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Rationale for the Use of CAD/CAM Technology in Implant Prosthodontics

Identifieur interne : 001824 ( Pmc/Checkpoint ); précédent : 001823; suivant : 001825

Rationale for the Use of CAD/CAM Technology in Implant Prosthodontics

Auteurs : Jaafar Abduo [Australie] ; Karl Lyons [Nouvelle-Zélande]

Source :

RBID : PMC:3652193

Abstract

Despite the predictable longevity of implant prosthesis, there is an ongoing interest to continue to improve implant prosthodontic treatment and outcomes. One of the developments is the application of computer-aided design and computer-aided manufacturing (CAD/CAM) to produce implant abutments and frameworks from metal or ceramic materials. The aim of this narrative review is to critically evaluate the rationale of CAD/CAM utilization for implant prosthodontics. To date, CAD/CAM allows simplified production of precise and durable implant components. The precision of fit has been proven in several laboratory experiments and has been attributed to the design of implants. Milling also facilitates component fabrication from durable and aesthetic materials. With further development, it is expected that the CAD/CAM protocol will be further simplified. Although compelling clinical evidence supporting the superiority of CAD/CAM implant restorations is still lacking, it is envisioned that CAD/CAM may become the main stream for implant component fabrication.


Url:
DOI: 10.1155/2013/768121
PubMed: 23690778
PubMed Central: 3652193


Affiliations:


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PMC:3652193

Le document en format XML

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<p>Despite the predictable longevity of implant prosthesis, there is an ongoing interest to continue to improve implant prosthodontic treatment and outcomes. One of the developments is the application of computer-aided design and computer-aided manufacturing (CAD/CAM) to produce implant abutments and frameworks from metal or ceramic materials. The aim of this narrative review is to critically evaluate the rationale of CAD/CAM utilization for implant prosthodontics. To date, CAD/CAM allows simplified production of precise and durable implant components. The precision of fit has been proven in several laboratory experiments and has been attributed to the design of implants. Milling also facilitates component fabrication from durable and aesthetic materials. With further development, it is expected that the CAD/CAM protocol will be further simplified. Although compelling clinical evidence supporting the superiority of CAD/CAM implant restorations is still lacking, it is envisioned that CAD/CAM may become the main stream for implant component fabrication.</p>
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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">Int J Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Dent</journal-id>
<journal-id journal-id-type="publisher-id">IJD</journal-id>
<journal-title-group>
<journal-title>International Journal of Dentistry</journal-title>
</journal-title-group>
<issn pub-type="ppub">1687-8728</issn>
<issn pub-type="epub">1687-8736</issn>
<publisher>
<publisher-name>Hindawi Publishing Corporation</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23690778</article-id>
<article-id pub-id-type="pmc">3652193</article-id>
<article-id pub-id-type="doi">10.1155/2013/768121</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Review Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Rationale for the Use of CAD/CAM Technology in Implant Prosthodontics</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Abduo</surname>
<given-names>Jaafar</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lyons</surname>
<given-names>Karl</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>
School of Dentistry, Melbourne University, 720 Swanston Street, Carlton Melbourne, VIC 3010, Australia</aff>
<aff id="I2">
<sup>2</sup>
Department of Oral Rehabilitation, Faculty of Dentistry, University of Otago, 310 Great King Street, Dunedin 9054, New Zealand</aff>
<author-notes>
<corresp id="cor1">*Jaafar Abduo:
<email>jaafar_abduo@hotmail.com</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Moustafa N. Aboushelib</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2013</year>
</pub-date>
<pub-date pub-type="epub">
<day>16</day>
<month>4</month>
<year>2013</year>
</pub-date>
<volume>2013</volume>
<elocation-id>768121</elocation-id>
<history>
<date date-type="received">
<day>25</day>
<month>9</month>
<year>2012</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>3</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2013 J. Abduo and K. Lyons.</copyright-statement>
<copyright-year>2013</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/">
<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>Despite the predictable longevity of implant prosthesis, there is an ongoing interest to continue to improve implant prosthodontic treatment and outcomes. One of the developments is the application of computer-aided design and computer-aided manufacturing (CAD/CAM) to produce implant abutments and frameworks from metal or ceramic materials. The aim of this narrative review is to critically evaluate the rationale of CAD/CAM utilization for implant prosthodontics. To date, CAD/CAM allows simplified production of precise and durable implant components. The precision of fit has been proven in several laboratory experiments and has been attributed to the design of implants. Milling also facilitates component fabrication from durable and aesthetic materials. With further development, it is expected that the CAD/CAM protocol will be further simplified. Although compelling clinical evidence supporting the superiority of CAD/CAM implant restorations is still lacking, it is envisioned that CAD/CAM may become the main stream for implant component fabrication.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Scanned image of a prepared tooth. The accuracy of the scanning is dependent on the overall smoothness and definition of the preparation.</p>
</caption>
<graphic xlink:href="IJD2013-768121.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p> (a) Initial image after scanning implant replica. The accuracy of the final image is influenced by smoothness of the sharp corners. (b) Reverse engineering of implant replica can reproduce exact implant dimensions.</p>
</caption>
<graphic xlink:href="IJD2013-768121.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p> (a) Engaging fitting surface of zirconia CAD/CAM abutment. Non-engaging fitting surfaces of titanium (b) and zirconia (c) frameworks. Accurate nonengaging surfaces can be milled since all their features are larger than the smallest milling bur.</p>
</caption>
<graphic xlink:href="IJD2013-768121.003"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Australie</li>
<li>Nouvelle-Zélande</li>
</country>
</list>
<tree>
<country name="Australie">
<noRegion>
<name sortKey="Abduo, Jaafar" sort="Abduo, Jaafar" uniqKey="Abduo J" first="Jaafar" last="Abduo">Jaafar Abduo</name>
</noRegion>
</country>
<country name="Nouvelle-Zélande">
<noRegion>
<name sortKey="Lyons, Karl" sort="Lyons, Karl" uniqKey="Lyons K" first="Karl" last="Lyons">Karl Lyons</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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