Fabricating CAD/CAM Implant-Retained Mandibular Bar Overdentures: A Clinical and Technical Overview
Identifieur interne : 006F27 ( Ncbi/Merge ); précédent : 006F26; suivant : 006F28Fabricating CAD/CAM Implant-Retained Mandibular Bar Overdentures: A Clinical and Technical Overview
Auteurs : Chui Ling Goo [Malaisie] ; Keson Beng Choon Tan [Singapour]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2017.
Abstract
This report describes the clinical and technical aspects in the oral rehabilitation of an edentulous patient with knife-edge ridge at the mandibular anterior edentulous region, using implant-retained overdentures. The application of computer-aided design and computer-aided manufacturing (CAD/CAM) in the fabrication of the overdenture framework simplifies the laboratory process of the implant prostheses. The Nobel Procera CAD/CAM System was utilised to produce a lightweight titanium overdenture bar with locator attachments. It is proposed that the digital workflow of CAD/CAM milled implant overdenture bar allows us to avoid numerous technical steps and possibility of casting errors involved in the conventional casting of such bars.
Url:
DOI: 10.1155/2017/9373818
PubMed: 28396807
PubMed Central: 5371219
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<author><name sortKey="Goo, Chui Ling" sort="Goo, Chui Ling" uniqKey="Goo C" first="Chui Ling" last="Goo">Chui Ling Goo</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Jabatan Pergigian Operatif, Fakulti Pergigian, University Kebangsaan Malaysia, Jalan Raja Muda Aziz, 50300 Kuala Lumpur, Malaysia</nlm:aff>
<country xml:lang="fr">Malaisie</country>
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<wicri:noRegion>50300 Kuala Lumpur</wicri:noRegion>
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<author><name sortKey="Tan, Keson Beng Choon" sort="Tan, Keson Beng Choon" uniqKey="Tan K" first="Keson Beng Choon" last="Tan">Keson Beng Choon Tan</name>
<affiliation wicri:level="4"><nlm:aff id="I2">Faculty of Dentistry, National University of Singapore, 11 Lower Kent Ridge Road, Singapore 119083</nlm:aff>
<orgName type="university">Université nationale de Singapour</orgName>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Fabricating CAD/CAM Implant-Retained Mandibular Bar Overdentures: A Clinical and Technical Overview</title>
<author><name sortKey="Goo, Chui Ling" sort="Goo, Chui Ling" uniqKey="Goo C" first="Chui Ling" last="Goo">Chui Ling Goo</name>
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<author><name sortKey="Tan, Keson Beng Choon" sort="Tan, Keson Beng Choon" uniqKey="Tan K" first="Keson Beng Choon" last="Tan">Keson Beng Choon Tan</name>
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<front><div type="abstract" xml:lang="en"><p>This report describes the clinical and technical aspects in the oral rehabilitation of an edentulous patient with knife-edge ridge at the mandibular anterior edentulous region, using implant-retained overdentures. The application of computer-aided design and computer-aided manufacturing (CAD/CAM) in the fabrication of the overdenture framework simplifies the laboratory process of the implant prostheses. The Nobel Procera CAD/CAM System was utilised to produce a lightweight titanium overdenture bar with locator attachments. It is proposed that the digital workflow of CAD/CAM milled implant overdenture bar allows us to avoid numerous technical steps and possibility of casting errors involved in the conventional casting of such bars.</p>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id>
<journal-id journal-id-type="publisher-id">CRID</journal-id>
<journal-title-group><journal-title>Case Reports in Dentistry</journal-title>
</journal-title-group>
<issn pub-type="ppub">2090-6447</issn>
<issn pub-type="epub">2090-6455</issn>
<publisher><publisher-name>Hindawi</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">28396807</article-id>
<article-id pub-id-type="pmc">5371219</article-id>
<article-id pub-id-type="doi">10.1155/2017/9373818</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Fabricating CAD/CAM Implant-Retained Mandibular Bar Overdentures: A Clinical and Technical Overview</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-2414-9569</contrib-id>
<name><surname>Goo</surname>
<given-names>Chui Ling</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tan</surname>
<given-names>Keson Beng Choon</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1"><sup>1</sup>
Jabatan Pergigian Operatif, Fakulti Pergigian, University Kebangsaan Malaysia, Jalan Raja Muda Aziz, 50300 Kuala Lumpur, Malaysia</aff>
<aff id="I2"><sup>2</sup>
Faculty of Dentistry, National University of Singapore, 11 Lower Kent Ridge Road, Singapore 119083</aff>
<author-notes><corresp id="cor1">*Chui Ling Goo: <email>clgoo@ukm.edu.my</email>
</corresp>
<fn fn-type="other"><p>Academic Editor: Konstantinos Michalakis</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><year>2017</year>
</pub-date>
<pub-date pub-type="epub"><day>15</day>
<month>3</month>
<year>2017</year>
</pub-date>
<volume>2017</volume>
<elocation-id>9373818</elocation-id>
<history><date date-type="received"><day>19</day>
<month>12</month>
<year>2016</year>
</date>
<date date-type="rev-recd"><day>22</day>
<month>2</month>
<year>2017</year>
</date>
<date date-type="accepted"><day>5</day>
<month>3</month>
<year>2017</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2017 Chui Ling Goo and Keson Beng Choon Tan.</copyright-statement>
<copyright-year>2017</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>This report describes the clinical and technical aspects in the oral rehabilitation of an edentulous patient with knife-edge ridge at the mandibular anterior edentulous region, using implant-retained overdentures. The application of computer-aided design and computer-aided manufacturing (CAD/CAM) in the fabrication of the overdenture framework simplifies the laboratory process of the implant prostheses. The Nobel Procera CAD/CAM System was utilised to produce a lightweight titanium overdenture bar with locator attachments. It is proposed that the digital workflow of CAD/CAM milled implant overdenture bar allows us to avoid numerous technical steps and possibility of casting errors involved in the conventional casting of such bars.</p>
</abstract>
</article-meta>
</front>
<floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label>
<caption><p>Edentulous mandibular arch with knife-edge ridge.</p>
</caption>
<graphic xlink:href="CRID2017-9373818.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label>
<caption><p>Cone beam computed tomography (CBCT) findings showing very thin coronal portion of the alveolar ridge.</p>
</caption>
<graphic xlink:href="CRID2017-9373818.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label>
<caption><p>Alignment of the four implants' position.</p>
</caption>
<graphic xlink:href="CRID2017-9373818.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label>
<caption><p>Three 5 mm healing abutments placed on the remaining implants.</p>
</caption>
<graphic xlink:href="CRID2017-9373818.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label>
<caption><p>The intaglio surface of the mandibular interim denture is relined.</p>
</caption>
<graphic xlink:href="CRID2017-9373818.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label>
<caption><p>The teeth setup in wax.</p>
</caption>
<graphic xlink:href="CRID2017-9373818.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label>
<caption><p>Silicone index registering the occlusal position of the denture teeth.</p>
</caption>
<graphic xlink:href="CRID2017-9373818.007"></graphic>
</fig>
<fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label>
<caption><p>Wax denture base with the denture teeth removed.</p>
</caption>
<graphic xlink:href="CRID2017-9373818.008"></graphic>
</fig>
<fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label>
<caption><p>Design of the framework using the Nobel Procera software.</p>
</caption>
<graphic xlink:href="CRID2017-9373818.009"></graphic>
</fig>
<fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label>
<caption><p>Milled implant framework tried in the mouth.</p>
</caption>
<graphic xlink:href="CRID2017-9373818.010"></graphic>
</fig>
<fig id="fig11" orientation="portrait" position="float"><label>Figure 11</label>
<caption><p>Final prosthesis in the mouth.</p>
</caption>
<graphic xlink:href="CRID2017-9373818.011"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations><list><country><li>Malaisie</li>
<li>Singapour</li>
</country>
<orgName><li>Université nationale de Singapour</li>
</orgName>
</list>
<tree><country name="Malaisie"><noRegion><name sortKey="Goo, Chui Ling" sort="Goo, Chui Ling" uniqKey="Goo C" first="Chui Ling" last="Goo">Chui Ling Goo</name>
</noRegion>
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<country name="Singapour"><noRegion><name sortKey="Tan, Keson Beng Choon" sort="Tan, Keson Beng Choon" uniqKey="Tan K" first="Keson Beng Choon" last="Tan">Keson Beng Choon Tan</name>
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