• Title/Summary/Keyword: Digital complete dentures

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3-step digital complete denture restoration using facialscan: a case report (안면 스캔을 이용한 3회 내원 디지털 총의치 수복: 증례보고)

  • Yeongseok Kwon;Seoung-Jin Hong;Janghyun Paek;Ahran Pae;Hyeong-Seob Kim;Kung-Rock Kwon;Kwantae Noh
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.4
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    • pp.356-366
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    • 2023
  • Support, retention, and stability of dentures are key factors in the use of complete dentures in edentulous patients. With the development of digital dentistry, attempts are being made to replace traditional treatment methods. Also, struggle to reduce the number of patient visits and to manufacture high-quality digitally fabricated dentures are ongoing. In this case, a digital denture was restored using a tray capable of obtaining centric relation through gothic arch tracing and a facial scan. By replacing the traditional complete denture restoration method, the number of patient visits was reduced and esthetic results with satisfactory denture support, retention, and stability were obtained.

Prediction accuracy of incisal points in determining occlusal plane of digital complete dentures

  • Kenta Kashiwazaki;Yuriko Komagamine;Sahaprom Namano;Ji-Man Park;Maiko Iwaki;Shunsuke Minakuchi;Manabu, Kanazawa
    • The Journal of Advanced Prosthodontics
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    • v.15 no.6
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    • pp.281-289
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    • 2023
  • PURPOSE. This study aimed to predict the positional coordinates of incisor points from the scan data of conventional complete dentures and verify their accuracy. MATERIALS AND METHODS. The standard triangulated language (STL) data of the scanned 100 pairs of complete upper and lower dentures were imported into the computer-aided design software from which the position coordinates of the points corresponding to each landmark of the jaw were obtained. The x, y, and z coordinates of the incisor point (XP, YP, and ZP) were obtained from the maxillary and mandibular landmark coordinates using regression or calculation formulas, and the accuracy was verified to determine the deviation between the measured and predicted coordinate values. YP was obtained in two ways using the hamularincisive-papilla plane (HIP) and facial measurements. Multiple regression analysis was used to predict ZP. The root mean squared error (RMSE) values were used to verify the accuracy of the XP and YP. The RMSE value was obtained after crossvalidation using the remaining 30 cases of denture STL data to verify the accuracy of ZP. RESULTS. The RMSE was 2.22 for predicting XP. When predicting YP, the RMSE of the method using the HIP plane and facial measurements was 3.18 and 0.73, respectively. Cross-validation revealed the RMSE to be 1.53. CONCLUSION. YP and ZP could be predicted from anatomical landmarks of the maxillary and mandibular edentulous jaw, suggesting that YP could be predicted with better accuracy with the addition of the position of the lower border of the upper lip.

Current status and future perspectives of CAD/CAM fabricated complete denture (임상가를 위한 특집 2 - CAD/CAM 기술을 이용한 총의치 제작의 현재와 전망)

  • Park, Chan-Jin
    • The Journal of the Korean dental association
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    • v.52 no.6
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    • pp.346-353
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    • 2014
  • Currently, computer-aided technology becomes one of main issues in clinical dentistry. About 25 years ago, the development of dental CAD/CAM systems for the fabrication of crowns and fixed partial dentures leads to be able to fabricate complete denture today. The fabrication of milled complete denture prostheses with digital scanning technology may decrease the number of patient appointments. However, the precise tooth arrangement and evaluation by patient is not promising relatively. The purpose of this review was to analyze the existing literature on computer aided technology for fabricating complete denture with historical background, current status, and future perspectives. In addition, two available commercial systems were introduced.

Analysis of deformation according to post-curing of complete arch artificial teeth for temporary dentures printed with a DLP printer (DLP 프린터로 출력한 임시의치용 전악 인공치아의 후경화에 따른 변형 분석)

  • Kim, Dong-Yeon;Lee, Gwang-Young
    • Journal of Technologic Dentistry
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    • v.43 no.2
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    • pp.48-55
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    • 2021
  • Purpose: This study aimed to analyze deformation according to post-curing of complete arch artificial teeth for temporary dentures printed with a digital light processing (DLP) printer. Methods: An edentulous model was prepared and an occlusal rim was produced. The edentulous model and occlusal rim were scanned using a model scanner. A complete denture was designed using a dental computer-aided design, and the denture base and artificial tooth were separated. Ten complete arch artificial teeth were printed using a 3D printer (DLP). Complete arch artificial teeth was classified into the following three groups: a group no post-curing (NC), a group with 10 minutes post-curing (10M), and a group with 20 minutes post-curing (20M). Specimens were scanned using a model scanner. The scanned data were overlapped with the reference data. Statistical analysis was performed using one-way ANOVA analysis of variance, Kruskal-Wallis test, and Mann-Whitney U test (α=0.05). Results: Regarding the overall deviation of complete arch artificial teeth, the NC group showed the lowest mean deviation of 111.13 ㎛ and the 20M group showed the highest mean deviation of 131.03 ㎛. There were statistically significant differences among the three groups (p<0.05). Conclusion: The complete arch artificial tooth showed deformation due to post-curing. In addition, the largest shrinkage deformation was observed at 10 minutes of post-curing, whereas the least deformation was observed at 20 minutes.

Fabrication of complete denture using digital technology in patient with mandibular deviation: a case report (하악 편위 환자에서 디지털 방식을 이용한 총의치 제작 증례)

  • Lee, Eunsu;Park, Juyoung;Park, Chan;Yun, Kwi-Dug;Lim, Hyun-Pil;Park, Sangwon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.1
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    • pp.34-41
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    • 2022
  • Recently, digital technology and computer-aided design/computer-aided manufacturing (CAD/CAM) environment have changed the clinician treatment method in the fabrication of dentures. The denture manufacturing method with CAD/CAM technology simplifies the treatment and laboratory process to reduce the occurrence of errors and provides clinical efficiency and convenience. In this case, complete dentures were fabricated using stereolithography (SLA)-based 3D printing in patient with mandibular deviation. Recording base were produced in a digital model obtained with an intraoral scanner, and after recording a jaw relation in the occlusal rim, a definitive impression was obtained with polyvinyl siloxane impression material. In addition, facial scan data with occlusal rim was obtained so that it can be used as a reference in determination of the occlusal plane and in arrangement of artificial teeth during laboratory work. Artificial teeth were arranged through a CAD program, and a gingival festooning was performed. The definitive dentures were printed by SLA-based 3D printer using a Food and Drug Administration (FDA)-approved liquid photocurable resin. The denture showed adequate retention, support and stability, and results were satisfied functionally and aesthetically.

Rehabilitation of fully edentulous patient using Ceramill full denture system (FDS) (Ceramill full denture system을 이용한 무치악 환자의 양악 총의치 제작)

  • Lee, Younghoo;Kwon, Kung-Rock;Pae, Ahran;Noh, Kwantae;Paek, Janghyun;Hong, Seoung-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.232-237
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    • 2019
  • CAD/CAM technology has already been used in most areas of prosthetics. The range of CAD/CAM application in denture fabricating process has been gradually increasing since the CAD/CAM technology was introduced for the fabrication of complete dentures in 1994. This paper describes a technique that combines conventional and CAD/CAM technology for the fabrication of complete dentures: the master casts from a conventional impression techniques were scanned first, and the wax denture was fabricated using Amann Girrbach's Ceramill full denture system (fds). The purpose of this paper is to introduce the case in which making an esthetically and functionally satisfied denture in shorter time is possible with CAD/CAM technology.

A Digitally Designed All-on-4 Restoration with Screwmentable Concept

  • Park, Koungjin;Han, Jung-Suk;Lee, Jae-Hyun
    • Journal of Korean Dental Science
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    • v.15 no.1
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    • pp.84-91
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    • 2022
  • An all-on-4 restoration allows edentulous patients to use a fixed prosthesis with a minimum number of implants. These implant-supported fixed complete dentures have traditionally been fabricated as screw-retained or cement-retained prostheses. However, it is difficult to passively fit the long-span full-arch prosthesis using the screw-retained type restoration, and predictable retrievability is not obtained with the cement-retained type. This case report describes a prosthesis fabricated using a combination of the two retention types. The screwmentable method allows the implant-supported fixed complete denture to achieve a passive fit at the connection with retrievability. In addition, a framework with an optimized size was designed by using digital dental technology.

Fabrication of complete denture using CAD-based vertical dimension increase and monolithic disc: a case report (CAD를 이용한 수직 고경 증가와 monolithic disc를 사용한 총의치 수복 증례)

  • Hyeon, Kim;Woohyung, Jang;Chan, Park;Kwi-Dug, Yun;Hyun-Pil, Lim;Sangwon, Park
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.4
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    • pp.242-248
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    • 2022
  • Recently, through the development of CAD/CAM technology, it is also being used for fabricating dentures. Compared to conventional methods, when digital dentures are fabricated, the fabrication process is facilitated, and the number of visits to hospitals is reduced and errors are reduced. In this case, the vertical dimension was increased using a CAD program in a patient who needed vertical dimension recovery due to the use of old dentures, and the final denture was fabricated using a monolithic disc through the milling method. The centric relation was recorded using existing dentures, and using the information from the intraoral scan and the existing denture model scan, a trial denture was fabricated and delivered to the patient to evaluate the midline and occlusion. Based on the evaluation of the trial denture, the final denture was fabricated using a milling method and a monolithic disc, and the final denture showed satisfactory results functionally and aesthetically.

Fabrication of complete denture using 3D printing: a case report (3D 프린팅을 이용한 양악 총의치 제작 증례)

  • Lee, Eunsu;Park, Chan;Yun, Kwidug;Lim, Hyun-Pil;Park, Sangwon
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.2
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    • pp.202-210
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    • 2022
  • Recently with the advance in digital dentistry, the fabrication of dentures using computer-aided design and computer-aided manufacturing (CAD-CAM) is on the rise. The denture designed through a CAD software can be produced in a 3-dimensional manufacturing process. This process includes a subtractive processing method such as milling and an additive processing method such as 3D printing and in which it can be applied efficiently in more complex structures. In this case, complete dentures were fabricated using Stereolithography (SLA)-based 3D printing to shorten the production time and interval of visits in patient with physical disabilities due to cerebral infarction. For definitive impression, the existing interim denture was digitally replicated and used as an individual tray. The definitive impression obtained with polyvinyl siloxane impression material was including information about the inclination and length of the maxillary anterior teeth, vertical dimension, and centric relation. In addition, facial scan data with interim denture was obtained so that it can be used as a reference in determination of the occlusal plane and in arrangement of artificial teeth during laboratory work. Artificial teeth were arranged through a CAD program, and a gingival festooning was performed. The definitive dentures were printed by SLA-based 3D printer using a FDA-approved liquid photocurable resin. The denture showed adequate retention, support, and stability, and results were satisfied functionally and aesthetically.

A case of digital maxillary complete denture and mandibular implant overdenture fabricated by CAD-CAM technique (완전 무치악 환자에서 CAD-CAM 기법을 이용한 상악 총의치 및 하악 임플란트 피개의치 수복: 증례 보고)

  • Kim, Kun Min;Oh, Kyung Chul;Kim, Sang Hyun;Han, Chol Gwan;Kim, Jee Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.442-450
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    • 2021
  • The CAD-CAM technique is a rapidly developing field in the dental field and is applied to various fields of prosthetic treatment. Among them, the manufacturing of dentures using the milling technique classified as subtractive manufacturing is one of the commercialized digital full denture manufacturing methods. At the same time, it is possible to more efficiently manufacture a metal framework for implant overdenture by selective laser sintering or melting technique classified as an additive manufacturing method. The purpose of this article is to describe the fabrication of CAD-CAM maxillary complete denture and mandibular implant overdenture as well as its features.