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DOI: 10.1055/s-0042-1757211
Fit Accuracy of Complete Denture Base Fabricated by CAD/CAM Milling and 3D-Printing Methods
Abstract
Objective Digital complete denture fabrication can be accomplished by either milling or three-dimensional (3D)-printing approach in which minimal distortion during processing contributes to effective denture base adaption, which leads to good denture retention. The purpose of this study was to compare the fit accuracy of milled and 3D-printed complete denture bases.
Materials and Methods The reference edentulous maxillary arch model was scanned to generate virtual denture bases using computer-aided manufacturing software that exports as standard tessellation language files. Denture bases were constructed using a milling and 3D-printing technique using digital light processing method (n = 10). Intaglio surfaces of denture bases were scanned and superimposed on the reference model. The fit accuracy was quantified as root mean square error and evaluated statistically using independent t-test comparisons with a significance level of 0.05.
Results Milled denture bases were significantly more accurate in adaptation than 3D-printed dentures in the overall intaglio area and primary bearing area of denture bases. 3D-printed denture bases demonstrated significantly greater accuracy in adaptation than milled denture bases in the peripheral/posterior palatal seal area.
Conclusion Milled denture bases fit better in the overall and primary stress-bearing areas than 3D-printed dentures, while 3D-printed dentures appeared more accurate in the peripheral seal area, which had a minor undercut that is not suitable for using milling technology.
Publication History
Article published online:
13 December 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Bannwart LC, de Moraes Melo Neto CL, Goiato MC. et al. Oral health-related quality of life, dry mouth sensation, and level of anxiety in elderly patients rehabilitated with new removable dentures. Eur J Dent 2022; 16 (02) 351-359
- 2 Rudd KD. Processing complete dentures. Dent Clin North Am 1996; 40 (01) 121-149
- 3 Jacobson TE, Krol AJ. A contemporary review of the factors involved in complete denture retention, stability, and support. Part I: retention. J Prosthet Dent 1983; 49 (01) 5-15
- 4 Woelfel JB. Processing complete dentures. Dent Clin North Am 1977; 21 (02) 329-338
- 5 Kawara M, Komiyama O, Kimoto S, Kobayashi N, Kobayashi K, Nemoto K. Distortion behavior of heat-activated acrylic denture-base resin in conventional and long, low-temperature processing methods. J Dent Res 1998; 77 (06) 1446-1453
- 6 Maeda Y, Minoura M, Tsutsumi S, Okada M, Nokubi T. A CAD/CAM system for removable denture. Part I: fabrication of complete dentures. Int J Prosthodont 1994; 7 (01) 17-21
- 7 Janeva NM, Kovacevska G, Elencevski S, Panchevska S, Mijoska A, Lazarevska B. Advantages of CAD/CAM versus conventional complete dentures - a review. Open Access Maced J Med Sci 2018; 6 (08) 1498-1502
- 8 Saponaro PC, Yilmaz B, Heshmati RH, McGlumphy EA. Clinical performance of CAD-CAM-fabricated complete dentures: a cross-sectional study. J Prosthet Dent 2016; 116 (03) 431-435
- 9 Steinmassl PA, Klaunzer F, Steinmassl O, Dumfahrt H, Grunert I. Evaluation of currently available CAD/CAM denture systems. Int J Prosthodont 2017; 30 (02) 116-122
- 10 Faty MA, Sabet ME, Thabet YG. A comparison of denture base retention and adaptation between CAD-CAM and conventional fabrication techniques. Int J Prosthodont 2022; ;10.11607/ijp.7193. DOI: 10.11607/ijp.7193.
- 11 Soeda Y, Kanazawa M, Arakida T, Iwaki M, Minakuchi S. CAD-CAM milled complete dentures with custom disks and prefabricated artificial teeth: a dental technique. J Prosthet Dent 2022; 127 (01) 55-58
- 12 Ayman AD. The residual monomer content and mechanical properties of CAD resins used in the fabrication of complete dentures as compared to heat cured resins. Electron Physician 2017; 9 (07) 4766-4772
- 13 Kattadiyil MT, Jekki R, Goodacre CJ, Baba NZ. Comparison of treatment outcomes in digital and conventional complete removable dental prosthesis fabrications in a predoctoral setting. J Prosthet Dent 2015; 114 (06) 818-825
- 14 Aly P, Mohsen C. Comparison of the accuracy of three-dimensional printed casts, digital, and conventional casts: an in vitro study. Eur J Dent 2020; 14 (02) 189-193
- 15 Chen H, Wang H, Lv P, Wang Y, Sun Y. Quantitative evaluation of tissue surface adaption of CAD-designed and 3D-printed wax pattern of maxillary complete denture. BioMed Res Int 2015; 2015: 453968
- 16 Tasaka A, Matsunaga S, Odaka K. et al. Accuracy and retention of denture base fabricated by heat curing and additive manufacturing. J Prosthodont Res 2019; 63 (01) 85-89
- 17 Stansbury JW, Idacavage MJ. 3D printing with polymers: challenges among expanding options and opportunities. Dent Mater 2016; 32 (01) 54-64
- 18 Javaid M, Haleem A. Current status and applications of additive manufacturing in dentistry: a literature-based review. J Oral Biol Craniofac Res 2019; 9 (03) 179-185
- 19 Cristache CM, Totu EE, Iorgulescu G. et al. Eighteen months follow-up with patient-centered outcomes assessment of complete dentures manufactured using a hybrid nanocomposite and additive CAD/CAM protocol. J Clin Med 2020; 9 (02) 1-20
- 20 McGarry TJ, Nimmo A, Skiba JF, Ahlstrom RH, Smith CR, Koumjian JH. The American College of Prosthodontics. Classification system for complete edentulism. J Prosthodont 1999; 8 (01) 27-39
- 21 Felton DA, Cooper LF, Scurria MS. Predictable impression procedures for complete dentures. Dent Clin North Am 1996; 40 (01) 39-51
- 22 Artopoulos A, Juszczyk AS, Rodriguez JM, Clark RK, Radford DR. Three-dimensional processing deformation of three denture base materials. J Prosthet Dent 2013; 110 (06) 481-487
- 23 Ender A, Mehl A. Accuracy of complete-arch dental impressions: a new method of measuring trueness and precision. J Prosthet Dent 2013; 109 (02) 121-128
- 24 Goodacre BJ, Goodacre CJ, Baba NZ, Kattadiyil MT. Comparison of denture base adaptation between CAD-CAM and conventional fabrication techniques. J Prosthet Dent 2016; 116 (02) 249-256
- 25 Steinmassl O, Dumfahrt H, Grunert I, Steinmassl PA. CAD/CAM produces dentures with improved fit. Clin Oral Investig 2018; 22 (08) 2829-2835
- 26 Yoon HI, Hwang HJ, Ohkubo C, Han JS, Park EJ. Evaluation of the trueness and tissue surface adaptation of CAD-CAM mandibular denture bases manufactured using digital light processing. J Prosthet Dent 2018; 120 (06) 919-926
- 27 Kalberer N, Mehl A, Schimmel M, Müller F, Srinivasan M. CAD-CAM milled versus rapidly prototyped (3D-printed) complete dentures: an in vitro evaluation of trueness. J Prosthet Dent 2019; 121 (04) 637-643
- 28 Hwang HJ, Lee SJ, Park EJ, Yoon HI. Assessment of the trueness and tissue surface adaptation of CAD-CAM maxillary denture bases manufactured using digital light processing. J Prosthet Dent 2019; 121 (01) 110-117
- 29 Bidra AS, Taylor TD, Agar JR. Computer-aided technology for fabricating complete dentures: systematic review of historical background, current status, and future perspectives. J Prosthet Dent 2013; 109 (06) 361-366
- 30 Oropallo W, Piegl LA. Ten challenges in 3D- printing. Eng Comput 2015; 32: 135-148
- 31 Pereyra NM, Marano J, Subramanian G, Quek S, Leff D. Comparison of patient satisfaction in the fabrication of conventional dentures vs. DENTCA (CAD/CAM) dentures: a case report. J N J Dent Assoc 2015; 86 (02) 26-33
- 32 Cook RJ. Response of the oral mucosa to denture wearing. J Dent 1991; 19 (03) 135-147