全口义齿数字化系统的比较及研究进展

摘要/Abstract

摘要： 计算机辅助设计与计算机辅助制造技术（CAD/CAM）在全口义齿制作中的应用逐渐成熟，已有多个商品化的全口义齿数字化系统广泛用于临床，但不同系统在使用装置、就诊次数、操作流程等方面有所差异，掌握不同系统的特点有利于临床医师做出合理的选择，提高诊疗的效率和疗效。因此，本文选择了几种临床常用的数字化系统，旨在对其专用装置和技术特点进行阐述和比较，并对数字化全口义齿的研究进展进行综述和展望。 [关键词]　全口义齿；数字化；数字化系统

关键词: 全口义齿, 数字化, 数字化系统

Abstract: The application of computer-aided design and computer-aided manufacturing (CAD/CAM) in the fabrication of complete dentures has gradually matured, and there have been multiple commercialized digital denture systems widely used in clinic. However, different systems have some differences in devices, number of visits, operating procedures and so on. Mastering the characteristics of different systems is helpful for physicians to choose the most suitable system and improve the efficiency and efficacy of treatment. Therefore, this paper selects several digital systems commonly used in clinic to explain and compare their special devices and technical characteristics, and to review and prospect the research progress of digital complete dentures.

Key words: complete denture, digital, digital denture system

王灿吴珺华. 全口义齿数字化系统的比较及研究进展[J]. 口腔医学, 2021, 41(2): 183-188.

参考文献 41

[1]	Infante L, Yilmaz B, McGlumphy E, et al. Fabricating complete dentures with CAD/CAM technology [J]. J Prosthet Dent, 2014, 111(5):351-355.
[2]	Neumeier TT, Neumeier H. Digital immediate dentures treatment: A clinical report of two patients [J]. J Prosthet Dent, 2016, 116(3):314-319.
[3]	孙玉春,王勇,邓珂慧,等. 功能易适数字化全口义齿的自主创新研发 [J/OL].北京大学学报(医学版):1-11.
[4]	Wimmer T, Gallus K, Eichberger M, et al. Complete denture fabrication supported by CAD/CAM [J]. J Prosthet Dent, 2016, 115(5):541-546.
[5]	Bonnet G, Batisse C, Bessadet M, et al. A new digital denture procedure: a first practitioners appraisal [J]. BMC Oral Health, 2017, 17(1):155.
[6]	Han W, Li Y, Zhang Y, et al. Design and fabrication of complete dentures using CAD/CAM technology [J]. Medicine, 2017, 96(1):e5435.
[7]	Lo Russo L, Salamini A. Removable complete digital dentures: A workflow that integrates open technologies [J]. J Prosthet Dent, 2018, 119(5):727-732.
[8]	Kattadiyil MT, Goodacre CJ, Baba NZ. CAD/CAM complete dentures: a review of two commercial fabrication systems [J]. J Calif Dent Assoc, 2013, 41(6):407-416.
[9]	AvaDent Digital Denture. Available at: https://www.avadent.com/avadent/materials/.
[10]	DentCa CAD/CAM Denture. Available at: http://www.dentca.com/product/denture
[11]	Wieland Digital Denture. Available at: https://www.ivoclarvivadent.cn/cn/instructions-for-use-for-dentists/
[12]	Steinmassl PA, Klaunzer F, Steinmassl O, et al. Evaluation of currently available CAD/CAM denture systems [J]. Int J Prosthodont, 2017, 30(2):116-122.
[13]	Baltic Denture System. Available at: https://www.baltic-denture-system.
[14]	John AV, Abraham G, Alias A. Two-visit CAD/CAM milled dentures in the rehabilitation of edentulous arches: A case series [J]. J Indian Prosthodont Soc, 2019, 19(1):88-92.
[15]	王勇. 全口义齿数字化技术分析 [J]. 国际口腔医学杂志, 2020, 47(01):1-9.
[16]	Steinmassl O, Offermanns V, Stockl W, et al. In vitro analysis of the fracture resistance of CAD/CAM denture base resins [J]. Materials, 2018, 11(3):401.
[17]	Einarsdottir ER, Geminiani A, Chochlidakis K, et al. Dimensional stability of double-processed complete denture bases fabricated with compression molding, injection molding, and CAD-CAM subtraction milling [J]. J Prosthet Dent, 2019.
[18]	Steinmassl PA, Wiedemair V, Huck C, et al. Do CAD/CAM dentures really release less monomer than conventional dentures [J]. Clin Oral Investig, 2017, 21(5):1697-1705.
[19]	Al-Fouzan AF, Al-Mejrad LA, Albarrag AM. Adherence of Candida to complete denture surfaces in vitro: A comparison of conventional and CAD/CAM complete dentures [J]. J Adv Prosthodont, 2017, 9(5):402-408.
[20]	Ender A, Mehl A. Accuracy of complete-arch dental impressions: A new method of measuring trueness and precision [J]. J Prosthet Dent, 2013, 109(2):121-128.
[21]	Stawarczyk B, Lumkemann N, Eichberger M, et al. Accuracy of digitally fabricated wax denture bases and conventional completed complete dentures [J]. Dent J, 2017, 5(4):36.
[22]	Wimmer T, Eichberger M, Lumkemann N, et al. Accuracy of digitally fabricated trial dentures [J]. J Prosthet Dent, 2018, 119(6):942-947.
[23]	Yoon HI, Hwang HJ, Ohkubo C, et al. Evaluation of the trueness and tissue surface adaptation of CAD-CAM mandibular denture bases manufactured using digital light processing [J]. J Prosthet Dent, 2018, 120(6):919-926.
[24]	Hwang HJ, Lee SJ, Park EJ, et al. Assessment of the trueness and tissue surface adaptation of CAD-CAM maxillary denture bases manufactured using digital light processing [J]. J Prosthet Dent, 2019, 121(1):110-117.
[25]	Chen H, Wang H, Lv P, et al. Quantitative evaluation of tissue surface adaption of CAD-designed and 3D printed wax pattern of maxillary complete denture [J]. Biomed Res Int, 2015, 2015:453968.
[26]	Srinivasan M, Cantin Y, Mehl A, et al. CAD/CAM milled removable complete dentures: an in vitro evaluation of trueness [J]. Clin Oral Investig, 2017, 21(6):2007-2019.
[27]	McLaughlin JB, Ramos V Jr, Dickinson DP. Comparison of fit of dentures fabricated by traditional techniques versus CAD/CAM technology [J]. J Prosthodont, 2019, 28(4):428-435.
[28]	Goodacre BJ, Goodacre CJ, Baba NZ, et al. Comparison of denture base adaptation between CAD-CAM and conventional fabrication techniques [J]. J Prosthet Dent, 2016, 116(2):249-256.
[29]	Steinmassl O, Dumfahrt H, Grunert I, et al. CAD/CAM produces dentures with improved fit [J]. Clin Oral Investig, 2018, 22(8):2829-2835.
[30]	Lee S, Hong SJ, Paek J, et al. Comparing accuracy of denture bases fabricated by injection molding, CAD/CAM milling, and rapid prototyping method [J]. J Adv Prosthodont, 2019, 11(1):55-64.
[31]	AlHelal A, AlRumaih HS, Kattadiyil MT, et al. Comparison of retention between maxillary milled and conventional denture bases: A clinical study [J]. J Prosthet Dent, 2017, 117(2):233-238.
[32]	Drago C, Borgert AJ. Comparison of nonscheduled, postinsertion adjustment visits for complete dentures fabricated with conventional and CAD-CAM protocols: A clinical study [J]. J Prosthet Dent, 2019, 122(5):459-466.
[33]	Kattadiyil MT, Jekki R, Goodacre CJ, et al. Comparison of treatment outcomes in digital and conventional complete removable dental prosthesis fabrications in a predoctoral setting [J]. J Prosthet Dent, 2015, 114(6):818-825.
[34]	Saponaro PC, Yilmaz B, Heshmati RH, et al. Clinical performance of CAD-CAM-fabricated complete dentures: A cross-sectional study [J]. J Prosthet Dent, 2016, 116(3):431-435.
[35]	Kattadiyil MT, AlHelal A, Goodacre BJ. Clinical complications and quality assessments with computer-engineered complete dentures: A systematic review [J]. J Prosthet Dent, 2017, 117(6):721-728.
[36]	Fang JH, An X, Jeong SM, et al. Development of complete dentures based on digital intraoral impressions-Case report [J]. J Prosthodont Res, 2018, 62(1):116-120.
[37]	Kanazawa M, Iwaki M, Arakida T, et al. Digital impression and jaw relation record for the fabrication of CAD/CAM custom tray [J]. J Prosthodont Res, 2018, 62(4):509-513.
[38]	Lee JH. Improved digital impressions of edentulous areas [J]. J Prosthet Dent, 2017, 117(3):448-449.
[39]	Cheng C, Cheng X, Dai N, J et al. Prediction of facial deformation after complete denture prosthesis using BP neural network [J]. Comput Biol Med, 2015, 66:103-112.
[40]	Hassan B, Gimenez Gonzalez B, Tahmaseb A, et al. A digital approach integrating facial scanning in a CAD-CAM workflow for complete-mouth implant-supported rehabilitation of patients with edentulism: A pilot clinical study [J]. J Prosthet Dent, 2017, 117(4):486-492.
[41]	Schweiger J, Guth JF, Edelhoff D, et al. Virtual evaluation for CAD-CAM-fabricated complete dentures [J]. J Prosthet Dent, 2017, 117(1):28-33.