Department of Reconstructive Sciences, University of Connecticut Health Center, Farmington, CT, USA.
J Prosthet Dent. 2013 Jun;109(6):361-6. doi: 10.1016/S0022-3913(13)60318-2.
Computer-aided technology is an emerging method for fabricating complete dentures. Consolidated information about historical background, current status, and scope for the future is lacking.
The purpose of this systematic review was to analyze the existing literature on computer-aided technology for fabricating complete dentures and provide the reader with a historical background, current status, and future perspectives on this emerging technology.
An electronic search of the English language literature between the periods of January 1957 and June 2012 was performed by using PubMed/MEDLINE with the following specific search terms: CAD-CAM complete dentures, digital complete dentures, computer dentures, designed dentures, machined dentures, manufactured dentures, milled dentures, and rapid prototyping dentures. Additionally, the search terms were used on the Google search engine to identify current commercial manufacturers and their protocols.
A total of 1584 English language titles were obtained from the electronic database, and the systematic application of exclusion criteria resulted in the identification of 8 articles pertaining to computer-aided technology for complete dentures. Since the first published report in 1994, multiple authors have described different theoretical models and protocols for fabricating complete dentures with computer-aided technology. Although no clinical trials or clinical reports were identified in the scientific literature, the Google search engine identified 2 commercial manufacturers in the United States currently fabricating complete dentures with computer-aided design and computer-aided manufacturing (CAD/CAM) technology for clinicians world-wide. These manufacturers have definitive protocols in place and offer exclusive dental materials, techniques, and laboratory support. Their protocols contrast with conventional paradigms for fabricating complete dentures and allow the fabrication of complete dentures in 2 clinical appointments.
A body of scientific literature related to computer-aided technology for complete dentures is emerging. Significant advancements in this technology have now resulted in their commercial availability with shorter clinical protocols. However, prospective clinical trials with true clinical endpoints are necessary to validate this technology. This could affect dental education, patient care, research, and public health worldwide.
计算机辅助技术是一种新兴的全口义齿制作方法。目前缺乏有关其历史背景、现状和未来发展范围的综合信息。
本系统评价旨在分析现有的计算机辅助技术制作全口义齿的文献，并为读者提供该新兴技术的历史背景、现状和未来展望。
通过使用 PubMed/MEDLINE 数据库，以 CAD-CAM 全口义齿、数字化全口义齿、计算机义齿、设计义齿、机械义齿、制造义齿、铣削义齿和快速原型义齿等特定搜索词，对 1957 年 1 月至 2012 年 6 月期间的英文文献进行电子检索。此外，还在 Google 搜索引擎上使用了这些搜索词，以确定当前的商业制造商及其方案。
从电子数据库中获得了 1584 篇英文标题，通过系统应用排除标准，确定了 8 篇与计算机辅助技术制作全口义齿相关的文章。自 1994 年首次发表报告以来，多位作者已经描述了使用计算机辅助技术制作全口义齿的不同理论模型和方案。虽然在科学文献中未发现临床试验或临床报告，但 Google 搜索引擎在美国识别出了 2 家目前正在使用计算机辅助设计和计算机辅助制造 (CAD/CAM) 技术为全球临床医生制作全口义齿的商业制造商。这些制造商已经制定了明确的方案，并提供独家的牙科材料、技术和实验室支持。他们的方案与传统的全口义齿制作范式形成对比，并允许在 2 次临床就诊中制作全口义齿。
与计算机辅助技术制作全口义齿相关的科学文献正在不断涌现。该技术的显著进步现已使其在商业上得以应用，临床方案也有所缩短。然而，需要进行具有真实临床终点的前瞻性临床试验来验证该技术。这可能会影响全球的牙科教育、患者护理、研究和公共卫生。
