Integrating 3D facial scanning in a digital workflow to CAD/CAM design and fabricate complete dentures for immediate total mouth rehabilitation
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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.
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DOI: 10.4047/jap.2017.9.5.381
PubMed: 29142646
PubMed Central: 5673615
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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></affiliation></author><author><name sortKey="Wismeijer, Daniel" sort="Wismeijer, Daniel" uniqKey="Wismeijer D" first="Daniel" last="Wismeijer">Daniel Wismeijer</name><affiliation wicri:level="1"><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></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></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Integrating 3D facial scanning in a digital workflow to CAD/CAM design and fabricate complete dentures for immediate total mouth rehabilitation</title><author><name sortKey="Hassan, Bassam" sort="Hassan, Bassam" uniqKey="Hassan B" first="Bassam" last="Hassan">Bassam Hassan</name><affiliation wicri:level="1"><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></affiliation></author><author><name sortKey="Greven, Marcus" sort="Greven, Marcus" uniqKey="Greven M" first="Marcus" last="Greven">Marcus Greven</name><affiliation wicri:level="1"><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></affiliation></author><author><name sortKey="Wismeijer, Daniel" sort="Wismeijer, Daniel" uniqKey="Wismeijer D" first="Daniel" last="Wismeijer">Daniel Wismeijer</name><affiliation wicri:level="1"><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></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 Jekki</name></author><author><name sortKey="Goodacre, Cj" uniqKey="Goodacre C">CJ Goodacre</name></author><author><name sortKey="Baba, Nz" uniqKey="Baba N">NZ Baba</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lozada, Jl" uniqKey="Lozada J">JL Lozada</name></author><author><name sortKey="Garbacea, A" uniqKey="Garbacea A">A Garbacea</name></author><author><name sortKey="Goodacre, Cj" uniqKey="Goodacre C">CJ Goodacre</name></author><author><name sortKey="Kattadiyil, Mt" uniqKey="Kattadiyil M">MT Kattadiyil</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kattadiyil, Mt" uniqKey="Kattadiyil M">MT Kattadiyil</name></author><author><name sortKey="Goodacre, Cj" uniqKey="Goodacre C">CJ Goodacre</name></author><author><name sortKey="Baba, Nz" uniqKey="Baba N">NZ Baba</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bidra, As" uniqKey="Bidra A">AS Bidra</name></author><author><name 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Jagtman, Am" uniqKey="Kuijpers Jagtman A">AM Kuijpers-Jagtman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rosati, R" uniqKey="Rosati R">R Rosati</name></author><author><name sortKey="De Menezes, M" uniqKey="De Menezes M">M De Menezes</name></author><author><name sortKey="Rossetti, A" uniqKey="Rossetti A">A Rossetti</name></author><author><name sortKey="Sforza, C" uniqKey="Sforza C">C Sforza</name></author><author><name sortKey="Ferrario, Vf" uniqKey="Ferrario V">VF Ferrario</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Joda, T" uniqKey="Joda T">T Joda</name></author><author><name sortKey="Gallucci, Go" uniqKey="Gallucci G">GO Gallucci</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hassan, B" uniqKey="Hassan B">B Hassan</name></author><author><name sortKey="Gimenez Gonzalez, B" uniqKey="Gimenez Gonzalez B">B Gimenez Gonzalez</name></author><author><name sortKey="Tahmaseb, 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><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Adv Prosthodont</journal-id><journal-id journal-id-type="iso-abbrev">J Adv Prosthodont</journal-id><journal-id journal-id-type="publisher-id">JAP</journal-id><journal-title-group><journal-title>The Journal of Advanced Prosthodontics</journal-title></journal-title-group><issn pub-type="ppub">2005-7806</issn><issn pub-type="epub">2005-7814</issn><publisher><publisher-name>The Korean Academy of Prosthodontics</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">29142646</article-id><article-id pub-id-type="pmc">5673615</article-id><article-id pub-id-type="doi">10.4047/jap.2017.9.5.381</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Integrating 3D facial scanning in a digital workflow to CAD/CAM design and fabricate complete dentures for immediate total mouth rehabilitation</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-2917-2119</contrib-id><name><surname>Hassan</surname><given-names>Bassam</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Greven</surname><given-names>Marcus</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Wismeijer</surname><given-names>Daniel</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.</aff><aff id="A2"><label>2</label>Department of Prosthodontics, Vienna School of Interdisciplinary Dentistry, Medical University Vienna, Wien, Austria.</aff><author-notes><corresp>Corresponding author: Bassam Hassan. Department of Oral Implantology and Prosthetic Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Gustav Mahlerlaan 3004, 1081LA, Amsterdam, The Netherlands. Tel. +31622730007: <email>b.hassan@acta.nl</email></corresp></author-notes><pub-date pub-type="ppub"><month>10</month><year>2017</year></pub-date><pub-date pub-type="epub"><day>16</day><month>10</month><year>2017</year></pub-date><volume>9</volume><issue>5</issue><fpage>381</fpage><lpage>386</lpage><history><date date-type="received"><day>29</day><month>1</month><year>2017</year></date><date date-type="rev-recd"><day>31</day><month>5</month><year>2017</year></date><date date-type="accepted"><day>04</day><month>7</month><year>2017</year></date></history><permissions><copyright-statement>© 2017 The Korean Academy of Prosthodontics</copyright-statement><copyright-year>2017</copyright-year><copyright-holder>The Korean Academy of Prosthodontics</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">http://creativecommons.org/licenses/by-nc/3.0</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><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></abstract><kwd-group><kwd>Prosthodontics</kwd><kwd>CAD/CAM</kwd><kwd>Facial scanning</kwd><kwd>Digital dentistry</kwd><kwd>Immediate denture</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution>Academic Centre for Dentistry Amsterdam</institution></institution-wrap></funding-source></award-group></funding-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label><caption><title>(A) Clinical photograph of the preoperative situation demonstrating the pathological tooth migration resulting from advanced periodontitis, (B) Digital 3D model of the preoperative intraoral situation with the bite record, (C) Digital immediate denture design proposal based on existing bite records.</title></caption><graphic xlink:href="jap-9-381-g001"></graphic></fig><fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label><caption><title>(A) Facial scan in natural position with lips sealed, (B) Facial scan with exaggerated smile, (C) Facial scan with cheek retractors to expose the labial teeth surfaces.</title></caption><graphic xlink:href="jap-9-381-g002"></graphic></fig><fig id="F3" orientation="portrait" position="float"><label>Fig. 3</label><caption><title>(A) Reference image for the facial scanning registration procedure, (B) The forehead region in the facial scan with maximum smile is used as a fixed fiducial reference for the matching (registration) procedure, (C) The forehead region in the facial scan with cheek retractors is used as a fixed fiducial reference for the matching (registration) procedure.</title></caption><graphic xlink:href="jap-9-381-g003"></graphic></fig><fig id="F4" orientation="portrait" position="float"><label>Fig. 4</label><caption><title>Registration of the digital 3D intraoral situation with the cheek retractor facial scan using the labial teeth surfaces as fixed reference.</title></caption><graphic xlink:href="jap-9-381-g004"></graphic></fig><fig id="F5" orientation="portrait" position="float"><label>Fig. 5</label><caption><title>The matched (registered) digital 3D intraoral situation with the facial scanning.</title></caption><graphic xlink:href="jap-9-381-g005"></graphic></fig><fig id="F6" orientation="portrait" position="float"><label>Fig. 6</label><caption><title>(A) The preoperative 3D intraoral scan overlaid on the smiling position facial scan, (B) The virtual immediate denture design proposal overlaid on the smiling position facial scan.</title></caption><graphic xlink:href="jap-9-381-g006"></graphic></fig><fig id="F7" orientation="portrait" position="float"><label>Fig. 7</label><caption><title>(A) The polished milled upper immediate denture, (B) The polished milled lower immediate denture.</title></caption><graphic xlink:href="jap-9-381-g007"></graphic></fig><fig id="F8" orientation="portrait" position="float"><label>Fig. 8</label><caption><title>The immediate denture in-situ.</title></caption><graphic xlink:href="jap-9-381-g008"></graphic></fig><fig id="F9" orientation="portrait" position="float"><label>Fig. 9</label><caption><title>(A) The 3D printed immediate custom individual tray, (B) The definitive bite record taken with Avadent bite registration material.</title></caption><graphic xlink:href="jap-9-381-g009"></graphic></fig><fig id="F10" orientation="portrait" position="float"><label>Fig. 10</label><caption><title>(A) The virtual teeth try in for the definitive prosthesis, (B) The definitive denture in-situ.</title></caption><graphic xlink:href="jap-9-381-g010"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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