The Prosthetic Workflow in the Digital Era
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Auteurs : Lidia Tordiglione [Italie] ; Michele De Franco [Italie] ; Giovanni Bosetti [Italie]Source :
- International Journal of Dentistry [ 1687-8728 ] ; 2016.
Abstract
The purpose of this retrospective study was to clinically evaluate the benefits of adopting a full digital workflow for the implementation of fixed prosthetic restorations on natural teeth. To evaluate the effectiveness of these protocols, treatment plans were drawn up for 15 patients requiring rehabilitation of one or more natural teeth. All the dental impressions were taken using a Planmeca PlanScan® (Planmeca OY, Helsinki, Finland) intraoral scanner, which provided digital casts on which the restorations were digitally designed using Exocad® (Exocad GmbH, Germany, 2010) software and fabricated by CAM processing on 5-axis milling machines. A total of 28 single crowns were made from monolithic zirconia, 12 vestibular veneers from lithium disilicate, and 4 three-quarter vestibular veneers with palatal extension. While the restorations were applied, the authors could clinically appreciate the excellent match between the digitally produced prosthetic design and the cemented prostheses, which never required any occlusal or proximal adjustment. Out of all the restorations applied, only one exhibited premature failure and was replaced with no other complications or need for further scanning. From the clinical experience gained using a full digital workflow, the authors can confirm that these work processes enable the fabrication of clinically reliable restorations, with all the benefits that digital methods bring to the dentist, the dental laboratory, and the patient.
Url:
DOI: 10.1155/2016/9823025
PubMed: 27829834
PubMed Central: 5088314
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Prosthetic Workflow in the Digital Era</title><author><name sortKey="Tordiglione, Lidia" sort="Tordiglione, Lidia" uniqKey="Tordiglione L" first="Lidia" last="Tordiglione">Lidia Tordiglione</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical and Morphological Science, University of Insubria, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical and Morphological Science, University of Insubria, 21100 Varese</wicri:regionArea></affiliation></author><author><name sortKey="De Franco, Michele" sort="De Franco, Michele" uniqKey="De Franco M" first="Michele" last="De Franco">Michele De Franco</name><affiliation wicri:level="1"><nlm:aff id="I2">Private Practice, Abbiategrasso, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Private Practice, Abbiategrasso, Milan</wicri:regionArea></affiliation></author><author><name sortKey="Bosetti, Giovanni" sort="Bosetti, Giovanni" uniqKey="Bosetti G" first="Giovanni" last="Bosetti">Giovanni Bosetti</name><affiliation wicri:level="1"><nlm:aff id="I3">Private Practice, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Private Practice, 21100 Varese</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27829834</idno><idno type="pmc">5088314</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5088314</idno><idno type="RBID">PMC:5088314</idno><idno type="doi">10.1155/2016/9823025</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002E08</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002E08</idno><idno type="wicri:Area/Pmc/Curation">002E08</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002E08</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Prosthetic Workflow in the Digital Era</title><author><name sortKey="Tordiglione, Lidia" sort="Tordiglione, Lidia" uniqKey="Tordiglione L" first="Lidia" last="Tordiglione">Lidia Tordiglione</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical and Morphological Science, University of Insubria, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical and Morphological Science, University of Insubria, 21100 Varese</wicri:regionArea></affiliation></author><author><name sortKey="De Franco, Michele" sort="De Franco, Michele" uniqKey="De Franco M" first="Michele" last="De Franco">Michele De Franco</name><affiliation wicri:level="1"><nlm:aff id="I2">Private Practice, Abbiategrasso, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Private Practice, Abbiategrasso, Milan</wicri:regionArea></affiliation></author><author><name sortKey="Bosetti, Giovanni" sort="Bosetti, Giovanni" uniqKey="Bosetti G" first="Giovanni" last="Bosetti">Giovanni Bosetti</name><affiliation wicri:level="1"><nlm:aff id="I3">Private Practice, 21100 Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Private Practice, 21100 Varese</wicri:regionArea></affiliation></author></analytic><series><title level="j">International Journal of Dentistry</title><idno type="ISSN">1687-8728</idno><idno type="eISSN">1687-8736</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The purpose of this retrospective study was to clinically evaluate the benefits of adopting a full digital workflow for the implementation of fixed prosthetic restorations on natural teeth. To evaluate the effectiveness of these protocols, treatment plans were drawn up for 15 patients requiring rehabilitation of one or more natural teeth. All the dental impressions were taken using a Planmeca PlanScan® (Planmeca OY, Helsinki, Finland) intraoral scanner, which provided digital casts on which the restorations were digitally designed using Exocad® (Exocad GmbH, Germany, 2010) software and fabricated by CAM processing on 5-axis milling machines. A total of 28 single crowns were made from monolithic zirconia, 12 vestibular veneers from lithium disilicate, and 4 three-quarter vestibular veneers with palatal extension. While the restorations were applied, the authors could clinically appreciate the excellent match between the digitally produced prosthetic design and the cemented prostheses, which never required any occlusal or proximal adjustment. Out of all the restorations applied, only one exhibited premature failure and was replaced with no other complications or need for further scanning. From the clinical experience gained using a full digital workflow, the authors can confirm that these work processes enable the fabrication of clinically reliable restorations, with all the benefits that digital methods bring to the dentist, the dental laboratory, and the patient.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kugel, G" uniqKey="Kugel G">G. Kugel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zimmermann, M" uniqKey="Zimmermann M">M. Zimmermann</name></author><author><name sortKey="Mehl, A" uniqKey="Mehl A">A. Mehl</name></author><author><name sortKey="Mormann, W H" uniqKey="Mormann W">W. H. Mörmann</name></author><author><name sortKey="Reich, S" uniqKey="Reich S">S. 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<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">27829834</article-id><article-id pub-id-type="pmc">5088314</article-id><article-id pub-id-type="doi">10.1155/2016/9823025</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical Study</subject></subj-group></article-categories><title-group><article-title>The Prosthetic Workflow in the Digital Era</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-7807-2501</contrib-id><name><surname>Tordiglione</surname><given-names>Lidia</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>De Franco</surname><given-names>Michele</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Bosetti</surname><given-names>Giovanni</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Surgical and Morphological Science, University of Insubria, 21100 Varese, Italy</aff><aff id="I2"><sup>2</sup>Private Practice, Abbiategrasso, Milan, Italy</aff><aff id="I3"><sup>3</sup>Private Practice, 21100 Varese, Italy</aff><author-notes><corresp id="cor1">*Lidia Tordiglione: <email>lidia.tordiglione@gmail.com</email></corresp><fn fn-type="other"><p>Academic Editor: Thomas Fortin</p></fn></author-notes><pub-date pub-type="ppub"><year>2016</year></pub-date><pub-date pub-type="epub"><day>18</day><month>10</month><year>2016</year></pub-date><volume>2016</volume><elocation-id>9823025</elocation-id><history><date date-type="received"><day>24</day><month>2</month><year>2016</year></date><date date-type="rev-recd"><day>28</day><month>6</month><year>2016</year></date><date date-type="accepted"><day>26</day><month>9</month><year>2016</year></date></history><permissions><copyright-statement>Copyright © 2016 Lidia Tordiglione 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 purpose of this retrospective study was to clinically evaluate the benefits of adopting a full digital workflow for the implementation of fixed prosthetic restorations on natural teeth. To evaluate the effectiveness of these protocols, treatment plans were drawn up for 15 patients requiring rehabilitation of one or more natural teeth. All the dental impressions were taken using a Planmeca PlanScan® (Planmeca OY, Helsinki, Finland) intraoral scanner, which provided digital casts on which the restorations were digitally designed using Exocad® (Exocad GmbH, Germany, 2010) software and fabricated by CAM processing on 5-axis milling machines. A total of 28 single crowns were made from monolithic zirconia, 12 vestibular veneers from lithium disilicate, and 4 three-quarter vestibular veneers with palatal extension. While the restorations were applied, the authors could clinically appreciate the excellent match between the digitally produced prosthetic design and the cemented prostheses, which never required any occlusal or proximal adjustment. Out of all the restorations applied, only one exhibited premature failure and was replaced with no other complications or need for further scanning. From the clinical experience gained using a full digital workflow, the authors can confirm that these work processes enable the fabrication of clinically reliable restorations, with all the benefits that digital methods bring to the dentist, the dental laboratory, and the patient.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Intraoral preoperative conditions. Notice widespread cervical abrasions and abfractions.</p></caption><graphic xlink:href="IJD2016-9823025.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>3D image of the preoperative situation originated from the intraoral scan.</p></caption><graphic xlink:href="IJD2016-9823025.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Clinical evaluation of the aesthetic and functional outcome of the provisional.</p></caption><graphic xlink:href="IJD2016-9823025.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Intraoral digital scan of the preparations of both dental arches.</p></caption><graphic xlink:href="IJD2016-9823025.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Clinical test and evaluation of the definitive crowns design through the 3D printed crowns: analysis of the finishing lines, interproximal areas, occlusal contacts, and aesthetic result.</p></caption><graphic xlink:href="IJD2016-9823025.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Development of the 3D design project of the definitive crowns.</p></caption><graphic xlink:href="IJD2016-9823025.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>Clinical intraoral result after cementation.</p></caption><graphic xlink:href="IJD2016-9823025.007"></graphic></fig><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Number of single zirconia crowns (Zn); multiple unit prosthetic rehabilitation with zirconia crown (Zn) and lithium disilicate vestibular veneer (DSL vest. veneer); complex rehabilitation with single zirconia crown (Zn), lithium disilicate vestibular veneer and lithium disilicate vestibular veneer with palatal extension (DSL 3/4 veneer) and their distribution in posterior (P: premolars, molars) and anterior (A: incisors and canines) areas.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Single crown </th><th colspan="2" align="center" rowspan="1">Multiple unit</th><th colspan="4" align="center" rowspan="1">Complex rehabilitation</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Zn</td><td align="center" rowspan="1" colspan="1">Zn</td><td align="center" rowspan="1" colspan="1">DSL vest. veneer</td><td colspan="2" align="center" rowspan="1">Single Zn crown</td><td align="center" rowspan="1" colspan="1">DSL vest. veneer</td><td align="center" rowspan="1" colspan="1">DSL 3/4 veneer</td></tr><tr><td align="left" rowspan="1" colspan="1">P</td><td align="center" rowspan="1" colspan="1">P</td><td align="center" rowspan="1" colspan="1">A</td><td align="center" rowspan="1" colspan="1">P</td><td align="center" rowspan="1" colspan="1">A</td><td align="center" rowspan="1" colspan="1">A</td><td align="center" rowspan="1" colspan="1">P</td></tr><tr><td align="left" rowspan="1" colspan="1">8</td><td align="center" rowspan="1" colspan="1">10</td><td align="center" rowspan="1" colspan="1">2</td><td align="center" rowspan="1" colspan="1">8</td><td align="center" rowspan="1" colspan="1">2</td><td align="center" rowspan="1" colspan="1">10</td><td align="center" rowspan="1" colspan="1">4</td></tr></tbody></table></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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