Systematic Review of Clinical Applications of CAD/CAM Technology for Craniofacial Implants Placement and Manufacturing of Nasal Prostheses

Tanveer, Waqas Hassan; Ridwan-Pramana, Angela; Molinero‐Mourelle, Pedro; Koolstra, J.H.; Forouzanfar, Tymour

doi:10.3390/ijerph18073756

Cited by 21 publications

(20 citation statements)

References 54 publications

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“…These digital technology advancements further led to the guided surgeries of craniofacial implants and assisted clinicians and dental technicians in exploring the possibilities of the designing and printing of molds, retentive substructures, customized implants, models, digital wax-ups and prosthesis fabrication [18]. With CAD/CAM application, the surgical procedures became more predicable and reduced the clinical and laboratory times of the surgical and prosthetic steps, reduced the number of patient appointments and provided the patients a chance to virtually visualize the expected outcome before undergoing irreversible procedures [18]. Therefore, the aim of this paper was to gather clinical studies about the various applications of CAD/CAM technology for craniofacial implants placement and the fabrication of orbital prostheses.…”

Section: Discussionmentioning

confidence: 99%

“…Bi, Y. et al, 2013 [35] claimed that the whole digital workflow for an orbital prosthesis took 18.5 h from data acquisition to delivery of the prosthesis. Furthermore, a systematic review from Tanveer, W. et al [18] also mentioned the digital workflow times of different case studies, which were found to be in the range of 12-21 h. However, CAD/CAM systems do pose the limitations of skilled technical staff and expensive equipment hindering their use in many parts of the world. The printing of a direct silicone prosthesis and color matching are other limitations that might be resolved with further digital advancements in the near future.…”

Section: Discussionmentioning

confidence: 99%

“…According to Sarment et al [17], the use of CAD/CAM surgical templates significantly increases the precision and accuracy of dental implant placement when compared with the conventional surgical guides. Furthermore, the use of CAD/CAM technology for craniofacial implants surgery has also been used recently with satisfactory clinical outcomes [18].…”

Section: Introductionmentioning

confidence: 99%

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Systematic Review of Clinical Applications of CAD/CAM Technology for Craniofacial Implants Placement and Manufacturing of Orbital Prostheses

Tanveer

Ridwan-Pramana²,

Molinero‐Mourelle

et al. 2021

IJERPH

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This systematic review was aimed at gathering technical and clinical applications of CAD/CAM technology for the preoperative planning of craniofacial implants placement, designing of molds and substructures and fabrication of orbital prostheses. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, an electronic search was executed. Human studies that utilized digital planning systems for the prosthetic rehabilitation of orbital defects were included. A total of 16 studies of 30 clinical cases, which were virtually planned through various digital planning and designing software, were included. The most common preoperative data required for digital planning were CT scans in 15 cases, the 3DSS-STD-II scanning system in 5 cases, an Artec Color 3D scanner in 3 cases and a NextEngine Desktop 3D laser scanner in 2 cases. Meanwhile, the digital designing software were Ease Orbital Implant Planning EOIPlan software in eight cases, Geomagic software in eight cases, Simplant software in four cases and Artec Studio 12 Professional in three cases. Surgical templates were fabricated for 12 cases to place 41 craniofacial implants in the orbital defect area. An image-guided surgical navigation system was utilized for the placement of five orbital implants in two cases. Digital designing and printing systems were reported for the preoperative planning of craniofacial implants placement, designing of molds and substructures and fabrication of orbital prostheses. The studies concluded that the digital planning, designing and fabrication of orbital prostheses reduce the clinical and laboratory times, reduces patient visits and provide a satisfactory outcome; however, technical skills and equipment costs are posing limitations on the use of these digital systems.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Systematic Review of Clinical Applications of CAD/CAM Technology for Craniofacial Implants Placement and Manufacturing of Orbital Prostheses

Tanveer

Ridwan-Pramana²,

Molinero‐Mourelle

et al. 2021

IJERPH

Self Cite

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“…At present, digital technology is becoming widely used in the field of oral implantation [6,7]. The accuracy of the implant position and depth after using the implant guide plate positioning is the subject of much research worldwide [8].…”

Section: Introductionmentioning

confidence: 99%

Comparing digital and traditional guides in first molar implant surgery: A randomized clinical trial

Yang

Zhang

et al. 2022

THC

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BACKGROUND: There are few studies on the differences in clinical outcomes with implant guides made by different methods in cases with a single tooth loss and adjacent tooth support OBJECTIVE: To compare the use of digital and traditional implant guides in patients whose first molars are absent and who are undergoing implant restoration. METHODS: This study included 42 patients with first molars missing who were randomly divided into two groups: the digital group (n= 21) and the control group (n= 21). A CAD/CAM digital implant guide was used in the digital group, whereas a traditional impression was used in the control group. Then, the labor time, the intraoral fit of the implant guide, and the deviation of the screw access channel position were compared between the two groups. RESULTS: The impression time and implant surgery time in the digital group were less than in the traditional group. The intraoral first fit of the guide in the digital group was higher than in the control group (P< 0.05). The one-time satisfaction rate of the digital group was 100%, while five cases in the control group needed to be redone. In the digital group, there was no significant difference in the deviation of the screw access channel position between implants on the left and right sides. In the control group, the deviation of the screw access channel position on the right side was significantly lower than on the left side. Overall, the deviation of the screw access channel position was significantly lower in the digital group than in the control group. CONCLUSIONS: In a first molar implant, the digital implant guide can effectively reduce the clinical operative time and the screw access deviation and improve efficiency. The clinical results with the digital guide provide a basis for its use in implant therapy for single missing teeth.

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“…The fabrication of frameworks or copings range from single-tooth restorations to 14-unit bridges (Figure 1) [9]. Furthermore, in the meantime, CAD/CAM-based removable dentures have been produced [10]. The preparation is usually scanned.…”

Section: Introductionmentioning

confidence: 99%

Marginal and Internal Precision of Zirconia Four-Unit Fixed Partial Denture Frameworks Produced Using Four Milling Systems

et al. 2021

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Background: CAD/CAM systems enable the production of fixed partial dentures with small and reproducible internal and marginal gaps. Purpose: The purpose of this study was to evaluate the reproducibility of the marginal and internal adaptations of four-unit fixed partial denture frameworks produced using four CAD/CAM systems. Materials and Methods: Prepared dies of a master model that simulated the loss of the first left molar were measured. Fifteen frameworks were manufactured using four CAD/CAM systems (A–D). The internal fit was determined by the replica technique, and the marginal gap was determined by microscopy. ANOVA was carried out to detect significant differences, and the Bonferroni adjustment was performed. The global level of significance was set at 5%. Results: The mean gap size ranged from 84 to 132 µm (SD 43–71 µm). The CAD/CAM systems showed significant variance (p < 0.001), and system A (VHF) showed the smallest gaps. The smallest gaps for each system were in the molar part and in the marginal region of the frameworks (p < 0.001). Conclusions: The CAD/CAM systems showed significantly different gap sizes, particularly between premolars and molars and among the marginal, axial and occlusal regions. All of the systems are suitable for clinical application.

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Systematic Review of Clinical Applications of CAD/CAM Technology for Craniofacial Implants Placement and Manufacturing of Nasal Prostheses

Cited by 21 publications

References 54 publications

Systematic Review of Clinical Applications of CAD/CAM Technology for Craniofacial Implants Placement and Manufacturing of Orbital Prostheses

Systematic Review of Clinical Applications of CAD/CAM Technology for Craniofacial Implants Placement and Manufacturing of Orbital Prostheses

Comparing digital and traditional guides in first molar implant surgery: A randomized clinical trial

Marginal and Internal Precision of Zirconia Four-Unit Fixed Partial Denture Frameworks Produced Using Four Milling Systems

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