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Total CAD/CAM Supported Method for Manufacturing Removable Complete Dentures

Identifieur interne : 000386 ( Pmc/Checkpoint ); précédent : 000385; suivant : 000387

Total CAD/CAM Supported Method for Manufacturing Removable Complete Dentures

Auteurs : Arthur Furtado De Mendonça [Brésil] ; Mario Furtado De Mendonça [Brésil] ; George Shelby White [États-Unis] ; Georges Sara [États-Unis] ; Darren Littlefair [Royaume-Uni]

Source :

RBID : PMC:5128691

Abstract

The incorporation of computer-aided design/computer-aided manufacturing (CAD/CAM) technology into complete denture fabrication brings about several advantages to the fabrication process, providing better predictability of the desired outcomes and high accuracy of denture fit, mainly because the milling of prepolymerized acrylic resin eliminates the shrinkage of the acrylic base. Also, there is a decrease in the porosity when compared to a conventionally processed denture, and consequently there is a decrease in the retention of Candida albicans on the denture base. The presented workflow for complete denture fabrication presents a totally wax-free manufacturing process, combining rapid prototyping (RP) and rapid milling. With the presented technique, the maxillomandibular relation (MMR) and the ideal setup of the tooth arrangement are developed by using occlusion rims and trial setup made with RP. For the definitive final denture, the denture base and the basal surfaces of the conventional denture teeth were milled according to the individual clinical situation. Posteriorly, the teeth were adapted and bonded into the milled sockets of the milled base.


Url:
DOI: 10.1155/2016/1259581
PubMed: 27974977
PubMed Central: 5128691


Affiliations:


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<p>The incorporation of computer-aided design/computer-aided manufacturing (CAD/CAM) technology into complete denture fabrication brings about several advantages to the fabrication process, providing better predictability of the desired outcomes and high accuracy of denture fit, mainly because the milling of prepolymerized acrylic resin eliminates the shrinkage of the acrylic base. Also, there is a decrease in the porosity when compared to a conventionally processed denture, and consequently there is a decrease in the retention of
<italic> Candida albicans</italic>
on the denture base. The presented workflow for complete denture fabrication presents a totally wax-free manufacturing process, combining rapid prototyping (RP) and rapid milling. With the presented technique, the maxillomandibular relation (MMR) and the ideal setup of the tooth arrangement are developed by using occlusion rims and trial setup made with RP. For the definitive final denture, the denture base and the basal surfaces of the conventional denture teeth were milled according to the individual clinical situation. Posteriorly, the teeth were adapted and bonded into the milled sockets of the milled base. </p>
</div>
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<author>
<name sortKey="Bilgin, M" uniqKey="Bilgin M">M. Bilgin</name>
</author>
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<name sortKey="Baytaroglu, E" uniqKey="Baytaroglu E">E. Baytaroglu</name>
</author>
<author>
<name sortKey="Erdem, A" uniqKey="Erdem A">A. Erdem</name>
</author>
<author>
<name sortKey="Dilber, E" uniqKey="Dilber E">E. Dilber</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Infante, L" uniqKey="Infante L">L. Infante</name>
</author>
<author>
<name sortKey="Yilmaz, B" uniqKey="Yilmaz B">B. Yilmaz</name>
</author>
<author>
<name sortKey="Mcglumphy, E" uniqKey="Mcglumphy E">E. McGlumphy</name>
</author>
<author>
<name sortKey="Finger, I" uniqKey="Finger I">I. Finger</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Kattadiyil, M T" uniqKey="Kattadiyil M">M. T. Kattadiyil</name>
</author>
<author>
<name sortKey="Goodacre, C J" uniqKey="Goodacre C">C. J. Goodacre</name>
</author>
<author>
<name sortKey="Baba, N Z" uniqKey="Baba N">N. Z. Baba</name>
</author>
</analytic>
</biblStruct>
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<author>
<name sortKey="Kattadiyil, M T" uniqKey="Kattadiyil M">M. T. Kattadiyil</name>
</author>
<author>
<name sortKey="Jekki, R" uniqKey="Jekki R">R. Jekki</name>
</author>
<author>
<name sortKey="Goodacre, C J" uniqKey="Goodacre C">C. J. Goodacre</name>
</author>
<author>
<name sortKey="Baba, N Z" uniqKey="Baba N">N. Z. Baba</name>
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</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Patzelt, S B M" uniqKey="Patzelt S">S. B. M. Patzelt</name>
</author>
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<name sortKey="Vonau, S" uniqKey="Vonau S">S. Vonau</name>
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<name sortKey="Stampf, S" uniqKey="Stampf S">S. Stampf</name>
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<biblStruct>
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<name sortKey="Wimmer, T" uniqKey="Wimmer T">T. Wimmer</name>
</author>
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<name sortKey="Gallus, K" uniqKey="Gallus K">K. Gallus</name>
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<pmc article-type="research-article">
<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 Publishing Corporation</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27974977</article-id>
<article-id pub-id-type="pmc">5128691</article-id>
<article-id pub-id-type="doi">10.1155/2016/1259581</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Total CAD/CAM Supported Method for Manufacturing Removable Complete Dentures</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-4855-3435</contrib-id>
<name>
<surname>de Mendonça</surname>
<given-names>Arthur Furtado</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>Furtado de Mendonça</surname>
<given-names>Mario</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>White</surname>
<given-names>George Shelby</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sara</surname>
<given-names>Georges</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Littlefair</surname>
<given-names>Darren</given-names>
</name>
<xref ref-type="aff" rid="I3">
<sup>3</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>
Department of Prosthodontics, Fluminense Federal University, Niterói, RJ, Brazil</aff>
<aff id="I2">
<sup>2</sup>
Department of Prosthodontics, Columbia University College of Dental Medicine, New York, NY, USA</aff>
<aff id="I3">
<sup>3</sup>
University of Manchester (Formerly UMIST), Manchester, UK</aff>
<author-notes>
<corresp id="cor1">*Arthur Furtado de Mendonça:
<email>arthurgsfm@gmail.com</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Maria Beatriz Duarte Gavião</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>16</day>
<month>11</month>
<year>2016</year>
</pub-date>
<volume>2016</volume>
<elocation-id>1259581</elocation-id>
<history>
<date date-type="received">
<day>18</day>
<month>7</month>
<year>2016</year>
</date>
<date date-type="rev-recd">
<day>3</day>
<month>11</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>7</day>
<month>11</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2016 Arthur Furtado de Mendonça et al.</copyright-statement>
<copyright-year>2016</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>The incorporation of computer-aided design/computer-aided manufacturing (CAD/CAM) technology into complete denture fabrication brings about several advantages to the fabrication process, providing better predictability of the desired outcomes and high accuracy of denture fit, mainly because the milling of prepolymerized acrylic resin eliminates the shrinkage of the acrylic base. Also, there is a decrease in the porosity when compared to a conventionally processed denture, and consequently there is a decrease in the retention of
<italic> Candida albicans</italic>
on the denture base. The presented workflow for complete denture fabrication presents a totally wax-free manufacturing process, combining rapid prototyping (RP) and rapid milling. With the presented technique, the maxillomandibular relation (MMR) and the ideal setup of the tooth arrangement are developed by using occlusion rims and trial setup made with RP. For the definitive final denture, the denture base and the basal surfaces of the conventional denture teeth were milled according to the individual clinical situation. Posteriorly, the teeth were adapted and bonded into the milled sockets of the milled base. </p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Clinical condition.</p>
</caption>
<graphic xlink:href="CRID2016-1259581.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Design of special trays.</p>
</caption>
<graphic xlink:href="CRID2016-1259581.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>Special trays manufactured by rapid prototyping.</p>
</caption>
<graphic xlink:href="CRID2016-1259581.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>Digital design of the occlusal rims.</p>
</caption>
<graphic xlink:href="CRID2016-1259581.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>Record of the maxillomandibular relation.</p>
</caption>
<graphic xlink:href="CRID2016-1259581.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float">
<label>Figure 6</label>
<caption>
<p>Digital design of the teeth.</p>
</caption>
<graphic xlink:href="CRID2016-1259581.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float">
<label>Figure 7</label>
<caption>
<p>First prototype.</p>
</caption>
<graphic xlink:href="CRID2016-1259581.007"></graphic>
</fig>
<fig id="fig8" orientation="portrait" position="float">
<label>Figure 8</label>
<caption>
<p>Clinical evaluation of the first prototype.</p>
</caption>
<graphic xlink:href="CRID2016-1259581.008"></graphic>
</fig>
<fig id="fig9" orientation="portrait" position="float">
<label>Figure 9</label>
<caption>
<p>Bite record after the primary changes on the occlusion plane.</p>
</caption>
<graphic xlink:href="CRID2016-1259581.009"></graphic>
</fig>
<fig id="fig10" orientation="portrait" position="float">
<label>Figure 10</label>
<caption>
<p>Second prototype.</p>
</caption>
<graphic xlink:href="CRID2016-1259581.010"></graphic>
</fig>
<fig id="fig11" orientation="portrait" position="float">
<label>Figure 11</label>
<caption>
<p>Denture bases.</p>
</caption>
<graphic xlink:href="CRID2016-1259581.011"></graphic>
</fig>
<fig id="fig12" orientation="portrait" position="float">
<label>Figure 12</label>
<caption>
<p>Final denture.</p>
</caption>
<graphic xlink:href="CRID2016-1259581.012"></graphic>
</fig>
<fig id="fig13" orientation="portrait" position="float">
<label>Figure 13</label>
<caption>
<p>Clinical photos of the final denture.</p>
</caption>
<graphic xlink:href="CRID2016-1259581.013"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Brésil</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region>
<li>Angleterre</li>
<li>Grand Manchester</li>
<li>État de New York</li>
<li>État de Rio de Janeiro</li>
</region>
<settlement>
<li>Manchester</li>
</settlement>
<orgName>
<li>Université de Manchester</li>
</orgName>
</list>
<tree>
<country name="Brésil">
<region name="État de Rio de Janeiro">
<name sortKey="De Mendonca, Arthur Furtado" sort="De Mendonca, Arthur Furtado" uniqKey="De Mendonca A" first="Arthur Furtado" last="De Mendonça">Arthur Furtado De Mendonça</name>
</region>
<name sortKey="Furtado De Mendonca, Mario" sort="Furtado De Mendonca, Mario" uniqKey="Furtado De Mendonca M" first="Mario" last="Furtado De Mendonça">Mario Furtado De Mendonça</name>
</country>
<country name="États-Unis">
<region name="État de New York">
<name sortKey="White, George Shelby" sort="White, George Shelby" uniqKey="White G" first="George Shelby" last="White">George Shelby White</name>
</region>
<name sortKey="Sara, Georges" sort="Sara, Georges" uniqKey="Sara G" first="Georges" last="Sara">Georges Sara</name>
</country>
<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Littlefair, Darren" sort="Littlefair, Darren" uniqKey="Littlefair D" first="Darren" last="Littlefair">Darren Littlefair</name>
</region>
</country>
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