J Adv Prosthodont.  2023 Feb;15(1):22-32. 10.4047/jap.2023.15.1.22.

Analysis of the trueness and precision of complete denture bases manufactured using digital and analog technologies

• Ciocca L
• Maltauro M
• Cimini V
• Breschi L
• Montanari A
• Anderlucci L
• Meneghello R

• KMID: 2539595
• DOI: http://doi.org/10.4047/jap.2023.15.1.22

Abstract

PURPOSE
Digital technology has enabled improvements in the fitting accuracy of denture bases via milling techniques. The aim of this study was to evaluate the trueness and precision of digital and analog techniques for manufacturing complete dentures (CDs).
MATERIALS AND METHODS
Sixty identical CDs were manufactured using different production protocols. Digital and analog technologies were compared using the reference geometric approach, and the Δ-error values of eight areas of interest (AOI) were calculated. For each AOI, a precise number of measurement points was selected according to sensitivity analyses to compare the Δ-error of trueness and precision between the original model and manufactured prosthesis. Three types of statistical analysis were performed: to calculate the intergroup cumulative difference among the three protocols, the intergroup among the AOIs, and the intragroup difference among AOIs.
RESULTS
There was a statistically significant difference between the dentures made using the oversize process and injection molding process (P < .001), but no significant difference between the other two manufacturing methods (P = .1227). There was also a statistically significant difference between the dentures made using the monolithic process and the other two processes for all AOIs (P = .0061), but there was no significant difference between the other two processes (P = 1). Within each group, significant differences among the AOIs were observed.
CONCLUSION
The monolithic process yielded better results, in terms of accuracy (trueness and precision), than the other groups, although all three processes led to dentures with Δ-error values well within the clinical tolerance limit.

Keyword

Digital workflow; Digital denture; CAD-CAM; Complete denture; Reference geometry measurement