps and reports were obtained; i.e., 10 experimental scans per type. The independent t-test was used to compare root mean square (RMS) data between the groups (${\alpha}=.05$). RESULTS. The $RMS{\pm}SD$ values of scanning trueness of the abutment impression and stone model were $22.4{\pm}4.4$ and $17.4{\pm}3.5{\mu}m$, respectively (P<.012). The $RMS{\pm}SD$ values of scanning precision of the abutment impression and stone model were $16.4{\pm}2.9$ and $14.6{\pm}1.6{\mu}m$, respectively (P=.108). CONCLUSION. There was a significant difference in scanning trueness between the abutment impression and stone model, as evaluated according to dental CAD/CAM standards. However, all scans showed high trueness and precision.

• Journal of Korean Dental Science
• /
• v.9 no.2
• /
• pp.74-80
• /
• 2016

Even though an immediate denture (ID) is a practical prosthesis, fabricating an ID may be challenging, as unexpected removals of periodontally compromised teeth may occur during an impression procedure. This clinical report introduces a digital approach to a maxillary ID. An intraoral scanner was applied to prevent accidental extraction. A physical cast and a resin pattern of a framework were fabricated with rapid prototyping technology. A proper border and retention was also achieved by an altered cast impression.

• Imaging Science in Dentistry
• /
• v.49 no.3
• /
• pp.219-228
• /
• 2019

Purpose: The aim of this study was to determine the reasons and solutions for intraoral phosphor storage plate (PSP) image artifacts and errors, and to develop an appropriate classification of the artifacts. Materials and Methods: This study involved the retrospective examination of 5,000 intraoral images that had been obtained using a phosphor plate system. Image artifacts were examined on the radiographs and classified according to possible causative factors. Results: Artifacts were observed in 1,822 of the 5,000 images. After examination of the images, the errors were divided into 6 groups based on their causes, as follows: images with operator errors, superposition of undesirable structures, ambient light errors, plate artifacts (physical deformations and contamination), scanner artifacts, and software artifacts. The groups were then re-examined and divided into 45 subheadings. Conclusion: Identification of image artifacts can help to improve the quality of the radiographic image and control the radiation dose. Knowledge of the basic physics and technology of PSP systems could aid to reduce the need for repeated radiography.

• The Journal of the Korean dental association
• /
• v.57 no.9
• /
• pp.534-543
• /
• 2019

Digital technology has changed various aspects of the clinical dentistry. The intraoral scanner and Computer-aided design / Computer-aided manufacturing (CAD-CAM) technology are widely used in fabricating fixed prostheses and in implant surgery. These technologies greatly improved the efficiency of clinical and laboratory procedures. With all newly introduced software, devices, and clinical studies, digital technology has been actively applied in removable prostheses. It is now possible to fabricate the removable prostheses more quickly and easily through subtractive and additive manufacturing. Various clinical and laboratory protocols were introduced by many manufacturers. The purpose of this review is to summarize the literature on digital technology for fabricating complete denture with current status and future perspectives.