From Denture to the Final Implant-Supported Prosthesis Using a Full-Digital Protocol: A Dental Technique

Todescan, Francisco Fernando; Hayashi, Marcos Masayuki; Giugni, Luiz Roberto; Bottıno, Marco Antônıo; Tribst, João Paulo Mendes

doi:10.3390/oral1040033

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…The production of CECDs using 3D printing technology is becoming more popular in dental centers. Nevertheless, evidence regarding biocompatibility, the clinical or long-term follow-up of the patients, the chewing load capability [ 65 ], and data on the clinical performance of 3D printed dentures are still lacking [ 66 ]. Further studies are essential to elucidate these parameters.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Conventionally and Digitally Fabricated Complete Dentures: A Comprehensive Review

et al. 2022

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CAD/CAM technology is gaining popularity and replacing archaic conventional procedures for fabricating dentures. CAD/CAM supports using a digital workflow reduce the number of visits, chair time, and laboratory time, making it attractive to patients. This study aimed to provide a comparative review of complete dentures manufactured using CAD/CAM and conventional methods. The PubMed/Medline, Science Direct, Cochrane, and Google Scholar databases were searched for studies published in English within the last 11 years (from 2011 to 2021). The keywords used were “computer-engineered complete dentures”, “CAD/CAM complete dentures”, “computer-aided engineering complete dentures”, and “digital complete dentures”. The search yielded 102 articles. Eighteen relevant articles were included in this review. Overall, computer-engineered complete dentures have several advantages over conventional dentures. Patients reported greater satisfaction with computer-engineered complete dentures (CECDs) due to better fit, reduced chair time, shorter appointments, and fewer post-insertion visits. CAD/CAM allows for precision and reproducibility with fewer procedures compared to conventional dentures. Polymethyl methacrylate is used as the denture base material for conventional dentures. For CECDs, the resin can be modified and cross-linked to improve its mechanical properties. The advantages of CECDs include a reduced number of appointments, saving chairside time, a digital workflow allowing easy reproducibility and greater patient satisfaction with a better fit.

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Section: Discussionmentioning

confidence: 99%

Assessment of Conventionally and Digitally Fabricated Complete Dentures: A Comprehensive Review

et al. 2022

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“…Numerous studies in the literature [50,51] confirm the precision and accuracy rate of these tools. Studies have been published which confirm that guided implant placement increases the implant survival rate, compared to the freehand method [52]. Other studies also believe that the digital workflow in the implant-prosthetic field can effectively and predictively improve the immediate load rehabilitation process of completely edentulous arches [23].…”

Section: Discussionmentioning

confidence: 95%

Full-Arch Guided Restoration and Bone Regeneration: A Complete Digital Workflow Case Report

Todaro

Cerri²,

Baena

et al. 2023

Healthcare

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Objective: complex rehabilitations present multiple difficulties, regarding both the planification of the surgery and the design of the prothesis. A digital approach can support the workflow, as well as the degree of intraoperative precision, and improve the long-term prognosis. Methods: A surgical guide was designed for implant placement. An extensive regeneration of the upper jaw was performed with contextual implant insertion, and a delayed load rehabilitation was chosen. After four months, a second surgery and a simultaneous soft tissue augmentation was performed, and a 3D-printed temporary restoration was placed. After another two months, new dental and facial scans, smile design, and facial bite registrations were obtained. Upper and lower dentures were built using an exclusively digital workflow. Both metal substructures were passivated and cemented in one session; in the following appointment, the aesthetic and occlusal checks were carried out. During the third visit, both prostheses were delivered. Results: Careful case planning and the surgical guide made it possible to achieve primary stability and acceptable emergence profiles in an extremely reabsorbed upper jaw. Leukocyte-Platelet Rich Fibrin (L-PRF) made the extensive bone regeneration more approachable and lowered the post-operative pain and swelling, while speeding up the soft tissue healing process. During the re-entry surgery, the volumes of soft tissues were increased to improve aesthetics, and the amount of keratinized gingiva around the six implants was also increased. Smile design and facial scans have provided the means to create acceptable aesthetics and function in a few sessions with minimal patient discomfort. Conclusions: Computer-assisted implantology is a safe and precise method of performing dental implant surgery. Preliminary studies have a high degree of accuracy, but further studies are needed to arrive at a fully digital clinical protocol at all stages.

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Free-Hand versus Surgical Guide Implant Placement

Afshari

Shahmohammadi

Mosaddad

et al. 2022

Advances in Materials Science and Engineering

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One of the most key areas of dentistry is dental implant surgery. The use of digital equipment and software in dentistry has developed considerably in recent years compared to other fields of medicine. Since examining the advantages and disadvantages of each approach, along with case studies, can help physicians make informed decisions, this review study aims to raise the awareness of dentists to make easier decisions about using guided or free-hand surgery. When planning for a dental implant, one of the most challenging questions that doctors face is which method to use (guided surgery or free-hand). Choosing the right method, such as other clinical considerations, will depend on the individual circumstances of each patient and the preference of the treating physician. Free-hand surgery is a cost-effective method in which the flap is reflected, and, according to the doctor's diagnostic information, an implant is placed, which in many cases is a useful method. Guided surgery has the highest level of accuracy and control, in which osteotomy is designed and printed through a digital surgery guide, and depending on the complexity of the case and the patient's anatomy, it has a higher level of value than free surgery. The surgical guide helps the surgeon make the implant surgery more accurate, safer, simpler, at a lower cost, and in less time. In fact, there are patterns that convey information about the position of the tooth to the dentist before the implant is placed.

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From Denture to the Final Implant-Supported Prosthesis Using a Full-Digital Protocol: A Dental Technique

Cited by 3 publications

References 16 publications

Assessment of Conventionally and Digitally Fabricated Complete Dentures: A Comprehensive Review

Assessment of Conventionally and Digitally Fabricated Complete Dentures: A Comprehensive Review

Full-Arch Guided Restoration and Bone Regeneration: A Complete Digital Workflow Case Report

Free-Hand versus Surgical Guide Implant Placement

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