J Korean Acad Prosthodont.  2019 Jul;57(3):232-237. 10.4047/jkap.2019.57.3.232.

Rehabilitation of fully edentulous patient using Ceramill full denture system (FDS)

• Lee Y
• Kwon KR
• Pae A
• Noh K
• Paek J
• Hong SJ

• KMID: 2453777
• DOI: http://doi.org/10.4047/jkap.2019.57.3.232

Abstract

CAD/CAM technology has already been used in most areas of prosthetics. The range of CAD/CAM application in denture fabricating process has been gradually increasing since the CAD/CAM technology was introduced for the fabrication of complete dentures in 1994. This paper describes a technique that combines conventional and CAD/CAM technology for the fabrication of complete dentures: the master casts from a conventional impression techniques were scanned first, and the wax denture was fabricated using Amann Girrbach's Ceramill full denture system (fds). The purpose of this paper is to introduce the case in which making an esthetically and functionally satisfied denture in shorter time is possible with CAD/CAM technology.

Keyword

Complete denture; Digital dentistry; Digitally fabricated removable complete denture

MeSH Terms

Denture, Complete
Dentures*
Humans
Rehabilitation*

Figure

• 

  Fig. 1 (A) Mounted master casts, (B) Master casts and record bases fixed on jig.

• 

  Fig. 2 Reference points marked on master casts in CAD software. (A) Midline, maxillary tuberosity, (B) Occlusal plane, (C) Final setup lines (Maxilla), (D) Final setup lines (Mandible).

• 

  Fig. 3 (A) Artificial teeth arrangement, (B) Artificial teeth arrangement in maxilla, (C) Artificial teeth arrangement in scanned record rim, (D)Articulator setting, (E) Denture design, (F) Basal adaptation of artificial teeth.

• 

  Fig. 4 (A) Milled maxillary wax denture base, (B) Milled mandibular wax denture base, (C) Milled artificial teeth.

• 

  Fig. 5 (A) Maxillary upper surface with milled artificial teeth inserted, (B) Milled wax dentures in articulator, notice the contact of incisal pin.

• 

  Fig. 6 Milled wax denture try-in.

• 

  Fig. 7 Definitive complete denture.

Reference

1. Beuer F, Schweiger J, Edelhoff D. Digital dentistry: an overview of recent developments for CAD/CAM generated restorations. Br Dent J. 2008; 204:505–511.

2. Davidowitz G, Kotick PG. The use of CAD/CAM in dentistry. Dent Clin North Am. 2011; 55:559–570.

3. Alghazzawi TF. Advancements in CAD/CAM technology: Options for practical implementation. J Prosthodont Res. 2016; 60:72–84.

4. Patel N. Integrating three-dimensional digital technologies for comprehensive implant dentistry. J Am Dent Assoc. 2010; 141:Suppl 2. 20S–24S.

5. 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; 7:17–21.

6. Infante L, Yilmaz B, McGlumphy E, Finger I. Fabricating complete dentures with CAD/CAM technology. J Prosthet Dent. 2014; 111:351–355.

7. Bidra AS. The 2-visit CAD-CAM implant-retained overdenture: a clinical report. J Oral Implantol. 2014; 40:722–728.

8. Kattadiyil MT, Goodacre CJ, Baba NZ. CAD/CAM complete dentures: a review of two commercial fabrication systems. J Calif Dent Assoc. 2013; 41:407–416.

9. 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; 86:26–33.

10. Zarb GA, Hobkirk J, Eckert S, Jacob R. Prosthodontic treatment for edentulous patients: Complete dentures and implant-supported prostheses. 13th ed. St. Louis: CV Mosby;2013. p. 1–27.

11. Boucher CO. Complete denture prosthodontics-The state of the art. J Prosthet Dent. 1975; 34:372–383.

12. Wimmer T, Gallus K, Eichberger M, Stawarczyk B. Complete denture fabrication supported by CAD/CAM. J Prosthet Dent. 2016; 115:541–546.

13. 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; 109:361–366.

14. Goodacre CJ, Garbacea A, Naylor WP, Daher T, Marchack CB, Lowry J. CAD/CAM fabricated complete dentures: concepts and clinical methods of obtaining required morphological data. J Prosthet Dent. 2012; 107:34–46.

15. Sykora O, Sutow EJ. Comparison of the dimensional stability of two waxes and two acrylic resin processing techniques in the production of complete dentures. J Oral Rehabil. 1990; 17:219–227.

16. Stawarczyk B, Lümkemann N, Eichberger M, Wimmer T. Accuracy of digitally fabricated wax denture bases and conventional completed complete dentures. Dent J (Basel). 2017; 5:E36.

17. Chen JC, Lacefield WR, Castleberry DJ. Effect of denture thickness and curing cycle on the dimensional stability of acrylic resin denture bases. Dent Mater. 1988; 4:20–24.