Which clinical and laboratory procedures should be used to fabricate digital complete dentures? A systematic review

Thu, Khaing Myat; Molinero-Mourelle, Pedro; Yeung, Andy Wai Kan; Abou-Ayash, Samir; Lam, Walter Yu Hang

doi:10.1016/j.prosdent.2023.07.027

Cited by 5 publications

(3 citation statements)

References 48 publications

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“…When compared with a conventional workflow, the digital complete dentures required a statistically shorter clinical time, with 205 to 233 min saved. The outcomes for patient satisfaction and oral-health-related quality of life were similar between conventional, milled, and 3D-printed complete dentures [32].…”

Section: Discussionmentioning

confidence: 84%

Expediting the Rehabilitation of Severely Resorbed Ridges Using a Combination of CAD-CAM and Analog Techniques: A Case Report

Jurado,

Azpiazu-Flores,

et al. 2024

Medicina

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With the life expectancy increasing, there is a growing need for prosthetic dental treatments to restore the oral health, function, and quality of life of edentulous patients. Presently, only a few articles are available describing the oral rehabilitation of patients with severely resorbed ridges with milled complete dentures. This clinical case report provides a straightforward protocol consisting of a combination of analog and digital techniques for the rehabilitation of edentulous patients with severely resorbed ridges with milled fixed and removable complete dentures. This technique permits the minimization of the number of appointments, improves patient comfort, allows for the digital archiving of important clinical data, and permits the manufacture of prostheses with improved mechanical properties. These favorable outcomes were achieved by using the patient’s existing PMMA complete denture as a custom tray for a final impression with light-bodied Polyvinylsiloxane. Subsequently, the resulting models were digitized, and a digital complete denture was designed and manufactured in an expedited manner using CAD-CAM techniques. Therefore, this case report highlights the potential of CAD/CAM technology to predictably restabilize oral functions and improve patients’ quality of life.

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Section: Discussionmentioning

confidence: 84%

Expediting the Rehabilitation of Severely Resorbed Ridges Using a Combination of CAD-CAM and Analog Techniques: A Case Report

Jurado,

Azpiazu-Flores,

et al. 2024

Medicina

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“…It has been observed that CAD/CAM dentures have less resin volume and weight than conventional dentures, which can improve patient comfort and adaptability [10,[12][13][14]. Research indicates that the fit of CAD/CAM dentures is superior to that of traditional ones, hence improving patient's acceptance and tolerance [15][16][17]. Advantages include shorter treatment durations, fewer clinical visits, and less discomfort for patients.…”

Section: Discussionmentioning

confidence: 99%

“…Advantages include shorter treatment durations, fewer clinical visits, and less discomfort for patients. The advantages of the material used include decreased porosity, which prevents the growth of bacteria; and decreased polymerization shrinkage, which leads to good adaptation [15,16].…”

Section: Discussionmentioning

confidence: 99%

Challenges and Solutions in Clinical Workflow for the Rehabilitation of Completely Edentulous Patients Through CAD/CAM Dentures: A Case Study

Manoharan,

Wase,

Sivakumar

2024

Cureus

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In the field of removable prosthodontics, computer-aided design and computer-aided manufacturing (CAD/CAM) have become widely recognized. The traditional method, which uses heat-polymerized resins for injection or compression molding, necessitates up to five patient visits and laborious laboratory processes. A digital workflow combined with a CAD/CAM methodology can provide prompt prosthesis delivery for patients with time constraints. This article's goal is to outline the steps and the limitations in the fabrication of digital dentures as well as the challenges, limitations, and solutions developed while developing a clinical workflow for the rehabilitation of completely edentulous patients with the CAD/CAM System.

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Digital denture with mucostatic base and functional borders: A cast‐free digital technique

Lo Russo,

Guida,

Ronsivalle

et al. 2024

Journal of Prosthodontics

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Digital complete dentures fabricated using a mucostatic impression, like intraoral scans, are desirable for their beneficial effect on long‐term residual ridge stability but may have less retention than those fabricated with a mucocompressive impression. Border molding procedure may improve initial retention, thus favoring adaptation to new dentures, especially in cases where neuromuscular dysfunctions may diminish the patient's ability to cope with adapting to existing motor patterns or learn new ones. However, a mucocompressive impression may cause higher residual ridge resorption, thus resulting in a retention decrease over time. A desirable combination would be a digital denture with a mucostatic intaglio surface obtained from intraoral scans and functional borders. A cast‐free digital workflow for that is demonstrated in this technical report.

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Which clinical and laboratory procedures should be used to fabricate digital complete dentures? A systematic review

Cited by 5 publications

References 48 publications

Expediting the Rehabilitation of Severely Resorbed Ridges Using a Combination of CAD-CAM and Analog Techniques: A Case Report

Expediting the Rehabilitation of Severely Resorbed Ridges Using a Combination of CAD-CAM and Analog Techniques: A Case Report

Challenges and Solutions in Clinical Workflow for the Rehabilitation of Completely Edentulous Patients Through CAD/CAM Dentures: A Case Study

Digital denture with mucostatic base and functional borders: A cast‐free digital technique

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