Integrating 3D facial scanning in a digital workflow to CAD/CAM design and fabricate complete dentures for immediate total mouth rehabilitation
Identifieur interne : 000198 ( Main/Exploration ); précédent : 000197; suivant : 000199Integrating 3D facial scanning in a digital workflow to CAD/CAM design and fabricate complete dentures for immediate total mouth rehabilitation
Auteurs : Bassam Hassan [Pays-Bas] ; Marcus Greven [Autriche] ; Daniel Wismeijer [Pays-Bas]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2017.
Abstract
To integrate extra-oral facial scanning information with CAD/CAM complete dentures to immediately rehabilitate terminal dentition.
Ten patients with terminal dentition scheduled for total extraction and immediate denture placement were recruited for this study. The patients were submitted to a facial scanning procedure using the in-office PritiMirror scanner with bite registration records in-situ. Definitive stone cast models and bite records were subsequently submitted to a lab scanning procedure using the lab scanner (iSeries DWOS; Dental Wings). The scanned models were used to create a virtual teeth setup of a complete denture. Using the intra-oral bite records as a reference, the virtual setup was incorporated in the facial scan thereby facilitating a virtual clinical evaluation (teeth try-in) phase. After applying necessary adjustments, the virtual setup was submitted to a CAM procedure where a 5-axis industrial milling machine (M7 CNC; Darton AG General) was used to fabricate a full-milled PMMA immediate provisional prosthesis.
Total extractions were performed, the dentures were immediately inserted, and subjective clinical fit was evaluated. The immediate provisional prostheses were inserted and clinical fit, occlusion/articulation, and esthetics were subjectively assessed; the results were deemed satisfactory. All provisional prostheses remained three months in function with no notable technical complications.
Ten patients with terminal dentition were treated using a complete digital approach to fabricate complete dentures using CAD/CAM technology. The proposed technique has the potential to accelerate the rehabilitation procedure starting from immediate denture to final implant-supported prosthesis leading to more predictable functional and aesthetics outcomes.
Url:
DOI: 10.4047/jap.2017.9.5.381
PubMed: 29142646
PubMed Central: 5673615
Affiliations:
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last="Greven">Marcus Greven</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Prosthodontics, Vienna School of Interdisciplinary Dentistry, Medical University Vienna, Wien, Austria.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Autriche</country><wicri:regionArea>Department of Prosthodontics, Vienna School of Interdisciplinary Dentistry, Medical University Vienna, Wien</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Wismeijer, Daniel" sort="Wismeijer, Daniel" uniqKey="Wismeijer D" first="Daniel" last="Wismeijer">Daniel Wismeijer</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">29142646</idno><idno type="pmc">5673615</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5673615</idno><idno type="RBID">PMC:5673615</idno><idno type="doi">10.4047/jap.2017.9.5.381</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">002F33</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002F33</idno><idno type="wicri:Area/Pmc/Curation">002F33</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002F33</idno><idno type="wicri:Area/Pmc/Checkpoint">000181</idno><idno type="wicri:explorRef" wicri:stream="Pmc" 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xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Greven, Marcus" sort="Greven, Marcus" uniqKey="Greven M" first="Marcus" last="Greven">Marcus Greven</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Prosthodontics, Vienna School of Interdisciplinary Dentistry, Medical University Vienna, Wien, Austria.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Autriche</country><wicri:regionArea>Department of Prosthodontics, Vienna School of Interdisciplinary Dentistry, Medical University Vienna, Wien</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Wismeijer, Daniel" sort="Wismeijer, Daniel" uniqKey="Wismeijer D" first="Daniel" last="Wismeijer">Daniel Wismeijer</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author></analytic><series><title level="j">The Journal of Advanced Prosthodontics</title><idno type="ISSN">2005-7806</idno><idno type="eISSN">2005-7814</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>PURPOSE</title><p>To integrate extra-oral facial scanning information with CAD/CAM complete dentures to immediately rehabilitate terminal dentition.</p></sec><sec><title>MATERIALS AND METHODS</title><p>Ten patients with terminal dentition scheduled for total extraction and immediate denture placement were recruited for this study. The patients were submitted to a facial scanning procedure using the in-office PritiMirror scanner with bite registration records in-situ. Definitive stone cast models and bite records were subsequently submitted to a lab scanning procedure using the lab scanner (iSeries DWOS; Dental Wings). The scanned models were used to create a virtual teeth setup of a complete denture. Using the intra-oral bite records as a reference, the virtual setup was incorporated in the facial scan thereby facilitating a virtual clinical evaluation (teeth try-in) phase. After applying necessary adjustments, the virtual setup was submitted to a CAM procedure where a 5-axis industrial milling machine (M7 CNC; Darton AG General) was used to fabricate a full-milled PMMA immediate provisional prosthesis.</p></sec><sec><title>RESULTS</title><p>Total extractions were performed, the dentures were immediately inserted, and subjective clinical fit was evaluated. The immediate provisional prostheses were inserted and clinical fit, occlusion/articulation, and esthetics were subjectively assessed; the results were deemed satisfactory. All provisional prostheses remained three months in function with no notable technical complications.</p></sec><sec><title>CONCLUSION</title><p>Ten patients with terminal dentition were treated using a complete digital approach to fabricate complete dentures using CAD/CAM technology. The proposed technique has the potential to accelerate the rehabilitation procedure starting from immediate denture to final implant-supported prosthesis leading to more predictable functional and aesthetics outcomes.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Shor, A" uniqKey="Shor A">A Shor</name></author><author><name sortKey="Shor, K" uniqKey="Shor K">K Shor</name></author><author><name sortKey="Goto, Y" uniqKey="Goto Y">Y Goto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bouma, Lo" uniqKey="Bouma L">LO Bouma</name></author><author><name sortKey="Mansueto, Ma" uniqKey="Mansueto M">MA Mansueto</name></author><author><name sortKey="Koeppen, Rg" uniqKey="Koeppen R">RG Koeppen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kattadiyil, Mt" uniqKey="Kattadiyil M">MT Kattadiyil</name></author><author><name sortKey="Jekki, R" uniqKey="Jekki R">R 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A" uniqKey="Tahmaseb A">A Tahmaseb</name></author><author><name sortKey="Greven, M" uniqKey="Greven M">M Greven</name></author><author><name sortKey="Wismeijer, D" uniqKey="Wismeijer D">D Wismeijer</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Autriche</li><li>Pays-Bas</li></country><region><li>Hollande-Septentrionale</li><li>Vienne (Autriche)</li></region><settlement><li>Amsterdam</li><li>Vienne (Autriche)</li></settlement></list><tree><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Hassan, Bassam" sort="Hassan, Bassam" uniqKey="Hassan B" first="Bassam" last="Hassan">Bassam Hassan</name></region><name sortKey="Wismeijer, Daniel" sort="Wismeijer, Daniel" uniqKey="Wismeijer D" first="Daniel" last="Wismeijer">Daniel Wismeijer</name></country><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Greven, Marcus" sort="Greven, Marcus" uniqKey="Greven M" first="Marcus" 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